Melody H Long* and Tracy YS Tan

DOI : 10.32474/GJAPM.2020.02.000143

View abstract PDF Full text

Share

Pectoralis Nerve (PECS) block was first described as an alternative to thoracic epidural and paravertebral blocks in managing pain after breast surgery [1]. Since then, there have been modifications such as the PECS II block and expansion of its uses to include analgesia for Port-a-Cath insertion and removal [2], minimally invasive cardiac surgery [3] and cardiac resynchronization therapy (CRT) device implantation [4]...... ReadMore

Ayse Veyhurda Dikmen*

DOI : 10.32474/GJAPM.2020.02.000142

View abstract PDF Full text

Share

I aimed to define the efficacy of silodosin in treatment of lower urinary tract symptoms of men and form a background for a nomogram for Turkish population. Materials and Methods: Responses of treatment of 1600 male patients attending outpatient urology clinic with lower urinary tract symtoms between March 2013 and March 2019 were evaluated retrospectively. The patients were between 41 and 97, mean age of whom was 63,1±2,3 with serum total PSA level being under 4ng/dl and benign digital rectal examination findings, none of them, getting any α-blocker for at least one month by the time of outpatient clinic attending. The patients who have been treated with silodosin for 9 months due to benign prostatic hyperplasia (BPH) were evaluated retrospectively with their pretreatment and posttretment results of Qmax (maximum flow rate), IPS..... ReadMore

Sabri A Soltan*, Hesham S Abdelraouf and Mahmoud M Alsagheir

DOI : 10.32474/GJAPM.2020.02.000141

View abstract PDF Full text

Share

Background: Adequate analgesia post-operative is crucial to permit early mobilization and effective cough in order to decrease the respiratory system issues and complications. The usage of peripheral nerve blockage in conjunction with sonographic technology and neural stimulators have resulted in better fascial planes identification. Aim: To compare the analgesic effectiveness of sonographic -guided caudal epidural blockage versus sonographic -guided single-shot thoraco-lumber paravertebral blockage in pediatric cases undergoing lower abdominal surgeries such as herniotomy. Methodology: This is a prospective randomized interventional clinical research trial performed in Department of Anesthesiology, Samir Abbas Hospital ‘Saudi Arabia to compare single-shot caudal Blockage to single-shot paravertebral blockage conducted on sixty p..... ReadMore

Sushanta*

DOI : 10.32474/GJAPM.2019.02.000140

View abstract PDF Full text

Share

A 70-year-old female presented with gradual onset dyspnea with moderate exertion for 6 months. She had history of stroke 1 month back which was resolved. On 2D echo she had a mass in LA (1.6×1.6cm) with base attached to IAS adjacent to AML. On coronary angiography she had lesion in LAD with 60-70% stenosis. But intraoperative TEE revealed mass in left ventricle attached to PML undersurface. The operation was performed, CABG with LIMA to LAD grafting & transannular decompression of the LV mass performed. Surgery done uneventfully. The cyst content consists of necrotic sebaceous-type material with calcification. Histopathology of excised material revealed it to be a foregut cyst of myocardium. The patient had an uneventful postoperative course and was discharged in good clinical condition...... ReadMore

Behzad Saberi*

DOI : 10.32474/GJAPM.2019.02.000139

View abstract PDF Full text

Share

Monitoring the patients during neurosurgical operations, plays an important role to get best surgical results. Central venous pressure and arterial pressure monitoring are important in specific neurosurgical operations [1]. ICP monitoring during neurosurgical approaches, is also of importance in some neurosurgical approaches. Cerebral oxygenation monitoring, jugular venous oximetry, motor and somatosensory evoked potentials, transcranial and precordial Dopplers and electromyography are some neuromonitoring techniques which can be used based on the patient’s condition and requirements for specific neurosurgical operations [2-4]..... ReadMore

Ayse Veyhurda Dikmen*

DOI : 10.32474/GJAPM.2019.02.000138

View abstract PDF Full text

Share

Introduction & Objective: Stress urinary incontinence is a psychologically devastating disturbance, affecting the incontinent population mainly of elderly women. we aimed to identify retrospectively the response rate of the patients to minimal invasive treatment via bladder neck injection with bulking agents for primary bladder neck insufficiency through a new look. we aimed to make urologists remember this non-invasive method for stress urinary incontinence since it is a devastating problem, which can even stop sexual life completely for the elderly female population. Methods: 4200 female patients attended our urology clinic with symptoms of stress urinary incontinence between January 2014 and April 2019 and underwent urologic evaluation and diary for daily-used pad number. 81 of 4200 patients were excluded during the period of co..... ReadMore

Sakraoui R*, Habchi N, Bekralas H, Bouallag M, Ziane H, Maouche H and Guerinik M

DOI : 10.32474/GJAPM.2019.02.000137

View abstract PDF Full text

Share

A polytraumatized patient is a victim of violent trauma. Objective: to evaluate the management of polytrauma patients after describing their epidemiologic characteristics and to individualize the predictive factors of mortality. Materials and Methods: This is a prospective and descriptive study on the observations of 147 polytrauma patients admitted to the medical and surgical emergency department of the University Hospital Center Mustapha Pacha between June 2011 and June 2013. We have not included in the final examinations of the present, but the half-way to the vital prediction for the clinical, biologic, therapeutic and epidemiological aspects of each patient admitted for polytrauma...... ReadMore

