conclusions we conclude that volume of residual pneumoperitoneum is a contributing factor in the etiology of postoperative pain after laparoscopic cholecystectomy. results at the end of the study, 17 patients (30.9%) had no residual pneumoperitoneum after 24 hours; which 23 (41.81%) had mild residual pneumoperitoneum, eight (14.54%) had moderate pneumoperitoneum and seven (12.72%) had severe pn...

BACKGROUND/PURPOSE Patients with acute myeloid leukemia (AML) and hyperleukocytosis, defined as an initial white blood cell (WBC) count of ≥ 100 × 10(9)/L, are often treated with leukapheresis. In this study, we have reported our experience of treating AML without leukapheresis. METHODS From November 1, 1995, to May 31, 2012, there were 74 children (≤18 years old) with de novo AML other than ...

conclusions the addition of 50 mg of magnesium sulfate to a bupivacaine–fentanyl solution for intrathecal anesthesia improved the efficacy and duration of the analgesia without any significant side effects. the addition of 150 µg of neostigmine increased the incidence of hypotension, bradycardia, and nausea and vomiting. moreover, neostigmine failed to prolong analgesia duration. results group ...

In this work we present the analysis of the geomagnetic field fluctuations observed at different ground stations (approximately along two latitudinal arrays, separated by several hours in local time) during the passage at the Earth’s orbit of the tail of the 15–16 July 2000 coronal ejecta. The time interval of interest is characterized by northward interplanetary magnetic field conditions and s...

Video games or computer games are an important part of most young people’s lives today in OECD countries. PISA (2003) showed that 53% of OECD students age 15 play games frequently (“almost every day” or “a few times a week”). In the U.S. studies show that teenagers are spending more time playing computer games and other digital media (e.g. computers and the Internet), than watching TV. Specific...

background: postoperative periorbital edema and ecchymosis are common after rhinoplasty. we studied the effect of local injection of lidocaine/adrenaline immediately before osteotomy on prevention of post-operative periorbital edema and ecchymosis in rhinoplasty. m aterials and methods: thirty healthy candidates for rhinoplasty were enrolled in the self-controlled clinical trial study. lidocain...

Some techniques which average multiple AMSR satellite data passes into daily sets create images with diminished temporal resolution. This results from averaging data of multiple overlapping passes separated by many hours. Overlap can be reduced by instead grouping data according to local time of day. This new method maximizes temporal resolution by decreasing both the number and the temporal va...

Radiology: Ultrasonography to detect gallstones, choledocholithiasis and local complications. Contrastenhanced computed tomography (CECT) after 48-72 hours of pain onset to determine the degree and extent of necrosis. Percutaneous catheter drainage guided by ultrasound and CECT is helpful in the management of necrosis and also in bridging the time until surgery [8]. ERCP: To be carried out with...

The advent of 'NHS Direct', has centred attention on nurses giving telephone advice as part of the provision of out of hours medical care. A three month retrospective study of telephone consultations by nurses at the MRS Sennelager showed that telephone consultation greatly contributes to "out of hours" medical care. The outcome of telephone consultations made out of hours revealed that in 70% ...