Comparing General Anesthesia with Preemptive IV Atropine vs General Anesthesia with Single Injection Peribulbar Block with Levobupivacaine 0.5% or Lidocaine 2% for Prevention of Oculocardiac Reflex in Children Undergoing Strabismus Surgery: Randomized Control Study
ConclusionIn Our study the use of peribulbar block with lidocaine 2 % in combinations with General anaesthesia is very effective against the incidence of OCR in children undergoing strabismus surgery and superior to the Iv pre emptive Atropine with higher surgeon satisfaction while the use of peribulbar levobupivacaine 0.5% combined with general anaesthesia has a great role in post operative pain control with superior patient satisfaction, on the other hand the atropine is a very important emergency drug but our study found that it has a very minor role in both preventing the OCR and post operative pain control in addition...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
The Effect of Depth of Anaesthesia on the Severity of Mitral Insufficiency by Transesophageal Echocardiography
ConclusionThis reduction in MR severity appeared to be significant enough to modify intraoperative decisions regarding valve surgery by underestimation of valve severity. Thus, strong consideration should be given to thorough preoperative assessment of MR severity, rather than relying on intraoperative findings. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Soluble MICA versus Troponin as Early snd Specific Predictor for Acute Myocardial Infarction in Patients with Chronic Kidney Disease
ConclusionsMICA could be considered as a novel predictor that more sensitive and specific than cTnI. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
The possible protective role of Vitamin C versus Mesna against effect of Cyclophosphamide on the Urinary Bladder of Adult Male Albino Rats (A Histological and Immunohistochemical Study)
ConclusionCYP consumption developed morphologic and morphometric changes in the urinary bladder. The recovery group showed minimal improvement of the bladder architecture and increasing the period of recovery might produce better results. Each of vitamin C and mesna- treated groups induced mild to moderate improvement on the bladder architecture but treatment with combination of both of them offered remarkable improvement. Combined mesna and vitamin C induced significant protection via their combined anti-inflammatory and anti-oxidant proprieties. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Index
(Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Telegeriatrics during the COVID-19 pandemic
Conclusion: telegeriatrics is feasible as it is well accepted, easily used and preferred over clinic visits during the COVID-19 pandemic and after, by patients. Physicians are confident in their management using it. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Workplace violence among nurses and physicians in a tertiary teaching hospital in Egypt
Conclusion and RecommendationsWPV among healthcare professions is an increasing problem that needs to be addressed. Increasing awareness of the problem among healthcare professions as well as the general public is warranted. Violence prevention program with a zero-tolerance policy is warranted. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Causes and Associated factors of Operation Cancellation at Cardiothoracic Ain-Shams University Hospital
Conclusion and RecommendationThe avoidable causes of the problem should be addressed. Policy changes are recommended as well as continuous documentation and analysis of cancellation and its causes. Periodic awareness lectures for health care providers are suggested. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of Hepatitis C Patients' Satisfaction Regarding Care and Treatment in Different Hospitals in Cairo, Egypt, 2020
ConclusionHPSQ findings identified University Hospital's patients more satisfied about their HCV treatment management than MOH and Insurance Hospitals' patients except for involvement of HCV patients in making decisions which was lacking in the 3 hospitals. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Comparative Study between Neuro-navigation and Intra-Operative Ultrasound in Excision of Intra-axial Brain Lesions
Conclusionapplication of ultrasound integrated in Neuronavigation system guidance in surgery excision of intra-axial brain lesions is a useful tool in achieving a higher extent of tumor resection (EOR). (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Efficacy of Ligamentotaxis for Thoracic and Lumbar Traumatic Fractures and Factors Influence Outcome
ConclusionThe outcome in the study were successful in 95% of patients as reduction of retropulsed part occurred by the intact posterior longitudinal ligament. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Role of Including the Index level in Short Segment Pedicular Fixation in Traumatic Thoraco-Lumbar Fractures
ConclusionWe conclude that Short segment fixation including the fracture level is a promising surgical option when it comes to thoraco-lumbar unstable fractures. In conclusion, inclusion of the fracture level into the construct offers a better kyphosis correction, in addition to fewer instrument failures, without additional complications, and with a comparable-if not better-clinical outcome, the radiologic correction achieved is maintained even at the end of 2 years and reflected in good functional outcomes. We recommend insertion of screws into pedicles of the fractured thoracolumbar vertebra when considering a short segm...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Reliability of Transient Elastography as a non-Invasive Technique for Detection of Fibrosis in Budd Chiari Syndrome Patients after Endovascular Intervention
ConclusionLiver congestion has high impact on Liver stiffness measurement giving overestimation which improves significantly after decongestion of the liver by the endovascular intervention. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of Transient Elastography in Prediction Of De novo Recurrence of Hepatocellular Carcinoma after Radiofrequency Ablation
ConclusionOur data suggest that LS measurement is a useful predictor of HCC de novorecurrence overall survival and possibility of hepatic decompensation after RFA (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Pregnancy Outcome in Patients with Budd Chiari Syndrome: A Single Centre Experience
ConclusionBCS isn ’t a contraindication to pregnancy in patients with a well-controlled disease. Fetal outcome remains relatively poor, which is at least partly due to the underlying prothrombotic disorders. so patients should be accurately informed about the risk of this pregnancies . (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
