2024-03-29T04:08:41Z
https://ejhm.journals.ekb.eg/?_action=export&rf=summon&issue=3486
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
BREAST CANCER AWARENESS AND ATTITUDE AMONG ADULT FEMALES, EASTERN PROVINCE, SAUDI ARABIA
Mohammed J
Alnuwaysir
Taleb A
Alali
Salman M Alhajri
Salman M Alhajri
Husain A
Bukhamseen
Ahmed H
Aldandan
Mohammed H
Alomrani
Background: Breast cancer (BC) is the most common type of malignancy in women around the world. In Saudi Arabia, a total of 6,922 female BC cases were recorded in the Saudi Cancer Registry during the period from 2001-2008. Eastern province has the highest prevalence rate in Saudi Arabia at 26.6 per 100,000 women, followed by Riyadh 20.5 then other regions. Materials and Methods: Cross sectional study, was carried out on random, adult females 18 years old or more in eastern province, Saudi Arabia. They were approached to participate in a questionnaire about BC. The questionnaire (either paper or online), consent forms were taken. Data were analyzed by demographic criteria, including age, gender, marital status, and level of education, to determine if there are any difference between them. Statistical analysis: Data were analyzed using Statistical Package for Social Sciences version 23 (SPSSv23). Results: In total, 555 participants completed the survey. Most of them believed that screening should begin before the onset of the symptoms (63%). less than one third of participants believed in early menarche, late menopause, and nulliparous. Their answers were varied according to their education levels. Even though, there were some misconceptions with high educated people. Conclusion: Although higher education and older individuals tended to answer questions correctly more than others, there is a need to improve the knowledge about the BC and its screening guidelines to encourage them to go through these tests. A national education program in Saudi Arabia is recommended to improve BC knowledge.
2018
10
01
6797
6801
https://ejhm.journals.ekb.eg/article_16721_508fcaaaca48c02ae82ea44da28b594a.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Comparative and functional study of integumentary system of two different reptiles: adaptation to their different modes of life
Samy A.
Saber
Boshra A.
ElSalkh
Ali G.
Gadel-Rab
Fatma A.
Mahmoud
Asmaa A.
El-Dahshan
Doaa I.
Gewily
Aim of the work: the present study aimed to illustrate the structure and function of the integumentary system of two reptile''s species (Bosc’s fringe toed-lizard (Acanthodactylus boskianus, A. boskianus)and spotted fan-fingered gecko (Ptyodactylus guttatus , P. guttatus) and discussed the influence of different behaviors on their structure (keratinzation and pigmentation, claws, adhesion pads and sensory hairlets). Material and methods: the present study used light and scanning electron microscopy to investigate the structure of skin layers of A. boskianus and P. guttatus. Results: the thin epidermal layer of Acanthodactylus boskianus was covered by hard keratinized horny epidermal scales, while the epidermal layer of Ptyodactylus guttatus was well distinguished and covered by soft keratinized layer. Moreover, in P. guttatus the scales were non-overlapping along the whole length of the body with dome-like shaped on head region, while in A. boskianus the scales were overlapping and articulating with each other by thin hinge. In the present study the dermis of A. boskianus, was the deeper layer of collagenous connective tissue with a rich supply of blood vessels and nerves, while, the dermis of P. guttatus was formed of both collagenous and adipose tissues. Three types of chromatophores (melanophores, iridophores and xanthophores) were distinguished in the skin of both studied species. In A. boskianus, the melanophores were black, large and have dendrites invaginates in the stratum basale of epidermis. The iridophores (reflecting pigments) were scattered in the dermis with large number in the ventral skin than the dorsal one. In P. guttatus, melanphores they were larger, blackish brown and scattered within dermis beneath the iridophores with less number in P. guttatus than that of A. boskianus. Xanthophores (absorbing pigment) were more prominent in P. guttatus than that of A. boskianus. Conclusion: examination of the skin of the two studied reptile species revealed great variations in distributionof chromatophoresthrough the whole bodyreflecting the adaptation of each animal to different modes of life.
skin
Scales
chromatophores
foraging activities
Reptiles
2018
10
01
6802
6811
https://ejhm.journals.ekb.eg/article_16723_f4a9a29c766e39ecee744d12597628a3.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Peptic Ulcer among Patient with Ischemic Heart Disease at Taif City
Anood Qalil Awwad
Althubaiti
Mohammed Ateih Awwad
Alsofyani
Nawal Swailem
Alotaibi
Fahad Mahdi Moeidh
Alsuwat
Samaher Abdullah Marzouq
Alnefaie
Raghad Hasan Ahmad
Almosauie
Hadeel Salem
Alwagdani
Mohammed
Moughrabi
Objectives: A peptic ulcer is a common problem that occurred because of H. pylori infection and the use of nonsteroidal anti-inflammatory drugs. Epigastric pain is the most common symptom. It is characterized by burning sensation occur after meals. This study was conducted to assess peptic ulcer among patient with ischemic heart disease at TAIF city. Methods: We conducted a cross sectional study on 426 ischemic heart disease patients. The data were collected through interview with the patients and self-report questionnaire which include a set of socio-demographic variables (gender, age, sex, weight, city, smoking, drinking tea and coffee) and clinical variables (systolic, diastolic, pulse, respiratory rate, oxygen saturation) in 1/8/2017 to 17/9/2017 and approved by King Faisal medical complex in Taif city. Both genders above 40 years were included and excluded patients below them and patients without ischemic heart disease. Statistical analysis was performed using SPSS. Results: Of the 426 ischemic heart disease patients at TAIF city who were investigated, 229 (53.8%) were female and 197 (46.2) were male. The mean age was 64.5 years (SD=12), ranging from 25 to 100 years. As for BMI, 297(69.7%) had overweight and obese. The mean systolic was 143.49 (SD=22.9). The mean diastolic was 76.31. In total, 24.2% of patients were classified as Peptic ulcer and 75.8% had Non-Peptic ulcer symptoms. No statistical significance was found between the mean of Non-Peptic ulcer and Peptic ulcer patients in terms of oxygen saturation, systolic, diastolic, age, pulse and respiratory rate. A significant statistical relation was found for City that they lived in (P=.027), type of oils that he/she use it for cooking at home (P=.008), stress (P=0.002) and sex (P=.032) for Non-Peptic ulcer symptoms and Peptic ulcer symptoms. Conclusion: This study demonstrated a low prevalence of peptic ulcer among ischemic heart disease patients at TAIF city. Insomnia was associated with gender, type of oil, stress and city that they lived in but no significant association with BMI, taking aspirin, doing exercise and smoking.
Ischemic heart disease
Awareness
Attitude
Knowledge
Taif and Saudi Arabia
2018
10
01
6812
6817
https://ejhm.journals.ekb.eg/article_16730_934f07f87b67f2c2bb0eaebc2f97fcb1.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Maternal Vitamin D Level in Preterm and Term Labouras a Risk Factor
Ahmed Mohammed
Tahoun
TarekAbdElkareim
El-Dahshan
HishamFekry Ahmad
Abu-Senah
Ahmed Sayed Ahmed
Mohammed
Background: Preterm birth constitutes 5-18% of all deliveries and very low birth weight infants comprise 4-8% of all live births. Significant advances in neonatal care have increased the survival rate of premature infants. However, the associated morbidity continues to affect these infants despite the increased survival rate. Preterm birth is the most important problem in modern obstetrics. More than 1 million infants born preterm (at less than 37 weeks of gestation) died worldwide, making it the second leading cause of death in children under the age of 5 years.
