OBJECTIVE To evaluate midazolam as an epidural analgesic in patients undergoing single-level microdiscectomy. METHODS This prospective case control study was carried out at the Aga Khan University Hospital, Karachi, from January 20 to September 20, 2007, on patients undergoing microdiscectomy. Cases (group A) received midazolam with saline, while controls (group B) received saline only, place...

Critical condition, developing in patients with burns during the burn shock more often produce the development of nonspecific reactions in the body, manifested as the system or the organ insufficiency and are determined by the term «syndrome of poly organ insufficiency» (SPOI). The course and treatment of 189 patients with burn shock have been analyzed. With the purpose of investigation all pat...

To cite: Tang C-M, Yarandi SS, Laxton WH, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211669 DESCRIPTION A 43-year-old man with a history of viral hepatitis and active intravenous drug use presented with a 4-day history of severe nausea and coffee-ground emesis, followed by acute onset of colicky abdominal pain and non-bloody diarrhoea. On examinati...

Background: To study the utility of oral probiotics for preventing necrotizing enterocolitis (NEC) in low birth weight infants Methods: In this randomized controlled study preterm infants, weighing less than 1500 grams and who were fit to receive enteral feeds (Stable vitals, soft abdomen with normal bowel sounds and no nasogastric aspirate) were included. Infants were randomly assigned to two ...

Endometriosis is defined as the presence of endometrium outside uterine cavity. Around 8- 15 % women reproductive age group have been affected by it. Abdominal scar endometriosis a rare complication cesarean section and can be often misdiagnosed. We present 39-year-old woman who has complaining pain edema at location her incision for past two years. The began on first day menstrual cycle only c...

This paper examines the study of healthcare services provided through a telemedicine oriented Emergency Health Support System (EHSS). This study caters to the needs of senior citizens, but can be extended to a larger population. The main goals are to model the support system in Service Oriented Architecture (SOA) using Cloud Computing and study its performance. The paper compares a system deplo...

Current trends in hand-held devices pose new challenges to embedded system industry. Among them, the most vitals are that these devices must be lightweight, smart in size and long lasting. The displays, keypads and batteries are usually the most prominent hardware of these devices. Current state of the art technologies such as membrane techniques results in reduced weight and size for keyboards...

A 7-year-old child reported with swelling in the bilateral inguinoscrotal region. Parents have noticed swelling just after the 6 months from birth. There was also a complaint of penile shortening as far as its size is concerned. No other complaints were present. The vitals were stable. On local examination, bilateral inguino-scrotal swelling was present of a size about 8 x 6 cm on both sides, f...

Experts recommend to include physical activity in everyone’s daily routine as it helps to curb various medical issues. They provide diverse healthcare services (e.g., interventions, exercise routine, personal trainer plan, therapy, etc.) to promote healthy living and to increase physical activity in one’s ever increasing hectic schedules. An individual generates a lot of data when he/she perfor...

A 16-year-old male presented with three months of palpitations at rest, fatigue, and episodic pre-syncope; his paternal grandfather died following presumed premature myocardial infarction at age 30. He was seen and discharged one week previously at an outside emergency department (ED). He followed up with his pediatrician and was promptly referred to our pediatric ED for evaluation given his ri...