Fluid increases resulting in higher MRI signal intensities in T(2) -weighted and short tau inversion recovery (STIR) sequences can be used to diagnose nerve injury. By comparing the signal intensities over time, MRI may become a new method for monitoring the healing process. Muscle edema is assessed by comparing the signal intensity of affected muscle with that of nonaffected muscle. However, i...

Sir, I thought your readers may be interested in the management of a recent case of tetanus which occurred at this hospital. A 63-year-old lady presented to the Accident and Emergency Department soon after laceration to her right leg, caused by a sheet of glass taken from a dismantled greenhouse in her garden. A 'V'-shaped flap, 4 cm each limb, an apparently clean and subcutaneous wound, was si...

In severe appendicitis, the effect of a single intravenous dose of metronidazole (500 mg) was compared with cefoxitin (1 g). The antibiotics were given by random allocation once the diagnosis had been established at operation. In the metronidazole group, 5 out of 48 patients developed a wound infection whilst in hospital compared with 13 out of 48 in the cefoxitin group (P=0-036). However, 57% ...

In severe appendicitis, the effect of a single intravenous dose of metronidazole (500 mg) was compared with cefoxitin (1 g). The antibiotics were given by random allocation once the diagnosis had been established at operation. In the metronidazole group, 5 out of 48 patients developed a wound infection whilst in hospital compared with 13 out of 48 in the cefoxitin group (P = 0.036). However, 57...

asthma is now recognized as a common cause of disability of great economic cost and preventable deaths. in this study we aimed to test our hypothesis based on the relationship between body mass index and bronchial asthma .among the patients with acute asthma admitted to the emergency ward and pulmonology clinic, we sought to determine the prevalence of obesity, as well as the effect of body mas...

With the aim to improve the outcomes for spinal cord-injured patients undergoing surgery for pressure ulcers, a structured treatment programme regulating preand postoperative care and rehabilitation was introduced in 2002 in Stockholm. Fifty-one consecutive patients operated on between 2002 and 2007 were included in a 10-year follow-up to evaluate the programme regarding initial healing results...

The experience in treatment of 3 patients with rupture Achilles tendon due to steroid injections connected achillodynia or tendoperiosteopathy calcaneal tuber is presented. There 3.5% such pathology out all rupture. In those the was shown be caused by insignificant physical load (quick walking, slight jump). Postoperatively had complications form diastasis cutaneous wound margins. one patient n...

background: the clinical course of multiple sclerosis (ms) evolves over many years. its prognosis is highly variable among affected individuals, i.e. while some suffer from early severe disabilities, others remain ambulatory and functional for many years. we used multiple sclerosis severity score (msss) and the new classification for ms severity herbert et al. introduced in 2006 according to ms...