Aim: The aim of this work was to study the role of vitamin D in Egyptian pregnant women at labour to evaluate its predictive value in preterm labour.
Methodology: This study was conducted on 90 subjects of pregnant females at labor. Their ages ranged from 14 to 40 years old. This study was carried out in collaboration of the Clinical Pathology and Obs/Gyna Departments at Al-Hussein and Bab-Elshareyia University Hospitals, Faculty of Medicine, Al-Azhar University. All participants were selected from the Obs/Gyna Department, Al-Hussein and Bab-Elshareyia University Hospitals over a period from April, 2018 to July, 2018. In the present study an attempt was done to determine whether the level of vitamin D in Egyptian pregnant females correlates with preterm labor or not.
Results: Group 1 (study group): Mean vitamin D level is 10.93 ng/ml. 27 patients of this group (60%) were suffering from vitamin D deficiency while the other 15 (33.3%) suffered from vitamin D insufficiency and other 3 (6.6%) had normal vitamin D level. Group 2 (control group):.Mean vitamin D is 16.15 ng/ml. This study showed highly statistically significant decrease (p value <0.001) in vitamin D in the study group as compared to control group. 93% showed abnormally low 25-(OH) D levels for cases having preterm labor where 60% of patients shows deficient 25-(OH) D (<12 ng/ml), 33% of patients showed insufficient 25-(OH)D (>20 and <30 ng/ml), while 7%of cases showed normal vitamin D level.
Conclusion: Vitamin D deficiency occurs in the majority of preterm labour cases in Egypt and therefore decreased serum vitamin D levels are considered an additional risk factor in the pregnancy outcome.
Recommendation: For better assessment of vitamin D status, future studies should be done to evaluate serum levels of Ca, Ph and PTH to assess the cause of deficiency, which will help in better management. In addition, it is recommended to consider vitamin D supplementation and its efficacy as a new important line of prophylaxis in pregnant females. Thereby prophylactic administration of vitamin D could be useful and researches have to be done to approve this theory. Screening for vitamin D deficiency seems of value in pregnant females.
Vitamin D
Preterm Labour
Pregnant women
2018
10
01
6818
6827
https://ejhm.journals.ekb.eg/article_16732_2ca719da6a4e4745ac8ac3b63c82ff25.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Sleep and Academic Performance among Female Students in Al-Maarefa Colleges, 2015-2016
Abrar Sayer
Al-mutairi
Shrouq Ahmad
Rahhal
Meriam Sadiq
Al-abdullah
Zainab Hussain
Al-ibrahim
Mada Bejad
Al-mutairi
Rawan Adel
Shafaay
Reem Ahmad
Alanazi
Handi Adnan
Al-mshel
Hadeel Maher
Moqbel
Norah Abdullah
Al-habshan
Background: College students experience a number of sleep problems, which may impact academic performance, health, and mood. A common sleep problem among college students is sleep deprivation and resulting in excessive daytime sleepiness (EDS).
Objective: To identify the relationship between sleep and academic performance of female students.
Methods: An observational cross-sectional study was done in Al-Maarefa colleges during the time of 2015 to 2016. Information on sleep period and quality was collected by a self-administered questionnaire distributed on a sample of 150 students.
Main findings: Almost 71% of the students felt tired many times a week and felt sleepy during the day. Moreover, 87% of the students felt sleepy in lectures long time within the week. 68% of the students had 3.1-4 GPA on the preparatory year, and only 35% of the students had 6-8 hours of the sleep per day. A strong relation was found between sleep hours on exam days and last GPA (p= 0.005). Another relation was found between sleep hours on weekdays and the last GPA (p= 0.04).
Conclusion: the data collected showed a high prevalence of insufficient sleep hours generally, and on nights before the exam specifically and a strong relationship between exam day sleeping hours and the final GPA. The average GPA is still high compared to the preparatory year GPA, even when the number of sleeping hours declined compared to a preparatory year.
Sleep
Academic Performance
Female
Students
2018
10
01
6828
6837
https://ejhm.journals.ekb.eg/article_16735_40d90d6fa3016f226a4ea1d04d8dcf40.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Attitude and practice regarding the use of multivitamins for hair fall: Cross sectional study in Saudi Arabia
Shahad D.
AlGhamdy
Bushra A.
AlGarni
Faten
Albukhari
Background: Despite the lack of evidence which support the hypothesis that usage of multivitamins is effective in preventing hair fall, their use is still prevailing. Although recent studies demonstrated interference of certain vitamins with certain analytical investigations, they are still practically in use without medical supervision and/or control. Aim: To assess the Attitude and Practice of Using Multivitamins for treatment of Hair Fall. Methods: A total number of 1015(females and males) were participated in this study. They aged 18 or more responded to questionnaires on their perception and previous experience with the use of multivitamins. Results: 44% of the participants used multivitamins for hair fall treatment, and only 37.4% recommended using them under medical supervision. The rest were influenced by social media (18.7%) friends and family (17.3%) by themselves (15%), and pharmacists (10.6%). 33.3% carried out blood tests prior use and only (15.3%) had a follow up blood test. Figure 1. Shows side effects such as abdominal pain, diarrhea and constipation were observed in (18.5%). (57.3%) reported noticeable improvement in hair fall and it was significantly associated with the use of multivitamins for more than 3 months (p<0.01). Figure 2. Indicates that (63.5%) agreed on their effectiveness for hair fall treatment and (61.4%) would attribute the effect to other factors. Conclusion: Additional studies are required towards to validate and justify the benefit or downside of multivitamins for hair fall. Knowledge about the misuse of multivitamins is crucial to avoid unnecessary harm.
Attitude
Practice
Multivitamins
Hair Fall
2018
10
01
6838
6843
https://ejhm.journals.ekb.eg/article_16737_a9abb8a7d07b860e086b03289997d7e8.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Public Awareness toward Cervical Cancer among Saudi Females in AL-Ahsa city, Saudi Arabia
Mahdi Mousa
Al-Muhanna
Sadiq Jawad
Alkhalifah
Mufeed Mohammed
Al-Muhanna
Jawad ahmad
alkhars
Afnan Tawfiq
Hanfish
Zainab moosa
Al-yousif
Sukaina Hussain
ALIbrahim
Sakinah Salman
ALHumud
Rabab abdrab alnabi
AlMajed
Fatimah basim
bin alshaykh
Khadijah Jassim
AlHassan
Background: Cervical cancer is the third most common malignancy in women worldwide, and it leads to death if not diagnosed early and treated properly. Also, it is considered as one of the most common cancer related death in developing countries.
Objectives: To assess the level of awareness toward cervical cancer, risk factors, early detection and prevention among Saudi females.
