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Objectives: The aims of the study were to evaluate the role of magnetic resonance arthrography (MRA) of the wrist in detecting full-thickness tears of the triangular fibrocartilage complex (TFCC) and to compare the results of the magnetic resonance arthrography (MRA) with the gold standard arthroscopic findings. Methods:The study was performed at King Hussein Medical Center, Amman, Jordan, between January 2008 and December 2011. A total of 42 patients (35 males and 7 females) who had ulnar-sided wrist pain and clinical suspicions of TFCC tears were included in the study. All patients underwent wrist magnetic resonance arthrography (MRA) and then a wrist arthroscopy. The results of MRA were compared with the arthroscopic findings. Results: After comparison with the arthroscopic findings, the MRA had three false-negative results (sensitivity = 93%) and no false-positive results. A total of 39 patients were able to return to work. Satisfaction was high in 38 of the patients and 33 had satisfactory pain relief. The sensitivity of the wrist MRA in detecting TFCC full-thickness tears was 93% (39), and specificity was 80% (16/20). The overall accuracy of wrist arthroscopy in detecting a full-thickness tear of the TFCC in our study was 85% (29/34). Conclusion: These results illustrate the role of wrist MRA in assessing the TFCC pathology and suggest its use as the first imaging technique, following a plain X-ray, in evaluating patients with chronic ulnar side wrist pain with suspected TFCC injuries. Source

Objective: To evaluate and follow the patients who underwent thyroglossal cyst and ducts excision (Sistrunks operation) regarding the recurrence and complications at our institution. Methodology: During the period between May 2010 and May 2013, 88 patients underwent thyroglossal cyst excision. These were assessed preoperatively clinically and by sonographic imaging and thyroid nuclear scanning in the out patient department. Post operative care, follow up and histopathological review after discharge was done up to 3 years for some patients. Results: 88 patients were included in this study; 49 were female and 39 males with female-male ratio 1.25:1. Mean age was 4.5 years (range 1.5-9). All of them underwent Sistrunks operation with the excision of the midportion of the hyoid bone. Mean hospital stay was 3 days (range 1-5 days). Three patients (3.4%) developed hematoma and swelling at site of the operation and were managed conservatively. Another 5 patients (5.6%) developed wound infection at the site of surgery and were managed by antibiotics and drainage of the abscess, 6 patients (6.8%) had recurrence of the cyst about 6 months after the surgery. Conclusion: Thyroglossal cyst surgery is common in pediatric surgical practice. Recurrence rates, infection rates and other complications in our hospital were within the global range and our results were acceptable. © 2015, Pakistan Medical Association. All right received. Source

Khreisat W.,King Hussein Medical Center
Basic and Clinical Neuroscience | Year: 2011

Introduction: To obtain a baseline for clinical application of Electroencephalography in children and to evaluate the Electroencephalography ndings in children with various acute and chronic CNS disorders and non epileptic events. Methods: electroencephalography Electroencephalography records of 250 patients were studied in neurophysiology departments of Queen Rania ALAbdullah Hospital for children in Jordan. For each patient who had undergone Electroencephalography the following data were recorded: age, sex, source of referral (inpatient or outpatient department), reason for electroencephalography Electroencephalography, diagnostic impressions, clinical presentation, the result of the Electroencephalography examinations and clinical correlation between the seizure type and Electroencephalography finding. Results: Males slightly outnumbered females: 55% males. The majority of cases were Electroencephalography between 6-12 years, Total of 63.2 % of all referrals for Electroencephalography were from outpatient clinics while inpatients accounted for 36.8% of referred cases, with pediatric neurology department referrals being the highest (28.8 %). majority of diagnosis at referral were suspected epilepsy (80%)with epileptiform Electroencephalography abnormalities in 32%. Over all 64 % the Electroencephalography records were normal, including all Electroencephalography records of children with syncope and headache. Discussion: We conclude that there are many unnecessary routine Electroencephalography recordings in children. Investigation of epilepsy and acute encephalopathies appear to be the most valuable indications for routine pediatric Electroencephalography. Electroencephalography can be helpful in classification of seizures. Finding a way to reduce Electroencephalography requests is recommended. Source

Aldehayat G.,King Hussein Medical Center
Rawal Medical Journal | Year: 2011

Objective To examine the efficacy of the alpha 2 agonist, Dexmedetomidine in prevention of postoperative shivering. Methods Seventy ASA I{cyrillic, ukrainian}-II patients were included in this randomized-prospective double blinded study. They were allocated into two groups to receive either Dexmedetomidine as a loading dose of 1 ug/ kg for 10 min or normal saline 20 minutes before the end of the surgery. Shivering and sedation were assessed postoperatively. Results Demographic data were similar in both groups. Incidence of shivering was found to be significantly less in Dexmedetomidine group; 4 (12%) patients had some degree of shivering in comparisons to 16 (48%) in saline group (P<0.05). Sedation was significantly more in Dexmedetomidine group (P<0.05). Conclusion Prophylactic low-dose Dexmedetomidine was found to be effective in preventing postoperative shivering. Source

Banihani S.,Jordan University of Science and Technology | Swedan S.,Jordan University of Science and Technology | Alguraan Z.,King Hussein Medical Center
Nutrition Research | Year: 2013

Over the last decade, various studies have linked pomegranate (Punica granatum Linn), a fruit native to the Middle East, with type 2 diabetes prevention and treatment. This review focuses on current laboratory and clinical research related to the effects of pomegranate fractions (peels, flowers, and seeds) and some of their active components on biochemical and metabolic variables associated with the pathologic markers of type 2 diabetes. This review systematically presents findings from cell culture and animal studies as well as clinical human research. One key mechanism by which pomegranate fractions affect the type 2 diabetic condition is by reducing oxidative stress and lipid peroxidation. This reduction may occur by directly neutralizing the generated reactive oxygen species, increasing certain antioxidant enzyme activities, inducing metal chelation activity, reducing resistin formation, and inhibiting or activating certain transcriptional factors, such as nuclear factor κB and peroxisome proliferator-activated receptor γ. Fasting blood glucose levels were decreased significantly by punicic acid, methanolic seed extract, and pomegranate peel extract. Known compounds in pomegranate, such as punicalagin and ellagic, gallic, oleanolic, ursolic, and uallic acids, have been identified as having anti-diabetic actions. Furthermore, the juice sugar fraction was found to have unique antioxidant polyphenols (tannins and anthocyanins), which could be beneficial to control conditions in type 2 diabetes. These findings provide evidence for the anti-diabetic activity of pomegranate fruit; however, before pomegranate or any of its extracts can be medically recommended for the management of type 2 diabetes, controlled, clinical studies, are needed. © 2013 Elsevier Inc. Source

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