Volume 5 Articles
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Volume 5 Articles
Uncommon Cause of Gastrointestinal Bleeding
Gastric antral vascular ectasia is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anaemia [1]. The condition is associated with dilated small blood vessels in the antrum, or the last part of the stomach. It is also called watermelon stomach because streaky long red areas that are present .....
View PDF View FulltextSexual Function and Dysfunction among Patients with Systemic and Auto-Immune Diseases
Systemic autoimmune diseases affect various organs and they can determine sexual dysfunction in females and males patients particularly with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), systemic .....
View PDF View FulltextComments on Article Continuous Shortwave Diathermy with Exercise Reduces Pain and Improves Function in Lateral Epicondylitis More Than Sham Diathermy: A Randomized Controlled Trial
I read very carefully the article “Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial.” by Babaei-Ghazani et al. (2020) [1] and I would like to congratulate the authors because this was the first trial to investigate the effectiveness of continuous shortwave diathermy (CSWD) in Lateral Epicondylitis (LE) patients. However, I would like to comment the following:.....
View PDF View FulltextIntramural Hematoma of Esophagus After Lifting a Heavy Sack of Rice Which Mimicking Cardiovascular Disorder
We report here a case of an intramural hematoma of the esophagus. The extension of this was from cervical esophagus to lesser curvature of stomach intramural hematoma......
View PDF View FulltextA Wandering Atrial Pacemaker in Inferior Wall Infarction. Escape or Survival Rhythm? A Case Reports
Coronary sinus rhythm is an ectopic atrial rhythm supposedly originating from a pacemaker at the mouth of the coronary sinus; recognized in the electrocardiogram .....
View PDF View FulltextComments on Article Continuous Shortwave Diathermy with Exercise Reduces Pain and Improves Function in Lateral Epicondylitis More Than Sham Diathermy: A Randomized Controlled Trial
I read very carefully the article “Continuous shortwave diathermy with exercise reduces pain and improves function in Lateral Epicondylitis more than sham diathermy: A randomized controlled trial.” by Babaei-Ghazani et al. (2020) [1] and I would like to congratulate the authors because this was the first trial to investigate the effectiveness of Continuous Shortwave Diathermy (CSWD) in Lateral Epicondylitis (LE) patients. However, I would like to comment the following:.....
View PDF View FulltextA Chest Contusion Following Car Accident, In Obese Patient Suffering from Obstructive Sleep Apnea
We describe the case of a 50 years old male patient, who, affected by Obesity and OSAS, came to our ambulatory for dyspnea, shortness of breath and astenia. The subject described that the week before had a car accident and was taken to the ER, where received a chest x-ray which resulted negative......
View PDF View FulltextProphylaxis Against COVID-19: A Possible Way of Effective Control Against COVID-19
COVID-19 emerged in the later part of 2019 is a public health emergency of international concern. Though definite treatment and vaccine against the Coronavirus are not available, yet COVID-19 prevention and prophylaxis are important to appease the pandemic burden. An effective prophylactic agent will prevent disease in high-risk groups, e.g., medical professionals managing COVID-19 patients. .....
View PDF View FulltextNon-Conventional COVID Treatment Methods 19
In bioelectronic terms, the organism is understood as an integrated circuit of biological piezo, pyroelectrics, ferromagnets and semiconductors, filled with bioplasm and managed electronically by quantum processes......
View PDF View FulltextA LGI1 Mutation (C.263 T>A P.Leu88*) Identified in a Chinese Patient with Epilepsy: A Case Study
To investigate the genetic causes of a 13-year-old Chinese female proband with epilepsy......
View PDF View FulltextAtypical Haemolytic Uraemic Syndrome with Isolation of Aepec in the Stool Culture
Thrombotic Microangiopathy (TMA) is based on a vascular endothelial injury and is characterized by microangiopathic hemolytic anemia, thrombocytopenia and organ malfunction of variable intensity. The etiology includes Thrombotic .....
View PDF View FulltextPeripheral Arterial Embolism from the Mural Abdominal Aortic Thrombosis
We present two men suffering from critical limb ischemia (Fontaine gr. IV.) due to mural aortic thrombosis with peripheral arterial embolism. Duplex ultrasound was adequate for the diagnosis in both cases. CTA only confirmed the.....
View PDF View FulltextReactive Arthritis Due to Influenza Virus in a Male Patient: A Case Report
Myalgias and arthralgias are a common symptom of influenza viruses’ infection. Reactive arthritis due to influenza vaccination has been described. Here we report the case of a 40-year-old Greek patient with free history.....
View PDF View FulltextA Germline Mutation of Gene ATM P.C1899* is Associated with Family History of Multiple Cancers in a Family in Yunnan Province, China
Ataxia-Telangiectasia Mutation (ATM) is a well-known gene on chromosome 11q that plays a role in cell cycle checkpoints and DNA damage responses. Heterozygous germline mutations in ATM are....
