Open Access DOI:10.23937/2378-3419/2/5/1031
Cervical Cytology Screening - Is the Change of Policy Risk Free?
Emily H. Hertzberg, Nurit Ariel, Dalia Kaplan, Michal Markovitz and Zeev Blumenfeld
Article Type: Research Article | First Published: November 01, 2015
With the change in the cervical cancer screening guidelines, women younger than 21 will not be routinely screened and the screening interval is extended to three years. In spite of the well-received newly recommended guidelines on cervical cancer screening, how many patients will be excluded by the guidelines that may have otherwise benefited from the screening?. It is important to look at the trends in the screened population in order to answer this question. Our aim was to determine the effect...
Open Access DOI:10.23937/2572-3235.1510006
Assessment of Cervical Cancer Using Blood Oxygen-Level Dependent and Diffusion Weighted Magnetic Resonance Imaging
Jessica B Robbins, Emily F Dunn, Kristin A Bradley, James J Brittin, Alejandro Munoz Del Rio and Elizabeth A Sadowski
Article Type: Original Article | First Published: December 2, 2015
Cervical cancer is the most common gynecological malignancy in the world, with more than 500,000 cases diagnosed per year. There is a marked disparity in disease incidence and mortality between developed and underdeveloped regions of the world with nearly seventy percent of cases occurring in underdeveloped regions. The annual incidence of cervical cancer in sub-Saharan Africa is 35/100,000 women with an annual mortality rate of 23/100,000 as compared to an annual incidence of 6.6/100,000 women ...
Open Access DOI:10.23937/2572-3235.1510005
Emergency Embolization of a Rupture of the Left Colic Aneurysm
Domenico Lagana, Maria Petulla, Ierardi Anna, Gianpaolo Carrafiello and Oscar Tamburrini
Article Type: Case Report | First Published: November 25, 2015
This is a case report of an emergency embolization of a left colic aneurysm performed on a 72 year-old woman. The abdominal CTA scan showed a large retroperitoneal hematoma and an aneurysm of a branch of the inferior mesenteric artery. A selective angiography of the inferior mesenteric artery confirmed an aneurysm of the left colic artery. An endovascular ligation was performed with platinum microcoils. The 3-month follow-up confirmed the complete exclusion of the aneurysmatic vessel....
Open Access DOI:10.23937/2572-4045.1510014
Total Pancreatectomy and Islet Auto-Transplantation for Chronic Painful Pancreatitis: An Overview
Megan Berger, Gregory J Beilman, Ty Dunn, David Sutherland and Srinath Chinnakotla
Article Type: Review Article | First Published: December 02, 2015
Chronic pancreatitis is a progressive and irreversible process that can lead to pain, pancreatic dysfunction, and even malignancy. Management can be difficult, with some patients proving refractory to standard medical or endoscopic treatments. These patients generally depend on narcotics to manage their symptoms. Total pancreatectomy and Islet Auto-Transplantation (TP-IAT) can offer relief for such patients by removing the root cause of their pain. The pancreas is entirely resected and islets ar...
Open Access DOI:10.23937/2469-5793/1510018
Medical Student Health Literacy Perspectives and Experiences
Julienne K Kirk, Stephen W Davis, Jade Hairston, Kathryn Melius and Gail S Marion
Article Type: Research Article | First Published: November 09, 2015
Medical students described a variety of scenarios they experienced in their first two or three years of medical school and 17 quotes from the narratives were selected from 130 stories. There were four dominant themes identified from student narratives that were related to communication. These categories included information management, active listening, addressing feelings and reaching common ground. Results suggest that medical students can identify effective and ineffective communication and h...
Open Access DOI:10.23937/2469-5793/1510017
Rethinking HIV Risks among Women on the US/Mexico Border: Alcohol and Latina Sex Behavior
Michael Parsa, Robert Woolard, Dustin Corgan, Susana Villalobos, Paul Chisolm, Lisa Montgomery, Jiayang Liu, Israel Alba and Patrick Tarwater
Article Type: Research Article | First Published: October 31, 2015
Most young Latina ED patients were unconcerned about risk of HIV infection in spite of their reports of HIV sex risk behavior. Latinas who were RAPS4 positive were more likely to report HIV sex risk behavior, but they had no greater concern about their HIV risk and no greater use of condoms. Preventive interventions should be developed to decrease alcohol use and to increase concern about HIV risk among Latinas....
Open Access DOI:10.23937/2474-3674/1510007
Glycemic Disturbances on Admission as a Predictor of Inpatient Mortality
Daniel Saenz-Abad, Jose Antonio Gimeno-Orna, Maria del Carmen Lahoza-Perez, Elena Rivero-Sanz, Marta Jordan-Domingo, Artur Juan-Arribas, Maria del Mar Becerra-Mayor and Cristina Baquer-Sahun
Article Type: Original Research | First Published: October 30, 2015
This is a case-control retrospective analytical study. The cases were patients deceased during hospitalization and controls where those discharged in the same time period. Patients were age-matched and the final outcome of the study was hospital mortality. Rapid Emergency Medicine Score (REMS) and Charlson comorbidity index as well as blood analysis (full blood count, glucose, renal function, ions) were determined. Abnormal glucose levels (dysglycemia) were those considered to be < 70 or > 200 m...
Open Access DOI:10.23937/2474-3674/1510006
Ventricular Arrhythmias in Acute Coronary Syndrome Patients: Therapy of Electrical Storm
Tobias Willich and Andreas Goette
Article Type: Review Article | First Published: October 01, 2015
This review provides an overview of the available therapeutic options for acute care and management of malignant ventricular arrhythmias (VA) such as ventricular tachycardia (VT), ventricular fibrillation (VF) and electrical storm (ES). As therapeutic options antiarrhythmic drug (AAD) therapy, implantable cardioverter defibrillator therapy (ICD), radiofrequency catheter ablation (RFA) and neuroaxial modulation like stellate ganglion blockade or renal denervation are available. AAD therapy is lim...
Open Access DOI:10.23937/2474-3674/1510005
To Give or Not To Give - Is that the Question?: The Changing Face of Emergency Oxygen Therapy
Carol Ann Kelly and Dave Lynes
Article Type: Non-systematic Review | First Published: September 14, 2015
Oxygen's image, together with its reputation, is changing. No longer is it regarded as a benign panacea for all clinical presentations; indeed it is now increasingly evident that oxygen has the potential to contribute to clinical deterioration and mortality. There is an emerging recognition that oxygen is a drug when administered as a therapeutic intervention and should be used with caution. Contemporary guidelines offer criteria and directives for administration and prescription of oxygen, depe...