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

DOI : 10.32474/GJAPM.2019.02.000137

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

Siccandar Jeelani*

DOI : 10.32474/GJAPM.2019.01.000112

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Corticosteroids are used in the management of Oral and maxillofacial lesions because of their anti-inflammatory and immunosuppressive effects. The anti-inflammatory and immunosuppressive effects of steroids reflect them as the magic drug of choice. However, the potential risks have to be taken into judicious consideration before prescribing corticosteroids because they are a double-edged sword...... ReadMore

Juan F Martin Lazaro*, Marc Brown, Emily Gould, Johann Grundlingh, Michal Brys Ieva Norkiene, Joaquim Cevallos, James Napier, Khyati Lad, Jacek Jablonski

DOI : 10.32474/GJAPM.2019.01.000111

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Removal of serum toxins using haemofiltration with human albumin has been demonstrated to be a useful option for the treatment of a patient following the ingestion of unknown substance. Here, a case is described in which a patient presented with symptoms of neuroleptic malignant syndrome after ingesting an unknown Nigerian herbal remedy. Albumin enhanced continuous veno-venous haemodialysis has been previously used for intoxications. When combining continuous renal replacement therapy with albumin, the toxins are bound to the larger molecule which prevents the toxins moving through the filter; allowing for clearance from the blood. We suggest that Intensive Care Units should consider basic tools, such as detox haemofiltration when an unknown poison is suspected..... ReadMore

Seun Ayoade*

DOI : 10.32474/GJAPM.2019.01.000110

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The cellular dust hypothesis states that all life (including human life) and the physical universe/entire cosmos came to be as a result of the activities/chemical reactions carried out by indestructible microscopic (maximum size 500 nanometre) entities called microzymas [1]. Discovered in the mid-1800s, alternative terms for macerozymes include cellular dust, protits, bions, scintillating corpuscles, siphonospora polymorpha etc [2]. These microzymas are found in all living things and continue to exist when living things perish. They are immortal and are considered to be the basic unit of life/living thing according to the Terrain and Germ Terrain Duality theories of disease [3]...... ReadMore

Igor Klepikov*

DOI : 10.32474/GJAPM.2019.01.000109

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The question raised in the title of this letter is a natural consequence of the findings and conclusions that have been growing steadily in recent years regarding the results of treatment for acute pneumonia (АР). If you look at the publications of recent years in this field of medicine, it turns out that one of the main obstacles to progress in improving the results of treatment of this disease is the lack of appropriate methods for determining the pathogen. Thus, the lack of timely diagnostic information about the etiology of the disease excludes the possibility of targeted antibiotic therapy. In recent years, such regrets have become more and more relevant, playing the role of the main explanation for treatment failures..... ReadMore

Naomi Ujino, Junko Nakahira*, Shoko Nakano, Toshiyuki Sawai and Toshiaki Minami

DOI : 10.32474/GJAPM.2019.01.000108

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Background: Over-insertion of a pulmonary artery catheter (PAC) can cause serious complications, such as pulmonary embolism and pulmonary artery rupture. Careful management is essential. Methods: This study investigated relationships between patient parameters and appropriate PAC insertion length. A function on the chest X-ray display was used to measure the curve. In Study 1, we investigated concordance using intraclass concordance coincidence (ICC) between recorded insertion length of the PAC and actual inserted length. We reviewed recorded insertion data from patients� anesthesia records and measured actual inserted length. In Study 2, we measured and estimated the appropriate insertion length using chest X-rays taken just after surgery. Multiple logistic regression was performed to investigate relati..... ReadMore

Bhavna Gupta*

DOI : 10.32474/GJAPM.2019.01.000107

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Physics is an attempt to describe the fundamental laws of world around us. As anesthesiologists we deal with liquids and gases under pressure at varying temperature and volume. These inter relationships are simple, measurable and their understanding ensures a safe outcome for the patient. For the safe and efficient use of anesthesia apparatus, a basic knowledge of fundamental physics is must for a clear concept of their working principle. We have tried to simplify the basic physics related to anesthesia in a simplified way through the review article...... ReadMore