Abstract book 6th RMS 16.indd

457
Tourrette’s Syndrome; Prevalance,
Etiology, and Management
Difficulties
John Fayyad MD (Lebanon)
Tourette’s Syndrome (TS) and other types
of Tic Disorders are quite prevalent,
yet are under-recognized in child and
adolescent populations, ranging from
mild tics that require no intervention
to complex presentations that pose
challenges to clinical management. TS
is frequently comorbid with Attention
Deficit Hyperactivity Disorder (ADHD)
and Obsessive Compulsive Disorder
(OCD), which themselves often require
treatment and may complicate the clinical
presentation and management. Strategies
for management of TS and comorbid
conditions will be reviewed including recent
developments in psychopharmacology.
Hall J Session 4
Free Papers
458
End Stage Renal Disease among
Patients at Prince Ali Bin Al-Hussein
Military Hospital
Amer Bderat MD, khalel S. alneimat, MD,
Ameera AL-sarairah, RN, Rasha AL-farayah,
Department of internal medicine, Royal
Medical Services (Jordan)
bderatamer@yahoo.com
Objectives: The aim of this study is to
determine demographic features, the
causes, and the long-term outcome of all
patients with end stage renal disease on
regular hemodialysis at Prince Ali Hospital
in the south of Jordan
Methods: A retrospective study involves
all patients with end stage renal disease
who are on regular hemodialysis at Prince
Ali Hospital from Jan1995 to Dec 2012.
The data collected was reviewed regarding
gender, age at the initiation of dialysis,
their primary disease which lead to chronic
renal failure and other associated disease.
The long-term outcome of all patients
were reviewed.
Results: 91 patients were on regular dialysis
at Prince Ali Hospital during the study
period. Forty nine(54%) were male patients.
The commonest cause of end stage renal
disease was hypertinsive nephropathy seen
in 49% of patients followed by diabetic
nephropathy which occurred in 16% of
patients. Glomerulonephritis account for
11% patients. Long-term follow
up showed 44% of patients are still on
dialysis. Only 6% of patients had successful
renal transplantation, while 50% of
patients died while on hemodialysis.
Conclusion: The most common causes of
end stage renal disease were hypertensive
nephropathy and diabetic nepphropathy
which are preventable causes if detected
early and treated properly. Kidney
transplantation program should be
promoted because it is the best choice of
renal replacement therapy in patients with
end stage renal disease should be achieved.
459
The Importance of Platelet Indices
for Predicting Myocardial Infarction
Quteiba Nuseir MD*, Maysa’a Al-Shyyab Bcs,
Mervat Abu-Mallouh Bcs, Amal Nwafleh Bcs,
Amal Hatamleh Bcs, Lubna Al-Kofahi Bcs.
Dept. of Internal Medicinet, Prince Rashid
Hospital, Irbid, (Jordan)
quteiba@hotmail.com
Objectives: To determine the diagnostic
value of platelet indices for prediction of
acute myocardial infarction.
Methods: A retrospective study included
78 patients of their age ranged between
27-78 years, who attended internal
medicine department at Prince Rashed
Ben Al-Hassan Military Hospital, North of
Jordan, in the period between November
2009 and May 2010, Platelet indices
included mean platelet volume, distribution
width and platelet large cell ratio, obtained
by Sysmex KX-21 automated cell counter.
There are two study groups, Group I: 27
patients consistent with acute myocardial
infarction based on chest pain persisting >
30 minutes, ST-segment elevation of >= 0.2
mV in >= 2 contiguous leads on a standard
12-lead ECG, and elevation of serum
creatine kinase level. Group II; are 51-
healthy subjects, who did not consistent
with acute myocardial infarction.
Results: No statistical significant difference
compared between the age of subjects with
acute myocardial infarction (52.9 ± 10.7
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