The Relative Contribution of Ethnicity, Overweight and Gestational Diabetes Severity to Postpartum Abnormal Glucose Tolerance
Beatriz Barquiel, Lucrecia Herranz, Javier Riveiro, Natalia Hillman, Noemi Gonzalez, Ma Angeles Burgos and Luis F Pallardo
Article Type: Research Article | First Published: December 01, 2014
Aim: To analyze the influence of ethnicity, Body Mass Index (BMI) and gestational diabetes (GDM) severity on abnormal glucose metabolism at the early postpartum. Methods: Glucose tolerance (WHO criteria) was evaluated at 3-9 months after delivery in a group of 71 GDM women (NDDG criteria) coming from Latin America, 43 from Africa and 14 from Asia or Pacific Islands. Their glucose tolerance was compared to 1,948 European control women by prepregnancy and postpartum BMI and by GDM severity. The ef...
Cancer Disease: A New Hypothesis of Interpretation and Therapeutic Approach
G. Di Donna and R. Di Muro
Article Type: Research Article | First Published: November 30, 2014
The authors propose a new research hypothesis about cancer pathology, starting from the hypothesis of considering cancer as a process of adaptation to changed conditions, which can be internal or external to the organism, with the aim of reaching the survival of the species. The authors, in the present work, put forward an hypothesis which is based on the observation of natural phenomenon, referred to the previously described mutations, some as natural evolutionary phenomena which are geneticall...
Breast Augmentation by Vaseline Oil: A Case Report of Still a Dangerous Practice
Remi Foissac, Olivier Camuzard, Jonathan Fernandez, Thierry Balager and Berengere Chignon-Sicard
Article Type: Case Report | First Published: November 23, 2014
Injection of mineral oils for breast augmentation has disappeared in most developed countries for over 40 years because of major complications secondary to its infiltration in breast tissue. We present the case of a woman of 32 years old, who had received intramammary massive injections of vaseline oils 2 years ago with important breast pains. The management was surgical with excision of maximum of vaseline nodules and immediate reconstruction with a subpectoral implant covered up at its lower p...
Symptomatic Phytobezoar Presenting 5 Years after laparoscopic Rouxen-Y Gastric Bypass
Adeleke Adesina, Farook Taha, Adeshola Fakulujo, Alex Gandsas and Rebecca Jeanmonod
Article Type: Case Report | First Published: November 22, 2014
There are over 100,000 bariatric surgeries in the United States each year, with the majority of these Roux-en-Y procedures. Most complications of this surgery present early with nonspecific symptoms such as abdominal pain, nausea, vomiting, and dysphagia. Some complications, however, can occur years after surgery. We report the case of a patient presenting 5 years after laparoscopic Roux-en-Y gastric bypass (LRYGBP) with intermittent abdominal pain, vomiting, and local bowel ischemia secondary t...
First Bite Syndrome: An Underestimated Complication of Carotid Body Tumor Surgery
Dilek Yilmaz and Jaap F. Hamming
Article Type: Case Report | First Published: November 22, 2014
Carotid Body Tumours (CBTs) are paragangliomas located at the carotid bifurcation, treated surgically or by follow-up. First Bite syndrome (FBS) is a rare complication of CBT surgery, with only a few reports in literature. We present a case of a 34-year-old female patient who developed FBS after CBT surgery to raise awareness for this rare and underestimated complication affecting quality of life....
General Practitioners' Willingness to Pay for Continuing Medical Education in A Fee-for-Service Universal Coverage Health Care System
Shahzia Lambat Emery, Reto Auer, Nicolas Senn, Isabella Locatelli and Jacques Cornuz
Article Type: Research Article | First Published: November 18, 2014
Background: Sponsoring of medical meetings by life science companies has led to reduced participation fees for physicians but questions potential drawbacks. Ongoing discussions are proposing to ban such sponsoring which may increase participation fees. Objectives: To evaluate factors associated with general practitioners' willingness to pay for medical meetings, their support of a binding legislation prohibiting sponsoring and their opinion on alternative financing options. Methods: An anonymous...
Fibrous Dysplasia of the Inferior Turbinate
Huseyin Baki Yılmaz, Sevtap Akbulut, Mustafa Paksoy, Arif Sanlı and Kayhan Basak
Article Type: Case Report | First Published: November 30, 2014
Fibrous dysplasia is a developmental abnormality of the skeletal system. Craniofacial involvement has been reported in about 10% -27% of the cases with monostotic disease. Involvement of the sinonasal tract has very rarely been reported. In this report, a 14 year old boy that has been treated for 6 months for acute sinusitis and allergic rhinitis is reported. Careful nasal endoscopic examination and obtaining a CT scan led to a diagnosis of unilateral fibrous dysplasia of the inferior turbinate....
Extraluminal Migration of a Metal Needle in a Child: Case Report of Unusual Complication
Btissaam Belhoucha, Youssef Rochdi, Hassan Nourinouri, Lahcen Aderdour and Abdelaziz Raji
Article Type: Case Report | First Published: November 28, 2014
We report the case of a 5-year old girl who was admitted to our ENT outpatient clinic with severe odynophagia while eating. Th parents gave history of ingesting a metal needle 15 days prior to presentations following which the complaints started. Otolaryngological examination was without abnormalities. Flexible fibreoptic endoscope of laryngopharynx showed a pooling of saliva at the right pyriform fossa....
Tumor Grading, Architectural Growth Pattern and Angiogenesis Proprieties Correlation in Surgical Patients Treated for HCC
Włodzimierz Otto, Maria Krol, Urszula Wilkowojska, Ewa Wilczek, Bogusław Najnigier, Janusz Sierdziński and Marek Krawczyk
Article Type: Original Article | First Published: November 28, 2014
Background: Tumor grading and architectural growth patterns impact the results, but the unfavorable tumor biology is revealed no sooner than on explant examination. Thus, they are not concerned in preoperative calculations. Aim of study: To evaluate the correlation between circulating EPCS, soluble angiogenesis factors and architectural growth patterns of HCC in surgical patients. Methods: The study reported on 159 patients treated for HCC in 2009/2013; 58 were suitable for surgery, 55 for liver...
Acute Operative Intervention for Intracranial Hemorrhage in Adult Patients with Ventricular Assist Device Therapy Associated with Fatal Outcomes
Daniel S. Ikeda, Shelly Bansal, Andrew Shaw, Evan Marlin, Chittoor B. Sai-Sudhakar, Eric Sauvageau and Ciaran J. Powers
Article Type: Research Article | First Published: November 26, 2014
Objective: Ventricular assist devices (VADs) are utilized more frequently in the management of patients with advanced heart failure due to benefits in survival and quality of life. Intracranial hemorrhagic injuries (HI) are a significant source of morbidity and mortality in VAD patients. The aim of this investigation was to describe prognostic variables in VAD patients with HI, describe the outcomes after neurosurgical intervention, and find indications for surgery. Methods: The records of 160 p...