Background: Glutamine is essential for various metabolic processes and is a fundamental component in mechanisms involved in cellular resistance against injury and mortality. However, the specific impact of enteral glutamine administration on burn patients remains uncertain. We performed this meta-analysis to establish glutamine’s role in managing burn injury patients. Methods: We conducted a comprehensive search across multiple electronic databases, including MEDLINE (via PubMed), Embase, and various trial registries, to identify randomized controlled trials that evaluated the effectiveness of enteral glutamine in burn patients. To analyze the data, we employed a random-effects model and presented dichotomous outcomes and continuous outcomes as relative risk and mean difference, along with corresponding 95% confidence intervals, respectively. Results: Our meta-analysis included 6 RCTs involving 1413 patients. Our primary outcome, all-cause mortality, was reported by 5 studies and was found to be comparable between the glutamine and control groups (RR=0.66, 95% CI=0.22-1.94). There was no significant difference between the glutamine and control group regarding the incidence of infection (RR=0.93, 95% CI=0.67-1.30) and length of hospital stay (MD -4.76 days, 95% CI=-10.63 to 1.11 days). Conclusion: The enteral administration of glutamine does not decrease mortality in burn patients. Further high-quality, large-scale randomized controlled trials are needed to provide conclusive evidence.

Most instances of Guillain-Barré syndrome (GBS) are caused by immunological stimulation and are discovered after vaccinations for tetanus toxoid, oral polio, and swine influenza. This systematic study investigated GBS cases reported after receiving the COVID-19 vaccination.

Pena-Shokeir Syndrome is considered to be a fatal congenital condition that is rarely diagnosed in neonates. We present the first ever reported case of Pena-Shokeir Syndrome from Syria. Both clinical assessment and early prenatal diagnosis are necessary to give more realistic options for the mother and the baby.

A Rare Coincidence of Turner syndrome and Bronchiectasis: Case Report

We report a rare case of a 50-year-old female with covid19 presented to the emergency department where supplementary oxygen is delivered via non-invasive face mask ventilation. x-ray imaging performed the existence of pneumoperitoneum. CT scan was not applicable due to the advanced status of the paient.

Multiple sclerosis is a disease that affects the central nervous system, resulting in a variety of symptoms such as vision , physical activity and stability .Central positional vertigo as an initial multiple sclerosis symptoms is a rare case in the literature.

Scalp avulsion injuries are one of the life-threatening traumatic injuries. There are no clear guidelines to determine which reconstructive method is superior to another in each condition. Our case demonstrates that relatively primitive methods like skin grafting can give greater results if done with circumspection.

Subdural empyema is a rare intracranial infection with an accumulation of purulent material between the dura and arachnoid matter. We report a case of 17 years old presented with altered conscious level .CSF analysis showed increased WBCS. His situation has improved after treating by acyclovir, ceftriaxone, vancomycin and dexamethasone.