Comparing the Effect of Reciproc, ProTaper Next and R-Endo in the Removal of Gutta-percha/Sealer and GuttaFlow during Retreatment
Kaveh Nasiri and Karl-Thomas Wrbas
Article Type: Research Article | First Published: May 01, 2019
Sixty palatal roots of extracted first maxillary molars were selected. The samples were prepared with ProTaper Universal and then randomly divided into two groups (n = 30). In groups A and B, the root canals were filled employing lateral compaction of gutta-percha/AH Plus and GuttaFlow2, respectively. The samples in each group were randomly divided into three subgroups (n = 10). Groups A1 and B1 were retreated using Reciproc. ProTaper Next (PTN) was used in groups A2 and B2, whereas groups A3 and B3 were retreated with R-Endo system. Retreatment time was recorded. The roots were split longitud...
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 similar symptoms at presentation and while we were suspecting more severe diseases on their admission a...
Is Post-Operative High Dependency Admission Required for Children with Obstructive Sleep Apnea after Adenotonsillectomy?
Chu Qin PHUA, Yi Rong Leonora LIU, Pei Yuan FONG, Kay Yee Winnie FUNG and Kun Kiaang Henry TAN
Article Type: Retrospective study | First Published: April 29, 2019
The commonest cause of paediatric obstructive sleep apnoea (OSA) is the disproportionate adenotonsillar hypertrophy in relation to craniofacial growth and airway calibre. In recent years, there is an increasing awareness of paediatric OSA, leading to increasing number of adenotonsillectomy being performed for this indication. Adenotonsillectomy has been shown to confer improvement in child behaviour and quality of life. In up to 79% of patients, it can lead to normalisation of polysomnography....
Physical Approach towards the Problem of Aging
Article Type: Commentary | First Published: April 29, 2019
In the beginning of the century L. Boltzmann was the first to represent the increasing entropy process as a time flowing characteristic. Besides, he pointed at a possible time reversion process in micro systems. A symbol of aging of any system - alive or inanimate is the entropy increasing. Is this process reversible? For short periods - yes and biological systems represent examples of it. Unfortunately, any reversing of the entropy sign in these systems is possible only for short periods of time and then the aging continues. There are many physical processes of this kind. This is a laser in a...
Inter-Arm Blood Pressure Difference in a Typical University Family Medicine Clinic
Kent H Do, MD, DPT, Capt, USAF, MSC, Sorana Raiciulescu MSc and Jeffrey C Leggit MD, CAQSM, Col (Ret), USA, MC
Article Type: Research Article | First Published: April 29, 2019
The purpose of this study was to determine the point prevalence of Inter-Arm Blood Pressure Difference (IAD) in a University Family Health Center (UFHC). 217 patients seen by the Uniformed Services University's (USU) UFHC were assessed in this non-randomized screening study. Blood pressure was measured simultaneously in both arms with automated sphygmomanometers in a seated position during normal scheduled appointment screening process after 5 minutes of sitting. The measure was repeated after one minute. The main outcome measure was to establish the point prevalence of either a systolic or di...
Inflammatory Bowel Diseases (IBD) - Associated Spondyloarthropathy in the Biologic Era: A Case Series
Cristina Tocia, MD, Luana Alexandrescu, MD, Victoria Cristina Șuța, MD and Eugen Dumitru, MD
Article Type: Case Series | First Published: April 29, 2019
Articular manifestations are the most common extraintestinal manifestations in inflammatory bowel diseases and are classified into axial spondyloarthritis (SpA) and peripheral SpA. EIM may occur before or after IBD diagnosis, being the proof that IBD is not only limited to gut. Here we present a case series of three patients with Crohn's disease and extraintestinal manifestations admitted to our hospital. Patients had in common young age, Crohn's disease with moderate or severe clinic and endoscopic activity, axial spondyloarthropathy and some particularities: One case associated type 1 periph...
Liver Transplant with a Donor after Bothropic Accident - Case Report
Reslem Feitosa Custódio, Matheus De Souza Mendes, Maximilian Pinho Schwermann, Ivelise, Ivelise Regina Canite Brasil, Jose Eudes Bastos Pinho and Andrea Benevides Leite
Article Type: Case Report | First Published: April 29, 2019
Orthotopic Liver transplantation is the primary treatment for most end-stage-liver diseases. Victims of snakebite are potential organ donors since the venom's ability to induce irreversible brain damage. However, in the literature, reports of liver transplants obtained from victims of these accidents, their outcome and follow up are practically non-existent. Our purpose is to report a case of a donor with brain death following complications of a bothropic accident, and the patient who receives the liver with cirrhosis due to Hepatitis B....
Surgical Treatment of a Young Athlete with Displaced Avulsion Fracture of the Anterior Superior Iliac Spine (ASIS)
Alexander E Poor, Alec Warren, Nicole Cannon and William C Meyers
Article Type: Case Report | First Published: April 29, 2019
Avulsion fractures of the anterior superior iliac spine are uncommon without established treatment guidelines. Deciding between nonoperative versus surgical management depends on the grade of displacement, skeletal maturity, type of sport/activity, and competitive/career requirements. We present a young athlete who sustained an ASIS avulsion fracture while playing baseball that was treated with open surgical reduction and fixation using absorbable sutures with an emphasis on mobilizing the TFL to reapproximate the avulsed segment without tension....
Proteinuria Level and Associated Changes in Glomerular Podocytes and Renal Tubular Epithelium
Maha M Arafah
Article Type: Original Research Article | First Published: April 29, 2019
The correlation between glomerular podocytes and renal tubular cells involved in handling of leaked proteins and the level of proteinuria was evaluated. Retrospective 22 cases of clinical proteinuria in patients with various glomerulopathies were retrieved and analyzed. Glomerulopathies in the concerned patients were pathologically diagnosed through light and electron microscopic examination of the submitted renal biopsies. Three cases with protein levels in urine within the acceptable normal range were additionally analyzed as controls. Electron microscopic examination of the glomerular podoc...
A Comparative Study of Three Classification Procedures: Asthma among Healthcare Professionals in Texas
Dejian Lai, Ahmed A Arif, Haiyun Xu and George L Delclos
Article Type: Original Research article | First Published: April 29, 2019
Statistical classification analysis has been widely used in many fields. In this article, we applied and compared three different classification procedures: Logistic regression, Fisher''s linear discriminant function and the second order Bahadur representation to two datasets from two surveys on asthma among healthcare professional in Texas. The first dataset contained 102 subjects and the second dataset 2963. The concordance of the classification from the three statistical procedures with possible asthma identified by physician and airway responsiveness to methacholine challenge was assessed ...