The Journal: Print or Electronic?

The World Nutrition Journal was conceived on the premise of  academic and clinical education for healthcare providers caring for patients that require nutritional support.[1] The journal followed the open access (OA) methodology, allowing free access everywhere in the World. The main question that some asked was “why publish this journal electronically and not printed?”.  Most of us are aware that one of the most important hallmarks of academic achievement in medicine and other areas, is publication of scholarly-written articles. When discussing publishing a manuscript, the primary question is whether the target journal should be electronic or printed version. The many advantages of having electronic publications have created a series of websites, journals, webcasts that are useful for practitioners.[2

Thoracic herniation secondary to pleural effusion

We present the case of a 61-year-old gentleman with history of stage IV esophageal cancer presented to the emergency department with the complaints of dyspnea on exertion and cough of 1-month duration. Patient had undergone resection of distal esophagus 4 years' prior this admission. Chest radiograph revealed a large right pleural effusion and, a computed tomography scan of the chest revealed a portion of the effusion herniating between the ribs in the right hemithorax. Thoracentesis was performed with improvement in patient's dyspnea and overall condition. Patient was doing better and asymptomatic on his 3-month follow-up. Inadequate closure after surgical procedure can lead to presentation of a lung herniation. This can appear immediately after or many years later. Video-assisted thoracoscopy has been attributed to post-operative presentation of thoracic hernias when compared to more extensive operative procedures. Keywords: Pleural effusion, Thoracic herniation, Surgery, Pleural pressure, Thoracentesi