Analytical study of treated patients with anal fissure at a private surgical clinic in Aden

The objectives of the study were to find out the frequency of anal fissures related to sex, age and to determine the treatment and complications. A retrospective study on patients from a private clinic suffering from anal fissure, during the years 2010 - 2011. Males to females difference was very small, 55.6% and 44.4% respectively. Most of them [54.8%] were in the fourth decade of life aged between 25-49 years, and [27.4%] aged 50 years or more while only [17.8%] patients were less than 25 years. The mean age was 39.6 +/- 11.8 years. Chronic constipation and vaginal delivery were the principle causes, [90.4%] and [9.6%] respectively. Anal pain [63%] and anal bleeding [37%] were the only symptoms at admission. The diagnosis was made by history and direct inspection, [75.6%] had acute anal fissure and [24.4%] had chronic anal fissure. Lateral internal sphincterotomy was the main surgical procedure used in the treatment [72.6%] of patients with acute anal fissure and [18.5%] of patients with chronic fissure. Anal dilation was done for 12 [8.9%] patients, 4 of them had acute fissure and 8 had chronic fissure. Anal dilatation was done manually [p < 0.05]. Four [3%] patients with acute anal fissures had complications of incontinence to flatus. We conclude that males were more commonly affected and the most common cause of anal fissure was chronic constipation. Majority of the patients had lateral internal sphincterotomy performed.

Frequency of urolithiasis in patients from Southern Governorates in Yemen: Ultrasonographic findings

Urolithiasis is the third most common pathological disease affecting the urinary tracts. Although epidemiological studies about this condition are lacking in our country, the work and expertise of physicians indicate that the occurrence of urolithiasis is extremely high. We performed a prospective study of the frequency of urolithiasis in a sample of 480 patients, including males and females of all ages, who underwent ultrasound examinations in our private clinic in Aden. 136 patients [28.3%] were affected with urolithiasis. The rate was higher in males [71.3%] than in females [28.7%], with a male to female ratio of 2.5:1. The frequency of urolithiasis was high on average [67.6%] among patients in the age groups 21-50 years old, declined among patients over 51 years of age, and was markedly low among patients more than 70 years of age. Fourteen [10.3%] cases of urolithiasis were found in patients at the age group

Renal cell carcinoma: Clinico-pathological retrospective study on Yemeni patients

The aim of this study is to highlight the pattern of renal cell carcinoma among Yemeni patients and to correlate this type of cancer with some epidemiological risk factors. The clinical records of 22 patients with renal cell carcinoma, admitted to Al-Gamhoria Teaching Hospital in Aden and Ibn-Khaldoon General Hospital in Lahj Governorate between 1999 - 2002, were studied retrospectively. The mean age of the male patients was 55 years, and the females was 45 years. Renal cell carcinoma was more common in males than females, with a ratio of 2:1. Smoking habits was found in association with the disease in 73.3% of the male patients. Patients with blood group A were with higher rate [54.6%] of RCC than patients with other blood groups. Renal cell carcinoma affected the left kidney more than the right kidney. One third of the patients presented classical triad [hematuria, pain, mass]. Anemia and increased ESR were found in 77% and 91% of the cases respectively. Renal failure was present in 9% of the cases. Clear cell type was the most common pathological variant of RCC with 77%. We concluded that further studies of RCC in larger series are needed to elucidate the frequency, types, risk factors, and the relationship between blood group and renal cell cancers

Fine needle aspiration biopsy of the thyroid gland: a retrospective study of 184 cases

The aim of this retrospective study is to analyze the frequency of nodular thyroid and to determine the incidence of benign diseases and thyroid cancer among patients who underwent fine needle aspiration biopsy. The study is based on cytopathology reports of all thyroid FNAB performed at The New Modern Histopathological Laboratory in Al-Mansourah, Aden, from 2006-2007, which are reviewed and data of final pathologic results, such as sex, age, and residential area were obtained. The total cytopathology reports were 184. Females were predominantly affected by thyroid nodules with a female to male ratio of 8.7:1. In general, the mean age was 36.45 +/- 11.3 years. Males had a higher mean age [43.2 +/- 12.5 years] compared to females [35.7 +/- 10.8 years]. Most of the patients [131], representing [71.2%], were from Ibb Governorate. The benign thyroid diseases, reported in this study, were: nodular colloid goiter 101 cases [54.9%], follicular adenoma 35 cases [19%], diffuse colloid goiter 12 cases [6.5%], Hashimoto's thyroiditis 10 cases [5.4%], toxic diffuse goiter 8 cases [4.4%], multinodular goiter 7 cases [3.8%], Thyroid cyst 7 cases [3,8%]. Thyroid malignancy is represented exclusively by papillary carcinoma only; it was found in 4 cases [2.2%]. A significant difference was found in the occurrence of thyroid diseases between females and males [p < 0.05]. In conclusion, these results are in accordance with those of previous studies done in Yemen, and it provides useful information for further studies

