Volume 6

Schizophrenic Patient with Drug Induced Liver Injury Initially Misdiagnosed as Wilson’s Disease with Final Diagnosis of Celiac Disease

Case Report

1. Abstract Associations between psychiatric symptoms in patients with celiac disease have been described in the literature. We report the case of a schizophrenic patient initially suspected of Wilson disease that was diagnosed with celiac disease in our hepatology unit.

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Primary Cardiac Angiosarcoma Diagnosed by 3D Transesophageal Echocardiography Guided Endomyocardial Biopsy – Case Report

Case Report

1. Abstract Cardiac angiosarcomas are uncommon, primary malignant cardiac tumors, characterized by an aggressive local growth within the myocardial structures. The majority occur in the right atrium, and at the moment of diagnosis usually infiltrate into neighboring structures. Due to the lack of typical features in clinical presentation, the diagnosis of cardiac angiosarcoma is challenging.

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Whole Blood Gene Expression Profiling in Response to Treatment for Septic Shock: A Case Report

Review Article

1. Abstract Septic shock develops as a result of the rapid progression of sepsis due to the massive release of proinflammatory mediators, and is characterized by severe hypotension and tissue hypoxia. While early goal-directed therapy (EGDT) and polymyxin B direct hemoperfusion (PMX-DHP) have shown effectiveness in the treatment of septic shock, no biomarkers are available to accurately assess the therapeutic responses in such patients. Here, we performed the first whole blood gene expression profiling in a successfully treated case of septic shock. A 74-year-old woman was admitted to the intensive care unit and diagnosed with septic shock and dangerously low blood pressure (50/38 mmHg). High Acute Physiology and Chronic Health Evaluation (APACHE)-II and Sequential Organ Failure Assessment (SOFA) scores (40 and 14, respectively) indicated a significant probability of a fatal outcome.

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Rural Healthcare in Light of a Multinational Pandemic: A Global Perspective

Review Article

1. Abstract Rural healthcare recently came into international spotlight, with recent reported influx of the COVID-19 into rural regions. This article focuses on susceptibilities of the rural population to pandemics and mitigating measures to prevent formation of disease epicentre. Rural Healthcare is by far one of the most neglected areas of medicine. The discrepancies in quality of rural healthcare has been evident for decades, yet no lasting measures have been able to bridge this gap till date. Lessons gleaned from the recent SARS and H1N1 pandemics has once again fallen through the cracks in a futile attempt to curb urban spread.

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Syringoma

Case Report

1. Abstract Syringoma is a benign eccrine sweat gland tumor affecting mostly females at puberty projected with multiple soft papules usually 1-2 mm in diameter. During puberty, syringoma appears among females; it is presented as multiple soft papules, 1-2 mm in diameter, as a benign eccrine sweat gland tumor. The sites of predilection are lower eyelids, and cheeks. The regions of tendency are cheeks and lower eyelids. Syringoma of the vulvar is a rare disorder few cases of which have been reported in literature.

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Severini – From Divisionism and Futurism

Commentary

1. Commentary In 1900, Gino Severini he met the painter Umberto Boccioni. Together they visited the studio of Giacomo Balla, where they were introduced to the technique of Divisionism, painting with adjacent rather than mixed colors and breaking the painted surface into a field of stippled dots and stripes. The ideas of Divisionism had a great influence on Severini’s early work and on Futurist painting from 1910 to 1911.

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The Nature of Primary Care

Review Article

1. Review It’s important to define what Primary Care is and the priorities and context in which Primary Care works. After few but important and cornerstone words on Primary Care as in Alma Ata Declaration, we needed a Document defining what General Practice is and its competencies, a really authoritative view on what family doctors in Europe should be providing in the way of services and health to patients, at the highest quality and cost effective.

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Megacalycosis with Ipsilateral Segmental Mega-Ureter – A Rare Entity

Case Report

1. Abstract Congenital megacalycosis of Pugivert is a rare clinical entity which denotes presence of dilated calyces most often without any functional abnormality and Segmental mega-ureter implies large, focal segmental ureteral dilatation producing a distorted ureter. Megacalycosis with an ipsilateral segmental mega-ureter is a rarer association of which only a few cases have been reported after its original description. It is diagnosed incidentally or the patient might present with urinary tract infection or calculus formation and usually respond to conservative management.

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The Assessment of the Whole-Body Vibration on Health Effects in Automobile Assembly Line Worker in South Korea

Research Article

1. Abstract 1.1. Background: In general, whole-body vibration is one of the potential contributors to the development of back disorders of workers. In particular, it is thought that workers at the automobile assembly line are exposed to mechanically induced vibrations, either Whole-body Vibration (WBV) or Hand-arm Vibration (HAV). However, we can not assess the WBV on health effects in automobile assembly line workers.

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Cognitive Consequences After Traumatic Brain Injury (TBI)

Review Article

1. Abstract A traumatic brain injury (TBI) can cause temporary dysfunction of brain cells. More severe craniocerebral injuries can lead to bruising, perforation and tissue rupture, bleeding, and other physical damage to the brain that can lead to long-term complications or death (Bigler, 2016). Consequences of TBI can include physical, sensory, behavioral, and communication disorders, as well as disturbances in cognitive functioning.

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