Divya R* and Ashok V

DOI : 10.32474/GJAPM.2019.02.000136

View abstract PDF Full text

Share

Tea is a beverage made from the infusion of the leaves of Camellia synesis. A number of bioactive products such as theanine,tea polyphenols (TPP) and tea polysaccharides (TPS) are extracted from Tea. Studies show that the TPS acts as an antioxidant, antiinflammatory agent, anticancer, antihyperglycemic properties [1]. The beneficial effects of tea are mainly due to catechin, L-theanine, and caffeine. Studies proves that catechin improves cognition, working memory and memory recognition...... ReadMore

Dalhatu A*

DOI : 10.32474/GJAPM.2019.02.000135

View abstract PDF Full text

Share

High-blood pressure episode is a strong independent risk factor for death from heart disease and stroke. It is usually common diagnostic investigations in modern day cardiology especially in high temperate region where its cut across all ages. Hot temperate regions, Nigeria inclusive has recorded appreciable headway in improving the health care outcomes of its populations, in spite of the challenges posed by pervasive poverty, epidemic diseases, and food insecurity. Checking out both communicable and noncommunicable disease is necessary if quality and effective health care service is to be made available in the context of primary healthcare development. This article reviewed relevant literatures related to hypertension, prevalence and its associated risk which were published by journals nationally and internationally. There is increasing..... ReadMore

Christos Christoforidis*

DOI : 10.32474/GJAPM.2019.02.000134

View abstract PDF Full text

Share

Objective: To present the diagnostic and clinical features including management of acute compartment syndrome of the foot and to create a sense of emergency amongst orthopaedic surgeons of this rare and dangerous condition. Clinical features: A 19-year old young man presented at the emergency department referring a twisting injury of his left ankle presented with swelling and pain after an acute second-degree lateral ankle sprain. The patient was treated with the RICE protocol (rest, ice, compress and elevate). Two days later, the patient returned at the emergency department, late at night with severe swelling, paresthesia, reffering an excruciating pain at his left foot and inability to walk. A diagnosis of foot compartment syndrome was made. Intervention and outcome: An emergency fasciotomy of the lateral and medial compartment (dual ..... ReadMore

Nouraddin Abdi Goushbolagh*

DOI : 10.32474/GJAPM.2019.02.000133

View abstract PDF Full text

Share

The fact remains that, despite significant progress has been made in the treatment of cancer, many patients with advanced cancer still suffer from pain. Cancer-induced bone pain (CIBP) is the most common type of cancer pain, which breast, prostate, and lung cancer are associated with high skeletal metastases that caused to patient’s bone pain. As matter of fact, two-thirds of patients with bone metastases suffer from fractures pain, not all bone lesions are painful. In this connection, mechanisms that caused to pain in cancer patients include periosteal irritation nerve entrapment, muscle spasm, and secretion of chemical mediators of osteolysis such as prostaglandines and cytokines which activate concomitantly both osteoclasts and nociceptors [1]. It would be better to say that, pain management is vital aspect of cancer treatment which..... ReadMore

Ayse Veyhurda Dikmen*

DOI : 10.32474/GJAPM.2019.02.000132

View abstract PDF Full text

Share

Background: In this era of innovation and technology, the major expectations about male healthcare are getting rid of erectile dysfunction without any adverse effects as well as providing the best rates of fertility dedicatedly ever after. Objective: To investigate the effectiveness of magnesium sulphate in treatment of postoperative agitation following functional endoscopic sinus surgery. Design, setting and participants: In this study, a total of 2200 men with borderline erectile dysfunction and infertility and aged between 35-58, had 6 months of duration of treatment with 5mg daily tadalafil. The pretreatment and posttreatment semen parameters of the patients were evaluated retrospectively. Outcome measurements and statistical analysis: The evaluated semen parameters were pH, concentration, volume and motility rates before and after..... ReadMore

Mohamed Sayed Fahim*

DOI : 10.32474/GJAPM.2019.02.000131

View abstract PDF Full text

Share

Background: A bloodless field is one of the aims to enhance the visualization during the endoscopic sinusoidal procedure that is usually achieved by controlled hypotension permitting easier dissection. The value of magnesium sulfate as an agent that could reduce the agitation issues postoperative still requires research efforts to be compared to placebo as regards endoscopic sinus surgical interventions.Aim: To investigate the effectiveness of magnesium sulphate in treatment of postoperative agitation following functional endoscopic sinus surgery.Methodology: A prospective clinical research trial that recruited 210 research study subjects scheduled for sinus endoscopic surgeries Cases have been categorized in a random manner into two research groups equally numbered one research group have been administ..... ReadMore

