RESUMO
Background: exposure of the body's connective tissue to group A â-hemolytic streptococci, after an infection, causes an inflammatory response called Rheumatic fever [RF]. When the heart's connective tissue is affected, the condition is called Rheumatic heart disease [RDH]
Aim of the Work: we aimed at discovering the prevalence of RDH among cardiac patients and to determine factors that played a role in its development. Also, the study was conducted to find out the causal relationship between early treatment of RF and the occurrence of RHD
Patients and Methods: faisal Hospital's cardiac outpatient clinics, in Taif, KSA, who filled a designed questionnaire after training. To screen the population for the prevalence of RDH among cardiac patients and to determine factors that played a role in its development. Also, it was conducted to find the causal relationship between early treatment of RF and the occurrence of RHD. The ages were from 18 to 70 years old
Results: the overall prevalence of RHD among cardiac patients was 8%. The difference in prevalence of RHD was statistically significant [p=0.021] between patients whose family sizes exceeded 10 individuals [37.5%] compared to those whose family sizes was 10 individuals or less [62.5%]. Also, the difference in prevalence of RHD was statistically significant [p=0.044] between patients who had little [37.5%] or no knowledge [37.5%] about symptoms of RHD compared to those who had moderate [25%] or good knowledge [0%] about symptoms of RHD. The effect of RF management on RHD was studies and it was found that irregular and incomplete antibiotic therapy in case of tonsillitis [p=0.006] and irregular oral hygiene [p=0.027] were associated with higher prevalence rates of the disease
Conclusion: The that efficient management of rheumatic fever and acute tonsillitis in terms of adequate antibiotic therapy, good oral hygiene and awareness about the symptoms of RHD are very import aspects to protect against RHD
RESUMO
Background: The current research to the best of my knowledge is the first to compare the pregnancy outcome between ultrasound-guided tubal recanalization [UGTR] using a special fallopian tubal catheter, and office-based micrhysteroscopic ostial dilatation [MHOD] using the same tubal catherter in infertile women with previously diagnosed bilateral proximal tubal obstruction [PTO]
Materials and Methods: This prospective study reported the pregnancy outcomes for 200 women in private infertility care center in Arafa hospital in Fayoum and in El Minya University Hospital in the period between January 2010 and October 2013 treated as outpatients for their bilateral PTO after the routine hysterosalpingography [HSG]. A Cook's catheter, special fallopian tubal catheter, were used to recanalize the blocked tubes in 100 women [group A] under UGTR, and the same Cook's tubal catheter was used through 2mm microhysteroscope to cannulate both ostia using MHOD in another 100 women [group B]. Pregnancy outcome was determined after the procedures for a 12-month period follow-up
Results: The number of the recanalization of PTO was not significantly different between two groups. As of the 200 blocked fallopian tubes in group A, 140 tubes [70%] were successfully recanalized by passing the ultrasound-guided special cannula, while 150 tubes [75%] were successfully recanalized in group B, using the same tubal catheter through a 2mm microhysteroscope. The cumulative pregnancy rate after the two procedures was not statistically different between two groups. It was 25.9% in group A, while it was 26.3% in group B, after a 12-month period follow-up
Conclusion: UGTR is highly recommended as the first step to manage infertile women due to PTO, as it is easier procedure; however, there is possible to obtain nearly similar results after MHOD