Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah最新文献

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Thrombotic Events in Covid-19: Incidence and their Association with Lab Parameters, Vaccination Status and Mortality Covid-19的血栓事件:发病率及其与实验室参数、疫苗接种状况和死亡率的关系
Pooja Prakash Heda, Ali Jafer Nejim Al-Hilly
{"title":"Thrombotic Events in Covid-19: Incidence and their Association with Lab Parameters, Vaccination Status and Mortality","authors":"Pooja Prakash Heda, Ali Jafer Nejim Al-Hilly","doi":"10.26715/jbms.34_4_1","DOIUrl":"https://doi.org/10.26715/jbms.34_4_1","url":null,"abstract":"Background & Objectives: Major arterial or venous thrombotic complications occur frequently with COVID-19. This risk seems to be present despite no known underlying thrombophilia and even adequate anticoagulation does not diminish its risk. Whilst pulmonary embolism may seem to be the most common thrombotic complication, others may also occur. A vaccination link to thrombotic events in COVID-19 has not been studied to the best of our knowledge. Methods: In this retrospective cross-sectional study we determined the incidence of total thrombotic events, individual Venous Thromboembolisms (VTE) and Arterial Thromboembolisms (ATE) that occurred in patients requiring ICU admission for COVID-19 in one of Bahrain’s main COVID ICU facilities for a period of 6 months. We also aim to determine mortality rate in this group of patients, links with specific baseline characteristics, laboratory parameters and patient vaccination status. Results: We studied 1597 patients over 6 months, 6% of patients were found to have VTE or ATE with a cumulative incidence of 6.5% thrombotic events. Elevated D dimer >1 was associated with an increased risk of thrombosis and an increased risk of mortality. There was a higher risk of thrombotic events in unvaccinated individuals. All-cause mortality in COVID-19 patients complicated with thrombosis and mortality solely secondary to thrombotic event were both significantly higher in unvaccinated individuals. Conclusions: Based on the findings of this study, unvaccinated individuals are at significantly higher risk of developing thrombotic events. This will assist in enabling physicians to lower their threshold of diagnosing such events. The urgency of lab parameters the swift management of other risk factors and the importance of vaccination against COVID-19 can be further studied.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Latent Syphilis in Pregnancy Masked by Beçhet’s Disease 妊娠期隐匿性梅毒1例
Aseel Ahmed Hussain, Anga Badawi, Nayla J. Bushaqer
{"title":"A Case of Latent Syphilis in Pregnancy Masked by Beçhet’s Disease","authors":"Aseel Ahmed Hussain, Anga Badawi, Nayla J. Bushaqer","doi":"10.26715/jbms.34_4_8","DOIUrl":"https://doi.org/10.26715/jbms.34_4_8","url":null,"abstract":"Syphilis in pregnancy is a worrisome topic due to its fetal consequences. The diagnosis and management of such a case might be intriguing when overlapped with Behçet’s disease, an inflammatory disease involving multiple organ systems. This case presents a 35-year-old pregnant female, a known case of Behçet’s disease and hypothyroidism, presenting at 33 weeks to the emergency department at Bahrain Defense Force (BDF) hospital with vaginal leaking and a solitary oral ulcer. As per the guidelines of the ministry of health, she underwent perinatal screening and was found to be positive for the venereal disease research laboratory (VDRL) test and was diagnosed with latent syphilis. The diagnosis of latent syphilis in a known case of Behçet’s disease presenting with a solitary oral ulcer is unpredictable. The importance of perinatal screening is emphasized in this case report.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe Pulmonary Stenosis in a Newborn with Antenatal Exposure to Selective Serotonin Reuptake Inhibitor Drug: A Case Report 新生儿严重肺动脉狭窄与产前暴露于选择性血清素再摄取抑制剂药物:一个病例报告
Paramesh Sreekumar, Seemal Maqsood Abdul Qadir, N. Kalis, A. Dey
