ABSTRACT
Renal transplantation is the best management for patients suffering from end-stage renal disease [ESRD]. It has many benefits which overcome the complications of dialysis, it has some acute and long term complications that could result in failure. Failure of transplant is the fourth cause of death among patients with end stage kidney disease. The causes of failure is still a debate but rejection, drug toxicity and fibrosis as well as chronic allograft nephropathy and patient's immunity related factors. This review will provide important information regarding the causes associated with post-renal transplant failure
ABSTRACT
Background: A substantial group of patients with gallstone disease experience negative outcome after surgical removal of the gallbladder [cholecystectomy]. Early identification of these patients is important
Purpose: The purpose of the study was to recognize predictors [trait anxiety and clinical symptoms] of negative symptomatic outcomes at 5 weeks after cholecystectomy
Materials and Methods: Consecutive patients [n=66], 18-60 years, with symptomatic gallstone disease, completed symptom checklists and the state-trait anxiety inventory preoperatively and at 6 weeks after cholecystectomy. Results: High trait anxiety was the only predictor of persistence of biliary symptoms at 6 weeks after cholecystectomy [OR=6.79]
Conclusion: In addition to clinical symptoms, high trait anxiety is a predictor of negative symptomatic outcome at 6 weeks after cholecystectomy. Trait anxiety should be evaluated to aim at a patient-tailored approach in gallstone disease
ABSTRACT
Background: otitis media [OM] and its complications resulted in high prevalence of hearing loss and increasing the rates of health care visits with special regard to the developing countries
Aim of the work: this study aimed to evaluate the knowledge, attitude and practice [KAP] toward otitis media among adult teachers in Kingdom of Saudi Arabia [KSA]
Patients and Methods: this is a cross sectional questionnaire based study and it was conducted among a random sample of teachers in KSA from March to June 2017. All the teachers were inter viewed in their schools during the break period and answered the questionnaire that was comprised of four objects including the socio-demographics of subjects, knowledge, attitude and practice pattern of participants toward otitis media
Results: the overall knowledge about the risk factors, disease prevention and serous type was improper. Also, a poor level of attitude and practice pattern was found among most of the subjects. The overall KAP of the teachers was poor among 58.8%, while 41.2% showed adequate KAP about Otitis media. The good KAP showed a significant association with higher economic level, while other variables showed no association with KAP including age, gender and cigarette smoking
Conclusion: the suboptimal knowledge about otitis media would result in poor attitude and practice pattern which increased the prevalence and complications of otitis media. The economic level was associated with OM, thus it was considered a vital factor in prevention of otitis media