Esophageal Carcinoma: It is Time to Move on | Esophageal carcinoma is a rare cancer of the gastro-intestinal tract, but the incidence is increasing annually. This is because of continued smoking (Epidermoid Carcinoma) and the high incidence of acid reflux disorder as in Western Hemisphere (Adenocarcinoma). The later in part may be due to abuse of alcohol, and being overweight. In the seventies the primary treatment of localized disease of the esophagus was surgery alone for mid and lower third operable and resectable early lesion. Post operative radiotherapy (RT) was recommended and given to those with close margin(s) and/or found to have regional lymph node(s) involvement. The patients with cancers of the upper third, regardless of their pathology, and those with locally advanced disease where treated with radiation only. For More Articles: Journal of Scientific and Technical Research : https://biomedres.us/

Staphylococcus Epidermidis Induced Maternal Sepsis and Chorioamnionitis Post Fetoscopic Laser Ablation: A Case Report | A case of severe chorioamnionitis with Staphylococcus epidermidis after fetoscopic laser ablation is presented. Infection with these bacteria, which is part of the normal skin flora, is uncommon. A revision of the Prophylactic antibiotic treatment should be taken into account. TTTS is a serious complication of monochorionic-diamniotic twins pregnancy and its divided into 4 levels of severity. When left untreated it is associated with high rate of fetal mortality. Fetoscopic laser ablation of the anastomotic vessels is one of the treatment options. Intra-amniotic infection (IAI) is frequently found with enteric or vaginal flora, such as- Ureaplasma and Mycoplasma, Anaerobes and GBS [1]. This complication as the result of the procedure is about 2% [2], despite prophylactic antibiotic treatment. In this case study we present an IAI after laser ablation involving Staphylococcus epidermidis, that is part of the human flora and is not known to be with high virulence. This case requires reconsideration of the pre-op treatment in order to reduce the rate of future cases. For More Articles: Biomedical Science Articles : https://biomedres.us/

Hepatitis C and Neurological Disorders A Patient’s Case Report | Neurological disorders associated with hepatitis C is most often related to mixed cryoglobulinemia. The aim of this study is to show the severity of neurological disorders during hepatitis c infection. Mrs. S A, 60 years old, who had been in purpuric rash for six months, associated with physical and psychic asthenia and weight loss at 16 kg in 8 months. The evolution was marked by an alteration of the neurological state of the patient with an installation of motor deficit affecting the 04 limbs, abolition of the osteo-tendinous reflexes, and a hypoesthesia of the upper and lower limbs. The electromyogram (EMG) showed a sensori-motor polyradiculo neuropathy, and the etiological diagnosis was in favor of a peripheral neuropathy secondary to a cryoglobulinemia, related to hepatitis c. In addition, the patient presented after a few days of headaches, a sharp drop in visual acuity and high blood pressure, this is complicated by two episodes of convulsive seizures. A cranial CT scan is performed in an emergency without abnormalities, with no sign in relation to thrombophlebitis after injection of contrast agent. The diagnosis retained is a central neurological disease secondary to infection with the virus c associated with peripheral neurological disease. For More Articles: Biomedical Science Articles : https://biomedres.us/

Detection of Early Carious Lesions Using Laser Diode Near-Infrared Transillumination (In Vitro Study) | The importance of early detection before the development of irreversible damage is now generally accepted [1]. Most studies do not report the presence of non cavitated lesions, though they have been shown to have predictive value. Thirty three extracted sound premolars were examined on both approximal surfaces by EDX to determine Ca/P ions ratio on (D1), imaged using Periapical Digital Radiography (D2), and transilluminated using DIAGNO cam (D3). Any defect that indicated cavities by any of the mentioned methods discarded the tooth. Three teeth were randomly selected and imaged by Scanning Electron Microscopy. The remaining thirty teeth were covered with acid resistant varnish except in 3x3mm in approximal areas and 15 teeth were immersed in a demineralizing solution for 48H (Group I), the other 15 teeth were immersed for 72H (Group II). Both groups were then re-examined using D1, D2 & D3. Six teeth of groups I & II were selected and imaged by Scanning Electron Microscopy. Biomedical Research Articles : https://biomedres.us/

Treatment of Scaphoid Waist Non-Union with A ModifiedMatti-Russe Technique: Our Experience Giuseppe | Amongst the different techniques for scaphoid non-union, the Matti-Russe procedure is a simple method where a corticocancellous bone graft from the iliac crest is packed in the scaphoid. A variant of the technique used in our Department involves a longer incision and bone graft from the radius. Aim of the study was to evaluate the outcome of our variant of the Matti-Russe procedure for scaphoid nonunion. During a 30-year period (January 1986-June 2016), 29 patients referred to our Hospital with a scaphoid nonunion and underwent our modified Matti-Russe procedure. We sampled 16 patients (14M; 2F) with complete data who referred consecutively between January 2000 and June 2016 (age range: 15.6-59.8 years; average 34 years). Scaphoid non-union was classified according to Alnot. Post-operatively the wrist and thumb were immobilized in a cast for 6 weeks. Patients’ outcomes were assessed at 4-months and at 12-months post-op using the Mayo wrist score (MWS) questionnaire. Average follow-up was 18.4 ± 5.6 months. For More Articles: Journal of Biomedical Research and Reviews : https://biomedres.us/

