Tonsillectomy is one of the most frequently performed ambulatory surgical procedures in children (Litman et al. in Anesth Analg 78:478-481, 1994). Several techniques have been described for alleviation of pain (Ginstrom et al. in Acta Otolaryngol 125:972-975, 2005). the objective of this study determination of the postoperative analgesic efficacy of the pre-surgical intravenous administration of dexamethasone together with glossopharyngeal nerve block (GNB) in children undergoing tonsillectomy. Prospective double blind randomized control study using both pre-operative injection of 0.5 mg/kg dexamethasone iv and 3 ml of 0.5% bupivacaine local injection for bilateral glossopharyngeal nerve block. Patients in group B had significantly less visual analogue scale values, longer absolute analgesia time, lesser swallowing difficulty and they were discharged earlier from the hospital when compared to patients in both groups D and G. Using both pre-operative dexamethasone IV injection with GNB has reduced postoperative pain and morbidity to a great extent than using either alone.

The potential effects of anthocyanin-rich roselle, Hibiscus sabdariffa L. extract (ARRE) on the growth, carcass traits, intestinal histomorphology, breast muscle composition, blood biochemical parameters, antioxidant activity, and immune status of broiler chickens were evaluated. In the present study, Hibiscus acidified ethanolic extract was reported to have a total anthocyanin content of about 359.3 mg cyanidin 3-glucoside/100 g DW, total polyphenol concentration (TPC) of about 598 mg gallic acid equivalent (GAE)/100 g DW, and total flavonoids (TFs) of about 100 mg quercetin equivalent (QE)/100 g DW. Two-hundred-fifty one-day-old chicks (Ross 308 broiler) (87.85 gm ± 0.32) were randomly allotted to five experimental groups and fed on basal diets supplemented with five levels of ARRE: 0, 50, 100, 200, and 400 mg Kg−1 for 35 days. Dietary ARRE addition did not improve the birds’ growth and carcass traits. Supplemental ARRE increased the n-3 polyunsaturated fatty acids (PUFA) (ω-3) percentage in the breast muscle. Dietary ARRE increased the villous height, and the ARRE100 group raised the villus height to crypt depth ratio. Dietary ARRE increased the immunoexpression of immunoglobulin G (IgG) in the spleen. The serum thyroxine hormone (T4) level was higher in the ARRE200 group. The serum growth hormone level was increased by ARRE addition in a level-dependent manner. According to the broken-line regression analysis, the optimum inclusion level of ARRE was 280 mg Kg−1. All levels of supplemental ARRE decreased the serum triglyceride level. The serum total antioxidant capacity (TAC) was increased in the ARRE100-ARRE400 groups, the serum superoxide dismutase (SOD) level was increased in the ARRE200 group, and the serum malondialdehyde (MDA) level was decreased by increasing the ARRE level. Supplemental ARRE significantly increased the serum levels of lysozymes and IL10. The serum complement 3 (C3) level was increased in ARRE200 and ARRE400 groups. It can be concluded that dietary ARRE addition had many beneficial effects represented by the improvements in the bird’s metabolic functions, blood biochemistry, intestinal morphology, antioxidant activity, immune status, and higher ω-3 content in the breast muscles. However, it had no improving effect on the birds’ growth.

BackgroundDacrocystorhinostomy (DCR) is an operation used to treat nasolacrimal duct obstruction. Essentially there are two approaches: external and endoscopic. Several modalities are used in endoscopic DCR; all aiming to improve success rate, reduce complications, and shorten operative time. Both kerrison punch and drill are widely used in endoscopic DCR with non-conclusive knowledge about differences in operative details as well as on the outcome. The aim of this study is to compare between powered (drill) and non-powered (kerrison punch) DCR to clarify the superiority of one over the other.MethodsA retrospective chart review of 59 patients who underwent endoscopic DCR procedure at our institution from June 2013 until July 2014 (34 kerrison punch and 32 powered drill). Operative details, surgical outcome and complications were compared between both groups.ResultsA total of 66 endoscopic DCRs were performed on 59 patients. Procedure success rate among kerrison punch group was 87.88 % vs. 90.9 % in powered drill group (p = 0.827), while complications for both groups were statistical not significant (p = 0.91). The mean operating time among kerrison punch group was significantly lower than in powered drill group (75 min vs. 125 min, p = 0.0001).ConclusionKerrison punch showed significant reduction in operating time when compared to powered drill for endoscopic DCR. No statistically significant difference was found between both groups regarding procedures’ success rate and complication.

Objective:This study investigated the comparative morphological analysis of the vomeronasal organ and the accessory olfactory bulb in dogs and rabbits.Materials and Methods:A total of 15 heads obtained from each adult healthy Balady dog (Canis familiaris) and New Zealand rabbit (Oryctolagus cuniculus) of both sexes. The animals were sedated and anesthetized. Then, the heads were removed for computing topography, gross, and cross-sectional anatomy and histological techniques.Results:The vomeronasal organ was blind bilateral tubes enclosed by J-shaped cartilage on each side of the nasal septum. In dogs, it extended from the level of the upper third premolar teeth to the third incisive teeth. While in rabbits, it had no relation with the upper teeth. In cross section, the vomeronasal organ was pear-shaped in dogs and oval in rabbits. The accessory olfactory bulb was a small oval-shaped in dogs, but larger and ovoid in rabbits with clear lamination in its structure. The vomeronasal epithelium in rabbits was higher in its thickness than that of the dog. The vomeronasal duct had medial sensory and lateral respiratory epithelium. The vomeronasal glands were voluminous and of serous type in rabbits other than were seromucous in dogs.Conclusion:The most characteristic structural variations achieved in the vomeronasal organ and the accessory olfactory bulb of the dog and rabbit gave an indication that the organ was more functional in rabbits than in dogs. The detection and response to the pheromonal stimuli were referred to as the occurrence of olfactory epithelium in the vomeronasal organ.

Introduction: Skin prick test (SPT) is the most sensitive and reliable method of detecting the causative allergens and considered the gold standard method for allergy testing, it is also simple, quick and cheap. However it has an invasive nature requires multiple skin pricks, painful for children and difficult if skin diseases coexist. SPT can be affected by antihistaminics and corticosteroids. Hence, an immunoblotting technique as an alternative test for IgE determination has been developed, which is lesser invasive. Aim: To evaluate the immunoblot test by comparing it to SPT in diagnosis of allergic conjunctivitis. Patients and Methods: Immunoblot test was done for 32 patients clinically diagnosed as allergic conjunctivitis, either alone or associated with allergic rhinitis and / or bronchial asthma and who gave positive SPT with one or more of 11 natural allergenic extracts. Results: Overall diagnostic performance of immunoblot test in comparison to SPT for detection of all studied aeroallergens showed 27.5% sensitivity, 98.0% specificity, 97.0% positive predictive value, 33.2% negative predictive value and 46.2% diagnostic accuracy. Conclusion: Since immunoblotting technique has low sensitivity and high specificity, hence it can be used as confirmatory test secondary to SPT for diagnosis of causative allergens.

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