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دراسة متلازمة السرج التركي الفارغ في مشفى الأسد الجامعي بدمشق
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يونس محمد قبلان( باحث )
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السرج التركي الفارغ البدئي متلازمة شعاعية لا عرضية عادة، تصيب 6 % من النساء بعـد الإياس، يمكن أن تشاهد في جميع الأعمار. تشابهت بعض نتائج دراستنا مع الدراسات العالمية في كثير من الأمور، كوجودها بمختلـف الأعمار و لاسيما عند الأطفال، و ترافقها مع البيلة التفهة بنسبة 97.5 % و اختلفت عنها مـن حيث زيادة نسبة فرط البرولاكتين، التي بلغت بدراستنا 2.58 % (في حين لا تتجاوز 7.33% بالدراسات الأخرى)، لم نصادف حالات من الأورام النخامية المفرزة (تذكر الدراسات وجود ضخامة النهايات و متلازمة كوشيغ بنسبة 6.2 % لكل منهما ) لم نصادف أي حالة سيلان سائل دماغي شوكي من الأنف، كما لم نسجل اضطرابات بصرية لدى مرضانا تلقى المرضى معالجة عرضية و لم نضطر لإرسال أي من مرضانا للجراحة.
The empty sella syndrome (ESS) is an asymptomatic radiological syndrome, affecting 6% of post-menopausal women and can be seen in all ages. The results were similar with other studies in many respects, such as a wide age spectrum including children, and the occurrence of diabetes insipidus in 5.97%. The results of our study were discordant with other studies with respect to hyperprolactinemia which reached 58.2% in our study (in other studies did not exceed 33.7%). No concurrent cases of secretory pituitary adenomas were found (studies refer to an incidence of acromegaly and Cushing’s syndrome in 2.6% of ESS for each). We did not record CSF rhinorrhea nor were visual disturbances seen in our cohort. Patients received symptomatic treatment and none were referred to surgery.
References used
Bjerre P. The empty sella : A reappraisal of etiology and pathogenesis. Acta Neurol Scand 1990; 130 (Suppl): 1-25
Schaeffer JP: Some points in the regional anatomy of the optic pathway with special reference to tumors of the hypophysis cerebri and resulting ocular changes. Anat Rec 28:243--279, 1924
Empty Sella Syndrome. Journal, Indian Academy of Clinical Medicine Vol. 2, No. 3 July-September 2001
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The urinary bladder malignant neoplasms are the member of the most common malignancies through the world. The diagnosis of bladder carcinoma in its late advanced development evokes the surgeon to radical cystectomy. The studying points are the correc
t diagnosis, histological types, histological grade and pathological stage of the disease, in order to achieve the best treatment and prognosis. The morphological examination of bladder biopsies were done routinely, the total biopsies were 250, obtained from 194 patients (172 male, 22 female). The low grade tumor were 41, and high grade 149.although the early stage diagnosis were 138, and the late stage 66, always we must detect the lesion early for the best life after the treatment. may be useful in the future study and detect the reason of predominance the male gender in bladder tumor, also we hope, that we can discover the role of inflammation in arising the neoplasm of bladder.
Introduction: As nursing develop with regard to science, knowledge & practice and nursing responsibilities increase, critical thinking- the ability to question and make rational decisions- becomes even more important. Whereas, critical thinking requi
res that all thoughts and actions be examined objectively, in patient care almost all actions require decision making, and problem solving. Critical thinking is an essential element in decision making which involves choices, and problem solving which requires analysis. Through critical thinking skills, a nurse manager can become a transformational leader. She can challenge the routine nursing practices now, develop a more robust understanding of any problem underlying causes, and develop her leadership skills as well as develop more creative solutions when using critical thinking. Although, critical thinking skills are more important but there were few studies both English and Arabic and there was no study in Syria concerned with critical thinking skills that must used by nurse mangers to do their role effectively, for that this study was conducted and aimed to assess critical thinking skills of nurse managers in Al- Assad university hospital and Al- Wattany hospital in Lattakia. The study was conducted in Al- Assad university and Al- Wattany hospitals in Lattakia. Whereas, The study sample consisted of 21 nurse managers , and 80 nurses from both hospitals. The results of this study showed that there were positive convergence between nurses 'viewpoints and nurse managers ' viewpoints in both hospitals and that nurse managers used critical thinking skills in their practice.
Introduction 7 Visceral Leishmaniasis( VL )is characterized by a spectrum of
clinical features, with high cure rates in early diagnosis.
Objective: the objective is to describe the clinical and epidemiological features and
laboratory variables of
children with visceral leishmaniasis ,And to define the importance
of a positive direct investigation of the parasite in Bone marrow in the diagnosis of disease
.
Patients and Methods : It was a case series study of )52( cases of Visceral
Leishmaniasis which were hospitalized between June-20 31and June-2014 in Al -Assad
University Hospital ,Latakia
Results 52 7 7 children were included in this study .Majority of the patients (92%)
presented with fever ,common findings in physical examination were(100%) Pallor and
(97%) splenomegaly
The direct investigation of parasite in Bone marrow was positive in )%55( of cases .
The study included 77 patients admitted to Pediatric Department in AL-ASSAD
University Hospital in Lattakia for doing therapeutic gastroendoscopy between ( Jul
2009-Jul 2014),number of procedures were (195) with age ranging between( 1mon-16 y)
and
The main indication of interventional GI endoscopy in this series was foreign body
extractions, oesophageal stenosis, esophageal varices ligation followed by polyp resection
and Management of rectal prolapse refractory.
-There were" not any complications during therapeutic procedures (94%), and
complet cure percent was high (64,4%), but (26%) of cases are followed up and good
until now, there were Two patients of oesophageal dilatation may need surgical
interference.
Compliance of health care workers to adhere to correct hand hygiene is reported to
be poor in many countries although the techniques involved in hand hygiene are simple.
This study yielded interesting findings regarding knowledge and behavior among
a sample
of 30 nurses in Al-assad university hospital in Lattakia. Nurses received a self administered
paper questionnaire on knowledge and practices of hand hygiene at their workplace and
were observed during their work. Only (14 %) of participants had very good knowledge
about hand hygiene, with a significant difference in the level of knowledge according to
the level of education as respondents with university degree were more likely to correctly
identify the proper way of hand hygiene compared to those nurses who have a lower level
of education. On the other hand, the overall hand hygiene compliance among nurses is
30%. Some of the key parameters associated with noncompliance have been clearly
identified. Hand washing hygiene is a cheap and primary infection control procedure.
Therefore, the study suggests some improvement by continuous education during shifts,
seminars and posters, ensuring the availability of adequate hand washing utilities like soap,
water taps, drying tissues and reducing work load to improve nurse to patient ratio.
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