Objectives: Preterm labor and delivery are associated with various short- and long-term complications in neonates and infants. This research aimed to look at the trends in preterm labor and birth-related hospitalizations in England. Material and Methods: The Hospital Episode Statistics database was used to extract hospital admission data for the ecological study of preterm labor and delivery between April 2012 and April 2020 in England. Results: The overall admission rates decreased by 26.2%, from 14,210 in 2012 (CI: 99.18–102.49) to 10,490 in 2020 (CI: 73.02–75.87) per 100,000 individuals. Hospitalizations were frequently caused by spontaneous labor with preterm delivery, spontaneous labor without delivery, and preterm delivery without spontaneous labor (68.9%, 20.6%, and 9.6%, respectively). The rate of hospital admission due to preterm delivery without spontaneous labor, preterm labor without delivery, preterm spontaneous labor with preterm delivery, and preterm spontaneous labor with term delivery decreased by 32.0%, 26.9%, 24.4%, and 14.7%, respectively. Women aged 25–29 years accounted for most hospital admissions. Conclusion: Preterm labor and delivery-related hospital admissions rates have significantly decreased over the past decade. Women in the reproductive age range of 25–34 years were more prone to hospital admission followed by preterm labor due to various reasons.
Context: Chronic kidney disease (CKD) is characterized by the presence of kidney damage or decreased kidney function. In the Kingdom of Saudi Arabia, the prevalence of CKD is at 5.7%, which represents a high burden on health care systems. Aims: This study aimed to assess the knowledge, attitudes, and practices of high-risk patients towards prevention and early detection of chronic kidney disease in Saudi Arabia. Setting and Design: Descriptive cross-sectional study in Saudi Arabia. Methods and Material: This study was designed using a newly developed instrument, the CKD Screening Index. It was conducted from December 2021 to May 2022 by a self-administered questionnaire. The questionnaire has three parts: socio-demographic data, clinical factors, and the CKD screening index tool. Statistical analyses used: Independent t-test, One-Way ANOVA, LSD, Games–Howell tests. Results: Knowledge of kidney function had a significant difference across patient groups with varying employment status. Monthly income is a significant factor for the patient attitude on healthcare towards preventing kidney disease. On the other hand, educational level significantly affects the overall attitude of patients towards preventing kidney disease. Conclusion: Understanding knowledge, attitudes, and practices associated with CKD is vital to informing optimal policy and public health responses in the country.
An autopsy is not simply the patient's last medical intervention but in addition to determining the cause of death, it also provides information about the deceased patient's underlying health. The natural process of the body's breakdown following death, starting at the cellular level, is known as post-mortem change. Complex cellular and biochemical phenomena are involved in the process. The changes that begin right away after death continue for a considerable amount of time at various rates for various organs. Numerous intrinsic and extrinsic factors have an impact on the beginning and severity of these changes. The purpose of this research is to review the available information about classification of post-mortem changes and factors affecting it. Post-mortem changes are further divided into three classes, Immediate changes, early changes and late changes. After cardiac and respiratory failure, early post-mortem changes including rigor mortis and post-mortem lividity occur. However, tissue metabolism continues for a few hours after death. Supravital reactions, time-dependent post-mortem lividity, and rigor mortis criteria are used to estimate the time since death. Estimating the post-mortem interval or time since death, is one of the main aims of the forensic autopsy, requires an understanding of post-mortem changes. Many exogenous and endogenous factors can lead to degradation. Animal predation, the environment, and mechanical injury are extrinsic causes, whereas autolysis, putrefaction, and decay are endogenous factors. However, despite the importance of post-mortem findings the literature available is very limited more research in future can be a significant contributor.
Objective: This study aimed to assess the knowledge and preventive behavior towards COVID-19 among secondary school students and teachers after re-opening of schools and associated factors, and to compare the two groups. Methods: This cross-sectional study was carried out in Saudi Arabia from the 1st of March 2022 to the 1st of April 2022. A self-administered questionnaire was distributed among school teachers and students to measure their knowledge about COVID-19 infection. Results: Out of 1228 participants, 404 were teachers and 821 were school students. The overall mean knowledge score was significantly higher in teachers (mean score: 9.30) than in school students (mean score: 8.95) (p
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