Prevalence of Proteinuria among Type 2 Diabetic Patients in Dhamar Governorate, Yemen
Abdulqawi Ali Al-Shammak, Abdullatif Daiffallah Ali and Hussein Al Jermozy
Article Type: Research Article | First Published: May 09, 2019
Diabetic nephropathy remains the most common cause of end-stage renal disease (ESRD) worldwide. Microalbuminuria is the first clinical sign of renal dysfunction in patients with diabetes mellitus. A urine total protein: creatinine ratio (TPCR) is a convenient and inexpensive measure of proteinuria and could be used to predict the presence of microalbuminuria in diabetic patients. The aim of this study was to assess the prevalence and associated risk factors of proteinuria among type-2 diabetic patients in Dhamar governorate, Yemen....
Delayed Quadriplegia after Cervical Discectomy and Fusion Surgery
Siavash S Haghighi, MD, Bertha Ramirez, MD and Richard Zhang, MD
Article Type: Case Report | First Published: May 08, 2019
Acute or delayed paraplegia or quadriplegia following anterior cervical discectomies and fusion are not common. We report this single case report of delayed quadriplegia following an anterior cervical discectomies and fusion without any change of sensory or motor evoked potentials during the operation. The intraoperative somatosensory (SSEPs) were performed by stimulation of tibial nerves or the median (MN). Motor evoked potentials (TcMEPs) were recorded from intrinsic hand or foot muscles after delivering high voltage electrical pulses to the motor cortex....
Approaches to the Potential Use of Stromal Vascular Fraction and Coenzyme Q10 in Dermatological Aesthetics: A Systematic Review
Isabela de Lima Bocalon, Mayara Fernandes Veri Marques and Idiberto Jose Zotarelli Filho
Article Type: Research article | First Published: May 08, 2019
With aging, occurs a decrease in the number of melanocytes active enzymatically around 12.0% to 24.0% every ten years. As a treatment, stem cell therapy with adult stem cells has been the focus of many studies. Among adult stem cells, adipose-derived stem cells (ADSC) ubiquinone, known as coenzyme Q10 (CoQ10), is a lipid-soluble antioxidant. It is shown to reduce lipid peroxidation of low-density lipoprotein regenerates endogenous vitamin E and protects cells against oxidative stress induced by UV radiation....
A Single Institution Study Experience of Secondary Breast Angiosarcoma after Breast Conserving Treatment: Multidisciplinary Management
Angela Strazzanti, MD, Claudio Trovato, MD, Santi Gangi, MD, Dario Marletta, MD, Roberto Milazzotto, MD and Corrado Spatola, MD
Article Type: Multidisciplinary | First Published: May 08, 2019
The aim of this study, focusing on a small number of cases, is to deal with the angiosarcoma of the breast, representing less than 1% of all soft tissue breast tumors, and finally share our experience. As a consequence of breast-conserving therapy (BCT) that is the standard treatment nowadays, a new type of angiosarcoma has been highlighted: Radiation-Induced Angiosarcoma (RIAS). Here is reported a retrospective analysis of RIAS patients' characteristic features, together with an account of the integrated treatment and the outcome of six cases of RIAS treated in our institution from 2013 to 20...
Relationship between Rare Earth Elements, Lead and Intelligence of Children Aged 6 to 16 years: A Bayesian Structural Equation Modelling Method
Wang Yongwei, Wang Dan, Huang Yi Na, Sheng Peijia and Yang Bing
Article Type: Original Research Article | First Published: May 06, 2019
Exposure to REEs and lead was assessed by analysing the scalp hair samples of children aged 6-16 years who lived in a rare earth mining area, by atomic absorption spectrometry. Intelligence was assessed using Raven's Standard Progressive Matrices. Bayesian Structural Equations were built to explore different patterns of associations between REEs and lead explore and children's intelligence, and the best-fitted one was selected for the most reasonable explanation according to DIC and BIC. In our best-fitted model, which did not contain any interactive item between REEs and lead, age had the gre...
Assessing Risk Factors for Trypanosome Infections in Cattle in Wildlife Interface Areas in Northern Tanzania
Kelvin Ngongolo, Anna B Estes, Peter J Hudson and Paul S Gwakisa
Article Type: Original Article | First Published: May 04, 2019
Trypanosomosis is a vector-borne, tropical disease that causes mortality and morbidity in livestock and humans. In this study we investigated the risk factors for trypanosome infection in cattle in the Maasai Steppe of northern Tanzania. We assessed the influence of age, sex, herd size and history of treatment against trypanosomosis as risk factors of trypanosome infection. Cattle blood samples were collected from 150 cattle in three villages in the vicinity of Tarangire National Park, which acts as a reservoir of tsetse flies, the trypanosome vector. Parasite species were identified using a n...
Dehydration Prevention and Diagnosis: A Study in Long-Term Geriatric and Palliative Care
Prof. Jochanan E Naschitz, MD
Article Type: Research Article | First Published: May 02, 2019
Study Part I is a cross-sectional point of care assessment of data which might distinguish dehydrated from euhydrated subjects. Twelve potential markers of dehydration were evaluated: inadequate fluid intake, vomiting, diarrhea, bleeding, diuretic treatment, serum sodium, serum urea and creatinine, urea/creatinine ratio, estimated glomerular filtration rate, hemoglobin and serum albumin. Study Part II is a longitudinal survey of patients at risk of dehydration under changing clinical conditions. He clinical and laboratory data were prospectively followed and related to the patients' hydration ...
Treatment of Nephroblastoma in Developing Countries - Experience from a Single Center in Vietnam with NWTS 5 and SIOP 2001 Protocols
Hau Duc Tran and Ba X Hoang
Article Type: Original Research Article | First Published: April 29, 2019
We analyzed outcomes, advantages and disadvantages in application of SIOP 2001 and NWTS 5 protocols in our hospital. Patients with nephroblastoma admitted to National Children's Hospital in Hanoi, Vietnam, had been treated according to the NWTS 5 protocol from 2000-2005, and from 2008-2013 according to the SIOP 2001 protocol. 33 patients, stages I-III treated with NWTS 5 had estimated 5 year EFS 90.1% and OS 96.7% (mean follow up time 30.4 months); 58 patients, stages I-V, treated with SIOP 2001 had estimated 5 year EFS 71.5% and OS 80.9% (mean follow up time 27 months). Patients stage I-III t...