Saudi Med J
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Comparative Study
Treatment of Graves' hyperthyroidism--prognostic factors for outcome.
To determine whether clinical and biochemical features of Graves' disease at presentation predict response to medical and radioiodine treatment. ⋯ In patients with Graves' hyperthyroidism, radioiodine treatment is associated with higher success rate than antithyroid drugs. A dose of 13-15 mCi (481-555 MBq) seems to be practical and effective, and should be considered as first line therapy. Patients with high free T3 concentration and, those with ophthalmopathy at presentation were more likely to fail radioiodine treatment. A higher dose of radioiodine may be advisable in such patients.
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To examine the changes in emergency department (ED) utilization over a 3-year period and identify the factors that affect utilization. ⋯ Emergency department utilization increased during the study period, with almost no change in the proportions for triage category. The numbers of patients requiring hospital admission increased, as the length of their stay. Nearly 60% of emergency visits are for CTAS IV and V care. There were significant patients with multiple visits to ED. We recommend the strengthening of the primary health care in our institution and a designated "Fast Track" in ED for the expeditious management of low acuity patients.
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Randomized Controlled Trial
Ultra-low dose aprotinin effects on reducing the need for blood transfusion in cardiac surgery.
To assess the effects of ultra-low dose one million kallikrein inhibitor units (KIU) of aprotinin on bleeding and the need for transfusion after cardiac surgery. ⋯ Results indicate that the use of one million KIU of aprotinin in cardiac surgery is effective in reducing postoperative bleeding and transfusion requirements.
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Randomized Controlled Trial
Single breath vital capacity induction of anesthesia with 8% sevoflurane versus intravenous propofol for laryngeal tube insertion in adults.
To compare the conditions for laryngeal tube airway insertion obtained by the inhalation of 8% sevoflurane using a vital capacity breath (VCB) technique with propofol intravenous induction. ⋯ We conclude that vital capacity breath induction with sevoflurane produces a faster loss of consciousness and fewer side effects than propofol and efficient for laryngeal tube insertion, but takes slightly longer than propofol due to the prolonged jaw tightness.
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To evaluate the results of surgical drainage and use of synthetic glue in Morel-Lavallee lesions. ⋯ Results of the treatment with the use of synthetic glue and surgical drainage in Morel-Lavallee lesion are satisfactory with early healing time without recurrence.