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Histomolecular structural aspects of high endothelial vessels in lymph node and its significance in oral cancer and metastasis
Chandrasekar Poosarla, Arvind Babu Rajendra Santosh, Swetha Gudiseva, Indira Meda, Venkat Ramana Reddy BaddamNorth American Journal of Medical Sciences 2015 7(12):540-546Molecular cancer research studies focus on identifying diagnostic, screening, and metastatic indicators, and monitoring therapeutic responses. Migration of tumor cells and lymphocytes are important aspects in metastasis. High endothelial vessels are specialized histological structures identified in the blood vessels in lymphoid organs, which allow the migration of lymphocytes. In the recent decades, the role of high endothelial vessels is being addressed i...
Source: North American Journal of Medical Sciences - December 30, 2015 Category: Journals (General) Authors: Chandrasekar PoosarlaArvind Babu Rajendra SantoshSwetha GudisevaIndira MedaVenkat Ramana Reddy Baddam Source Type: research

Misleading presentation of euglycemic diabetic ketoacidosis: Implication for low-mid-income communities
Ezekiel Uba Nwose, Phillip Taderera BwititiNorth American Journal of Medical Sciences 2015 7(11):537-539 (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Ezekiel Uba NwosePhillip Taderera Bwititi Source Type: research

The value of Oro-pharyngo-esophageal scintigraphy in the management of patients with aspiration into the tracheo-bronchial tree and consequent dysphagia
Conclusion: In this patient with dysphagia, OPES was a simple, inexpensive, noninvasive, and reliable technique that allowed to show the presence of bolus aspiration and quantified tracheobronchial aspirate. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Mariano GrossoValerio DuceBruno FattoriLuca BruschiniMartina MeniconiRosanna RaschillàFabiola CoccoLuisa LocantoreFederica GuidoccioFederica OrsiniKatrin MassriDuccio VolterraniDomenico Rubello Source Type: research

Groove pancreatitis: A rare form of chronic pancreatitis
Conclusion: The low incidence of groove pancreatitis is partly due to lack of familiarity with the disease. Groove pancreatitis should be considered in the differential for patients presenting with pancreatic head lesions and no cholestatic jaundice, especially when a duodenal obstruction is present, and neither duodenal biopsies nor pancreatic head FNA confirm adenocarcinoma. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Bharivi JaniFadi RzouqShreyas SaligramAtta NawabiMarian NicolaKatie DennisCarly ErnstAli AbbaszadehJohn BoninoMojtaba Olyaee Source Type: research

The need to emphasize nephrology knowledge in residents-in-training
Conclusion: Residency offers a golden opportunity for resident physicians to create a strong foundation of concepts in medicine. There are several basic areas in the field of nephrology that need to be further emphasized during residency training to help improve patient care and potentially decrease the incidence of AKI. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Sana R AkbarHafiz I IqbalUmair Ahmed Source Type: research

Is there a clinically meaningful change in the blood pressure of osteoarthritis patients with comorbid hypertension during the course of Balneotherapy?
Conclusions: In patients with OA, BT can be safely used without resulting in any meaningful changes in systolic and diastolic blood pressures in patients with normal and controlled HT but a decrease in diastolic blood pressure of patients with uncontrolled HT. This may be an advantage in OA patients having HT as comorbid disease. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Emrullah HaytaMehmet Birhan YilmazIlker YayikçiZafer ÖzerÖzlem Sahin Source Type: research

Caralluma fimbriata supplementation improves the appetite behavior of children and adolescents with Prader-Willi syndrome
Conclusion: We demonstrate that an extract of the Indian cactus succulent Caralluma fimbriata eases hyperphagic appetite behavior within a cohort of children and adolescents (n = 15) with PWS without notable adverse effects. The outcomes of this study will have a potential positive impact on PWS management. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Joanne L GriggsXiao Q SuMichael L Mathai Source Type: research

Clinical outcomes of myasthenia gravis with thymoma and thymic hyperplasia undergoing extended transsternal thymectomy: A single-center experience
Conclusion: The extended transsternal thymectomy, along with the postoperative regimen of pyridostigmine and prednisolone was associated with a high rate of clinical improvement among MG patients with thymoma or thymic hyperplasia. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Surena NazarbaghiMohammad Reza Amiri-NikpourRahim MahmodlouNasim ArjmandYousef Rezaei Source Type: research

