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Register a new userComparison of giving simethicone and N-acetylcycteine in improving visibility prior to Esophagogastroduodenoscopy
المقارنة بين إعطاء السميتيكون و N-أستيل سيستئين قبل التنظير الهضمي العلوي في تحسين الأداء التنظيري
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أجريت هذه الدراسة من أجل تقييم فعالية التحضير الدوائي بالسميتيكون أو N-أستيل سيستئين في تحسين الأداء التنظيري في المرضى الخاضعين للتنظير الهضمي العلوي . انها دراسة تجريبية Randomized Double –blind Clinical Trial شملت الدراسة 350 طفلا خضعوا لاجراء تنظير هضمي علوي بين عمر 6 أشهر و 15 سنة , تم تقسيم المرضى عشوائيا الى 3 مجموعات (المجموعة الاولى أعطيت Placebo و الثانية N-أستيل سيستئين و الثالثة سميتيكون) مع 10 مل ماء و قبل 20 دقيقة من التنظير الهضمي العلوي , تم تقييم كمية الفقاعات الهوائية و الرغوة المشاهدة أثناء التنظير و تقسيمها الى اربع درجات من 0-3 درجة. قورنت درجة الفقاعات الهوائية و الرغوة و كذلك مدة التنظير بين المجموعات الثلاث . كمية الفقاعات الهوائية و الرغوة كانت أقل بشكل كبير في مجموعة السميتيكون مقارنة مع placebo و N- أستيل سيستئين (P 0,0001) , كذلك مدة التنظير كانت أقل في مجموعة السميتيكون (P 0,0001).
This study was done to evaluate the effectiveness of premedication with simethicone or N- acetylcysteine (NAC) on enhancing endoscopic visibility in patient undergoing Esophagogastroduodenoscopy. This was a Randomized Double –blind Clinical Trial. The study included 350 children, ranged in age from 6 months to 15 years. patients were randomly allocated into three groups to receive one of the following premedications (: group 1 : Placebo, group 2: N- acetylcysteine, group 3: simehticone) with 10 ml of water at 20 minutes before Esophagogastroduodenoscopy .It was rated the amount of foam and air bubbles ,and divided into four degrees from 0 to3 degree, The scores of foam and air bubbles were compared and the duration of endoscope also compared between the three groups. The amount of foam/air bubbles was significantly lower in the simeticone group compared with the placebo and NAC group (p 0,0001) The duration of endoscopy was shorter in the simeticone group (P 0,0001)
References used
COHEN, J. SAFDI, M. A. DEAL, S. E. et al., “Quality indicators for esophagogastroduodenoscopy,” American Journal of Gastroen - terolog, vol. 101, no. 4, 2006, pp. 886–891
LEWIS, B. S. ; SWAIN, P. “Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: results of a pilot study,” Gastrointestinal Endoscopy ,vol.56,no.3, 2002,pp. 349–353
KWAN V. ; DEVIERE, J. “Endoscopy essentials: preparation,sedation, and surveillance,” Endoscopy, vol. 40, no. 1, pp. 65–70, 2008
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Introduction: Upper gastrointestinal system endoscopy is a safe and widely used procedure for diagnosis and treatment purposes. Endoscopic procedures can be painful and uncomfortable and patient cooperation is very important for a successful result.
Anxiety and stress are common problem in patients who have to undergo an invasive medical procedure. Anxiety before upper gastrointestinal endoscopy may have adverse consequences and can sometimes hamper successful completion of the procedure. In routine practice, verbal or written communication is used to inform the patient. Mostly this information is focused on the procedure itself and its complications. Aim: To investigate the effect of showing an informative video or providing verbal group education on anxiety and intra procedural co-operation among the patients undergoing upper gastrointestinal endoscopy. Material and methods: sixty gastrointestinal endoscopy patients were randomly assigned to video (20) or verbal information (20) groups or control (20) group. Patients in the video group watched a 7-minute-long video about the necessity of the endoscopic procedure, doctor and patient cooperation, and possible complications, emphasizing the possible feelings the patients might experience. The patients' situational anxiety was measured using the State-Trait Anxiety Inventory’s two scales (STAI-State and STAI-Trait). During the procedure we evaluate the patient's co-operation degree by using the Visual Analog Scale (VAS) with the doctors. Conclusions: It can be concluded that information by video helps reduce the anxiety of the patient, increases patient co-operation and the patient is much more readily convinced to undergo another procedure, in cases where a control is needed.
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.
In this paper we study the energy space of the Hermite differential operator
and prove that it is a Hilbert space with a suitable inner product. Then we construct the powers of , denoted by , by using the spectral theory . We will see that has
similar properties as for real numbers s > o, therefore we can construct new Hilbert spaces which are the energy spaces of powers of . They are Sobolev spaces.
Principally the main bases for comparison are to compare the field losses with the net water requirement
in addition to that a comparison should be carried out between the most important financial indicators i.
e. the used capital and the investmen
t capital.
Comparing field losses to the net water requirement, it appears that drip irrigation methods come first
then comes sprinkler irrigation and after surface irrigation (furrow irrigation), but from comparing the
basic cost to financial investment, it appears that sprinkler irrigation precedes drip irrigation followed by
surface irrigation (furrow irrigation).
If we take into consideration the crop composition in the region where wheat crop, according to the crop
rotation reaches 56.24% and which is impossible to irrigate by the drip method, in addition to the
necessity of forming a washing stream of water opposing the rising water stream by capillarity caused by
the proximity of saline underground water, we found out that irrigation by sprinkling is the optimum
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