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1.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (7): 2804-2808
in English | IMEMR | ID: emr-190641

ABSTRACT

Background: A substantial group of patients with gallstone disease experience negative outcome after surgical removal of the gallbladder [cholecystectomy]. Early identification of these patients is important


Purpose: The purpose of the study was to recognize predictors [trait anxiety and clinical symptoms] of negative symptomatic outcomes at 5 weeks after cholecystectomy


Materials and Methods: Consecutive patients [n=66], 18-60 years, with symptomatic gallstone disease, completed symptom checklists and the state-trait anxiety inventory preoperatively and at 6 weeks after cholecystectomy. Results: High trait anxiety was the only predictor of persistence of biliary symptoms at 6 weeks after cholecystectomy [OR=6.79]


Conclusion: In addition to clinical symptoms, high trait anxiety is a predictor of negative symptomatic outcome at 6 weeks after cholecystectomy. Trait anxiety should be evaluated to aim at a patient-tailored approach in gallstone disease

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (7): 2809-2813
in English | IMEMR | ID: emr-190642

ABSTRACT

Background: Menopause is the estimated end of reproductive life. Having a positive attitude towards it has been shown to outcome in a positive experience, whereas a negative attitude is connected with negative experiences and symptoms. Conventionally, women regularly abstain from sex after menopause


Purpose: The study aimed to determine the level of awareness and perceptions about the menopause and sex in perimenopausal women attending a general outpatient clinic


Methods: Women over 40 years were enlisted from the Family Medicine Department of King Abdulaziz Hospital, excluding those who were menopausal. Data analyses were done with chi-square test [P<0.05]. The study was done according to the ethical board of Umm Al Qura university


Results: Most [151; 85.8%] of the 176 surveyed participants were aware of the menopause. Only 36.1% anticipated associated symptoms. About half [55.68%] were indifferent to menopause onset, while 23.3% had a positive attitude and 21.11% had a negative attitude, respectively. Younger women were less likely to have a positive attitude to the menopause [P=0.04]. There were negative cultural beliefs towards sex. Sexual activity was low and declined with age [P<0.001]. Many women would like treatment to improve their sexual activity


Conclusion: Most participants had a favourable disposition towards the menopause, though sexual relationships suffer. Counselling and treatment should be offered

3.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (7): 2860-2864
in English | IMEMR | ID: emr-190651

ABSTRACT

Background: Management of small aneurysms regularly poses a therapeutic problem and surgical treatment or coiling can be considered as therapeutic choices. In the current study, we reviewed our series of ruptured small cerebral aneurysm preserved surgically


Materials and Methods:A total of 53 consecutive patients with ruptured small aneurysm were surgically treated between November 2014 and November 2016. Data were retrospectively collected. Procedure-related death and complications were systematically reviewed. Clinical outcomes were evaluated utilizing the Modified Ranking Scale. Neuroradiological follow-up was performed to evaluate aneurysmal occlusion and recanalization rate


Results: The mean aneurysm size was 2 mm +/- 0.7 mm. All the patients were operated and the aneurysm clipped. Clinical outcomes were as expected on the basis of the presenting Hunt and Hess grade. Generally, major and minor neurological deficit related to clipping were 5% and 3%, respectively. At the time of discharge, 85% of the patients presented with a favorable outcome, while 15% had poor clinical outcome. Aneurysm occlusion was achieved in all the cases. Neither recanalization nor re-aneurysmal rupture was observed in the clinical follow-up


Conclusion: Aneurysms, 3 mm in diameter or smaller, represent a therapeutic challenge. Given the proven role of microsurgery in small aneurysms and the perceived challenges with endovascular therapy, surgical clipping still can be considered an effective treatment modality in this setting

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