Obesity is one of the most common health issues in the world. It is defined based on body mass index (BMI), that is, the ratio of weight (in kilograms) to the square of height (in meters). World Health Organization defines an adult with a BMI =30 kg/m2 as obese. In the case of surgical intervention in an obese patient particular anesthetic procedure might be required. In this case report, we present our experience in the management of anesthesia during head and neck surgery which was performed on a 66 years old, 172 kg super-obese patient diagnosed with laryngeal cancer.

Worldwide, one in eight deaths is due to cancer. Projections based on the GLOBOCAN 2012 estimates predict a substantive increase new cancer cases per year by 2035 in developing countries if preventive measures are not widely applied. According to the World Health Organization (WHO), millions of lives could be saved each year if countries made use of existing knowledge and the best cost-effective methods to prevent and treat cancer. Therefore, the aim of this study is to estimate a provisional budget against cancer in low and middle incomes countries, according the GNI-PPP, the cancer incidence and the number of population. Economically country classification is determining with the Gross national income (GNI), per capita, Purchasing power parity (PPP), according the administrations of the International Monetary Fund (IMF), the World Bank (WB) and the Central Intelligence Agency (CIA). Cancer incidence data presented are based on the most recent data available at IARC. However, population compares estimates from the US Bureau of the Census. The provisional budget is establishing among the guidelines developed by WHO for regional and national cancer control programs according to national economic development. Provisional budget against cancer is estimated to 3,614.356 (thousands of U.S $) for a population of 808,080 persons in Comoros.

supraventricular tachycardia encompasses a group of cardiac rhythm disturbances characterised by a rapid heart rate, which arise from impulses originating above the bundle of His. This condition affects patients across all age groups and is a common occurrence in the emergency setting. We present the case of a 69-year-old woman with a history of breast carcinoma, hypertension and hyperlipidaemia, who presented to the emergency department with recurrent palpitations which were confirmed on electrocardiogram to be the result of supraventricular tachycardia. The management of recalcitrant supraventricular tachycardia in the emergency setting, including techniques described in recent literature, as well as special considerations for the elderly and oncological patients in the acute setting will be discussed.

Background: WHO estimates that seasonal influenza may result in 290 000-650 000 deaths each year due to respiratory diseases alone. In addition, affected more than 10% of total population annually worldwide, Seasonal influenza is highly contagious disease; spreads easily, with rapid transmission in crowded areas including schools and nursing homes. Objectives: To Study incidence rate, trends and patterns of seasonal influenza among Dubai population for the period 2017-2019, to Study some of the associated factors. Materials & Subjects: A retrospective records review study was carried out of convenience sample of 29158 confirmed seasonal influenza case reported in Emirate of Dubai for the period 2017-2019. All age groups, genders, nationalities, occupations, education and seasons were considered. Findings: The study showed that 53.42% of total seasonal influenza cases were among male groups in Dubai, almost 50% % of the cases were among age group less than 15 years old, and almost one quarter of cases were among the age group between 30-40 years old, the present study showed that 54.37% were among Asian groups, 14.59% of the seasonal influenza incidence in Dubai during 2017-2019 were among Emirati population and 18.79% were among Arabs groups .As per occupation, the study showed that 30.74% of total seasonal influenza cases were among students in Dubai, on the other hand the study revealed that 84.53% of the total seasonal influenza cases during 2017-2019 were handled at outpatient level, yet 15.47% were sever enough cases to be admitted and treated at inpatient facilities. Incidence rate per 100000 population were increased respectively from 2017 through out 2019 (168, 297,466). The study revealed as well that the rate as per nationality the seasonal influenza incidence rate in Dubai from 2017=2019 650/100000 among Jordanian living in Dubai,, almost 50% % of the cases were among age group less than 15 years old, and almost one quarter of cases were among the age group between 30-40 years old, the present study showed that 54.37% were among Asian groups, 14.59% of the seasonal influenza incidence in Dubai during 2017-2019 were among Emirati population and 19.71% were among Arabs groups . The study showed that 30.74% of total seasonal influenza were students in Dubai, 84.53% of the total seasonal influenza cases during 2017-2019 were managed at outpatient. yet 15.47% were sever enough cases to be admitted and treated at inpatient level of different health care facilities in Dubai. Incidence among Egyptian was 557/100000, while among Emirates, 325 /100000, Incidence rate of seasonal influenza 2017-2019 according to age distributions showed that 30.7%among students, and 7.8%among children preschool age, and 5.22%among housewives. The present study showed that the incidence rate of seasonal influenza in Dubai in 2017-2019 as per moth distributions was the highest, 21.4%in November followed by 18.2%in December, and the least was 2%in July. Conclusions: incidence rate of seasonal influenza in Dubai keep increasing during the last three years, the highest rates significantly come from children segment of population specially students and elderly group as well, the period from October to end of February of each years.

The antimicrobial activity of filling materials was studied to improve the quality of treatment of complicated caries in vitro. Resorcin-formalin cement Resodont (“Latus”, Ukraine) - ? 1; Endocort zinc oxide-eugenol cement (“Latus”, Ukraine) - No. 2; materials based on zinc oxide eugenol cement with dexamethasone: Endomethasone ivory (Septodont, France) - No. 3 and Endofil ("Produit Dentaires SA", Switzerland) - No. 4. To assess the antimicrobial activity of the studied materials, test microorganism strains were used: Staphylococcus aureus ATCC 25923, Enterococcus faecalis ATCC 6783, Candida albicans ATCC 885-653. As a result of the study, it was established that filling materials have different antimicrobial activity. Resodont has the greatest antimicrobial activity on the test culture. Endomethason is active in relation to the test cultures studied, inferior to Resodont in its antimicrobial properties. Endocort and Endofil have less antimicrobial activity than Resodont and Endomethason, but have approximately equal growth retardation rates. It should be noted that with respect to Staphylococcus aureus, Endocort was found to be almost 1.5 times more active than Endofil. The conducted studies confirm that the materials for filling of root canals by Resodont and Endocort (Latus, Ukraine) have a pronounced antibacterial effect. They are competitive with foreign sealers and are the materials of choice, having a significantly lower cost.