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1.
Pakistan Journal of Medical Sciences. 2018; 34 (4): 781-786
em Inglês | IMEMR | ID: emr-199088

RESUMO

Objective: This study aimed to describe inpatient clinical conditions at an advanced care facility in Saudi Arabia durin the annual Hajj pilgrimage and determine factors correlating with length of stay [LOS]


Methods: This retrospective study was conducted atthe king abdullah medical city [KAMC], Makkah, Saudi Arabia, and included all inpatients admitted during the annual Hajj pilgrimage between August and October 2015. demographic, administrative and clinical data were collected from patient charts and analysed


Results: A total of 296 inpatients were included in the study, of which the majority were male [73.6%] and >/= 55 years old [77%]. walk-in admissions occurred less frequently than referrals [38.9% versus 61.1%]. Most patients [41.6%] were admitted during the peak Hajj period [the 8th-13th days of Dhu al-Hijjah]. Acute coronary syndrome was the most prevalent provisional diagnosis [65.2%] in terms of outcomes, 89.2% of the inpatients were discharged in a stable condition, with 37.5% discharged within

Conclusion: Most of admissions were referrals, and the main Hajj period witnessed the majority of admission. the vast majority of inpatients eventually discharged in a stable condition determinants of the length of hospital stay were the mode of admission, admission period, admitting department, number of comorbidities and ICU admission

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 68 (2): 1257-1259
em Inglês | IMEMR | ID: emr-189970

RESUMO

Background: the average amount physical activity of women in Saudi Arabia predisposes them to ischemic heart disease, in an otherwise completely healthy individual


Aim: to emphasize the significance of lack of physical activity alone on cardiovascular health


Case report: this case report describes an acute onset of severe coronary syndrome of a middle aged Saudi woman with no other cardiac risk factors. Treadmill test was positive for inferolateral ischemia. CT angiography revealed occluded arteries in five different locations. A PCI was performed after three months to achieve complete vascularization


Conclusion: normal lifestyle of women in Saudi Arabia should be considered very sedentary and a major risk factor of ischemic heart diseases

3.
Egyptian Journal of Hospital Medicine [The]. 2017; 68 (3): 1513-1519
em Inglês | IMEMR | ID: emr-190009

RESUMO

Sinusitis is categorized by inflammation of the lining of the paranasal sinuses. As the nasal mucosa is instantaneously involved and as sinusitis infrequently occurs without concurrent rhinitis, rhinosinusitis is currently the preferred term for this condition. Acute sinusitis is a clinical diagnosis; thus, an understanding of its presentation is of paramount importance in differentiating this entity from allergic or vasomotor rhinitis and common upper respiratory infections. No precise clinical sign or symptom is sensitive or specific for acute sinusitis, so the overall clinical impression should be used to guide management. Chronic sinusitis is an inflammatory procedure that includes the paranasal sinuses and persists for 12 weeks or longer. The literature has reinforced that chronic sinusitis is nearly always accompanied by concurrent nasal airway inflammation and is frequently preceded by rhinitis symptoms; hence, the term chronic rhinosinusitis [CRS] has evolved to more accurately define this condition. Treatment of sinusitis, whether medical or surgical, is intended at decreasing inflammation and obstruction in the sinonasal passages. Antibiotics, even though frequently used in sinusitis, ought to not be managed unless there is suspicion of an acute bacterial infection

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