Anaesthesia Monitoring using Artificial Intelligence Techniques
Harry Mc Grath, Colin Flanagan, Liaoyuan Zeng and Yiming Lei
Article Type: Original Article | First Published: December 07, 2019
Artificial Intelligence (AI) will change our lives beyond recognition, it will have a far bigger impact than the internet or mobile technology. We are now at the threshold where machine intelligence is comparable with human intelligence, in certain limited aspects, for the first time in history. Enhancements in technology, both software and hardware, have resulted in some human decision-making being inferior to, and more erratic than, AI in many fields, including medicine. However, it is widely accepted that rather than compete with machines, using AI to support and help make better informed d...
Nephrocutaneous Fistula after Microwave Thermal Ablation and Literature Review
Marius Anglickis, Giedre Anglickiene, Gintare Andreikaite, Lina Miklyciute and Edmundas Starolis
Article Type: Case Report | First Published: December 13, 2019
Nephrocutaneous fistula is a very rare complication of renal surgery. It may be associated with renal tumors, nonfunctional kidneys, staghorn calculi, renal trauma or chronic urinary tract infections. Because of widely used imaging techniques an early detection of small renal tumors has modified the management of kidney cancer. Nephron sparing surgical resection remains the standard of care for T1 tumors less than 7 cm. For patients who are not amenable for surgery, microwave thermal ablation (MWA) is gradually becoming a preferred treatment modality. In this article we present a rare complica...
Odontogenic Keratocysts Associated with Dental Displacement for Orbita Floor: Case Report
Marcelo B Bastos, Mariana MM de Carvalho, Daiana CP de Santana, Priscila V Fialho, Luis CC dos Santos, Alana D Barboza, Diego M de O. Barbosa and Alexandre M Seixas
Article Type: Case Report | First Published: December 14, 2019
The odontogenic keratocyst (OKC) is a benign pathology that presents characteristics of aggression and local recurrence. The WHO considered it as an odontogenic tumor in 2005, but in the most recent classification in 2017 it was once again considered as an odontogenic developmental cyst. Most of the time it presents a symptomatically, but the patient can report the pain symptomatology. The aim of this article is to report a clinical case of OKC on maxilla describing its characteristics and forms of treatment. Male patient, 15-years-old, referred to the bucomaxillofacial surgery service of Hosp...
No Significant Difference in Outcomes for Surgical Treatment of Thyroid Cancer in Kidney Transplant Recipients - Analysis of the HCUP NIS Data
Darren B Abbas, MD, Eric Goldschmidt, MD, Christina Camick, MD, Weikai Qu, MD, PhD and Jorge Ortiz, MD
Article Type: Original article | First Published: December 13, 2019
Solid organ transplant recipients, and in particular Kidney Transplant (KTx) patients, are at increased risk for developing thyroid cancers due to immunosuppression and improved long-term survival post-transplant. Using the HCUP NIS database, we compared mortality rate, disposition, LOS, and total hospital charge between KTx and Non-KTx patients following thyroidectomy for thyroid cancer during 2008-2014. Propensity score matching was performed using demographics, payer, income, hospital characteristics, elective admission, and in-hospital mortality index score. There were no significant diffe...
Giant Epidermoid Cyst of the Bony External Ear Canal - A Rare Case Report
Article Type: Case Report | First Published: December 05, 2019
Epidermal cyst of the bony external auditory canal in adults is rare. Only nine cases are reported in the literature. They occasionally tend to develop into a malignancy. A 35-years-old female presented with complaints of decreased hearing and fullness at the left ear. The severity of these symptoms increased gradually for 6 months. On physical examination, the left otoscopy showed a mass that was completely occluding the canal; the tympanic membrane was not visualized. The property of this mass was round, smooth, soft and covered with normal skin. The left tympanic membrane was not evaluated ...
Fundal Placenta Percreta Presenting as Acute Abdomen: A Case Report and the Role of CT-scan in Management
Mohamad K Ramadan, MBBCh-FACS, Bassam Sammak, MD, FRCR, Amani Mohsen, MD, Haneen Hijazi, MD and Dominique A Badr, MD
Article Type: Case Report | First Published: December 06, 2019
Fundal abnormally invasive placentae (AIP) rate is not precisely known, though, it is thought to be infrequent. Acute abdomen due to uterine rupture is an atypical and an extremely rare presentation. Hereby, we report the case of a 33-year-old G3P2002 who presented at 21-weeks with acute abdomen. CT-Scan and color-Doppler ultrasound showed massive hemoperitoneum with a fundal placenta actively bleeding into the abdominal cavity. At laparotomy, the uterus had a 3 cm dent in its left fundal area through which villi were protruding and actively bleeding. Uterine rupture due to non-previa AIP shou...
Electrocardiographic Brugada Pattern Unmasked by Febrile Illness
Antonio Villa, Alfredo Corticelli, Luisa Chiappa and Antonella Savinelli
Article Type: Case Report | First Published: December 04, 2019
Brugada syndrome is associated with a high risk of sudden cardiac death and some authors suggested the possibility that a febrile state may unmask the Brugada syndrome. We present a case of fever-induced type I electrocardiographic Brugada pattern. This is well known among the cardiologists, but it is necessary to introduce this clinical entity to other specialists, especially among internists and physicians of the emergency. Brugada syndrome, first described in 1992 as a new clinical entity by Pedro and Josep Brugada, is an autosomal dominant disease associated with a high risk of sudden card...
Assessment of the Topographic Memory in Epileptic Patients
BAKOU Niangoran Francois, KPI-N'DIH Annabelle, BA Abdoulaye and ADOU Kobenan Fieni
Article Type: Research Article | First Published: December 04, 2019
The method used is that of named Route Learning Task (RLT). It is a path learning task (topographic memory) that is based solely on learning a route composed of visual but non-verbal cues so that there is no influence of Examiner language or signposts on patient behavior. At a normal walking pace, the subjects had to travel a 10-minute loop in the cocody university hospital. The route (approximately 200 m) included 7 crossings that required an orientation decision. The examiner showed the route a first time and asked the subject to repeat the trip three times in a row, if the first two tests w...