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

Résumé

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 (6): 906-911
Dans Anglais | IMEMR | ID: emr-192615

Résumé

Background: Nutritional anemia or anemia due to dietary causes is the most common form, yet, it is the easiest to manage compared to other forms of anemia. Some of the most common nutritional deficiencies are iron, cobalamin, folate, and also other elements like copper. Anemia due to diet is mostly asymptomatic in the initial phase until the stores are depleted, which can take a few months to several years, depending upon the cause


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE fromJanuary 1987 toMarch 2017. The following search terms were used: nutritional anemia, dietary anemia, iron deficiency anemia, cobalamin deficiency, folic acid deficiency anemia, dietary anemia treatment


Aim of the work: In this study we aimed at understanding the different types of anemia caused as a result of dietary deficiency. We also briefly studied their presentation, pathophysiology, and treatment


Conclusion: Various causes of anemia, presentations, and complications associated with the different types of nutritional anemia, which is considered the easiest to treat and manage. Most cases are due to an underlying occult disorder rather than simple dietary insufficiency. Diagnosis can be more difficult in some cases, and require thorough history and investigations and integration to reach to an accurate conclusion and consequently treat the underlying cause

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (6): 6828-6837
Dans Anglais | IMEMR | ID: emr-202681

Résumé

Background: College students experience a number of sleep problems, which may impact academic performance, health, and mood. A common sleep problem among college students is sleep deprivation and resulting in excessive daytime sleepiness [EDS]


Objective: To identify the relationship between sleep and academic performance of female students


Methods: An observational cross-sectional study was done in Al-Maarefa colleges during the time of 2015 to 2016. Information on sleep period and quality was collected by a self-administered questionnaire distributed on a sample of 150 students


Main findings: Almost 71% of the students felt tired many times a week and felt sleepy during the day. Moreover, 87% of the students felt sleepy in lectures long time within the week. 68% of the students had 3.1-4 GPA on the preparatory year, and only 35% of the students had 6-8 hours of the sleep per day. A strong relation was found between sleep hours on exam days and last GPA [p= 0.005]. Another relation was found between sleep hours on weekdays and the last GPA [p=0.04]


Conclusion: the data collected showed a high prevalence of insufficient sleep hours generally, and on nights before the exam specifically and a strong relationship between exam day sleeping hours and the final GPA. The average GPA is still high compared to the preparatory year GPA, even when the number of sleeping hours declined compared to a preparatory year

4.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (6): 2589-2595
Dans Anglais | IMEMR | ID: emr-190667

Résumé

Background: psoriasis is a papulo-squamous disease with different morphology, severity, distribution and course of disease. The aim of the treatment was to reduce disease activity to a level that permits an acceptable quality of life with negligible toxicity from the treatment itself. About 25% of patients experience major psychological distress due to the disease. Its long duration along with comorbidities have a negative impact on quality of life


Aim of the work: we tried to understand the types, pathogenesis and management of psoriasis, and also try to understand its effect on the quality of life


Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE from January 1994 to March 2017. The following search terms were used: psoriasis, psoriasis classification, psoriasis management, quality of life in psoriasis patients


Aim of the work: we tried to understand the types, pathogenesis, and management of psoriasis, and also try to understand its effect on the quality of life


Conclusion: due to the chronic course, and its noticeable visibility on skin, many patients suffer from major social and psychological ill effects. In majority of the time the health care providers fail to recognize or treat such comorbidities. Healthcare providers must be educated to offer ways to tackle such issues in the management plan for better results

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