HighlightsElderly patients receiving psyllium for treatment of constipation must drink a good amount of fluid.It is advisable to avoid bulk laxative treatment in presence of organic bowel obstruction or ileus.Oral contrast materials that contain Psyllium can cause bowel obstruction in some patients.

Microneurosurgical transsphenoidal techniques combined with image-guided systems can precisely define the localization and removal of lesions in the sella region with respect to the margins of important anatomical structures in the neighbourhood and the endocrinological functionality of the pituitary gland.

The aim of the study was to adapt the media and technology usage scale and attitude scale to Arabic. The methodology of the current study was a quantitative method, as the questionnaire was used from 1100 university students. Then, exploratory factor analysis was performed on the media and technology usage scale. As a result of factor analysis, nine factors emerged. The nine factors are named as follows on Facebook Check, general social media use, primary phone use, video games, media sharing, online friendships, email usage, Facebook friendships, and smartphone use. The attitude scale has three factors. The three factors are named respectively as following positive pttitude and negative attitude and Preference for Task Switching. The Cronbach alpha coefficient of the media and technology use subscale of the scale adapted to Arabic was found to be 0.757. This coefficient shows that the media and technology usage subscale has a acceptable degree of internal consistency. In addition, the value of Cronbach alpha coefficient of the attitude subscale was found be 0.699. This indicates that the attitude subscale has a acceptable degree of the internal consistency. As a result, the adapted Arabic form of media and technology usage and attitude scale is a scale that can reliably measure the media and technology usage and attitudes of individuals in Arabic-speaking places around the world.

Background: Complete tumor elimination via transsphenoidal surgical operation is frequently hard for large nonfunctioning pituitary adenomas (NFPAs). A confirmed medical treating might be beneficial for their managing. Aim of Study:To investigate the effectiveness of dopamine agonist medication in decreasing or avoiding the re-growing of NFPA after ward surgical operation.Patients and Methods: This was a prospective, randomized, clinical trial done in Al-Azhar University Hospitals was conducted on 20 patients experienced primary transsphenoidal surgical operation for pituitary adenoma management, the study was carried out through a period of 12 months from March 2020 to March 2021.Results: Tumour reduction rate of remaining cancer mass was significantly higher in medically-treated group, while tumour growing rate of remaining tumour mass was significantly elevated in controls. Conclusion:Cabergoline (dopamine agonist was an effective medication for the treatment of remaining NFPA, and its usage was accompanying with an elevated tumour shrinkagerates.