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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (8): 1333-1340
in English | IMEMR | ID: emr-191256

ABSTRACT

Objectives: To assess the awareness, attitudes and background information about the surgical options in the treatment of obesity among the general adult population in Riyadh city, Saudi Arabia


Methods: In this cross-sectional study 420 adult residents from Riyadh from both genders were interviewed and given specifically designed questionnaire to assess their awareness about weight loss surgery and the attitude toward it as a method used in the treatment of obesity. Data were collected between September 2017 and December 2017. The questions highlighted 3 health status scales; 4 aspects including subject's demographics characteristic, personal weight, height and BMI, and their understanding about obesity and its causes and beliefs about weight loss surgery. Scores were analysed using SPSS


Results: More than 90% of the participant in this research identified at least three risk factors of obesity, and more than 90% of the participants had good knowledge about the lifestyle modification to prevent or reduce obesity, regarding the knowledge about bariatric surgery. Although [79%] of them knew the effectiveness of bariatric surgery as a method of reduction of weight; only [37.6%] thought that it will reduce mortality among obese people, [21.4%] knew that weight loss surgeries can result in complications but on the other hand [42.9%] of subjects thought that bariatric surgery can result in death The overall beliefs among the participants regarding the use of bariatric surgery as a method in the treatment of obesity was poor and only 38% had favourable beliefs about the surgery


Conclusion: the knowledge of subjects about obesity and its preventive measures were high but the favourable perceptions about Bariatric surgeries were low. These results indicated that efficient educational programs about obesity and bariatric surgeries are needed for control of obesity and its complications as well as increasing the availability of weight loss surgeries

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (5): 4448-4453
in English | IMEMR | ID: emr-197481

ABSTRACT

Background: Diabetes mellitus [DM] is one of the most common chronic diseases. It can cause a lot of complications such as retinopathy, nephropathy, and neuropathy. Patients with DM are at risk of having acute attacks of hyperglycemia and ketoacidosis as well as hypoglycemia. Diabetic ketoacidosis management is accomplished by the administration of intravenous infusion of regular insulin. Intravenous insulin infusion requires ICU admission in most of institutions, which will increase the hospitals cost [infusion pumps, IV access, nurses]. Accordingly, we have done a literature study to determine whether intermittent subcutaneous use of these rapid-acting analogs might be as effective as intravenous insulin infusions in treating uncomplicated diabetic ketoacidosis


Objective: In this study, we aimed at evaluating the effect of using short acting insulin in the management of mild to moderate DKA


Methods: PubMed database was used for articles selection, and the following keys were used in the mesh ["Insulin Lispro"[Mesh]] AND ["Diabetic Ketoacidosis/drug therapy"[Mesh] OR "Diabetic Ketoacidosis/therapy"[Mesh]] A total of 13 articles were found, with further restriction by PubMed filters, and reviewing the articles titles and abstracts the final results were 5 articles


Conclusion: Subcutaneous [S/C] Aspart insulin every 2 hours can be as safe and effective as SC Lispro insulin every one hour and as continuous IV insulin infusion in the treatment of mild to moderate uncomplicated cases of DKA. There was no significant statistical difference among the 3 approaches regarding the efficacy, and the mean duration of the treatment period. SC aspart insulin every 2 hours is more economical and fairer type intervention

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (2): 6028-6034
in English | IMEMR | ID: emr-200095

ABSTRACT

Background: Acne is a widespread and complex skin disease among developed nations, affecting nearly all young adults between the ages of 15 to 17 years. It is a chronic inflammatory skin disorder resulting in psychological stress. Historically, the relationship between diet and acne is controversial. As a result, significant studies have been done to evaluate this relationship. Assessment of these literatures will help to provide better outcomes for the patients


Objective:This study aims to: 1- Measuring effect of diet and nutritional substances in the management and prevention of acne vulgaris. 2- Providing a reference paper analyzing all the clinical studies in this field. 3- Analyzing the last progression has been reached


Methods: PubMed database was used for articles selection. We included all relevant articles to our review with the following topics [["Acne Vulgaris/diet therapy"[Mesh]] AND ["Acne Vulgaris/prevention and control"[Mesh]]] AND ["Acne Vulgaris/therapy"[Mesh]]. We excluded other articles which are not related to this field. The data will be extracted according to specific form in which it is going to be reviewed by group members to assess the dietary effect of nutritional substance on acne vulgaris


Conclusion: We concluded that there are studies that showed promising results among patients and proved that associations do exist. Nevertheless, further studies with bigger sample and better protocols are needed to establish a concrete evidence-based relationship

4.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (6): 6828-6837
in English | IMEMR | ID: emr-202681

ABSTRACT

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

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