Open Access DOI:10.23937/2469-5726/1510018

A Flowchart For Understandıng Ankylosing Spondylitis Management Recommendatıons of Asas/Eular

Nihal Ozaras

Article Type: Letter | First Published: August 03, 2015

Ankylosing spondylitis (AS) is one of the most frequently seen rheumatic diseases in clinical practice. Its treatment is defied by the Assessment of SpondyloArthritis international Society (ASAS)/ European League Against Rheumatism (EULAR). A flowchart is designed to easily understand this treatment strategy....

 Open Access DOI:10.23937/2469-5734/1510011

Plasmacytoma Located in the Posterior Mandible: A Case Report

Yavuz Findik, Timucin Baykul and Ummugulsum Alkis

Article Type: Case Report | First Published: August 03, 2015

Plasma cell neoplasm is characterized by a monoclonal neoplastic proliferation of plasma cells and solitary plasmocytoma of bone (SPB) is a localized form. SPB is most frequently seen in vertebrae and secondarily in long bones. Its presence in jaws is extremely rare. Here we report a unique case of plasmacytoma in the left side of mandible, a chronology for diagnosis of the lesion is also reviewed along with clinical, and radiographic evidence....

 Open Access DOI:10.23937/2469-5823/1510004

Common Errors in the Measurement of Blood Pressure

Article Type: Short Communication | First Published: August 03, 2015

Norman Kaplan said "The measurement of blood pressure is likely the clinical procedure of greatest importance that is performed in the sloppiest manner." It is of great importance that common and often overlooked errors in the measurement of blood pressure be addressed. Firstly, I would like to emphasize the importance of proper cuff size. It is well known that miscuffing or using an improper cuff size can lead to an inaccurate blood pressure measurement....

 Open Access DOI:10.23937/2572-3987.1510002

Evaluation of Empirical Antibiotic Therapy for the Treatment of Community-Acquired Urinary Tract Infections (CA-UTI)

Joao Pedro Aguiar, Filipa Alves da Costa and Patricia Cavaco Silva

Article Type: Research Article | First Published: July 28, 2015

Objectives: To characterize the pattern of indication of antibiotic regimens for CA-UTI; to evaluate the adequacy of antibiotic empirical therapy in CA-UTI and the resistance profile of the bacterial isolates. Methods: An observational study was conducted, where the prevalence and resistance profiles of the microorganisms involved and the pattern of antibiotic indication were investigated through a cross-sectional approach. Patients presenting with UTI symptomatology and antibiotic indication we...

 Open Access DOI:10.23937/2469-5793/1510007

Expanding the Art-Science of Chronic Disease Management in Primary Care: A Lifestyle Medicine Perspective

Garry Egger

Article Type: Perspective | First Published: August 01, 2015

Changes in living patterns typically result in changes in disease structures within a society. The 'epidemiological transition', which describes the shift from infectious to chronic diseases for example, is common as countries shift from agrarian to industrial lifestyles. Population levels of obesity for example change as societies become more developed, with equivalent BMIs pre development apparently less dangerous than during or after development, as shown recently in China. Health practices t...

 Open Access DOI:10.23937/2378-2951/1410042

Herpes Simplex Encephalitis, an Unusual Cause of Sinus Node Dysfunction: Case Report and Literature Review

Pierre-Philippe Nicol, Jean-Philippe Talarmin and Thierry Joseph

Article Type: Case Report | First Published: July 25, 2015

Herpes simplex encephalitis is responsible for progressive alteration of behaviour, epilepsy, focal neurological signs, and cognitive problems, but is rarely involved in sinus node dysfunction. We describe this association in a 66-year-old woman with a complete cardiac and neurologic recovery after acyclovir treatment. Consequently, this aetiology of sinoatrial arrest should be recognized in order to systematically assess cardiac monitoring and avoid unnecessary pacemaker implantation. Moreover ...

 Open Access DOI:10.23937/2378-2951/1410041

Origin of Right Coronary Artery from the Ascending Aorta: An Extremely Rare Anomaly

Abdulrahman M Abdulbaki and Shivang Shah

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

The incidence of coronary anomalies in patients undergoing coronary angiography varies from 0.27% to 1.66%. Many of these anomalies are clinically benign; while, others are associated with serious morbidity. We describe the case of a patient undergoing coronary angiogram to evaluate her cardiomyopathy revealing an anomalous right coronary artery arising from the ascending aorta above the left sintubular junction plane. We discuss the rarity of this anomaly along with its clinical importance....

 Open Access DOI:10.23937/2469-5807/1510006

On Emerging Clinical Dental Specialties and Recognition

Ronald S Brown

Article Type: Commentary | First Published: July 24, 2015

Dentistry is mainly a surgical clinical profession and dental clinicians are primarily involved in the surgical management of oral diseases and conditions. There are a few American Dental Association (ADA)-recognized non-surgical dental specialties such as Oral & Maxillofacial Pathology, Oral & Maxillofacial Radiology, and Public Health Dentistry. These non-surgical dental specialties are mainly supportive to the surgical dental specialties and general dentists. For instance, Oral & Maxillofacia...

 Open Access DOI:10.23937/2378-2951/1410040

Favorable Plaque Sealing Process after Implantation of Endeavor Zotarolimus-Eluting Stent into Chronic Total Occlusion of Sirolimus Eluting Stent

Minoru Ichikawa and Yoshiyuki Kijima

Article Type: Case Report | First Published: July 23, 2015

We here report a case with in-stent chronic total occlusion (CTO) of sirolimus-eluting stent (SES). The SES-CTO lesion was successfully treated with additional implantation of Endeavorzotarolimus-eluting stent (E-ZES) into the lesion. During the follow up period of 50 months, coronary angioscopy and optical coherence tomography revealed the favorable plaque sealing process after E-ZES implantation into SES-CTO....

 Open Access DOI:10.23937/2469-5793/1510006

Family Therapy in Developing Countries Primary Care

Alain Quinet, Sarah Shelmerdine, Patrick Van Dessel and Jean-Pierre Unger

Article Type: Research Article | First Published: July 23, 2015

Purpose: Mental health and psychosomatic problems are both widespread and disabling in low and middle-income countries (LMIC). There is a clear need for strategies to strengthen first line services for their treatment. Family ('systemic') therapy has been shown to be effective in this setting but there is a dearth of research investigating its use. Methods: A family therapist, psychiatrist by training was interviewed by a public health doctor specialized in health services organization, to deriv...