Study of risk factors of eclampsia in a tertiary care center

Context: Gastric cancer(GC) is fth most common cancer worldwide. Mostly presents with advanced stage and poor overall survival. Methods: Retrospective study on clinical, pathological, pattern of distant metastasis(DM) , treatment aspect of GC treated between January 2014 to December 2018 in a tertiary care center in south India. Statistical analysis : Chi square test and multivariate analysis (MVA) were used for analysis. P <0.05 was considered signicant. Results: Median age at diagnosis is 57 years. Higher male : female ratio. Most common presentation was abdominal pain followed vomiting. Malignant Gastric outlet obstruction(MGOO) was present in 22.7%. Histologically , all patients had adenocarcinoma with predominantly moderate differentiation (51.1%). Liver (19.1%)was most common site of metastasis . Curative surgery was done in 35.5% of patients. D2 lymph node dissection was performed in 12.4% of patient. Patients were given perioperative /preoperative/ adjuvant / palliative chemotherapy. MVA revealed history of tobacco use, body of stomach tumor location, nodal disease were risk factors for DM. Conclusion : The present analysis revealed use of tobacco, alcohol intake were main risk factors for GC. Most of the patients present in advanced stage , so prevention by avoiding risk factors and early detection by signs , symptoms and endoscopy are necessary. Use of tobacco,site of tumor location, nodal disease were factors associated with DM. Aggressive management with both surgery and chemotherapy is warranted for locally advanced disease.

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Prevalence and risk factors of low back pain among operation room staff at a Tertiary Care Center, Makkah, Saudi Arabia: a cross-sectional study

Annals of Occupational and Environmental Medicine ◽

10.1186/s40557-016-0089-0 ◽

2016 ◽

Vol 28 (1) ◽

Cited By ~ 18

Author(s):

Moath Bin Homaid ◽

Doaa Abdelmoety ◽

Waleed Alshareef ◽

Amer Alghamdi ◽

Fareed Alhozali ◽

...

Keyword(s):

Risk Factors ◽

Low Back Pain ◽

Back Pain ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Low Back ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

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Pilonidal sinus disease recurrence at a tertiary care center in Riyadh

Annals of Saudi Medicine ◽

10.5144/0256-4947.2021.179 ◽

2021 ◽

Vol 41 (3) ◽

pp. 179-185

Author(s):

Ibrahim Tawfiq Albabtain ◽

Abdullah Alkhaldi ◽

Lama Aldosari ◽

Lina Alsaadon

Keyword(s):

Risk Factors ◽

Sample Size ◽

Pilonidal Sinus ◽

Care Center ◽

Tertiary Care ◽

Disease Recurrence ◽

Pilonidal Sinus Disease ◽

Tertiary Care Center ◽

Sinus Disease ◽

Risk Factors For Recurrence

BACKGROUND: Pilonidal sinus disease (PSD) is a chronic inflammatory disease of the sacrococcygeal area. Pilonidal sinus recurrence is a matter of concern to both patients and healthcare providers. OBJECTIVES: Estimate the rate of PSD recurrence in our center and identify any risk factors contributing to disease recurrence. DESIGN: Retrospective. SETTING: Tertiary care center in Riyadh. PATIENTS AND METHODS: All patients who underwent surgery for primary or recurrent pilonidal sinus between 1 January 2016 to 30 June 2019 were included to allow for at least 1-year of follow-up at the time of data collection. MAIN OUTCOME MEASURE: Recurrence rate of PSD and risk factors for recurrence. SAMPLE SIZE AND CHARACTERISTICS: 369 patients: 329 males (89.2%) and 40 (10.8%) females. Median (interquartile range) age was 21 (18-26) years. RESULTS: Of the 369 included patients, recurrence was identified in 84 (22.8%) cases [95% confidence interval (CI) 18.6-27.4], and the mean timing of recurrence was 1.8 (1.6) years after the primary surgery. In a multivariate logistic regression analysis, increased age and post-operative seroma fluid discharge were independent risk factors for recurrence. In contrast, preoperative antibiotic prophylaxis and postoperative hair removal were effective in reducing recurrence. Type of surgery closure had no effect on recurrence, yet primary closure was associated with early onset of recurrence compared to secondary closure ( P =.02). CONCLUSION: Our findings on the factors associated with recurrence of PSD are consistent with many reports in the literature. Reported prevalence estimates vary widely. LIMITATION: Single center, small sample size, retrospective. CONFLICT OF INTEREST: None.

