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Juniper Publishers: Utility of Noninvasive Serum Biomarkers of Liver F...

Juniper Publishers: Utility of Noninvasive Serum Biomarkers of Liver F... : ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY JUNIPER PUBLISHERS Authored by Mostafa M Sira Abstract Background:...

Delayed Progressive Cauda Equina Syndrome after Transverse Sacral Fracture: A Case Report-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Transverse sacral fractures are infrequent injuries that often cause neurological impairment referred to as cauda equine syndrome. To the best of our knowledge, the onset of neurological symptoms can be delayed up to 2 months. We report a case of isolated transverse sacral fracture through S2-S3 which caused minor symptoms after 6 days. Major neurological disability appeared with a 3 months delay. A limited laminectomy was performed with good clinical results. The 3 months delay appeared to be the longest compared to available literature. Keywords: Transverse sacral fracture; Laminectomy; Caudaequina syndrome; Delay Introduction Transverse sacral fractures are rare. They occur after low or high energy trauma, with clinical manifestations that include neurological dysfunctions. According to the literature, these symptoms can be delayed [1-4]. To our knowledge, the literature repo

Juniper Publishers: Utility of Noninvasive Serum Biomarkers of Liver F...

Juniper Publishers: Utility of Noninvasive Serum Biomarkers of Liver F... : ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY JUNIPER PUBLISHERS Authored by Mostafa M Sira Abstract Background:...

Stem Cells to Improve the Wound Healing-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract The cellular therapy using Mesenchymal Stem Cells, specially its two subtypes - Bone-marrow Mesenchymal Stem Cells and Adipose Derived Stem Cells - can benefit by virtue of the possibility of differentiating in specialized cells that secrete and suppress growing factors and cytokines necessary in the lesion niche. When attracted by the pro-inflammatory sinalization of the lesion, they act using the paracrine signaling, decreasing the inflammation, increasing the angiogenesis and the cell migration and proliferation. The development in the researches regarding the association of the application of MSCs, with reconstructive surgery practices, leads to effective future results that can bring more benefits to the clinic practice of this field. This paper has the objective of briefly reviewing the literature about the usage of MSCs and its subtypes, the ADSCs, to improve the skin cicatrizati

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi...

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi... : CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Murillo Ortiz Blanca Abstract Telom...

Acute Calcific Prevertebral Tendinitis Nonvisible in Plain Radiograph-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Calcific tendinitis of the longus colli is an inflammatory disease caused by calcium hydroxyapatite crystal deposition in the longus colli tendon of the prevertebral space. The typical imaging characteristics of this entity are calcifications on the longus colli tendons at the C1-2 level and fluid collection in the retropharyngeal space in plain radiograph. Usually, calcific lesion can be detected by plain radiograph. We introduce 2 case of prevertebral calcific tendinitis nonvisible in plain radiograph, but the diagnosis was confirmed on computerized tomography. Keywords: Tissue plasminogen activator; Hemorrhage; Stroke; Blepharoplasty; Ectropion Ischemic stroke; Complications; Treatment. Introduction Many population have neck pain at some time in their lives. According to the Global Burden of Disease 2016 Study, neck pain is the fourth leading cause of years lost to disabil

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi...

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi... : CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Murillo Ortiz Blanca Abstract Telom...

Periorbital Hemorrhage Secondary to tPA For Stroke Following Oculoplastic Surgery-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Introduction Tissue plasminogen activator (tPA) is a proven treatment for ischemic strokes when administered within 3-4.5 hours of symptoms. Relative contraindications include minor or spontaneously-improving stroke, seizure at onset, recent gastrointestinal and urinary tract hemorrhage, pregnancy, recent major surgery or serious trauma [ 1 ]. As these are relative contraindications, ultimately the provider makes the decision to administer tPA based on analysis of risks and benefits. This is a case of a periorbital hemorrhage in a patient receiving tPA for ischemic stroke within 2 days of oculoplastic surgery. The case highlights a) The need to identify potential complications of tPA to the eye after oculoplastic surgery; b) The benefit of understanding how to acutely manage periorbital/orbital hemorrhages provoked by tPA; and c) The relative contraindication against tPA after oculoplastic

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi...

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi... : CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Murillo Ortiz Blanca Abstract Telom...

Conscious Sedation in Plastic Surgery: Patient Safety and Cost Reduction Midazolam/Meperidine Conscious Sedation-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Background: Conscious sedation is an anesthetic modality used in different procedures, among which are plastic surgeries. This study evaluated the efficacy and safety of the IV Midazolam - IM Meperidine conscious sedation protocol. Methods: Adult patients undergoing elective cosmetic surgeries were enrolled. Patients were excluded if they had a history of cardiac or respiratory disease or in case of pregnancy. Patient anxiety, nausea, and pain were evaluated during and after surgery. Physician satisfaction and reported intraoperative level of sedation were also assessed. Operative time, midazolam dose, and the lowest hemoglobin saturation level in oxygen were noted. The primary outcome was postoperative recovery time while cost reduction and post operative complications were considered as secondary outcome measures. Results: 173 patients were recruited. 61.8% under went rhinop

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi...

Juniper Publishers: Is Telomere Shortening a Genetic Factor That Predi... : CURRENT RESEARCH IN DIABETES & OBESITY JOURNAL JUNIPER PUBLISHERS Authored by Murillo Ortiz Blanca Abstract Telom...

Percutaneous Vertebroplasty as a Treatment for Osteoporotic Vertebral Compression Fractures-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Percutaneous vertebroplasty is a minimally invasive procedure for the treatment of osteoporotic and neoplastic vertebral compression fractures; this procedure involves the injection of bone cement directly into the fractured vertebral body. The purpose of this study was to evaluate the efficacy of percutaneous vertebroplasty for patients with painful osteoporotic vertebral compression fractures. This was a retrospective single-center study; the total number 74 percutaneous vertebroplasty was performed in 41 patients with osteoporotic vertebral body compression fractures of the I and II degrees. Of these 41patients, 5 were male (12%) and 36(88%) were female; the average age of the patients was 66 years (range, 55-78 years). The overall procedure time was 51.2 ± 4.2 (range, 34-55)min. The average cement volume injected into vertebra was 4.5 ± 0.54 (range, 3.4-6.0)ml. The mean follow-up wa