Saudi Journal of Medicine (SJM) | Volume-5;-Issue-10
Original Research Article
Oct. 3, 2020
Time to Reperfusion Therapies in ST-Elevation Myocardial Infarction and Identification of Factors Responsible for Delays
Mohammad Azharuddin Malik, Roez Khan
Page Numbers : 305-308
DOI : 10.36348/sjm.2020.v05i10.001
Delay in initiation of reperfusion therapy (thrombolysis or primary Percutaneous Coronary Intervention) has been shown to be the detrimental factor of worsened outcome from ST elevated acute myocardia infarction. The data on the actual delay in initiation of reperfusion therapy in India is sparse. This study was designed to assess the various factors responsible for the delays in starting reperfusion therapy in patients presenting with ST elevated acute myocardial infarction. The results of this study indicate that a large portion of the delay was prehospital delay from the onset of angina pain to patient visiting the hospital. Factors responsible for this delay, which are totally preventable, were difficulty in arranging transport, lack of patient education and late recognition of symptom or its severity. This study also noted that there was a significant delay in hospital-door to ECG and hospital-door to thrombolytic or balloon angioplasty as well. Understandably, higher literacy level in urban patients (78.6%) played a major role in urban patients coming to hospital for treatment more than their rural counterparts.
Oct. 7, 2020
Brucellosis Taking Over Covid: An Emerging New Pandemic
Dr. Mitra Ashok Shinde, Dr. Prachi Hazari, Dr. Shivani Hazari, Dr. Sana Mohani, Dr. Rahul VC Tiwari, Dr. Heena Tiwari
Page Numbers : 309-311
DOI : 10.36348/sjm.2020.v05i10.002
COVID-19 caused by SARS-CoV2, which emerged in the city of Wuhan in December 2019 has shook the entire world. Millions have been reportedly infected with the gruesome virus which has claimed numerous lives and has no cure yet. However, this has brought attention to the increasingly spreading zoonoses. Lately, news of an outbreak of Brucellosis has spread on news and social media, leaving a wave of apprehension among the people around the world. Since, there is no vaccine for brucellosis, there is a need to be spread information about it among the masses to aid in its prevention. This paper sheds light on the characteristics of brucellosis and its potential to spread across the world.
Oct. 11, 2020
Management of Emphysematous Pyelonephritis: About 8 Cases and Literature Review
EL Boukili El Makhoukhi Zayd, ABDALLAH Hussein, Dergamoun Hamza, Hachem Al Sayegh, Benslimane Lounis, Nouini Yassine
Page Numbers : 312-315
DOI : 10.36348/sjm.2020.v05i10.003
Acute emphysematous pyelonephritis is a necrotizing and suppurative infection of the renal parenchyma and perirenal tissue with in situ production of gas of bacterial origin. This is a rare disease, occurring preferentially in diabetics and its mortality is hight. Our study aims to highlight the clinical and paraclinical characteristics as well as the particularity of therapeutic management of this pathology. We analyzed the medical files of patients treated for treated in the Department of Urology A; of the CHU IBN SINA Rabat between 2005 and 2020. For each medical file we specified clinical, paraclinical and therapeutic characteristics as well as the evolution after treatment. The treatment of those patients can typically be divided into medical management, medical management plus endoscopic or percutaneous drainage, and emergency nephrectomy. Nevertheless, given that there are very few guidelines or treatment algorithms, there is no consensus on the mana- gement of patients with emphysematous pyelonephritis.