Saudi Med J
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Comparative Study
The influence of delay on perforation in childhood appendicitis. A retrospective analysis of 58 cases.
Appendicitis is the most common non-traumatic surgical abdominal disorder in children aged 2-years or older. It is generally believed that delay in diagnosis and surgery of acute appendicitis is associated with a more advanced stage of disease and a higher morbidity. The aim of this retrospective study was to document the clinical features of acute appendicitis (AA), and to describe the factors associated with appendiceal perforation (AP) among children. ⋯ Associated symptoms of the abdominal pain may cause delay to diagnosis. The children who have abdominal pain and associated symptoms should be consulted with a pediatric surgeon.
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Comparative Study
The diagnostic value of C-reactive protein, white blood cell count and neutrophil percentage in childhood appendicitis.
To analyze the value of C-reactive protein (CRP), total white blood cell count (WBC), and neutrophil percentage in the diagnosis of suspected cases of childhood appendicitis. ⋯ Evaluation of the clinical symptoms and signs combined with the triple tests can improve the diagnostic accuracy and significantly reduce the incidence of perforation and the rate of negative laparotomy.
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The incidence of coronary stent thrombosis has reduced with improved techniques and drugs. Nevertheless, clinical trials may not reflect real world practice due to the selective inclusion criteria, regional variations and more complex patients treated in day-to-day practice. We examined the frequency, predisposing factors and outcome of stent thrombosis in unselected patients undergoing bare metal stents. ⋯ The incidence of stent thrombosis is approximately 1% in the current era of intervention. Longer stent length in the left anterior descending artery following a recent myocardial infarction, seems to be associated with stent thrombosis.
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Eosinophilic granuloma EG is a well-recognized benign form of Langerhans cell histiocytosis, most commonly involving the skull bones. In this paper, we report an 8-year-old girl with EG of posterior element of vertebra; she had complete resolution with surgical curettage and bone grafting.
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Comparative Study
Implementation of the national asthma management guidelines in the emergency department.
The national protocol for asthma management was released in 1995. There has been no national investigation to compare the actual care delivered at the Emergency Department to those recommended by these guidelines: To compare the documented management of acute bronchial asthma at the Emergency Room (ER) with the Saudi National Guidelines ⋯ The documented treatment of patients with an acute asthmatic episode at the ER varies significantly from what is recommended by the National and International Asthma Management Guidelines. Failure to implement Asthma Guidelines probably results in an inadequate care of asthmatic patients and raises the urgent need for a National Physician Asthma Education Program.