{"title":"Severe Pulmonary Stenosis in a Newborn with Antenatal Exposure to Selective Serotonin Reuptake Inhibitor Drug: A Case Report","authors":"Paramesh Sreekumar, Seemal Maqsood Abdul Qadir, N. Kalis, A. Dey","doi":"10.26715/jbms.34_2022_2_5","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_2_5","url":null,"abstract":"Depression in pregnancy is being recognized as a major contributor to adverse maternal and fetal outcomes. Recent years have seen significant research focused on the development of safe pharmacological methods to treat depression in pregnancy, resulting in the common use of selective serotonin reuptake inhibitors (SSRIs) as a first line of treatment. There have been a few reports of congenital birth defects associated with the consumption of SSRIs during pregnancy, particularly congenital heart defects. Several studies have attempted to evaluate the relationship between SSRI use and congenital heart defects in neonates, but they were inconclusive. In this report, a case where maternal SSRI intake during two consecutive pregnancies was associated with neonatal pulmonary valve stenosis, raising the possibility of a correlation between the usage of a certain SSRI, and a particular congenital heart defect has been described. Keywords: Congenital heart defects, Depression, Pregnancy, Pulmonary valve stenosis, Serotonin uptake inhibitors","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-Vital Internal Tooth Bleaching using 35% Hydrogen Peroxide Gel: A Case Report 使用35%过氧化氢凝胶进行非重要内牙漂白1例报告
Belal Abou Basha, Emad Alagamawy
{"title":"Non-Vital Internal Tooth Bleaching using 35% Hydrogen Peroxide Gel: A Case Report","authors":"Belal Abou Basha, Emad Alagamawy","doi":"10.26715/jbms.34_3_10","DOIUrl":"https://doi.org/10.26715/jbms.34_3_10","url":null,"abstract":"Tooth discolouration affects esthetics and has a psychological impact on self-confidence and behaviour. Treatment modalities include polishing and bleaching. The purpose of this case report was to document the effect of walking bleach method using 35% hydrogen peroxide on esthetics, surrounding tissue. and psychological impact. A 39-year-old female patient reported with a discolored maxillary left central incisor. On examination, the tooth was asymptomatic and exhibited tooth discoloration. Radiographic findings indicated an acceptable root canal treatment. On the first visit, the tooth shade of the tooth was D3. Composite occluding the pulp chamber and 3 mm of the cervical radicular filling were then removed to allow for placement of a protective barrier. Then, 35% hydrogen peroxide was placed, and the cavity was sealed. The patient was recalled after five days and the change in shade of the tooth was recorded as A1. The bleaching agent was irrigated and flushed off the pulp chamber and the cavity was permanently filled with composite restoration. Recall sessions were scheduled at 1 & 4 months. In conclusion, management of non-vital tooth discoloration with the walking bleach method using 35% hydrogen peroxide was effective, safe, and had a positive impact on the patient’s self-confidence and self-perception.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IgA Crescentic Nephropathy Post COVID-19 Infection: A Case Report COVID-19感染后IgA新月形肾病1例
A. I. Elsayed, H. A. Alahmadi, Nuria Perez Romano
{"title":"IgA Crescentic Nephropathy Post COVID-19 Infection: A Case Report","authors":"A. I. Elsayed, H. A. Alahmadi, Nuria Perez Romano","doi":"10.26715/jbms.34_4_6","DOIUrl":"https://doi.org/10.26715/jbms.34_4_6","url":null,"abstract":"Background: Since the Coronavirus Disease 2019 (COVID-19) outbreak, individuals affected by COVID19 may be at risk of acquiring certain forms of glomerular disease. Several biopsy researches reveal that acute tubular injury, as well as glomerular nephropathy were common histological findings. However, to our knowledge, there is limited data regarding de novo diagnosis of IgA vasculitis in an adult following a COVID-19 infection. Case presentation: In the present case report, we document a 24-year-old Bahraini woman with new onset hypertension, microhematuria, proteinuria and decreased renal function after she recovered from COVID-19 infection. Renal biopsy after COVID-19 infection was performed and revealed IgA nephropathy without any evidence of COVID-19 infection. After a regimen of immunosuppression and angiotensin converting enzyme inhibitor therapy, the patient recovered and remained stable upon follow-up. Conclusions: When dealing with patient with COVID-19 infection and kidney involvement, it is vital to evaluate the underlying glomerular disease aggravation as well as virus-induced consequences. A kidney biopsy may be necessary to roll out rapidly progressive glomerular disease (RPGN).","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spheno-orbital Meningiomas: A Case Report 蝶眶脑膜瘤1例报告
