Background: Ectopic pregnancy is a major cause of morbidity and mortality in reproductive-aged women, accounting for 9% of pregnancy-related deaths in the first trimester. Clinical prediction tools have been developed to aid management decision making. Fernandez et al “1991” developed a score based on gestational age, β-hCG level, progesterone level, abdominal pain, hemo-peritoneum volume, and hematosalpinx diameter. A score of less than 12 predicts more than 80% success with expectant or nonsurgical management. Aim of the study was to improve the outcome of patients with ectopic pregnancy attending the emergency room at Suez Canal University hospitals, Egypt.Methods: This is a descriptive (cross-sectional) study conducted on 62 patients diagnosed to have ectopic pregnancy in the emergency department in Suez Canal University Hospital. The patients were subjected to full assessment including full history, examination, investigation and Fernandez score. These data were collected in a questionnaire, interpretted using SPSS program and the score was calculated.Results: The study revealed that 48.8% of the patients were in the age group between 31-40 years. It was found that in 61 patients (98%) the decision matched using Fernandez score and experts’s opinion while only one patient was given a different decision. Using Fernandez score, 40 patients had results less than 12 which guided to conservative management and 22 patients had a score more than 12 which guided to operative management.Conclusions: It was found that Fernandez score has 100% sensitivity and 95.2% specificity.

Background:Severe traumatic lower limbs injuries have been associated with high incidence of multiple systems involved (integument, nerve, bone, and vascular structures). That’s make difficulty and stress on surgeon’s decision making either to amputate or preserve the injured limbs. The Mangled Extremity Severity Score (MESS) was developed in Seattle (Johansen et al), based on both retrospective and prospective analysis of admission data of patients with severe limb injuries. The objective of this study was to evaluation of the prognostic predicting factors of outcome of traumatic extremities patients using Mangled Severity Scoring System at Emergency Department in Suez Canal University Hospital in order to help surgeon to make decision either to preserve or to amputate.Methods: This is a descriptive study (cross sectional), conducted on 60 patients with severe extremities injuries that met the criteria of the Mangled Extremity Severity Scoring attending to the Emergency Department (ED) at Suez Canal University Hospital.Results:This study showed that 83.33% of the patients had associated fractures, 8.33% of them had pneumothorax, 5% of them had abdominal collection and 3.33% of them had brain injuries. This study showed that 75% of the studied patients had MESS less than 7 while 25% of them had MESS > or = 7. The Mangled scoring system was a good predictor of amputation among the studied patients with sensitivity of 71.4%, specificity of 100% and 90% accuracy.Conclusions:Most of the patients had Mangled Extremity Severity Score less than 7. The MESS showed statistically significant difference between the amputated and the not amputated patients with 90% accuracy in prediction of amputation.

INTRODUCTIONTrauma is the leading cause of death and disability in children ≥ 1 year of age. More than 80% of injuries are caused by blunt trauma. Most seriously injured children have multiple injuries.1 Injury scoring systems are designed to accurately assess injury severity, appropriately triage the injured, and develop and refine ABSTRACT Background: Trauma is the leading cause of death and disability in children ≥ 1 year of age. More than 80% of injuries are caused by blunt trauma. Most seriously injured children have multiple injuries. Injury scoring systems are designed to accurately assess injury severity, appropriately triage the injured, and develop and refine trauma patient care. The pediatric trauma scoring (PTS) was devised specifically for the triage of pediatric trauma patients. The pediatric trauma scoring (PTS) was devised specifically for the triage of pediatric trauma patients. The PTS is calculated as the sum of individual scores from six clinical variables. The variables include weight, airway, systolic blood pressure (SBP), central nervous system (CNS) status (level of consciousness), presence of an open wound, and skeletal injuries. Other predicting factors for morbidity and mortality in polytraumatised children include age and gender of the patients, trauma type, arrival interval time, Glasgow Coma Scale (GCS), respiratory rate, heart rate, hematocrit value at admission. These factors can further help to prevent mortality. The objectives of this study were to assess the prognosis of polytraumatised pediatric patients by evaluation of pediatric trauma scoring system and clinical predictors of morbidity and mortality as prognostic predictors of trauma in pediatric patients. Methods: This was adescriptive study, included 60 polytraumatised pediatric patients who were attended emergency department in Suez Canal University Hospital, Ismailia, Egypt. Results: This study showed that the mean of the pediatric trauma scoring system was 10±2. According to the nature of the most severe injury, this study showed that 43 % of injuries among patients were of extremities and pelvis nature. According to length of resuscitation time among patients, this study showed that the mean time of resuscitation was 35.5±8.23 minutes. According to the type of treatment done for the patients, this study showed that 72% of the patients didn't need surgical intervention. This study showed that regarding the final outcome of the patients, 68% of the patients were admitted to inpatient. Conclusions: This study showed that both heart rate and respiratory rate had good sensitivity while both of them had lower specificity. This study showed that GCS good specificity and fair sensitivity. Regarding the PTS, this study showed that PTS had the highest specificity and the highest sensitivity among all the predictors.

This study was carried out in Sulaimani province Kurdistan region-Iraq during the spring and summer seasons from April  to September 2015 on 400 head of  black goat Capra aegagrus were infected with ticks and lice, have been selected from different herds and regions were elonging to the districts and sub-districts of Sulaimani province, to identified and effect of their parasites on some blood values in the local goats. It has been diagnosed two species of hard ticks of the genus Rhipicephalus: R. sanguinaus and R. turanicus, its percentage 82.30% and 17.70% respectively, also have been diagnosed two species of lice: Biting lice is Damalinia capriae and other species Sucking lice was Linognathus stenopsis, its percentage 71.44% and 28.56% respectively. The results showed a significant difference P ˂ 0.01 in the infection rate between the spring and summer seasons where the total infection rate during the spring and summer seasons for ticks and lice: 32.25%, 19.75% respectively. As for ticks were more infections in the spring season and the least in the summer season, which were 44%, 20.5% respectively, whereas the infection rate of lice was more during the summer season and less during the spring season, which was 25.5% and 14% respectively. The study results showed presence of a significant decrease according to Chi-Square Test in the total number of red blood corpuscles RBC , the amount of hemoglobin Hb , packed cell volume PCV and the average weight of mean corpuscular hemoglobin MCH in the goats that infected with the lice and ticks, that anemia in the goats that infected with the ticks was Microcytic - Hyperchromic anemia type , while in the goats that infected with lice , anemia was of the the type Normocytic - Hyperchromic anemia. Also identified a significant increase P ˂ 0.05 in the total number of white blood cells WBC  in the goats that infected with lice and goats because of the significant increase in the number of Lymphocyte and Neutrophils while the the ratio of Eosinophil, Basophil and Monocyte was decreased in all infections as compared with the control samples.

Background Pleomorphic adenoma, also known as a benign mixed tumor, is the most common salivary gland tumor. The parotid gland accounts for 90% of the total, with the minor salivary glands accounting for 10%. Buccal minor salivary glands pleomorphic adenoma is extremely rare. It manifests as a painless, firm, slow-growing mass in most cases. Case presentation A pleomorphic adenoma in the buccal minor salivary glands was discovered in an adult 43-year-old female patient treated with wide surgical resection. A literature review of the PA of the cheek is stated. Conclusion In the differential diagnosis of cheek masses, pleomorphic adenoma should be scrutinized. The remedy of choice is wide local excision with at least a 5-year follow-up.