Liver Injury Associated with Chest Compression in Cardiopulmonary Arrest Patients
Takeshi Nishimura, Ayana Okamoto, Noritomo Fujisaki, Yoshiyuki Orihara, Ten Saita, Kunihiro Shirai, Isamu Yamada, Atsunori Nakao and Joji Kotani
Article Type: Review Article | First Published: January 12, 2016
We reviewed and summarized fifteen cases associated with liver injury following chest compression for CPA reported in Japan. In some cases, cardiopulmonary resuscitation (CPR) was administered by medical assistants such as doctors or medical technicians, but in other cases, CPR was given by bystanders. Five patients were male and eight were female, with ages ranging from 31 to 83 years old. Unfractionated heparin was administered to ten patients as a treatment for embolism or indication of veno-arterial extra corporeal membrane oxygenation (VA-ECMO), and other cases suffered from amniotic flui...
Osteitis Pubis in a 30 Year Old Postpartum Recreational Runner: A Case Report
Dani Moffit, Tim Braun and Kurt Schiess
Article Type: Case Report | First Published: December 31, 2015
A 30-year old female recreational runner presented groin, hip adductors, rectus abdominis, and inguinal ligament pain. Previous history revealed the pain started three years prior, recently increasing with activities of daily living. After birth of her third child, pain increased so she could not perform daily tasks such as grocery shopping, and was unable to hold her children. Examination revealed normal gait, level iliac crests, and normal lumbar curve. Palpation revealed tenderness over her right adductors and in medial thigh near the pudendal region. Differential diagnoses included hip add...
Using Intervention Mapping for Systematic Development of a Midwife-Delivered Intervention for Prevention and Reduction of Maternal Distress during Pregnancy
Yvonne Fontein-Kuipers, Evelien van Limbeek, Marlein Ausems, Raymond de Vries and Marianne Nieuwenhuijze
Article Type: Original Article | First Published: December 22, 2015
Maternal distress is a major concern for perinatal health. We define maternal distress as a spectrum consisting of a variety of psychological constructs that occur during the antenatal period. Maternal distress can be the result of pregnancy or birth or other non-pregnancy related experiences in a woman's past or present life. It varies in severity from stress, worry, and concerns to more serious feelings of unhappiness, anxiety and/or depression and disturbed psychological functioning. Maternal distress has shown to have adverse consequences for women, children, including obstetric complicati...
A Mixed-Methods Evaluation of Potential Distribution Channels for the V Condom in South Africa
Jenni Smit, Nzwakie Mosery, Lavanya Pillay, Mags Beksinska, Letitia Rambally-Greener, Cecilia Milford, Maggie Kilbourne-Brook and Patricia S. Coffey
Article Type: Original Article | First Published: December 22, 2015
Increasing access to underutilized family planning methods is of global concern. The United Nations Commission on Life-Saving Commodities identified the female condom (FC) as one of 13 essential and overlooked commodities. Male and female condoms are currently the only effective method of dual protection against unintended pregnancy and the transmission of sexually transmitted infections (STIs) including human immunodeficiency virus (HIV). A new design of female condom with special features to make it easy to use and acceptable to both women and men, the V Condom, has been evaluated in clinica...
Lutein and Zeaxanthin Isomers Inhibits Cholinesterase and Modulates the Expression of Inflammation-Related Genes: In Vitro Models
Khadija Ghanam, Jayant Deshpande and Vijaya Juturu
Article Type: Research Article | First Published: December 16, 2015
It is well established that ultraviolet (UV) radiation induces immunomodulatory effects involved in different chronic conditions including skin cancer, age-related macular degeneration (AMD), refractive errors, glaucoma and cataracts. Epidemiological studies suggest solar radiation is responsible for some of the deteriorating changes that lead to AMD Recent studies have shown that UVA (320-400 nm) and UVB (290-320 nm) radiation are immunosuppressive. Experimental studies have demonstrated that bright light preferentially damages precisely the region that degenerates in AMD. The retina is highl...
