Subscribe to the gold package and get unlimited access to Shamra Academy
Register a new userAnalytical retrospective review of spermatic cord torsion at Alassad University - Hospital (university OF Tishreen) during 39 months
دراسة تحليلية استرجاعية لحالات لوِي الحبل المنوي في مشفى الأسد الجامعي بجامعة تشرين و ذلك خلال فترة 39 شهرا
1061
0 14
0
(
0
)
Added by
Damascus University ورقة بحثية
Publication date
2004
fields
Medicine
and research's language is
العربية
Authors
محمد حسن يوسف( باحث )
Created by
Shamra Editor
Ask ChatGPT about the research
يعتبر َلوِي الحبل المنوي من أهم الإسعافات الجراحية البولية يحدث في مرحلة اليفع من العمر و يؤدي إلى اختناق التروية الدموية الخصوية، مما يؤدي إلى إقفارها و اضطراب وظيفتها و ضمورها و حتى إلى موتها و ذلك إذا لم يتم التشخيص و التدبير في الزمن المناسب و من هنا تأتي أهمية و خطورة الموضوع، و قد تمت دراسة 22 حالة لوِي حبل منوي في مشفى الأسد الجامعي بجامعة تشرين و ذلك خلال فترة 3 سنوات و 3 شهور كان التشخيص فيها مؤكدًا بالأعراض السريرية و الفحص السريري، حيث حدث ألم خصوي حاد و مفاجئ في كل الحالات ( 100 %) مع تورم و كبر في حجم الخصية في ( 95 %) و انكماشها نحو الأعلى و توضعها بشكل أفقي في كل الحالات أيضًا. ( 100 %) و أما البربخ فتوضع أماميًا في (%100) من الحالات، و قد أُجرِي الإيكو دوبلر ملونًا و قبل العمل الجراحي في 20 حالة (90.9%)، و تم الرد الجراحي مع تثبيت الخصية المقابلة في كل الحالات و لم يجر أي استئصال خصوي. و بالخلاصة فإنه يجب أن يشك بانفتال الخصية في كل حالات ألم الخصية الحاد و المفاجئ عند اليفع، و يمكن الاستعانة بالفحوص المتممة التشخيصية كالدوبلر الملون و كالتفريسة الومضانية و لكن بدون إضاعة الوقت، و بالطبع فإنه يجب متابعة الحالة مستقبلا.
Torsion of the spermatic cord (torsion of the testis) is an important surgical urologic emergency most commonly seen in adolescent males. It causes strangulation of the blood supply to the testis. Unless treatment is done in accurate time testicular ischemia, functional disorders, atrophy even death of the testis may occur. So it is an important and risky lesion necessitates suitable management. 22 cases of testicular torsion were studied at ALASSAD University Hospital (University of Tishreen ) during 3 years and 3 months .Diagnostic was confirmed by symptoms and clinical examination: Acute and sudden testicular pain happened in all cases (100%), testicular swelling was found in (95%), retracted testis with horizontal orientation in (100%), anterior epididymal position in (100%). Colored Doppler sonography was done in (90.9%). Surgical detorsion with contra- lateral orchiopexy was achieved in all cases without orchiectomy. In conclusion, testicular torsion is supposed to be suspected in all cases of testicular, acute, sudden pain, in adolescent male and this can be verified by complementary exameninatios as: color Doppler sonography and scintillation scan without washing time, and all cases should to be followed up in the future.
