RESUMO
Background: Patients with severe traumatic brain injury [TBI] are at high risk for airway obstruction and hypoxia at the accident scene, and routine prehospital endotracheal intubation has been widely advocated. Aim of the Study: to evaluate and compare the outcome and mortality rates of trauma patients undergoing Prehospital Tracheal Intubationversus those undergoing Emergency Department Intubation
Methods: A literature search was carried out on MEDLINE [including MEDLINE in-process], CINAHL, Embase and the Cochrane Library [from 1990 to October 2017]. Databases using "Prehospital Tracheal Intubation", "Emergency Department Intubation ", "Adults? trauma", and "mortality" as a MeSH heading and as text word. High yield journals were also had searched
Results: Eleven studies enrolling 17317 patients were included, out of which 4545 underwent PTI while 12772 underwent EDI. Median mortality rate in patients undergoing pre-hospital intubation was 52.12% [7.8-90.16%], compared to 27.98% [6.25-41.56%] in patients undergoing intubation in the emergency department. The overall quality of evidence was very low. Six of the eleven studies found a significantly higher mortality rate after pre-hospital intubation whilst five found no significant differences
Conclusion: Study outcome suggests that EDI was superior to PHI. Nevertheless, prehospital intubation was a marker for more severely ill patients who would have had higher mortality thus, the suggestion of the association between pre-hospital intubation and a higher mortality rate does not essentially oppose the importance of the intervention, but rather a need for further investigation of the possible causes for this finding
RESUMO
Background: the female pattern hair loss is the most common cause of hair loss in female, which is androgenic pattern, medical treatment such as anti-androgenic therapy and topical preparation may simply arrest progression of female pattern hair loss or in some women stimulate partial growth of hair, but the response is slow. This study aimed to determine the most common causes of hair loss among female with regard to the age, the effect of some drugs, balanced diet, average amount of hair loss per day
Objectives: this study aimed to determine the most common causes of hair loss among Saudi females
Materials and method: this was a cross sectional study of the women aged 20-50 years designed in a questionnaire form involved series of questions with multiple choices answers. It was conducted in Saudi Arabia in October 2017. The data entry were done by using Microsoft Excel, while the analysis was done by using SPSS version 23 and we used it in test correlation coefficient Spearman with measuring the mean value for all questions
Results: data were analyzed via using SPSS program, version 23 and we used it in test correlation Coefficient Spearman between Q1 AND Q9=0.146 week positive and p-value=.087 >0.05 we didn't reject the null hypothesis. Correlation Coefficient Spearman Q23 and Q29=.008 no relation and p-value=0.927>0.05 we didn't reject the null hypothesis. In Q3 the mean was =6.83 and Q7; the mean was =2.50
Conclusion: in KSA we found the unbalanced diet to be the most effective factor that leads to hair loss among out sample size. In the present study we need to educate the population about the importance of balanced diet for maintaining of healthy hair and skin