Upper airway hematoma secondary to warfarin therapy: A systematic review of reported cases
Paras Karmacharya, Ranjan Pathak, Sailu Ghimire, Pragya Shrestha, Sushil Ghimire, Dilli Ram Poudel, Raju Khanal, Shirin Shah, Madan Raj Aryal, Richard L AlweisNorth American Journal of Medical Sciences 2015 7(11):494-502Upper airway hematoma (UAH) is a rare but life-threatening complication of oral anticoagulants requiring early recognition. However, no consensus exists regarding the best approach to treatment. We therefore, sought to systematically review the published literature on UAH to elaborate its demographic and clinical characteristics, treatment, complications, and outcomes. A systematic electronic search of PubM...
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Paras KarmacharyaRanjan PathakSailu GhimirePragya ShresthaSushil GhimireDilli Ram PoudelRaju KhanalShirin ShahMadan Raj AryalRichard L Alweis Source Type: research

Hypercalcemia of malignancy: An update on pathogenesis and management
Aibek E MirrakhimovNorth American Journal of Medical Sciences 2015 7(11):483-493Hypercalcemia of malignancy is a common finding typically found in patients with advanced stage cancers. We aimed to provide an updated review on the etiology, pathogenesis, clinical presentation, and management of malignancy-related hypercalcemia. We searched PubMed/Medline, Scopus, Embase, and Web of Science for original articles, case reports, and case series articles focused on hypercalcemia of malignancy published from 1950 to December 2014. Hypercalcemia of malignancy usually presents with markedly elevated calcium levels and therefore, u...
Source: North American Journal of Medical Sciences - November 27, 2015 Category: Journals (General) Authors: Aibek E Mirrakhimov Source Type: research

Septic arthritis in the temporomandibular joint
Conclusion: Septic Arthritis of the TMJ is a rare event with very specific clinical symptoms. Due to the low sensitivity of the computed tomography scan, magnetic resonance imaging should be considered when computed tomography scan is negative for TMJ effusion. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - October 30, 2015 Category: Journals (General) Authors: Hassan Mahdi Al-KhalisyIvan NikiforovQurat MansooraJohn GoldmanPramil Cheriyath Source Type: research

Diabetes insipidus: An unusual presentation of adenocarcinoma of the lung in a patient with no identifiable lung mass
Conclusion: Clinicians should be aware of malignancies that are well known to metastasize to the posterior pituitary. Conversely, since not every patient presents with symptoms of metastasis, there is a need to recognize the clinical syndromes (e. g., diabetes insipidus-like symptoms or more subtle symptoms like cranial nerve palsies) associated with potential metastasis to the pituitary. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - October 30, 2015 Category: Journals (General) Authors: Shuchi GulatiChristoper KieferNagla Abdel Karim Source Type: research

Deficiencies under plenty of sun: Vitamin D status among adults in the kingdom of Saudi Arabia, 2013
Conclusions: Our study showed a high prevalence of vitamin D deficiency among Saudi men and women, and the results call for an increased awareness to ensure adequate levels of vitamin D for better health in Saudi Arabia. Moreover, our findings are certainly relevant for other countries in the Gulf region or countries with similar cultures, clothing, and religions. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - October 30, 2015 Category: Journals (General) Authors: Marwa TuffahaCharbel El BcheraouiFarah DaoudHessah Abdulla Al HussainiFahad AlamriMohammad Al SaeediMohammed BasulaimanZiad A MemishMohammad A AlMazroaAbdullah A Al RabeeahAli H Mokdad Source Type: research

Cytokeratin 8 in association with sdLDL and ELISA development
Conclusion: This study reports a novel association between CK8 and sdLDL in individuals with CVD who have a predominance of sdLDL. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - October 30, 2015 Category: Journals (General) Authors: Mohmed Ashmaig Source Type: research

The psychological attitude of patients toward health practitioners in Lebanon
Conclusion: The results support the conventional wisdom that the idealized perception of a doctor as a care-giving, compassionate, knowledgeable, well-appearing, and healthy role model still holds true within the Lebanese community. (Source: North American Journal of Medical Sciences)
Source: North American Journal of Medical Sciences - October 30, 2015 Category: Journals (General) Authors: Fouad AyoubYoussef FaresJawad Fares Source Type: research