Saudi Med J
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To evaluate the frequency of 5 mutations and their relationship with the Tel Hashomer criteria in 85 FMF patients. ⋯ In patients with high or low clinical suspicion of diagnosis of FMF according to Tel Hashomer criteria, the frequency of homozygote patients was significantly higher than the frequency of patients with no mutation, but it was not higher than the frequency of heterozygote patients.
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Controlled Clinical Trial
Effects of epidural analgesia using ropivacaine on the mother and the newborn during labor.
To evaluate the effects of epidural analgesia using 0.2% Ropivacaine on the mother, newborn and during labor. ⋯ Epidural analgesia, if administered by a specialist to a properly selected patient at proper time, leads to a comfortable delivery by relieving the pain. It can be performed safely after taking an informed consent.
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To determine the value of routine pre-operative investigations in children scheduled to undergo routine minor elective surgical procedures under general anesthesia. ⋯ This results indicate that pre-operative blood testing in children undergoing minor surgical procedures has very limited value in patient management. It may be unpleasant for the patient and parents. A careful history and physical examination are of greater importance than routine laboratory test in determining a child's fitness for surgery.
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Comparative Study Controlled Clinical Trial
Inflammatory responses after laparoscopic uterine myomectomy compared to open surgery in current clinical practice.
To determine the differences in inflammatory response and clinical outcome of current clinical practice in women undergoing laparoscopic myomectomy (LM) and abdominal myomectomy (AM) for symptomatic fibroid. ⋯ Compared with open myomectomy, LM was associated with a less intensive inflammatory response and a more favorable clinical outcome.
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Review Biography Historical Article
Contributions of Muhadhdhab Al-Deen Al-Baghdadi to the progress of medicine and urology. A study and translations from his book Al-Mukhtar.
This study of the Arabic 4-volume book of Al-Mukhtar Fi Al-Tibb (Choice Book on Medicine) written by the Muslim physician Muhadhdhab Al-Deen Al-Baghdadi (515-610 H, 1117-1213 AD) aimed at evaluating his contributions to the progress of medicine and urology along with providing English translations of relevant excerpts. Al-Baghdadi laid emphasis on the morals of medical practice and the principles of medical education describing how to select medical students and how to evaluate graduates. He stressed on the need for a long training program directly supervised by skilled expert doctors both in hospitals (Al-Bimaristanat) and during home visits. ⋯ The detailed description of the functional anatomy of the uretero-vesical junction and the antireflux and micturition mechanisms given by Al-Baghdadi is contrary to that of Galen (130-200 AD) but conforms well to our contemporary understanding. In the conservative management of urinary stones, he described 70 simple and 13 compound drugs while those described by Pulus of Aegina (625-690 AD) were only 20 simple and 3 compound drugs. Furthermore, Al-Baghdadi's description of the instruments and techniques of urethral catheterization, perineal cystolithotomy and perineal cystolithotripsy using Al-Zahrawi's lithotrite is meticulous and reveals originality, dexterity and experience.