View PDF View FulltextScalloping and Mosaic Pattern of the Duodenum
A 65-year-old female patient was admitted to the gastroenterohepatology outpatient clinic due to diarrhea, exhaustion and weight loss of about 6 kg complaints in the last year. Her medical history revealed that.....
View PDF View FulltextThe Role of the Pharmacist in Patient Care (Book Review)
Most people on the outside of the health care profession are not familiar with this new role of the pharmacist. The general public has created a stereotypical pharmacist's .....
View PDF View FulltextPrimary Neuroendocrine Carcinoma of the Appendix: A Case Report
Neuroendocrine Carcinoma (NEC) of the appendix is extremely rare and its clinical characteristics and treatment strategy have not been well established......
View PDF View FulltextGlioblastoma Multiforme in The COVID-19 Era: How Italy Managed to Surgically Treat the Neuro-Oncological Patient Despite the Pandemic
The wave of SARS-CoV-2 is affecting every country in the world in a more or less homogeneous way and one wonders what is the best therapeutic option for the infected patient diagnosed with Glioblastoma Multiforme.....
View PDF View FulltextA Rare Case of Tumid Lupus Erythematosus with Unilateral Linear Distribution in A Young Child
Tumid Lupus Erythematosus (TLE) as a rare variant of Cutaneous Lupus Erythematosus (CLE) is characterized by edematous, urticarial-like annular papules and plaques......
View PDF View FulltextTobacco Is Not the Only Risk Factor for COPD: Let's Not Forget the Genetic Factor!!!
Chronic obstructive pulmonary disease (COPD) is a major health problem as it causes increasing mortality and morbidity in all countries of the world. Its pathogenetic aspect is characterized by progressive irreversible airflow limitation. However, the disease is also a chronic inflammatory disease of the bronchopulmonary tissue with systemic consequences [1]. .....
View PDF View FulltextPancreatic Metastasis from Unresectable Lung Adenocarcinoma: A Case Report
Metastatic lesions of the pancreas are uncommon, accounting for approximately 2% of pancreatic malignancies. The most common.....
View PDF View FulltextMesenteric Vein Thrombosis with Multiple Etiologies- A Rare Cause of Abdominal Pain During COVID Times
Acute mesenteric venous thrombosis is an uncommon cause of abdominal pain but can be potentially fatal if not diagnosed and treated early. We report an interesting case of ....
View PDF View FulltextMacular Hole Related Retinal Detachment in a Case with Myelinated Retinal Nerve Fiber Layers
Myelinated Retinal Nerve Fiber Layers (MRNFL) are retinal nerve fibers with a myelin sheath. This relative rare condition is usually benign without specific symptoms,.....
View PDF View FulltextGuillain Barre Syndrome & Covid-19: A Case Report
Besides respiratory symptoms, coronavirus disease 2019 (COVID-19), like the severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), has neurological signs. Symptoms.....
View PDF View FulltextPost - Traumatic Stress Disorder (Ptsd) In Patients with Covid 19
Post-Traumatic Stress Disorder (PTSD) refers to situations in which traumatic experiences are caused by a person being exposed to emergencies outside of their daily life.....
View PDF View Fulltext‘Get The Patient in a Good Light’: The Role of the Physical Examination in Modern Medical Practice
[There is] a growing perception that the traditional bedside assessment is of increasingly limited value in modern medical practice......
View PDF View FulltextMolecular Signature and Anatomical Features of a Hypertrophic Scar From Abdominal Skin of a 36-Year-Old Female
Hypertrophic scarring is formed as a result of abnormal wound healing. Efforts have been made to understand the mechanism of hypertrophic scarring.....
View PDF View FulltextA Rare Translocation of t (1, 5) (q21, q32) in a Case of Myeloid Neoplasm With Eosinophilia
Myeloid neoplasm with eosinophilia is a kind of unusual hematological malignancy. Back in the morphological diagnosis era, the prognosis was.....
View PDF View FulltextClear Cell Renal Carcinoma with Focal Osseous Metaplasia: A Case Report and Review of the Literature
Osseous metaplasia in clear cell renal carcinoma (RCC) is uncommon with few cases reported. We present a case of a 66year-old male in which....
View PDF View FulltextFrom Simple Painkiller to an TNF-Alpha Inhibitor and Back Again or Doing Less is Always More in Geriatrics
81 y old male in LTCF with primary learning disability and cervico-dorso-lombarthrosis treated by WHO level 1 painkiller.....
View PDF View Fulltext“Double X” Cross Fixationin Paediatric Supracondylar Humerus Fractures: A 20-Year Expertise and 94 Surgical Interventions
Over the last 50 years, the developments emerged in the diagnosis and treatment of supracondylar humerus fractures (SHF) have significantly reduced the number of severe complications while.....
