Vol 44 # 4 December 2012 - Kma.org.kw

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351 Selected Abstracts of Articles Published Elsewhere by Authors in Kuwait December 2012 ‘definitely agreed’ about understanding the meaning of clinical audit. Most of them (75.8%) ‘definitely agreed’ about realizing the importance of clinical audit in improving patients’ care. About half (49.7%) of them ‘agreed’ that they can distinguish between ‘criteria’ and ‘standards’. Conclusion: The eight years of experience were beneficial. Trainees showed a good understanding of the idea behind auditing the services provided. They demonstrated their ability to improve the care given in health centers in which these projects were undertaken. Hospitalization Patterns and Outcomes of Infants with Influenza A(H1N1) in Kuwait Husain EH, Alkhabaz A, Al-Qattan HY, Al-Shammari N, Owayed AF Faculty of Medicine, Kuwait University, Kuwait. E-mail: ehusain@hsc.edu.kw J Infect Dev Ctries 2012; 6:632-236. doi: 10.3855/jidc.2339 Introduction: Infants represent an important risk group for influenza associated hospitalizations and mortality. This study evaluated the clinical presentations, hospitalization course and outcome of infants hospitalized with the pandemic influenza AH1N1 [Influenza A(H1N1)pdm09] in relation to their previous health status. Methodology: We conducted a retrospective chart review of hospitalized infants with laboratoryconfirmed Influenza A(H1N1)pdm09 infection in two hospitals in Kuwait. Demographic characteristics, pre-existing high-risk medical conditions, clinical presentations, complications and mortality were analyzed. Previously healthy infants’ data were compared with infants with pre-existing high-risk medical conditions for severity of the illness and outcome. Results: We identified 62 infants comprising 32% of all admissions with Influenza A(H1N1)pdm09. The median age ± SD was 7 ± 4 months. Nineteen (31%) had pre-existing high-risk medical conditions. Complications were documented in 53% of previously healthy infants compared to 47% in high-risk infants. Mean duration of hospitalization was 4.9 days in healthy infants and 6.7 for infants with highrisk medical conditions. Bacterial pneumonia complicated 7% of previously healthy infants compared to 26% with high-risk conditions (P = 0.03). Four infants (6.5%) required admission to the intensive care unit (ICU), of whom three had high risk medical condition. Conclusion: The majority of hospitalized infants with Influenza A(H1N1)pdm09 were previously healthy. Prolonged hospitalization, ICU admission and mortality were more observed in infants with high-risk medical conditions. According to the latest Advisory Committee on Immunization Practices (ACIP) recommendations, annual influenza vaccination is recommended for any child six months of age and older, particularly those with risk factors. Pre-hypertension and Hypertension in College Students in Kuwait: A Neglected Issue Al-Majed HT, Sadek AA Department of Applied Medical Sciences, College of Health Sciences, Public Authority of Applied Education and Training, Kuwait. E-mail: almajed777@hotmail.com J Family Community Med 2012; 19:105-112 Objective: To determine the proportion of pre-hypertension and hypertension in college students in Kuwait and their related risk factors.
December 2012 KUWAIT MEDICAL JOURNAL 352 Materials and Methods: A total of 803, randomly selected students aged 17 to 23 years (346 male, 457 female) from different colleges in Kuwait, were included in the study between 2009 and 2010. Systolic and diastolic blood pressure measurements were taken by trained personnel. Pre-hypertension was defined as systolic pressure between 120 and 139 mm Hg or diastolic pressure between 80 and 89 mm Hg. Risk factor measurements that were determined, included smoking, body mass index (BMI), and family history of hypertension. Blood samples were collected and impaired glucose tolerance (IGT) and lipid profile levels were determined. Results: There were no hypotensive students. Normotensives constituted 53.5% (n = 430), pre-hypertensives formed 39.5% (n = 317), and hypertensive students comprised of 7% (n = 56). The overall proportions of hypertension and pre-hypertension were higher among male students (85.7 and 64.4%) than female students (14.3 and 35.6%), respectively. Hypertensive and pre-hypertensive students versus normotensive students had significantly higher levels of BMI-based obesity, smoking, glycated hemoglobin (HbA1c), and IGT. Also, hypertensive and pre-hypertensive, compared to normotensive students, had significantly higher proportions (21.4, 18.3, and 4.0%, respectively) of risky high-density lipoprotein (HDL) level (< 1 mg / dL), cholesterol (7.1, 3.8, and 1.4%, respectively), and triglycerides (TG) (17.9, 9.1, and 7.9%, respectively) where p was< 0.001, 0.016, and 0.051, respectively. Conclusion: Hypertensive and pre-hypertensive students showed elevated levels of lipids and BMIbased obesity more than normotensive students. TG, HDL, HbA1c, and cholesterol appeared to influence pre-hypertension. Closed Reduction and Percutaneous Cannulated Screws Fixation of Displaced Intra-Articular Calcaneus Fractures Foot Ankle Surg 2012; 18:164-179 Abdelgaid SM AL-Razi Orthopedic Hospital, Kuwait. E-mail: Sherifmaa@yahoo.com Background: Displaced intra-articular calcaneal fractures remain a therapeutic challenge due to fracture complexity and different treatment options. One of the adverse effects of operative treatment is secondary damage to soft tissues. To avoid soft tissue complications, several less invasive procedures have been introduced. The most frequently used minimally invasive technique is closed reduction of fracture and percutaneous cannulated screws fixation. Method: This study evaluates the medium-term outcome of a new technique of percutaneous treatment in 60 cases operated in Al-Razi orthopedic hospital in Kuwait in the period from 2007 to 2009. The described technique applies the principle of closed manipulation with new reduction method using a medial subperiosteal tunnel to manipulate the fragments. The technique involves new method of distribution of screws required to fix the fracture. Results: According to the American Orthopedic Foot and Ankle Society Hind foot Score, 38.3% of all cases (22 cases) had excellent results, 41% good (25 cases), fair results in 15% (9 cases), and poor results in 5% (4 cases). The overall satisfactory results (excellent and good) were 79.3%. Conclusion: The technique is suitable for most types of intra-articular fractures especially in patients with compromised soft tissues in which open reduction and internal fixation is contraindicated.
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Vol 44 # 4 December 2012 - Kma.org.kw

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