International Archives of

Internal MedicineISSN: 2643-4466

Early Online

 Open Access DOI:10.23937/2643-4466/1710024

Progress and Challenges of Global High-Resolution Endoscopy

Sheena Bhushan, Rebecca Richards-Kortum and Sharmila Anandasabapathy

Article Type: Review Article | First Published: April 23, 2020

In recent years, gastrointestinal endoscopy has seen an influx of high-resolution endoscopic technologies that are capable of providing optical biopsies of the epithelial surface in real time. Upcoming high-resolution endoscopy techniques are CLE, OCT, EC and HRME. Powered by automated diagnostic algorithms and more-cost effective alternatives, these high-resolution endoscopic technologies have the potential to not only facilitate real-time decision making, but also improve screening and surveil...

 Open Access DOI:10.23937/2643-4466/1710020

Clinical Conundrums in Diagnosis and Management of Multisystem Langerhans Cell Histiocytosis

Jun Park, MD and Vishal Sehgal, MD

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

Langerhans Cell Histiocytosis (LCH) is a rare disorder with an incident of 1.8 cases per 1,000,000. It involves granulomatous deposits in multiple organs, leading to a wide variety of manifestations such as bone lesions, pulmonary nodules, pituitary lesions, and skin lesions. With mucocutaneous manifestation, it is often diagnosed in childhood, typically making LCH a childhood disease. However, due to the involvement of multiple organ systems and variable clinical courses, if not diagnosed durin...

 Open Access DOI:10.23937/2643-4466/1710019

The Relation between Helicobacter Pylori Density and Gastritis Severity

Serhat Sayin

Article Type: Research Article | First Published: September 21, 2019

Helicobacter pylori affects many individuals in developing countries. Inflammation caused by helicobacter pylori differs depending on the virulence factors, density and host tissue response of the bacteria. This study is intended to investigate the relation between density of helicobacter pylori colonization in gastric mucosa in biopsy specimens and gastric mucosal inflammation severity. Helicobacter pylori (H. pylori/Hp) is a microaerophilic gram negative bacilli initially detected in the antra...

 Open Access DOI:10.23937/2643-4466/1710018

A Review of the Most Common Dermatologic Conditions and their Debilitating Psychosocial Impacts

Madeeha Mian, BA, Annika S Silfvast-Kaiser, MD, So Yeon Paek, MD, Dario Kivelevitch, MD and Alan Menter, MD

Article Type: Review Article | First Published: July 22, 2019

The majority of skin conditions are not life-threatening; however, many can be severe and disfiguring enough to devastate a patient's quality of life. Skin diseases can significantly impact not only a patient's physical appearance, but also their social and emotional well-being. Even the smallest skin lesions have been shown to disrupt a person's level of overall wellness. Here, we aim to address the potential psychological and emotional impact of the most common and debilitating dermatologic co...

 Open Access DOI:10.23937/2643-4466/1710017

Effect of Vitamin D on Novel Ventricular Repolarization Indices

Hakan Kaya

Article Type: Research Article | First Published: July 19, 2019

Vitamin D deficiency may be the underlying cause of most health issues and diseases. There are few studies investigating the effect of low vitamin D levels on the cardiac arrhythmias. The electrocardiographic Tpeak to Tend (Tpe) interval and Tpe/QT ratio may associate with increased ventricular arrhythmias. The goal of this study was to evaluate the relationship between ventricular repolarization and vitamin D levels in apparently healthy individuals by using Tpe interval, Tpe/QT ratio and Tpe/c...

 Open Access DOI:10.23937/2643-4466/1710016

Disclosure: Possibility to Discuss Medical Error

Vitor S Mendonca and Maria Luisa S Schmidt

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

The study intended to analyze physician's post medical error disclosure process. This is a qualitative understanding research with ten Brazilian physicians from a private hospital. Participants were interviewed following a semi-structured script. From the data obtained in this research, results indicated that the surgical specialties or those in related fields had a higher error incidence. Classical medical training further reinforces a specific behavior by physicians that makes it difficult to ...

 Open Access DOI:10.23937/2643-4466/1710015

The Impact of the Medical Education on Student's Knowledge, Opinion and Attitude to Organ/Tissue Donation-Transplantation

Serpil Demirag, MD, PhD

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

The purpose of this study is to investigate the effect of medical education and training on medical student's knowledge, thoughts and attitudes to organ donation and transplantation, and also to draw attention to the subject. Totally 323 first and sixth grade students were included in this study. A questionnaire consisting of four categories and 48 questions was used to collect data. SPSS 18.0 program was used for the data input and the analyses of the study. A p value smaller than 0.05 was acce...

 Open Access DOI:10.23937/2643-4466/1710014

Correlation between the Number and Magnitude of Howship Lacunes (HL) with the Blood Concentration of C-Ipth and CT in Patients with Advanced Chronic Kidney Disease Treated and Non-Treated with Regular Haemodialysis

Petar Cakalaroski, Ljutvi Zulbeari and Koco Cakalaroski

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

Seventy-one patients (71) with chronic kidney disease (CKD) (21 men and 18 females non-treated with hemodialysis and 19 men, respectively 13 females treated with regularly repeated hemodialysis) are investigated. The mean clearance of creatinin in investigated group were 0.17 mL/sec (10.2 mL/min). The average age of non-dialyzed group were 40.3 years, and in the dialyzed patients -38.6 years....

 Open Access DOI:10.23937/2643-4466/1710013

Phases of the Diagnostic Journey: A Framework

Linda N Geng, Oliver Sum Ping and Yong-Jian Geng

Article Type: Commentary Article | First Published: May 20, 2019

Diagnostic journeys begin when patients first present to a healthcare provider for their symptoms and end when they receive the correct diagnosis for these symptoms. In many cases, the diagnosis can be made promptly, but patients with rare, complex, or unusual conditions often embark on odysseys spanning years to sometimes even decades in search of a diagnosis. This prolonged process can often result in excessive costs, preventable medical errors and iatrogenesis, as well as feelings of frustrat...

 Open Access DOI:10.23937/2643-4466/1710012

Acute Epiploic Appendagitis: Report of Six Cases and Review of Literature

Antoine El Khoury, Majd Roustom, Henri Azar, Georges Chaer and Tony El Murr

Article Type: Case Report | First Published: May 01, 2019

Appendagitis has always been considered as a diagnosis of exclusion. Most of the times it is diagnosed incidentally. The majority of patients present flank pain, right and/or left iliac fossa pain with few other symptoms. These findings lead usually the physician toward a surgical disease. Imaging is very important to confirm the diagnosis of appendagitis and to avoid unnecessary hospitalizations and surgeries. In this article, we present five cases of acute appendagitis that have had nearly sim...

 Open Access DOI:10.23937/IAIM-2017/1710011

Spontaneous Coronary Artery Dissection: An up to Date

Dario Buccheri and Daniele Adorno

Article Type: Commentary article | First Published: February 20, 2019

Spontaneous dissection of the coronary artery (SCAD) is an uncommon cause of acute coronary syndrome (ACS) and is defined as a dissection of the coronary artery not associated with an atherosclerotic process, plaque rupture and/or thrombus formation and, by definition, not iatrogenic. The resulting myocardial damage is determined not by the rupture of a plaque indeed, but by the formation of an intramural hematoma (IMH) or intimal/medial disruption that determines the dissection of the arterial ...

Volume 3
Issue 1