European review for medical and pharmacological sciences
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Eur Rev Med Pharmacol Sci · Jan 2014
Case Reports"Left-sided" Chilaiditi sign? A large gastric perforation with secondary pancreatitis.
Although the Chilaiditi sign correctly underestimates the radiological presence of air-under-the-diaphragm, in few cases it has lead to delays in the diagnosis of underlying pneumoperitoneum. In this article we report the case of a young lady presenting with acute pancreatitis and radiographic findings of "left-sided" Chilaiditi sign with underlying a large gastric perforation. ⋯ In our case the young age of the patient and lack of underlying comorbidities initially compensated the severity of the perforation until it became evident from the absent resolution of the pancreatitis. Bearing this in mind, radiological appearances similar to Chilaiditi sign with significant symptoms or signs should be investigated with a CT scan in order to reach promptly a correct diagnosis.
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Eur Rev Med Pharmacol Sci · Jan 2014
Impact of perioperative lidocaine infusion and bis monitorization on remifentanil dosage in hypotensive anesthesia.
Combination of local and regional anesthetic agents are widely used in emergency and surgical setting and the interaction between the medications used in general anesthesia and these local and/or regional anesthetic becomes a growing concern in current patient management system. The interaction between general anesthetic agents and the local anesthetic agents given epidurally, spinally, intravenously or intramuscularly and the effects of BIS monitorisation on combined propofol-remifentanil anesthesia are examined in several studies. In literature, there is no research investigating the effect of lidocaine infusion on remifentanil and anesthetic dosage used in hypotensive anesthesia. The aim of this study is to examine this effect. ⋯ We found no statistically significant difference between two groups about different parameters. But new investigations with different local anesthetic agents may show sigificant difference and usage of these local anesthetic agents may be advised.
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Eur Rev Med Pharmacol Sci · Jan 2014
Diabetes during Ramadan - PRE-approach model: presentation, risk stratification, education.
Fasting (Sawm) during Ramadan is one of the five pillars of Islam and mandatory for all Muslim healthy adults. Most of the Muslim diabetic patients insist on fasting in Ramadan despite their exemption. Due to paucity of literature, diabetes during Ramadan is underestimated and the statistics are not reflecting the actual reality. The aim of this study is to highlight the demographics in diabetic Muslim population and emphasize its ramifications on Ramadan fasting. ⋯ It is vital to empower the healthcare workers and the patients in the frontlines with appropriate information. To preempt and minimize the problems faced by the diabetic patients who fast, available resources should be mobilized to efficiently and effectively reach out these patients. Diabetic patient educational guidelines about Ramadan fasting should be disseminated and translated into major regional languages to minimize the complications. Diabetic patients who are stable, free of deteriorating complications and able to manage can be allowed to fast.
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Sleep is a vital function for human beings, which can be affected by several factors. Chronic pain is one of these factors where it is the most frequent cause for seeking medical care in combination with insomnia. The aim of this study is to examine the prevalence and relationship between sleep disturbance and chronic pain. ⋯ The current study revealed that chronic pain and pain intensity are important predictors of sleep quality.
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Eur Rev Med Pharmacol Sci · Jan 2014
Radiographic evaluation of the prevalence of enamel pearls in a sample adult dental population.
Enamel pearls are a tooth anomaly that can act as contributing factors in the development of periodontal disease. Studies that have addressed the prevalence of enamel pearls in populations were scarce. The purpose of this study was to evaluate the prevalence of enamel pearls in the permanent dentition of Turkish dental patients by means of panoramic radiographs. ⋯ With the prevalence of 5.1% among the Turkish population, every possible effort should be made for locating of this anomaly especially in molars because it might be useful for prevention periodontal problems.