ABSTRACT
Objectives: We aimed to assess the effect of anemia on subjective sleep quality in patients with iron deficiency anemia [IDA]
Methods: The present study is a prospective and cross-sectional study which has been carried out at King Abdulaziz hospital between November 2016 and April 2017. Fifty-two patients diagnosed with iron deficiency anemia and 40 healthy individuals, who are gender and age matched, were involved in the study. All participants were requested to fill 3 forms: a socio-demographic form [age, gender, marital status, income level and educational status], hospital anxiety and depression [HAD] scale and Pittsburgh sleep quality index [PSQI]
Results: According to the HAD scale, the average anxiety score was found 9.31+/-2.41 in patients and 7.62+/- 2.11 in controls. And, the average depression score was 7.49+/-2.08 in patients and 6.39+/-2.73 in controls. The total sleep quality score was 6.68+/-2.99 in patients and 4.27+/-1.71 in controls. There was a statistically significant difference in terms of anxiety, depression and sleep quality scores. Linear regression analysis showed no association between anxiety and depression with poor sleeping
Conclusion: IDA affects sleep quality irrespective of psychological symptoms such as depression and anxiety
ABSTRACT
Purpose: To Compare tomosynthesis to mammography, ultrasound, MRI, and histology for the detection and staging of BI-RADS 4-5 anomalies, as a function of breast composition, histology, size, and lesion location
Materials and methods: 25 patients underwent tomosynthesis, MRI, mammography, and ultrasound. The diagnostic accuracy of the different examinations was compared
Results: The sensitivities for detection were as follows: 92.7% for MRI, 80.5% for ultrasound, 75.6% for tomosynthesis, and 61% for mammography. Tomosynthesis improves the sensitivity of mammography [P= 0.0001], but not the specificity. The detection of multifocality and multicentricity was improved, but not significantly. Tomosynthesis identified more lesions than mammography in 10% of cases and improved lesion staging irrespective of the density, but was still inferior to MRI. The detection of ductal neoplasia was superior with tomosynthesis Compared to mammography [P = 0.016], but this was not the case with lobular cancer. The visualization of masses was improved with tomosynthesis [P = 0.00012], but not with microcalcifications. Tomosynthesis was capable of differentiating lesions of all sizes, but the smaller lesions were easier to see. Lesion sizes measured with tomosynthesis, excluding the spicules, concurred with histological dimensions. Spicules lead to an overestimation of the size
Conclusion: In our series, tomosynthesis found more lesions than mammography in 10% of patients, resulting in an adaption of the surgical plan
ABSTRACT
Background: Drug prescription studies provide a pharmacoeconomic basis for making evidence-based health-care decisions. In ophthalmology practice, rational prescribing shows a vital role in decreasing the ocular disease burden
Purpose: The purpose of the study was to inspect the drug consumption pattern in ophthalmology department of King Abdulaziz hospital in KSA
Materials and Methods: A prospective, cross-sectional study was conducted for a period of 3 months. The prescriptions for all consecutive patients attending the ophthalmology outpatient department for the first time [first time encounter] were incorporated and reviewed using a pre-designed form to record information from the ophthalmology outpatient department prescription cards of each patient. Data analysis was carried out using the descriptive statistical methods: frequencies, mean, percentage, and standard deviation
Results: A total of 500 prescriptions were considered with the average number of drugs per prescription being 2.2 [0.8]. The most common disorders diagnosed were eyelid diseases [31.6%] followed by foreign body in the eye [23,2%], conjunctivitis [20,8%], glaucoma, conrneal ulcer, squint, and others. Drugs were prescribed in different dosage forms with eye drops being the most common [62.9%] followed by ointment [20.5%], capsule [8.6%], and tablets [8.0%] of all dosage forms. The frequency of drug management and period of treatment was recorded in 94% and 76% of all prescriptions respectively. Drugs were predominantly prescribed in brand name rather than generic name
Conclusion: The current study showed certain lacunae in the prescribing practices of the ophthalmologists of the institute as showed by low generic prescribing, insufficient information about frequency of management and period of treatment in many prescriptions. This can be addressed over appropriate sensitization of clinicians in the art of rational prescribing