Abstract: The incidence of tuberculosis Disease is increasing all over the world mostly in poor, developing Countries. In Saudi Arabia: tuberculosis is a common disease due to the migration of people from the developing countries. Since the reported patient has a resected abdominal neoplasm, it may be overlooked or confused with recurrence of the malignant disease. We describe two patient with unusual form of extra-pulmonary tuberculosis both mimicking recurrence of neoplastic diseases. The first patient was a 51 year-old man who was operated on for Cancer head of pancreas which was confirmed histologically, the second patient was a 85 year-old man was operated for peri-amullary carcinoma, during follow up of both patient they developed cervical lymphadenitis which proved to be tuberculous, both patients treated successfully with isoniazid, rifampicin and pyrizinamide, no relapse of either malignancy or tuberculous lymphadenitis.

Abstract: Sickle cell disease is one of the commonest reasons for hospital admissions in Bahrain and it considered one of the most significant causes of morbidity and mortality. However, HRQOL in SCD patients is not well studied in this part of the world. SF 36 questionnaire was administered to a total of 1886 participants, through manual and online methods in Salmanya Medical comlex and health centers outpatient’s clinics, general society, and through SCD society, out of which 168 were excluded. Of the participants, 420 (24.4%) had SCD, 607 (35.3%) had chronic disease and 691 (40.2%) were disease free. SCD respondents scored significantly lower than the other two groups in HRQOL in all domains of SF-36, with the following means in role-physical 34.1 (SD 36.1), role-emotional 40.6 (SD 41.0) and general health 44.7 (SD 17.7) affected mostly P ≤ 0.001. Adults with SCD in Bahrain showed significant impairment in all domains of HRQOL when compared to the general population. We would recommend conducting further researches to evaluate the factors that may influence the HRQOL in SCD patients.

Abstract: Central ossifying fibroma is a rare slow growing destructive benign fibro-osseous tumor. It is typically found in craniofacial bones, frequently involving the mandible. The present case showed maxillary involvement, which is a very unique site of occurrence. It occurs more commonly in women in fourth decade of life. A correlation between clinical and radiographical and histopathological features is a key to establish diagnosis.

Abstract: To measure the people knowledge about PHCC services & the satisfaction of people about PHCC services. A cross-sectional study done with simple random sampling technique the data has been collected by distributing an Arabic language questionnaire to users who had utilized health services provided by the primary health care centers in the following cities Buraydah, Onizah and Albukairiah in Al- Qassim reigon. A total number of 384 participants were enrolled in this study. The data was collected over a 3 months period (December 2014 to February 2015). Of 500 questionnaires distributed 384 (76.8% response rate) were collected and analyzed. Findings from the study showed that 297 (77.3%) of the subjects knew the difference between PHCC and hospitals, and 295 (76.8 %) knew the role of PHCC in immunizations. Less than half of the respondents 173 (45.1%) knew the role of PHCC in follow-up of chronic diseases. The overall reported satisfaction score was 50% of the participants were unsatisfied with the services .The study has concluded that the responder’s knowledge is sufficient about the PHCC services. On the other hand, the study showed that most of the responders were unsatisfied toward the PHCC services. Factors causing poor satisfaction were attributed to lack of qualified staff & adequate supervision.

Abstract: Postpartum haemorrhage is the leading cause of maternal mortality at a worldwide scale. The postpartum morbid consequences include problems, such as postpartum infection, anaemia, perineal tears, urinary tract infection, and depression; others defined in the literature as long-term morbidities/disabilities include incontinence, fistula, pelvic inflammatory disease, genital prolapse, hypertension, haemorrhoids, nerve damage, pituitary failure, anaemia, and infertility. Information on postpartum morbidity in developing countries is limited and, when available, usually describes the type of medical conditions diagnosed at the hospital level. The maternal includes different short-and long-term morbid conditions that can result from acute obstetric complications or poor management at delivery. Many of the maternal morbidities and disabilities may arise during delivery or in the first 1-2 week(s)following delivery and can become chronic if not cared for appropriately. The aim of this study was to review the literature on signs and symptoms of post-partum morbidity.

Abstract: Rural health training centres (RHTCs) and urban health training centres (UHTCs) are an integral part of every medical college in India. These centres provide community-based learning for undergraduate (UG) and postgraduate (PG) students as well as interns, build capacity of the staff and facilitate field research. Objective of internship is to train the medical graduates in hospital and community settings. Many students do not take internship period seriously but would rather study for their pre-PG examination. This decreases their interest in internship training especially in rural postings. Interns demands the excuse for rural posing for various reasons like PG preparation, safety issue, too far, no basic facilities etc. The poor physical infrastructure of rural centre is the main hurdle for avoiding the rural postings. The shortage of qualified doctors in many of the rural areas leads to unqualified quacks, which are a greater threat to the lives of the patients. To some extent AYUSH doctors are catering to the needs of rural population and delivering some health care facilities.