Saudi Med J
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Review Case Reports
A case of pediatric gastrointestinal basidiobolomycosis mimicking Crohn`s disease. A review of pediatric literature.
Basidiobolomycosis is a rare fungal infection caused by basidiobolus ranarum. The vast majority of gastrointestinal basidiobolomycosis cases were reported from tropical and subtropical regions. ⋯ Our case is the first to report effective treatment of pediatric gastrointestinal basidiobolomycosis using voriconazole mono-therapy. In addition, we present extensive review of pediatric gastrointestinal basidiobolomycosis in medical literature.
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To report experience with laparoscopic sleeve gastrectomy (LSG) in obese, morbidly obese, and super morbid obese patients, and to evaluate comparative efficacy of LSG among these patient groups. ⋯ Laparoscopic sleeve gastrectomy resulted in satisfactory and effective EWL in all 3 groups of obesity patients at 30-months follow-up.
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The objective structured clinical examination (OSCE) has become an accepted method for evaluating clinical competence. Limited references are available for students and residents to help them prepare adequately for such examinations. In this review an outline on how to prepare, approach, and behave during the OSCE is presented. ⋯ During the encounter, proper interaction, and good communication with the patient and family are critical for a successful exam. At the end of the OSCE, candidates should avoid rushing the patient or asking for their mark. To conclude, careful preparation for the OSCE is needed to improve the likelihood of a successful outcome.
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Case Reports
A novel approach to manage patients with compromised airway. Videoscopic assisted retromolar intubation.
Aids to difficult airway management are essential for safe practice of anesthesia particularly for high-risk patients. This case series described a novel approach of combined use of complementing tools (videolaryngeoscopic assisted retromolar intubation) to enhance airway management of a subset of various high-risk patients with extremely difficult airway. ⋯ In all of the 4 patients, the use of the combined approach resulted in a successful intubation without the need for surgical airway. This technique showed many advantages making it possible to use in cases with life threatening airway obstruction.
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To investigate the radiosensitizing effects of dihydroartemisinin (DHA) and its underlying mechanisms in cervical cancer cells. ⋯ Dihydroartemisinin potently abrogates G2 checkpoint control in HeLa cells. It can relieve the G2/M arrest induced by irradiation; thus, it can be used as an effective radiosensitizer, which will probably promote the entry of more irradiation-damaged cells into mitosis.