H. E, Bushager F
{"title":"Spheno-orbital Meningiomas: A Case Report","authors":"H. E, Bushager F","doi":"10.26715/jbms.34_3_7","DOIUrl":"https://doi.org/10.26715/jbms.34_3_7","url":null,"abstract":"Spheno-orbital meningiomas are benign tumors. They arise intracranially from the sphenoid ridge arachnoid villi cap cells, extending into the orbit. Herein, the authors report a case of a 50-year-old female who presented to Ophthalmology department with a complaint of right eye proptosis. Magnetic resonance imaging and biopsy showed a right sphenoid-orbital meningioma. The tumor was excised and the patient symptomatically improved. Patient had gross tumor reduction for right sphenoidal orbital extra-axial brain tumor with hyperostosis of the lateral wall of the orbit and sphenoidal ridge.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gastric Adenocarcinoma In A Young Adult Female 1例年轻成年女性胃腺癌
Zahra Sayed Alawi Mahfoodh, Z. Hasan, Sayed Dhiyaa Noor Ebrahim
{"title":"Gastric Adenocarcinoma In A Young Adult Female","authors":"Zahra Sayed Alawi Mahfoodh, Z. Hasan, Sayed Dhiyaa Noor Ebrahim","doi":"10.26715/jbms.34_2022_1_9","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_1_9","url":null,"abstract":"Malignancy is not frequently encountered among young adults and is thus at the bottom of the list of differential diagnoses. As a result, it can be overlooked or falsely diagnosed as another less-debilitating medical condition. A similar situation is presented in this paper. A young female presented with no risk factors or specific red-flag symptoms for malignancy, and the initial investigational findings strongly supported her presenting symptoms, which masked the main cause of her complaint. Keywords: Abdominal pain, Adenocarcinoma, Biliary colic, Gallstones, Gastric cancer","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Cognitive Function in Diabetic Patients – A Case-Control Study 糖尿病患者认知功能评估-一项病例对照研究
Abdulla Isa Al-Tamimi, N. Aljirdabi, Sayed Mohammed Hashem AlMosawi, Fatema Ahmed Kamal, Faisal Falamarzi, Nardeen Abdulaziz Alkhowaiter, Amer Kamal AlAnsari, Nasreen Abdulkarim Al-Sayed
{"title":"Assessment of Cognitive Function in Diabetic Patients – A Case-Control Study","authors":"Abdulla Isa Al-Tamimi, N. Aljirdabi, Sayed Mohammed Hashem AlMosawi, Fatema Ahmed Kamal, Faisal Falamarzi, Nardeen Abdulaziz Alkhowaiter, Amer Kamal AlAnsari, Nasreen Abdulkarim Al-Sayed","doi":"10.26715/jbms.34_2022_2_2","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_2_2","url":null,"abstract":"Background: Diabetes mellitus results from defects in insulin secretion, resistance to insulin action, or both. Hyperglycemia causes small vessel diseases and thus affects the retina, kidneys, and nerves. An effect of diabetes that is not entirely understood is cognitive dysfunction. Methods: This case-control study aimed to study the cognitive function of the participants, which included 25 diabetics and 72 without diabetes as per the inclusion exclusion criteria. Participants underwent assessment of cognition by 3MS exam, and personal data was collected. 23 participants were excluded by the exclusion criteria. Age, gender, comorbidities, education, and HbA1C were correlated with the scores. The data were analyzed by Excel version 2013. Results: The group with diabetes showed a significant decrease in 3MS scores in comparison to the control group (90.11 ± 0.75 in controls versus 86.27 ± 1.24 in patients with diabetes, p < 0.05). People with diabetes of higher age groups scored significantly lower than the control of higher age groups (p<0.05). There was a significant relationship between cognitive scores and dyslipidemia in patients with diabetes and control samples (87 ±2.03 in patients with diabetes group with dyslipidemia versus 92.50 ± 2.09 in the