Methods: a cross-sectional study was carried out among 450 Saudi females aged 18-60 years old in the period from August 2018 to September 2018. The participants were randomly chosen for this study.
Results: 450 participated Saudi females have filled the questionnaires. The vast majority of participants had heard about cervical cancer (86.7%) but most of participants (80%) do not know if HPV infection could transmit from husband to wife. More than half of participants (61%) knew that there is available vaccine against human papilloma virus. 90% of participants have never done cervical screening to detect HPV or cervical cancer.
Conclusion: There is low level of awareness towards cervical cancer and its prevention’s methods among Saudi females. Thus, we need to increase the educational campaigns to increase the level of awareness about this fetal disease and its prevention methods.
Cervical Cancer
Female
Saudi Arabia
Awareness
2018
10
01
6844
6846
https://ejhm.journals.ekb.eg/article_16739_60d05ed406293825a8b0d6037276e86f.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Evaluation of Anterior Cruciate Ligament Partial Tear Injury Management
Asma Soud
Badr
Bodoor Salmi
Almotairi
Abdulrahman Ahmed
Alamir
Abdulrahman Mohammed Fahad
Aldawsari
Ammar Osama
Alaaddin
Ayman Khalil
Alrushaydan
Ahmed Muteb
Alanazi
Abdalrashid Faisal
Halawani
Zead Ibrahim
Alhussain
Mansour Mana
Al-ghufaynah
Background: Cruciate ligament is divided into two ligaments (Anterior Cruciate Ligament & Posterior Cruciate Ligament) and is attached to the femur and tibia. The rate Anterior Cruciate Ligament partial tear is high among athletes and it is relatively high in comparison to other knee injuries. Anterior Cruciate Ligament partial tear commonly associated with hem-arthrosis of the knee and can evolve into complete tear. Various approaches have been suggested to treat Anterior Cruciate Ligament partial tear. However, deciding which approach to follow is still controversial. Objective: In this study we aimed at reviewing the current available literatures reporting on the management of partial tears of the ACL. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Anterior Cruciate Ligament /partial tear"[Mesh] OR "Anterior Cruciate Ligament /management"[Mesh] OR "Anterior Cruciate Ligament /outcomes"[Mesh]). 10 studies were enrolled according to our inclusion, and exclusion criteria. Conclusion: The initial treatment after an ACL injury is rest, ice and usually crutches. Immobilization is important while the patient remains symptomatic. A course of conservative treatment by physiotherapy can be successful in patients not participating in strenuous physical activity. In patients with a high functional demand, even after a conservative program, surgical treatment is often required. Keeping ACL remnants when reconstructing the ACL is recommended. It might be beneficial on knee function because it preserves numerous mechanoreceptors that favor knee proprioception. In prepubescent children with several years of growth ahead, physical-sparing technique like Micheli technique is recommended. Less invasive techniques such as Thermal modification of knee’s connective tissues can be suggested in order to reduce the dilemma and difficulty of the operation for the surgeon.
Anterior cruciate ligament
tear
athletes
knee injuries
Physiotherapy
Reconstruction
2018
10
01
6847
6853
https://ejhm.journals.ekb.eg/article_16740_c9009bca197063386d8bc7a7be1fff47.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Blood groups as risk factor of hypertension in Arar population, Northern Saudi Arabia
Taif Shayish N
Alanazi
Khalid Nadi M
Alanazi
Wael Ayad O
Alruwaili
Mohammed Abdullah A
Alanazi
Ahmed Nawfal M
Alshammari
Abdulaziz Saqer A
Alanazi
Zuhur Naif
Alazmi
Anwar Ayed Thani
Alanazi
Ruba Mohammed Mahdi
Almijlad
Anwar Suwailem
Almutairi
Almajd Mateb Nafa
Alenzi
Background: Hypertension is a disease that has a huge impact on the health of communities. Familial patterns of hypertension suggests genetic factor as an another important non-modifiable predisposing factor, and ABO blood group is one of such factors which needs to be investigated in more details. Objective: to evaluate the prevalence of hypertension in various ABO and Rh blood group subjects, and to explore any association between ABO and Rh blood groups with hypertension. Methods: A cross-sectional study was conducted in Arar city, Northern Saudi Arabia. It included 312 participants from the general population of Northern Saudi Arabia. Data were collected by a pre-designed online questionnaire which was distributed among the population. It was self-administered, after a brief explanation of the idea of the research. The questionnaire included the clear questions to collect the relevant data. Results: the study included 312 participants 28.8% aged 30-39 years, 26.0% aged 40year or more, 85.3% were females and 79.2% were highly educated. In the studied sample, 38.1% had O blood group, 30.1% had B blood group, 26% had A blood group and 5.8% had AB blood group. About fifth (20.5%) of studied sample had hypertension; from them 20.3% group A, 7.8% AB, 25% B and 46.9% group O. The present study found that there was no significant association between hypertension and blood groups as risk factors (P = 0.274). Among hypertensive cases 85.9% Rh+ve, 14.1% Rh-ve, there was no significant association between hypertension and Rh factor (P = 489). Conclusion: The findings of the present study indicated that in Arar city population, we could not find any evidence that particular ABO blood group was more susceptible to develop hypertension.
ABO blood group
blood pressure
Hypertension
Arar city
positive Rh and negative Rh
risk factor
association
2018
10
01
6854
6858
https://ejhm.journals.ekb.eg/article_16742_38d2f7dd2420eabba1a2926c4a08a3a1.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy
Awath Fahim
Alsulami
Abdulrahman Abdullah
Alzahrani
Ahmed Bakr
Ibrahim
Ali Abdulla
Almazeedi
Abdullah Saud
Alfaraj
Asma Mutni
Al-Mutairi
Razan Mohammad S
Almuallad
Maram Mudhhi
Alabdali
Hadeel Taha
Alsaadi
Bodoor Salmi
Almotairi
Background: Hypertrophic pyloric stenosis (HPS) is associated with gastric outlet obstruction that occurs as a result of pylorus muscular layers hypertrophy. HPS is considered as the most common cause of vomiting in infancy that requires surgical intervention. Despite advances in neonatal and surgical care, still there is a debate between the pediatric surgeons about the approach that can provide better outcomes for the patients. Objective: In our paper, we aimed to review the recent randomized clinical trials and reviews that compared between laparoscopic and open pyloromyotomy to assess their outcomes, merits and pitfall of each. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Hypertrophic Pyloric Stenosis /management"[Mesh] OR "\ Hypertrophic Pyloric Stenosis /outcomes"[Mesh]) AND ("Mortality/Morbidity"[Mesh]). A total of 12 studies were enrolled into our review according to our inclusion and exclusion criteria. Conclusion: We found that overall Laparoscopic pyloromyotomy procedures were as safe and effective as Open pyloromyotomy procedures for infants with hypertrophic pyloric stenosis. However, there was a trend in the LP group towards shorter time, especially with regard to the full time to feeds, length of stay after surgery, operating time. We think that our findings justify the continued use of laparoscopic pyloromyotomy for the management of infantile hypertrophic pyloric stenosis, and recommend its use in centers with appropriate laparoscopic experience.
