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Bed utilization pattern of intensive care units affiliated to Ministry of Health: a national study in Egypt prior to the COVID-19 pandemic
Get PDFBACKGROUND: This study aims to calculate the following bed utilization of intensive care Units (ICU) at the national and regional levels. METHODS: A descriptive retrospective record-based study was done in all ICUs affiliated to Ministry of Health and Population (MOHP). RESULTS: ICU admission rate ranged from 0.09% to 0.41% with 0.19%. BOR ranged from 10% to 72% with 60%. The ALS (Days) ranged from 1.92 days to 5.41 days with 3.61 days. The average ABTI per year ranged from 1.42 days to 25.04 days with 2.46 days. The average ABTR ranged from 13.14 to 101.02 with 60.14. CONCLUSIONS: Utilization of ICUs affiliated to MOHP is not optimal at the national level and there is a room for improvement
A CASE OF OBSTRUCTED LEFT DIAPHRAGMATIC HERNIA
Get PDFDiaphragmatic hernia is protrusion of abdominal viscera into the chest cavity. Most commonly seen due to congenital defects in the diaphragm, hence causing herniation of abdominal contents including stomach, bowel, pancreas, omentum. Acquired diaphragmatic hernia can be secondary to injury to diaphragm. Patient presents with respiratory distress, due to reduced lung expansion. Early correlation with radiological scans is required for appropriate timely management, to prevent further deterioration of condition
Tenofovir Induced Hypokalaemia - A case report
Get PDFTenofovir, an important medication for HIV/AIDS, carries the risk of hypokalemia in patients receiving treatment. Factors such as dietary deficits, vomiting, or diarrhea further increase this risk. Tenofovir acts as a mitochondrial toxin by inhibiting the DNA polymerase gamma enzyme, crucial for mitochondrial DNA replication. Consequently, ATP generation is depleted through the aerobic pathway, leading to dysfunction in the proximal tubule. This dysfunction manifests as renal acidosis type 2, which involves reduced bicarbonate excretion by the proximal tubule, resulting in renal bicarbonate wasting and decreased serum bicarbonate levels. Consequently, the lumen of the distal nephron becomes negatively charged, leading to compensatory potassium secretion and ultimately causing severe hypokalemia. Understanding the mechanisms underlying tenofovir-induced hypokalemia is crucial for healthcare providers to monitor and manage electrolyte imbalances in patients undergoing tenofovir treatment
Juvenile Nasopharyngeal Angiofibroma - A Case Report
Get PDF15 year old male who presented with a 6 month history of nasal obstruction and recurrent nasal bleeding. He had had about ten episodes of epistaxis in the 3 months. Examination revealed that vital signs were essentially within normal limits.The nasal cavity revealed fresh blood in the right nasal cavity but the bleeding site could not be visualized. An impression of epistaxis secondary rhinosinusitis was made
Determination Of Vitamin C Stability In Different Packaging Materials At Refrigerated Conditions By Hplc Analysis
Get PDFThe stability of Vitamin C depends on storage temperature, time, and packaging material. Vitamin C is known to prevent the oxidation of low-density lipoprotein primarily by scavenging the free radicals and other reactive oxygen species in the aqueous milieu, ascorbic acid combats cancer by promoting collagen synthesis and thus prevents tumors from invading other tissues. Aim: The present study aims at investigating the Vitamin C content of two citrus fruits under refrigerated conditions after a specific time interval, in different packaging materials. Material: In the present study, two citrus fruits – Amla & Lemon were used to study the stability of Vitamin C in different packaging materials viz., perforated zip lock cover, brown paper cover & plastic container under refrigerated conditions (5-6°C) at 0th day, 15th day, 30th day and 45th day. Vitamin C was estimated by the HPLC method and compared with the standard Ascorbic Acid. Results: The stability of Vitamin C in both Amla and Lemon stored in a perforated Zip lock cover was better than the other 2 packaging materials viz., Brown paper cover and Plastic container during the period of 0th to 45th day. The vitamin C content of Amla at 0th day - 200mg and 45th - day 163mg, and Lemon at 0th day - 43mg and 45th day - 26mg packed in perforated zip lock cover. Conclusion: From the present study it can be concluded that a perforated Zip lock cover is the most suitable packaging material for the retention of vitamin C under refrigerated conditio
A REVIEW ON ANATOMICAL AND SURGICAL IMPORTANCE OF MAMMARY GLAND
Get PDFABSTRACT
The mammary gland is an exocrine gland present in female mammals responsible for the production and secretion of milk during the process of lactation. It is mainly composed by epithelial cells and adipocytes. The features that make mammary gland unique are 1) its highly plastic properties displayed during pregnancy, lactation and involution (all steps belonging to the lactation cycle) and 2) its requirement to grow in close association with adipocytes which are absolutely necessary to ensure mammary gland development at puberty and remodelling during the lactation cycle. (Georgia colleluori, Jessica perugini, Giorgio barbatelli, and saverio cintr (2021).
Conclusion
The knowledge about anatomical concepts helps for surgical treatmen
Perceived Adequacy of Training and Identification of Barriers to Choosing Academic Faculty Positions Among Psychiatry Postgraduate Students in India
Get PDFThe increasing burden of psychiatric morbidity will proportionately increase the need for teachers of psychiatry in medical colleges. There are no studies on the current postgraduates’ perception about taking up faculty positions. We conducted an online cross-sectional study among 101 postgraduates using self-reporting questionnaires from October 2021 to November 2021. Majority were female, in 25-30 years age group, studying final year in private medical college. They willing to consider teaching positions and expressed interest in training programs. Significant facilitators and barriers to taking up faculty posts included interest in private practice, politics and vacancies available in place of interest
Inverted papilloma: A case report
Get PDFA 41 year old male came with the complaints of nasal obstruction and on and off headache since 1 year. No history of epistaxis
Effectiveness of amiodarone, propafenone and synchronized electrical cardioversion for conversion of atrial fibrillation paroxysm to sinus rhythm in Rigas Stradins University Hospital department of emergency medicine.
Get PDFAbstract
Introduction: Atrial fibrillation remains a pervasive global health concern, contributing significantly to the incidence of stroke, heart failure, sudden death, and overall cardiovascular morbidity.
Materials and methods: The present study undertook a retrospective analysis involving a meticulous examination of 127 patients, representing a diverse cohort of individuals encompassing 73 men (with a median age of 62 and a range of 37-75) and 54 women (with a median age of 60 and a range of 42-78) duration of atrial fibrillation 48 hours or less.
Results: The results highlighted amiodarone\u27s remarkable efficiency, as it successfully converted 81.2% of cases (56 out of 69 patients) to sinus rhythm. In comparison, propafenone also demonstrated considerable efficacy, converting 78.8% of cases (26 out of 33 patients) to sinus rhythm. the most striking results were observed with electrical cardioversion, achieving an impressive 96.0% success rate (24 out of 25 patients). (p
Conclusion: In conclusion, the combination of amiodarone, propafenone, and electrical cardioversion offers an array of effective tools for restoring sinus rhythm in patients with atrial fibrillation. To further enhance patient care, medical practitioners should prioritize the consideration of atrial fibrillation duration when deciding on the most appropriate treatment plan within the emergency department
Pelvic Fractures - An Overview
Get PDFPelvic fractures are injuries commonly caused by high-energy trauma, such as motor vehicle accidents and falls from a height. Understanding the anatomy, mechanisms of injury, classification, diagnosis and the management of these fractures is crucial to improve patient outcomes. This short article aims to provide a comprehensive overview of the current state of knowledge regarding pelvic fractures