Articles

   Gliosarcoma (GSM) is a rare malignant brain tumor which ac- counts for 1-8% of all malignant glioma [4]. GSM is a type of glioma grade IV with a biphasic tissue pattern, alternating ar- eas displaying glial and mesenchymal differentiation Even if GSM and glioblastoma (GBM) share some common features, they are different histological entities and should be con- sidered separately also from a therapeutical and prognostic point of view.

   Surgical practice represents an important field of modern medicine. It has allowed to save lives, cure diseases that were without a positive outcome and open novel doors.

   Procedural errors commonly occur during endodontic treat- ment. Instrument fracture in the root canal system is a com- mon procedural error that can compromise the outcome of endodontic treatment if not properly managed.

   Parkinson’s disease (PD) is the most common neurodegenerative disorders with a worldwide prevalence in the millions . The frequency increases with age, affecting 1% of the population over the age of 60.

    Non-bulbar conjunctival melanoma is associated with poor prognosis especially in the Chinese population. The wide excision with external lamellar lid margin tarsus sparing was a simple approach that yielded good cosmetic outcome and desirable disease control.

   A 47-year-old man presented to a district general hospital with upper abdominal pain. Ultrasound of the abdomen showed an indeterminate mass in the right lobe of the liver with no sign of intrahepatic biliary dilation. His blood results revealed a raised alkaline phosphatase (286 U/L), raised alanine aminotransferase (158 IU/L) and a raised bilirubin (25 mg/dL).

    Carcinoid tumors are neuroendocrine malignancies that can release serotonin and other vasoactive peptides into the systemic circulation. These substances are thought to cause the carcinoid syndrome, which is characterized by episodes of vasomotor changes (flushing, hypo-or hypertension), diarrhea, bronchospasm or carcinoid heart disease.

   Internal hernias are defined as the protrusion of a viscera through a normal or abnormal orifice whose location is peritoneal or mesenteric. Their incidence in large autopsy series varies between 0.2 and 2%. We report here, the case of a pericaecal internal hernia discovered in a context of intestinal obstruction.

   Hydatidosis is a common disease in cattle-raising areas and which caused by the Echinococcus Granulosus. This tapeworm infestation leads to cysts formation in live stocks. Canids are definitive hosts and human could be an intermediate and accidental host.

   Granulocytic sarcoma is a rare extramedullary solid tumor composed of immature myeloid cell and is associated with acute myeloid leukemia or myelodysplastic syndrome. It was first reported by Burns in 1811 and was described as chloroma by King in 1853.

   Biopolymers are substances with inherent characteristics of biocompatibility and biodegradation that make them useful in the biomedical, pharmaceutical, environmental, biocatalytic and bioelectronic fields.

   Over the past decades, highly active antiretroviral therapy (HAART), has transformed human immunodeficiency virus (HIV) infection from being a deadly disease to a chronic illness. This is possible because effective management allows an infected individual to survive till old age resulting in a large number of stable patients on HAART.

   Most incidental lesions are benign, some may require careful management and treatment. In evaluating the lesion, the patient’s clinical history, underlying disease and age factor should be considered.

   Human norovirus, previously known as the Norwalk virus was the first virus that was identified as causing gastroenteritis in humans. Although norovirus gastroenteritis is generally mild and of short duration, new evidence suggests that the illness can be severe and sometimes fatal, especially among vulnerable populations-young children and the elderly and is a common cause of hospitalization for gastroenteritis.

   Human norovirus, previously known as the Norwalk virus was the first virus that was identified as causing gastroenteritis in humans. Although norovirus gastroenteritis is generally mild and of short duration, new evidence suggests that the illness can be severe and sometimes fatal, especially among vulnerable populations-young children and the elderly and is a common cause of hospitalization for gastroenteritis.

   Lightning is a spectacular weather phenomenon. It has caused countless injuries to humans and considerable damages to properties. Singapore, lying near the Equator, has one of the highest lightning activities in the world.

   The most common plasma cell disorders reported in patients with HIV infection or AIDS are polyclonal hypergammaglobulinemia, monoclonal gammopathy and symptomatic multiple myeloma.

   Lesions extending to or developing from the jugular foramen are uncommon. The most frequent tumor of the jugular foramen – paraganglioma, or glomus tumor, has a reported incidence of 1 in 1.3 million.

   The aneurysm of the azygos vein (AVA) is a very rare pathology, with almost 50 cases in literature, mostly with a fusiform shape and identified in people between 19 and 70 years old. Since azygos vein (AV), normally, has a diameter of about 1cm, we define “aneurysm” a dilatation over 1,5cm.