pyloric stenosis
Management
laparoscopic pyloromyotomy
open pyloromyotomy
2018
10
01
6859
6863
https://ejhm.journals.ekb.eg/article_16935_aee63cc2a00af28157a863449b0b196c.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Effect of lipid-lowering therapy on the mortality among patients with coronary heart diseases: A systematic review
Abdullah Talal
Almaghrabi
Waleed Mohammed
Alghamdi
Salah Mohammed
Almuyidi
Hadil Hilal
Abuzaid
Introduction: Studies supported the use of lipid lowering therapy such as statin as a treatment of
hypercholesterolemia for prevention of CHD. However, the use of lipid lowering therapy is not well
established in clinical practice due to lack of robust evidence and contra-indications in patients with
heart failure (HF). This review aimed at evaluating the evidence about preventive effect of lipid
lowering therapy on the mortality caused by coronary heart diseases. Methods: A comprehensive
electronic search was carried out using MEDLINE, EMBASE, Cochrane databases to identify articles
which aimed at assessing the preventive effect of lipid lowering therapy for coronary heart diseases.
The data were collected from included studies using data collection sheets using specific items such as
mean patient age, type of coronary disease, mean duration of the disease, drugs of lipid lowering
therapy, regime of lipid lowering therapy, duration of lipid lowering therapy, reduction in mortality
rate, and associated side effects. Results: Following evaluation of the eligible articles, 11 articles were
included with randomized controlled trials investigating the effect of lipid-lowering therapy on the
mortality of patient suffering from coronary heart diseases. The sample size in the included studies
ranged from 106 to 10355 participants, and the total number of participants among all included studies
were 50830 with mean age ranging from 31 to 82 years old. Conclusions: Despite the overall good
outcome that is attributed to the use of statins that is not clear weather this benefit is credited to its anti-
inflammatory or direct LDL lowering effect.
Lipid
Therapy
Statin
Heart failure
myocardial infarction
2018
10
01
6864
6869
https://ejhm.journals.ekb.eg/article_16936_f6ad509c72022964bd8ad7d722560ec4.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Transvaginal Ultrasound Measurement of Cervical Length and Posterior Cervical Angle versus Bishop Scoring in Assessment of Induction of Labour
Mohamed Mohamed
Gibreil
Adel Aly
Elboghdady
Ahmed Mohamed Samy
AL-Bohy
Background: Induction of labour is a widely used intervention on the modern labor. The Bishop score, since its description in 1964, remains the gold standard for assessing favorability for induction of labor. However, the preinduction ‘favorability’ of the cervix as assessed by the Bishop score is very subjective and several studies have demonstrated a poor predictive value for the outcome of induction especially in women with a low Bishop score. Aim of the work: The objective of the study was to evaluate the Transvaginal ultrasonographic measurements in predicting the success of induction of labour. Patients and Methods: In this study 70 women 35-42 weeks pregnancy underwent induction of labor. Before induction a digital examination of the cervix was performed & the Bishop score noted. Cervical length, posterior cervical angle& cervical funneling were then assessed by a transvaginal ultrasound. Results & conclusion: successful induction correlated significantly with the Bishop score and ultrasonographically measured cervical length, and the posterior cervical angel and ultrasound measurements were suggested to be better than the Bishop score in prediction of successful vaginal delivery.
2018
10
01
6870
6877
https://ejhm.journals.ekb.eg/article_16937_9e1b1669b331e1701d36bed3f66bd013.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Evaluation of Natural Tissue Reinforcement of Inguinal canal For Inguinal Hernia Repair (Desarda Inguinal Herniorraphy)
Ahmed Shawky
Abd-Elaziz
Yasser Ahmed
Amer
Mohammed Ramadan Saad
Abd-Elaty
Background: Inguinal hernia repair is one of the cornerstones of a general surgery practice and is one of the most commonly performed procedures. Although there are no exact figures totaling the number of inguinal hernia repairs performed annually, it has been estimated that approximately 800,000 cases were performed annually in 2003, not including recurrent or bilateral hernias. Aim: To report our experience in recording and evaluating the short-term outcome of inguinal hernia repairs with Desarda's technique. Patients and Methods: A total of 20 adult male patients with primary inguinal hernias were randomly allocated intraoperatively to undergo Desarda inguinal herniorraphy. Results: According to our scale evaluating outcome, desarda technique is effective and safe with least post-operative complications regarding inguinal hernia repair. Conclusion: Desarda repair is easy to perform and has shown to take shorter operative time. Also, there is no need of mesh with less suture material requirement. So, this method proves cost effective than the Lichtenstein method. Desarda hernia repair was found to be superior to Lichtenstein repair in terms of post-operative pain and foreign body sensation. It can be recommended for younger patients.
Inguinal hernia
Desarda
2018
10
01
6878
6885
https://ejhm.journals.ekb.eg/article_16938_651a3ceacaccddde2c33d778a11ccd02.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Role of Prophylactic Tranexamic Acid in Reducing Blood loss during Elective Caesarean section in Rural Area
Hossam Elden H.
Kamel
AbdAlsattar M.
Farhan
Hesham F.
Abou Senna
Mohammed A.
Khedr
Ahmed A.
Albhairy
Background: To reduce maternal mortality and morbidity caused by bleeding, it is important to reduce the amount of bleeding during and after lower segment caesarean section (LSCS). Tranexamic acid helps to reduce bleeding during and after Caesarean section. Aim of the Work: To analyse the effectiveness of Tranexamic Acid (TXA) in reducing blood loss during elective caesarean section. Patients and Methods: The current study was conducted as a double blinded, randomized, controlled trial on 300 women recruited from labor ward in Kafr Elsheikh General Hospital whom planned to have scheduled casaerean section. A total number of 150 patients received tranexamic acid before induction of anesthesia in addition to oxytocin after delivery of the baby; the other 150 patients received oxytocin only. Results: In the current study, no significant difference between study and control groups as regards age (p 0.374). In the current study, no significant difference between study and control groups as regards gestational age (p 0.335). In the current study, number of soaked towels and amount of blood in suction set, which reflect the volume of blood loss from placental delivery to the end of surgery was significantly lower in study group than control group. In the current study, no significant difference between study and control groups as regards preoperative hemoglobin (p 0.614). Postoperative hemoglobin was significantly higher in study group than control group (p<0.004). Reduction in hemoglobin was significantly less in study group than control group (p<0.001). In the current study, no significant difference between study and control groups as regards preoperative hematocrit (p 0.527). Postoperative hematocrit was significantly higher in study group than control group (p0.17), Reduction in Hematocrit was significantly less in study group than in control group (p<0.001). In the current study, need to iron replacement or blood transfusion was significantly less frequent in study group than in control group (p<0.031). Conclusion: The use of tranexamic acid prior to cesarean section is significantly effective in reducing blood loss during caesarean section with no observed maternal or neonatal side effects. Recommendations: Further studies are needed to assess possibility of use of tranexamic acid for treatment of postpartum hemorrhage.
prophylactic tranexamic acid
blood loss
Elective cesarean section
2018
10
01
6886
6896
https://ejhm.journals.ekb.eg/article_16939_7c33797ae7f970c05544d94e8fb6c253.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Assessment of knowledge, attitude and practice towards scabies among medical students in Kingdom of Saudi Arabia, 2018
Ohoud Mohammed
ALshehri
Rawabi Abdullah
Alharb
Bayan Mohammed
ALsoraya
Background: The adequate knowledge about scabies and its preventive measures are important for diagnosis and managing scabies. Objectives: Evaluating the knowledge, attitude and practice of scabies among medical students in Kingdom of Saudi Arabia (KSA).
