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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (2): 187-191
em Inglês | IMEMR | ID: emr-190723

RESUMO

The primary indication for total knee replacement is relief of significant, disabling pain caused by severe arthritis. Total knee replacement surgery begins with correct planning of both the incision and the exposure of the joint. Definitely, these are factors that are just as important to an optimal outcome as choosing the right implant, positioning the components, and balancing the ligaments. While it is true that the standard incision and arthrotomy will, in most primary implant cases, provide adequate joint exposure, it is also true that cases characterized by certain conditions, such as previous cutaneous incisions, present specific skin and exposure problems that need to be recognized, planned for and overcome

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (4): 652-657
em Inglês | IMEMR | ID: emr-191293

RESUMO

Head and neck cancer includes epithelial malignancies of the upper aerodigestive tract [UADT], including the paranasal sinuses, nasal cavity, oral cavity, pharynx, and larynx; and, as the sixth most common cancer worldwide, head and neck cancer represents about 6% of solid tumors. Advances in surgery, radiation therapy, and chemotherapy have improved locoregional control, survival, and quality of life. The outcomes of these treatment modalities have shifted the focus of curative efforts from radical ablation to preservation and restoration of function. This evolution has been documented in the pages of Cancer for the past 6 decades. The median age of diagnosis is in the sixth decade of life, and there is a large male-to-female predominance. Although there has been a slight decrease in overall incidence of head and neck cancer over the past two decades, an increase in base of tongue and tonsillar cancer recently has been observed

3.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (6): 2690-2693
em Inglês | IMEMR | ID: emr-190684

RESUMO

Background: the joint replacement surgery is a great advance in the orthopedic medicine with a longlife promise of knee or hip reconstructive surgery which may exceeds 20 years old


Objectives: this study aimed to evaluate the knowledge of community Saudi adults regarding the joint replacement surgery in Jeddah City, Saudi Arabia [KSA], 2017


Methods: this was across sectional community based survey and it was conducted from May to August 2017 in Jeddah city among 670 adult Saudi subjects who were interviewed at shopping malls and community pharmacies. All the respondents answered a self-administrated questionnaire that considered the knowledge of respondents toward joint replacement therapy


Results: all the subjects heard before the term joint replacement therapy and the major source of information was from friends and relatives. Only nine subjects [1.3%] have undergone hip or knee replacement surgery. The level of awareness about joint replacement surgery was adequate in only 30.9% of subjects and insufficient among 69.1% of subjects. The higher level of awareness was significantly associated with old age


Conclusion: the level of awareness was inadequate among most of Saudi participants about the causes and effects of the joint replacement surgery. There is urgent need for public education about the joint replacement surgery to address the concerns and advantages of the surgery through media, internet and health educational campaigns

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