Abstract Background: Laparoscopic cholecystectomy has become the treatment of choice for symptomatic gallstones. Previous abdominal surgery has been reported as an absolute contraindication to laparoscopic cholecystectomy in early days of this technique but nowadays it considered as a relative contraindication. This study specifically investigate the effect of previous abdominal surgery on the feasibility and safety of laparoscopic cholecystectomy. Methods: This study included 120 well-documented patients with gallstones who underwent laparoscopic cholecystctomy at our surgical department between December 2008 and October 2012. The patients were classified into 2 groups: group A, patients without a history of previous abdominal surgery (n_90);
The first-line treatment for RMSF is 7-14 days of doxycycline for both adults (100 mg BID) and children of all ages. Patients who are severely ill should be hospitalized and given intravenous doxycycline. An added benefit of doxycycline is that it covers other tick-borne organisms with clinical presentations that may be confused with RMSF. Another course of treatment is Chloramphenicol (50-75 mg/kg/day for 7 days) has anti-RMSF activity. However, its efficacy is inferior when compared to doxycycline, it has more side effects, and it has a complex dosing schedule.
In older children and adolescents with subtrochanteric femur fractures, surgical fixation has become the treatment of choice, because unsatisfactory radiographic alignment and limb length discrepancy frequently result from nonoperative treatment.4 Furthermore, prolonged traction and spica casting become increasingly difficult in older children and requirea longer in-hospital stay and return to ambulation.4 Several surgical treatment options have been described for pediatric subtrochanteric femur fractures, including intramedullary nailing with elastic or rigid nails, external fixation, and open reduction internal fixation.3–8 Although elastic intramedullary nailing has shown promising results, rigid nailing has been found to carry an increased risk for avascular necrosis of the femoral head in this patient population.4,6,8 Furthermore, given the high loads present at the subtrochanteric level, plating using constructs without angular stability frequently leads to limb length discrepancy and loss of reduction.4 Plate constructs with angular stability such as blade plates and locked plates have however been shown to yield satisfactory
Intussusception is a surgical emergency that most commonly affects infants between five and nice months of age. However, neonatal intussusception is a very rare entity and is not well described. It represents 3% of the causes of neonatal intestinal obstruction and 0.3% of all cases of intussusception. 1, 2 The presentation of neonatal intussusception can be vague and misleading due to the rarity of the disease and the non-specificity of its symptomatology.3 The presentation is usually in the form of vomiting and abdominal pain which can mimic necrotizing enterocolitis and may lead to delay in diagnosis. This happens because in intussusception peristalsis is disturbed and lymphatic and venous obstruction occurs causing ischemia.
difficult intubation is defined as a trained Anesthetist using direct laryngoscopy take’s more than 3 attempts or more than 10 minutes to complete tracheal intubation (1, 2, 6).Difficult or failed endotracheal intubation is one of the leading causes of anesthesia-related morbidity and mortality (1, 2, 4, 6). The unanticipated difficult airway occurs with a low but consistent incidence in anesthesia practice. Literature review from 1990 to 1996 reported as difficult direct laryngoscopy occurs in 1.5-8.5% of general anesthetics and difficult intubation occurs with a similar incidence (3, 8). Keyvan K. et al (2000) were conducted observational study at tertiary-care level hospital to predict difficult intubation. Of the 461 patients included
Morphine for Medication Morphine has been known as a drug, a devil people mustn’t interfere with, but they never think about its benefits as a medical treatment. There are so many painful health conditions that people face nowadays, such as cancer pain, a pain after a major surgery, a pain after major trauma or injury, or a heart attack. Morphine is a strong opioid painkiller that is used to treat those conditions to relieve the pain. Although morphine is addictive and can ruin a user’s health, it also has benefits as a medication. In the 18th century, Europe had a high demand for Chinese goods but the Chinese didn’t have a high demand for European goods.
A recently developed a new treatment for macular degeneration with very good results in general (although there are people who do not respond to this treatment), which is based on the use of injections periodic anti-VEGF (vascular endothelial growth ), they are hindering the development of new vessels, which is the alteration that really worsens the prognosis of the disease. Other less frequent macular degeneration, such as the toxic maculopathy , occur as a result of the ingestion of certain substances, such as drugs used in malaria , namely chloroquine, so when this drug is used is eye must perform regular checks, as well as a previous eye
Especially, nurses, who are older than 48 years old, may need the drugs for relieved chronic pain as their bodies are easily to be injured to musculoskeletal. There are 10 percent to 15 percent of general population involved in substance abuse. However, healthcare profession has a higher rate of using prescription drugs. The healthcare profession had used drugs for occupational hazard pain (John Furman, January
The side effects vary depending on the specific agents used in therapy, as well as the dose and the duration of treatment. Short term effects usually occur during the course of treatment and resolve within months of completion of therapy. Fatigue is experienced by all chemotherapy patients and will disrupt a person’s daily life on a continual basis. Nausea and vomiting is one of the most frequent and debilitating side effects of chemotherapy treatment. (Hesketh 2008) states patients report chemotherapy induced emesis as one of their biggest fears, but thankfully these symptoms now can be eased by anti-emetic drugs.
This is mostly because of the recipient’s body rejecting it. The patient takes anti-rejection medication, but sometimes that is not enough. There are two types of rejection: acute and chronic. Acute rejection is fairly common, and will usually occur during the first year following the transplant. That can easily be cured by upping the dose of immunosuppressants the patient was taking.
Intestinal Pseudo Obstruction Caleb Roth American Military University Abstract Intestinal Pseudo Obstruction (IPO) is a rare and incurable disease in the gastrointestinal tract that is characterized by the inability to move food through the digestive tract. A dysfunction with the nerves, muscles or interstitial cells causes intestinal pseudo obstruction. Prognosis for the acute form of intestinal pseudo obstruction is incurable but can get better with treatment. However, prognosis for a chronic form of intestinal pseudo obstruction is also incurable and can worsen over time even while undergoing treatment. The cost of treating and associated with intestinal pseudo obstruction is unknown because of the rarity