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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 71 (1): 2351-2357
in English | IMEMR | ID: emr-192811

ABSTRACT

Background: Substance, which use among the youth worldwide is a major problem that has elicited concern from different individuals and groups. In Egypt, drug dependence is considered one of the serious problems that worry both the people and government; however, epidemiological data on drug dependence are still few. Drug addiction is one of the serious problems that worry the Egyptian government, as it deals with young people within the age of work and productivity. It may lead to many problems such as bad social adaptation, decreasing productivity at work or dismissing from job


Aim of the work: The study aims to give an information about the degree of prevalence of a social problem like drugs of abuse in ages more than 18 years in the Egyptian society from May 2016 to April 2017


Methods: This study was a cross sectional study which done on random urine sample of 500 persons in age of more than 18 years coming to outpatient clinics of Al-Azhar university hospitals namely El-Hussein and Bab Elshaaria university hospitals after taking full history for each one [patient sheet] with informed written consent


Results: This study found that prevalence of drugs abuse among all studied sample, negative were 215 [43.0%], and positive were 285 [57.0%]. Regarding prevalence of types of drugs abuse among all studied sample; negative were 215 [43.0%], THC 105 [21.0%], THC and Opiate 15 [3.0%], THC and tramadol were 40 [8.0%], THC, tramadol and opiate 20 [4.0%], tramadol 55 [11.0%] and tramadol and opiate were 50 [10.0%]. Percent of males was significantly higher among the studied groups positive than negative [100.0%, 95.3% respectively, p =0.000]. Mean value of age was significantly lower among the studied groups positive than negative [37.96, 43.88 respectively, p <0.000]


Conclusion: prevalence of drugs abuse among all studied sample, negative were 215 [43.0%], and positive were 285 [57.0%]

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (3): 6272-6282
in English | IMEMR | ID: emr-200129

ABSTRACT

Background: Acute poisoning is a common situation in emergency departments all over the world. It may cause severe complications and death. Treatment of these cases requires great medical care and significant costs. There are many differences with respect to the pattern and cause of acute poisoning between geographical regions, even within the same country


Objective: This study was carried out to assess the pattern of acute poisoning with drugs, chemicals and natural toxins in both adults and children in Kafr El - Sheikh Governorate hospitals


Methods: The study was conducted onacutely intoxicated cases admitted to some of Kafr El - Sheikh Governorate hospitals. The medical records of cases who were admitted due to acute poisoning from January 2015 to January 2017 were reviewed retrospectively


Results: This study included 1046 acute poisoned cases presented to ED. There were 85% less than 6 years old and 15 % more than 12 years old. .Number of males with toxic exposure was 421 while that of females was 625. Pharmacological agents, constituted the highest percentage of the poisoning [28.92%], followed by Insecticides [24.4 %], household products [20.45 %], food poisoning [12.5 %] and animal poisoning [8.03%].The majority of cases of acute poisoning were accidental [78.01%], followed by attempted suicide [21.98%].The majority of cases stayed at the hospital [51.9 %], while [40.8 %] Discharged from ED and about [7.2%] referred to nearest poison centers. 1027 patients [98.18%] recovered, only 1.3% developed complications


Conclusion: Accidental poisoning is still a significant cause of morbidity. Regarding the high prevalenceofpharmaceuticaldrugandhouseholdproductspoisoninginchildren, implementation of legislations to ban over the counter selling of medications and to sell potentially dangerous chemicals in childproof containers is recommended. Improving proper and complete medical record-keeping is also suggested for a better information access

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