Methods: A cross sectional study that was conducted at KSA, for 4 months from May to August 2018. The study included 445 medical Saudi students from both genders. A self-administrated questionnaire was distributed among all the participants.
Conclusion: This study showed a satisfactory level of knowledge, attitude and practice among medical students in KSA regarding scabies, clinical characteristics and its preventive measures. Keywords: Knowledge, Attitude, Practice, scabies, medical students, Kingdom of Saudi Arabia (KSA).
Ohoud Mohammed ALshehri1,Rawabi Abdullah Alharbi2, Bayan Mohammed ALsoraya3
1-Taif University, 2-Umm al qura University, 3-Qassim University (Unizah college of medicine)
Results: The study included 445 medical students from different parts of KSA in which the level of knowledge among them regarding scabies and its preventive measures was adequate among most of the participants regarding the causative agents, features of scabies, its associated spreading factors and diagnosis. The attitude and practice of most of the subjects were positive.
Knowledge
Attitude
Practice
scabies
Medical students
Kingdom of Saudi Arabia (KSA)
2018
10
01
6897
6899
https://ejhm.journals.ekb.eg/article_16940_9ab51a68fc8cc8ea00ed96e8f3989dbf.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
The Prevalence of People Knowing the Importance of Vitamin D to The Skin in Saudi Arabia
Talal Hassan
Alsawyan
Adnan Meteb Mohamed
Almezani
Mohannad Yousef
Aljarallah
Nouf Awwad
Algharbi
Background: despite the availability of knowledge and multiple educating social medias, the prevalence of people who know the importance of vitamin D to the skin in Saudi Arabia is decreasing these days. Objectives: This study was done to know the prevalence of people knowing the importance of vitamin D to the skin in Saudi Arabia.
Methods: a cross-sectional study on knowing the prevalence of people knowing the importance of vitamin D to the skin in Saudi Arabia was done from January to April 2018 on 864 participants within many different social media platforms. Results: only (36%) of the participants know the importance of vitamin D to the skin, (36.7%) of the participants have checked their vitamin D level at a certain time of point, (25.1%) of the participants have been diagnosed with a vitamin D deficiency,( 66%) of the participants know the sources of vitamin D, (63.1%) of the participants know the consequences of vitamin D deficiency, (42.9%) of the participants usually get exposed to the sunlight, only (18.3%) of the participants use vitamin D supplements, (47.3%) of the participants know the symptoms of vitamin D deficiency, (37.8%) of the participants have a current skin disease and more than half of the participants (55.9%) think that the society has a role in educating people about the importance of vitamin D.
Conclusion: at the end of this study, there is a decrease number of participants who know the importance of vitamin D to the skin in Saudi Arabia.
Vitamin D
skin
supplements
2018
10
01
6900
6904
https://ejhm.journals.ekb.eg/article_16941_8d4cc51102a4fe642d2766cf487cf606.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Knowledge about the prevalence and attitude of patients experiencing epistaxis in Saudi Arabia
Faisal Fahad
Aljuaid
Adnan Meteb Mohamed
Almezani
Nouf Majed Abdulaziz
Alghris
Abrar Fahad
Alotaibi
Background: Despite the modern society, nasal bleeding has been increased these days in Saudi Arabia people these days due to multiple factors. People knowledge about this important situation is not quit enough. Attitude toward nasal bleeding is different from one person to another which may reflect the outcomes of nasal bleeding Objectives: Nasal bleeding (epistaxis) is causing trouble to the patients in a multiple aspect. This study aimed at assessing the prevalence of nasal bleeding (epistaxis) in Saudi Arabia and to know the participants attitude towards it. Methods: A cross-sectional study on the prevalence of nasal bleeding (epistaxis) and the attitude towards it was randomly investigated among men and women (392 participants) within different social media platforms in Saudi Arabia during the period from January to March 2018. Results: in 27% of the participants have been suffering from nasal bleeding, only 17.4% seek medical help, 16.3% tried traditional medicine to stop the nasal bleeding, 5.6% are using anticoagulants, 49% had a positive family history of nasal bleeding and 9.4% had a chronic illness. Conclusion: Our result showed that huge number of the participants was suffering from nasal bleeding (epistaxis) in Saudi Arabia.
Nasal bleeding
epistaxis
Hypertension
2018
10
01
6905
6909
https://ejhm.journals.ekb.eg/article_16942_e75e7129327977af31df69b5eeead91a.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Knowledge about The Overall Patient’s Satisfaction of The Primary Health Care in Saudi Arabia and Common Complains That Brings Patients to The Primary Health Centre
Yousef Ateeg Awad
Alsadi
Adnan Meteb Mohamed
Almezani
Abdulaziz Ayed M
Alshammari
Abdulaziz Ayed
Abed Alrashidi
Abdulrahman Saeed Saad
Alharbi
Intesar Hadi Eisa
Alshammari
Ahmad Hassan A
Albargi
Saleh Ali Saleh Kharshan
AL Ghamdi
Background: Despite the modern life and the availability of great facilities, patients are not satisfied with the health care offered in the primary health care center in Saudi Arabia. Common complains that bring patients to the primary health care center are usually hypertension, headaches or back pain but there are others that are unknown and common like abdominal pain. Objectives: This study was done to explore the overall patient’s satisfaction of the primary health care in Saudi Arabia and the common complains that bring patients to the primary health centre. Methods: A cross-sectional study was carried out during the period from January to April 2018 on 864 participants chosen from many different social media platforms to investigate the overall patient’s satisfaction of the primary health care in Saudi Arabia and the common complains that bring patients to the primary health centre. Results: 48.1% of the participants had visited the primary health care center at a certain point of time, 33.6% of the participants went to the primary health center first before going to the hospital, 43.7% of the participants received a professional health care whenever they enrolled to the primary health care centers, 51.9% of the participants usually found the prescribed medications at the primary health care center and 30% of the participants claimed abdominal when they visited the primary health care center. Regarding patient’s satisfaction, 18.8% of the participants rate the primary health care center 5 out of 10. Finally, 90.6% of the participants thought that the ministry of health should pay more attentions to the primary health care centers. Conclusion: overall patient’s satisfaction about the primary health care center in Saudi Arabia was as great as we could expect. The main complain that brings participants to the primary health care centers was abdominal pain.
