Pattern of gastrointestinal diseases among elderly patients in Arar City, Kingdom of Saudi Arabia [KSA]

The world's population is aging and the number of people who are >/= 60 years old increased worldwide. The elderly population is susceptible to various benign and malignant diseases. Gastrointestinal diseases are among the common health problems that affect the elderly

Aim of the study: to identify the pattern of gastrointestinal diseases among elderly patients in Arar city [KSA] and the relation with gender in the study population

Subjects and methods: a cross sectional study was conducted in five randomly selected primary healthcare centers in Arar city [KSA], from September 2016 to March 2017. It included 118 elderly patients. A questionnaire was designed for data collection about socio-demographic variables, smoking, BMI, chronic diseases and types of gastrointestinal diseases among participants

Results: findings showed that all participants suffered from dental problems and 24.6% had gum problems. Other diseases affected various proportions of the studied elderly population including loss of appetite, gastric regurgitation, chronic constipation, irritable bowel syndrome, chronic colitis, peptic and duodenal ulceration, liver cirrhosis, viral hepatitis, cholecystitis, gall stones, pills, anal fissure and GIT tumors. Statistically significant differences were found between males and females regarding having piles, gall stones and anorexia. On contrary, all other GIT diseases showed insignificant differences between males and females

Conclusion: different types of GIT diseases were found among the participants with varying rates. Significant gender differences were observed in some diseases [piles, gall stones and loss of appetite] while most of the studied GIT diseases showed insignificant differences between both sexes

Seizures; a pediatrics emergency in maternity and children's hospital, Arar, Northern Saudi Arabia

Background: seizures are the most common neurologic emergency in pediatrics and can be terrifying for patients and families

Aim of the work: this study aimed to determine the etiologies and sex distribution of seizure in children admitted to Emergency Department of Maternity and Children's Hospital in Arar city, Northern Saudi Arabia, during the period from 1 January to 30 July 2017

Methods: this was a descriptive hospital-based study conducted in the Department of Pediatrics Emergency, Maternal and Child Hospital of Arar City during the period from 1 January to 30 July 2017. All the children below 12 years of age who were hospitalized at emergency department were enrolled in this study. The final diagnosis of seizure was made by a pediatric neurologist. The age, sex, type of seizure, associated fever, history of head trauma and other variables related to seizure in pediatric group were reviewed from the medical records

Results: a total of 158 children with diagnosis of seizures were included in this study. The proportion of male to female was about 2:1 as the percentage of males was 65.8% of patients. All patients up to 12 years were included with a mean age of 26.3 +/- 15.8 months. Less than quarter [16.5%] of the patients had focal seizures, while 83.5% had generalized seizures. Family history of seizures disorders were noted in only 15.2% patients. A previous history of seizure was mentioned in 19% patients. Febrile seizure was the most common etiology [72.2% of patients]. Epilepsy in 17.7% and vaccine-associated seizure in 5.1% of the patients. Hypoglycemia, intracranial hemorrhage, encephalitis and hyponatremia were reported 2[1.3%] for each of them

Conclusion and recommendations: as this is the first study conducted in Arar maternity and children's hospital to differentiate of the etiology of seizure in children attending the emergency department. Indeed, we suggested other researchers to follow the patients to show the repetitions of seizure and the prognosis in them especially those with dangerous etiologies as epilepsy, diabetes, encephalitis and intracranial hemorrhage. Fever coexistence, seizure type, physical and neurological examinations and history of head injury and measurement of serum blood sugar level may provide important information for primary emergency physicians when evaluating children with attack of seizures