Study of smoking among females students in Ibn Sina national medical college

Background: Prevention of smoking is a key strategy to improve general health. However, survey data from Jeddah, Saudi Arabia have indicated that a large number of female medical students are addicted to smoking despite the knowledge of its harmful effects. This article comparatively explores the impact of smoking on health among female medical students in Jeddah, Saudi Arabia. Data were collected as part of a program of qualitative and quantitative research investigating the prevalence of smoking among female medical students

Objectives: To study the prevalence of smoking among females in the college of Ibn Sina and it is impact on their health in relation to personal and family character, CAP knowledge attitude and practice, and association of medical condition as chronic bronchitis and bronchial asthma

Methods: The study was conducted among female's students attending college of Ibn Sina-Jeddah-Saudi Arabia. An open-ended questionnaire was developed to cover the objectives

Conclusion: This study indicated that across the targeted sites, the descriptions made by female smokers about the harmful impact of smoking on their health were often vague. After assessment of the risk factor and variables that may increase prevalence of smoking among medical students, the prevalence of smoking was only 7.95% and used to practice smoking habit despite the knowledge of its side effects

Mesh Repair is superior to Suture Repair of midline incision Hernia

Objective: the objective of this study was to compare mesh repair with suture repair of midline incisional hernia, regarding recurrence rate, complications, operative time, hospital stay of the patients and patient satisfaction with Long-term follow up

Background: this is a retrospective randomized study with Long-term follow up. Which indicated that mesh repair is superior to suture repair of midline incisional hernia. However, many surgeons are still performing suture repair. Methods: From January 1999 through January 2005, 160 operations upon the midline incisional hernia in Ain Shams University hospitals were done and patients were randomly assigned to mesh or suture repair. In 2004, follow-up was updated

Results: 160 patients with midline incisional hernia [96 women and 64 men] with Long-term follow up [72 month].The recurrence rates were 4.2% after mesh repair and 39.1% after suture repair [P = 0.003]. In the mesh repair group, 14.2% suffered a complications, compared with 8.1% in the suture repair group [P = 0.17]. In mesh repair group there was a long operative time and hospital stay. But abdominal pain was more frequent in suture repair patients [P = 0.01]

Conclusions: mesh repair is superior to Suture Repair of midline incisional Hernia

Predictive value of c-reactive protein for coronary in stent restenosis

C-Reactive protein [CRP] should be measured in all patients undergoing coronary angioplasty for prognostic stratification. Preprocedural levels are of proved efficacy. CRP levels can be used as a guide to therapy in PCI. The aim of this study is to evaluate the predictive value of CRP plasma leve1 for coronary instent restenosis [ISR]. This study included 60 patients who underwent successful coronary stenting. All patients included in. this study were subjected to the following. Full history taking, thorough clinical examination, risk factors evaluation, 12 leads surface ECG, plain chest x-ray echocardiography, coronary angiography and laboratory investigations [Blood sugar level lipid profile and CRP] with follow up period for six month. Patients were classified into two groups according to ISR. Group [I] with ISR included 22 patients [43.1%] and 22 lesions treated with 25 stents [45%]. Group [II] without ISR included 29 patients [59.9%] with 29 lesions treated with 30 stents [55%]. At follow up, focal ISR [<10 mm] was detected in 5 patients [22.7%]. diffuse [>10 mm] in 7 patients [31.8%], proliferative ISR in 5 patients t22. 7%] and total occlusion in 5 patients [22.7%]. In restenotic group [I] 8 patients [36.4%] were asymptomatic, two p [9.1%] had unstable angina and 12 patients [54.5%] had stable angina. In the non restenotic group [II] 22 patients [75.9%] were asymptomatic four patients [138%] had unstable angina and three patients [102%] had stable angina. Clinical, lesional and procedural variables are not associated with in creased risk of ISR. The only variable for exclusion of ISR was a normal level of CRE in plasma [72 hours after coronary stenting]. Its specificity was [100%]

incidence of crystals deposition in inflammatory osteoarthritis

The present study was done to detect the incidence of Hydroxy apatite [HA] Calcium. Pyrophosphate Dihydrate [CPPD] and monosodium urate [MSU] crystals in synovial fluid of inflammatory Osteoarthritis [OA] by using alizarin red S stain and polarized light microscopy This study included 100 patients, 83 females [83%] and 17 males [17%] and their ages were ranged between 38-65 years with a mean of 45.9-1.3 years. HA was detected in 36% of cases, CPPD was detected in 30% of cases MSU was detected in 5% of cases while 55% of cases had no crystals in their synovial fluid. Also we found that there was coexistence between HA and CPPD crystals in 16 cases of those who had crystals in their synovial fluid [45 patients] and also the difference in the incidence between AH and CPPD crystals was statistically in-significant, while the difference between the incidence of HA and MSU as well as the difference between the incidence CPPD and MSU crystals was statistically significant. We concluded that alizarin red S staining is a rapid simple and sensitive technique helpful in detecting the presence of aptite crystals and that the concordance of HA and CPPD crystals might be of potential clinical and pathogenic significance

Role of Ambulatory Blood Pressure monitoring in evaluating hypertensive patients with and without left ventricular hypertrophy

This study included 60 patients with essential hypertension [32 females and 28 males], their age ranged from 43 to 59 years [mean 52 +/- 4 Twenty normal, age and sex matched, healthy subjects were also studied as a control group. All subjects were subjected to 24 hours Ambulatory Blood Pressure Monitoring [ABPM], EGG and Echocardiography. According to echocardiographic parameters, hypertensive patients were classified into two groups. hypertensives with left ventricular hypertrophy [LVH] and hypertensives without LVH. This study revealed: Significant increase in left ventricular mass and LVH in hypertensive versus normotensive group. LVH is more closely related to ambulatory blood pressure than to casual blood pressure. Closer relation of systolic over diastolic BP to the degree of hypertrophy, another evidence that wall stress which is mostly related to systolic blood pressure [SBP] is a key factor influencing LVH development. Significant increase in left ventricular mass and LVH in hypertensives with marked fluctuation in BP throughout 24 hours versus hypertensives without marked fluctuations. Significant increase in LVM in hypertensive non-dippers versus hypertensive dippers. The propensity for LVH among patients with hypertension is increased with age and with the duration of hypertension. The results of this study shows a significant relationship between cir-cadian blood pressure changes and left ventricular hypertrophy which underlines the importance of ambulatory blood pressure monitoring in evaluating the effects of hypertension in relation to left ventricular hypertrophy