Background: Delirium is an underdiagnosed condition in the intensive care unit. This study was conducted to know clinical profile and outcome of delirium patients mixed semi-closed unit medical college.Methods: prospective observational done 284 age≥18 years admitted for more than 24 hours level three tertiary hospital one year. The Confusion Assessment Method-ICU Richmond Agitation Sedation Scale were used diagnose motor subtype delirium, respectively, Hyperactive defined as a persistent...

Diabetes Mellitus is a progressive, chronic and multifactorial endocrine disorder characterized by elevated serum glucose levels. It has direct effect to social health related quality of life.This study aimed determine the health-related life among patients with type II diabetes mellitus (T2DM) using insulin therapy.Cross-sectional observational design was used collect data from Malaysian T2DM. Subjective objective assessments were made either several questionnaires or each patient's...

Background and study aim: Cyclin D1 is a key regulatory protein in the cell cycle over-expressed many tumors, including endometrial, thyroid, urothelial, breast, brain gliomas, esophageal cancers. The main aim of present to examine expression pattern cyclin its correlation with different clinicopathological features patients colorectal camcer (CRC) from Madinah region Saudi Arabia. Patients methods: archival tumor blocks were analyzed using immunohistochemistry for over-expression 324 CRC...

Abstract We aimed to evaluate and determine the effect of diabetes mellitus (DM) on overall survival (OS) cancer-specific (CSS) in early stage cervical cancer (CC) patients. Patients with primary newly diagnosed were selected from ten different specialist hospitals Malaysia. Patients’ demographic clinical data obtained for prognostic analysis. Kaplan-Meier method was used estimate patients’ time (CSS OS) DM status values compared using log-rank test. A total 19,785 CC patients registered...

Background . This study is aimed at investigating the various disease-specific and health-related psychosocial concepts of HRQOL among insulin-dependent diabetes mellitus (IDDM) understanding gender differences in IDDM patients. Methods A cross-sectional observational was conducted to assess effect correlates on patients Penang, Malaysia. The participants were recruited from five governmental diabetic clinics. Patients with insulin use only, diagnosed least 1 year earlier, identified...

To describe a previously unreported presentation of sebaceous carcinoma, an aggressive tumor that often presents insidiously with minimal symptoms and nonspecific signs.We report 71-year-old man who presented unilateral ocular irritation ipsilateral, idiopathic, papillary changes the superior palpebral conjunctiva. The patient underwent incisional biopsy conjunctiva followed by full-thickness excision involved eyelid.Histopathologic examination established diagnosis carcinoma.Unexplained...

<h3>Objectives:</h3> To evaluate p63 expression pattern in Saudi colorectal cancer (CRC) patients and correlate that with clinicopathological parameters its role carcinogenesis prognosis. <h3>Methods:</h3> Archival tumor samples were analyzed by immunohistochemistry for 324 consecutive diagnosed CRC between January 2006 December 2017 at the Pathology Department of a tertiary care Hospital, Madinah, Arabia. <h3>Results:</h3> P63 over-expression was absent normal mucosa, while 12.5% cases...

<h3>Objectives:</h3> To characterize and compare the histopathological pattern of benign skin diseases in patients from Madinah region Saudi Arabia. <h3>Methods:</h3> This retrospective study was conducted at Department Pathology, King Fahad Hospital, Madinah, Arabia, contained cases for 11 years (from January 2006 to December 2017). The findings were tabulated Microsoft Excel sheet classified based on diagnosis. <h3>Results:</h3> Of 1,125 tissues reviewed, 579 (51.5%) specimens male 546...

The aim of this study was to explore the predictors QOL and health state examine relationship with glycemic control among type 2 diabetes mellitus (T2DM) patients. A randomized cross-sectional case–control conducted n = 600 T2DM patients Malaysia. Study population distributed into three groups as: controls: HbA1c ≤ 7 (n 199), cases arm 1: 7–7.9 204) 197): ≥ 8 consecutively last 3 times. Participants history > 10 years exhibits higher mean score all groups. In contrast status significantly (p...

Hilus cells are ovarian counterpart of testicular leydig seen at hilar region ovary. We present an interesting case hilus cell hyperplasia in fallopian tube associated with multiple leiomyomata uterus a postmenopausal woman. To our knowledge very few cases reported the existence outside received specimen hysterectomy bilateral salpingooopherectomy. On gross examination both tubes showed small yellowish nodules. Microscopic aggregation beneath normal tubal epithelium. was not ovaries....

The aim of the study was to assess management INR therapeutic range as an estimate for achieving outcome and sub/supra-therapeutic INR's among physician versus pharmacist-led clinics.Articles were searched in: PubMed, Cochrane, Springer, Science Direct, Wiley.The search limited English language from 2010 2016.The inclusion criteria articles keywords such warfarin, management, pharmacist, physician, therapy, clinic, anticoagulation used GRACE guideline quality these research articles.A total...

Purpose: Diabetes is a metabolic syndrome with reported musculoskeletal effects. This systemic review aimed to identify relationship between diabetes and arthritis; disease-related risk factors, the effect of diet in disease management anti-arthritic drugs on treatment.Methods: study analysed 20 articles identified selected according criteria. PRISMA guidelines were used for identification screening literature. Data search covered several primary databases, including Pubmed, Wiley library,...

Aims: -The aim of the present study is to evaluate accuracy ultrasonography and fine needle aspiration cytology (FNAC) in diagnosis thyroid nodules comparison with other diagnostic modalities make early accurate differentiation benign malignant incidence malignancy nodules. There 4-5 % clinically apparent general population. The majority (90%) are as occurs only 1 10 overall solitary nodule ranges between 10% 30%. Material Methods: -A prospective was carried out on 42 cases nodular goitre...

Arterial anomalies of the viscera are not unusual. Of arterial anomalies, celiac and superior mesenteric well studied reviewed in literature. These variations due to changes occurring during development vessels. Also, colonic blood supply have been detailed context conduit surgery esophageal replacement oncological resections. these, rarer anomaly is aberrant left colic artery (ab LCA). Previously described various anatomic descriptions; it has never reported a clinical situation. A...

Purpose: To evaluate hospital pharmacists’ clinical knowledge and practical skill levels for pharmaceutical care.Methods: A quasi-experimental prospective longitudinal study design was used to the level of skills with problem-based learning (PBL) sessions. Pharmacists’ in three different government hospitals Madinah, Saudi Arabia recorded their responses or assessments work manuals preparing reports. Instructors encouraged interactive by presenting case studies, which pharmacists had...

To evaluate the incidence and pattern of cancer in adolescents young adults (AYAs) age group Al-Madinah Al-Munawwarah region Saudi Arabia.This retrospective histopathology-based study was conducted at a tertiary care center Al-Munawwarah, Arabia comprised cases cancers for 15 years between January 2006 December 2020.During last 15-year period, 8,769 were diagnosed out which 475 (5.4%) registered AYAs. Of these cases, 232 (48.8%) males while 243 (51.2%) females, with male-to-female ratio...

Background: Breast cancer is the most frequent in India. During last few years, several investigators have focused on tumor angiogenesis as a critical step development and progression. Among these, vascular endothelial growth factor (VEGF) emerging prognostic marker patients with type of including breast cancer. The aim study was to analyse expression VEGF human compared normal tissue benign lesions by immunohistochemistry. Also, assess usefulness predictor aggressiveness lesions.Methods:...