Past Issue

Aim: Currently, coronary artery bypass graft surgery (CABG) is the most commonly performed open heart surgery. Diabetes mellitus (DM) causes morbidity and mortality in patients undergoing CABG as in other surgeons. In this study, we aimed to explain the relationship between blood glucose level and Atrial Fibrillation (AF) after CABG operations in DM patients. Material and Method: In this study we included, 456 patients, whom underwent elective isolated CABG operation between January, 2015 and August 2017, retrospectively. 219 of these patients had DM.

Background: OMS is a rare neurological disorder affects approximately 1/1,000,000 of the worldwide population without gender, generic or ethnic predilection1. The most common causeof OMS in children is paraneoplastic, especially due to neuroblastoma, parainfectious, congenital, metabolic or drug toxicity. The exact pathophysiology of OMS is not known2, Although opsoclonus and myoclonus both are adverse effect of phenytoin but opsoclonus– myoclonus syndrome (OMS) as a consequent effect of phenytoin toxicity has rarely been reported in the literature 3.

Individuals with intellectual disability experience high rates of mental illness, and there is a lack of medical and mental health professionals in rural and underserved areas. Since patients with disabilities may not travel well or tolerate changes in routine, utilization of telepsychiatry is well suited to this patient population because it allows a highly traumatized group to meet with a psychiatrist from a location of their choice. Ohio’s Telepsychiatry Project for Intellectual Disability provides specialized mental health services to rural communities.

Several new preparations have been developed for ophthalmic use, not only to prolong the Ophthalmic drug delivery is one of the most interesting and challenging endeavors facing the pharmaceutical scientist. The challenge to the formulator is to circumvent the protective barriers of the eye without causing permanent tissue damage. The primitive ophthalmic solutions, suspensions and ointment dosage forms are clearly no longer sufficient to combat some present virulent diseases.

Oncogenic Osteomalacia (OOM) is an uncommon metabolic and bone disease caused by Fibroblast Growth Factor 23 (FGF 23),a phosphaturic factor produced by phosphaturic mesenchymal tumors characterized by phosphate leakage from the kidneys and subsequent hypophosphatemia. We present the case of oncogenic osteomalacia in a 50 year old woman who presented to our hospital with complaint of being unable to walk since 5 years. She had been initially diagnosed with low phosphorus level and treated with oral phosphate powder for 3 years.

Background: Birth asphyxia is an important cause of neonatal morbidity and mortality worldwide, with approximately 4 million asphyxiated babies and 2 million neonatal deaths each year. Objectives: to identify antepartum, intrapartum, and fetal risk factors of birth asphyxia and their effect on neonatal survival. Methods: A cross-sectional study was conducted on 286 neonates with birth asphyxia in neonatal intensive care unit of Misurata Central Hospital, Libya. We retrospectively analyzed the hospital records from August 2015 to July 2016.

Background: Vitamin A, D and K deficiency is associated with various diseases in the pediactric population and generates negative impact with regard to the outcome of Intensive Care Unit (ICU) stay. This manuscript aimed to report new information on the impact of vitamin A, D and K deficiency in ICU pediatric patients. Methods: The following keywords were used: vitamin A, D and K deficiency, infant’s mortality, pediatric intensive care unit. A research was conducted in Pub Med, Medline, Scopus, Web of Science, and Lilacs electronic databases for the studies published up to 1 January 2018.

Aim of the Study: To evaluate the effectiveness of a single application of MET in comparison to passive stretch on hip extension ROM over a 30 minute follow up period. Material & Methodology: Study Design- Experimental trial using a controlled crossover design, Sample size-Total of 30 subjects i.e, n=30 (15 in each group), Type of sampling-purposive sampling with alternatively allocation to the experimental group. Study Duration-A total of 8 weeks were included to conduct the study.

Over the past decade, instructors in colleges and universities increasingly have used Audience Response Systems (ARS) typically in large classes to increase the level of student engagement and learning. Research shows that both students and instructors perceive ARS to be beneficial, although evidence of improved learning has been less clear. Experts emphasize that instructors must consider how technology might enhance good pedagogy in order for increases in learning to occur.

Temporomandibular joint (TMJ) ankylosis may be defined as a fibrous or bony union of the complex of articular disc and bony condyle along with the glenoid fossa of temporal bone resulting in restricted mandibular movements. It may manifest unilaterally or bilaterally. Hip joint dysplasia is also another orthopaedic complication resulting in looseness and general instability of the hip joint. Co-existence of these two lesions is very rare and probably this case is the first of its kind as far as the literature review is available till date. There lies the importance of this case.