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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (2): 6035-6041
em Inglês | IMEMR | ID: emr-200096

RESUMO

Background: Hip fractures are defined as any fracture of the femur between the articular cartilages of the hip joint to 5 cm below the distal point of the lesser trochanter. Hip fracture is a worldwide public health problem that primarily affects osteoporotic individuals and the elderly. Up to 30 % of the elderly patients with a hip fracture die within the first year


Objective: to show the risk factors and post-operative complications of hip fracture in cases attending orthopedic department of Arar Central Hospital in Arar city


Methods: a cross sectional study conducted during the period from 1 December 2017 to 31 March 2018. A predesigned questionnaire was used for data collection, and included inquiries about sociodemographic data of the studied patients, performing muscular exercise, osteoporosis, diminished vision and disorders in equilibrium, causes of fracture, type and site of fracture, occurrence of complications of surgery, postoperative care and the final outcome of treatment


Results: Most [70.1%] of the studied population aged 22-59 years, males constituted 59.8%. Causes of hip fracture were accident in 66.7% and fall in 25.0%. Among hip fracture cases, 43.9% were obese, 13.1% have osteoporosis, and 17.8% have disorders in equilibrium. Males reported insignificant higher percentage of hip fracture than females [25.0% Vs. 18.6%]. Osteoporosis, diminished vision, chronic diseases, continuous use of medications and smoking showed significant relation with hip fracture [P<0.05]. While BMI, disorders in equilibrium and performing muscular exercise showed insignificant relation. Complications after surgery was osteomyelitis in 12.6%, early fixation failure in 4.2%, wound infections in 8.4% and hospital acquires pneumonia in 4.2%. Only two thirds of the cases were completely cured


Conclusion: in our study population in Arar city, males reported insignificant higher percentage of hip fracture than females. Osteoporosis, diminished vision, chronic illnesses, continuous use of medications and smoking were significant risk factors of hip fracture. Complications after surgery was included, osteomyelitis, early fixation failure, wound infections and hospital acquire pneumonia. Only two thirds of the cases were completely cured, the rest of cases showed disability and movement limitation

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 835-844
em Inglês | IMEMR | ID: emr-192602

RESUMO

Background: Awareness of common eye diseases particularly impaired vision and their prevention and treatment can play an important role in encouraging people to seek timely eye care and can therefore help in reducing the burden of visual impairment


Objective: This cross sectional observational study was carried out to assess the level of awareness and knowledge about the problem of poor vision among Saudi students in Hail University


Methods: A standardized questionnaire was randomly distributed to students aged 18-24 years of both sexes. A total of 1484 subjects agreed to participate, answered the questionnaire and were involved in the study


Results: Findings showed that1330 students considered poor vision to be a problem. Most of them considered elders the most susceptible age group followed by teenagers. More than half of the students did not know which gender is more affected by poor vision. More than one-third [37.5%] of them considered poor vision as a genetic disorder. Others reported errors of refraction, cataract and senility [10.6%, 8.4% and 6.55%respectively]. However, 28.3% of the students did not know exactly the predisposing causes of poor vision. Two-thirds of the study population thought that poor vision could be prevented. Regular periodic examination of the eyes and prevention of the predisposing factors were recommended [31.3% and 32.7% respectively] as the best methods to prevent poor vision. There was significant association between the level of awareness and knowledge of the students about poor vision and the gender, type and level of education


Conclusion: The detected levels of knowledge is still not the optimum especially among female students, non-scientific colleges and in the earlier levels of university education. This emphasizes the need to involve such students in a proper eye health education program. This will help increasing the awareness of the community at large

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