Negative pressure pulmonary oedema after total parotidectomy

Introduction: Negative pressure pulmonary edema (NPPO) is an uncommon complication of extubation of the trachea mostly caused by laryngospasm. In literature few cases have been reported.Case report: A 27-year-old male, weighing 75 kgs, ASA status class 1, underwent total parotidectomy for pleomorphic adenoma. Postextubation, the patient became restless, tachypnoeic and started desaturating. Soon after reintubation, pink, frothy fluid came out of the endotracheal tube, and a tentative diagnosis of NPPO was made. The condition improved with diuretics, oxygenation and steroids.Result: Portable chest radiograph was taken, which revealed bilateral fluffy shadows with normal cardiothoracic ratio. ECG and arterial blood gas analysis were normal.Conclusion: To conclude, acute pulmonary oedema associated with obstruction of the upper airways can aggravate low morbidity surgeries, affecting mainly young patients. The knowledge of this complication and, most importantly, its prevention are crucial

A Parabolic Transform and Averaging Methods for General Partial Differential Equations

Averaging method of the fractional general partial differential equations and a special case of these equations are studied, without any restrictions on the characteristic forms of the partial differential operators. We use the parabolic transform, existence and stability results can be obtained

Gelatin Grafted Methyl Nadic Anhydride and Substitution With Salbutamol

Gelatin a promising biomaterial which is useful and interesting natural polymer which offer possibilities of chemical modification through grafted copolymerization with an saturated acid anhydride such as methyl nadic anhydride formatted gelatin –g- methyl nadic anhydride copolymer (A1), then modified to its corresponding polymer (A2) by substituted salbutamol as useful derivative as biomaterial .the prepared drug biopolymer was characterization by FTIR spectroscopy and thermal analysis was studied controlled drug release was measured in different buffer solution at 37C0

Improved pain and quality of life outcomes after percutaneous vertebroplasty for thoraco-lumbar non-osteoprotic compression fractures

Introduction: Vertebroplasty is a minimally invasive technique in which percutaneous injection of bone cement under fluoroscopic guidance Percutaneous vertebroplasty (PVP) has been widely and successfully accepted in the treatment of osteoporotic and neoplastic vertebral compression fractures to control pain refractory to medical treatment. However, using of vertebroplasty as primary line treatment for traumatic, non-osteoporotic compression fractures still not widely accepted and considered a debatable issue. Patients and methods: This prospective comparative study was conducted at Neurosurgery department, Mansoura university hospital and Mansoura emergency hospital through the period between January 2015 and March 2016. 20 patients complaining of back pain due to single level thoracolumbar vertebral compression non-osteoprotic fractures were admitted to the study. Patients were divided into two groups 10 patients each, PVP group and conservative group. Outcome were assessed as regard pain improvement using Visual analogue scale VAS and quality of life using short form 36 scale (SF36). Results: Ten patients in the PVP group received Vertebroplasty, eight males (80%) and two females (20%) the age ranged from 29 to 62 years with mean age of 44.2+8.3 (mean+SD) years. The conservative group included ten patients seven males (70%) and three females (30%) the age ranged from 31 to 64 years with mean age of 45.1+9.2 (mean+SD) years. The level of injury ranged from D6 to L4. VAS and SF36 results showed significant improvement in post injection results compared to preinjection and to the conservative group Conclusion: Percutaneous vertebroplasty is safe and effective procedure to improve pain and quality of life in non osteoprotic patients complaining of traumatic compression fractures of thoraco-lumar region it decreases pain, and provide early ambulation of patients which improve their quality of life without significant morbidity

Physiochemical Characteristic and Biological Activity of the Clove (Syzygium aromaticum) Bud Oil

  The present study was investigating the physiochemical and the biological activity of the Clove bud oil against the fungus (A. niger) and two bacteria (E. coli and Staph. aurues). The inhibition zone plate method was used for bacterial test, while the mycelia weights and radial growth methods were used for the fungal study. The A.O.S. official methods were used to determine the physiochemical properties. The studies on the physiochemical characteristics of the Clove bud oil proved that the acid value was (3.86), the saponification value was (38.27),the peroxide value was (3.83), the specific gravity was (1.043), the  reflective index was (1.525), the iodine value was (182.43), and the free fatty acid was (1.94). The results of the antimicrobial tests showed that  the  Clove bud oil gave a complete inhibition of the radial growth of the fungus (A. niger) at its higher concentration and a high reduction percent at its lower concentrations. However, the mycelial fresh and dry weights of the fungus A. niger were completely inhibited by the Clove bud oil at its higher concentration, and clearly reduced at its lower concentrations. The inhibition zone of growth of both bacteria was larger than that of the control treatment. Clove bud oil showed clear inhibition zone when used against Staph. aurues compared to its use against E. coli. Many studies have reported that oils of different herbs and spices can yield medicinal compounds. Spices and herbs have been used for thousand of years by man in traditional medicine. However, more physiochemical characterizations need to be done and the antifungal and the antibacterial properties should be verified in any further studies on the Clove bud oil.   &nbsp

Uterine rupture: A review of 15 Cases at Bandier maternity hospital in Somalia

Background: Uterine rupture is a deadly obstetrical emergency endangering the life of both mother and fetus.Objective: To determine the frequency of ruptured uterus at Bandier Hospital and to elicit possible causes and type of management. Methods: It was cross sectional and hospital based descriptive study implemented during a time period of six months (July – December 2013) in Bandier maternity hospital and a total of 15 women presented with rupture uterus during the period of the study were included.Results: There were 15 cases of ruptured uterus out of a total of 2142 deliveries. Incidence of uterine rupture was found to be 0.7%. The mean age of women was 30.03 ± 4.55 years. Concerning risk factors for rupture uterus, 10 (66.7%) had previous uterine surgery, obstructed labor was found in 33.3%, and oxytocin was used in 46.7% of respondents. Repair was done for 8 (53.3%), 3 (20.6%) of respondents underwent total abdominal hysterectomy and 4 (26.7%) were ended by subtotal hysterectomy. Conclusions: Previous uterine surgery, obstructed labour and improper use of oxytocin increase the risk of uterine rupture in this study. Half of the patients underwent hysterectomy

Enumeration of Coliform Bacteria and E. coli Contaminating the Drinking Water of Al Gedarif City

ABSTRACT The present study enumerated the bacteriological contamination of   the main sources of drinking water in Al Gedarif city. A total of 134 water samples (raw waters, treated waters, main reservoirs, main pipelines, and sabeel zeer waters) were tested for their total coliforms and E. coli counts, using the most probable number technique (MPN). The results indicated that the total coliform and E. coli counts were lower in the ground water sources (Al Azaza and Abu Al Naja boreholes) than that in the surface sources (Atbara River, Al Saraf and Dalassa dams). Moreover, both counts in most of the zeer water samples were higher than those of the other sources. It was also noticed that the zeers located in public areas (market) were more contaminated than the other sabeel zeers. The seasonal variations study was performed for the surface sources, where it was found that the maximum densities of coliform bacteria and   E. coli were occurred during the autumn season and the summer, while the periodical variations study was made for the ground sources, where the coliforms and E. coli densities were found almost higher during the second period of each year