Thoracic outlet syndrome in patients with clavicle fracture: Case report and national analysis.
Thoracic outlet syndrome (TOS) is a neurovascular condition caused by compression of the brachial plexus or subclavian vessels as they pass through the thoracic outlet. Since the clavicle border the thoracic outlet, injury to the clavicle and potentially post-traumatic callus formation, malunion, or…
Adrenal crises and quality of life after bilateral adrenalectomy vs primary autoimmune adrenal insufficiency.
Bilateral adrenalectomy (BLA) and autoimmune adrenal insufficiency (AAI) are 2 major causes of primary adrenal insufficiency (PAI). Comparative data between etiologies are limited. To compare management, quality of life (QoL), and frequency of adrenal crises between participants post-BLA vs AAI. We…
Comprehensive Care Goals in Myasthenia Gravis: Expert Consensus Recommendations Using the RAND/UCLA Appropriateness Method.
Goals for comprehensive care are important in the management of individualized treatment for patients with myasthenia gravis (MG), a disease with variable presentation and degrees of severity. Yet there is limited guidance on how comprehensive care should be achieved and implemented. We present glob…
Assessment of the Factors That Predict Post-Transplant Mortality in Autoimmune Liver Disease Recipients.
Background and Objectives: Autoimmune liver diseases (AILD), including autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC), frequently lead to end-stage liver disease requiring transplantation. The factors associated with post-transplant mortality…
The Treatment of Craniocervical Instability Using Regenerative Medicine Therapies: A Case Report.
Craniocervical instability (CCI) is a disorder caused by weakness of the stabilizing ligaments of the craniocervical junction, leading to abnormal motion between the skull and upper cervical spine. CCI can present with any combination of the following symptoms: cervical neck pain, dizziness, autonom…
Insight into cytotoxic and molecular mechanisms of bee venom and its nanoemulsion against West Nile virus in vitro.
West Nile virus (WNV) causes West Nile fever and is primarily transmitted by Culex spp. mosquitoes. The primary hosts of WNV are birds, while humans and horses can also develop illness following infection. Currently, no specific antiviral therapy exists for WNV, and vaccination remains the only effe…
Strict long COVID, symptom persistence, and functional decline among community-dwelling older adults in Quito, Ecuador: a cross-sectional study.
Long COVID is an increasingly recognized health concern in older adults, yet data from Latin America remain limited. Older adults may be particularly vulnerable to post-COVID sequelae because of frailty, multimorbidity, and reduced physiological reserve. This study aimed to estimate the prevalence o…
Anticholinergic toxidrome in a toddler with unwitnessed ingestion: Diagnostic clues pointing to over-the-counter medication overdose.
We report a case of a previously healthy 3-year-old girl who developed acute altered consciousness, agitation, and visual hallucinations consistent with an anticholinergic toxidrome. Initial examinations were unremarkable, and urine immunoassay screening (SIGNIFY™ ER) was negative. Serum analysis by…