Epidemiology and causes of chronin kidney disease and risk factors

This study was conducted to determine the prevalence and stages of chronic kidney disease and to identify common causes of chronic kidney disease in patients as well as the study of risk factors for the disease. The study included 1314 patients have been admitted to the Department of Internal Medicine at al-Assad University Hospital in Lattakia where they were diagnosed with chronic renal disease patients at 120 of them by 9.1%. The causes of chronic kidney disease were: diabetes 41.7%; hypertension 30%; Glomerulonephritis 11.7%; obstructive uropathy 5%; and Glomerugenetic disease 3.3%; mm3.3%; polycystic kidney d isease3.3% ; idiopathic 1.7%. Chronic kidney disease stages 1; 2; 3; 4; 5; were: 10%; 21.7%; 33.3% 20%; 15% respectively. Risk factors were: advanced age (over 50) 75%; high blood sugar 53.3%; lack of blood albumin 65%; hypertension 38.3%; family history of chronic kidney disease 25%; high triglycerides and cholesterol 11.7% .

Breath Holding Spells: Clinical Descriptive Study

Objective: Breath holding spells is a common case in children aged 5months to 6 years, and often misinterpreted with epileptic seizures.we did clinical and epidemiological assessment for BHS.We documented the relation between sex, age, familial history and the episodes nature blue, pale or mixed. Materials & Methods: This was a cross-sectional study in which a total of 50 children with BHS, admitted to the out patient neuropediatric clinic 2013-2014. We took full medical history and did the investigations to eliminate the differential diagnosis. Results:Most patient were 7-24 month, we noticed parental consanguinity 87% and familial history in 56%.The spells were cyanotic 70%. Anger and pain were the more frequent risk factors 64%,60%.Anemia found in 58% of patient.Half of the patient have socioeconomic problems.And most of them from nuclear family 66%. Conclusion:The study mentioned the types of spells and the risk factors and the importance of look for anemia.

Risk Factors of Esophagojejunal Anastomotic Leakage after Gastrectomy for Gastric Cancer

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 leakage 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)

The Role of Risk Factors For Breast Cancer

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.

Erysipelas: Epidemiology and role of lincomycin in the management

The aim of this research is to study statistically erysipelas cases and its precipitating factors and also to determine the possibility of considering intramuscular injection of lincomycin as an effective treatment of uncomplicated erysipelas instead of intravenous penicillin G. 60 cases of erysipelas were studied and evaluated. There was no significant relation to age, sex and site of infection. The most affected sites were lower limbs, then face, and upper limbs. The most important risk factors were fungal intertrigo, vascular impairment and finally diabetes mellitus. The response to lincomycin treatment was excellent in 71.71%, intermediate in 23.91% of patients, while there was no response in only 4.34% of cases.

Cardiac Involvement and Risk Factors in Kawasaki Disease

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 coronary 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.