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1.  Missed foreign bodies in the hand: an experience from a center in Kashmir 
The Libyan Journal of Medicine  2010;5:10.3402/ljm.v5i0.5083.
Introduction
Penetrating hand injuries are common and improper assessment can result in missed foreign bodies. These bodies can result in a wide range of complications.
Aim
The aim of our study was to study the profile of patients reporting with missed foreign bodies in the hand.
Materials and methods
All the cases treated in the Department of Surgery, Sheri Kashmir Institute of Medical Sciences (medical college), Kashmir, for missed foreign bodies in hands from June 2003 to May 2009 were studied retrospectively.
Results
A total of 61 cases with missed foreign bodies of different nature were treated over the period of six years. Wooden splinters were the most common foreign bodies missed. Preoperative localization was accomplished with plain radiographs and ultrasonograms. Most of the cases were treated on outpatient basis.
Conclusions
Foreign bodies should be suspected and ruled out in all cases of penetrating injuries of hands. Missed foreign bodies need to be removed after proper localization by imaging.
doi:10.3402/ljm.v5i0.5083
PMCID: PMC3071174  PMID: 21483579
foreign body; radio-opaque; splinter; exploration; complication
3.  Hand Hygiene Practices among Medical Students 
Background. Hand hygiene is a cost-effective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in most healthcare settings. We conducted a study to evaluate the awareness, and compliance of hand hygiene among undergraduate medical students during their clinical phase in Qassim College of Medicine, Saudi Arabia. Methods. A questionnaire based on World Health Organization's concept of “Five Moments for Hand Hygiene” was used to evaluate the awareness of the indications for hand hygiene and compliance was observed during Objective Structured Clinical Examination (OSCE) sessions. Sixty students including thirty-six males (60%) and twenty-four females (40%) participated voluntarily in the study. Results. The average awareness regarding the positive indications of hand hygiene was 56%. Rest of the 44% of students were either not sure or unaware of the indications of hygiene. Only 29% of students were able to identify all the five indications for hand hygiene in the questionnaire. Compliance as assessed during OSCE sessions was only 17% with no significant difference between the genders. Conclusion. It was concluded that serious efforts are needed to improve the hand hygiene practices among medical students.
doi:10.1155/2012/679129
PMCID: PMC3457633  PMID: 23024653
4.  Anal cancer – a review 
Anal cancer accounts for only 1.5% of gastrointestinal malignancies but this disease has shown a steady increase in incidence particularly in HIV positive males. The understanding of pathophysiology and treatment of anal cancer has changed radically over last thirty years. Risk factors have been identified and organ preservation by chemoradiotherapy has become a standard. This article aims to review the clinical presentation, diagnostic evaluation, and treatment options for anal cancer in the light of current literature.
PMCID: PMC3616949  PMID: 23580899
anal cancer; anal canal; anal margin; chemoradiotherapy; HIV; HPV; salvage; recurrence; imaging
5.  Congenital Median Upper Lip Fistula 
Congenital median upper lip fistula (MULF) is an extremely rare condition resulting from abnormal fusion of embryologic structures. We present a new case of congenital medial upper lip fistula located in the midline of the philtrum of a 6 year old girl.
PMCID: PMC3418042  PMID: 22953305
Fistula;  Congenital;  Median;  Lip
6.  Congenital Intranasal Glioma 
Case Reports in Surgery  2011;2011:175209.
Congenital midline swellings of nose are encountered rarely, and nasal gliomas constitute about 5% of such lesions. Various theories have been suggested to explain the pathogenesis. Imaging preferably by MRI is mandated to study the extent and to rule out intracranial extension. Treatment is complete excision, and the approach depends upon the extent of the lesion and availability of expertise. We present the management of one such case of congenital intranasal glioma without any intracranial extension that presented as a septal polyp.
doi:10.1155/2011/175209
PMCID: PMC3350185  PMID: 22606573
7.  Post clubfoot release skin necrosis: a preventable disaster 
The Libyan Journal of Medicine  2011;6:10.3402/ljm.v6i0.6415.
Complications of pedal wounds closed primarily after release of neglected cases of club foot are well known in literature. We treated a 12-year-old boy presenting with widespread necrosis involving medial aspect of foot after release of neglected talipes equinovarus. Such widespread necrosis is even known to end up in amputations and permanent disabilities. In our case, the foot was successfully salvaged by resorting to dedicated wound care, multiple debridements, use of topical negative pressure (vacuum-assisted closure – VAC), and skin grafting. Various means to prevent such adverse events are also presented. The aim of publishing this case is to stress the need to:Take proper measures preoperatively in neglected club feet to decrease the impact of deformity.To be aware of various different flaps and methods of closure as mentioned in literature and to reaffirm the fact that primary closures done under tension are bound to fail and end up in disasters.To be patient and use the modern concepts of wound management like topical negative pressure if such unfortunate complications do occur and thereby attempt to salvage the feet.
doi:10.3402/ljm.v6i0.6415
PMCID: PMC3081856  PMID: 21526037
club foot complications; necrosis; topical negative pressure; vacuum-assisted closure (VAC); flaps
8.  Congenital isolated right radial club hand 
The Libyan Journal of Medicine  2010;5:10.3402/ljm.v5i0.5090.
Congenital radial club hand (RCH) is an uncommon congenital anomaly characterized by various degrees of deficiency along the preaxial or radial side of the extremity. We present one such case of Type 4 congenital isolated RCH who presented to a tertiary care center in the Middle East.
doi:10.3402/ljm.v5i0.5090
PMCID: PMC3066786  PMID: 21483577
club hand; congenital anomaly; radial deficiency

Results 1-8 (8)