View PDF View FulltextRetesting Conjecture of Traditional Chinese Medicine Theory
This article proposes the following hypothesis based on studies from various aspects and various historical periods: meridians and collaterals are.....
View PDF View FulltextSuccessfully Treated New-Onset Pilocytic Astrocytoma in a Pregnant Patient
Pilocytic astrocytomas are typically pediatric brain tumors, and they are rarely diagnosed in older adults, especially in childbearing patients. However, if they present in pregnant women, they have a potentially catastrophic maternal and fetal outcome......
View PDF View FulltextGastrointestinal Symptoms in Patients with Coronavirus Disease 2019: A Single-Center Observational Study
The first case of novel coronavirus 2019 (COVID-19) was reported in Wuhan, China in December 2019, and the disease has rapidly.....
View PDF View FulltextGenital Hear Tourniquet Syndrome in A 5-Year Old Girl
A swollen and painful clitoris was noticed by the parents of a 5 year-old-girl. A hair tourniquet was found at the base of the clitoris and mechanically.....
View PDF View FulltextThe Differences Between Exfoliative Cheilitis and Factitial Cheilitis, Also Its Association with B12 Deficiency: A Review Article
Cheilitis is generally an inflammation that occurs in the vermillion border of the lips. Exfoliative Cheilitis is a chronic disease that occurs locally only on the vermillion border of the lips, which until .....
View PDF View FulltextCondyloma Acuminata in an Infant: Case Report in a Resource Limited Setting
Condyloma acuminata are soft, skin colored, fleshy warts that are caused by the Human Papilloma Virus (HPV), typically HPV 6 and 11 genotypes. .....
View PDF View FulltextPoncet’s Disease - A Commonly Missed Diagnosis
One of the rare presentations of both active pulmonary and extrapulmonary tuberculosis is polyarthropathy in the form of involvement.....
View PDF View Fulltext“Covid-19 A New Viral Trigger to Hemophagocytic Lymphohistiocytosis?”
We report a case of patient with COVID-19 pneumonia who had prolong course in critical care unit and developed clinical and laboratory features of Hemophagocytic Lymphohistiocystosis (HLH) supported by.....
View PDF View FulltextSafety and Efficacy of Modified BRTO-Assisted Endoscopic Cyanoacrylate Injection for the Treatment of Isolated Gastric Varices with Gastro-Renal Shunt
Ectopic embolization is the most serious complication of gastric variceal Cyanoacrylate injection for the treatment of isolated gastric varices (IGV) with gastro-renal shunt (GRS). To evaluate the safety and efficacy of modified balloon-occluded retrograde transvenous obliteration-assisted endoscopic Cyanoacrylate injection (E-BRTO) for the treatment of IGV with GRS......
View PDF View FulltextThe Role of Genetic Mutations in Y Chromosome Infertility Syndrome
Sex chromosome Y infertility is a genetic disorder that affects sperm production and causes affected men to become infertile. Most men with Y chromosome infertility .....
View PDF View FulltextSri Lankan Undergraduate Healthcare Student’s Perceptions of Interprofessional Learning: A Cross-Sectional Study
Interprofessional learning primarily aims to reduce prejudice among professionals, improve awareness of the roles and duties of other professional groups, and advance teamwork and collaborative competencies. This study was.....
View PDF View FulltextSustained Amylasemia in a Patient with Newly Diagnosed Alcoholic Cirrhosis; “A Clinical Picture That Is Worth a Thousand Words”.
Inflammation and distortion of the liver parenchyma leading to cirrhosis can be triggered by various causes. Alcohol is one of the commonest culprit factors among viruses, medications, toxic metals or autoimmune mechanisms.....
View PDF View FulltextIntradural Langerhans' Cell Histiocytosis Invading Frontal Bone of Skull: A Case Report with A Brief Review
In Langerhans Cell Histocytosis (LCH), there is a slow and abnormal proliferation of histiocytes. It is also called as Eosinophilic granuloma.....
View PDF View FulltextMucocutaneous Involvement in Behcets Disease
Behçet's disease is a chronic inflammatory disease characterized by its clinical polymorphism associating mucocutaneous involvement to systemic manifestations. .....
View PDF View FulltextThoracic Spinal Epidural Hematoma
An 8 year old male presented to the emergency department with back pain. The pain was non-radiating, located in the midthoracic region, progressively.....
View PDF View FulltextPseudo-Abdominal Hernia: A Retrospective Study with A Review of The Literature
Pseudo-abdominal hernia presents as a localized compressible bulge without an actual paresis of muscles. Pseudo hernias can occur after ventral nerve root damage secondary to excision of radiculopathy, .....
