RESUMEN
Background: Irritable Bowel Syndrome [IBS] is a very common gastrointestinal dysfunction. Notwithstanding strong evidence of high prevalence of depression and anxiety in IBS there is very limited research on this topic in KSA
Materials and Methods: Cases of irritable bowel syndrome and controls with non-ulcerative dyspepsia were employed between March 2016 to May 2017 from the gastroenterology department in King Abdulaziz hospital, KSA. Presence of anxiety disorder and depression were evaluated by utilizing the Hamilton Anxiety rating scale and Hamilton Depression rating scale respectively. Occurrence rates of anxiety and depression were established and Odds Ratio [OR] was calculated to determine the association of depression and anxiety disorders with IBS
Results: In IBS cases, the prevalence of depression and anxiety disorder was 37.2% and 31.5% respectively. In patients with irritable bowel syndrome the OR for depression was 6.1 [95% CI 1.7-23.6, P=0.008] and the OR for anxiety disorder was 7.3 [95% CI 1.5-36.2, P=0.011]
Conclusion: The occurrence of depression and anxiety disorder in IBS is very high. As a result, screening of IBS patients for anxiety and depression would facilitate better interventions and consequently better outcomes and medical treatment
RESUMEN
Background: Non-alcoholic fatty liver disease [NAFLD] is the most common chronic liver disease that exposes patients to a great risk of emerging cardiovascular diseases and could develop to cirrhosis or hepatocellular carcinoma if left unmanaged
Objective of the Study: this article is intended to provide an overview and explore the optimal intervention for management of NAFLD in the short and long term
Methods: Electronic search in the scientific database from 1966 to 2017 [Medline, Embase, the Cochrane Library as well as NHS center websites were searched for English Publications were obtained from both reprint requests and by searching the database. Data extracted included authors, country, year of publication, age and sex of patients, epidemiology, geographical distribution, pathophysiology, risk factors, clinical manifestations, investigations and types of surgical treatment
Conclusion: It was concluded from the extensive review of the literature that Lifestyle modification including diet, physical activity and controlling metabolic disorders are the cornerstone in current management of NAFLD. Nevertheless, Insulin-sensitizing agents and antioxidants, particularly thiazolidinediones and vitamin E, seem to be a very promising pharmacologic treatment for non-alcoholic steatohepatitis, yet further long-term multicenter studies need to be conducted for confirmation and assessment
RESUMEN
Background: A good social environment is a key strategy to improve the level of education and achievement in medical college students. However, survey data from Jeddah, Saudi Arabia have indicated that a large number of medical students are affected negatively by their social status. This article comparatively explores the impact of four main factors: Social class/Background, Students' Personality, Health Status, and Psychological health on their achievement. Data were collected as part of a program of qualitative and quantitative research investigating the prevalence of bad environment effect on the psychological level of the students
Objectives: To study the four main factors Social class/Background, Students' Personality, Health Status, and Psychological health affecting academic achievement among Female Students at Ibn Sina National College
Methods: The study was conducted among 1315 female students attending colleges of Ibn Sina-Jeddah-Saudi Arabia between 1[st] of April - 31[th] of May 2016. An open-ended questionnaire was developed to cover the objectives
Conclusion: After assessment of the factors and variables across the targeted sites about the academic achievement were often conclude that overall achievement were very good regardless the factor