Background: Upper respiratory tract infections (URTI) cases are one of the most frequently seen cases in the primary care setting. The causative agents are either bacteria or virus. It is not easy to differentiate among them. In term of treatment for both conditions, certain principles of treatment are advised to be followed. Objective: To assess the knowledge, attitude and experience of General Practitioners (GPs) on upper respiratory tract infections (URTI) as well as on antibiotics usage. Methods and Materials: In a six months nationwide prospective study, 152 Malaysian GPs participated by answering a questionnaire relating to views on common clinical presentations of upper airway infections, management of disease and the usage of antibiotics. The results from the questionnaire were tabulated and analyzed with SPSS version 22.

In 2017 there were approximately 62000 new cases of thyroid cancer (TC) in the United States, with a death toll of less than 5%. This relatively low mortality rate is based on a grouping of all TC subtypes, which masks the small minority of patients with biologically aggressive tumors who have dismal prognoses for survival. The paper begins with a brief overview of TC variants relative to their alternative differential diagnostic characteristics, risk factors, and treatment options. We then proceed with presentations of 5 patients with different forms of aggressive TC, two of whom suffered from very rare collision tumor subtypes. Four of these individuals died of persistent disease, notwithstanding complex treatments with curative intent; the fifth patient suffers from metastatic disease and numerous postoperative morbidities. This case series highlights the significant shortcomings of current diagnostic and treatment ethodologies for aggressive thyroid gland tumors. We discuss our clinical experienceswith these patients, and we offer suggestions regarding methods that might facilitate early identification of aggressive TC and rational treatment decisions.

Background: The prevalence of chronic rhinosinusitis with nasal polyps (CRSwNP) is estimated at around 4% in general population. The population-based studies using rhinoendoscopy have demonstrated the prevalence of nasal polyposis, with values ranging from 0.5 to 2.7%. If the symptoms and reduction in the quality of life persists despite adequate conservative therapy, then such patients are indicated for surgical treatment. This review aims to summarize existing literature and discuss the issue of the extent of the surgery in polyp disease.

Objective: The aim of this work is to evaluate the role of rehabilitation programs of learning disabilities on children with attention deficit hyperactivity disorder (ADHD) children, and compare the effect of pharmacological treatment, rehabilitation program of learning disabilities, and both together on children with attention deficit hyperactivity disorder (ADHD) children.

Background: The benefi t from biodegradable middle meatal dressings is well established, and includes improved wound healing, stabilization of the middle turbinate, reduced granulation tissue, and improved patient comfort. This study compares the outcomes of a 100% plant-based nasal dressing to a popular fully synthetic dressing in patients undergoing endoscopic sinus surgery.