Tarek Hassan El-Metwally, Professor of Medical Biochemistry and Molecular Biology and Consultant Clinical Biochemist, Division of Biochemistry, Department of Pathology, CME Coordinator, College of Medicine, Jouf University, Sakaka, Saudi Arabia. Azmi Mohammad-Ghaleb Darwazeh, Department of Oral Medicine, Faculty of Dentistry, Jordan University of Science and Technology, Ramtha, Jordan. El-Setouhy, Substance Abuse Research Center (SARC) and Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan, Saudi Arabia, Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams.
University, Cairo, Egypt, and Part-Time Visiting Professor, Department of Emergency Medicine, Maryland University in Baltimore, Maryland, USA. Maklad, associate professor, department of neurobiology and anatomical sciences, University of Mississippi Medical Center, MS, USA. Alduraywish, associate professor, consultant endocrinologist and chief of the Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Objectives: The present prospective study aimed to monitor the incidence, pattern and kinetics of serum calcium in the 1st 48 hours after total thyroidectomy, and to investigate the role of post-operative parathyroid hormone (PHT) and phosphorus levels in predicting such complications. to determine. This prospective study was conducted on 50 consecutively enrolled patients for total thyroidectomy at the Department of General Surgery, Al-Zahraa University Hospital, Cairo, Egypt; in the period from January 2012 to January 2015.
This means that the greater the % decrease in calcium, the greater the % decrease in PTH (Figure 2). The area under the receiver operating characteristic curve (ROC) for absolute PTH value, delta change, % change and its relationship to calcium level during the 6-hour postoperative period was.
Differences in the prevalence of hypocalcemia after thyroidectomy may also be attributable to the standard definition of hypocalcemia used. Therefore, the lack of uniform definition of hypocalcemia affects the reporting of postoperative serum calcium changes and its correlates. Percent change in PTH level at 6 hours independently predicted hypocalcemia using multivariate binary regression analysis.
This strategy spares patients the bothersome symptoms of hypocalcemia and shortens costs and hospital stay. The serum calcium level is an easy and inexpensive marker to detect, but it should certainly follow changes in the PTH level. The use of postoperative PTH level to predict postoperative hypocalcemia has been used as a predictor in many studies (24-26).
There was no significant difference that could increase the reliability of either of them as a predictor of hypocalcemia. Serum PTH can predict early postoperative hypocalcemia, but there is much debate about the time at which it gives a high predictability of hypocalcemia.
Hypocalcemia after total thyroidectomy: intact parathyroid hormone may be a predictive factor for transient postoperative hypocalcemia. Prospective evaluation of rapid intraoperative parathyroid hormone assay as an early predictor of hypocalcemia after thyroidectomy. Validation of intra-operative parathyroid hormone and its decline as an early predictor of hypoparathyroidism after total thyroidectomy: A prospective cohort study.
Postoperative measurement of parathyroid hormone and early discharge after total thyroidectomy: analysis of Australian data and management recommendations. A single level of parathyroid hormone obtained 4 hours after total thyroidectomy predicts the need for postoperative calcium supplementation.
Supplement 1
Original Article
Assessment of Knowledge, Attitude and Practice of Epistaxis among the Population in Different Regions in Saudi Arabia
Quarter cup One third cup Half cup Two thirds cup Full cup More than cup I don't know. A study conducted in Saudi Arabia assessed the knowledge of first aid measures for epistaxis among 70 clinical staff. It is noted that most of the participants in this study and other studies had previous knowledge of first aid measures by pinching the nose.
In our study, there was a joint assessment of common practice and attitude among experienced participants. In the current study, knowledge was measured using a set of six questions, including factors that may increase the risk of epistaxis. According to the overall assessment of the knowledge of the studied participants, we found that 64% of the participants had good knowledge above the average level.
In addition, experience with nosebleeds was a significant factor in influencing the total knowledge score. However, we cannot track the actual incidence of epistaxis, as it is a self-limited disease and most episodes are not recorded (15).
The overall overall knowledge score of first aid and management of epistaxis was good among Saudi participants. Exposure to previous nosebleeds influenced the total attitude and practice score, but not the knowledge score. One of the limitations of this study is convenience sampling and therefore may not be representative of the entire country.
This study was funded by the authors' respective institutions as part of our labor assignments. Evaluation of the etiology and treatment methods for epistaxis: an overview in a tertiary care hospital in central Nepal. Evaluation of knowledge, attitude and practice of epistaxis among the general population of Tabuk City, Saudi Arabia.
First aid knowledge, attitude, practice and associated factors among kindergarten teachers in Lideta subcity Addis Ababa, Ethiopia. Knowledge and attitude towards first aid management of nosebleed among medical specialist students in Al-Madinah, Saudi Arabia. Knowledge, attitude and practice in first aid management of epistaxis by accident and emergency clinical staff at Kenyatta National Hospital.
Knowledge and attitudes towards first aid management in epistaxis among medical college students at King Khalid University, Abha City, Saudi Arabia.
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