ABSTRACT
Background: Deep Venous Thrombosis (DVT) and subsequent Pulmonary Embolism (PE) are one of the mosteminent causes of preventable deaths in nosocomial settings. The prevalence is increasing and they have variableclinical presentations encountered in community settings as well as hospitalized patients requiring timely andobligatory prophylaxis. Objective: This study aims to review prophylactic measures for deep venousthrombosis/pulmonary embolism highlighting implemented pharmacologic and mechanical interventions, newerand yet investigational techniques such as neuromuscular electrical stimulation towards reducing prevalence ofvenous thromboembolism. Materials and Methods: A review of relevant articles published between the years of2000 to 2019 in English language was done using the databases of PubMed Pico, Google Scholar and Google,using the predetermined keywords. Conclusion: Venous thromboembolism prevalence is increasing and amongthe various available methods for thromboprophylaxis, pharmacologic approach is the most superior whichinvolves making use of either unfractioned or low molecular weight heparin although the most efficacious is lowmolecular weight heparin as evidenced by several meta-analyses. Anticoagulants have numerous side effectsleading to limitations of their use and in such situations, mechanical methods such as intermittent pneumaticcompression (most effective), graduated compression stockings, and venous foot pump scan can be used. Incircumstances where both medicines and mechanical approach become impractical, neuromuscular electricalstimulation can be implemented even though additional research is required to further elucidate its efficacy andimplications.
ABSTRACT
Objectives: To assess the awareness, attitudes and background information about the surgical options in the treatment of obesity among the general adult population in Riyadh city, Saudi Arabia
Methods: In this cross-sectional study 420 adult residents from Riyadh from both genders were interviewed and given specifically designed questionnaire to assess their awareness about weight loss surgery and the attitude toward it as a method used in the treatment of obesity. Data were collected between September 2017 and December 2017. The questions highlighted 3 health status scales; 4 aspects including subject's demographics characteristic, personal weight, height and BMI, and their understanding about obesity and its causes and beliefs about weight loss surgery. Scores were analysed using SPSS
Results: More than 90% of the participant in this research identified at least three risk factors of obesity, and more than 90% of the participants had good knowledge about the lifestyle modification to prevent or reduce obesity, regarding the knowledge about bariatric surgery. Although [79%] of them knew the effectiveness of bariatric surgery as a method of reduction of weight; only [37.6%] thought that it will reduce mortality among obese people, [21.4%] knew that weight loss surgeries can result in complications but on the other hand [42.9%] of subjects thought that bariatric surgery can result in death The overall beliefs among the participants regarding the use of bariatric surgery as a method in the treatment of obesity was poor and only 38% had favourable beliefs about the surgery
Conclusion: the knowledge of subjects about obesity and its preventive measures were high but the favourable perceptions about Bariatric surgeries were low. These results indicated that efficient educational programs about obesity and bariatric surgeries are needed for control of obesity and its complications as well as increasing the availability of weight loss surgeries
ABSTRACT
Background: More recently ibuprofen, was used for the indication of the patency of ductus arteriosus closure in preterm infants; this drug is associated similar side effects include cerebral, renal, and mesenteric circulation
Methods: An electronic search was carried out using search terms such as "renal failure", "kidney failure", "renal injury", ibuprofen, "side effects", "adverse effect", complications. The search in MEDLINE and EMBASE through PubMed search engine resulted in 31 articles. These articles were screened for eligibility criteria included studies aimed to assess renal injury caused by ibuprofen use in infants
Results: After exclusion of irrelevant duplicated and review studies, 12 studies were included in this review. Eight studies were randomized control, 3 retrospective evaluation and 1 retrospective cohort study. the effect of the treatment on the renal function there are two outcomes reported either reduction in serum creatinine or incidence of acute renal failure. Incidence of acute renal failure reported in 4 studies
