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Role of Vaginal Washing in Semen Detection and D.N.A. Profiling in Delayed Medical Examination of Sexual Assault Cases: A Case Study

Sexual assault is a social problem faced by every society irrespective of caste, creed or culture. In cases of sexual assault, as soon as the victim files the First Information Report (F.I.R.) she gets the medical examination at nearby government hospital by a gynecologist. But it is seen that due to hesitation, social problems or any kind of relation between the victim and the accused matter is not reported immediately to the police. This hesitation results in the delay of the medical examination and collection of samples like vaginal swabs, breast swabs, nails swab, and other bodily swabs. In such cases, it is noted that the detection of semen and profiling of DNA fails due to daily hygienic chores. In this delayed medical examination case, semen detection and D.N.A.
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Individual Implants-Retained Maxillary and Mandibular Overdentures with Limited Vertical and Horizontal Space: A Clinical Case Report

Many clinical cases and literature review have revealed the implant-retained-overdentures (IROs) treatment success and predictability in elderly patients. According to the previous studies IROs treatment in maxillary arch prefer implants connected by a bar, while in mandibular arch the first option is to use un-splinted implants when 2 implants have been inserted. The aim of this clinical case report is to present prosthetic rehabilitation of both maxillary/mandibular arches with IROs. In this report four individual implants retained maxillary overdenture, and two individual implants retained mandibular overdenture were fabricated, due to the lack of sufficient vertical crown height space (CHS) and horizontal space. The patient was followed-up for more than 24 months with no complications.
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Macrocystis of the Lung in a Preterm Neonate: Case Report

Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung.
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Double Stroke and Double Malignancy: A Case Report

Stroke associated with malignancy is rapidly increasing. Lesion types mainly resemble cardio embolic multiple ischemic lesions. We present a rare stroke patient with both ischemic and hemorrhagic lesions simultaneously. The etiology of stroke was found to be due to lung cancer and essential thrombocytosis. Differential diagnosis in this case can help for further investigation of strokes with malignancy.
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Familial Hypokalemic Periodic Paralysis with Myotonic Phenomenon : Case Report

Hypokalemic Periodic Paralysis (HypoPP) is a rare disease whereby voltage-gated ion channels are mutated and it is characterized by episodic flaccid paralysis concomitant to variations in blood potassium levels. Attacks usually happen after exercise or high carbohydrate meals. The diagnosis is made with laboratory data which helps to exclude other causes and confirm low serum potassium or myotonia on eletromyography (EMG).
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Bullous Lichen Planus: A Case Report with Review of Literature

Oral lichen planus is a chronic inflammatory mucocutaneous disease which frequently involves the oral mucosa. A 48-year-old male patient with the chief complaint of burning sensation in bilateral buccal mucosa, upper and lower labial mucosa diagnosed as Bullous lichen planus and treated with systemic prednisolone and Benzydamine oral rinse. Patient was followed for 6 months and was almost free of lesions. The case is reported with review of current modalities in the management of oral lichen planus.
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Atypical Granulomatous Lesion of Gingiva: A Case Report on Rare Manifestation of Tuberculosis in Oral Cavity

Primary tuberculosis lesion in oral cavity is a rare clinical entity. We report a case of gingival tuberculosis manifested as chronic ulceration with pus discharge.
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Primary Osteosarcoma of the Nasal Fossa: An Exceptional Presentation

Sarcomas of the head and neck are very rare accounting for approximately 1% of all head and neck neoplasms. Primary osteosarcomas of the nasal cavity are less than 0.5% of the osteosarcomas occur in this location. Because of the rarity of this presentation, we report a case of a 54 year old male with primary osteosarcoma arising de novo from the nasal cavity, presented with left epistaxis and bilateral nasal obstruction.
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Adenomatoid Odontogenic Tumor: Case Report

Adenomatoid Odontogenic Tumor (AOT) is a benign tumor, most common in the maxilla, characterized by slow, progressive, painless growth of firm consistency, the size of which usually does not reach large proportions.
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Ectopic Intra-Nasal Tooth: A Case Report

An ectopic tooth in a nasal cavity is a rare phenomenon. In most cases, no etiological explanation of teeth in that location has been suggested or found. We report the case of a 26-year-old man, who discovered, 5 years ago, an induration inside his right nasal pit, which caused an unilateral nasal obstruction, without rhinorrhea, with epistaxis, revealing an ectopic in intra-nasal tooth.
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Splenic Injury after Screening Colonoscopy; Could that Happen Twice? An Unusual Case Report

