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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 762-765
en Inglés | IMEMR | ID: emr-192590

RESUMEN

Background: Abnormal uterine bleeding [AUB] affects as many as one-third of reproductive-aged women. Women with AUB may experience pain, embarrassment and inconvenience that can have a significant impact on their lives. This study was carried out aiming to assess the pattern and possible causes of abnormal uterine bleeding in reproductive aged women in Arar city, Northern Saudi Arabia


Methods: The study was conducted at Maternal and Child Hospital of Arar City, during the period from 1/5/2017 to 30/7/2017. Data collected by personal interview with cases and filling a pre-designed online questionnaire. Collected data was coded and analyzed using statistical package for the social sciences [SPSS, version 16]. Descriptive statistics for the quantitative and qualitative variables were used


Results: In our study 100 women were included, with mean age 30.5+/-6.9, mean age of menarche was 13.1 [+/-1.8] and 52% of them had regular menses. Pattern of bleeding was menorrhagia in 52%. The cause of bleeding was dysfunctional uterine bleeding in 59% of cases, Intrauterine device complications in14%, Uterine fibroid in 12% of cases and contraceptive pills complications in 15%. Only 13% of them treated surgically while 87.0% treated medically


Conclusion: The most common cause of abnormal uterine bleeding was endometrial hyperplasia [in 59%], and the contraceptive pills complications comes in the second place [in 15%], then the Intrauterine device complications [in 14%] and the uterine fibroid [in 12%]. Health education sittings is recommended to increase the public awareness about the causes and importance of seeking medical care during AUB attacks specially in premenopausal period

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (10): 1834-1841
en Inglés | IMEMR | ID: emr-192723

RESUMEN

Background: Thyroid hormone acts as a vital factor of development and growth, and in adults plays a critical part in the regulation of the function and metabolism of virtually every organ system


Study objective: The objective of this study was to identify the pattern of hypothyroidism and hyperthyroidism in Arar, Northern Saudi Arabia and some related socio-demographic determinants


Methodology: A cross-sectional study was conducted in Arar, Northern Saudi Arabia. A multistage stratified random sampling technique was used. A pre-designed online questionnaire was distributed among the targeted population and filled by participants after a brief introduction or explanation of the idea of the research to the public. Sampled participants filled out the self-reported predesigned questionnaire to collect socioeconomic and thyroid diseases related data


Results: The study included 160 participants. The total prevalence of thyroid diseases was 36[22.5%]. Of the 36 reported cases of thyroid diseases, 11[30.5%] were reported as having hyperthyroidism and 25[69.5%] were having hypothyroidism. Of the 11 patients with hyperthyroidism9 [81.8%] were males and 2[18.2%] were females. Of the 25 patients with hypothyroidism, 4[16.0%] were males and 21[84.0%] were females


Conclusion: Hypothyroidism is the prevalent form of thyroid diseases in Arar, Northern Saudi Arabia, females: male ratio was about 1:5. Knowledge of various factors influencing thyroid dysfunction can help the public to guard against these prevalent diseases. More studies should be carried out in Arar city to stress on the individual thyroid disorder. The studies should be community based with clinical and laboratory diagnosis of cases

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (8): 5021-5025
en Inglés | IMEMR | ID: emr-199951

RESUMEN

Background: There is evidence that breastfeeding [BF] may have protective effect against obesity. In some studies, a time-dependent association between duration of BF and obesity has also been shown


Objectives: This community-based study was conducted aimed to evaluate the prevalence of overweight and obesity in children 2-12 years in association with factors related to breastfeeding in Arar City, Northern Saudi Arabia


Participants and methods: A cross-sectional study was carried out in Arar City, mothers were selected from the attendees of the female side of 5 randomly selected primary health care centres in the city. They were interviewed and filled a questionnaire which included the needed questions


Results: Among the 562 studied children, 54.8% were females and the estimated proportion of obese and overweight children are 39.9% and 13.9%, respectively. The BMI group proportions were significantly affected by the period of breastfeeding, father’s obesity, and type of feeding; whether it was artificial or breast-feeding, or both [P<0.05]. We found that 43% of those who were underfed; breastfed for less than 4 months only, were obese and 8.8% were overweight. Among those who were breast-fed for 4 to 6 months, 31.2% were obese and 20.8% were overweight and for those that had a 6 months to a year breastfeeding, 19.4% and 12.9% were obese and overweight, respectively


Conclusion: In Arar City, Northern Saudi Arabia, the BMI of children 2-12 years is significantly affected by the period of breastfeeding, father’s obesity, and type of feeding; whether it is artificial or breast-feeding, or both [P<0.05]. So policy makers must condense their efforts to increase the awareness of the mothers about the protective effect of breastfeeding from obesity and its comorbidities

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