View PDF View FulltextFemale Emotional Processing: Hydrogen Peroxide & Alzheimer’s Disease
This paper continues the authors investigation into AD. We find that hydrogen peroxide appears to be the culprit in attacking the Papez circuit, especially in women. Familiarity with AT Math is assumed....
View PDF View FulltextStuttering
This paper provides some simple calculations from AT Math and Physics on how stuttering may occur. We see that adrenaline affects the frequency of the human mind resulting in a nerve signal velocity that is too slow for the tongue muscle to respond, thus no clear speech.....
View PDF View FulltextHydrogen Peroxide: Possible Cause of Amyotrophic Lateral Sclerosis (ALS)
This paper is about the possible cause for some types of ALS. The culprit once again is hydrogen peroxide. The chemical equations for the neurotransmitters involved yield an imbalance toward Ach which can be inhibitory. It is the inhibitory signal that stalls muscle s causing ALS.....
View PDF View FulltextChronic Covid -19 -The Never-Ending Virus
In this brief paper, we consider one case of the Covi-19 virus. The virus was contracted in December 2019 and has flared up about 15 times since then.....
View PDF View FulltextOne Cause of Alzheimer’s Disease: Gonorrhea and HSV-1
In this paper we show that a portion (1/10) of Alzheimer’s Disease patients have as a combination of Gonorrhea, HSV-1, and Neonatal Conjunctivitis. In previous papers, I suggested that AD is caused by either Gonorrhea or HSV-1.....
View PDF View FulltextEosinophilic Enterocolitis: A Rare Nosological Entity
Eosinophilic enterocolitis is an exceptionally rare disease with few cases described in the literature. It is the least frequent manifestation of the broad spectrum of gastrointestinal eosinophilic diseases. We describe.....
View PDF View FulltextGiant Portal Vein Aneurysm Incidetaloma
A 40-year-old woman referred by gynecologist. An abdominal ultrasound in the annual revision, a cystic mass in the hepatic hilum was detected. The patient did not present any symptoms, analytical without any alterations, and she did not have a personal history of liver disease on the clinical examination.....
View PDF View FulltextSpontaneous Epidural Hematoma and Cephalohematomas in Sickle Cell Disease
Spontaneous epidural hematoma and cephalohematoma are rare complications of sickle cell disease. Although several mechanisms have been proposed, these have most frequently been described in association.....
View PDF View FulltextMassive Lower Gastrointestinal Bleeding Due to Small Bowel Gastrointestinal Stromal Tumour (GIST)
Gastrointestinal Stromal Tumours (GIST) are rare, upper gastrointestinal bleeding is the most common clinical manifestation of GISTs, manifesting as hematemesis or melena. We are describing an acute surgical gastrointestinal bleeding that affecting patient stability secondary to GIST......
View PDF View FulltextManagement of Gastric Varices with BRTO Assisted Endoscopic High-Dose Histoacryl Injection: A Case Report and Review
Gastric varices is one of the most serious complication of portal hypertension. Endoscopic injection therapy with Histoacryl is the preferred method in managing gastric variceal bleeding. Iatrogenic ectopic embolism is the most serious complication associated with.....
View PDF View FulltextFamilial Mediterranean Fever Complicated by Henoch-Schönlein Purpura and Polyarteritis Nodosa in an Adult: A Case Report
Familial Mediterranean Fever (FMF) is the most frequent hereditary auto-inflammatory disease due to a mutation of the MEFV (Mediterranean fever) gene and belongs to the monogenic periodic fever syndromes. Familial Mediterranean fever has a particular ethnic distribution around the Mediterranean.....
View PDF View FulltextEarly Cervical Cancer Recurred with Uterine Fundus Metastasis After Laparoscopic Fertility-Sparing Surgery: A Case Report
Recently, the safety of minimally invasive radical hysterectomy for cervical cancer caused widespread controversy. However, the safety of minimally invasive fertility-sparing surgery for early stage cervical cancer is still uncertain......
View PDF View FulltextSpecialty Gown for Mastectomy Patients Designed to Improve Drainage System Management, Patient Experience
According to the Academy of Plastic Surgeons, there were over 493,000 breast plastic surgeries performed in 2019 across the United States [2]. Additionally, an estimated 268,600 new cases of invasive breast cancer will be diagnosed among women in 2019 [1]. Additionally, the American Cancer Society. Barring significant changes in this field, women will continue to need surgical gowns. The Papilla gown can provide a greatly improved post-surgery experience......
View PDF View FulltextAcute Gastrointestinal Bleed Due to Leiomyoma of the Ileum: A Case Report
Leiomyomas are benign smooth muscle tumours that may occur along the entire gastrointestinal tract. Usually occur in the small intestine. Bleeding is the most common symptom. Nausea, vomiting and abdominal pain are rarely present.....
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