   A 67-yrs-old, diabatic,hypertensive individual was admitted for multivessel coronary artery bypass graft surgery . Off-Pump CABG was performed using Left Internal Thoracic Artery to Left Anterior Descending Artery, left radial artery to first Obtuse Marginal branch, and reversed saphenous vein graft to Posterior Descending Artery as conduits.

   Lung cancer is the most prevalent cancer among females and males, carrying the highest cancer-related mortality rates worldwide. Nearly two-thirds of patients present in the advanced stage at diagnosis requiring palliative therapy with chemotherapy and often radiotherapy, giving a variable response, too. Knowledge of prognostic factors might guide in tailoring the therapy in resource-limited countries. Hence, we reviewed the prognostic factors affecting overall survival and disease progression in advanced non-small-cell lung cancer patients.

   This study was carried out to investigate the protective effect of extract against dispirin induced renal toxicity in albino rats. The histological effect of consumption of Daucurs carota root extract on the kidney of albino rats was carried out. The albino rats were divided into five groups. Each group consists of 5 albino rats.

   Hepato-cutaneous fistula is a rare clinical entity which develops commonly after a complication due to hydatid disease of the liver. Few cases of it have also been reported following percutaneous catheter drainage of liver abscess due to actinomyces, burkholderia pseudomallei and entamoeba histolytica. In case of hydatid cyst of liver, it develops following spontaneous rupture or some intervention.

   Venous thromboembolism is among the common and preventable cardiovascular syndromes. The risk of thromboembolism is increased in elderly and patients with renal failure, and the risk of bleeding due to the use of anticoagulants also increases. In these cases enoxaparin use for profilactic and treatment dosages. After anticoagulant using pectoral hematoma was diagnosed by ultrasonography and computed tomography of the thorax in patients.

   Cerebral palsy is a group of heterogeneous disorders caused by an abnormal development or brain damage affecting mostly regions controlling movements, balance, and posture. The brain damage and abnormalities in cerebral palsy are characteristically non-progressive, but lead to permanent abnormalities of movements, posture, and limitation of mobility. Many systems are available.

   Personal Digital Health Assistants (PDHA) are applications that can run on a computer or mobile device. They acquires, stores, and analyzes health information and communicate with remote servers. They are utilized by patients or their caregivers. Many systems are available.

   Steinert Syndrome (SS) is a progressive, hereditary, multisystem muscular dystrophy. We aim to describe the anesthetic management of a patient with SS undergoing laparoscopic cholecystectomy (LC).

   Wegener’s disease is a rare vasculitis characterized by inflammation of the endometrium of blood vessels. Ureteral stenosis is a rare manifestation of granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis). We report the case of a 38-year-old woman with acute renal failure in which bilateral hydronephrosis due to staged ureteral stenosis was the second manifestation of the disease after necrotico-inflammatory skin lesions. Our patient had high titers of anti-proteinase 3 c-ANCA, but no upper or lower respiratory tract damage was demonstrated.

   Mucinous adenocarcinoma arising from chronic perianal fistula in ano is a rare entity. It is often mismanaged as benign disease due to its presentation. At present no guidelines have been established concerning diagnostic and treatment strategies due to the rarity of the tumour.A high index of clinical suspicion and biopsy of fistulous tracts and abscesses are key to early diagnosis and prompt treatment.

   Wound care is an important part of treatment for surgical patients. Wound healing complications such as infection, delayed healing affecting the treatment process, causing prolonged hospital stay, increasing costs. According to a statistic in the US, the length of hospital stays increasing with an average of 7.4 days due to complications related to wound care cost an additional 130 million USD per year.

   At present, laparoscopic surgery combined with endoscopy is the first choice for the treatment of biliary calculi. In the treatment of extrahepatic bile duct stones, the common bile duct can be sutured at the same time of cholecystectomy. Laparoscopic cholecystectomy is rapidly replacing traditional cholecystectomy as the treatment of choice for patients with cholelithiasis, in this study author's team has accumulated a large number of cases and rich surgical experiences since carrying out laparoscopic common bile duct primary suture in the treatment of extrahepatic bile duct stones.

   We report the clinical history of a 45-year-old patient, followed up for 12 years for Crohn's disease. The patient was initially treated with sulfasalazine during the first two years of the disease and then, following an exacerbation of the disease, with azathioprine 100mg/d and prednisolone 80mg/d.

   Steinert Syndrome (SS) is a progressive, hereditary, multisystem muscular dystrophy. We aim to describe the anesthetic management of a patient with SS undergoing laparoscopic cholecystectomy (LC).

