He reported that the intervals between the episodes of biliary colic decreased from one time every 10 days until it became daily. Also, the attack of biliary colic was relieved by intramuscular injection of antispasmodics and analgesics at first, but they weren’t effective anymore. The option of cholecystectomy was discussed and the patient agreed. Pre-operative laboratory investigations revealed normal kidney function, normal blood picture and elevated liver enzymes and elevated bilirubin (AST=174 u/L), (ALT=399 u/L), (GGT=206 u/L), (Alkaline phosphatase=147 u/L), (Direct bilirubin=2.0 mg/dl) and (Indirect bilirubin= 0.6 mg/dl). The patient was admitted to gastrointestinal endoscopy unit for Endoscopic retrograde cholangiopancreatography (ERCP).
(Kapur et al, 2000). These patients appeared to have normal flashbulb memories. But these memories were inconsistent with the FL damage impairing memory of source. When the same was asked to older adults, no relation was found between flashbulb memory and FL function (Davidson and Glisky, 2002). Healthy people, MTL/D patients and FL patients were tested about the tragedy of September 11.
From ur study, we found that there is no significant rise in IOP with LMA insertion whereas ETT intubation produced a significant raise which persisted for two minutes. Today, LMA has come to be widely used as an alternative airway device during daycare anesthesia. The LMA has become a very attractive alternative to endotracheal tube. In this study, the efficacy of LMA in reducing IOP during ophthalmic surgeries in children is compared with that of conventional endotracheal
The cuff-leak test for as a predictor for extubation: Fisher and Raper(11) (1992) tested the leak among 62 patients with upper airway obstruction. They were able to extubate all patients with a cuff leak. Two patients extubated without cuff leak required reintubation and in five patients who repeatedly failed the test, tracheostomy was performed. Subsequently, they extubated 10 patients who were stable on spontaneous ventilation and did not have cuff leak; three later required tracheostomy and seven were uneventfully extubated. So they concluded that while the presence of cuff leak demonstrates that extubation is likely to be successful, a failed cuff-leak test does not preclude uneventful extubation and if used as a criterion for extubation may lead to
Patients This is a case-control study (level 3 of evidence). We evaluated 29 outpatients with traumatic anterior shoulder dislocation from XXXXXXXXXXXXX of XXXXXXXX (XXXXXX), Brazil. After the first episode of shoulder dislocation, patients were treated for at least 2 weeks with shoulder immobilization. All patients underwent arthroscopic surgical treatment for shoulder instability. The inclusion criteria were as follows: no history of previous surgery for an injured shoulder, positive apprehension test and a Bankart lesion on magnetic resonance imaging.
- Rheumatological Assessment: Rheumatoid Arthritis patients were selected from the Rheumatology and Rehabilitation Department, Faculty of Medicine, Mansoura University. Those patients were diagnosed as being rheumatoid following the American College of Rheumatology (ACR) criteria (54). Disease activity for each patient assessed using DAS28 ESR score involving evaluation of 28 joints (0-28) either tender or swollen and the patient’s global assessment of a well-being on 10 cm visual analogue scale .ESR measured by laboratory investigation of the patient’s serum. This DAS 28 ESR score measured at the baseline and again after 2 months of periodontal therapy. V- Blood Samples Collection • Whole blood specimens was collected using acceptable medical techniques to avoid hemolysis.
These properties vary according to its source and the way it is prepared. Vasiliev and coworkers (1979) undertook a study of 40 infants with candidiasis, in which conventional therapy had failed. They applied a preparation of propolis extract, water and honey to the infected areas of the infants. A marked improvement was evident by the second day, with complete recovery by the fourth or fifth day. In another study, a 30% propolis ointment was used to treat chapped skin of infants where conventional therapy had failed, and all recovered.
We report a rare case of malrotation with LADD band presenting in an 11 year old girl accompanying intrinsic duodenal stenosis and annual stenosis. Case report : A 11-year-old-girl presented to the hospital with the chief complaints of abdominal pain, epigastric fullness, bilious vomiting,
A study published in 2017 looked at the effects of BIPAP on Dyspnea and exercise tolerance in heart failure patients: Patient requirements included a NYHA classification of I, II, and III, having heart failure for six months or longer, and a left ventricular ejection fraction of less than 45%. Forty patients were split into two groups. One group was treated with BIPAP while the other was not. A six min walk study was done before and after the use of BIPAP. This study found that the use of BIPAP decreased the sense of Dyspnea, and increased the walking distance that the patients were able to do during the six min walk study.21 A study by Khayat et al.21 also showed that BIPAP could improve the function of both
Meta-analysis of the accuracy revealed a mean error of 0.9 mm at the entry point (n = 1,530), 1.3 mm at the implant apex (n = 1,465), and a mean angular deviation of 3.5 degrees (n = 1,854) with a wide range in all measurements. "(Bornstein et al. 2014) In an approach to reduce the drawbacks of immediate implant placement and to gain the advantages of the computer guided implant placement, this study is proposed to compare between the accuracy of free hand and computer guided immediate implant placement. Upon reviewing literature, there was no available data comparing between accuracy of free hand and computer guided immediate implant placement. In addition there was no available data correlating accuracy to the esthetic prosthetic position of the placed implants.