Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

Early Online

 Open Access DOI:10.23937/2378-3656/1410286

What are the Factors and the Method Used for the Formation of Nasal Septal Perforations due to Septoplasty?

Erkan YILDIZ

Article Type: Original Article | First Published: September 14, 2019

There were 280 male and 120 female patients. 378 patients had no postoperative septal perforation. 22 had perforation after surgery. Of the patients in the perforated group, 19 male and 3 female were female. 21 of these patients smoked, 1 patient did not drink. 11 of these patients were drinking alcohol and 10 of them did not drink alcohol. Transseptal suturation + nasal saturation splint was used in 14 patients to stabilize the septum while perforation rate was 22/400 (1.3%). Male sex ratio was...

 Open Access DOI:10.23937/2378-3656/1410285

Effect of Chemical Irrigants on the Bond Strength of a Universal Adhesive System to Dentin-Enamel Junction and Different Dentin Regions

Alper KAPTAN, DDS, PhD., Vahti Kilic, DDS, PhD., Feridun HURMUZLU, DDS, PhD., Ahmet Serper, DDS, PhD. and Arife KAPTAN, DDS, PhD.

Article Type: Research Article | First Published: September 11, 2019

The purpose of this in vitro study was to evaluate the influence of different irrigation solutions on the microshear bond strength of a universal adhesive system applied in etch & rinse mode and self-etch mode to dentin- enamel junction (DEJ), coronal dentin, pulp chamber dentin, and floor of the pulp. As well as a highly adequate apical seal, an effective coronal seal, is one of the primary goals of a successful endodontic dental treatment. Recently, a large number of adhesive systems have been...

 Open Access DOI:10.23937/2378-3656/1410284

Atypical Presentation of Viral Myocarditis in a Young Adult

Mandeep Kaur, Prema Bezwada and Ayala Rodriguez Cesar

Article Type: Case Report | First Published: September 09, 2019

Convulsive Syncope can be difficult to distinguish from seizures at times. We present a young adult with cardiogenic convulsive syncope that mimic seizures. Continuous cardiac monitoring revealed various arrythmias during seizure like activity. She had a viral prodrome. Cardiac MRI was diagnostic for myocarditis. More detailed studies for the role of a noninvasive cardiac testing such as Cardiac MRI (CMR) and newer treatment modalities such as anti-thymocyte immunoglobulin are required for the m...

 Open Access DOI:10.23937/2378-3656/1410283

Facial Nerve Palsy, When Should We be Alarmed: A Case Report of Facial Nerve Paralysis Caused by Occult Malignancy and Review of the Literature

Mohammed Alghamdi, Tobias Strenger, Ruben Thoelken, Tina Schaller and Johannes Zenk

Article Type: Case Report | First Published: September 06, 2019

Facial Nerve Palsy is mostly idiopathic in nature. Every patient with a facial nerve Paralysis needs to go under through investigation, most importantly imaging to exclude other causes such as neoplasms. In very rare cases, the normal imaging results may be misleading and occult tumor or perineural spread along the nerve may not be detectable. Luckily these cases may present with alarming signs such as progressiveness nature associated with pain, complete Paralysis with no recovery and most impo...

 Open Access DOI:10.23937/2378-3656/1410282

Chronic Wound Formation on an Old Burn Scar after Surgical Incision and Hyperbaric Oxygen Therapy: Case Report

Kubra Ozgok-Kangal, Iclal Karatop-Cesur, Cesur Ustunel and Kemal Simsek

Article Type: Case Report | First Published: September 04, 2019

Chronic wounds fail to progress through the phases of wound healing; inflammation-proliferation-remodelling which are usually the result of persistent infection, malperfusion due to periwound hypoxia, cellular failure, and unrelieved pressure or repetitive trauma. In this report, we present a different rare cause of a chronic wound; a surgical incision on a post-burn scar during the surgery of transurethral resection of the prostate (TUR-P) because of urethral stricture. After six weeks, the sur...

 Open Access DOI:10.23937/2378-3656/1410281

A Novel Use of Liraglutide: Induction of Partial Remission in Ulcerative Colitis and Ankylosing Spondylitis

Jeffrey Lourie

Article Type: Case Report | First Published: August 29, 2019

Ulcerative colitis and ankylosing spondylitis treatment options are limited to a few classes of medications at this time. Those options provide improvement for some patients, but leaves many with ongoing, unremitting symptoms. We report a case of ulcerative colitis (UC) with comorbid ankylosing spondylitis (AS), in which administration of a daily subcutaneous liraglutide, an exogenous Glucagon-like Peptide-1 receptor agonist (GLP-1RA), led to symptomatic remission of UC and significant improveme...

