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Objectives: to analyze the spectrum of skin lesions at our institute, and study the age, sex and anatomic distribution pattern. We will also classify the lesions into major categories and determine the incidence of each subcategory
Materials and Methods: we carried a three and half year's retrospective study of skin biopsies which were collected from King Khalid Hospital recording system in Hail region in a time period from January 2014 till April 2017
Results: The highest percentage was in the age group 30-39 year [25.1%] with a male preponderance of 52.8%. The head, neck and face were most frequently involved body parts [46.06%]. Cysts were the most common [32.3%] which included the sub-types epidermoid cyst, ganglion, dermoid cyst, pilar cyst and brachial cleft cyst. Nevi [19.4%] including intradermal nevus, congenital nevus and blue nevus were the second most common skin lesion. Correlation with the histopathologic diagnosis was positive in 94.9% cases and negative in 5.1% cases
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Airway management in patients who have sustained direct trauma to the airway is among the most challenging problems for emergency clinicians. Blunt or penetrating injuries to the head, oropharynx, neck, or upper chest can result in immediate or delayed airway obstruction. Immediate, definitive airway management is needed when the patient cannot protect his airway or is unable to sufficiently oxygenate or ventilate. Emergent or urgent airway management is specified when a patient develops respiratory distress or when symptoms are progressing rapidly. In addition, airway management often is indicated when the patient appears clinically stable, but the clinician anticipates clinical decline [e.g., smoke inhalation, edema, subcutaneous air, hematoma] or feels that an unprotected airway presents a risk to the patient who requires transport to another facility or to radiology for extensive diagnostic studies. The higher rate of complicated airways in this population mandates that the clinician has to be prepared to use advanced airway techniques, including a surgical airway
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Background: Acute poisoning is a common situation that occurs due to administrating harmful substances that impact the health with significant costs and increasing the rates of admission to emergency departments
Objectives: Assessing the knowledge of Saudi medical students toward the initial management of acute poisoning in Riyadh Region, Kingdom of Saudi Arabia [KSA]
Methods: A cross-sectional study was done based on a questionnaire sheet conducted at Riyadh region in KSA from August to October 2017 among medical students
Results: Most of the subjects were at the seventh semester [69.7%], followed by 23.7% in the fifth academic semester and 13.7% at the sixth academic year. About 69.7% and 65.3% had previous exposure to first aid training and training in emergency setting. Most of the subjects had good knowledge about the definition of poisoning, early stages of acute poisoning, importance of maintaining airway, respiration and circulation as well as initial management using gastric lavage, char coal and antidotes. The level of knowledge was good among 77.3% of students but was insufficient among 22.7% of subjects. There were a significant association between higher educational semesters, training about first aid as well as training in emergency departments
Conclusion: The level of knowledge about initial management of acute poisoning was adequate among most of the students and was associated with training programs and experience in emergency departments. This study presented the importance of educational and training programs from the first year of the college to increase the knowledge and practice to save more lives
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Background: Systemic lupus erythematosus [SLE] is an autoimmune disease where the body's immune system attacks its own healthy tissue. It can affect many organs such as skin, joints, brain, kidneys and other organs
Objectives: to evaluate the knowledge toward Systemic Lupus Erythematosus [SLE] among citizens in Al-Dammam city
Methods: a questionnaire-based quantitative cross-sectional study which focuses on determining the knowledge of Systemic lupus erythematosus in Al-Dammam city
Results: 240 participants filled the surveys, 130 participants [54%] have no idea about SLE. The majority of respondents had no clear idea regarding treatment and complications of the disease. 32% respondents had idea that SLE is more prevalent among females. In fact, this disorder is reported more prevalent in women
Conclusion: this study indicated that the public have low awareness with some misconception regarding the SLE. The awareness campaigns are needed to increase the awareness about SLE which will be helpful to educate the public about its symptoms and methods of treatments
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Objective: this study aimed to determine the distribution and antibiotic susceptibility patterns of bacterial strains isolated from patients with community-acquired urinary tract infections [UTIs] at King Salman Armed Forces Hospital, Saudi Arabia, Tabuk. Urinary tract infections [UTIs] remain the common infections diagnosed in outpatients as well as hospitalized patients. Early diagnosis and comprehensive treatment can significantly decrease late serious complications. Current knowledge on antimicrobial susceptibility pattern is essential for appropriate therapy
Methods: urinary isolates from symptomatic UTI cases attending to King Salman Armed Forces Hospital were identified by conventional methods. Positive urine cultures from 210 patients aged less than 14 years were studied. Antimicrobial susceptibility testing was performed by Kirby Bauer's disc diffusion method. Results were analyzed by using the NCCLS guidelines of the 210 samples that showed growth of pathogens
Results: the most prevalent were E. coli [96.7%] followed by Klebsiella spp [3.3%]. The majority [81%] of the isolates were from females, while the remaining was from males. Among these gram-negative enteric bacilli very high prevalence of resistance was observed against Ampicillin and Co-trimoxazole. For E.coli the lowest resistant rate was that for Nitrofurantoin 10.3% followed by Norfloxacin and Ceftriaxone [11.3% and 11.8% respectively]. Resistance to Gentamicin and Nalidixic acid was observed in 19.2% and 47.3% respectively. For Klebsiella, all organisms were sensitive to Gentamicin and Norfloxacin and all organisms were resistant to Ampicillin. There was a high resistance rate to Ceftriaxone [42.9%]
