Quality of life after breast carcinoma surgery in women with operable breast cancer a comparison of three surgical procedures

Because breast conservative surgery [BCS], mastectomy alone, mastectomy with reconstruction is equally effective for treatment of early stage of breast carcinoma. Now choice of women focus on quality of life, psychosocial results and individual response following breast carcinoma surgery. The involved women in this study aged between 30:85 years [median 57.5] with newly diagnosed breast carcinoma who underwent BCS [n=25]. Mastectomy alone [n=15], Mastectomy with reconstruction [n=10]. The quality of life was assessed after diagnosis [baseline] and at 1,3,6,12,18 and 24 months after baseline by using mischel uncertainly in illness scale [MUIS], profile for mood states [POTIS] and functional assessment of cancer therapy for breast cancer [FACT-B] Women who underwent mastectomy with reconstruction had greater mood disturbance and poorer well being than women who had mastectomy alone, women who underwent BCS had more mood disturbances than women who had mastectomy alone. As regarding well being BCS and mastectomy did not differ significantly. With regard quality of life is not better in women with BCS or mastectomy with reconstruction than in women with mastectomy alone. Mastectomy with reconstruction is associated with greater mood disturbance and poorer well being

Survey for hearing loss in El Minia governorate

Hearing impairment has a significant impact on societies; Egypt is not excluded. Moreover, there is no database about the magnitude and distribution of the problems. Our study was started by survey was a household survey, which targeted the El Minia Governorate populations in its different Districts. El minia population is around 3,670389. The sample was chosen based on the multistage stratified clustering technique. The screening was done by the impedance Tympanometery studying the middle ear function and the otoacoustic emission [OAEI as a first phase for the hearing function integrity. Those who failed the screening were then tested by formal conventional pure tone audiometery [PTA] and auditory brainstem response audiometery [ABRI in children below 4 years as a second phase. Results showed that failure rate [hearing loss] in the first phase was 17.06% of the tested sample. The second phase hearing loss was 13.79%