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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (8): 1377-1380
em Inglês | IMEMR | ID: emr-191264

RESUMO

Background: Irritable bowel syndrome [IBS] is a worldwide problem which affect the health and the economy of countries; thus it is the focus of many researchers till now


Objectives: Evaluating the knowledge, attitude and practice [KAP] of the Saudi community in Riyadh City toward the signs and risk factors of IBD in Kingdom of Saudi Arabia [KSA]


Methods: A cross sectional study conducted at 12 different malls in Riyadh city from October to December 2017 among 977 Saudi adult educated subjects from both genders aged from 20-60 years old


Results: The prevalence of IBS among the Saudi community was 10.8% [106 out of 97 subjects]. The majority of the subjects has proper awareness regarding the IBS and its risk factors [81.1%] while only 18.9% had poor knowledge about the syndrome. Most of the subjects had positive attitude toward using diet, medications and counselling as the proper management of IBS. The level of knowledge showed a significant association with the higher level of education


Conclusion: The majority of subjects had proper knowledge about the nature, prognosis and risk factors of the disease. Other studies should be conducted to measure the KAP of other Saudi population toward IBS from different regions of KSA

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (6): 1039-1046
em Inglês | IMEMR | ID: emr-192637

RESUMO

Background: Patients with severe traumatic brain injury [TBI] are at high risk for airway obstruction and hypoxia at the accident scene, and routine prehospital endotracheal intubation has been widely advocated. Aim of the Study: to evaluate and compare the outcome and mortality rates of trauma patients undergoing Prehospital Tracheal Intubationversus those undergoing Emergency Department Intubation


Methods: A literature search was carried out on MEDLINE [including MEDLINE in-process], CINAHL, Embase and the Cochrane Library [from 1990 to October 2017]. Databases using "Prehospital Tracheal Intubation", "Emergency Department Intubation ", "Adults? trauma", and "mortality" as a MeSH heading and as text word. High yield journals were also had searched


Results: Eleven studies enrolling 17317 patients were included, out of which 4545 underwent PTI while 12772 underwent EDI. Median mortality rate in patients undergoing pre-hospital intubation was 52.12% [7.8-90.16%], compared to 27.98% [6.25-41.56%] in patients undergoing intubation in the emergency department. The overall quality of evidence was very low. Six of the eleven studies found a significantly higher mortality rate after pre-hospital intubation whilst five found no significant differences


Conclusion: Study outcome suggests that EDI was superior to PHI. Nevertheless, prehospital intubation was a marker for more severely ill patients who would have had higher mortality thus, the suggestion of the association between pre-hospital intubation and a higher mortality rate does not essentially oppose the importance of the intervention, but rather a need for further investigation of the possible causes for this finding

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (9): 1568-1571
em Inglês | IMEMR | ID: emr-192693

RESUMO

Background: Surgeons are regularly not involved in the post discharge care of patients after uncomplicated laparoscopic cholecystectomy. The purpose of the current study was to document the symptomatic recovery of patients following laparoscopic cholecystectomy, because this has a bearing on the planning of a postoperative care package


Methods: The study was designed as a postoperative telephone questionnaire survey and was carried out prospectively between June2016 and February2017 in King Abdulaziz Hospital, KSA


Results: The study cohort comprised 51 patients who all completed the study. Postoperatively, only 3% of the patients had postoperative nausea/vomiting lasting >/=2 days. Pain was symptomatic in 12% of patients. Port-site wounds were a source of significant symptoms in 69% of the patients. Postoperative reviews by a nurse and primary-care doctor were necessary in 76% and 34% patients, respectively, with a combined average of 3.1 reviews per patient. Less than 4% of patients believed that they would benefit from a surgeon's review 6 weeks after LC. Median time taken to return to routine preoperative activity after surgery was 21 days [IQR, 16 to 33], which was affected by the degree of activity undertaken, wound-related symptoms persisting for >/=3 weeks, planned follow-up clinic appointment, and discharge as an outpatient


Conclusion: Wound-related symptoms are common after LC, require substantial input from the community health service in their management, and may delay return to preoperative routine

4.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (10): 1719-1726
em Inglês | IMEMR | ID: emr-192702

RESUMO

Background: influenza is a major respiratory tract infection that can cause substantial morbidity and mortality. The World Health Organization [WHO], United States [US] Center for Disease Control and Prevention [CDC] and the immunization guidelines set by many countries including Saudi Arabia recommended the influenza vaccination of healthcare workers [HCWs]


Objectives: to estimate the influenza vaccination rate among HCWs in Security Forced Hospital and to study the effect of the HCWs' beliefs about influenza vaccine and influenza disease on acceptance of influenza vaccine by HCWs in Security Forced Hospital


Methods: the study is a retrospective study conducted in Security Forced Hospital between September and December 2017. Data were collected using a self-administrated well-structured questionnaire to get the relevant data needed in our study


Results: out of the 249 participants, 126 [50.6%] have received the influenza vaccine. Most of our participants were Saudi [70.3%], married [70.7%] and Muslims [78.3%]. While, 33% of them were degree holder, 36.5% were university students and 30.5% were having less education level. The income of most of the participants [36.1%] was more than 15000 SAR per month


Conclusion: the vaccination against influenza plays an important role in prevention of infection. Further studies with lager population in different societies are recommended

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