ABSTRACT
In critical care, sepsis continues to be a major cause of mortality. The pathogenic, diagnostic, and therapeutic panorama of sepsis is no longer restricted to the critical care unit: many patients who enter treatment through other doors, both inside and outside the hospital, develop severe illness. Next, administer fluids and broad-spectrum antibiotics after taking the proper cultures. Step up the treatment to include monitoring urine output, blood gases for base excess, lactate, haemoglobin, and glucose if the situation does not get better within the following six hours. These will dictate how bicarbonate, insulin, fluids, transfusions, and vasopressors are managed. The patient should be sent to intensive care if the hypotension doesn't improve (septic shock). Sepsis can now be treated with methods that have produced better results with other illnesses. New medicines have been created as a result of a better understanding of the biology of severe sepsis and septic shock, placing a strong emphasis on early detection and aggressive treatment. The major priorities continue to be prevention through screening, preventing cross infection, and prudent antibiotic usage.
ABSTRACT
In dental care, treating anterior dentition esthetically has always been difficult. Numerous restorative solutions, including resin composites, all-ceramic crowns, and ceramic veneers, become accessible with the advancement of dental materials. In such situations, practitioners and patients should pick the most appropriate option to enhance oral health and aesthetic outcomes. Any substance made of non-metallic inorganic matter and fired at an elevated temperature is referred to as ceramics (pyrochemical process). Ceramics called glass ceramics are those that commence in a glassy phase and later devitrify to a partly or wholly crystalline form. Dental ceramics that most closely optically resemble the characteristics of real teeth are primarily glassy materials, which are derived primarily from triaxial porcelain compositions of feldspar, quartz, and kaolin. Glass-ceramics possess much more toughness and strength than porcelain but are also less translucent. Tougher and more durable ceramics, primarily yttrium stabilized tetragonal zirconia polycrystals, have been developed recently (Y-TZP). Due to its limited translucency, Y-TZP presents a major drawback. A significant amount of current tooth structure must be removed in order to allow for a porcelain veneer that is wide enough to overlay an opaque zirconia base and replicate the optical characteristics of the surrounding natural teeth. Ceramic restoration effectiveness, in the end, relies on the material choice, production process, and restoration strategy.
ABSTRACT
Objectives: To estimate the prevalence and risk factors of benign paroxysmal positional vertigo (BPPV) in patients with dizziness. Methodology: Patients with dizziness attending the otolaryngology outpatient department in Basrah General Hospital during the period from 13th January to 12th of November 2013 were included. All the participants were interviewed according to a special questionnaire. Otoscopic examination, audiometry, and Dix Hallpike tests were performed. Results: A convenient sample of 402 patients with dizziness were included in the study. The prevalence of BPPV in patients with dizziness was 26.1% (95% CI, 21.9-30.6). More women than men were affected by BPPV (female: male ratio 2.09:1) with a significant association between female gender and BPPV (adjusted OR, 2.16; 95% CI, 1.29 -3.63; P= 0.003). Most of the affected patients (98.1%) reported sudden onset of attack. The attack lasted for seconds in (64.8%) and it was recurrent in 43.8%. On multivariate analysis; age, sex, level of education, hypertension, and chronic otitis media were independently associated with BPPV. Conclusion: BPPV is a common condition in patients with dizziness in Basrah. Certain risk factors such as age, sex, level of education, hypertension, and chronic otitis media were significantly associated with benign paroxysmal positional vertigo.
ABSTRACT
Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache
Subject(s)
Humans , Male , Female , Cautery , Turbinates/surgery , Nose , Treatment Outcome , Follow-Up StudiesABSTRACT
Idiopathic headache is a stressful complaint, whose treatment is not well established. Our study is an attempt to examine the relationship between idiopathic headache and inferior turbinate cauterization as a surgical treatment, and to explain the central physiological effect of cauterization. Thirty-four patients, 15 females and 19 males complaining of idiopathic headache were treated by inferior turbinate cauterization. Cauterization of the inferior-medial aspect of the turbinate was carried out once under local anesthesia for few seconds. This study was performed between November 1993 and December 1996, a joint project of the Zarka Government Hospital, Zarka and Faculty of Medicine, University of Jordan, Amman, Jordan. More than 82% of the patients showed significant improvement in the sense of decreased headache. Cautery of the nasal turbinate could be a novel method for treatment of idiopathic headache