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This is s retrospective analytic study of 27 cases of esophagojejunal anastomotic leakage after gastrectomy for gastric cancer during the period 1\1\1997 -1\1\2014 at AL Assad University Hospital, Lattakia, Syria. The most common risk factors of lea kage were: factors related to the patient: (age, sex, hemoglobin level, total protein level, and albumin level); factors related to surgical resection: (combined resection of other organs, mechanical and manual esophago-jejunostomy) and factors related to the tumor: (tumor stage, tumor location, and ends of anastomosis free of tumor)
Background& Objective: Kawasaki disease is a generalized vasculitis of unknown etiology which causes coronary artery abnormalities in 20-25 percent of untreated children. The aim of this study was to determine the type of heart lesion and the coron ary risk factors and to identify patients with high risk in order to take the necessary measures to reduces morbidity and morbidity. Materials & Methods: We studied 70 children, aged 3 month to 10 years, who met the criteria for the diagnosis of KD, two thirds were males. Results: Of the (70) children who had KD , 15 cases (21.4 %) had coronary artery abnormalities ,12 cases (17 %) had pericarditis, and 7 cases (10 %) had mitral regurgitation .The coronary artery abnormalities were classified as follows: diffuse ectasia (5) cases 33.3%, coronary artery aneurysms 10 cases (66.6%). small to medium-sized coronary artery aneurysms (6) cases, large sized coronary artery aneurysms (2) cases, and giant aneurysms in (2) cases . The risk factors for coronary aneurysms were age less than 1 year or more than 5 years, male gender, fever lasting more than 10 days or recurrence of fever after an a febrile period, lower hemoglobin, lower platelet count, higher white cell count , lower albumin level and pericarditis. Echocardiogram follow up studied indicate coronary artery aneurysms resolve within 5 to 31 months in approximately 60% of patients where (6) aneurysms regressed spontaneously and the two large aneurysms became smaller. One patient with giant aneurysm had developed coronary stenosis and needed a coronary bypass surgery at the age of 9 years. Conclusion: Coronary aneurysms were the predominant cardiac lesions in our series, most of these aneurysms were resolved at follow up of 2-3 years.
The study included 1,800 patients who were admitted in the following departments (surgery, internal and gynecology department) at AL- ASSAD University Hospital in Lattakia in 2011-2012 from the age of 40 years and above. The study, which was based on a built-in statistical form of risk factors for breast cancer, showed that the percentage of the infected was 9,8%. All risk factors including ageing ,obesity, lack or absence of birth, late age at first childbirth, early puberty, late menopause, hormonal treatment, injuring a first degree relative, staying in cities and the size of bras increase the risk of breast cancer and the impact is worth respectively: 0,115-0,387-0,178-0,157-0,143-0,217-0,15-0,030-0,092-0,244-0,212.
Purpose: Lacunar infarcts is an important stroke subgroup with unique clinical and pathologic features, but risk factors for lacunar infarcts have been rarely documented. To address this matter, we studied 65 patients had lacunar infarction at Depa rtment of Neurology , Tishreen University Hospital , Lattakia , Syria , and 65 controls during the period between May 2017 – May 2018 . Methods: We obtained information concerning risk factor exposure status among the patients by a structured questionnaire , we recorded age , sex , blood pressure , glucose , heart diseases , cigarette smoking , alcohol drinking , physical exercise for patiens and controls .We do laboratory tests and ECG and echocardiography and CT brain or MRI . Results: Significantly increasing the risk of lacunar stroke were hypertension (P-value=0.0001) and (OR=9.9), Current smokers (P-value=0.002) and (OR=5.2), diabetes (P-value=0.001) and (OR=5.3) , whereas frequent physical exercise was associated with a significantly decreased risk) P-value=00001( and (OR=2.6). There was no risk of lacunar stroke associated with heart disease (P-value=0.6) (OR=0.8) , high cholesterol (Pvalue= 1) and (OR=1) , alcohol drinking (P-value=0.7) and (OR=0.8). Conclusions: Patients with hypertension or diabetes, current smokers, those who have not heart disease, are at a higher risk of lacunar stroke, whereas those who undertake regular physical exercise may be at lower risk.
Cancer alone kills 7.6 million people every year. According to World Health Organization (WHO) estimates, cancer deaths in the Eastern Mediterranean Region will increase from 9.4% in 2015 to 12.3% in 2030 of all deaths. These estimates are based on t he impact of population growth and aging, as well as increased exposure to factors that increase the incidence of cancer, such as smoking, unhealthy diet, physical inactivity, alcoholism and environmental pollution, which will lead to a higher burden of cancer. Therefore, the current descriptive study was conducted to assess some of the risk factors associated with cancer. This study was applied to a sample of 100 cancer patients available in the Oncology Department at Tishreen University Hospital in Lattakia city. A questionnaire developed by the researcher was used for this purpose. The results showed that there are many risk factors that can be prevented, the most important of which are smoking, eating secreted meals, preserving food in plastic containers, and the presence of communication towers next to places of residence or work. The study recommended the necessity of conducting health education sessions about cancer and predisposing risk factors, activating the role of institutions and organizations in preventing risk factors, and conducting other research at the republic level.
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