 Open Access DOI:10.23937/2378-3656/1410280

Influence of Vitamin D Supplementation in the Gestational Period in Patient with Multiple Sclerosis: A Case Report

Eliza Miranda Ramos and Valter Aragao do nascimento, PhD.

Article Type: Case Report | First Published: August 28, 2019

Vitamin D is condensed by the complex human body from exposure to sunlight. However it can be absorbed through the consumption of foods such as fish liver oil, high fat fish such as (salmon), mushrooms, egg yolk and liver. The present study aimed to describe a case study of gestation with vitamin D supplementation in a patient with multiple sclerosis. The methodology used in this study was the case report. This study provided reports which may serve as evidence on the effect of vitamin D supplem...

 Open Access DOI:10.23937/2378-3656/1410279

The Impulsivity of the Elderly - Genital Self-mutilation Case Caused from an Argument with his Wife

Michiho Sodenaga, M.D., Ph.D., Koji Hori, M.D., Ph.D., Chiaki Hashimoto, M.D., Kyoko Katsumura, M.D., Ikuko Katsumura, M.D., Masananori Tadokoro, Ph.D. and Sachiko Tsukahara, PhD

Article Type: Case Report | First Published: August 26, 2019

Suicide rate in Japan is also high. The suicide cases were above 30,000 in 1998, which increased to 34,427 in 2003. Then it gradually decreased to 21,897 in 2016 but the suicide rate at the age of more than 60 years is the highest, accounting for about 40%. Morbidity of depression is said as a risk factor of suicide by elderly people. In this case, we have discussed about a 77 year old man, who was in depressed mood. His wife was also unaware with his depression; he often had quarrels and at las...

 Open Access DOI:10.23937/2378-3656/1410278

Surviving a Single Ventricle and a Single Atrium with a Situs Inversus Viscerum

Randa Tabbah, MD, Rachoin Rachoin, MD, Bassam Harb, MD and Kabalan Saroufim, MD

Article Type: Case Report | First Published: August 24, 2019

We report a rare case of an 18-years-old female surviving a single ventricle malformation associated with a single atrium and a situs inversus viscerum. She was misdiagnosed in utero and at birth and lost to follow up since her early age when diagnosed at 4-years-old and didn't undergo any palliative surgeries after then due to financial issues. Patient was admitted for heart failure decompensation with hepatic congestion, supraventricular arrhythmias and bilateral pleural effusion and was treat...

 Open Access DOI:10.23937/2378-3656/1410277

Tracheal Bronchus: Rare Cause of Recurrent Pneumonia and Worsening Bronchiectasis in Adults

Asma Jamil MD, Ayesha Jamil MD, Rajesh Gulati MD, Alina Popa MD and Hiba Ismail

Article Type: Case Report | First Published: August 14, 2019

True tracheal bronchus is an aberrant bronchus arising above 2-6 cm from carina, from the lateral wall of trachea and directed towards the upper lung lobe. Frequently located on the right side, it can be further described as supernumerary if there is an anatomic right bronchus with normal segmental apical, anterior and posterior bronchi. It is considered displaced if it's accompanied by an absence of anatomic segmental bronchi. Tracheal bronchus can supply the entirety or part of the upper lung ...

 Open Access DOI:10.23937/2378-3656/1410276

Assessment of Knowledge, Attitude and Practice (KAP) on Prevention of Malaria at Gode Lalo Kebele (010), Anchar Woreda, West Haraarge Zone, Oromia, Ethiopia: A Community Based Descriptive Cross-Sectional Study Methods

Rahel Miliyon Mokonen, BSc, Maleda Tefera Iffa, BSc, MSc and Masresha Leta Serbesa, BSc, MSc

Article Type: Case Report | First Published: July 31, 2019

Malaria is a major public health problem in worldwide and causes high morbidity and mortality, despite global efforts to eradicate the disease. While the disease is easily preventable, curable and treatable, it remains a big health threat to many communities all over the world; most especially in Sub-Saharan Africa. Malaria affects about 5% the world’s population. It is the leading cause of death in children under 5 years in sub Saharan Africa still among the ten top leading causes of morbidit...

