Spontaneous Coronary Artery Dissection

Spontaneous coronary artery dissection (SCAD) is an infrequent and often missed diagnosis among patients presenting with acute coronary syndrome (ACS). Unfortunately, SCAD can result in significant morbidities such as myocardial ischemia and infarction, ventricular arrhythmias and sudden cardiac death. Lack of angiographic recognition from clinicians is a major factor of under-diagnosis. With the advent of new imaging modalities, particularly with intracoronary imaging, there has been improved diagnosis of SCAD. The aim of this paper is to review the epidemiology, etiology, presentation, diagnosis and management of SCAD.

The War Vascular Injuries

The incidence of vascular injuries resulting from war injuries has increased in Syria due to the conditions of war. It was previously considered rare and rare for a long time, This constituted a great challenge to vascular surgeons in particular, and surgeons in general, because of the seriousness of these injuries, whether the risk of vascular damage or the risk of accompanying injuries such as bone fractures or nerve injuries; etc. This may led to a disastrous results such as; partial or total limb amputation, or limb incompetence. These kinds of injuries were considered a real medical conditions, cause for several reasons, including: the lack of medical Experiences and medical staffs in this particular field, as well as the lack of diagnostic and treatment methods, and their high costs due to the conditions of war.

The Role of Platelets indices (Mean Platelet Volume MPV , Platelet Distribution Width PDW)in the diagnosis of Thrombocytopenia

Introduction: Thrombocytopenia is considered to be a common complain of outpatients and hospitalized ones, ranging from asymptomatic to severe death causing hemorrhage. Diagnosing thrombocytopenia depends mainly on study of bone marrow which is an invasive process. Complete Blood Count on automated hematology analyzers is widely used nowadays with no extra cost, and platelets indices are part of the blood profile and less often used in diagnosing thrombocytopenia. Aim of the study: Investigation of a possible relationship between platelets indices (MPV and PDW) and thrombocytopenia etiologies (hypoproductive or hyperdestructive), and determine the sensitivity and specificity of platelets indices in the approach of thrombocytopenia.

Communication Skills with Attention Deficit Hyperactivity Disorder Children Comparative Study between who are under the control of Behavioral Therapeutic and Behavioral & medicinal Therapeutic with Attention Deficit Hyperactivity Disorder children

This study aimed at comparative in Communication Skills between who are under the control of Behavioral Therapeutic and Behavioral & medicinal Therapeutic with Attention Deficit Hyperactivity Disorder children. A random sample were selected consist of 34 children with ADHD, who visit the psychoclinics : 14 for first group and 20 for second group aged 6-9 years old. Children with ADHD scaled by DSM-5, C. Kconners and Vineland Adaptive Behavior scales (Communication). The results didn’t reveal statistically significant differences in total score of Communication between both groups. Besides there weren't statistically significant differences in branch dimensions of Communication (the Expressive language, the Receptive language, the Reading and writing) for children with ADHD between both groups.

The Traumatic Injuries of The Students of Sport Faculty of Tishreen University Analytic Study

The research is considered an analytic study which aims to know different kinds of knees injuries which some students of sport faculty of tishreen university have ,and the reasons behind them and the places they occur in . The study covered the four years` students and aimed to reach preventive foundations the study courses may contain. The study also contains recommendations associated with the infrastructure in the place of training and ways of restraining lessons . The study have involved (24) scorbutics out of (930) students which is the total society of the study . The results were as follows : - The injures biggest rate is in athletics then comes the gymnasium . - The most important reasons are overheating shortage and the lack of preparation. -the given rest period is not enough as well as the period of physical treatment and the sessions number. -the absence of first aid when the injury occurs.

The Traumatic Injuries of The Students of Sport Faculty of Tishreen University Analytic Study

The research aimed to know different kinds of sportive injuries the students of sport faculty of tishreen university have ,and the reasons behind them . The study have involved (110) scorbutics out of (930) students which is the total society of the study . The results were as follows : - The lower extremities are the most affected especially the knee and ankle joint. - The biggest percentage was in the first years ( first and second year). - The most important reasons are overheating shortage and the lack of preparation. The injures biggest rate is in athletics then comes the gymnasium .

An Etiological Study of Pancytopenia at Al-Asad and Tishreen Academic Hospitals in Lattakia city

Pancytopenia is defined by reduction of all three formed elements of blood below the normal reference . It may be manifestation of a wide variety of disorders , yet there exist few published assessments of the frequencies of various etiologies , and these frequencies exhibit substantial geographic variation . This study was carried out to investigate for and to identify the causes of pancytopenia , to find out the frequency of different causes , to determine the incidence of pancytopenia in relation to sex and age and to compare our findings with those of other similar studies in different countries .This was a prospective study conducted in Al-Asad and Tishreen academic hospitals in Lattakia city , Syria , ovar a period of one year . A total of 113 patients with the diagnosis of pancytopenia were enrolled in the study All patients underwent a detailed medical history and full physical examination followed by blood sampling for the investigations i.e. complete blood count with peripheral film , erythrocyte sedimentation rate ( ESR ) , liver function test , PT , HBsAg and Anti- HCV , ultrasonography of abdomen . All patients underwent bone marrow aspiration and trephine biopsy for some patients. A definite female preponderance was observed , 59 were female and 54 were male. The majority of cases were encountered in the age group of more than sixty years old .Infiltration disorders were the commonest cause that was observed in 38.1% followed by infections in 22.1% , megaloblastic anemia 12.4% , myelodysplasia 11.5%, aplastic anemia 7.1% , myelofibrosis 3.5% , hypersplenism 3.5% and systemic disorders 1.8% Detailed clinical history and meticulous physical examination along with baseline hematological investigations provide good information and help in systematic planning of further investigations to diagnose pancytopenia's cause.

Developing A Comprehensive Accident Report Template For Syria And Evaluating The Limitation In The Currently

The primary objective of this research is to assess the state of the road accidents’ data currently collected by using traditional text reports in the Syrian Arab Republic. The followed approach consisted of two main steps: (1) Developing a comprehensive road accident report template which contains all data items that should collected from a road accident . (2) Digitizing data from randomly selected traditional road accident text reports into a computer database developed based on the accident report template established in step 1.

Accuracy Of Pulse Oximetry Placements In Detection Of Hypoxemia In Children: Comparative Study

Hypoxemia is defined as the condition of insufficient oxygen saturation of the blood. Hypoxemia considered as one of most dangerous problem encountered pulmonologists cardiologists and critical care nursing, it complicate the ICU stay of many children every year with significant associated mortality, it causes more than two million deaths worldwide in children less than five years of age. The study aimed to identify the best pulse oximetry placement among three placements (thumb, big toe, and ear-lobe). The study was conducted in the department of intensive care, and incubators, in Obstetric and Pediatric Hospital, and Al-Assad Hospital in Lattakia city, the sample consisted of 70 children. The results revealed that both the thumb and toe sites has an equal sensitivity in detection of hypoxemia.

Evaluation of the airway dimension changes after treatment of maxillary deficiency using Modified Tandem Appliance

The current study aimed to examine the effects of the modified tandem appliance on the dimensions of the airways. Pretreatment and post-treatment cephalograms of twelve patients with maxillary deficiency, (7 girls, 5 boys; mean age 8±0.5 years), who were seeking treatment at the Department of Orthodontics, Damascus University, were studied. These patients were treated using the modified tandem appliance with rapid maxillary expansion.