Open Access DOI:10.23937/2474-1353/1510022
A Pragmatic Approach to Hormonal Testing in the Assessment of Disorders of Female Reproduction
Robert L Reid and Bryden A Magee
Article Type: Review Article | Publication Updated: June 04, 2016
When approaching a female patient with concerns about her reproductive health, it is important to first consider how a given hormonal test will guide diagnosis, impact treatment or define prognosis. Sometimes, the interpretation of hormone levels can cloud the clinical diagnosis. Careful consideration of the value and limitations of each test helps to streamline the path to diagnosis and the cost to the healthcare system. We review the utility of various hormone tests in the context of two cases...
Open Access DOI:10.23937/2474-1353/1510021
Women's Risk of Food Insecurity
Tanya Lawlis and Maggie Jamieson
Article Type: Short Commentary | Publication Updated: June 02, 2016
Women are at high risk of becoming food insecure. While emergency food relief assistance is available, an underlying clientele culture and stigma combined with entrenched societal power inequality and gender role identification create barriers for women to access safe and nutritious food. This commentary aims to discuss this issue and provide suggestions on what needs to be done to ensure that those at highest vulnerability are food secure....
Open Access DOI:10.23937/2474-1353/1510019
Diffuse Adenomyosis Treated by Laparoscopic Conservative Surgery: A Case Report
Mauro Monteiro de Aguiar, Helena Juliana Nagy, Marianna Fernandes Miranda, Karina Sampaio Cavalcanti and Lorena Jackson
Article Type: Case Report | Publication Updated: May 18, 2016
Adenomyosis consists in a benign gynecological condition that is characterized histologically by the presence of ectopic endometrial tissue in the myometrium. Clinically, it is characterized by dysmenorrhea and menorrhagia, dyspareunia, chronic pelvic pain and even infertility. The failure of clinical treatment requires hysterectomy. However, conservative surgery has been proposed as a feasible and safe option for treatment of adenomyosis, when dealing with young patients, in order to preserve t...
Open Access DOI:10.23937/2572-4053.1510010
Polysomnography in a Large Population Based Study-the Study of Health in Pomerania Protocol
Beate Stubbe, Thomas Penzel, Ingo Fietze, Anne Obst, Carmen Garcia, Sandra Zimmermann, Beate Diecker, Martin Glos, Carsten Oliver Schmidt, Katharina Lau, Michael Piontek, Katrin Hegenscheid, Johannes Dober, Klaus Berger, Andras Szentkiralyi, Stephan B. Felix, Christoph Schaper, Sven Glaser, Henry Volzke and Ralf Ewert
Article Type: Research Article | Publication Updated: June 02, 2016
The Study of Health in Pomerania (SHIP) consists of two independent population-based prospective subcohorts. The core diagnostic program of the baseline SHIP-TREND included the assessment of risk behaviour, common chronic diseases, cardiac, vascular, pulmonary, and serum blood parameters, mental health, and cognitive functioning. Genotyping and whole-body MRI were also performed. In addition, all participants were offered a standard overnight laboratory-based polysomnography (PSG). Subjective sl...
Open Access DOI:10.23937/2474-3690/1510013
Hypertension and Anesthesia: What's New?
Pascal Colson and Philippe Gaudard
Article Type: Review Article | Publication Updated: May 16, 2016
Hypertension is a very common disease, the first etiology of chronic cardiovascular disease in adult patients who undergo surgery. Improvement in HTA management is undeniable, but some concerns remain for the perioperative period. This article makes a short review of the state of the art regarding the anesthesia management of hypertensive patient during the perioperative period, with a special focus on anesthesia-hypertension interference....
Open Access DOI:10.23937/2474-3690/1510012
Rethinking our Guideline System: Returning to Evidence Based Medicine as it was Originally Intended
Seth J Baum and Casey Peavler
Article Type: Commentary | Publication Updated: April 20, 2016
The scientific literature is burgeoning at an alarming rate, making it impossible for physicians to integrate, let alone read even a miniscule portion of publications. The STM, a global organization whose aim is to disseminate results of high-level research and publications, recently assessed the magnitude of the literature boom. In 2012 they reported that 1.8 to 1.9 million papers were published in 28,100 active scholarly journals. With regulatory demands equally explosive, how are physicians t...
Open Access DOI:10.23937/2572-4215.1510007
New Therapeutıc Aproach in Rheumatoıd Arthrıtıs: Ozone
Gulnur Tasci Bozbas and Omer Faruk Sendur
Article Type: Review Article | Publication Updated: May 16, 2016
Rheumatoid arthritis is an autoimmune disorder, which leads to progressive articular destruction and disability. There are numerous agents used for treatment of the disease. However, since these agents may not provide remission or lead to serious complications, search for new treatments continues today. Ozone is a complementary therapy applied successfully for long years in treatment of treatment of circulatory disorders, cancer, inflammatory diseases and various metabolic diseases and anti-agin...
Open Access DOI:10.23937/2572-3243.1510012
Outcomes of Non-operative Management of Deep Gluteal Syndrome - A Case Series of Six Patients
Ricardo Goncalves Schroder, Rob Roy L Martin, Valerie L Bobb, Anthony Nicholas Khoury, Ian James Palmer and Hal David Martin
Article Type: Case Series | Publication Updated: April 27, 2016
The detailed history, physical examination, imaging, diagnostic testing, and physical therapy of six subjects diagnosed with deep gluteal syndrome were retrospectively analyzed and reviewed. Conservative treatment included neuropsychiatry management, intra-muscular injections through CT guidance, intra-pelvic assessment/therapy, and a home exercise program. The Visual analog scale (VAS), modified Harris Hip Score (mHHS) was utilized to measure outcomes of the non-operative treatment....
Open Access DOI:10.23937/2378-3656/1410102
Does Breast Feeding Protect from Development of Breast Disease?
Muna M Baslaim, Forough Farrokhyar, Shefaa A Al-Amoudi, Arwa A Ashoor and Oussamah M Saidam
Article Type: Original Article | Publication Updated: April 20, 2016
We retrospectively analyzed the data base of the breast unit at King Fahd Hospital from January 2000 till May 2012. We calculated proportions with 95% confidence intervals (CI) and used Logistic regression analysis to explore the predictors. Odds ratios with 95% CI were reported and p value of 0.05 was considered for significance. Breast feeding data were available for 1970 parous women of which 1856 (94.3%; 95% CI: 93.1%-95.2%) breast fed their babies....