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P050 Work Disability, Indirect Costs and Risk Factors in Patients With Crohn’s Disease in a Rio De Janeiro Tertiary Care Center

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000722996.18068.9b ◽

2020 ◽

Vol 115 (1) ◽

pp. S13-S13

Author(s):

Fróes Renata ◽

Moreira Andre ◽

Carneiro Antônio José ◽

Moreira Jessica ◽

Luiz Ronir ◽

...

Keyword(s):

Risk Factors ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Work Disability ◽

Rio De Janeiro ◽

Care Center ◽

Tertiary Care ◽

Indirect Costs ◽

Tertiary Care Center

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Prevalence and risk factors for posttransplant diabetes mellitus: Data from government tertiary care center

Indian Journal of Transplantation ◽

10.4103/ijot.ijot_14_18 ◽

2018 ◽

Vol 12 (2) ◽

pp. 119

Author(s):

MArchana Balakrishnan ◽

Jayanivash Jayam ◽

ND Srinivasaprasad ◽

S Sujit ◽

MEdwin Fernando

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

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11 PREVALENCE, RISK FACTORS, AND PROFILE OF CHRONIC HEPATITIS B VIRUS INFECTION IN PREGNANT WOMEN IN A TERTIARY CARE CENTER AT NORTH KERALA

Journal of Clinical and Experimental Hepatology ◽

10.1016/s0973-6883(12)60012-7 ◽

2012 ◽

Vol 2 (1) ◽

pp. S10

Author(s):

K Rangan ◽

V Thomas

Keyword(s):

Risk Factors ◽

Chronic Hepatitis ◽

Hepatitis B Virus ◽

Virus Infection ◽

Care Center ◽

Tertiary Care ◽

Hepatitis B Virus Infection ◽

Tertiary Care Center ◽

Chronic Hepatitis B Virus ◽

B Virus

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Cardiac risk factors and events in patients with prostate cancer commencing androgen deprivation therapy: Analysis from a tertiary care center in the Middle East.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.6_suppl.73 ◽

2021 ◽

Vol 39 (6_suppl) ◽

pp. 73-73

Author(s):

Mona Hassan ◽

Talar Telvizian ◽

Mostafa Abohelwa ◽

Hadi Skouri ◽

Deborah Mukherji

Keyword(s):

Prostate Cancer ◽

Risk Factors ◽

Cardiovascular Risk ◽

Middle East ◽

Cardiovascular Events ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Cardiac Events ◽

Artery Disease

73 Background: Androgen deprivation therapy (ADT) is the mainstay of treatment for advanced prostate cancer, improving symptoms and prolonging survival. There is an association between ADT use and cardiovascular events, particularly in men with pre-existing risk factors. There are no definite guidelines to stratify patients based on cardiovascular risk prior to ADT initiation. This is the first study on cardiac risks and events in patients on ADT from Lebanon and the Middle East region, a population known to have a high prevalence of cardiovascular risk factors. Methods: A retrospective chart review of 236 patients with prostate cancer who received ADT therapy at a tertiary care center in Lebanon was performed. 167 had a full set of data and were included in analysis. Cardiovascular risk factors at baseline and cardiovascular events on ADT were reviewed. Results: The median age of our cohort was 68, range 48-92 years. The majority of patients had stage 4 diseases at diagnosis (49.8%) with a median duration of 12 months on ADT. In our cohort 24.4% had body mass index > 30, 52.1% had smoking history, 27.4% were diabetic, 28.8 % had history of coronary artery disease, 10.6% had heart failure history and 54.6% had hypertension. Less than half of the patients had a documented lipid profile at baseline. Twenty two patients (9.5%) had documented cardiac events following ADT initiation. Conclusions: In this cohort of patients from the Middle East we found that one third of the population had established coronary artery disease at baseline and 9.5% had documented cardiac events on ADT initiation. Our study highlights the gaps in cardiovascular risk assessment for this high risk group of patients with prostate cancer. Risk and resource-stratified algorithms are needed before starting ADT therapy for optimal cardiovascular health. Increased awareness, collaboration and referral mechanisms between oncologists, urologist and cardiologists are also needed.

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