Al-Noor Specialist Hospital Research Articles

Clinical Profile of Haemodialysis Patients with Diabetic Nephropathy Leading to End Stage Renal Disease

The incidence of patients with end-stage renal failure and type 2 diabetes mellitus as a comorbid condition has increased progressively in the past decades. Causes of renal disease might vary from one population to another. The aim of this study was to know the characteristics of the diabetic patients on regular dialysis at Al-noor Specialist Hospital, Makkah, Saudi Arabia. The data had been collected retrospectively in the month of Shawal 1425 corresponding to 13-11-2004----12-12-2004 from the diabetic patients directly that were on dialysis due to end stage renal disease (ESRD) and from their files. The mean age of Diabetics was (55.2 years) showing male predominance 31 (60.8%). All were Saudies. The mean duration of Diabetes mellitus & dialysis were (16.8 years) and (22 months), respectively. The mean age of start of Diabetes mellitus & dialysis was (37.4 years) & (53.5 years). The mean duration of onset of diabetes to dialysis was (16.1 years). Out of the total, 29 (56.9%) were non-smoker. Patients with family H/O diabetes with other associated illnesses were 23 (45%) followed by 15 (29.4%) had family H/O only diabetes. Type II diabetics were 40 (78.4%). Regarding metabolic profile, patients with high blood glucose level were 10 (19.6%) while 3 (5.9%), 50 (98%) & 18 (35.3%) patients had high cholesterol, low density lipoprotein & triglyceride levels, respectively. Maximum patients were in sixth decade of life. Up to three fourth patients had family H/O diabetes. Most of the subjects had only diabetic nephropathy Maximum patients had high low density lipoprotein level. Dialysis was main treatment to control diabetes.

Functional Analysis of Mutahassaneen Area during Hajj 1427 Hijra

Objective. This study highlighted the activity of Mutahassaneen Area during Hajj-1427 Hijra (H). Methodology. This Study was retrospective observational review of those Hajj patients who stayed in the Mutahassaneen Area a temporary ward opened adjacent to Al-noor Specialist Hospital, Makkah, KSA, for 21 days for transaction of discharged Hajj patients from inpatients and emergency wards to their respective Hajj missions or groups. Subjects’ demography, diagnosis, with dates and timings of admission and discharge was collected. Data was analysed by SPSS version 13. A p-value < 0.05 was considered significant. Results. Study included 619 patients with predominantly males 426 (68.8%). Majority of subjects 373 (60.3%) stayed < 2 hours in area as well as < 2 days in wards 355 (57.4%). Females spent lesser time than males in area (p=0.02). Males stayed longer in wards as well as in area (linear regression p- value=0.005). Circulatory system diseases counted maximum 186 (30%). A difference was found among stay of different diagnostic groups in area (p=0.05) as well as in wards (p<0.001). Arabic countries Hajjes were maximum 186 (30%) and Iranian spent least time in the area (1.2 hours). Conclusion. Males were predominant and females spent less time in area. Diseases of circulatory system and Hajj visitors of Arabic world were dominant.

SYMPTOMATOLOGY IN THE INTERNAL MEDICINE WARDS

Objective: This study had been conducted to highlight the pattern of presenting complaints of the patients admitted in internalmedicine wards of a tertiary care hospital. Design: This observational study was conducted in internal medicine wards of Alnoor SpecialistHospital, Makkah, Saudi Arabia, from 31 -08-2004 to 14-10-2004. Methodology: The data had been collected retrospectively from the files andconsisted of demography, wards allocations, duration of stay, and frequency as well as duration of symptoms at the time of presentation. Datawas analyzed by SPSS version 16 and p&lt;0.05 was considered as significant. Results: Out of total 103 subjects, majority 21 (20.4%) belongedto age group 65-74years. Saudis 75(73%) as well as males 59(58%) predominated. Saudis were older and stayed longer than non-saudis (55.5vs. 45.8years; p&lt;0.05) and (9.3 vs. 6.3days; p&lt;0.05), respectively. Most frequent symptom was fever while 41.2% symptoms had history of2-7days. Only 3.9% patients presented with &gt;6 types of complaints. Diseases of the circulatory system were more prominent (16.5%). Morethan two third patients improved (75.7%) while 9.7% died. Conclusion: Maximum patients were within 65 to 74yrs of age. Saudis were olderand stayed longer than non-Saudis. Fever was the commonest presenting complaint. Minimum patients presented with &gt;6 complaints anddiseases of the circulatory system predominated. A few died but most of them improved.

Pattern of Psychiatry Morbidity during HAJJ Period at Al-Noor Specialist Hospital

To study the pattern and extent of psychiatric morbidity in the Hajj period (pilgrimage to Mecca by a Muslim). Study was conducted by psychiatry department and Health Research Centre, Al-Noor Specialist Hospital. We recorded demographic and clinical characteristics of all patients presenting during first two weeks of Zulhajjah, 1425H (11th to 24th of January 2005). Detailed clinical interviews were conducted by qualified psychiatrists and findings were recorded in semi-structured form. Diagnoses were made following the guidelines in clinical version of chapter V (Mental and Behavioral Disorders) of International Classification of Diseases (ICD-10). In difficult cases diagnosis was assigned by consensus between three psychiatrists. During study period 92 patients presented. Males were dominant (54%). Mean age was 43 +/- 17. Highest proportion (52%) belonged to young adults followed by middle-aged (20%). Majority (48%) belonged to Saudi Arabia. Self-referrals were 66% and 52% presented as first episodes. Behavior, mood, and sleep were affected more commonly (65%, 63%, and 59% respectively). Physical symptoms were reported by 28% of patients. Highest number (34%) belonged to "Neurotic, stress-related and somatoform disorders" followed by "Mood disorders" (22%). Medical disorder was reported by 33% of patients. Medications were advised to 79% and psychiatric admission to 6.5% of patients. In our study, important findings are outlined and discussed. Replication of study with increased sample size and planning of psychiatric services according to established need of population served particularly during hajj period is needed.

Malignant Chylothorax Treated by Talc Pleurodesis: A Case Report and Review of the Literature

Malignant Chylothorax Treated by Talc Pleurodesis: A Case Report and Review of the Literature