Background: Coronavirus disease 2019, COVID-19, has reached all the corners of the world and was declared by the WHO as a global pandemic and public health emergency of international concern on the January 31, 2020. Allocating quick and specific biomarkers to predict the disease severity upon admission to hospital became a crucial need. This study, therefore, aimed at exploring the relationship between laboratory results in COVID-19 patients admitted to hospital and the final outcome in these patients.
Methods: Retrospective analysis was performed on the medical records of 310 COVID-19-positive patients admitted to Uhod Hospital, the referral hospital in the area of Madinah, Kingdom of Saudi Arabia, between the April 13 and the July 29, 2020. The association of laboratory results with the survival/mortality outcomes was studied. Results: It was demonstrated that lymphopenia, prolonged aPTT, high INR, high D. dimer and high CK are valuable prognostic predictors of the severity of the disease at early stages that can determine the outcome. Based on the results of the multiple logistic regression, the variables that are associated with death outcome are aPTT, HR, RR, ALT and CK level Conclusion: It is proposed to perform these tests on admission to hospital for moderate to severe COVID-19 patients to improve the management of those cases and reduce mortality.
Introduction: The peoples suffering from diabetes are at greater risk for leading to diabetes related complication due to improper glycemic control resulting in micro or macrovascular complication.
Methods: A descriptive survey based study was conducted. A total of 400 patients were interviewed by purposive sampling with their written information using series of questions with the help of a structured questionnaire. All the data was evaluated and results were given on percentage basis through SPSS20.00.
Inclusion criteria were all diabetic patients having age between 30 years to 80 years.
Exclusion criteria were diabetic patient with chronic kidney disease, chronic liver disease, alcohol misuse, pregnancy, lactating mother.
Results: 306 (76%) patients were visit the hospital with some diabetic associated complications. 74 (24%) from diabetic nephropathy, 76 (26%) with diabetic retinopathy and 153(50%) with diabetic neuropathy.
Conclusion: Diabetic Associated Complications were more in patients who were taking oral hypoglycemic agents as compare to insulin.
Objectives: To study the current practice patterns and opinions in the treatment of corneal bacterial ulcers among Saudi ophthalmologists. Methods: A web-based online survey was conducted in Saudi Arabia to randomly selected ophthalmologists who were registered with Saudi commission for health specialties during the study period between August 2018 to December 2018 using a structured self-administered questionnaire. Results: Of the respondents, general ophthalmologists were 32 (58.2%) and cornea specialists were 23 (41.8%). The mean years of practice was 6.6±6.1 [mean±SD]. Among the respondents 53 (96.4%) treated corneal ulcer cases, most of them 51 (92.7%) agreed there is a relation between the use of contact lenses and ocular ulcers. Fifty respondents indicated that they prescribed antibiotics for the treatment of corneal ulcer. About 12 (52.2%) of the cornea specialist and 22 (68.8%) of general ophthalmologists prefer to use culture of ulcer (Scrapping and gram staining of ulcer) diagnostic tests prior to treatment of corneal ulcers. Fortified antibiotic used was given higher advantage and the management of ocular ulcers differed according to the severity of each case.
Conclusion:In conclusion, results found that the management of corneal ulcers varies from specialist to general ophthalmologist. All the respondents agreed that they prescribed two broad spectrum antibiotics to treat an advanced corneal ulcer. Additionally, most of the respondents believed that fourth generation fluoroquinolones were less effective in comparison to fortified, broad-spectrum antibiotics.
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