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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (10): 5416-5420
in English | IMEMR | ID: emr-200011

ABSTRACT

Background: chronic calculous cholecystitis is an inflammatory disease which affects the gallbladder wall and causes motoric-tonic dysfunctions of the biliary system accompanied by gallstones in the lumen of the gallbladder and biliary pain. Among aging study groups, the prevalence of gallstone disease is likely to increase


Aim of the Work: to determine the prevalence and determinant factors of chronic calculous cholecystitis among senile population in Arar, KSA


Patients and Methods: the present cross sectional community based study was conducted in Arar city, Northern Border Province, KSA on 217 adult people aged 50 years and more. Data were collected through personal interviews with the study population and filling the questionnaire which guided us to the data of socio-demographic status, smoking, chronic diseases, already previously diagnosed with chronic calculous cholecystitis, after ensuring the diagnosis by reviewing the accompanied health reports and/or prescriptions and asking the accompanied caregivers about the case


Results: the mean age of the participants [+/- SD] was 69.9 [+/- 9.3] years; male to female ratio was 43.8 to 56.2. The overall prevalence rate of chronic calculus cholecystitis found in this study was 6.9%. There was a relationship between chronic calculus cholecystitis and age group, sex, DM, BMI group, Thyroid disease and Hypertension. The prevalence of chronic calculus cholecystitis was more in females compared to males [9.0% vs. 4.2%]


Conclusion: female gender, diabetes and obesity are significantly associated factors in the development of gallstones. Thus, understanding the gallstones pathogenesis would result in life style modifications and weight loss which would decrease the rates of the disease

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (2): 6035-6041
in English | IMEMR | ID: emr-200096

ABSTRACT

Background: Hip fractures are defined as any fracture of the femur between the articular cartilages of the hip joint to 5 cm below the distal point of the lesser trochanter. Hip fracture is a worldwide public health problem that primarily affects osteoporotic individuals and the elderly. Up to 30 % of the elderly patients with a hip fracture die within the first year


Objective: to show the risk factors and post-operative complications of hip fracture in cases attending orthopedic department of Arar Central Hospital in Arar city


Methods: a cross sectional study conducted during the period from 1 December 2017 to 31 March 2018. A predesigned questionnaire was used for data collection, and included inquiries about sociodemographic data of the studied patients, performing muscular exercise, osteoporosis, diminished vision and disorders in equilibrium, causes of fracture, type and site of fracture, occurrence of complications of surgery, postoperative care and the final outcome of treatment


Results: Most [70.1%] of the studied population aged 22-59 years, males constituted 59.8%. Causes of hip fracture were accident in 66.7% and fall in 25.0%. Among hip fracture cases, 43.9% were obese, 13.1% have osteoporosis, and 17.8% have disorders in equilibrium. Males reported insignificant higher percentage of hip fracture than females [25.0% Vs. 18.6%]. Osteoporosis, diminished vision, chronic diseases, continuous use of medications and smoking showed significant relation with hip fracture [P<0.05]. While BMI, disorders in equilibrium and performing muscular exercise showed insignificant relation. Complications after surgery was osteomyelitis in 12.6%, early fixation failure in 4.2%, wound infections in 8.4% and hospital acquires pneumonia in 4.2%. Only two thirds of the cases were completely cured


Conclusion: in our study population in Arar city, males reported insignificant higher percentage of hip fracture than females. Osteoporosis, diminished vision, chronic illnesses, continuous use of medications and smoking were significant risk factors of hip fracture. Complications after surgery was included, osteomyelitis, early fixation failure, wound infections and hospital acquire pneumonia. Only two thirds of the cases were completely cured, the rest of cases showed disability and movement limitation

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 71 (5): 3232-3235
in English | IMEMR | ID: emr-192846

ABSTRACT

Background: despite the modern life and people knowledge about certain diseases, the prevalence of hernia repair procedures and its associated conditions have been increased in the recent years in Saudi Arabia


Objectives: prevalence of hernia repair procedures is almost known in the modern countries. This study was done to know the prevalence of hernia repair procedures in Saudi Arabia


Methods: a cross-sectional study on knowing the prevalence of hernia repair procedures in Saudi Arabia was distributed among men and women from February to January to February 2018 to 523 participants on many different social media platforms


Results: 3.8% of the participants had done hernia repair procedure. Regarding risk factors that may lead to hernia repair procedure, 29.1% of the participants had a positive family history of hernia repair procedure, 44.5% of the participants were obese, 27.6% were smoker, 25.8% ate high fat diet, 17.5% suffered from chronic constipation, 12.6% suffered from chronic cough, 8.3% had major surgeries, 7.7% were diabetic, 5.2% had been admitted to ICU, 4.6% suffered from urinary retention, 2.1% had major trauma, 1.25% had been diagnosed with atherosclerosis disease and 37.7% were having no risk factors


Conclusion: at the end of this study, we found out that hernia repair procedure is increased among people in Saudi Arabia and multiple people are suffering from many risk factors that may lead to hernia and then hernia repair procedure eventually

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