Latest articles

The concept of feeding at the end of life is frequently an emotive issue. Here, we present a series of cases set within Confucian inspired Singapore that highlight the various views held by local Chinese patients and their families as they confront a number of…

Varicella is usually self-limiting but occasionally severe infectious disease (with 2 to 6% of cases resulting in complications). The aim was to report a case with hemorrhagic-necrotic rash, discrete cerebellar ataxia and immune suppression. A two-year-and-seven-month-old boy with fever, tonsillitis and rose-colored-spots rash was treated…

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare disease which is characterized by hemolysis, thromboses in unexpected sites and multi-organ involvement. Arterial thromboses could result in necrosis and dysfunction of involved organs. In some cases, organ dysfunctions could be fatal as in involvement of heart, small…

We report a unique case of potentially life-threatening secondary adrenal insufficiency in a 58-year-old female who was maintained on a high dose fentanyl patch and hydrocodone for many years for chronic back pain. She presented to the emergency room (ER) with severe hypotension, weight loss…

This 12-month, randomised study of individuals with established type 2 diabetes investigated whether dietary advice emphasising a single message to reduce fat intake, would improve weight loss, glycaemic and lipid control, compared to advice based on the once traditional low-fat, low-sucrose message. Participants (n=37, mean…

The objective of this article is to analyze the serum level of Prolactin (s-PRL) in 307 treated patients with Rheumatoid Arthritis (RA), and its association to disease activity, demographics, serological and clinical variables. The hypothesis to be tested: s-PRL correlates to disease activity in RA.…

Viral hepatitis during pregnancy is associated with increased maternal and fetal mortality. Hepatitis C associated portal hypertension induced bleeding esophageal varices in pregnancy is a rare presentation. We report a case of successful perioperative management of a patient with history of hepatitis C, mild portal…

Breast cancer is the second most common malignancy in Indian women. Basically it is a hormone mediated disorder due to continuous exposure to ovarian hormones. Several established modifiable and non modifiable risk factors influence hormonal status which is associated with breast cancer. Prevalence and profile…

This article aims to identify factors fostering e-entrepreneurship acceptance in a developing country, Morocco. It suggests a model based on Technology Acceptance Model (Davis et al.,1989) extended by three added constructs “Trust”, “Image” and “Risk”. The study was conducted at national school of business and…

The aim of this study is to analyze the clinical characteristics, laboratory results, therapy and outcomes of five cases of staphylococcal meningitis (SM), treated at University Hospital – Pleven, Bulgaria since 2010. The cases were aged 7-69-years; three male and two female. Three of the…