Résumé
Background: Acute cholecystitis is an acute inflammation of the gallbladder, and it is the most common cause of acute pain in the right upper quadrant. It is a critical clinical problem representing up to 5% of emergency room visits
Objective: The aim of the present study was to assess the knowledge of the general population of Albaha City, Saudi Arabia towards acute cholecystitis [AC]
Methods: A representative sample of 634 subjects from both sexes, aged from 18-80 years who completed a standardized questionnaire was involved in the study
Results: Only 48 subjects had history of the disease with a prevalence rate of 7.57%. More than half of the participants [58.7%] recorded family history of AC in one of their direct relatives. Great percent of the study participants considered obesity, high cholesterol and high triglycerides responsible for increased incidence of AC [59.9%, 54.3% and 66.9%]. A high percentage of the participants [55.2%, 48.3%, 38.2%, 62.8%, 36.9% and 54.3%] did not know whether their food or habits could predispose to AC. Higher percentages considered intolerance to fatty meals, nausea and vomiting as symptoms of AC [55.5%, 48.9 %and 46.7% respectively]. Most of the participants [75.7%] did not receive any information about AC prevention. Their established information was highly or to some extent effective in changing the participants' life style [39.0% and 42.9% respectively]
Conclusion: This survey has been useful in determining the current regional knowledge towards AC among general population in Albaha city. Such study emphasizes the need for more efforts that focus on novel preventive strategies to overcome the onset of gallstones. Further much bigger collaborative national studies are recommended
Résumé
Background: most of articles addressed the underlying causes and management of Neonatal Nonhemolytic Jaundice, however only a few have investigated nonhemolytic jaundice among infancy which can turn fatal in severe case, however can be prevented by early diagnosis
Aim of the Work: was to investigate the most common etiologies of nonhemolytic jaundice among infants presented to at King Abdulaziz University Hospital [KAUH] which may help pediatricians to rearrange their differential diagnosis about nonhemolytic jaundice in infants
Material and Methods: this is a retrospective observational study of all infants aged between 1-12 months, conducted at King Abdulaziz University Hospital [KAUH] in Jeddah, Saudi Arabia from January 2016 to November 2017. Data collection was done using Microsoft Excel while data analysis was done using SPSS version 21. Chi -square test was used to test if associations would be appropriate
Results: out of total 105 patients enrolled in this study, complete data set was available for 88 only patients during 2012. The mean age at presentation in months was 2.73 [+/- SD 2.21] range from 1 to 12 months. Among the sample, the final outcome was as follows ; 59 [67%] jaundice-free, 14 [15.9%] still diseased and 15 [17%] dead. Sepsis was the most common cause of jaundice with 33 cases [37.5%], followed by biliary atresia 10 cases [11.4%] and congenital hypertrophic pyloric stenosis 7 cases [8%]. On the other hand, the least common causes were rare diseases like wolman syndrome, crigler-najjar syndrome and autoimmune hepatitis and each of them represents 1 case. The overall number of deaths in our study was 15 [17%]. Seven of them were due to sepsis and 2 were due to biliary atresia
Conclusion: we hope to help the local physicians in Jeddah to arrange their differential diagnosis of nonhemolytic jaundice among infants and deal with it seriously, due to the high incidence of critical illness and death
Résumé
Aim of the work: the care of patients with a wound infection may seem conflicting, various diverse antibiotic preparations may be utilized after some time with an end goal to control the causative organism and a kwide range of treatment procedures might be utilized by various healthcare experts. With the approach of Independent [Supplementary] Nurse Prescribing Courses and the future potential for medical caretakers with reasonable capabilities to recommend antibiotics for patients with wound infections, there is a requirement for attendants and different specialists to review and update their insight into this vital subject
Résumé
Background: type 2 diabetes [DM] mellitus and Hypertension [HT] are among the most common chronic non-communicable diseases affecting at a higher prevalence in the older age group. The presence of hypertension in diabetic patients substantially increases the risks of coronary heart disease, stroke, nephropathy and retinopathy. The objective of this study is to determine the prevalence rate and risk factor associated with co-existence of hypertension and diabetes mellitus in elderly population in Arar city, Northern Saudi Arabia
Methods: a cross sectional study, included 181 elderly attending seven randomly selected primary healthcare centers in Arar city during the period from 1st January to 30th June 2017. Participants selected using a systemic random sampling procedure as we take every second elderly attending the PHC during the study period. Data collected by means of personal interview using a predesigned questionnaire covering the required items
Results: the prevalence of coexistence of diabetes and hypertension was 16.6% while coexistence of diabetes, hypertension and obesity were found in 9.9%. Two-thirds [66.66%] of cases of coexisting diabetes and hypertension were females [P value>0.05]. The relation between coexisting diabetes and hypertension with smoking status was significant [P value<0.05] while the relation with BMI was non-significant [P value>0.05]
Conclusion: coexistence of diabetes and hypertension were found in 16.6% of elderly population of Arar, Northern KSA. This association leads to several cardiovascular complications, so it is mandatory to adopt more strategies for the control of DM and HT in Arar elderly population by appropriate methods