Satisfaction
centre
abdominal pain
2018
10
01
6910
6914
https://ejhm.journals.ekb.eg/article_16943_ea665983105fefeeed9e5fc26b79ee2c.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Early Versus Delayed Reversal of Covering Stoma after Low Anterior Resection for Colorectal Carcinoma
Taha Mohamed
Fayed
Ayman Mohammed
AbdulMohaymen
Eid Rizk
El Gammal
Background: A defunctioning stoma is used primarily to protect the anastomosis and prevent pelvic sepsis after bowel surgery. Aim of the work: This study was aimed to compare early stoma closure with conventional stoma closure following defunctioning diversion stoma surgery with respect to the frequency of complications, health‐related quality of life (QOL), and length of hospitalization (LOH). Patients and Methods: This study was designed as a prospective parallel‐arm randomized controlled trial. 40 patients who underwent temporary stoma following colorectal cancer surgery were enrolled in this study. The rate of complications (medical and surgical) following early (20 patients) and conventional (20 patients) stoma closure was assessed. Health‐related QOL and LOH were also measured. Results: Forty patients were included, with 20 cases in each group. Postoperative complications including wound dehiscence (15% vs. 15%; P = 1.00), wound infection (40% vs. 5%; P = 0.023), intra‐abdominal collection (15% vs. 30%; P = 0.449), anastomotic leak (15%vs. 30%; P = 0.449) were comparable. The length of hospital stays and overall mortality and morbidity were similar across the two groups. There was a significant reduction in the cost towards stoma care in the early stoma closure group. Furthermore, Patients in the early stoma closure group also had a significantly better QOL. Conclusion: Early stoma closure does not carry an increased risk of postoperative complications, reduces cost towards stoma care, and leads to better a QOL.
Colorectal carcinoma
Stoma
Early closure
Delayed closure
2018
10
01
6915
6920
https://ejhm.journals.ekb.eg/article_16944_1fdbde4755f4b40421c70b89317f99e0.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Evaluation of Gout Diagnosis and Management in Primary Health Care Centers
Alaa Ahmed
Al-Zahrani
Afnan Ateeg
Batwie
Ammar Mohammed
Jamal
Emtenan Khadir
Alharbi
Marwan Omar
Alahmadi
Abdulaziz Mohammed
Bakhsh
Abdulhamid Ahmed
Sulaimani
Faisal Mohammed
Baqarwan
Amgad Ismaeel
Gholam
Naif Muhaysin
Alharbi
Background: Gouty arthritis is a type of metabolic disorder that is associated with joint inflammation as a result of accumulation of monosodium urate in the synovial fluid. It’s considered as one of the commonest presentations in primary care centers, in which a patient’s present complaining of rapid pain development, redness and swelling of the effected joint. Objective: In our review, we focused upon discussing the clinical presentation of gouty arthritis, and recent updates in diagnosis and management in primary health care center. Methodology: A comprehensive search was done using biomedical databases; Medline, and PubMed, for studies concerned with assessment of Gouty Arthritis. Keywords used in our search through the databases were as; “Gout arthritis evaluation”, “Diagnosis”, “Management”, and “Primary health care center”. Conclusion: Acute gouty arthritis attacks occur as a result of accumulation of monosodium urate crystal deposits into the joint space which associated with inflammatory reaction development. The condition can cause severe pain at the start of the attacks, later on as the condition progress a patients may develop deformity in the effected joint and functional impairment. Primary health care physicians should have a full knowledge regarding gouty arthritis diagnosis, evaluation, and management options. Gout management aims to reduce serum urate level below 6mg/dL, to avoid/ prevent formation of new crystals and promote the dissolution of existing crystals. In general gout management can be difficult as a result of patient’s incompliance, poor medical care provided by the health care system, and the presence of comorbidities. A physician should inform the patients about their condition, and the importance of patient’s compliance with management plan to prevent attacks development.
Acute gouty arthritis
inflammatory reaction
urate crystal
joint space
Management
Primary Health Care Centers
2018
10
01
6928
6935
https://ejhm.journals.ekb.eg/article_17149_4991616490900383a67c6762e9267f9d.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Diagnostic Validity of Cone Beam Computed Tomography Radiography in Detection of Dental Caries
Ghaida Abbas
Katib
Reem Mazen
Alfuraih
Introduction: Comparison between tomography and one or more digital intra-oral systems have been conducted with histological sectioning of the offending teeth as gold standard for comparison. The findings in the literature are contradicting, since some studies showed superiority of tomography. This systematic review aimed at evaluating the evidence in relation to the diagnostic accuracy of cone beam computed tomography compared to the digital and film-based intra-oral radiography. Methods: An electronic search was conducted on Medline Plus, PubMed, Science Direct, and Wiley databases. All articles published in English language up to October 2017 were eligible to be included in this review. Search on different search engines and different database websites including hand search revealed 496 articles. After reading titles and abstracts, irrelevant and duplicated articles 459 were excluded. The resulting articles were read carefully for comparison of accuracy between CBCT and other intra-oral radiographic systems and the references lists of the resulting articles were screened for additional studies. Results: A total of 22 articles, available according to the inclusion criteria, were included in this systematic review. Most of the studies (13 articles) were conducted on premolars and molars while, 5 studies were conducted on molars, one study was conducted on premolars, one study was on incisors, and two studies did not report the type of teeth used. The majority of the studies (21articles) were laboratory experiments (in-vitro) while, only one study was in-vivo. The sample size for the studies (number of teeth) ranged from 30 to 257 teeth. Conclusions: CBCT has similar diagnostic accuracy as other intra-oral systems for diagnosing dental caries. CBCT is not recommended for caries diagnosis unless the CBCT was undertaken for any other procedures where the dental caries should be included in the final report.
tomography
Radiography
dental caries
accuracy
Intraoral
2018
10
01
6936
6942
https://ejhm.journals.ekb.eg/article_17206_8894bafdfdd491fa410ae07e8f787848.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
The Prevalence of Rickets Disorder among Children in Saudi Arabia
Omar mohammad obaid
alshammari
Adnan Meteb Mohamed
Almezani
Amjad Salem
Alshlaqy
Munirah Nasser Nayed
Alsiraa
Ghadeer Awad Gadeb
Alenazy
Saleh Ali Saleh Kharshan
AL Ghamdi
Background: Despite the modern life and the availability of nutrition, the prevalence of children suffering from rickets in Saudi Arabia is increasing these days. Rickets can cause an effect to the children growth and cause an impaction on their later life. Identifying the prevalence of rickets in Saudi Arabia and comparing it with other countries can bring useful information about it in reaching the causes, risk factors and prevention methods that have been done in the community to avoid it. Objectives: This study was done to investigate the prevalence of rickets among children in Saudi Arabia. Methods: A cross-sectional study on knowing the prevalence of rickets among children living in Saudi Arabia was carried out on 864 participants within different social media platforms during the period from February to April 2018. Results: 15.3% of the children were diagnosed with rickets, 50.5. % of the diagnosed children was between the ages of 0 to 5. Regarding risk factors, 41.9% of the children drink soft drinks and 15.4% of them were obese. Only 55% of the participants breast fed their children, 35.9% of the participants know what rickets is, 45.3% ask for medical help once their child has been diagnosed and 70.5% of the participants thought that vitamin D can prevent rickets. Conclusion: At the end of this study, there were an increased number of children that have been diagnosed with rickets in Saudi Arabia.
