الأوراق العلمية

عرضالصفحاتعنوان الورقة +الملخصر.م
من 1 ـــ الي 5

Medical treatment is not provided with an absolute guarantee of complete success. Improvements in medical science and techniques have markedly reduced the rate of complications and unexpected outcomes from all types of treatment, but they will never disappear completely. However, all patients have the legal right to expect a satisfactory standard of medical care from their doctor even though it is accepted that this can never mean that the doctor can guarantee a satisfactory outcome to the treatment. Most legal actions for negligence in countries with an Anglo-Saxon system of law remain within the civil law, in which a patient brings a personal action against the doctor or hospital, and to understand the concept of medical negligence certain principles must be considered. Most allegations of medical negligence never come before a court of law for decision. Some cases cannot be defended as far as the doctor is concerned and these will be settled by financial negotiation, either directly or, more commonly, through the medical insurers, without further argument. Other cases cannot be substantiated by the plaintiff and are eventually abandoned, often on legal advice. Of the remainder, less than half go through the full process of investigation in which each ‘side’ obtains expert opinions from independent medical specialists. The strength of these opinions is then reviewed and often the experts and lawyers meet to try to reach common ground and a settlement, and only if there is a wide gap between the expert opinions is the case to go to court for a judge to decide on the relative merits of each argument.

من 6 ـــ الي 11

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من 12 ـــ الي 17

not found

من 18 ـــ الي 28
من 29 ـــ الي 36

Staphylococcus aureus is environmental organism commonly found and most of them are opportunistic pathogens that colonized in human bodies cause various human disease. To determine the prevalence and antibiotic susceptibility pattern for multidrug and non-multidrug methicillin/oxacillin resistant S. aureus (MRSA) 133 S. aureus strains, isolated from different clinical specimens submitted to Department of Microbiology, Saad Speciality Hospital Laboratory, Saudi Arabia between November 2008 and September 2010. The percentage of MRSA and MDR were 39.1 % and 54.9 %, respectively. While the remaining strains were considered as Oxacillin sensitive S. aureus (OSSA) represented (60.9 %) more than half percentage of total isolated S. aureus. From 14 sample source of clinical specimens, the most common source of all isolated species combined was abscesses 62 (46.5%) isolate, followed by nasal swab 19 (14.3%) isolate, respiratory sample 14 (10.5%) isolate, wound 13 (10%) isolate, while the other teen source combined 25 (18.7%) isolate of all isolated S. aureus. S. aureus strains in general showed highly sensitive percentage to Vancomycin (100%), Linozolid (100%), Rifampin (98.5%), Nitrofurantin (97.7%) and Trimethoprim-Sulfamethoxazole (93.2). Moreover, the lowest sensitive rate was observed with Penicillin (3%), Ampicillin (4.5%), Ceftriaxon (22%).

من 40 ـــ الي 47

The objective of this study is to evaluate the presence of airborne Gram Negative Bacilli in the operating theatres (OT), intensive care units (ICU) and nursery intensive care units (NICU) of north Jordanian hospitals, and their susceptibility to several antibiotics. 244 air samples of 100 liters volume/min were collected by a microbiological air sampler from the above units during the period of seven months. Air samples were impacted on trypticase soy agar (TSA) then incubated at 37 °C for 48 hours. Each bacterial colony that subsequently appeared on agar plates were sub-cultured on blood agar and MacConkey Agar with incubation at 37 °C for 24-48 hours, and then identified by standard methods. The average bacterial count in the OT, ICU and NICU ranged between 0 to 1200, 30 to 1160, 40 to 1130 CFU/m3, respectively. Gram Negative Bacilli comprised 2.35%, 1.57% and 1.58% in OT, ICU and NICU, respectively. Of all Gram Negative Bacilli Pseudomonas aeruginosa, Citrobacter freundii, Acinetobacter spp. comprised of 42%, 18.7% and 17.4% respectively in all studied units. However, Aeromonas spp. comprised of 10% isolated only in ICU and NICU. In addition Enterobacter cloacae, E. sakazakii and Proteus spp. comprised of 3.4%, 6.3% and 1.5% respectively being present in the OT only. Gram Negative Bacilli showed a considerable resistance to some antibiotics, the highest for Ceftriaxone 25.1%, followed by Nalidixic acid with 24.6. Cefuroxime and Cefaclor resistance was 22.6%. The lowest resistance rate was observed with Gentamycin 9.4%, Ciprofloxacin 10%, Imipenem 10.4% and Amikacin 11.4%.

