Open Access DOI:10.23937/2377-9004/1410056
Management of Spontaneous Rupture of the Amnion with an Intact Chorion
Jenny A. Jacob, Norman A. Ginsberg, Lee P. Shulman and Leeber Cohen
Article Type: Case Report | First Published: August 06, 2015
Idiopathic severe preterm oligohydamnios as a result of spontaneous rupture of the amnion with an intact chorion is a rare event with a scarcity of reports found in the literature. We evaluated the impact of serial amnioinfusions on this unusual occurrence. This is a followup of a 37-year-old woman with idiopathic severe oligohydramnios diagnosed at 18 weeks of gestation. We performed fie serial amnioinfusions with the purpose of improving fetal lung maturity and to prevent Potter anomalad. At 3...
Open Access DOI:10.23937/2572-4215.1510003
Comparison of Bioelectrical Impedance Analysis and Magnetic Resonance Imaging for the Quantification of Fat Mass
Cuisle Forde, Niamh Murphy, James Meaney, Paul Kennedy, Gerard Boyle and John Gormley
Article Type: Original Research Article | First Published: August 17, 2015
Body composition is a key determinant of health. Many methods, including bioelectrical impedance analysis (BIA), are available to estimate body composition; however the validity of such methods varies greatly. The aim of this cross sectional study was to investigate the accuracy of the Tanita MC-180MA BIA machine in the quantification of fat mass through comparison with Magnetic Resonance Imaging (MRI)....
Open Access DOI:10.23937/2378-346X/1410032
Surgical Management of Concomitant Ptosis and Cicatricial Entropion in a Patient with Ocular Cicatricial Pemphigoid
Scuderi G, Mutolo MG, Lambiase A and Recupero SM
Article Type: Case Report | First Published: August 22, 2015
A 71 year-old patient presented with vision impairment and pain in the right eye due to entropion associated with trichiasis and mild-ptosis. He had a history of ocular cicatricial pemphigoid together with a lung cancer of the apex of the right lung with pleural involvement. There was a history of central retinal vein occlusion of the left eye. Clinical and orthoptic examination was conducted and a decision was made to perform surgical correction of the entropion followed by correction of ptosis...
Open Access DOI:10.23937/2377-9004/1410055
The Case of 11w+ 2d Fetal Heart Rate Positive Unruptured Cervical Pregnancy
Onder Sakin, Bulent Kars, Ilke Tanir and Omer Talip Turhan
Article Type: Case Report | First Published: August 05, 2015
The treatment of cervical pregnancy which is one of the rarest forms of ectopic pregnancy is one of the cases difficult decisions need to be taken. Many years ago when hysterectomy was the only treatment and in case of late treatment decision, 50% of maternal mortality was seen, which results in a change of status with the shape of the high-risk pregnancies' extremely minimal invasive treatment may be possible Moreover, the patient fertility will be preserved and hysterectomy and the negative si...
Open Access DOI:10.23937/2474-1353/1510001
Spontaneous Ruptured Heterotopic Fallopian Tube Pregnancy: A Challenging Case
Olga Grechukhina, Diana P. English, Wei Hong, Ravi Kaza and Elena Ratner
Article Type: Case Report | First Published: August 09, 2015
This is a case of a 39 year old gravida 4 para 2-0-1-2 patient who presented to the emergency room with 1 week history of worsening left sided abdominal pain associated with vaginal bleeding. She had a positive pregnancy test and transvaginal ultrasound demonstrated an 11x9x7cm retrouterine mass concerning for hemorrhagic debris but no adnexa were identified. Surgery was complicated by conversion from laparoscopy to low transverse laparotomy due to hemorrhage and severe adhesive disease. Both tu...
Open Access DOI:10.23937/2378-3516/1410024
Discharge Care Bundle for Patients with Acute Exacerbations of COPD: Benefit more likely to be seen beyond 30 Days
Shorofsky M, Lebel M, Sedeno M, Zhi Li P and Bourbeau J
Article Type: Original Article | First Published: August 03, 2015
Background: COPD is associated with significant morbidity, mortality, and hospital costs. The implementation of COPD 'discharge care bundles' has been proposed as having an impact on readmissions. We developed and implemented a discharge care bundle and the aim of this study was to evaluate its effects on utilization of hospital services in a real life setting. Methods: We conducted a retrospective chart review study from 2007-2013 to evaluate utilization of hospital services over three time per...
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...