Conclusion: Although renal failure was more common in infants receiving Indomethacin compared to Ibuprofen, oral Ibuprofen was less toxic to the kidneys than intravenous and the serum creatinine levels after treatment did not differ, this is not significant
ABSTRACT
Background: Carpal tunnel syndrome [CTS] is one of the commonest conditions encountered in primary care centers as mentioned earlier. CTS of mild to moderate severity can often be effectively treated in a primary care environment. However, many patients being referred immediately to hospital for consideration of surgical decompression
Objective: In this study, we aim to evaluate the available primary care options and their efficacy in dealing with CTS
Methods: PubMed database was used for articles selection, and the following keys used in the mesh [["Carpal tunnel syndrome"[Mesh]] AND ["Carpal tunnel syndrome/Management"[Mesh] OR "Carpal tunnel syndrome/Diagnosis"[Mesh] OR "Carpal tunnel syndrome/ Primary Health Care Center]]. 5 studies were enrolled according to our inclusion, and exclusion criteria
Results: Patients successfully treated with wrist splinting alone reported a higher level of satisfaction with their treatment compared to patients who failed wrist splint treatment or had surgical decompressionMechanical traction is associated with fewer surgical interventions compared to care as usual in CTS patients. Reductions in patient-reported symptoms at 6 months' follow-up was similar in both groups.Steroid injection combined with splinting resulted in modestly greater reduction of symptoms, functional recovery, and improvement of nerve function at 12-week follow-up compared to steroid injection alone
Conclusion: CTS is commonly encountered in primary care. So, a trial of conservative treatment can be done before referral for surgical decompression. Conservative treatment of CTS had shown a clear reduction in hand surgery waitlists, thus reduction in expenditures and costs. Wrist splinting is recommended as first line treatment for patients with symptoms of CTS. Other methods of non-surgical treatment include steroid injection, osteopathic manipulative therapy, mechanical wrist traction and combining wrist splinting with steroid injection or with NSAIDs use. Referral for surgical decompression may be a more appropriate option when the level of numbness and other symptoms are getting worse, or when conservative management has failed and is likely to lead to dissatisfaction
ABSTRACT
The aim of this study was to determine the prevalence and severity of dental erosion in 12-15-year-old schoolchildren and to compare prevalence between public and private school boys. This cross-sectional study was carried out on 1000, 12-15-year-old school boys in Abha, Saudi Arabia. Dental erosion index proposed by O‘Sullivan was used for the four maxillary incisors. Data analysis included descriptive statistics, location, distribution, and extension of affected area and severity of dental erosion. The prevalence of dental erosion was 25.60% with no significant difference between private and public school students. Matt appearance of the enamel was the most prevalent type of dental erosion (63.63%). In most of the involved cases, more than half of their surfaces were diagnosed as affected by erosion (78.49%). Labial surfaces were the most affected (80.90%), while incisal surfaces were least affected (0.22%). Thus it can be concluded that dental erosion among Saudi school boys is becoming a significant problem, hence it is essential to provide adequate preventive care, and healthier dietary habits campaign for Saudi children.
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Objectives: To evaluate the level of evidence [LOE] of Saudi clinical orthopedic research
Methods: In July 2012, a list of Saudi orthopedic surgeons [N=93] affiliated with all major universities and hospitals in Saudi Arabia were obtained. PubMed and Embase searches were performed for all eligible studies over the last 2 decades [August 1991 to May 2012]. The Oxford LOE scale was utilized to determine the LOE of these studies [Level V studies were excluded]. The LOE trends were compared between the last 2 decades. In addition, the LOE of Saudi orthopedic studies was compared with North American studies
Results: Of 251 articles, 159 met the inclusion criteria for the LOE evaluation. Most of the published studies are Level IV [86%]. The average level of evidence was 3.75. There was no statistically significant difference when we compared the LOE trend between the last 2 decades. North American studies contained higher proportions of high-level studies when compared to Saudi studies [p<0.05]
Conclusion: Most of the published studies are low LOE. Academic staff, institutions, and training programs are required to develop research strategies to improve orthopedic research quality in Saudi Arabia