Scientists Find a Natural Protein That Stops Allergies And Autoimmune Conditions

For the millions of us plagued by hypersensitive, overactive, or downright abusive immune systems, it can feel like you’re constantly fighting your own physical self. From incessant allergies to life-threatening anaphylaxis and debilitating autoimmune disease, the system that’s supposed to be protecting us can be problematic when it goes wrong. Now, we might be closer to […]

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Reconstruction of a Missing Midface

An 18-year-old Chinese girl was referred to us with a severe facial deformity that had been present since her birth. The deformity was associated with poor speech intelligibility and feeding disturbances. Clinical examination demonstrated a severe maxillary defect and bilateral zygoma hypoplasia accompanied by nose and mandible deformities. Her mouth opening was normal, and no […]

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Esthetic Reconstruction of Complex Facial Soft Tissue Trauma

All soft tissue injuries were treated with primary intention following debridement, irrigation, and primary surgical intervention by different methods depending on the defect size and location. They explained probable complications of primary intention to all patients and informed consents were obtained from all patients before surgical interventions. The medical ethics committee of their hospital approved […]

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Necrotizing fasciitis and meningitis due to Streptococcus pneumoniae

A 68-year-old Caucasian female was admitted to our clinic, with suspected deep venous thrombosis, presenting with pain in her left calf that had lasted for 3 weeks starting after a very painful nocturnal leg cramp, and worsened over the last few days. At the time of admission, she had also experienced 5 days of malaise […]

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Association between fasting insulin and C-reactive protein among adults without diabetes

Methods This study used National Health and Nutrition Examination Survey data from 2005 to 2010 to analyze the association between fasting insulin and C-reactive protein (CRP). A two-part model was used due to the high number of values reported as 0.1 mg/L. Two models were analyzed, both with and without the addition of waist circumference to […]

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Cardiac Rehabilitation Is Essential in the COVID-19 Era

The unprecedented nature of the COVID-19 pandemic has challenged how and whether patients with heart disease are able to safely access center-based exercise training and cardiac rehabilitation (CR). This commentary provides an experience-based overview of how one health system quickly developed and applied inclusive policies to allow patients to have safe and effective access to […]

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Strokectomy and Extensive Cisternal CSF Drain for Acute Management of Malignant Middle Cerebral Artery Infarction: Technical Note and Case Series

Fulvio Tartara,1 Elena Virginia Colombo,1 Daniele Bongetta,2 Giulia Pilloni,1,* Carlo Bortolotti,3 Davide Boeris,4 Francesco Zenga,5 Alessia Giossi,6 Alfonso Ciccone,7 Maria Sessa,6 and Marco Cenzato4 Materials and Methods We retrospectively collected 15 non-consecutive cases of ischemic stroke treated with strokectomy between March 2010 and December 2017 in two different Hospital (Ospedale Molinette Torino; Ospedale Maggiore, Cremona). The study is an historical cohort study (retrospective, purely observational, non-sponsored): […]

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Thyroid and Cardiovascular Disease: A Focused Review on the Impact of Hyperthyroidism in Heart Failure

Abstract The association between thyroid hormones and cardiovascular conditions has been well studied, specifically, the effects of hypothyroidism on cardiomyopathy, and hyperthyroidism with arrhythmias. Nonetheless, an explicit correlation between hyperthyroidism and cardiomyopathy has yet to be established. Medical databases MEDLINE and PubMed were accessed and queried as primary sources for data acquisition. Search criteria consisted […]

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Giant right coronary artery aneurysm- case report and literature review

Neerod K Jha,1Husam Z Ouda,2Javed A Khan,1Gregory P Eising,1 and Norbert Augustin1 Case presentation A 54 years-old-hypertensive male patient was presented to us with history of recent inferior wall myocardial infarction (MI) which was managed with medical treatment in the referring hospital. On clinical examination, there was a 3/6 ejection systolic murmur along the left lower sternal […]

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Oral Metastasis of Colorectal Cancer

A 60-year-old woman presented to the oral surgery clinic with gingival swelling. She had a history of colorectal cancer, which had been diagnosed a year earlier, for which she had undergone surgery and received chemotherapy. She first noticed the mass after bleeding occurred while she was brushing her teeth. On examination, a large, nontender, pedunculated […]

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Bilateral 0.19 mg Fluocinolone Acetonide Intravitreal Implant in the Successful Treatment of Juvenile Idiopathic Arthritis-Associated Uveitis and Secondary Macular Oedema

Abdus Samad Ansari, Zain Amir, and Gwyn S. Williams Abstract Introduction Treatment of juvenile idiopathic arthritis (JIA)-associated uveitis necessitates the use of long-term corticosteroids or immunosuppressive agents, each of which poses their own significant side effect profile. Initial treatment requires intensive topical glucocorticoids, with a step-up approach employing immunosuppressive agents for those cases with poor […]

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An Update on the Pathophysiology and Treatment of Cardiorenal Syndrome

Abstract Cardiorenal syndrome (CRS) encompasses various disorders of the heart and kidneys; dysfunction of one organ leads to acute or chronic dysfunction of the other. It incorporates the intersection of heart-kidney interactions across several mediums, hemodynamically, through the alterations in neurohormonal markers, and increased venous and renal pressure, all of which are hallmarks of its […]

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First African American to receive a face transplant

Robert Chelsea suffered severe injuries after getting hit by a drunk driver in 2013. After months of waiting for the right donor, the first African American man to undergo a full face transplant is recovering from a successful procedure. Chelsea has led a difficult life the last few years — he was left severely disfigured […]

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Stress Echocardiography: Concept and Criteria, Structure and Steps, Obstacles and Outcomes, Focused Update and Review

Abstract Stress echocardiography (SEC) is a technique established more than 35 years ago; however, it is still poorly implemented in many countries and institutions, and this reluctance may be related to many obstacles such as operator skills, lack of awareness or institutional policy. Stress echo was initially used for assessing coronary artery disease (CAD), with […]

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Railway track injury

Case Report A 30-year-old male victim of railway track injury was brought to the emergency department by police. He had a lacerated/partly avulsed wound over face, involving forehead, nose and left cheek, with traumatic evisceration of left eye [Figure 1]. On arrival, the patient was found to have a threatened airway in view of extensive […]

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