Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocar...

during a period of 10 months from may to february 1995, 120 children (72 girls, 48 boys) with an age range of 4-16 years (mean age 10.87, s.d.±2.7) with chronic abdominal pain who had an abnormal endoscopy (gastroduodenal mucosal defect) and positive urease test were treated for h. pylori. patients were treated randomly with either metronidazole and amoxicillin (double therapy, group a) or metr...

OBJECTIVES To develop effective and targeted interventions to improve care for patients with community-acquired pneumonia (CAP), insight is needed into the factors that influence the quality of antibiotic use. Therefore, we measured the performance of nine quality indicators and studied determinants of variation in the quality of antibiotic use. PATIENTS AND METHODS Data on 498 prospectively ...

ANTIBIOTICS Fluoroquinolones The fluoroquinolone class of antibiotics work via inhibition of DNA gyrase (topoisomerase II). Resistance is mediated through chromosomal mutations in DNA gyrase which confers cross-resistance to other FQs. FQs distribute well to tissues and intracellularly. Elimination is via the kidney, and these drugs are often highly effective for treating resistant UTIs. The sp...

* Department of Pediatric, College of Medicine, Hawler Medical University, Erbil, Iraq. Introduction Urinary tract infection(UTI) is one of the most common bacterial infections of childhood and it is associated with significant acute morbidity and long term illness such as arterial hypertension and chronic renal failure. It has been suggested that early diagnosis, proper investigation, adequate...

Meibomitis is an ocular disease which leads to a dysfunction of the meibomian glands. This ophthalmologic may cause severe pain and obvious vision loss. The therapeutic protocol used in treatment this pathology consists local systemic antibiotic therapy. results obtained using approach are scarce and, many cases, result adverse events. In study, we propose alternative original TECAR therapy tre...