Open Access DOI:10.23937/2474-3631/1510012

Influence of SOC on the Mental Health Status of Postgraduate Trainee Dentists in Japan

Tohru Takarada, Yoshihisa Sumi and Yoshinori Higuchi

Article Type: Original Research Report | First Published: November 14, 2015

In Japan, a one-year compulsory postgraduate dental training program was started in April 2006. The aim of this training is to supplement the lack of clinical training in the undergraduate curriculum and to meet social requirements. New-entry dentists, who are called trainee dentists, have had their working conditions greatly improved, and are consequently able to concentrate on their clinical training. Trainee dentists must be paid reasonably and their work hours are limited to 40 hours a week ...

 Open Access DOI:10.23937/2469-5777/1510015

Epidemiology and Diagnosis of Ipsilateral Femoral Neck and Shaft Fractures: A Systematic Review of 1761 cases in 1758 Patients (I.1990-VI.2015)

Antonio Barquet, Joao Matheus Guimaraes, Enrique Barrios, Mariela Garau, Robert D Zura and William C Eward

Article Type: Review article | First Published: November 14, 2015

Objectives: Ipsilateral femoral neck and shaft fractures [IFNSF] are uncommon. The existing literature is characterized by a diversity of small reports with a lack of consensus. We performed a systematic review to examine the epidemiology and diagnosis of this injury. Methods: Nineteen databases were used to find articles published between January 1990 and June 2015 with no language restriction. Inclusion criteria were studies describing a minimum of five patients 16 years old or older with acu...

 Open Access DOI:10.23937/2469-5777/1510014

Is That Only a Spinous Process Fracture? Report of a Case of a C6 Spinous Process Fracture with Accompanying Complex Ligamentous Injury Resulting in a Delayed Unilateral Facet Dislocation at the C6-7 Level

Gergely Bodon, Juergen Degreif, Harald Seifarth and Tobias Pitzen

Article Type: Case Report | First Published: November 10, 2015

A 76 years old patient suffered a motor vehicle accident and was brought to our hospital with neck pain and an occipital wound. On the initial polytrauma computed tomography (CT) an isolated spinous process fracture of C6 with hematoma among the posterior soft tissues was diagnosed as well as fracture of the right L1 transverse process. CT of the cervical spine showed no signs of segmental instability. Conservative treatment was introduced and the patient was provided with a soft cervical collar...

 Open Access DOI:10.23937/2469-5777/1510013

The Impact of a Progressive Multidisciplinary Program for Trauma in the Elderly: Outcomes were impacted at the Extremes of Age

Nadir Adam, Ruby Skinner, Satbir Dhillon and Maureen Martin

Article Type: Research Article | First Published: November 5, 2015

The growing elderly population requires special consideration for high-risk medical and surgical care related to traumatic injury. The aim of our study is to evaluate the impact of multidisciplinary care program on outcomes in elderly trauma patients. In addition, the impact of the extremes of age on outcomes was evaluated in the elderly cohort....

 Open Access DOI:10.23937/2469-5777/1510012

Organ Donation in a Pediatric Trauma Victim

Jessica Gantz and Savithiri Ratnapalan

Article Type: Case Report | First Published: October 24, 2015

A previously well 7 year old female was struck by a car traveling 60-70 kms/hr while crossing the street on her bicycle. She had no helmet on at the time of the collision, was thrown 15 feet and landed on her head according to witnesses at the scene. Initial assessment by paramedics within 5 minutes of the event demonstrated a palpable pulse, a patent airway, but no respiratory effort. Initial Glasgow Coma Scale (GCS) was recorded as 3. Other obvious injuries noted were an open right femur frac...

 Open Access DOI:10.23937/2572-3308.1510010

Monitoring for Adverse Events Post Marketing Approval of a Drug

Karl E Peace and Macaulay Okwuokenye

Article Type: Short Review | First Published: November 05, 2015

This brief communication provides information to those developing monitoring plans for serious adverse events (SAE's) following regulatory approval of a new drug. In addition, we (1) illustrate how many patients would need to be treated in order to have high confidence of seeing at least 1 pre-specified SAE, (2) show that absence of proof of a SAE is not proof of absence of that SAE, and (3) identify statistical methodology that could be used for formal statistical monitoring of SAE's....

 Open Access DOI:10.23937/2572-3308.1510009

A New Strategy for Mitigation of the Allergenic Activity of Ovomucoid in Hen Eggs and Beta-Lactoglobulin in Cow Milk

Jun Kido, Natsuko Nishi, Sachiko Misumi and Tomoaki Matsumoto

Article Type: Short Review | First Published: November 02, 2015

Recently, public interest in food allergies has been increasing because of increasing prevalence of these allergies among children. In Japan, hen egg and cow milk allergies account for nearly 50% of all cases of childhood food allergies. Patients with hen egg and cow milk allergies should avoid these foods and products that contain them until they have outgrown their allergies. However, regarding nutrition, quality of diet, and hyposensitization, it is significantly important for these patients ...

 Open Access DOI:10.23937/2469-584X/1510007

Buried Balloon: A Novel Complication from Percutaneous Radiologic Gastrostomy Tube Placement

Meghana Vellanki, Steve B Clayton and Patrick Brady

Article Type: Case Series | First Published: November 16, 2015

Gastrostomy tube (G-tube) placement, once a staple of surgeons and gastroenterologists, has propagated into other fields of medicine with interventional radiology (IR) performing percutaneous radiologic gastrostomy (PRG). With more G-tubes being placed by IR, there have been novel complications associated with this technique. In the following case series, we describe one complication as a result of PRG tube placement by IR, called the 'Buried Balloon'....

 Open Access DOI:10.23937/2378-2951/1410059

The Psychological and Compliance Factors can Modulate the Outcome of STEMI Patients Treated by Stem Cell Therapy - A Pilot Study

Miruna Mihaela Micheu, Oana-Maria Udrea, Nicoleta Oprescu, Alina Ioana Scarlatescu, Daniela Pitic, Lucian Calmac and Maria Dorobantu

Article Type: Research Article | First Published: November 13, 2015

In the assessment of stem cell therapy post myocardial infarction, the rapport between the medical intervention and the patient's compliance and psychological factors represent a research and treatment management challenge. Purpose: Identifying the implication of psychological and behavioral factors associated with compliance on therapeutic success in relation to cell therapy in acute myocardial infarction patients....

 Open Access DOI:10.23937/2378-2951/1410058

Comparison of Clinical Presentation Related on Risk Factors in Older and Younger Patients with Acute Coronary Syndrome

Hossein Asgar Pour, Reza Norouzzadeh and Mohammad Reza Heidari

Article Type: Original Article | First Published: November 05, 2015

Acute coronary syndromes (ACS) are the leading cause of death in older adults. Early recognition of symptoms suggestive of ACS by the emergency triage nurse can improve patient outcomes. The aim of this study was to determine risk factors associated with typical and atypical symptoms in older and younger patients with ACS....