Open Access DOI:10.23937/2378-3419/1/1/1008

HER2 Positive Gastric And Gastroesophageal Adenocarcinoma; An Irish Tertiary Center Experience

Yasir Y Elamin, Shereen Rafee, Mutaz M Nur, Nemer Osman, John V Reynolds, Cian Muldoon and Kenneth J O'Byrne

Article Type: Research Article | First Published: October 29, 2014

Background: Trastuzumab has been approved for patients with human epidermal growth factor receptor 2 (HER2) over expression and gene amplifiation metastatic gastric cancer. Here we present the prevalence of HER2 positive gastric cancer in an Irish population, the use of Trastuzumab in fist line and beyond progression. Methods: The study was conducted in St James’s Hospital, Dublin. A retrospective analysis of the date of patients with HER2 positive gastric cancer over a period of 3 years was c...

 Open Access DOI:10.23937/2378-3419/1/1/1007

Epidemiology and Radiotherapy of Hepatocellular Carcinoma

Rex Cheung

Article Type: Short Communication | First Published: October 27, 2014

Hepatocellular carcinoma (HCC) is a primary liver cancer secondary to chronic liver conditions such as hepatitis Bvirus (HBV) and C virus (HCV) infections, obesity and alcoholism. HCC is the sixth most common solid tumor, and third most lethal cancer globally. Thre may be a gender diffrence in the development and outcome of chronic liver diseases. In U.S., the incidence of HBV infection has declined since the introduction of HBV vaccination in 1981. But approximately 350 million of global popula...

 Open Access DOI:10.23937/2378-3419/1/1/1006

Knowledge, Attitude and Screening Behaviour of Benue State University Male Students towards Prostate Cancer Awareness

Joyce M.Terwase, Chioma C. Asuzu and James A. Mtsor

Article Type: Research Article | First Published: October 18, 2014

The study investigated the influence of knowledge, attitude and screening behaviour of Benue State University Male Students towards prostate cancer awareness. Five research questions and research hypotheses guided the study. The study was a cross-sectional design utilizing a pretested 34-item Prostate Cancer Questionnaire (PCQ) (Cronbach’s alpha of 0.62) to collect information about knowledge, attitude and screening behaviour regarding prostate cancer among Benue State University Male students M...

 Open Access DOI:10.23937/2378-346X/1410002

Retinal Examination for the Diagnosis of Alzheimer's Disease

Umur Kayabasi, Robert C Sergott and Marco Rispoli

Article Type: Research Article | First Published: October 17, 2014

Objective: To demonstrate AD plaques in retina. Methods: We examined 30 patients with Mild Cognitive İmpairment (MCI). In the patients in whom we found hyper or hypo florescent lesions on Fundus Auto Fluorescence (FAF), Optical Scanning Tomography (OCT) was performed through these regions to reveal depositions in the retina. Drusen like spots- dots were noticed in different parts of the retina. 20 randomly chosen patients and 20 age-matched healthy controls were given curcumin to check fo...

 Open Access DOI:10.23937/2377-4630/1/3/1012

Supplementary Low - Dose Oral Ketamine Provides Better Parental Separation and Face Mask Acceptance

Zeinab Ahmed El Seify and Ahmed Metwally Khattab

Article Type: Original Article | First Published: November 01, 2014

Background: Anesthesia is stressful for children and parents. Although anxiolytics can keep children calm, side effects may exist. No single method shows a clear advantage in keeping the child calm and cooperative. This study aimed to test the effiacy and safety of adding a small dose ketamine to midazolam-based oral premedication on child-parents separation and acceptance of face mask. Methods: Eighty preschool children scheduled for elective surgeries were included. Patients were allocated i...

 Open Access DOI:10.23937/2377-4630/1011

Six Month Quality of Life of Trauma Patients from A Non- Trauma Regional Hospital in Singapore

Shahla Siddiqui, Lim WoanWui and Koh Kwong Fah

Article Type: Case Report | First Published: October 27, 2014

Introduction: Trauma is a leading cause of mortality and morbidity in Singapore. In our peripheral hospital we have a large trauma load despite being a non level one trauma center. Whilst we have many studies done in the West documenting the quality of life of trauma victims using scoring systems such as the EQ5DTM and GOSE, there is a paucity of literature from this part of the World. Methods: We analyzed the results of 6 months of data collected by our trauma coordinator looking specifially ...

 Open Access DOI:10.23937/2378-3001/1/1/1007

Environmental Risk Factors and Gene-Environment Interactions for the Development of Multiple Sclerosis

Hikoaki Fukaura

Article Type: Review Article | First Published: October 22, 2014

Multiple Sclerosis (MS) is an inflammatory demyelinating autoimmune disorder of the Central Nervous System (CNS). The typical disease course is Relapsing-Remitting (RR) MS and treatment with Disease Modifying Treatment (DMT) should be initiated as soon as possible following a diagnosis of relapsing MS for individuals with a first clinical event and MRI features consistent with MS, in whom other possible causes have been excluded. Patients with MS tend to do not completely recover from relapses w...

 Open Access DOI:10.23937/2378-3001/1/1/1006

Celiac Disease in Multiple Sclerosis: A Controversial Issue

Silvia Salvatore, Alessandra Tozzo and Luigi Nespoli

Article Type: Review Article | First Published: October 22, 2014

Celiac disease is a common immune mediated disorder elicited by gluten that may manifest with neurological symptoms independent to gastrointestinal manifestations. The real prevalence of celiac disease in multiple sclerosis is still unclear because of limited population studies, different diagnostic assessment and possible non-celiac related response to gluten free diet. Recent studies have contributed to clarify genetic and immune overlap and discrepancy between the two conditions and are discu...

 Open Access DOI:10.23937/2378-3001/1/1/1005

Idiopathic Hypereosinophilic Syndrome Presenting With Meningoencephalitis; an Uncommon Presentation: A Case Report

Sonali Sihindi Chapa Gunatilake, Sanjeewa Bowatta Shalika Udayanga Jayasingha, Salinda Bandara, Sunethra Bandaranayake Athauda and Harith Wimalaratna

Article Type: Case Report | First Published: October 20, 2014

Introduction: Hypereosinophilic syndrome is a rare heterogeneous disorder characterized by persistent eosinophilia with eosinophil mediated tissue infitration and organ dysfunction in the absence of a secondary cause. Clinical presentations involving nervous system vary markedly causing encephalopathy, thromboembolic disease or peripheral neuropathy. Eosinophilic infitration of meninges and central nervous system causing meningo-encephalitis is a rare presentation in hypereosinophilic syndrome a...

 Open Access DOI:10.23937/2378-3001/1/1/1004

Contralateral Basal Ganglia Atrophy in Acquired HemichoreaHemiballism

Zaheer F, Sudhakar P, Escott E and Cambi F

Article Type: Case Report | First Published: October 20, 2014

Hemichorea-Hemiballism (HCHB) is a hyperkinetic condition characterized by abnormal, migratory, continuous, non-patterned movements of one side of the body. It results from involvement of contralateral basal ganglia that may be affected by metabolic, neoplastic, infectious, autoimmune [1], toxic or neurodegenerative processes [2]. The most common cause is ischemia from a focal vascular lesion [3]. Non-ketotic hyperglycemia has been reported as the second most common cause of HCHB in the Asian po...