View of methods for treating allergic rhinosiimsities in Aden

The aim of this study was to study the comparative characteristics of the treatment of patients, with allergic rhinosinusities, by different methods of nonspecific desensitization. A prospective study was conducted on 945 patients, with allergic rhinosinusities, who were referred to the ENT Outpatient Department in Al-Gamhoria Teaching Hospital in Aden. The total study patients were 945, 341 males and 604 females [64%] who were fpllowed up during a period of 18 months. We have divided all patients into 10 groups. Simple schemes of treatment were set according to the table in the text with the symbols A to L. In this study, the best results of recovery and improvement were obtained first by applying G scheme [0.5 cc Hydrocortisone], the second by applying H scheme [introduction: 1 cc hydrocortisone up to 10 times], the third by applying A scheme [Antistine-privine, Sodium chromogllucate [nasal drops], Piritone, Calcistin, Incidal, Calcium gluconate and vitamin c]. We concluded that optimal treatment protocol is still lacking in our country. Regular studies must be performed to monitor the methods of treatment and to set newer modalities of treatment, especially in this area of hot climate and high humidity

Cancer in Aden-Yemen: a retrospective study [2005-2006]

The collection of credible information on cancer patterns is an important basis for determining the priorities for cancer control. There is no reliable information about the incidence or pattern of cancer in Yemen and, hence, an attempt was made to assess the situation based on hospital data which is the only way to achieve the source of cancer in Aden, Yemen. Four hundred and seven confirmed cases of cancer[155 males, 252 females], seen at the three hospitals from January 2005 to December 2006, were included in the study. The mean age of male and female patients was 48.5 and 48.7 years, respectively. The majority of the patients i.e. 286 [70.2%] were above 41 years of age. The difference between values is statistically significant [p<0.05]. Overall, the most common cancer patterns were from the gastrointestinal tract [28%], breast [22.8%], lymphoma [9.6%], and leukemia [6.9%]. The most common cancer patterns among males was gastrointestinal cancer [36.8%] and among females was the breast cancer [36.9%]. Our study provides valuable leads to cancer epidemiology in Aden, and is considered as useful information for health planning and future researches

Assessment of physicians' recordings in admitted patient's charts: Al-Gaumhoria Teaching Hospital, Aden

This study was designed to assess the admitted patient's charts at Al-Gaumhoria Teaching Hospital, Aden. The total patients' charts were 172 [60 from the medical wards and 112 from the surgical wards] who were admitted to the medical and surgical wards during September to November 2005 and discharged alive. Fourteen variables from the chart were chosen. They were demographic data, date of admission, chief complain, history of present illness, past history, family history, physical examination, differential diagnosis, initial therapy, signature and stamp of physician who admitted and discharged the patient, final diagnosis, daily follow up, and date of discharge. The parameter for the findings was the percentage of registered and unregistered variable. For the total charts, we found deficiency in recording the variables of signature and stamp of physicians by discharging patient 65.1%, final diagnosis 55.8%, demographic data 43%, date of discharge 40.1%, family history 34.3% and past history 27.9%. The rest unregistered variables ranged between 12.2% and 3.5%. We concluded that negligence of physicians and deficiency in recording the full items in patient's chart is attributed to the following factors: deficiency of supervision of head of departments, deficiency in knowledge of medical ethics and importance of patient's chart, deficiency of guidelines and lack of the coordination between faculty of medicine, teaching-hospitals administrations and the Yemeni Council for medical Postgraduate studies

epidemiological profile of malaria in Aden

In order to study the epidemiology of malaria in Aden, we retrospectively collected and analyzed data of patients examined for malaria in all governmental health institutions in Aden Governorate, during the year 2005. The total examined patients were 46201 and the identified positive malaria cases were 2450. The incidence rate of malaria infection was 412 per 100000 people. Malaria species were mostly due to P. falciparum [96.4%], while P. vivax was [3.6%]. The predominant malaria infections occurred in winter [November - March], showing a seasonal variation that coincides with the increased movement of people, especially workers from other governorates to Aden. The most malaria cases were observed in Sheikh-Othman District [52%] followed by Khormaksar District [14.5%] and Al-Mansoora District [10.7%]. A significant increase noted in the number of cases among children less than 10 years and people aged 10-49 years as a whole and in both genders. The difference between male and female patients was not significant [P > 0.05]. However, we concluded that the continued presence of malaria in Aden poses a significant health problem, especially in the presence of the malaria vector