rickets
Vitamin D
breast feeding
2018
10
01
6943
6947
https://ejhm.journals.ekb.eg/article_17207_70c81f1b6687f144892662822bdb504d.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
The Prevalence of People Underwent Appendectomy Procedure in Saudi Arabia
Ziyad Ali s
Alosayfir
Abdulaziz Ayed M
Alshammari
Yousef Ateeg Awad
Alsadi
Hamoud Meshal Farhan
Alshammari
Hussam Salem
Alshammari
Marwan ahmed
jaafari
Saleh Ali
AL Ghamdi
Firas osama
Alghaffari
Background despite the modern life and the availability of knowledge, the prevalence of people who have had appendectomy procedures is increasing these days in Saudi Arabia in the previous years for multiple different risk factors. Knowing the prevalence of people who underwent appendectomy procedure in Saudi Arabia and comparing it with other countries could provide useful information about these risk factors and how to avoid them.Objectives: This study was done to collect information upon and investigate the prevalence people under went appendectomy procedure in Saudi Arabia.Methods: A cross-sectional study was carried out on 864 participants from different social media platforms to investigate the prevalence of people who have had an appendectomy procedure in Saudi Arabia from February to April 2018.Results: 41.1% of the participants knew some information about appendicitis, 8.1% of the participants have had an appendectomy procedure, 33.3% of the participants who had an appendectomy procedure suffered from post-surgery complication, 29.7% of the participants suffered from gastrointestinal diseases. Recently, 41.4% of the participants do not eat food rich in fibers and 37.7% of the participants have a positive family history of appendectomyConclusion: Atthe end of this study, there were an increased number of people who have had an appendectomy procedure in Saudi Arabia.
Appendicitis
Appendectomy
Complications
2018
10
01
6948
6951
https://ejhm.journals.ekb.eg/article_17208_05940b328832335afb54ad36ef80f5cc.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Bacterial Susceptibility to Antibiotics in Urinary Tract Infections in Children, KSAFH, Saudi Arabia, Tabuk
Salem K.
Albalawi
Bushra K.
Albalawi
Meznah O. Al
Shwameen
Mohammed Huthayl H.
Alharbi
Objective: this study aimed to determine the distribution and antibiotic susceptibility patterns of bacterial strains isolated from patients with community-acquired urinary tract infections (UTIs) at King Salman Armed Forces Hospital, Saudi Arabia, Tabuk. Urinary tract infections (UTIs) remain the common infections diagnosed in outpatients as well as hospitalized patients. Early diagnosis and comprehensive treatment can significantly decrease late serious complications. Current knowledge on antimicrobial susceptibility pattern is essential for appropriate therapy. Methods: urinary isolates from symptomatic UTI cases attending to King Salman Armed Forces Hospital were identified by conventional methods. Positive urine cultures from 210 patients aged less than 14 years were studied. Antimicrobial susceptibility testing was performed by Kirby Bauer's disc diffusion method. Results were analyzed by using the NCCLS guidelines of the 210 samples that showed growth of pathogens. Results: the most prevalent were E. coli (96.7%) followed by Klebsiella spp (3.3%). The majority (81%) of the isolates were from females, while the remaining was from males. Among these gram-negative enteric bacilli very high prevalence of resistance was observed against Ampicillin and Co-trimoxazole. For E.coli the lowest resistant rate was that for Nitrofurantoin 10.3% followed by Norfloxacin and Ceftriaxone (11.3% and 11.8% respectively). Resistance to Gentamicin and Nalidixic acid was observed in 19.2% and 47.3% respectively. For Klebsiella, all organisms were sensitive to Gentamicin and Norfloxacin and all organisms were resistant to Ampicillin. There was a high resistance rate to Ceftriaxone (42.9%).Conclusion: this study revealed that E. coli was the predominant bacterial pathogen of community-acquired UTIs at King Salman Armed Forces Hospital. Most of the organisms were resistant to Ampicillin and Co-trimoxazole; it also demonstrated an increased resistance to Nalidixic acid and Gentamicin. This study is useful for the clinician in order to improve the empiric treatment.
Pediatrics
antibiotics
Infection
UTI
susceptibility
Ecoli
resistance
2018
10
01
6952
6954
https://ejhm.journals.ekb.eg/article_17209_692c99ab30ef1eca4aa2de18ac273d4c.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Awareness, Frequency and prevalence of DKA with D.M. type 1 children in Al-Jouf Region
Atallah Fadel
Alruwaili
Faisal Mohammed
AlArjan
Abdulaziz Sayah Khafur
Alruwaili
Khalid sa’adi faleh
alharbi
Faisal Abdulaziz
Almulhim
Ali Hamoud
Alenazi
Rayan Riyadh Abdullah
Aldandani
Ahmed Muteb Alhumidi
Alanzi
Fawaz Rawi
Alfuhigi
Ahmed Obaid Aladham
Alanazi
Background: Diabetes Mellitus (DM) is a developing worldwide wellbeing concern. In 2000, diabetes affected an expected 171 million individual’s world-wide; moreover, by 2011 this had expanded to more than 366 million and numbers are relied upon to surpass 552 million by 2030. Objective: The present study aimed at increasing the awareness and prevents the complications of diabetes mellites type 1 in children. Methodology: The current study was a cross-sectional community-based study of a qualitative and quantitative approach. Our study enrolled 80 candidates, from both gender. Participants were subjected to controlled self-administered close-ended study questionnaire all through the period between July to August 2018; and one month for data analysis. Our current data were taken from Al-jouf population in Saudi Arabia. Results: (58; 72.5%) of the participants were having children with diabetes; where only 22; (27%) of them were not having children with diabetes. Moreover, 60; 75% were answered that they have only one child with diabetes, while (14; 17.5%) answered that they have two children and the lowest rate was for the third group who answered that they have more than three children (6; 7.5%). Furthermore, the age ranges of the diabetic children were (1-5 years old) with proportions of (14; 17.5%), (6-10 years old) with (28; 35%), and the highest range was (11+ years old) with (38; 47.5%). Conclusion and Recommendation: the current study sheds light on a global and nationwide health problem that affects children in the first stage of life which is diabetes type1. It has a high rate in urban communities. The findings of the present study highlighted the need of raising and improving the awareness through educational programs about management of self-care to prevent and/or reduce the increasing numbers of children patients with DM1.
diabetes
Mellitus
population
Individual
2018
10
01
6955
6958
https://ejhm.journals.ekb.eg/article_17210_7b4def0d08e2eee3139988118f3fa2b4.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Knowledge, Attitude and Practice among Jazan University Students in Health Sciences Colleges Regarding Hepatitis B Virus and its Vaccine
Amani Yahya Ali
Zaeri
Zaidyah Nasser Rihan
Zaihi
Fatimah Ali Mohammed
AbuDyab
Eshraq Eissa Ibrahim
Othman
Eman Hazza Hassan
Somily
Amal ahmed Abdullah
Zalah
Background: Hepatitis B virus (HBV) is a blood-borne infectious disease. Patients with hepatitis B may feel like influenza and might, in other cases, be asymptomatic, but blood analysis can detect the disease. Hepatitis B usually starts to cure on its own after a few months, but the disease can turn into chronic hepatitis if the virus is not cured and usually lasts a lifetime. Objective: this study aimed to estimate the knowledge, attitude and practice about hepatitis B virus and its vaccine among health science college’s students of Jazan University, KSA. Methodology: thiscross-sectional study conducted targeting health sciences students of Jazan University in 2017. Data were collected using self-administered questionnaire which has been distributed among 400 students using stratified random sampling technique, the self-administration questioner aimed to estimate knowledge practice and attitude towards HBV and its vaccination and whether the students were vaccinated or not. Analysis has been done by using computer program (SPSS) for displaying frequency, mean and percentage. Descriptive statistics and correlation analysis have been used to detect the association. Results: this study found that overall knowledge about HBV hazards and prevention among students was good and satisfactory (90.6%). The majority of the respondents (73.1%) had positive attitude toward HBV and its vaccine, 58.5% had poor practice, 63.3% received vaccination and only 39.2% were fully vaccinated.
