Open Access DOI:10.23937/2469-5793/1510015
Safeguarding Public Health from Higher Education
Doug Dix
Article Type: Perspective | First Published: October 19, 2015
It is common to assume that colleges and universities provide service to the public. In the U.S., these institutions are granted tax-exemption on this assumption. In times long past, education, in itself, may have been a public service. But it isn't that anymore as the unintended consequences of progress degrade human habitat and social fabric. Education for progress could easily do more harm than good....
Open Access DOI:10.23937/2469-5793/1510013
Provider's Perspectives on Cultural Competence in Ethnically Diverse Primary Care Practices
Mary A Matteliano and Debra Street
Article Type: Research article | First Published: October 14, 2015
This study explores how frontline healthcare providers describe and understand the delivery of culturally competent care to underserved groups in three neighborhood primary health care practices. Data from fifty intensive interviews and observations at three field sites in a multi-year study are analyzed using grounded theory techniques. Findings show that providers used a range of deliberate strategies-from establishing provider/patient concordance, to finessing language issues, practicing cult...
Open Access DOI:10.23937/2469-5793/1510012
The Availability of Ultrasound for Infants with Developmental Dysplasia of the Hip in Pennsylvania
Shane Lavin and William Hennrikus
Article Type: Original Research | First Published: October 13, 2015
Currently, The American Academy of Pediatrics (AAP) recommends that serial clinical examinations using the Ortolani and Barlow Technique be performed of the hips of all infants at birth and at well baby examinations until the child is of walking age-about 1 year of life. In addition, the AAP recommends hip imaging with ultrasound (U.S.) at six weeks of life for female infants born in the breech position despite a normal physical examination for hip instability. Lastly, the AAP recommends optiona...
Open Access DOI:10.23937/2572-4193.1510007
Nasal Glomangiopericytoma: Case Report and Clinicohistopathologic Overview
Sheldon P. Hersh and William H. Rodgers
Article Type: Case Report | First Published: September 25, 2015
Glomangiopericytoma, also known as sinonasal hemangiopericytoma, is a rare sinonasal neoplasm that commonly occurs during the sixth or seventh decade of life, often presenting with complaints of nasal congestion and epistaxis. Identified in less than 0.5% of all sinonasal tumors, this typically indolent lesion is a different tumor from the far more common and aggressive so-called soft tissue hemangiopericytoma that arises in varying sites throughout the body....
Open Access DOI:10.23937/2572-4193.1510006
A Rare Clinical Presentation of a Somewhat Common Lesion
Steve Manzon, Malcolm Zola, Jared S Weiner, Rawle F Philbert, Kevin R. Torske, Donald B MacDougall, and Daniel Nadeau
Article Type: Case Report | First Published: September 18, 2015
Clinicians are often faced with diagnosing routine oral and maxillofacial pathology. Experience and training make such tasks relatively easy. Establishing differential diagnoses, and ruling out the most unlikely, usually will lead to an appropriate treatment plan. Occasionally, a pathologic presentation may significantly differ from the expected, and stump even an experienced clinician. It is imperative, when encountering an unknown or unusual lesion, to return to basics and approach the entity ...
Open Access DOI:10.23937/2469-5777/1510010
Managing Fractures at the Thoracolumbar Junction in Developing Nations: A Review of 89 Cases
Bert Park
Article Type: Review Article | First Published: September 21, 2015
Fractures at the thoracolumbar junction are the most commonly encountered spine injuries in developing countries. Despite the devastating consequences for those with concomitant neurologic deficits, within hospitals having limited resources there remains an attitude akin to 'therapeutic nihilism'; i.e. simply keeping these patients at prolonged bedrest and then bracing them, while 'hoping for the best'. Over an 18-year period encompassing some 100 working/teaching trips abroad to underserved are...
Open Access DOI:10.23937/2378-3656/1410064
Isolated Ovarian Metastasis in a Woman with Prior History of Superficial Bladder Cancer
Kathleen Mahoney, Mamta Gupta and Akash Patnaik
Article Type: Case Report | First Published: October 12, 2015
Primary transitional cell carcinoma of the ovary is a rare form of ovarian cancer, which has many features in common with transitional cell carcinoma of the bladder. Here we describe a case of metastatic transitional cell carcinoma to the ovary in a patient with a remote history of primary superficial urothelial carcinoma. Metastasis from a superficial urothelial carcinoma is exceedingly rare. CK7/CK20 positivity is not typical of transitional cell carcinoma (TCC) of the ovary, thus co-expressio...
Open Access DOI:10.23937/2378-3656/1410063
Ultra-High Resolution Optical Coherence Tomography Imaging of Unilateral Drusen in a 31 Year Old Woman
Talisa E de Carlo, Mehreen Adhi, Chen D Lu, Jay S Duker, James G Fujimoto and Nadia K Waheed
Article Type: Case Report | First Published: October 10, 2015
We report a case of widespread unilateral drusen in a healthy 31 year old Caucasian woman using multi-modal imaging including ultra-high resolution optical coherence tomography (UHR-OCT). Dilated fundus exam multiple drusen-like lesions in the posterior pole without heme or fluid. Fundus auto fluorescence demonstrated hyper auto fluorescence at the deposits. Fluoresce in angiography revealed mild hyper fluorescence and staining of the lesions....