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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (3): 473-477
em Inglês | IMEMR | ID: emr-190773

RESUMO

Background: Earlier, medical literature replicated that diet was not a proven cause of acne. Nonetheless, studies in recent years have demonstrated a relation between certain dietary factors and acne. It is uncertain whether patients are aware of recent research findings


Purposes: Acne patients were surveyed to explore beliefs concerning the relationship between diet and acne, to determine whether these beliefs translated into behavior change and to recognize health information sources


Materials and Methods: Surveys were managed to 104 acne patients at King Abdulaziz Hospital from March2016 till February 2017, with 98 completed in full and included in this analysis


Results: of the 104 questionnaires administered, 98 were completed in full and were included in the analysis. The mean age of patients was 29 years [range, 15 to 45 years]; 76 were female and 22 were male. Six respondents had an under-weight BMI of less than 18; 62 respondents had a normal BMI between 18- 25; 26 respondents were overweight with BMI 25-30; and 4 respondents were qualified as obese with BMI greater than 30. A majority,[ 90 of 98 ] of respondents, was educated at the college level


Conclusion: In this exploratory study, patients reported utilizing a diversity of information sources, a majority from the Internet. In those surveyed, there was a persistence of long-held belief that fried/greasy foods and chocolate may serve as acne triggers, and less belief in trigger foods supported by recent research, including refined carbohydrates and sugar. Given the multiplicity of beliefs and utilized sources among acne patients in our survey, there is a need to establish an up-to-date and reliable methods to educate patients the relationship between diet and occurrence of acne

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 754-761
em Inglês | IMEMR | ID: emr-192589

RESUMO

Aim of the Study: was to investigate the influence of phacoemulsification on corneal endothelial cells and its injury risk factors in diabetic cataract patients and non-diabetic patients


Methods: Electronic databases were searched: Scopus, EMBASE, and Google Scholer], PubMed/MEDLINE, Scopus, The Cochrane Library, and Web of Science. Econlit from 1990 to 2017. This was completed with a manual search of references of relevant papers. Risk of bias in methodology of studies was measured using the Newcastle-Ottawa Scale


Results: Observation of corneal endothelial cell density, coefficient of variation and percentage of hexagonal cells preoperatively, 1 day, 1week, 1 and 3 months postoperatively was carried out, and multiple Logistic regression analysis for risk factors of corneal endothelial cell injury was taken


Results: Out of 779 retrieved papers, 9 studies with a total of 1129 individuals were finally included [579 diabetic eyes and 550 non-diabetic eyes]. For the dynamic changes between preoperative and postoperative values, significant differences were identified between the two groups in endothelial cell density [ECD] and hexagon cells [HC%] at 1 day, 1 week, 1 month, and 3 months postoperatively, in central corneal thickness [CCT] at 1 month postoperatively, and in coefficient variation [CV] at 1 week and 1 month postoperatively. However, no significant differences were observed in CCT at 1 day, 1 week and 3 months postoperatively or in CV at 1 day and 3 months postoperatively


Conclusion: It could be concluded from the current literature that aged-cataract patients with diabetes mellitus manifested poor tolerability to cataract phacoemulsification surgery in contrast to senile cataract patients

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (12): 2081-2089
em Inglês | IMEMR | ID: emr-192771

RESUMO

Background: treatment of borderline personality disorders include in addition to medications several evidence-based psychotherapy treatment models, including schema focused therapy, dialectical behavior therapy, transference focused psychotherapy and cognitive behavioral therapy


Objective: this study aimed to evaluate all randomized controls trials of pharmacological interventions in comparison with psycho educational group interventions in the treatment of borderline personality disorders


Methods and materials: this was an electronic search and it was conducted by using search strategy of cognitive psychotherapy and borderline personality disorder in MEDLINE, EMBASE and PsycINFO databases. Trials included in this review were clinical trials with cognitive interventions for subjects meeting DSM or ICD criteria for personality disorder


Results: the search of the literature, after exclusion of irrelevant, duplicated and review studies, revealed 24 randomized controls trials that met the inclusion criteria. Included studies aimed to assess the effectiveness of a cognitive behavior therapy in treatment of border line personality disorders


Conclusions: we concluded that the use of cognitive therapy is important in treatment of borderline personality disorder in addition to pharmacological treatment and treatment as usual. Doctors must choose the most effective type of cognitive therapy according to their patients' diagnosis, duration of the treatment and the available resources

4.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (7): 2783-2787
em Inglês | IMEMR | ID: emr-190637

RESUMO

Background: Sugar- and artificially-sweetened beverage consumption have been connected to cardio metabolic hazard factors, which rise the danger of cerebrovascular illness and dementia


Purpose: We studied whether sugar or artificially sweetened beverage intake was related with the prospective dangers of incident stroke or dementia


Materials and methods: We studied 361 members aged more than 45 years for incident stroke [mean age 61 [SD, 10] years; 163 men] and 185 participants aged >60 years for incident dementia [mean age 68 [SD, 7] years; 85 men]. Beverage consumption was computed using a food-frequency questionnaire at cohort studies. We quantified latest consumption at investigation 7 and cumulative intake by averaging across examinations. Surveillance for incident events commenced at examination 7 and continued for 5 years. We observed 12 cases of incident stroke [10 ischemic] and 10 cases of incident dementia [8 consistent with Alzheimer's disease]


Results: After modifications for age, gender, education [for analysis of dementia], caloric consumption, diet feature, physical activity, and smoking, higher recent and higher cumulative consumption of artificially sweetened soft drinks were related with an increased risk of ischemic stroke, all-cause dementia, and Alzheimer's disease dementia. When comparing day-to-day aggregate consumption to 0 per week [reference], the risk ratios were 2.87 [95% confidence interval, 1.24-6.89] for ischemic stroke and 2.91 [95% confidence interval, 1.15-6.99] for Alzheimer's disease. Sugar-sweetened beverages were not associated with stroke or dementia


Conclusions: Artificially sweetened soft drink consumption was allied with a higher risk of stroke and dementia

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