ABSTRACT
Background: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosis- associated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women
Materials and Methods: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I [n=41] who had endometriosis with adhesions and group II [n=68] who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information
Results: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endome- triosis-related adhesions. The most common location for endometriotic adhesions was adnexal adhesion [51.2%] fol- lowed by adhesion of anterior abdominal wall [24.4%]. Quality of life was significantly impacted by endometriosis- related adhesions [P=0.002]
Conclusion: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endo- metriosis had an impact on quality of life of the studied women
ABSTRACT
Background: Chest physical therapy plays an important role in increasing Pao2 and SaO2 among ICU patients which is considered as a good indicator for the general improvement of the patient besides decreasing ICU staying and costs
Purpose: To figure out the effect of chest physical therapy on oxygen saturation and partial pressure of arterial oxygen
Patients and Method: Thirty patients post MV, their age ranged from 50 to 60 years old were recruited in this study. The patients were selected from ICUs of Kasr al Ainy hospital, Faculty of Medicine, Cairo University. The patients received chest physiotherapy [percussion, vibration, manual hyperinflation], positioning and upper and lower limbs exercises
Results: Increase in Pao2 and SaO2 in addition to decreased incidence of chest infection and decreased ICU stay
Conclusion: The results of this study support the importance of chest physiotherapy on increasing SaO2 and Pao2, decrease ICU duration and decrease health care costs
ABSTRACT
Genital prolapse is one of the common gynecologic problems, which can have serious sexual, physical, and social as well as psychological consequences, with severe impact on women quality of life. Women may perceive their condition as either being unworthy of medical attention. This will delay treatment and aggravate the condition. The aims of this study are to assess the awareness of women about genital prolapse, to determine their using of traditional methods for relief symptoms of genital prolapse, and the health problems associated with this behavior. The study was conducted at the outpatient Gynecology and Family planning clinics of El Menia University Hospital between the first of October 2003 and the end of March 2004, using an analytic cross-sectional design. It included a consecutive convenience sample of 100 women attending the clinic. The tools of the study included a structured interviewing questionnaire form covering general characteristics, history, awareness about genital prolapse, symptoms, use of traditional methods and associated health hazards, in addition to modified WHO symptoms checklist. Most women [78%] were 35 years old or more, married [82%] housewives [85%] and illiterate [89%], and all were rural. 86% were gravida 4+, 76% had four or more deliveries, and 88.0% were assisted by dayas. 83% were not aware they were having genital prolapse. It was found that 22% used traditional practices, such as local application of onion [5%], or onion with chamomile [3%], and sitting in warm water [4%], or using heel pressure [10%]. Of those using traditional methods, 90.9% had vaginal pain, 63.6% had dyspareunia, and 13.6% had vaginal discharge. Higher age had statistically significant association with awareness about prolapse. All women who used traditional methods were having heavy domestic work, p=0.04. A statistically significant association was found between the degree of prolapse and women awareness about it, p<0.001. It is concluded that the majority of women were not aware about their genital prolapse, especially younger ones. Nearly one quarter of the women used traditional methods such as heel pressure, or application of onion with or without chamomile in the vagina or the rectum to treat their genital prolapse, which had harmful effects. It is recommended that nurses should motivate women to seek treatment from professional sources