Opioid-Free Anesthesia in Bariatric Surgery: A Retrospective Cohort Study
Judith Aronsohn, MD, Masha Zeltsman, DO, Madina Gerasimov, MD, Greg Palleschi, MD, Patriot Yang, MD and Oonagh Dowling, PhD
Article Type: Brief Report | First Published: March 29, 2021
The objective of this study is to evaluate the analgesic efficacy and patient recovery characteristics when utilizing opioid- free anesthesia (OFA) as part of a multimodal enhanced recovery after surgery pathway (ERAS) for bariatric surgery. Retrospective cohort study. Data was collected from medical records from June 2018 to September 2019 for consecutive patients aged 18 and older undergoing elective laparoscopic sleeve gastrectomy for obesity. A standardized ERAS pathway for bariatric surgery...
Determining of Proxy and Self-report Agreement on the Stroke and Aphasia Quality of Life Scale SAQOL-39/TR
Eda İyigün and Bülent Toğram
Article Type: Research Article | First Published: March 29, 2021
Health-related quality of life measures are increasingly used to evaluate after stroke conditions. However, after-stroke people with severe aphasia may not able to self-report on such scales due to the severity of their communication impairment and their proxies report on behalf of them. This research aims to determine the level of agreement between people with aphasia and their proxies on the Turkish Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39- TR). For this purpose, 32 people with ap...
Complete Heart Block in a Patient with COVID-19
Ricardo J Villasmil, MD, Christian J Lorenzo, MD, Qassem K Abdelal, MD, Jorge I Conte, MD, Natalia Lattanzio, MD, Wilhelmine Wiese-Rometsch, MD and Henry G Cheng, MD
Article Type: Case Report | First Published: March 31, 2021
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has been reported to cause cardiac complications including myocarditis, acute myocardial infarction (AMI) and various tachyarrhythmias. We present a 63-year-old male who developed nonreversible symptomatic bradycardia due to advanced atrioventricular block (AV) requiring pacemaker placement in the setting of severe SARS-CoV-2 pneumonia. SARS-CoV-2 is a novel coronavirus identified as the pathogen responsible for causing th...
Immunoglobulin D-Lambda Multiple Myeloma, and a Review of the Literature
Aissam EL MAATAOUI, Salma FARES and Aadil TAOUFIK
Article Type: Case Report | First Published: March 27, 2021
IgD multiple myeloma (MM) is a rare plasma cell neoplasm, considered to have a poor prognosis compared to the other isotypes. Many studies reported an advanced stage at the presentation. In contrast to these studies, we report a case of rare IgD-Lambda MM at the early stage. The laboratory data showed no hypercalcemia, without any renal impairment, or monoclonal spike (M-spike or paraprotein) at the Serum protein electrophoresis (SEP) but only a hypogammaglobulinemia. IF is performed with antise...
Traumatic Brachiocephalic Artery Pseudoaneurysm
Sally Shepherd and Jessica Wong
Article Type: Case Report | First Published: March 13, 2021
A 19-year-old female presented to a tertiary Trauma Centre post intentional 100 km/hr motor vehicle crash into a tree. She was wearing a seatbelt in the driver's seat, airbags were deployed and required assistance extricating after entrapment for 45 minutes. She was normotensive but tachycardic with a shortened and rotated right lower limb, receiving 500 mls crystalloid and splinting to her right lower limb. On arrival in ED her airway was patent and cervical spine secured in a rigid collar. She...
Betel Quid Chewing in the Mid-Atlantic United States: Any Consequence?
Thaddeus S Boucree MD, DDS and Eric I Chang, MD, FACS
Article Type: Case Report | First Published: February 17, 2021
According to the NYU Center for the Study of Asian American Health, the New York City Metropolitan area is home to the largest concentration of South Asians in the United States. The chewing of betel quid related products is common to these immigrants from countries including India, Pakistan, Bangladesh, Sri Lanka, Nepal, Bhutan, and the Maldives among others. Betel quid and its constituent areca nut are known risk factors for many oral and esophageal cancers. However, the lack of awareness rega...
Vaginitis: Etiology and Role of Oxidative Stress, Inflammation and Antioxidants Therapy
Fazele Heydarian Moghadam, Mojgan Tansaz, Soheila Aminimoghaddam, Homa Hajimehdipoor and Hamed Hosseini
Article Type: Review Article | First Published: March 08, 2021
Vaginitis is an inflammation process which can be caused by multiple factors and conditions. Although pathological effects of vaginitis have been widely considered, molecular and cellular mechanisms for these pathologies are not well understood. Identification of underlying mechanisms and signaling pathways related to vaginitis gives us valuable information regarding the way for developing a better clinical approach and disease treatment. General complications include preterm labor, urinary trac...
Type 3 Transformation Zone of the Cervix and Risk of Missed Lesions during Cervical Cancer Screening with Visual Methods: A Case Report from Cameroon
Simon M Manga, PhD, Alan T Tita, MD, PhD, Warner K Huh, MD, Calvin Ngalla, BNS and Margaret I Liang, MD, MS
Article Type: Case Study | First Published: March 22, 2021
Type 3 transformation zone (TZ) of the cervix poses a challenge in cervical cancer screening with visual techniques because of the potential for missing important precancerous lesions. This paper presents two case reports of women with Type 3 TZs who were screened with visual methods at the Cameroon Baptist Convention Health Services, had reassuring screening results, but presented soon after with invasive cervical cancer (ICC)....
Guillain-Barré Syndrome Complicating First Trimester Pregnancy: A Case Report and Review of Literature
Aniska W Fortuin, Anne-Lotte F van der Kooi, Laus JMM Mulder and Irene AM van der Avoort
Article Type: Case report and Review of Literature | First Published: March 18, 2021
Guillain-Barre syndrome (GBS) is a rare immune mediated polyradiculoneuropathy, causing muscle weakness, hyporeflexia and dysesthesia. There is no specific guideline for management of GBS during pregnancy in general and first term in particular. We report a 26-year-old nullipara who developed GBS in early pregnancy and present an overview of recommended treatment, maternal and fetal outcomes and pathogens associated with GBS in women diagnosed in first trimester pregnancy. We performed a systema...
Primary Endonasal Dacryocystorhinostomy - Impact of Multiple Factors on the Outcome
Ângelo Miguel Carvalho, Francisco Patrão, Márcia Mourão, Catarina Almeida, Luis Pinto, Vera Soares and Rui Tavares
Article Type: Review Article | First Published: March 22, 2021
Endoscopic dacryocystorhinostomy (en-DCR) is the mainstay of treatment of patients with nasolacrimal duct obstruction, with current success rates above 90%. Our aim was to evaluate multiple demographic and technical factors and estimate its influence on the outcome of en-DCR. We performed a retrospective review of the clinical records of patients submitted to a DCR at the Lacrimal Surgery Unit of the Centro Hospitalar Tondela-Viseu between June 2010 and December 2018, and collected data on demog...