BACKGROUND Spinal infections remain a challenge for clinicians because of their variable presentation and complicated course. Common management approaches include conservative administration of antibiotics or aggressive surgical debridement. The purpose of this study was to evaluate the efficacy of percutaneous endoscopic debridement with dilute betadine solution irrigation (PEDI) for treating ...

A 73-year-old man was admitted to the emergency clinic with a 7-day history of dysphagia after eating chicken. He had no significant medical history. On admission, he was tachypneic and tachycardic, but otherwise there were no significant findings on physical examination. His laboratory results showed a creatinine of 1.6mg/dL and white blood count of 22400/mm3 but other measurements werewithin ...

Phenytoin (PHT), a drug in clinical use for over fifty years as an anticonvulsant, has heen reported to promote the healing of skin and soft tissue wounds, ulcers and second degree burns. We treated 19 patients with war-related missile wounds and 6 with chronic, non-healing (previously treated at least for.') months with antibiotics and betadine or acetic acid dressing) civilian ulcers wit...

I will never forget the first night I stood alone beside the operating table as the only surgeon in the room. I was beginning my fourth year of residency. Two patients from the same car wreck arrived simultaneously. Both were unstable. Both required urgent laparotomy. The sickest patient went to OR 9 with the attending surgeon. The other patient went with me to OR 6. The preliminaries were the ...

Background and Objectives: Guillain-Barre´ Syndrome (GBS) is an acute-onset, monophasic, immune-mediated polyneuropathy that often follows an antecedent infection. Special nutritional support has an important role in these patients. Methods: A 6 years old girl with GBS was admitted to PICU of Dr. Sheikh Children Hospital (Mashhad, Iran). Chief compliance for hospitalization was inability to w...

Bacterial contamination of blood products (BCBP) was one of the earliest recognized complications of blood transfusion.1 The source of contamination is rarely found, but that most frequently reported is the blood donor’s skin.2 Despite wellconducted antisepsis, high concentrations of bacteria may remain on the surface of the skin.3-6 The aim of our study was to assess determinants associated wi...

BACKGROUND Supracondylar distal humerus fractures are one of the most common skeletal injuries in children. The current treatment of choice in North America is closed reduction and percutaneous pin fixation. Often surgeons leave the pins exposed beneath a cast but outside the skin. Great variation exists with respect to preoperative skin preparation, and perioperative antibiotic administration....