RESUMEN
Introduction: Management of dyslipidemia is an important part of most practice guidelines with many variations between these guidelines. Unfortunately, usually these guidelines are not followed widely on the level of primary care, possibly due to insufficient qualification of health care staff in primary care, non-participation in recent guidelines, and unrealistic target assigned to patients that leads them to non-compliance with medication and follow-up
Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 2001, through February 2017. The following search terms were used: dyslipidemia, primary health care dyslipidemia management, follow-up of dyslipidemia.
Aim: In this review, we aimed at evaluating the management expected from primary health care for risk assessment, treatment and follow-up of patients with dyslipidemia
Conclusion: Many guidelines exist for the proper management of dyslipidemia in the primary care setting. Screening is crucial for preventing the cardiovascular sequelae of dyslipidemia. Management modalities include lifestyle modification and pharmacotherapy, while the significance of follow-up cannot be neglected
RESUMEN
Background: Deep venous thrombosis [DVT] is a serious complication of various medical conditions including acute stroke
Objectives: We aimed to analyze the association between stroke toward hypertension [HP] and deep vein thrombosis [DVT] in northern Saudi palpitations
Methods: Cross-sectional study was performed, all incident stroke events during follow?up were identified by searching the hospital discharge diagnosis registry, and previous patient's medical records. Also, we conducted a questionnaire survey among population of North Saudi Arabia including 15 cities
Results: Our study showed that HP, and DVT which is definitely associated with stroke occurs only in approximately 5% of patients and significantly affects mortality among population from northern Saudi
Conclusion: Severe HP events with no stroke incidence is associated with increased risk of DVT especially in Male and age group above 55 years. Therefore, it may be reasonable to provide this group of patients with additional care and proper DVT prophylaxis in order to minimize the risk of stroke. Also, those patients with HP should be managed and followed regularly especially elderly patients who are at risk
RESUMEN
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