Nouraddin Abdi Goushbolagh* and Masoomeh Gholizadeh

DOI : 10.32474/GJAPM.2019.02.000130

View abstract PDF Full text

Share

While it is true that the humans are endangered by many dangers and may endure many pains, but the fact remains that some risks are inescapable. For one thing, the skin is the first defensive wall of the body against external hazards [1]. Ionizing radiation (skin burns and cancer), ultraviolet radiation (skin burns and cancer), physical blows, microorganisms and chemicals can cause serious injury and scarring to the skin [1-3]. For another, alcohol consumption give rise to gastric ulcers [4]. As far as we know, the presence of reactive oxygen species (ROS) at the injured site results in a delay at tissue repair [1]...... ReadMore

Monson Carlos*, Okuhara Monica, Colas Osmar, Martins Maria Benedicta Al, Gonçalves Aurora, Mello Paulo,Leite José Roberto and Petri Valeria

DOI : 10.32474/GJAPM.2019.02.000129

View abstract PDF Full text

Share

Dental anxiety and phobia not rarely cause the patient to delay seeking oral health care if he ever seeks it at all. The present research aimed at providing a literature overview concerning to the applicability of Behavioral Medicine resources in management of dental anxiety and phobia, considering patients who have restrictions on use of drugs. Several risks factors are involved in the rise of such behaviors. These include educational, psychosocial, and economic factors. Comorbidity presentation can also occur, and the level of triggering elements can vary. Although the number of individuals affected by the psychological disorders is significant, the applicability and effectiveness of Behavioral Medicine resources as a means of their management are mostly reported in anecdotal studies. Due to the significant percentage of the society tha..... ReadMore

Raquel d’ Espiney, Jacek Jablonski, Michal Brys and Juan F Martin Lazaro*

DOI : 10.32474/GJAPM.2019.01.000120

View abstract PDF Full text

Share

Background: Humidified high flow nasal cannula (HFNC) has been shown to be an effective respiratory support therapy in both primary and post-extubation patients with Type 1 respiratory failure (T1RF). Clinical outcomes using HFNC in patients with hypercapnic respiratory failure or Type 2 respiratory failure (T2RF) are less well understood as research to date has frequently excluded hypercapnic patients. However, there is growing evidence that suggests HFNC could be beneficial in patients with T2RF.Aims: To describe the outcome of patients with T2RF who received primary HFNC and to elaborate a safe algorithm for its use.Methods: We conducted a retrospective observational study on the use of HFNC as a primary treatment in 102 (n=102) consecutive subjects admitted to the Intensive Care Unit (ICU) from August 2015 to June 2017. Vital signs an..... ReadMore

Ahmed A Khalifa FRCS*

DOI : 10.32474/GJAPM.2019.01.000116

View abstract PDF Full text

Share

Total knee arthroplasty (TKA) considered to be one of the most common orthopedic surgical procedures performed worldwide. Anesthesia techniques had been developed as part of the development of the TKA surgical techniques over the past decades. Regional anesthesia started to take the upper hand as the dominant form of anesthesia from the general anesthesia which was considered as the standard practice in the past. It had been shown in many studies the probability of reducing intra-operative blood loss, length of hospital stays, patient outcomes and mortality rates when regional anesthesia was used instead of general anesthesia...... ReadMore

Saloua Khalfaoui*

DOI : 10.32474/GJAPM.2019.01.000115

View abstract PDF Full text

Share

The pain of the shoulder at the hemiplegic is one of the main complications arisen post-stroke. The causes are multiple and in most of the cases, they are associated with pre-existent or added risk factors; where from the interest of a premature diagnostic coverage with implementation of the means of prevention and curative treatment to favor the neurological recovery...... ReadMore

Aamir Siddiqui*

DOI : 10.32474/GJAPM.2019.01.000114

View abstract PDF Full text

Share

Vitamin B12 deficiency usually mimics megaloblastic anemia, pancytopenia, neurological symptoms and, rarely, hemolytic anemia. This report describes a case with symptoms of apathy and findings suggestive of severe hemolytic anemia, diagnosed with vitamin B12 deficiency. Haemolysis is a rare hematological finding in cases of B12 deficiency, and descriptions of a nutritional vitamin B12 deficiency, without evidence of pernicious anaemia, causing haemolysis, are even scarcer, and this paper was intended to draw physicians� attention to this rare form of presentation...... ReadMore

Alaa Ali M Elzohry*

DOI : 10.32474/GJAPM.2019.01.000113

View abstract PDF Full text

Share

Background: Major abdominal surgeries still the main line of treatment for upper abdominal malignancies and these surgeries induce severe postoperative pain with different types either somatic or visceral. If such pain not controlled, may cause various organ dysfunctions and prolong both hospital and ICU stay. So, an appropriate pain therapy to those patients with least complications must be applicated.Objective: To compare analgesic efficacy of intraperitoneal irrigation of fentanyl added to levo-bupivacaine versus patient controlled intravenous analgesia in patients undergoing major abdominal cancer surgeries. Methods: 120 patients (ASA II-III) of either sex were scheduled for elective upper abdominal cancer surgeries. Patients were randomly allocated into three groups (40 patients each), to receive: post-operative PC..... ReadMore