 Open Access DOI:10.23937/2378-3656/1410275

Progressive Medullary Congestion Resulting in Life-Threatening Condition Caused by Lower Cervical Dural Arteriovenous Fistula Successfully Treated with Endovascular Treatment: A Case Report and Literature Review

Prasert Iampreechakul, Punjama Lertbutsayanukul, Yodkhwan Wattanasen and Somkiet Siriwimonmas

Article Type: Case Report | First Published: July 25, 2019

The authors describe a patient with lower cervical dural arteriovenous fistula (DAVF), subsequently developing brainstem dysfunction following progressive myelopathy caused by extension of venous congestion from the cervicothoracic cord to the medulla oblongata. A 34-year-old woman suffered from progressive paraparesis with bowel/bladder dysfunction for 2 months. Before transferring to our institute, she obtained magnetic resonance imaging (MRI) of the neck, showing abnormal hyperintensity on T2...

 Open Access DOI:10.23937/2378-3656/1410274

The Performance of Novel Wavelet for Lung Image Analysis

Donia Ben Hassen and Sihem Ben Zakour

Article Type: Research Article | First Published: July 03, 2019

Even the advancement in the medical image, chest radiography still the most common used and cheapest method in detecting lung diseases. The generated image allows physicians to screen the normal, benign and malignant tissues in the lung. In order to better classify and reduce noise in the image's information, the employ of preprocessing methods is unavoidable. A novel scheme for lesions classification in chest radiographs is presented in this paper by combining discrete wavelet analysis (WA), FC...

 Open Access DOI:10.23937/2378-3656/1410273

Preterm Vaginal Delivery of Breech Presentation

Hanne Christensen

Article Type: Short Note | First Published: June 22, 2019

Very early preterm delivery is defined as delivery in week 23-28 GA. The incidence of preterm delivery in Denmark is about 5.6%. The incidence of breech presentation at date of delivery is 3-4% and there is an increase of breech presentation in lower gestational age. The few cases of extreme premature delivery have not been subjects to randomized controlled studies. In recent years retrospective multicentre studies comparing vaginal delivery versus cesarean section in breech presentation have no...

 Open Access DOI:10.23937/2378-3656/1410272

Basal-Like Breast Cancer: Main Features of a Very Particular Entity of Breast Cancer

Haddad S, Zemni I, Bettaieb I, Adouni O, Saadallah F, Slimane M, Chargui R and Rahal K

Article Type: Case Series | First Published: June 14, 2019

Molecular classification of breast cancer identified the basal like subtype, characterized by high heterogeneity and a very poor prognosis. These tumors are mainly triple negative, characterized by the expression of basal markers: CK5/6 and EGFR. In this study, we sought to investigate the features, outcome and therapeutic modalities of basal-like breast cancers (BLBC)....

 Open Access DOI:10.23937/2378-3656/1410271

Case Report: Necrotizing Fasciitis due to Cryptococcus Infection in Non-HIV Non-Organ Transplant

Rbab Taha, Mohamed Alama, Hessa Aljhdali, Ayaz khan and Reham Kaki

Article Type: Case Report | First Published: June 12, 2019

We are presenting 67-year-old female, known to have diabetes for 10 years, not compliance to medication. Presented with 3 weeks history of isolated right lower limb and left thigh pain. Then she started to develop redness and swelling in same areas. She had also History of dry cough for one week. Admitted as a case of necrotizing fasciitis based on clinical laboratory and radiological features. She was treated empirically with vancomycin and meropenem and went for debridement twice. Histopatholo...

 Open Access DOI:10.23937/2378-3656/1410270

Of Philosophy, Ethics and Moral about Euthanasia: The Discomfort between Modernity and Postmodernity

Euler Renato Westphal, Woryk Schoeder Nowak and Caciano Vinicius Krenchinski

Article Type: Research Article | First Published: June 10, 2019

To define euthanasia, as well as orthanasia, misthanasia and dysthanasia, to start from this, to discuss the different philosophical, ethical and moral visions that surround the subject. Exploratory qualitative study which defined from the existing literature the pertinent concepts and from them brought discussions about euthanasia....

Volume 6
Issue 6