Recently Published Articles
A Review of the Histologic, Genetic and Molecular Characteristics of Meningioma Pathogenesis and Progression
Abstract:
Meningiomas are the most common intracranial tumor in humans. The heterogeneity of these tumors lends difficulty to the genetic, epigenetic, and molecular changes that occur in meningioma pathogenesis, progression, and recurrence. Current de facto classification schemes are based on histologic evaluation of tumor specimens and do not consider molecular markers or other newer modalities. In this paper, we review the major genetic, epigenetic, and molecular changes that have been associated with the oncogenesis and progression of meningiomas. We pay special attention to those changes associated with recurrence and higher grade tumors. Finally, we comment on the challenges and potential for future therapies of these tumors.
First Lumbar Treatment of Chronic Mixed Low Back Pain with High Dose Capsaicin 8% Patch
Abstract:
Capsaicin 8% patch reduces peripheral neuropathic pain. Based on the concept of neuropathic pain (NeP) in mixed low back pain (LBP) it is hypothesized, that an exclusively lumbar capsaicin 8% patch is an effective treatment of mixed LBP. The aim is a proof of this concept and to identify predictors of responsiveness. This prospective stratified study included 54 chronic, mixed, LBP patients with spontaneous pain >3/10 on the NRS (0-10) and a painDETECT Questionnaire (PDQ) score >12 meaning possible or likely (>18) NeP. Pain intensity, PDQ, and quantitative sensory testing (QST) were assessed at baseline. After a one-hour capsaicin 8% treatment on the low back, follow-up was carried out regularly over three months. Response was determined at one month (≥30% pain reduction) and predictors ...
The Evolution of Fetal Surgery
Abstract:
Fetal surgery is the newest surgical specialty with a compelling history. The development of fetal surgery began in primates and lambs and, in its most basic form, was first performed in humans in 1965. Since its introduction, the field has expanded and changed dramatically. Several of these changes have involved the ethical aspect of fetal surgery. This field conflicts with the Hippocratic oath mantra of “first do no harm” as one of the patients, the mother, receives no benefit from these procedures. The ethical dilemma resulted in stringent inclusion and exclusion criteria for fetal operations. Initially, fetal surgery was only indicated for life-threatening conditions of the fetus but is now offered in some disease processes to improve quality of life for the child. As the field has matured, it has grown to encompass numerous different types of fetal interventions. Similar to other areas of surgery, the trend has been to migrate from more invasive to less i...
Novel N-Pyrrolylcarboxylic Acid Derivative as a Potential New Analgesic and Anti-Inflammatory Drug
Abstract:
The objective of our study was to evaluate the analgesic and anti-inflammatory activity, as well as possible organ toxicity of 2-
Juvenile Idiopathic Arthritis: A Study of 74 Cases in Northeast Brazil
Abstract:
To identify the clinical epidemiological characteristics of patients with juvenile idiopathic arthritis (JIA) monitored at the Lucidio Portella Children’s Hospital (HILP) in northeastern Brazil and to ascertain the frequency and forms of presentation, the most affected joints, the most common joint involvement for each form, the frequencies of positive rheumatoid factor (RF+) and positive antinuclear antibodies (ANA+) in the various forms of presentation, and the most common complications. A study was conducted with 74 medical records of patients with JIA monitored at HILP between January 2010 and January 2013. Descriptive statistics were used for statistical analysis. JIA was predominant in fe...
Industrial and Biotechnological Applications of Algae: A Review
Abstract:
Algae are a class of photosynthetic organisms found in both marine and freshwaters habitats. As these organisms have a short doubling time, they are considered among fastest growing creatures. They have different pathways to fix atmospheric carbon dioxide and to efficiently utilize the nutrients to convert it into biomass. In few years, a focus has been shifted towards these organisms due to their food and fuel production capability. In fuel industry algae biofuels have been emerged as a clean, nature friendly, cost effective solution to other fuels. Algae fuels are categorized into bio-ethanol, biogas, bio-hydrogen, biodiesel and bio-oil. Algae as a food have been explored for different applications as in production of single cell proteins, pigments, bioactive substances, pharmaceuticals and cosmetics. The present review has been prepared to throw a light on enormous applications of algae as food and fuel and also to provide some information about different comme...
Neurovascular Reactivity after Repeated Attacks in Patients with Multiple Sclerosis
Abstract:
Increased neurovascular (NV) reactivity has been shown in patients with relapsing-remitting multiple sclerosis (RRMS) during the acute exacerbation period. However, the NV reactivity after several attacks is not known. We, therefore, have investigated the patients by transcranial Doppler (TCD) using simple visual stimulation after the repeated attack periods. Thirty patients (22 females and eight males, mean age 40 years) with RRMS were examined at least two times. The average TCD examination interval was 26.7 months (range 4-120 months). Mean attack number was 3.8 (range 2-8 times), average disease duration was 57 months (range 4-124 months), and average Expanded Disability Status Scale (EDSS) value was 2.5 (range 1-5.5). We performed transcranial Doppler recordings from the P2-segme...
Early Versus Late Immunomodulatory Therapy in Vogt-Koyanagi-Harada disease
Abstract:
To evaluate early versus late immunomodulatory therapy (IMT) for patients following initial diagnosis of Vogt-Koyanagi-Harada (VKH) disease. Retrospective review including all VKH patients seen 5/1/2014 to 4/1/2016 at LAC+USC. Early IMT was defined as starting an immunomodulatory agent within 3 months of corticosteroid initiation. Twenty-seven patients were included, of whom 15 received early IMT and 8 received late IMT. Early IMT patients trended toward greater improvement in vision compared to late IMT (logMAR 0.59 vs. 0.11; p=0.14) with no differences in ocular complications including ocular hypertension (p=0.53) and cataract (p=1.0). Patients receiving early IMT averaged 0.93 recurrences versus...
Relationship between Trauma-Related Psychotic Reactions and Post-Traumatic Stress Symptoms: The Mediating Role of Alcohol Use
Abstract:
This study examined the mediating role of alcohol use in the relationship between PTSD symptoms and trauma-related psychotic reactions. A total of 231 participants including 181 females were recruited via web advertisement and flyers. Alcohol use condition, trauma-related psychotic experience, and PTSD symptoms were measured by Feeling the need to Cut down, Annoyed by criticism, Guilty about drinking, and need for an Eye-opener in the morning (CAGE), Psychosis Screening Questionnaire (PSU) and Short screening scale for posttraumatic stress disorder (SSSP). All the participants were asked to finish the questionnaire package on the Internet and were interviewed later to validate the screening. Logistic regression was used to estimate the mediating effect of alcohol use. Results showed that alcohol use played a mediating role between PTSD symptoms and auditory hallucination while this effect didn’t exist between PTSD symptoms and paranoia. Findings indicated that h...
Rapid Calcification of Myocardium as Sequela from Severe Sepsis
Abstract:
A rare case of rapid myocardial calcification following severe sepsis is presented. The report outlines the temporal course, imaging findings, and plausible pathophysiologic mechanisms, including septic cardiomyopathy and calcium‑phosphate imbalance. Implications for critical care follow‑up and cardiology evaluation are discussed.