Conclusion: Medical and health sciences students were at high risk of exposure to the HBV by direct contact with patients and their body fluids or accidental injury by needles, that's why students should be vaccinated upon entry to colleges or before starting clinical training and well-educated about post-exposure prophylaxis when exposed to these injuries.
Jazan University
Hepatitis B virus
vaccine
2018
10
01
6959
6966
https://ejhm.journals.ekb.eg/article_17211_5968abcbdf395e402dcd0ed61b60b4b4.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
The Identification of Recurrent Laryngeal Nerve by Injection of Blue Dye into the Inferior Thyroid Artery
Amr
Salah
Mohamed
Mamdoh
Nader
Abd-Elhamid
Background: Thyroidectomy creates a potential risk for injury of the recurrent laryngeal nerve (RLN). The identification and dissection of the RLN is the gold standard for preserving its function.
Aim of the work: was to evaluate the value of injection of methylene blue dye into the inferior thyroid artery for help of the identification and dissection of RLN.
Patients and Methods: This study included 60 selected patients who underwent thyroid surgery divided into 2 groups. In group A (30 patients) the branches of the inferior thyroid artery (ITA) near to the capsule of the thyroid lobe were isolated, and then 0.5 ml methylene blue dye was injected into the artery. In group B (30 patients) the RLN identified without help of dye to be compared with group A cases.
Results: During injection of dye bleeding from the ITA occurred in 7 patients. The identification of the RLN within the painted tissue was succeeded 28 patients and failed in 2 patients due to extravasation of the dye. Regarding the amount of blood loss, there was a significant difference between the groups as the average amount of blood loss in group A was 85±22 ml (range 70-120) and in group B was 105±37 ml (range 90-160) P = 0.01. Also, by comparing the time taken for RLN identification in one side, there was a significant difference between the groups, as the median time taken for single RLN identification in each case in group A was 9±2 min (range 7-12 min) and in group B was 14±3 min (range 10-20 min) P = 0.008.
Conclusion: the injection of methylene blue dye into the inferior thyroid artery or its branches is a feasible, effective, reliable way that can be used as a method for the identification of the RLN during thyroidectomy.
methylene blue
Recurrent laryngeal nerve
thyroid surgery
2018
10
01
6967
6972
https://ejhm.journals.ekb.eg/article_17212_e339109e7046d10c0a25ba690c99d65f.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Effect of Intra-Muscular Administration of Dexamethasone on the Duration of Induction of Labor in Primigravida Full-Term Pregnancy
Emad Maarouf
Abdel Latif
Wael Soliman
Taha
Ahmed Abd Rabou Ali
Ahmed
Background: induction of labor refers to the process of artificially initiating uterine contractions prior to their spontaneous onset to effects progressive effacement and dilatation of the cervix and ultimately, delivery of the baby. Aim of the Work: to establish whether a single dose of dexamethasone (8mg) intra-muscularly plays a role in shorting the duration interval between initiation of labor induction and beginning of the active phase of labor in primigravida full-term pregnancy. Patients and Methods: this clinical interventional randomized case-controlled trial was conducted at El Hussien University Hospital during the period from July 2017 to March 2018. One hundred twenty full term & post-term (≥ 40 weeks) nulliparous women were included in this study and divided into the following: Group I (Dexamethasone group) injected with 2 ml (8 mg) of the product (dexamethasone) 6 hours before initiation of labor induction and Group II (Control group) was not receive dexamethasone or any other cervical ripening agent. Results: our results showed that the intramuscular administration of dexamethasone appears to shorten labor duration. Conclusion: single intra-muscular injection of two ml. (8mg.) of dexamethasone before induction of labour appears to shorten labor duration
Intra-Muscular Administration – Dexamethasone
Primigravida Full-Term Pregnancy
2018
10
01
6973
6982
https://ejhm.journals.ekb.eg/article_17213_b37052a330d7ffd24825b2f6d0fa61e6.pdf
The Egyptian Journal of Hospital Medicine
1687-2002
1687-2002
2018
73
6
Knowledge about the prevalence of Iron Deficiency Anemia and its associated risk factors in females in Saudi Arabia
Sultan Ahmed
Almallki
Adnan Meteb Mohamed
Almezani
Abdulaziz Ayed M
Alshammari
Ziyad Ali S
Alosayfir
Ibrahim Homoud
Alshammari
Adel Hamoud Hammad
Alhammad
Mohammed saud salem
alsalem
Shahad Mohammed Awad
Alhazmi
Faris mohammed suliman
alshammari
Nader Awad
Alanazi
Saleh Ali Saleh Kharshan
AL Ghamdi
Mona Ahmed SID Ahmed
Mohammed
Fares Ahmed S
Aljohani
Background: despite the modern society and available healthy food, iron deficiency anemia is common in Saudi Arabia woman. Iron deficiency anemia is very common in women due to many risk factors like heavy menses and eating food that is not rich in iron. Knowing the prevalence of iron deficiency anemia and its associated risk factors in Saudi Arabia can provide a useful knowledge in avoiding these risk factors and improving the overall health.
Objectives: Iron deficiency anemia is increasingly common worldwide. This study aims to assess the prevalence of iron deficiency anemia and its associated risk factors in women in Saudi Arabia.
Methods: Across-sectional study on the prevalence of iron deficiency anemia was randomly carried out among women (1638 participants) in different social media platforms of Saudi Arabia during the period from February to April 2018.
Results: In 43.5% of the participants have been suffering from iron deficiency anemia, only 10.1% had a blood transfusion as a consequence of the anemia, 42.6% have sought medical help, 32.8% had heavy menses, 48.5% had a positive family history of iron deficiency anemia, only 15.4% had hypothyroidism disease, 57.2% don’t eat iron rich food and only 7.9% were pregnant.
Conclusion: Our result showed that huge number of the participants was suffering from iron deficiency anemia in Saudi Arabia.
iron deficiency anemia
Heavy menses
hypothyroidism
2018
10
01
6983
6986
https://ejhm.journals.ekb.eg/article_17214_f185a796b311bb324cb069dbdf39cea3.pdf