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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (1): 42-49
in English | IMEMR | ID: emr-190700

ABSTRACT

Background: high altitude illness [HAI] refers to a number of acute syndromes that may take place in individuals who are not acclimatized to high altitude, including acute mountain sickness, high altitude pulmonary edema and high altitude cerebral edema. Awareness of the general population about the manifestations and risk factors of high altitude illness may enhance the recognition of patients and ensure adequate management of acute cases


Objective: this study was carried out to assess the awareness of general population of Albaha city regarding high altitude and related illnesses


Methods: this questionnaire was distributed among the general public in Albaha city, Saudi Arabia. The questionnaire consisted of two sections: section 1 included personal data and section 2 was concerned with awareness and knowledge of people regarding high altitude illness. Only completed questionnaires without missing data were statistically analyzed


Results: a high frequency of the participants identified the risk factors contributing to HAI including ascending too quickly, overexertion, dehydration and sleeping at high altitude. On the other hand, participants had some false believes about the risk factors, the gravity of the illness and the lowest level of altitude at which manifestations may develop. Only 30.1% identified the lowest altitude at which HAI can occur. About one third of the subjects had symptoms of HAI in the form of difficulty in breathing, exhaustion, headache, weakness and difficulty in sleeping


Conclusion: overall, respondents were interested in learning more about high altitude sickness. Physicians and the internet were the most attractive sources of information for this population

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 739-744
in English | IMEMR | ID: emr-192587

ABSTRACT

Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis


Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis


Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database]. Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities


Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (7): 1083-1089
in English | IMEMR | ID: emr-192643

ABSTRACT

Background: Heavy alcohol consumption is an inevitable cause of alcoholic liver disease with a high chance to progress to Alcoholic Liver Cirrhosis. Alcohol could damage the function of body organs and could cause cancer. Liver damage due to excessive alcohol consumption is usually presented as fatty liver [build-up of fats in the liver], steatohepatitis, fibrosis, alcoholic cirrhosis, and hepatocellular carcinoma. When liver fibrosis progresses, it will ultimately end up as alcoholic cirrhosis


Objective of the Study: This article was intended to explore and investigate the possible optimal diagnosis and management of Alcoholic liver cirrhosis


Methods: We searched the medical literatures to retrieve studies for the review till 30 November 2017. Electronic search in the scientific database from 1965 to 2017- [Medline, Embase. The Cochrane Library websites were searched for English Publications [both reprint requests and by searching the database] .Data extracted included authors, country, year of publication, characteristics of patients, pathophysiology, risk factors, clinical manifestations, different diagnostic approaches and treatment modalities


Conclusion: Absolute abstinence remains the foundation for any treatment of any acute or chronic Alcoholic Liver Disease. It's also important to understand that no treatment will cure cirrhosis or repair scarring in the liver that has already occurred and the only resort would be liver transplantation which is also debatable provided the complications it carries along. Nevertheless, timely diagnosis of alcoholic cirrhosis in people with alcoholic liver disease is the cornerstone for evaluation of prognosis or choosing treatment strategies such as nutritional and medical support and lifestyle change

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