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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 828-834
in English | IMEMR | ID: emr-192601

ABSTRACT

Background: Gastroesophageal reflux disease [GERD] is a chronic motility disorder resulting in reflux of stomach contents in to the esophagus. It has a prevalence rate of 10-20% in the western world. In the Gulf region, the prevalence of GERD is not yet well characterized. Annually, millions of Muslims gather from across the world embark on a religious pilgrimage to Mecca in Saudi Arabia. They represent a population with various socio-demographic characteristics, life styles, dietary habits and social life stresses that might affect the prevalence of this chronic disorder


Objective: the aim of this study was to determine the prevalence and impact of GERD on the pilgrims in Mecca region during the Hajj period in the year 1438 Hegira


Methods: participants were asked to fill a self-administered questionnaire, GERD questionnaire [GERDQ] and GERD-HRQL were used for making the diagnosis of GERD and to assess its impact on the patient's quality of life


Results: the prevalence of GERD among the study population was 29.0%, with a statistically significant association with age and nationality. Neither smoking nor the presence of other diseases showed statistically significant relationship with the presence of GERD [p>0.05]. GERD-HRQL scale showed a statistically higher median in GERD patients compared to healthy subjects. Moreover, 58 participants [52.73%] showed poor quality of life compared to 52 participants [47.27%] who expressed good quality


Conclusion: this study showed a prevalence rate of GERD among pilgrims in Mecca region to be 29.0%, which has an impact on their daily life activities. These data indicate a need for a comprehensive approach to GERD management in the health-care system

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (12): 2178-2182
in English | IMEMR | ID: emr-192786

ABSTRACT

Background: ZIKA virus is a known public health emergency of international concern. The mass gathering places like Hajj are the most viable environment for transmission of such virus


Aim of the work: this study aimed to determine the reliability, validity and conduct the field testing of the field testing of Arabic version of WHO-KAP questionnaire


Material and Methods: this was a cross-sectional study in which the Arabic version of WHO-KAP questionnaire was tested in the field of Al-Hajj season in 2017 by using multistage clustering sampling method and retested online in the period from 23[rd] of August, 2017 till 20th of September, 2017


Results: a total of 399 pilgrims from 11 countries were included with 61.4% that were females. The age of the subjects ranged from 16 to 56 years old with means of 23.47+/- 14.19 and 15.49+/- 16.87 for males and females, respectively. Internal consistency was measured using Alpha Cronbach's test which was 0.858. Test reliability was measured by Intra Class Correlation Coefficient [ICC] that was 0.858. Kaiser-Meyer-Oklin Measure of Sampling Adequacy [KMO-test] was done and showed a significant change [p-value= 0.0001]. KMO measured 0.871 which indicated a sufficient data to conduct the Factorial Analyses. Bartlett's Test of Sphericity [Approximate Chi-square = 12714.212, df =1485, p = 0.000]. Loading of items of WHO-KAP were >0.4 which led to preservation of all the chosen items


Conclusion: the Arabic version of WHO-KAP questionnaire had good internal consistency. It can be used in the future as field test

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