A novel way of treating multidrug-resistant enterococci
Conclusion: The exact mechanism of the daptomycin/ampicillin synergy effect is unclear. Current hypothesis suggests that ampicillin causes a reduction in the net positive charge of the bacterial surface, possibly by releasing lipoteichoic acid (LTA) from the cell wall. This process increases the ability of the cationic daptomycin/calcium complex to bind to the cell wall more effectively. Our case shows the clinical application of the same. A prospective randomized control trial to explore the effectiveness of dual antibiotic therapy in vivo is needed. If proven, daptomycin/β-lactam can become a standard of care...
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Hem DesaiRyan WongKhurshid Pasha Ahmed Source Type: research

Primary adrenal insufficiency misdiagnosed as hypothyroidism in a patient with polyglandular syndrome
Conclusion: Autoimmune polyglandular syndrome causes dysfunction of multiple endocrine organs such as the thyroid gland, adrenal gland, and pancreas. Initial diagnosis of APS is crucial and difficult because of its vague, acute presentation, which often involves hypothyroidism and adrenal insufficiency. Delayed treatment of adrenal insufficiency can result in a life-threatening adrenal crisis. A diagnostic workup for adrenal insufficiency should be performed in patients who do not respond to hypothyroidism treatment. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Sikarin UpalaWai Chung YongAnawin Sanguankeo Source Type: research

Cutaneous metastasis as a first presentation for lung adenocarcinoma
Conclusion: We are presenting a rare case of lung adenocarcinoma presenting with skin metastasis, which was simultaneously diagnosed during the same hospitalization. Although cutaneous metastasis from the lung is rare, it must be ruled out in patients with suspicious skin lesions, smoking history, or lung cancer. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Yazan AbdeenSawsan AmirehAlpa PatelMoh'd Al-HalawaniHamid ShaabanRichard Miller Source Type: research

Histopathology and histomorphometric investigation of bisphenol a and nonylphenol on the male rat reproductive system
Conclusion: Based on the results, all three doses of BPA and NP significantly produced weight loss, as well as destruction of the testis tissue and impairment of the spermatogenesis. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Sohrab KazemiFarideh FeiziFahimaeh AghapourGholam Ali JoorsaraeeAli Akbar Moghadamnia Source Type: research

Coexistence of her2, ki67, and p53 in osteosarcoma: A strong prognostic factor
Conclusions: We found evidence that coexistence of HER2 and Ki67 overexpression and p53 protein accumulation predict the development of lymph node involvement and metastases in patients with high-grade osteosarcoma and were significantly associated with reduced survival. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Keykhosro MardanpourMahtab RahbarSourena Mardanpour Source Type: research

Ultrasound-guided central line insertion and standard peripherally inserted catheter placement in preterm infants: Comparing results from prospective study in a single-center
Conclusion: US guided catheterization of the IJV technique is faster than PICC line insertion with higher rates of successful first attempt and insertion, less procedure duration and fewer number of trials compared to PICC line insertion. There were no differences in complications. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - May 25, 2016 Category: Journals (General) Authors: Dany Antanios Al HamodSmart ZeidanAyah Al BizriGeorges BaakliniYolla Nassif Source Type: research

The role of yoga in relieving medical student anxiety and stress
Jawad Fares, Youssef FaresNorth American Journal of Medical Sciences 2016 8(4):202-204 (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Jawad FaresYoussef Fares Source Type: research

Yoga: A strategy to cope up stress and enhance wellbeing among medical students
Apar Avinash SaojiNorth American Journal of Medical Sciences 2016 8(4):200-202 (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Apar Avinash Saoji Source Type: research

Fusobacterium nucleatum: Atypical organism of pyogenic liver abscess might be related to sigmoid diverticulitis
Conclusion: PLAs can be a complication of sigmoid diverticulitis and as a result of occult dental disease as well. The clinical presentation of Fusobacterium infection is diverse and can be fatal if diagnosis is delayed. Therefore, early diagnosis and treatment are the keys to preventing serious complications. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Karn WijarnpreechaNataliya YuklyaevaSuthanya SornpromCharles Hyman Source Type: research

Tocilizumab efficacy in a patient with positive anti-CCP chronic Lyme arthritis
Conclusion: Off label treatment by biologic disease modifying antirheumatic drugs can be considered in selected patients with severe antibiotic-resistant Lyme arthritis.C. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Julianna HirschItzhak RosnerDoron RimarLisa KalyMichael RozenbaumNina BoulmanGleb Slobodin Source Type: research

Seasonal variation of rectal foreign bodies: Data from nationwide inpatient sample
Conclusion: Data on seasonal variation of rectal foreign bodies are extremely limited. Further studies would be required to verify whether our findings of a higher incidence in the fall season are reflective of acute changes in the length of the days, climate, sleep-wake cycle, or decreased sexual intercourse at this time of the year. High suspicion at this time of the year may help promptly diagnose and avoid unnecessary investigations. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Ranjan PathakParas KarmacharyaRichard L Alweis Source Type: research

Osteopathic medical student administered smoking cessation counseling is an effective tool
Conclusion: Participants reported an increased willingness to stop smoking after being counseled by osteopathic medical students. Participants also reported an increased motivation to discuss smoking cessation with their physician. These findings indicate that smoking cessation counseling administered by osteopathic medical students effectively in encouraging smokers to consider reduction or cessation of tobacco use. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Barbara CapozziAriel ChezTaissia CarpenterLaura HubertLissa Hewan-LoweAsli OzcanSonu Sahni Source Type: research

Youtube as a source of information on cervical cancer
Conclusion: Although there were numerous videos available in cervical cancer, videos from reputed organizations including Center for Disease Control and Prevention, American Cancer Society, and World Health Organization were lacking. We strongly believe that quality videos from such organizations via YouTube can help lower the burden of disease. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Janak AdhikariPriyadarshani SharmaLubina ArjyalDipesh Uprety Source Type: research

The California tri-pull taping method in the treatment of shoulder subluxation after stroke: A randomized clinical trial
Conclusions: The CTPT method is an effective treatment for the hemiplegic subluxed shoulder. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Subhasish ChatterjeeKate A HaynerNarkeesh ArumugamManu GoyalDivya MidhaAshima AroraSorabh SharmaSenthil P Kumar Source Type: research

Arrhythmias and electrocardiographic changes in systolic heart failure
Conclusions: Sinus tachycardia and atrial fibrillation/flutter were common arrhythmias in patients with systolic heart failure. Patients with severe systolic heart failure had statistically significant prolongation of the QRS duration and QTc interval. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - April 7, 2016 Category: Journals (General) Authors: Ashok DevkotaAhmed BakhitAlix DufresneAung Naing OoPremraj ParajuliSaveena Manhas Source Type: research