ABSTRACT
Background: Forearm fractures are the most common fractures in children, representing 40 to 50 percent of all childhood fractures. The aim of this work is to evaluate the results of percutaneous intramedullary fixation of fractures of forearm bones in children. The aim of this work is to evaluate the results of percutaneous intramedullary fixation of fractures of forearm bones in children. Methods: Between February 2017 and February 2018, 12 patients who are younger than the age of closure of epiphysis exhibited to Zagazig General Hospital suffering from displaced fractures of shaft of both bones of the forearm, all patients were treated by closed reduction and percutaneous intramedullary fixation by K-wires with a period of (6 - 12) month with mean 6.6 moths follow up. Results: At the end of follow up, the operations were succeeding in all cases. According to Price et al criteria, 8 patients (66.7%) were classified as excellent results, 4 patients (33.3%) were classified as good results and no patients were classified as fair or poor results. No complication detected after the end of follow up period.Conclusions: Closed reduction percutaneous intramedullary fixation of pediatric displaced diaphyseal forearm fractures by K-wires is a safe, reliable, minimally invasive procedure and effective method of treatment. Based upon this study, it is concluded that displaced fractures of both forearm bones in children are preferred to be intramedullary fixed with K-wires when surgery is indicated with excellent and good results
Subject(s)
Egypt , Forearm , Fracture Fixation, Intramedullary , Fractures, BoneABSTRACT
[Mg] is thought to be an important element in the pathogenesis of acute asthma attacks. We hypothesized that erythrocytic Mg would be decreased during an acute asthma exacerbation. We aimed at investigating plasma and erythrocytic Mg in acute asthmatic children. This case-control study included 30 Egyptian outpatients with acute asthma. Thirty healthy matched children were included as controls. All candidates had measurements of plasma and erythrocytic Mg levels before and after treatment. No significant differences were detected in plasma Mg levels between cases and controls [1.53 +/- 0.33 mmol/L versus 1.67 +/- 0.50 mmol/L respectively, P =0.2]. However, erythrocytic Mg levels were significantly reduced in cases when compared to controls [1.06 +/- 0.43 mmol/L versus 2.57 +/- 0.59 mmol/L respectively, P<0.001]. Plasma Mg levels did not significantly change in acute asthmatics before and after their rescue treatment [1.53 +/- 0.33 mmol/L versus 1.68 +/- 0.31mmol/L respectively, P=0.07]. In contrast, the study detected a significant increase in erythrocytic Mg levels in cases after their treatment from acute attacks [1.06 +/- 0.43 mmol/L versus 1.56 +/- 0.23 mmol/L respectively, P<0.001], with significant negative correlation with severity of attack [Spearman's rho=-0.647, P<0.001]. Erythrocytic Mg levels were significantly lower during the acute asthma, and were negatively correlated with severity of exacerbation, while plasma Mg did not significantly change. Only erythrocytic Mg levels were significantly elevated after receiving rescue treatment
ABSTRACT
Sixty-four patients with generalized social phobia were randomly assigned to Moclobemide, Paroxetine and cognitive behavior therapy groups for twelve weeks. The pattern of response was assessed. Response rate was 47.8, 50 and 23.4% for Moclobemide, Paroxetine and cognitive behavior therapy groups, respectively. Moclobemide was superior in reducing the somatic symptoms and interpersonal sensitivity. Paroxetine was superior in reducing global anxiety symptoms and obsessive compulsive symptoms. Both groups were superior to cognitive behavior therapy in reducing avoidance behavior. Cognitive behavior therapy was superior to Paroxetine in reducing interpersonal sensitivity