Open Access DOI:10.23937/2572-4037.1510001
Assistive Technology for Children with Multiple Disabilities
Fabrizio Stasolla
Article Type: Editorial | First Published: January 24, 2015
Children with severe to profound developmental and/or multiple disabilities (i.e. combination of sensorial, intellectual and motor disabilities) are commonly described as quite passive and isolated, with few opportunities to interact positively with the surrounding world, dues to their general conditions hampering their social image, status and overall desirability. Thus, those children present a very limited behavioral repertoire, often exhibiting lack of speech, failing locomotion, stereotypic...
Open Access DOI:10.23937/2378-3001/2/1/1020
Psychogenic Nonepileptic Seizures: Diagnostic Challenges and Treatment Dilemmas
Taoufik Alsaadi and Tarek M Shahrour
Article Type: Review Article | First Published: February 12, 2015
Psychogenic Nonepileptic Seizures (PNES) are episodes of movement, sensation or behavior changes similar to epileptic seizures but without neurological origin. They are somatic manifestations of psychological distress. Patients with PNES are often misdiagnosed and treated for epilepsy for years, resulting in significant morbidity. Video-EEG monitoring is the gold standard for diagnosis. Five to ten percent of outpatient epilepsy populations and 20 to 40 percent of inpatient and speciality epilep...
Open Access DOI:10.23937/2378-3516/1410013
The Use of Independent Lung Ventilation for Unilateral Pulmonary Hemorrhage
Ajit A. Sarnaik
Article Type: Case Report | First Published: February 08, 2015
Independent Lung Ventilation (ILV) has been used in the critical care setting as a rescue therapy for differential lung disease. The purpose of anatomic separation of the lungs is to prevent blood, purulent secretions, or other debris from one lung from contaminating the other lung. Physiologic separation of the lungs allows different ventilator strategies to be applied to each lung. We report the case of the successful use of ILV in a man with congenital heart disease with severe right sided pu...
Open Access DOI:10.23937/2377-9004/1410023
Uterine Artery Embolisation for the Treatment of Large Submucosal Fibroid (Clinical Case)
Dobrokhotova J, Grishin I, Khachatryan A, Causeva O, Zlatovratsky A and Rogovskaya S
Article Type: Case Report | First Published: February 09, 2015
Article is devoted to the problem of endovascular treatment of uterine fibroids - Uterine Artery Embolization (UAE). A number of researches do not promote to use UAE technique when the uterine fibroid has submucosal position, considering the conservative transcervical myomectomy to be more accessible. In the article, based on clinical case, indication of EMA at the large submucous uterine fibroid among women that are still in their reproductive age as an alternative to a hysterectomy is discusse...
Open Access DOI:10.23937/2377-9004/1410022
Intra-operative Management of Skull Remnant Discovered during Emergent Primary Cesarean Delivery
Lisa A. Licare and Suruchi Thakore
Article Type: Case Report | First Published: February 08, 2015
Background: Operative anticipation of patients with prior abdominal surgeries is critical for the evaluation of obstetric patients. The following case demonstrates the importance of preoperative planning before emergent surgery is indicated. Case: T.M. is a 26 year- old gravida 8, para 0161 at 24 weeks 5 days who presented with preeclampsia with severe features. Her history is significant for brain surgeries with abdominal skull flap preservation. She required an emergent cesarean where a skull ...
Open Access DOI:10.23937/2377-9004/1410021
Arteriovenous Malformation of the Cervix: A Rare Cause of Vaginal Bleeding after Supracervical Hysterectomy
Nigel Pereira, Kayla M Wishall, Gabrielle M Hawkins, Nima R. Patel and Carl R. Della Badia DO
Article Type: Case Report | First Published: January 30, 2015
Background: Cyclic vaginal bleeding is a well-known complication after a supracervical hysterectomy; however, severe delayed vaginal bleeding occurs infrequently. Case: A 29-year-old woman underwent a supracervical hysterectomy for dysmenorrhea and pelvic pain refractory to multiple medical modalities. Eight weeks after surgery, the patient began to experience persistent heavy vaginal bleeding that continued in spite of application of silver nitrate to the cervical stump. The patient subsequentl...
Open Access DOI:10.23937/2378-3397/1410017
Why Does Diverticulitis Perforate?
Wolfgang B. Gaertner
Article Type: Review Article | First Published: February 04, 2015
Diverticular disease is a common entity in the western world with an increasing incidence globally. This probably reflects both an increase in detection and an ageing population. The pathophysiology of diverticular disease is likely multifactorial involving dietary habits, changes in colonic pressures and motility, and colon wall structural changes. Not only has the understanding of the natural history of the disease become more complex than previously believed but the treatment algorithms have ...
Open Access DOI:10.23937/2377-3634/1410020
Torpid Diabetic Wound Healing: Evidence on the Role of Epigenetic Forces
Jorge Berlanga-Acosta, Yssel Mendoza-Mari, Maday Fernandez-Mayola, Ariana GarciaOjalvo, Calixto Valdes-Perez, William Savigne-Gutierrez, Daniel Reynaldo-Concepcion, Ileydis Iglesias-Marichal, Angel Abreu-Cruz, Celso Suarez-Lescay, Ana Mir-Benitez, Natacha Sancho-Soutelo and Luis Herrera-Martinez
Article Type: Research Article | First Published: January 29, 2015
The increasing number of diabetes patients represents a health challenge due to disease-related, end-organs complications. Hyperglycemia is considered the proximal trigger of an intricate cascade of molecular processes that progressively deteriorate tissues and organs, leading to the onset of clinical complications. Lower extremity ulcerations and their ensued refractoriness to heal can potentially result in amputation and disability and remain the second most feared diabetic complication. We ha...