Takayasu’s arteritis (TA) is an autoimmune disease that affects the big arteries. A possible relationship between TA and tuberculosis (TB) has been suggested. Both diseases have similar chronic inflammatory lesions and occasionally granulomas on the arterial walls. We report a case of TA associated with TB.
Background: Heart failure is a major Public Health problem due to its high morbidity and mortality rates. The Left Ventricular Thrombus (LVT) is more frequently seen in acute heart failure as a complication of Left Ventricular (LV) systolic dysfunction. Objectives: The objective of this study was to determine the prevalence of LVT and its outcome among Yemeni patients presented with heart failure to Kuwait teaching hospital in Sanaa. This cross sectional retrospective study made during the period of January 2014-January 2017 study for all patients admitted to the hospital with Heart Failure (HF). Results: During study period 1856 patients with cardiac diseases were admitted to the hospital. Of this 217 were in (F. Among patient which 61(28.1%) had LVT. The mean age of patient presented with LVT was 51 years ± 8.1 Most cases were male (90%) while only (10%), were females. Ischemic Heart Disease (IHD), Dilated Cardiac Myopathy (DCMP) and Hypertension, found to be an associated risk factors of LVT represented (51%, 34.2% and 34.2%) respectively. However 8 (13%) of patients with LVT had embolic complications. The mortality rate during hospitalization was 4 (6.6%). Conclusion: The Ischemic heart disease was the leading cause of left ventricular thrombus.
Objective: Hyperuricemia is a metabolic problem that has become increasingly common worldwide over the past several decades. Its prevalence is increased in both advanced and developing countries including Yemen. The aim of this cross sectional study was to investigate the prevalence of hyperuricemia in sample of Yemeni adult individual and its relationship to certain cardiovascular risk factors namely obesity, hypertension, serum glucose, total cholesterol, high serum triglyceride, Low High Density Lipoprotein (HDL-C) and high Low Density Lipoprotein (LDL-C). Methodology: A sample of 600 adult Yemeni people aged equal or over 18 years was randomly chosen to represent the population living in Sanaa City during a period of two years from April 2017 to August 2018. All the study groups undergo full clinical history and examination includes measurement of BP and BMI, WC and the following laboratory investigation (FBS, Basal serum uric acid level, total cholesterol, serum TG, HDL and LDL). Results: The prevalence of hyperuricemia in this study was 8.8% (11,6% male and 6.4% female). The serum uric acid level in this study was significantly correlated with age, Waist Circumference (WC), SBP, DBP, FBS, T-cholesterol, TG and LDL but not with HDL. Conclusion: There is strong relationship between serum uric acid level and other cardiovascular risk factors.
Background: Heart failure is a major Public Health problem due to its high morbidity and mortality rates .The Left Ventricular Thrombus (LVT) is more frequently seen in acute heart failure as a complication of Left Ventricular (LV) systolic dysfunction. Objectives: The objective of this study was to determine the prevalence of LVT and its outcome among Yemeni patients presented with heart failure to Kuwait teaching hospital in Sana’a. This cross sectional retrospective study made during the period of January 2014-January 2017 study for all patients admitted to the hospital with Heart Failure (HF). Results: During study period 1856 patients with cardiac diseases were admitted to the hospital. Of this 217 were in (F. Among patient which 61(28.1%) had LVT. The mean age of patient presented with LVT was 51 years ± 8.1 Most cases were male (90%) while only (10%), were females. Ischemic Heart Disease (IHD), Dilated Cardiac Myopathy (DCMP) and Hypertension, found to be an associated risk factors of LVT represented (51%, 34.2% and 34.2%) respectively. However 8 (13%) of patients with LVT had embolic complications. The mortality rate during hospitalization was 4 (6.6%). Conclusion: The Ischemic heart disease was the leading cause of left ventricular thrombus.
Objective: To determine the prevalence of latent tuberculosis infection among Healthcare Workers (HCWs) in Al- Thawra Modern General Hospital. Methods: We carried out cross sectional study to determine the prevalence of Latent Tuberculosis Infection (LTBI) among HCW. Two-steps Tuberculin Skin Test (TST) was performed among health care workers (HCWs) in Al -Thawra Modern General Hospital (TMGH) Sana'a- Yemen during the year 2016. We included all health care workers in the hospital. Out of 466 total HCWs 426 were fulfilled the inclusion criteria. Questionnaire was distributed to HCWs and information related to demographic data, profession, and duration of work, individual and in the family history of Tuberculosis (TB) was recorded. TST was done by a single investigator using the standard Mantoux test. The reaction was read 48 to 72 hours after injection, and the widest axis of indurations was measured by a standardized palpation method. Those with negative result were advised to come, after1- 2 weeks for second step TST. Results: The total number of health workers in the hospital were 466, Eligible cases who fulfilled the including criteria were 426. The remaining either excluded or not present at the time of study. Of them 232 (54.5%) were males and 194 (45.5 %), were females with a ratio of 1.2:1.269 (70%) were positive for TST. The positive result was highest among radiology assistant and laboratory worker represented 91%, 80% respectively, while 76% of doctors found positive for TST. There was an increase in TST reactivity with an older age, and there is a positive correlation between work duration and TST reaction. Conclusion: Latent tuberculosis infection is prominent among HCW who work in high-risk departments. This suggests that some TBI develops via in-hospital infection
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