Clinical Evidence of Ambient Temperature Variations on Femtosecond Laser Performance and Comparison with a Mechanical Microkeratome
Bojan Pajic, Brigitte Pajic-Eggspuehler, Iraklis Vastardis, Michael Mrochen and Zeljka Cvejic
Article Type: Research Article | First Published: December 15, 2015
The mechanism of flap creation with the IntraLase femtosecond laser has already been described extensively in the literature over the years. Femtosecond laser systems produce energy pulses (600 to 800 femtosecond) at an infrared wavelength of 1053 nm. The ultra-short impulses are focused at a spot size of a few micrometers in diameter at a preset depth within the stroma, leading to photo disruption and to a creation of a corneal resection plane. Once the flap has been created, the device creates a side cut at the level of the resection plane, moving anteriorly through the corneal stroma and ep...
New Diagnostic Criteria for Infantile Nystagmus. An Upgraded Nystagmus Clinical Approach
Article Type: Original Article | First Published: November 26, 2015
Purpose: CEMAS group has classified nystagmus comprehensively in 2001. From that time, several attempts to make the subject as uniform as possible, needed continuous upgrading. This manuscript is an upgraded clinical approach for diagnosis of Irreversible Congenital Nystagmus, which is in addition to its being one of the major clinical features of intrinsic ocular diseases, is also a sign of inborn errors of myelination. Design: We will accompany the way to the diagnosis of congenital irreversible nystagmus of non-intrinsic eye disease origin, by highlighting all the symptoms and signs, which ...
Glucose Tolerance is Improved Following Surgery for Silent Somatotroph Adenoma
Aika Miya, Akinobu Nakamura, Hideaki Miyoshi, Hiraku Kameda, Hiroshi Nomoto, So Nagai, Yuko Omori, Kanako C. Hatanaka, Hiroyuki Kobayashi, Chikara Shimizu, and Tatsuya Atsumi
Article Type: Case Report | First Published: November 05, 2015
Although the excessive secretion of GH leads to insulin resistance enhancement, the involvement of a silent somatotroph adenoma in abnormal glucose tolerance has not been elucidated. A 50 - year-old man was admitted with a headache and bitemporal hemianopia caused by a pituitary macroadenoma. He had no physical signs and symptoms of acromegaly nor hypopituitarism, and his base-line serum levels of GH and insulin - like growth factor-1 (IGF-1) were normal. However, a 75 - g oral glucose tolerance test (OGTT) showed unsuppressed GH concentrations as well as plasma glucose levels consistent with ...
Why so Fat ?
Franco Contaldo, Maurizio Marra, Lidia Santarpia and Fabrizio Pasanisi
Article Type: Hypothesis | First Published: October 28, 2015
We selected, from our database of obese outpatients, 90 young severely obese subjects (60 females, 30 males) in a stable body weight since at least 6 months, age range 20 - 30 years, who underwent measurements of resting energy expenditure (REE) by indirect calorimetry (VMax Sensor Medics) and body composition was evaluated by bioelectrical impedance (BIA). Bio impedance analysis (BIA) was performed at 50 kHz (Human Im plus II, DS Medica) in standard conditions....
Multimodal Treatment of Breast Cancer Liver Metastases Based on Hepatic Resection and Microwave Coagulo-Necrotic Therapy (MCN)
Yuko Takami, Susumu Eguchi, Masaki Tateishi, Tomoki Ryu, Kazuhiro Mikagi, Yoshiyuki Wada and Hideki Saitsu
Article Type: Original Article | First Published: January 11, 2016
Background: Generally it is rare to select surgery for treating breast cancer liver metastases (BCLM), but we have carried out aggressively surgical treatment to BCLM. Especially as a part of treatment strategies, we have used intraoperative loco-regional microwave ablation, named microwave coagulo-necrotic therapy (MCN). In this study, we investigate whether or not surgical treatment, combining hepatic resection and/or MCN, is useful for treating BCLM. Methods: Between 1994 and 2014, 33 patients with BCLM were surgically treated at National Hospital Organization Kyushu Medical Center by means...