   Fracture of the tibia is a well-known, often occult cause of limping and leg pain in young children following a low energy trauma and twisting injury. This fracture which is typically known as “Toddler’s fracture” forms a hairline, oblique fracture in the shaft of tibia. The diagnosis of a Toddler’s fracture could be puzzling at the time of presentation as the history of trauma is often vague, the physical examination of the limping child is mostly inconclusive and the radiological evidence may be subtle.

   A 37-year-old male presented with worsening epigastric pain and nausea for one-week. Past medical history was significant of alcoholic chronic pancreatitis and gallbladder stones disease status post-cholecystectomy seven years ago. Physical examination revealed focal epigastric tenderness.

   Vogt-Koyanagi-Harada disease (VKH) is a severe bilateral granulomatous posterior or panuveitis. An acute case of VKH presents with gradual painful diminution of vision which may be associated with symptoms like tinnitus, hearing loss, vertigo, meningismus, poliosis, and vitiligo, although not all patients present with the complete constellation of these extra-ocular findings.

   COVID-19 disease is a highly transmissible viral infection caused by the SARS-CoV-2 coronavirus. This virus is closely related to the SARS-CoV and MERS-CoV coronaviruses. All three viruses can cause lung damage, acute respiratory distress syndrome and death. Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus , that was first recognized in Wuhan, China, in December 2019.

   A professional appraisal can be defined as the process whereby an appraiser examines and evaluates an appraisee’s work by comparing it with pre-set standards. This process is generally designed to encourage the professional to reflect on his or her work and to provide evidence that the required standards are being achieved.

   The aim of this work is to investigate the sequential use of hpFSH+hHMG vs. rFSH alone on fertility out- come (rate of gestation, abortions and live delivery) in ICSI-cases.

   Modern literature data indicate that among the various possible cystic formations that form in the neck, the most frequently studied are median and lateral cysts. It was found that multimodal radiation diagnostics of cystic formations of the neck using ultrasound and magnetic resonance imaging significantly increased the efficiency of the examination.

   Benign odontogenic formations cause one and the same controversial situation known to pathologists for the last century. Some researchers believe that they are indeed benign. These formations are often asymptomatic, and the X-ray picture is not always reliable. There are currently no clear criteria for predicting the development of relapse.

   Fasting is an age-old practice done by avoidance of intake of solid or liquid edibles for a certain period of time. This has been practiced for a number of reasons such as dieting, religious ways and also in medical field for lab investigations such as measurement of blood glucose and lipid markers, pre- and post-surgical indications.

   Noise-induced stress causes central nervous system dysfunction and neurotransmission impairment in the brain and changes hormone levels which potentially result in psychological and behavioral problems.

   Steinert Syndrome (SS) is a progressive, hereditary, multisystem muscular dystrophy. We aim to describe the anesthetic management of a patient with SS undergoing laparoscopic cholecystectomy (LC).

   The thyroglossal duct cyst (TDC) is the most common congenital cervical malformation [1,2,3]. Indeed,embryologically, the thyroid originates at the level of the foramen cecum, at the base of the tongue.

   Leishmania tropica is the main cause of cutaneous leishmaniasis which represents a common issue in Syria. After the start of the current war, cutaneous leishmaniasis has become yet more widespread, so an effective vaccine is needed to prevent a largescale spread of leishmania in the country.

   Steinert Syndrome (SS) is a progressive, hereditary, multisystem muscular dystrophy. We aim to describe the anesthetic management of a patient with SS undergoing laparoscopic cholecystectomy (LC).

    A 75-year-old patient presented with anorexia, weight loss, dyschezia and dysuria. She had fever for one week. Physical examination revealed an abscess draining from the left groin.

   We reported a case of 29 years old single lady presented with continuous urine leak for more than one year. Ultrasound study (USS) showed urinary bladder (UB) stone.

   Tracheal stenosis is a life-threatening condition resulting from various causes like congenital, postintubation injury, trauma, inhalational burns, irradiation, tracheal tumor, extrinsic compression of trachea by tumor and idiopathic.

    We report a case of endometrioid pattern adenocarcinoma of the abdominal wall. The patient was submitted to exploratory laparotomy with resection of the tumor in the abdominal wall besides extended hysterectomy, umbilical herniorrhaphy and cholecystectomy.

    The Coronavirus pandemic have wreaked havoc on health systems worldwide. Due to lockdowns imposed all across the globe, patients have been unable to show up to dental institutions for regular dental check-ups.