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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (2): 215-222
in English | IMEMR | ID: emr-190727

ABSTRACT

Background: hip fractures are defined as any fracture of the femur between the articular cartilage of the hip joint to 5 cm below the distal point of the lesser trochanter; they can occur at any age, they but are most common in the older persons. A worldwide incidence hip fractures are 1.6 million osteoporotic fractures of the hip in people aged 50 years and older in 2000, of which about 70% [1.14 million] were in women


Objectives: this study aimed to evaluate various postoperative complications and their risk factors in hip fracture patients in King Fahad Hospital in Saudi Arabia


Method: this prospective study enrolled patients with hip fractures who were subjected to hip fracture surgeries in the king Fahad Hospital in the period from 1/5/2010 to 31/1/2016. Detailed medical history,perioperative characteristics and post-operative characteristicswere collected from the patient's files


Results: the higher prevalence of hip fractures was founded among elderly patients with age range of 65-74 years. There was no significant correlations between age, gender, comorbidities [diabetes mellitus, anemia and walking of physical assistance], time of operation and post-operative complications [neurovascular, infection in joints, dislocation of the joint, loosing of the joint and post-operative disabilities] regarding readmission of hip fractures patients for the same reason within one year.While, there was a significant correlation between osteoporosis and readmission of hip fractures patients for the same reason within one year [P=0.049]


Conclusion: medical complications such as neurovascular and infection in joints are encountered more frequently than surgical complications such as dislocation of the joint, loosing of the joint and post-operative disabilities. So, postoperative care is necessary to prevent medical complications

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (5): 2438-2441
in English | IMEMR | ID: emr-190056

ABSTRACT

Purpose: this study aimed at determining the association between non-specific neck pain and the use of smart phones, iPads, laptops, and computers by university students


Relevance: neck pain is frequently common among adults and contributes significantly to the demand for medical services and the economic burden of absence from work. Population-based studies indicated a prevalence of neck pain between 12 and 34% with an elevated prevalence of the symptoms among users of portable electrical devices. Prolonged use of computers, smartphones and other electronic devices is very common among university students


Participants: this is a cross-sectional study included 355 undergraduate students from King Abdulaziz University. The data were collected though interviewing using a structured questionnaire to investigate the frequency of neck pain in relation to the types of devices used by the students


Methods: students had pain or numbness in the neck according to the frequency of reported pain episodes; pain or numbness in the neck responded by saying very often, often, quite often, sometimes and never. The question of assessment of neck pain was 'Have you had an ache; pain or numbness in the neck during the last 12 months?


Analysis: the comparisons were made between respondents according to the gender variable, type of devices used in the study and types of devices used for entertainment. The chi-square test was used to detect the significant differences between categories. In this study, a P-value less than 0.05 were assumed to be statistically significant [1]


Results: the vast majority of the students were electronic devices users 98%, of them, 92% of used both smartphones and iPads for entertainment, while 32% used these devices for purpose of study. Approximately 64% of the students never complained of neck pain, while 8.2% suffered from neck pain either often or very often. The findings of this study showed significant associations between neck pain and risk factors such as gender, type of devices used for entertainment, and type of devices used for study. About 44% of female students reported the occurrence of neck pain in comparison with only 29% of male students. Regarding the type of devices used for entertainment, 26.3% of students used smartphone and iPad for entertainment, while only 16% of students used desktops and laptops for this purpose. On another side, 45.2% of the students used smartphone and iPads for study, while about 26% of them used desktops and laptops to study


Conclusions: most of the university students use electronic devices usually for leisure activities. About a third of the students complained of neck pain symptoms which showed significant associations with female gender and use of small portable devices, smartphone and iPads, either for study or leisure purposes

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