Optimizing Control of Anemia with Ferric Carboxymaltose Administration in Peritoneal Dialysis
JL Merino, MD, PhD, E Garcia, NP, S Castrillo, NP, S Mendoza, NP, V Sanchez, NP, B Bueno, MD, P Dominguez, MD, B Espejo, MD and V Paraiso MD
Article Type: Original Article | First Published: July 12, 2019
Administration of single dose of ferric carboxymaltose (FCM) is useful for both control of anemia in hemodialysis patients and end stage renal disease. Its use in peritoneal dialysis (PD) patients is not as well known. We report our experience of FCM administration in PD patients. PD patients treated with i.v. in the last three years in our unit were analyzed retrospectively. Main reasons for administration of i.v. iron therapy were evaluated. Previously oral iron therapy or erythropoietic stimulating agents (ESA) treatment were also evaluated....
Immune Response in a Pediatric Cancer Patient after a One-Week Skiing Intervention
Nicolas Kurpiers, Nico de Lazzari, Nils von Neuhoff and Stefan Flohr
Article Type: Case Report | First Published: July 05, 2019
Moderate physical activity possesses positive effects on the immune system function. Numerous studies investigated such effects also in cancer patients. As most studies were conducted on adults, much less is known in children and adolescents. Moreover, most studies were conducted under laboratory conditions in order to control the duration and intensity of the activity. However, daily life also includes outdoor activities....
Human Umbilical Cord Stem Cells in Chitosan Attenuate Myocardial Injury in Rat Cardiac Infarction
Robert J Henning MD, Abraham Khan MD and Xiao Wang MD
Article Type: Original Article | First Published: June 24, 2019
Myocardial infarction (MI) is the leading cause of cardiovascular deaths and disability in the industrialized world. Although stem cells have been injected into hearts to limit MI damage, < 4% of stem cells remain in the heart for > 1 hour due to myocardial contractility which causes the rapid egress of the stem cells through the cardiac veins and lymphatics. We hypothesized that stem cells in chitosan gels would remain longer in the heart and therefore be more beneficial in MI repair....
A Case of Pregnancy in a Patient with Idiopathic Fibrosing Mediastinitis
Jeffrey Miller and Jean Elwing
Article Type: Case Report | First Published: July 11, 2019
We report a case of a 36-years-old female with known Fibrosing Mediastinitis (FM) suspected from prior Histoplamosis infection who presented for medical induction of first pregnancy. The case centers on the outpatient and peripartum management of pregnant patients in the setting of FM with consideration given to method of delivery and anesthetic options during delivery....
Structural Change and its Assessment
Article Type: Research Article | First Published: July 03, 2019
The concepts of structure and structural change and their use in psychoanalytic discourse are explored. It is argued that, when these concepts are not used merely as rhetorical devices, the concept of structure essentially refers to stable, unobservable mental organisations and that these may only manifest themselves as consistency across time in their behavioural derivatives. The concept of structural change may refer to three different forms of change in structures so defined. It is argued that psychoanalytic treatment is neither necessary nor strictly sufficient to bring about such changes....
Craniopharyngioma Brain Invasion Forms
Martha Lilia Tena-Suck, Ma Elena Hernandez-CaMartha Lilia Tena-Suck, Ma Elena Hernandez-Campos, Alma Ortiz Plataa, Carlos Sanchez-Garibay, Citlaltepetl Salinas Lara and Carlos Penafielmpos, Alma Ortiz Plataa, Carlos Sanchez-Garibay, Citlaltepetl Salinas Lara and Carlos Penafiel
Article Type: Original Research | First Published: July 11, 2019
Craniopharyngiomas constitute 2 to 4% of intracranial neoplasms. Although this tumors exhibit a benign histopathological pattern, recurrence is commonly reported by cerebrospinal fluid seeding and direct brain invasion. The aim of this study was to analyses and recognizes craniopharyngioma pathological features in relationship to brain invasion as a prognostic factor. One hundred patients who were surgically treated for Craniopharyngiomas extending outside the sellar and suprasellar regions were evaluated. Clinical, pathological and immunohistochemistry profile correlations were done....
Pharyngeal Airway Changes Following Extraction versus Non-extraction Treatments of Class II Division 1 Growing Patients
Pariyakorn Sukniyom and Smorntree Viteporn
Article Type: Research Article | First Published: July 12, 2019
There are several treatment modalities for Class II division 1 malocclusion, but there are only few studies exploring the treatment effect upon pharyngeal airway. The study aimed to compare the effects of extraction versus non-extraction mechanics on pharyngeal airway after treatment of Class II division 1 malocclusion. Before treatment, the extraction group exhibited lower skeletal maturation, less retrognathic mandible, more protrusive incisors, wider oropharyngeal and hypopharyngeal airway, shorter soft palate and more anterior position of the tongue. Both treatments produced significant ba...
Parkinson's Disease, Diabetes, Functional Decline and Cognitive Impairment: A Comparative Study of Elderly Mexican Americans and Non-Hispanic Whites
Peter L Heller, PhD, David F Briones, MD, James A Wilcox, MD, PhD and Jose Manuel de la Rosa, MD
Article Type: Research Article | First Published: July 11, 2019
We report logistic regression analyses findings from a community sample of elderly Mexican Americans and non-Hispanic whites demonstrating that degrees of associations between diabetes and PD with CImp persist after controlling for effects of functional decline. However, after adding effects of a number of control variables (including ethnicity) to the equation, association between diabetes and CImp is no longer significant. We suggest that these findings may well be an artifact of the high prevalence of diabetes among elderly Mexican Americans....
Characterization of Pediatric Procedural Competency in Emergency Physicians
Daniel Slubowski, MD , Brian Wagers, MD and Jessica Kanis, MD
Article Type: Research Article | First Published: July 11, 2019
Medical and traumatic resuscitation are among the core competencies of emergency medicine. When compared to adult patients, the frequency of high acuity pediatric patients requiring procedures is low. Currently in emergency medicine practice, especially in academic settings, maintaining proficiency in high acuity and low frequency pediatric procedures may be a problem for physicians after completing training....
The 'SAFE PT' Handover: A Qualitative Study for Developing an Improvised Tool Facilitating Safe Patient Handover
Ahmed Mikky, MD, Mohamed Al Busafi, MD and Issa Al Salmi, MD, PHD
Article Type: Qualitative Study | First Published: July 03, 2019
The aim of this study is to identify and establish an effective and a standardized tool that is easily reproducible for the safe handover of patients at end of shift at the emergency department (ED) for continuity of care, smooth transition and minimising errors. This tool is designed to assist emergency physician and nurses in building a safe patient culture one that is reliable and upholds the standards of quality and improvement guided by international goals....