Open Access DOI:10.23937/2474-3631/1510007
Ethical Issues Surrounding In-Patient Treatment for Adolescents with Substance Use Disorders
Audra Roemer
Article Type: Review Article | First Published: August 12, 2015
The following article reviews the literature on ethical issues surrounding in-patient treatment of adolescents with substance use disorders. Ethical issues surrounding confidentiality, informed consent, competency, multiple relationships and boundaries, working on a multi-disciplinary team, responsible caring, and termination of services are discussed. There is a gap in the literature regarding the ethical issues associated with this specific population; however, given the sensitive nature of th...
Open Access DOI:10.23937/2378-3397/1410025
A Surgical Procedure and Prognosis for Gallbladder Carcinoma According to the Extent of the Tumor Invasion-A Retrospective Case Series Study at a Japanese Hospital
Akitsugu Makino, Hiroshi Nakagomi, Atsushi Takano, Masahiro Maruyama, Kazunori Takahashi, Yuko Nakayama, Masayuki Inoue, Kazushige Furuya, Hidemitsu Sugai, Masao Hada, Yoshiaki Miyasaka and Toshio Oyama
Article Type: Case Series | First Published: August 14, 2015
Purpose: To analyze the prognostic effects of our selecting surgical procedures for gallbladder carcinoma based on the extent of tumor invasion. Methods: We reviewed 35 patients with gallbladder carcinoma who underwent the surgical treatment in our hospital. We divided the patients into three groups (8 with T1, 15 with T2, and 12 patients with T3) according to the pathological extent of the tumor invasion. Results: Although 8 patients with T1 group had been achieved curative operation (R0), 2 pa...
Open Access DOI:10.23937/2378-3397/1410024
Left Renal Cell Carcinoma with a Tumor Thrombus in the Inferior Vena Cava: A Case Report
Changqin Jiang and Chaozhao Liang
Article Type: Case Report | First Published: July 30, 2015
A case of Left renal cell carcinoma with a tumor thrombus in the inferior vena cava in a 79-years-old woman is presented. Renal Cell Carcinoma (RCCs) is the most common malignancy of the kidney. Because of shorter right renal vein, the right renal cell carcinoma is more common, the cases of left renal cell carcinoma merging inferior vena cava cancer embolus were rare compared to those in the right. Here, we reported a case is with left renal cell carcinoma with a tumor thrombus in the inferior v...
Open Access DOI:10.23937/2378-3656/1410045
Chorioretinitis as a Rare Presentation of Cat Scratch Disease: A Case Report
Zimmermann, Nicolas Lefebvre, Jaulhac B and Sauer A
Article Type: Case Report | First Published: July 30, 2015
A 12-year-old female was referred in our center for management of a chorioretinopathy. Ophthalmologic examination revealed unilateral chorioretinal scar with subretinal detachment. Laboratory evaluation revealed IgG antibodies for Bartonella hensalae. Treatment with oral azithromycin led to regression of lesions, resolution of subretinal detachment, and improvement in visual acuity....
Open Access DOI:10.23937/2378-3397/1410023
Modified Vertico-Sagittal Osteotomy Technique
Renato de Toledo Breguez, Giovanni Gasperini and Jose Nazareno Gil
Article Type: Review Article | First Published: July 29, 2015
Among the techniques used to correct mandibular deformities, intraoral vertico-sagittal ramus osteotomy is indicated for small mandibular rotations and forward or backward movements. Although it is still little used by oral and maxillofacial surgeons, it presents advantages compared to intraoral vertical ramus osteotomy because of a greater contact between bone fragments, and in relation to sagittal split ramus osteotomy, it introduces a parallelism to the sagittal plane, thereby decreasing the ...
Open Access DOI:10.23937/2378-3656/1410044
Potentiating the Adverse Effects of Zolpidem in a Patient with Alcohol Dependence and SSRI use
Nitin Chopra, Abner Rayapati and Aarti Patel
Article Type: Case Report | First Published: July 29, 2015
Though rare, zolpidem has been implicated in perceptual disturbances. Zolpidem elimination can be reduced with liver or kidney pathology. Concomitant Selective Serotonin Reuptake Inhibitor (SSRI) and alcohol use have increased susceptibility to delirium. This case describes a 63 year old Caucasian male, seen by the consulting service, having depression and alcohol dependence, presenting with auditory and visual hallucinations with paranoid delusions. He was prescribed zolpidem 10mg for several y...
Open Access DOI:10.23937/2378-3656/1410043
Left Atrial Versus Biatrial Maze Procedures in Atrial Fibrillation: Initial Institutional Randomized Trial with Literature Overview
Walid Ben Ali, Pierre Page, Jean Lambert, Michel Carrier and Denis Bouchard
Article Type: Research Article | First Published: July 27, 2015
The objective of study is to compare in a randomized fashion biatrial and left atrial Maze by continuous event recorder at one year follow-up. Methods: From January 2011 to December 2012, 19 patients were prospectively enrolled. Patients were allocated in 3 groups regarding their rythm, 7 continuous atrial fibrillation, 8 paroxysmal atrial fibrillation and 4 sinus rhythm with atrial size above 45 mm. Patients were randomized to receive left atrial or biatrial or not receive a Maze. Patients were...
Open Access DOI:10.23937/2378-3656/1410042
An Unusual Foreign Body in the Neck: A Case of Sternal Wire Migration
O'Connell BP, DeNino WF and O'Rourke AK
Article Type: Case Report | First Published: July 26, 2015
Migration of sternal wires is a rare, but potentially serious, complication of median sternotomy and there are a limited number of reports in the literature regarding such migration. Most of these reports document cardiac and/or vascular injuries related to thoracic migration of stainless steel wires. Imran et al. reported bilateral pneumothoraces due to lateral displacement of sternal wires. Rungatscher et al. described sternal wire segments adjacent to, and inside of, the sternal insertion of ...
Open Access DOI:10.23937/2572-3987.1510003
A Review: Are All Inhaled Fibres, Such as Asbestos, Toxic?
Sumayah Abdul-Jabbar and Luigi G Martini
Article Type: Review Article | First Published: August 05, 2015
Exposure to asbestos is well known to have a causal relationship with the development of lung cancer. In order to understand the mechanism of this toxicity an extensive review was undertaken. Findings were able to show that the morphology of the asbestos (which is fibrous) has a marked correlation with its toxicity. It is this morphology that mutually contributes to enhanced aerodynamic properties making asbestos ideal for deposition in the lungs as well as giving it mutagenic properties. Theref...