control group with dyslipidemia, p< 0.05). Undergraduate controls scored higher than patients with diabetes undergraduates, p < 0.05. The correlation with gender as well as HbA1c was not significant (p>0.05). Conclusion: It has been established that diabetes decreases cognitive function. It is important to highlight the importance of testing cognitive function routinely in patients with diabetes to prevent further complications by early detection and management. Keywords: 3MS, Cognitive function, Diabetes Mellitus, HbA1c, Hyperglycemia","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Preschool Screening Program in the Kingdom of Bahrain: A Survey in Primary Healthcare Centers 巴林王国学前筛查项目的评价:一项初级卫生保健中心的调查
Muna Al Mohri, Hala Al Asoomi, Batool Hasan
{"title":"Evaluation of Preschool Screening Program in the Kingdom of Bahrain: A Survey in Primary Healthcare Centers","authors":"Muna Al Mohri, Hala Al Asoomi, Batool Hasan","doi":"10.26715/jbms.34_3_1","DOIUrl":"https://doi.org/10.26715/jbms.34_3_1","url":null,"abstract":"Background: Preschool screening is one of the services provided by primary healthcare centers, in the Kingdom of Bahrain, for children aged 5 to 6 years. This service includes assessing growth and development parameters, which includes measuring hemoglobin levels, conducting vision examinations, and administering Purified Protein Derivative (PPD) tests. Objectives: To evaluate the prevalence of anemia, reduced visual acuity, and positive PPD tests, in children’s preschool screening. Methodology: This survey was conducted in 25 primary healthcare centers, between the period of January to March 2020, with a total sample size of 2,637 children. Electronic preschool screening visit sheets, of children who attended the health centers for screening, were reviewed and evaluated. Results: Out of the 2,637 records reviewed; anemia, reduced visual acuity, and positive PPD tests, were found in 19.9%, 4.7%, and 0.45% of children, respectively. Conclusion: The overall prevalence of reduced visual acuity and positive PPD tests was low. On the other hand, although the overall prevalence of anemia was also low, at about 20%, this can be reduced further by raising physicians’ adherence to anemia management guidelines, at earlier ages. Moreover, further studies are needed to assess the causes and risks of anemia in this age group.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge and Practice of Immunization Among Primary Health Care Nurses in Bahrain 巴林初级保健护士的免疫知识和实践
Fatema Saleem, Aalaa Ahmed, Eman Faisal, Khatoon Abdulhadi, Dr Afaf Mirza
{"title":"Knowledge and Practice of Immunization Among Primary Health Care Nurses in Bahrain","authors":"Fatema Saleem, Aalaa Ahmed, Eman Faisal, Khatoon Abdulhadi, Dr Afaf Mirza","doi":"10.26715/jbms.34_4_3","DOIUrl":"https://doi.org/10.26715/jbms.34_4_3","url":null,"abstract":"Background & Objectives: Nurses play an important role in delivering and advocating for vaccines in the healthcare system. Our goal was to assess the nurses’ knowledge of vaccine administration, their immunization practice, knowledge of precautions and contraindications to vaccines, and practices towards them in primary health centers in Bahrain. Methods: We conducted an observational cross-sectional study using a self-administered questionnaire. All nurses practicing in the primary health centers in Bahrain were invited to participate in the study. The questionnaire contained several statements regarding general knowledge and practice of vaccines administration and contraindications. Written consent obtained from all participants prior to study. Results: Overall knowledge of vaccine administration, practice of immunization and practice towards precautions and contraindications to vaccines were satisfactory. Although, certain areas of gaps exist. The least satisfactory result was observed in the knowledge of vaccine precautions and contraindications. Conclusion: Our study showed good immunization practice in Bahrain. However, there is a need for improvement in the area of knowledge regarding precautions and contraindications of vaccines.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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