Conclusion: this study revealed that E. coli was the predominant bacterial pathogen of community-acquired UTIs at King Salman Armed Forces Hospital. Most of the organisms were resistant to Ampicillin and Co-trimoxazole; it also demonstrated an increased resistance to Nalidixic acid and Gentamicin. This study is useful for the clinician in order to improve the empiric treatment
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Background: previously, and specifically at the last period of 20th century, TB was one of the major leading cause of death. However, the incidence of TB has been decreased. Around ten million cases have been reported in 2015, 61% of them are recorded in Asia. The yearly incidence rate of TB that is recorded in Saudi Arabia is 12/100,000. Eradicating TB is the future plan for the entire world, and WHO are intending to get free TB world. This plan can't be real if general populations are not aware of TB
Aim: the aim of this study is to assess knowledge, attitude and practice with TB among eastern and western Saudi Arabia community
Method: that was cross-sectional study. So, participants have been selected by random sample from public places in eastern and western Saudi Arabia. The tool that we used to collect data is Self-administrated questionnaire contains demographic part and awareness of TB evaluation part. Then we compare evaluations results according to many variables specifically the region by Chi-Square Test. We consider the result of the comparison is significant level once P-value < 0.05
Result: around 750 participants in this study [Response rate 93.75%] by mean age 32. Only 3.6% have a history of TB and 16.8 % have relative with a history of TB. Only 18.1% of participants have good knowledge, only 15.1% have favorable attitude and most of the participants have a good practice [63.7%]. People with high degree educational level have better knowledge than others. People who have relative with a history of TB have better knowledge. Females are better in attitude more than male, western populations have a better attitude than eastern, and people who have relative with a history of TB have a better attitude. People with high degree education have a better practice than others and people who have relative with a history of TB have a better practice
Conclusion: eastern and western region in Saudi Arabia have a very poor knowledge and Attitude towards TB, and Western populations have better attitude compared to that of Eastern. Participants have high percentage of a good practice which still needs to be improved Level of education is an important factor that may control the level of knowledge about TB
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Background: defect of use of antibiotics is bothering pediatricians. This defect is participating in the prevalence of one of global health problem called antibiotic Resistance. Many articles are supporting the idea that use of antibiotics is positively related to antibiotic resistance and this problem is increasing and growing up. By the way, incorrect use of antibiotics has many factors that contribute on, like patient attitude and deficiency of education from the physician who prescribed the antibiotic. Also, patient's knowledge and practice with the antibiotic like self-prescription. What is patient expecting from antibiotic and previous experience with antibiotics? Parents are responsible to give medications to children. So, we need to increase parents' knowledge, attitude and practice [KAP] toward antibiotics to reach new generation without antibiotic resistance. Regarding Saudi Arabia, antibiotic resistance already exists and the rate of resistance is increased in the last decade
Aim of the work: to assess how parents are aware of antibiotics those given to their children by evaluating knowledge, attitude, and practice of parents in Riyadh region, central Saudi Arabia
Methods: this is questionnaire based cross-sectional study. Authors were circulating on Riyadh Region to find volunteers to fill questionnaires among parents of children in public places by selecting parents of children up to 12 years old by choosing random samples from each place. The questionnaire has two parts: the first part, as usual, is containing demographic data. While the second part: is the part that is evaluating KAP of parents towards antibiotics. Then we compared the final results by Chi-Square test and p-values less than 0.05 was considered as significant value
Results: around 1058 parents volunteered to participate in this study [response rate was 88.16%] by mean age of 38. Around 89.6% used antibiotics for their children before. There are 9.5% of parents were believe that their children need antibiotics each time they get sick. More than 35% of our participants don't complete period of antibiotic use to their child as what is mentioned on prescription. About 82.3% believe that antibiotics can harm children. There are 41.7% of parents bought antibiotics to their children from the previous prescription. Around 61.1% don't know the term antibiotic resistance. There are 28.4% of participants could change their doctors if they don't prescribe antibiotics easily, while only 642[60.7%] could change their doctors if they prescribe antibiotics excessively. About 68.1% of participants believe that doctors prescribe antibiotics excessively. Nearly 49% have good KAP, 41% of participants have intermediate KAP and remaining 10% have poor KAP. Females are better than male in KAP, people with high degree education are better than other and parents who used antibiotics before are better than those who didn't [p-value < 0.05]
Conclusion: level of knowledge, attitude, and practice of people in Riyadh region is ranging between good to moderate, and tends to be good. We can expect antibiotics resistance to happen among new generation in Riyadh region. There is an unacceptable idea that is highly prevalent among parents that doctors excessively prescribe antibiotics. Moreover, mothers have better awareness than fathers. People with high degree level of education have better awareness than others