Saudi Med J
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Obstetricians are facing a tide of non-medically indicated requests for cesarean section. Risks and benefits of accepting cesarean section on request are discussed.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of propofol and sevoflurane anesthesia by means of blood loss during endoscopic sinus surgery.
The purpose of the present investigation is to examine whether induced hypotension with propofol or sevoflurane anesthesia improves the dryness of surgical field in endoscopic sinus surgery (ESS). ⋯ General anesthesia based on propofol infusion may have the advantage of decreased bleeding compared with conventional inhalation agents. Therefore, making endoscopic surgery technically easier and safer by improving endoscopic visualization of the surgical field.
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The aim of this study was to assess the prevalence of neuropathic pain among patients suffering from chronic low back pain using the Leeds assessment of neuropathic symptoms and signs (LANSS) pain scale. ⋯ The ability to identify neuropathic pain mechanisms should lead to individualized treatment resulting in improved pain control in this group of patients with chronic low back pain.
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To assess the value of troponin T (TpT) in the coronary care unit (CCU) setting compared to creatinine phosphokinase (CK-MB) in patients admitted with acute coronary syndrome. ⋯ Troponin T is a more sensitive and specific biomarker than CK-MB in detecting myocardial injury. It can become positive as early as one hour from the onset of chest pain. The decision whether to do coronary angiography remains based on clinical assessment rather than laboratory data.