Iatrogenic splenic injury is a known but rare complication of colonoscopic procedures. Our department describes a very interesting case of the same complication that occurred twice on the same patient. The patient had an elective colonoscopy for microcytic anemia and shortly after the endoscopic procedure she developed excessive abdominal pain and had a syncope episode. She gradually became hemodynamically unstable and needed proper resuscitation. An abdominal tomography scan performed which surprisingly demonstrated active intra-abdominal bleeding pointing a ruptured spleen as the source of the hemorrhage. This finding surprised us given the fact that her past surgical history included a previous splenectomy for the same complication 14 years ago.
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Poor Metabolic Quality Embryo is Capable to Implant – A Case Report

There has been little advance in embryo selection criteria since the first IVF. To this day, we select embryos by morphological criteria, which provide little information as to the actual embryo quality.
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Treating Refractory Myasthenia Gravis with Rituximab – Case Report

Myasthenia gravis is an autoimmune disease characterized by motor plaque dysfunction due to antibodies against post-synaptic membrane proteins. Myasthenic symptoms classically wax and wane and are more intense at the end of the day, although they may be constant in severe pictures. Almost every patient have eyelid ptosis and double vision, and the majority of them also have proximal muscle weakness. Reversible cholinesterase inhibitors are the first-line treatment, but patients who do not achieve symptom control should receive immunosuppressive therapy, whose options include azathioprine, cyclosporine, mycophenolate, intravenous immunoglobulin and thymectomy, with different profiles of efficacy, safety and tolerability.
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Novel analytical technologies of Quality in the Sheep & Goat Dairy Sector

France, Greece, Italy, and Spain the major sheep and goat milk producers in Europe, got the initiative through an interim of 30 years (1985 – 2015), to organize - through IDF - 7 symposiums aiming at the upgrade of the Dairy Sector. One major interest was the milk quality. Stepwise, the efforts followed cow milk structural development in organizing the testing laboratory, the definition of quality in composition (fat, protein, lactose, total solids), in Hygienic (Total Bacteria Count, Somatic Cell Count, antibiotics residues and Aflatoxin M1 contamination), adulteration with water and detection of milk species. EU, by Decision 2002/657/EC, defined the rules for the Directive 96/23/EC, enumerated the testing methods, the demands in sampling procedures, the minimum limits of performance, the quality control (ISO 17025) and the interpretation of results. The equivalency of results from different laboratories, through ISO 17025, demanded the application of ISO analytical standards.
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A Case of Solitary Fibrous Tumor of the Mesorectum: Usefulness of Immunohistochemical Staining for a Differential Diagnosis from a Gastrointestinal Stromal Tumor

Extrapleural solitary fibrous tumors (SFT) and gastrointestinal stromal tumors (GISTs) are similar morphologically and on imaging studies. We report a case of a patient with a giant pelvic tumor, which was difficult to be diagnosed. A 71-year-old male presented to our hospital with a complaint of urinary retention. A radiological examination showed a giant pelvic tumor mass, which ventrally compressed the urinary bladder and rectum, and was supplied by vascular flow from the right internal iliac artery. The resected specimen was 15 × 10 cm, elastic soft, and solid pale yellow in color. Because the tumor was histologically composed of spindle-shaped cells and was CD34 positive, cytokeratin negative, epithelial membrane antigens negative and KIT negative, we first thought the tumor was a KIT-negative GIST.
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Editorial Board Members Related to case

Parameswaran Ramakrishnan

Assistant Professor
Experimental Pathology
Case Western Reserve University
United States

Guo-Fang Zhang

Assistant Professor
Department of Nutrition
Case Western Reserve University
United States

Mellar P. Davis

Professor
Case Comprehensive Cancer Center
Case Western Reserve University
United States

J Vernon Odom

Professor
Department of Ophthalmology
West Virginia University
United States

Laura Hammond

Psychologist
University of Huddersfield
United Kingdom

Ana Cristina Lindsay

Associate Professor
Department of Nutrition
University of Massachusetts Boston
United States

Charles J. Malemud

Professor
Department of Medicine and Anatomy
Case Western Reserve University
United States

Gillian Tully

Director
Principal Forensic Services Ltd
United Kingdom

RICHARD ROBESON

Adjunct Professor of Practice - Bioethics
Dept. of Communication Bioethics Faculty
Wake Forest University
USA

Maria Ioannou

Senior Lecturer
University of Huddersfield
United Kingdom
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