References used
anderson PA, Giacomantonio JM: The acutely painful scrotum in children: Review of 113 consecutive cases. Can Med Assoc J 1985,132: 1153
Barada JH, Weingarten JL, Cromie WJ: Testicular salvage and agerelated delay in the presentation of testicular torsion, J Urol 1989.142:746
Bartsch.G., Frank, S., Marberger, H.,and Mikuz, G.:Testicular torsion:iate results with special regard to fertility and endocrine function. J.Urol., 124:375,1980
rate research
Read More
We retrospectively reviewed data of all patients who underwent study or surgery for Lung Cancer from (1997 to 2012) in the department of thoracic surgery at Alassad University Hospital in Damascus. There were 2029 patients with Lung cancer,1727 male
85,11% and 302 female 14,88%,87,53% of patients were smoking, and cough was the most common symptom about 70% of patients. There were 889 squamous cell carcinoma 43,81%, 702 adenocarcinoma 34,79%, 246 small cell carcinoma 12,12%,67 large cell carcinoma 3,3% and 66 carcinoid tumor 3,25%; the staging was 6,35% stageI,14,98% stageII,15,91% stage IIIA,29,02% stageIIIB,33,71% stage IV. Radical Surgery consisted of 621 formal lung resection 229 lobectomies 36,87%, 163 bilobectomies 26,2%, 158 pneumonectomy 25,44%,35 sleeve or bronchoplastic resection 5,63% ,36 partial resection 6,15%. The perioperative mortality was 3,05% and the overall 5 year survival was 22,9%. Our study resembles most of the studies made in the developing countries in the result that the rate of smoking and of lung cancer among women is fewer compared to the International rate. It also resembles most of the European countries in the result that squamous cell carcinoma is the most common pathological pattern, and the size of pulmonary resection is bigger than that in the developed countries where they have earlier diagnosis. Moreover, the rate of the sleeve resection surgery along with the rate of mortality resemble that of the International centers.
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.
During 2016 we have made 167 survey bronchoscopy (101 males & 66 females),they
had been done by flexible fibroscope (pentaxTM) slim diameter .
Patients has prepared for the endoscopy by local anesthesia on nose ,pharynx and
larynx using Lidocaine
.In few particular cases , the sedation has been done by Midazolam
(5mg) intravenous .
The endoscopy's tolerance was good and no complication that require recovery
occurred .
The indications of the endoscopy were suspected malignancy, 49 cases had
diagnosed in the rate of 56.3%. The disorders had been diagnosed and isolated in the case
of suspected infections in 11 patients in the rate of 45.8%.The tuberculosis had been
diagnosed in 9 patients in the rate of 42.8%.
In hemoptysis cases ,bleeding site and causing factor had causing factor had been
detected in 12 patients in rate of 63%.
In chronic cough cases, the diagnosis had been confirmed in 4 patients in the rate of
50%.
In case of interstitial pulmonary lesions , the diagnosis had been confirmed in 4
patients in the rate of 50%.
After the study ,we emphasize the importance of broncoscopy as survey diagnostic
instrument especially in malignancy cases , other negative tests (blood, sputum ), suspected
infections , tuberculosis ,hemoptysis cases and interstitial lesions .Especially it is external
good tolerances procedure with rare complication.
Chemotherapy drugs cannot tell the difference between of normal cells and cancer
cells. This means normal cells are damaged and this results in side effects, This damage
does not stop in the patient who receiving treatment but also extends to all e
mployees in
the health care sitting. Nurses are the main groups that are exposed to these drugs in
hospital setting Generally, the occupational activities that pose to greatest risk of exposure
are the preparation ,Transporting cytotoxic drugs, administration of antineoplastic agents,
cleaning of chemotherapy spills, and handling of waste. Nurses require specialized
knowledge and skills in order to ensure safety for both patients life and for their own safety
of the jobs. Because of available a lot of chemotherapy guidelines we Must assess
knowledge and skills nursing staff and assess the extent of their commitment to these
guidelines.
Objective: The objectives of this study were to assessment of knowledge and skill
of oncology nurses in chemotherapy administration.
The purpose of the study was to assess the role of the head nurses in managing the performance of the nursing staff at Tishreen University Hospital from the point of view of the nursing staff and the head nurses. The sample that have been used was av
ailable of the head nurses and the simple randomness of the nursing staff and was composed of 55.5% of head nurses and their number was (30) head nurses And 50% of the nursing staff participating in the Tishreen University Hospital during the application of the research and their number was (300) nurse. An improved tool for gathering information was used based on recent research literatures, and data were collected and analyzed using SPSS version 20. The most important results: The assessment of the role of head nurses in managing staff performance at Tishreen University Hospital in general was in a good level.
suggested questions
Log in to be able to interact and post comments
comments
Fetching comments
Sign in to be able to follow your search criteria
