Treatment of adult patients with short-bowel syndrome

Background: extensive resection of the intestinal tract regularly results in insufficient digestion and absorption of nutrients, a condition identified as short bowel syndrome. This condition requests a devoted multidisciplinary collaboration to overcome the morbidity and mortality in these patients. With progresses in serious care management, an increased number of patients survive the prompt morbidity of massive intestinal resection present with short bowel syndrome. Some treatments, including parenteral nutrition and surgical methods to reconstruct bowel have been utilized in these patients. Dietary methods, pharmacotherapy and convenient surgical interventions have all added to the enhanced result in these patients. Nevertheless, increasing experience and promising outcomes of intestinal transplantation had added a new aspect to the administration of short bowel syndrome

prevalence and the clinical characteristics of metabolic syndrome patients admitted to the cardiac care unit

Objectives: metabolic syndrome [MetS] is a group of multiple cardiovascular risk factors, including dysglycemia, central obesity, high cholesterol, and hypertension. Cardiovascular disease is one of the most common complications of MetS. Recent studies showed that prevalence of MetS among patients admitted with acute coronary syndrome was as high as 46%

Design: we conducted a cross-sectional study of 203 patients at the two main hospitals in Ta'if, Saudi Arabia. Patients older than 18 years who were admitted to the Cardiac Care Unit [CCU] between the months of August 2013 and June 2014 were asked to participate. MetS diagnosis was made based on the International Diabetes Federation Definition

Results: a total of 203 patients participated, with 59.1% male and 40.9% were female. The mean age was 60.9 years with a mean body mass index of 28.97 kg/m2 and a mean waist circumference of 95.45 cm. The prevalence of MetS was 47.8%, primarily among obese female patients who reported sedentary lifestyles. Additionally, MetS patients were more likely to be admitted with heart failure [p < 0.05] and more likely to have moderate-to-severe leftventricular hypertrophy [LVH; p < 0.05] relative to non-MetS patients

Conclusion: of the patients admitted to the CCU, 47.8% had MetS, with those patients likely to be female and obese. Furthermore, MetS patients were more likely to be admitted with heart failure and suffer from moderateto- severe LVH

Outcomes of knee arthroscopy under local anaesthesia

To evaluate the outcome of knee arthroscopy performed under local anaesthesia. In a retrospective study between 1999 and 2004, the medical charts, theatre reports and radiological images of 225 patients were reviewed. Function was assessed from SF-36, WOMAC, Tegner and Lysholm scores. Patients were interviewed by telephone or by the Internet. Of the 115 patients who completed the study, 88 [77%] were men and 27 [23%] were women, with a mean age of 48 [ +/- 1 1.5] years. The mean follow-up was 18 months [range, 3-60]. The left knee was operated on in 62 [54%] cases and the right knee in 53 [46%] cases. Both patient and surgeon satisfaction was >90%, especially in the case of normal healthy patients and patients with mild systemic disease, minimal synovitis, a good response to local anaesthesia, minimal ipsilateral hip osteoarthritis and no recent partial collateral ligament injury. Arthroscopy under local anaesthesia is an effective, safe method for treating knee disease. Our results are comparable to those in the current literature