Scapula Osteosarcoma | Although conventional osteosarcoma is one of the most common type of primary bone malignancy but fibroblastic subtype is rare enough to push us to report this case. We had experience with scapulectomy for conventional osteosarcoma with dominant fibroblastic component. The technique of surgery and safe margin in scapula were our debates. Osteosarcoma is the most common malignant bone tumor (if one excludes myeloma). Figure 1 show WHO classification of osteogenic tumors of bone (2013). Conventional probably is almost common type of osteosarcoma but about one percent of all conventional occur in flat bones and the number of fibroblastic presumably is rare, however, Frequency of fibroblastic subtype osteogenic sarcoma in 13 SEER registries between the years 1994 and 2008 was 111, and mean age in this series was 32 between 10 to 90 years old for this subtype [1]. Acceptable treatment for high grade conventional is wide resection after neoadjuvant chemotherapy and continue chemotherapy. For More Articles: Scientific Research Articles on Biomedical : https://biomedres.us/

Acetic-Acid Iontophoresis and Ultrasound Effectiveness on Calcifying Tendonitis of the Elbow| Calcifying tendonitis (CT) is the deposit of hydroxyapatite within tendons. CT is multifactorial and it could affect the rotator cuff, Achilles, patella, forearm extensors biceps brachi and tibialis posterior tendons. The etiology is unclear, playing degeneration and important role. Three stages with clinical/histological and radiological correlation are described: A. Pre-calcification: tenocyte metaplasia/chondrocyte transformation; B. Calcification: a)formative, b)resorptive (spontaneous resorption/phagocytosis); C. Post-calcification: collagen remodeling/tendon repair. The diagnosis is clinical and radiological. Conservative treatment includes NSAIDs, physiotherapy, electrotherapy (micro-waves, short-waves, TENS, ultrasounds, iontophoresis, interferential and pulsed electromagnetic therapy). Advanced treatment includes shock-waves, eco-guided aspiration and arthroscopy [1-3].
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“The Psychopathological Craving”: Cross-cutting through the Psychosocial Aftermath of the De-Addiction Process| The pangs of an addiction often lead to fatal life outcomes. Its gradual transition from a regular behaviour, habituation to unavoidable craving and obsessive addiction reflects how a certain thing or aspect can become an inseparable entity of man’s life. Addiction towards something can breach the thin borders between the triad of use, misuse and abuse. Although the former can have certain positive impact, however misuse or abuse of something is bound to lead to unfathomable physical, psychological, personal as well as societal level drudgery and despair. Severe addiction also has been reported to be one of the most significant contributors of crime, harming behaviour, suicide or eventual death. The de-addiction process comes as a ray of hope to fight against addiction and overcome the odds. However, the de-addiction process has to be administered under professional supervision and extreme care. The present clinical presentations reflect two case studies depicting both the affirmative as well as flip sides of the de-addiction process. The two cases stand as strong guidelines of practice, ethics and how de-addiction can have both positive and lethal outcomes depending on the management modalities and psychosocial support. For More Articles: Biomedical Journal Impact Factor : https://biomedres.us/

Assessment of Microbial Contamination if “As Received” and “Bench-Top Exposed” Orthodontic Materials: A Vitro Microbiologic Investigation| The role of Sterilization is indispensable in daily clinical practice. Although all the instruments used in Orthodontics, as in dentistry, are sterilized before use, the same is not true for orthodontic archwires, brackets, and bands. The orthodontic materials are used “as received” from the manufacturers, often with the assumption that the level of hygiene in the manufacturing process and subsequent transportation is sufficient to allow them for clinical use. In an era, where the orthodontic armamentarium has been upgraded with novel therapeutic systems, it becomes an integral part of the clinical practice to know all relevant aspects of sterilization. For More Articles: Biomedical Journal Impact Factor : https://biomedres.us/

Can a Nasogastric Tube be Seen As the First Option When Children Intake Peg Prior to Colonoscopy? | According to ESPGHAN, polyethylene glycol with electrolytes (PEG) is generally the recommended laxative for bowel cleansing prior to colonoscopy in children owing to cleansing quality and safety [1]. Children with various gastrointestinal disorders such as inflammatory bowel disease (IBD) undergo colonoscopy as the standard examination of the bowel as a diagnostic and therapeutic tool. A colonoscopy can only be performed if the bowel is clean, however it has been seen that bowel cleansing is the most difficult part of the procedure prior to colonoscopy [2]. The whole procedure consists of several elements, for example, diet regime before bowel cleansing, blood tests, laxative intake and anesthesia. However, children and their parents reported that bowel cleansing was the most wear some [3,4]. Despite the availability of various laxatives, the ideal bowel preparation regimen for pediatric colonoscopy remains elusive because few randomized controlled studies in children have been published [5]. Prescription of PEG in children is based on Millar et al. [6] and may entail a large volume of PEG, which previous studies have reported is difficult to intake as children perceive it to have a bad taste. For More Articles: Biomedical Journal Impact Factor : https://biomedres.us/