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The aim of this study was to compare the effects of gingivectomy by using traditional surgery procedure and Er:YaG laser depending on the following clinical indications: the pain after 2 hours and 24 hours of surgery procedure, healing of gum aft er surgery depending on rosiness and polypus indications after removing periodontal dressing and gingival bleeding during and after surgery.
A study was done about bleeding in first trimester of pregnancy including 816 patients from 3104 pregnant women(26.28 %) . The causes was abortion ( %96.07), ectopic pregnancy (%2.69) and hyditidiform mole (%1.22). In patients with abortion 486 p atients suffered from pain with bleeding(%61.09) and when happeded together the rate of complete abortion elevated . (%78.18) had early abortion whereas(%21.81) had late abortion.The most common high risk factors in patients with abortion were poor and low level of life also the age -35 40 years old(%47.44). The tubal ectopic pregnancy was the most common and the privious pelvic operation is one of the most important high risk factors for ectopic pregnancy. All patients with ectopic pregnancy had amenorrhea with low or no changes in β- HCG levels and (%86.36) had abdominal pain with changes and pain in the cervixs. 16 patients (%72.72) needed surgical therapy.
ERCP is an im portant means of diagnosis and management of diseases of the biliary and pancreatic ducts, and this procedure can be associated with certain complications .This study was conducted to assess the frequency of complications following ER CP, the sample of the study consisted of 292 patients have adequate indication for ERCP. As expected, Post ERCP pancreatitis scooped the highest percentage of complications, with 3.4% (by 38.4% of all complications), While post ERCP bleeding occurred in 4 patients (1.4%). Post ERCP perforation occured in 3 patients (1.03%), Either post ERCP cholangitis had occurred in 4 patients (1.4%). Cardiac and pulmonary complications were rare (0.68 percent, 0.34%), respectively. Our study has recorded rare complication was an impaction of basket within Vatter's ampulla, that occurred in 1 patient(0.34%).
The study comprised 85 patients between 40-48 years old ,those have complained of DUB as either menorrhagia ,hyper menorrhea or both, the study was divided to : Group A(50 patients): were given Norethisterone orally 5mg*3/daily for 6 months. Group B (35 patients ):whose IUS was inserted for them and followed up for 1 year. -The commonest side effect in GA was discomfort from taking the medicine 3times daily for long times (70%)while in GB was lower abdominal pain and low back pain(28,85%). -The necessity to discontinue the treatment in GA was (61%)while in GB was(5,7%).- -The improvement in Hemoglobin concentrate was better in GB than GA .- -The successful of treatment was( 76% )in GA while( 88,35% ) in GB .- -The total abdominal hysterectomy rate was( 22%) in GA while in GB( 8,55%)
Postpartum Hemorrhage (PPH) is the leading cause of maternal death worldwide. In the developing countries, it is responsible for the death of about 125 000 women each year. In most cases 67-80% are caused by uterine atony. Uterine massage would re present a simple intervention with the potential to have a major effect on PPH and maternal mortality in under resourced settings. Aim: The aim of the present study is to study the effect of uterine massage on the immediate postpartum hemorrhage among primiparae. Materials and Methods: The study was conducted of al-Assad Hospital and Children & Obstetrics Hospital (Lattakia), a convent sample of 40 primiparae women. Checklist application form was used to assess the postpartum hemorrhage by hemoglobin and hematocrit measurement before applying uterine massage and after the end of procedure. Results: This study demonstrated that the rate of hemorrhage decreased in the experimental group, hemoglobin and hematocrit was higher (10.4 mg/dl, 32.3%) (P=0.029*) (P=0.015*) among primipara who received uterine massage. Conclusions and Recommendations: Our present study results advice to apply uterine massage for all women after labor and delivery because its effective in reducing blood loss. It is also recommended to learn nurses how to apply uterine massage.
The study is prospective and descriptive it take place in the department of oral surgery in Tishreen university it concerned 32 patients presented a cardiovascular pathology having required an warfarine therapy and also need an act of oral surgery th e objective of this study was to determine the INR value making possible to carry out an act of oral surgery without haemorrhagic risk we exploited the following parameters: identification of the patient, oral state, type of oral surgery, type of cardiopathy, AVK posology, INR value, means haemostasis. 56.25% of our patients had undergone a single extraction, 25% had beneficed multiple extractions and 18.75% had profited from surgical extraction the average value of the INR was 2.38 with an variance of 0.07 and an ecart type of 0.27. In favour of the haemostat means no haemorrhagic complication post operational was revealed it is allowed that the risk of thromboembolic accident by stoping the treatment is much more prejudicial than hemorrhagic risk for the patent.
Dysfunctional uterine bleeding and postmenopausal bleeding is one of the most important challenges facing gynecologists. The results of our study showed the Pipelle not to be as accurate as the standard dilatation and curettage especially in postm enopausal women after measuring the endometrial lining, we related this to the technics we used in reusing the Pipelle itself which is made for single use, and to possibly the bias of the pathologist who read the slides.
Late hemorrhagic disease of the newborn (HDN) is a rare complication of vitamin-K deficiency and is especially associated with intracranial hemorrhage (ICH). It may also occur in infants after the neonatal period. This research aims to drive atten tion to the late form of the hemorrhagic disease of the newborn, secondary to vitamin K deficiency, as a cause of intracranial hemorrhage in young infants, after the neonatal period. A prospective study of 34 infants admitted on Pediatric Intensive Care Unit and Children Hospital at Damascus University was conducted from January 2004 to December 2004. They were diagnosed as having Late HDN by the Definite Criteria.
PIVH is the most common neonatal intracranial hemorrhage. Incidence range between20-59% .Most of PIVH occur in the first week of life. There are different opinions about the time of onset and timing of screening. This study aimed to know incidence , symptoms, classification, predisposing factors and outcome of PIVH in our NICU, and the best time of screening .
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