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...
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....