Saudi Med J
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Case Reports Comparative Study
Role of prazosin on cardiovascular manifestations and pulmonary edema following severe scorpion stings in Saudi Arabia.
We report the ameliorating effects of prazosin on the cardiovascular CV manifestations and pulmonary edema PE after treatment with antivenom AV failed to improve the conditions of scorpion stung patients. Three cases of scorpion envenoming, 2 children and one adult, were received at the Accident and Emergency Department of Al-Birk Hospital, Asir Region, Saudi Arabia. ⋯ When polyvalent scorpion PVS AV and intensive supportive treatment failed to show any improvement, prazosin was administered to the patients, which resulted in dramatic improvement in the conditions of the patients. We conclude that PVS AV may not be beneficial in all cases of scorpion envenomation, and prazosin may be an effective alternative for treating scorpion sting cases with CV manifestations and PE.
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Multicenter Study Comparative Study
Clinical presentation and outcomes of acute coronary syndromes in the gulf registry of acute coronary events (Gulf RACE).
To identify the characteristics, treatments and hospital outcomes for patients diagnosed with acute coronary syndromes (ACS) in the Gulf area. ⋯ We were able to determine the characteristics, treatments and in-hospital outcomes of patients hospitalized with ACS in our region. There is room for improvement in using medications, reducing needle to door time and utilizing more cardiac catheterization services.
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Comparative Study
Comparison of umbilical cord interleukin-6 in preterm infants with premature rupture of membranes and intact membranes.
To compare inflammatory mediators in the cord blood of premature newborn infants with premature rupture of membranes (PROM) and intact membranes. ⋯ The premature newborn infants with PROM had increased IL-6 levels in cord blood, which was significantly higher in neonates that developed early onset sepsis.
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To evaluate the clinical pharmacists' interventions in an intensive care unit (ICU) setting with regard to their acceptance by the medical team, frequency, clinical significance, and targeted patient's outcomes. ⋯ Participation of a clinical pharmacist in the daily multidisciplinary team rounds in an ICU setting significantly reduces unfavorable morbidities and enhances therapeutic outcomes.
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Comparative Study
Bacteremia in febrile children under 3 years of age in an emergency department of a university hospital.
To review the results of blood culture in febrile children seen in the pediatric emergency department over a 3 year period. ⋯ The risk factors in highly febrile children included younger age group below 24 months of age, and increase in white blood cells of more than 15,000 cell/mm(3). The study also indicates that there is an increase in prevalence of Streptococcus pneumoniae resistance to ampicillin and penicillin, which necessitates the need for a polyvalent pneumococcal conjugate vaccine to be added to the routine immunization program in the Kingdom.