من 48 ـــ الي 50

The management of the recurrent giant hepatic hydatid cyst is often a controversial matter. Herein, is described a case of a 37 year-old female patient who was diagnosed with a giant hydatid cyst occupying almost the entire right lobe of the liver. After identification and protecting the surrounding tissues, antiscolicidal injection (alcohol 97%) and evacuation of the total contents of the cyst is done, the cyst is totally excised. The large residual cavity was simply drained. The patient had developed biliary collection which has been drained pcrcutaneously under ultrasound guidance. She has been discharged 34 days after surgery in a good condition. The clinical presentation, diagnostic work-up and surgical management of the patient are discussed, along with a review of the literature.

من 51 ـــ الي 57

Hypertension is a growing global problem, which mostly affects the adults. There two main problems which are mostly affected the world populations, one is diabetics mellitus and another one is Hypertension. It is a risk factor for death from stoke myocardial infection congestive heart failure, ischemic heart disease, and progressive renal damage. They are responsible for morbitidity and mortality rate will be high. The early studies to detect the X-ray technique and Scanning techniques were used in the diagnosis of heart disease. To use it several times it will be side effects in some other problems and have poor rate of detention and treatment. The recent studies SNP detection will be used to solve the problems and responsible for good treatment. In recently RFLP analysis to easy detect the diseases in Mc Ardle’s disease from women’s, Human muscular dystrophy, many types of cancer, coronary heart disease glycogensisa type V disease to diagnosis and treatment of the diseases and improvement of the patients health.

من 58 ـــ الي 64

Cow urine has natural disinfectant and antiseptic qualities. In ayurveda it is suggested for improving general health. In our work we used urine as a bio-enhancer to increase the antimicrobial activity of some antibiotics such as ampicillin, chloramphenicol, erythromycin, streptomycin, rifampicin and and norfloxacin. The test bacterial pathogens used in this study include Escherichia coli, Salmonella typhi, Enterobacter aerogenes, Streptococcus pyogens, Bacillus sp, Staphylococcus sp and Pseudomonas aeruginosa. The antimicrobial activity was tested using disc diffusion technique. The plates were incubated at 37??C for 48 hours. After incubation period the zone of inhibition was measured and recorded.

من 65 ـــ الي 72

Methicillin-resistant Staphylococcus aureus (MRSA) is seen with increasing frequency in hospitals and considered as a major cause of hospital acquired infection. Our objective is to evaluate the presence of airborne MRSA in the operating theatres (OT), intensive care units (ICU) and nursery intensive care units (NICU) of six Hospitals, North of Jordan, their susceptibility to different antibiotics and their analysis for the presence of methicillin resistant gene (mecA) by PCR. Thirty four air samples of 100 liters volume/min were collected by a microbiological air sampler from the above units during the period June-December/2005. Air samples were impacted on trypticase soy agar (TSA) then incubated at 37 °C for 48 h. Each bacterial colony appeared on agar plates were sub-cultured on TSA or blood agar with incubation at 37 °C for 24-48 h, and then identified by standard methods. From all S. aureus, 17.2 % were identified as MRSA which comprised 5.8%, 3.9% and 7.5 % in the ICU, NICU and OT, respectively. MRSA isolates were remarkably susceptible (>80%) to each of amikacin, chloramphenicol, imipenem and rifampin. MRSA isolates were shown in all units with MIC value between 4 to >256?g/l in hospitals units. PCR analysis of 96.8 % MRSA isolates indicated the amplification of the mecA gene with size band of 220 bp.

من 73 ـــ الي 79
من 80 ـــ الي 85
من 85 ـــ الي 89

The small intestinal mucosal mast cells (MMC) distribution in the villi and the crypts of certain rodents, in addition to their response to the treatment with steroid hormones (glucocorticoids) is examined on Wistar, male rats which received a daily dose of prednisolone injection. The results were consistent in control animals with the previous findings showing larger mucosal mast cell population around the crypts than in the villous lamina propria throughout the small intestinal tract declining distally in both normal and treated rats. Prednisolone treated rats showed that the numbers of MMC were lower as compared to the normal counts after 24hrs and close to the normal values after 48 hrs of drug induction, tending to be higher after 72 hrs. The short period and low dose of the drug induction, although it suppresses the MMC counts, the MMC structure and function were not significantly affected as these numbers were shortly replaced. The intestinal lamina propria may overcome the periods of decreased activities through different physiologic processes.

من 90 ـــ الي 95