Diagnostic accuracy of multi-detector CT angiography in evaluation of lower limb arterial diseases: comparative study with conventional angiography

To assess the diagnostic accuracy of multi-detector CT angiography in the assessment of lower extremity arterial diseases by comparing the results with the standard of reference, conventional angiography. The studied group included 140 patients with suspected diagnosis of lower limb arterial disease on the basis of clinical examination or Doppler study with no age or sex predilection between March 2011 and November 2013. All patients were evaluated with lower limb angiography by multi-detector computed tomography and conventional angiography. The data obtained was statistically analysed to assess the accuracy of diagnosis of lower limb arterial diseases by MDCT angiography compared to conventional angiography that described in terms of count and percentage. MDCT angiography findings showed 90.3% overall agreement with CA findings regarding the degree of stenosis while regarding the stenosis length MDCT angiography results showed 87.5% overall agreement with CA results. The overall sensitivity of MDCT angiography was 94.5%, specificity was 92.2%, and accuracy was 95.3%. Multi-detector row CT angiography can be used as an alternative to conventional angiography in the evaluation of aortoiliac and lower extremity arteries in patients with peripheral arterial disease

Study on hymen: morphology, injuries of neonate and knowledge among students of faculty of nursing and education

Hymen is a thin membrane that surrounds the opening to a young Woman's Vagina, can present in different shapes. The most common hymen is shaped like a half moon. This shape allows menstrual blood flow out of girl's vagina [Adams, 2002]. Most Women are born with hymen, a thin piece of skin that partially covers the opening of the vagina [or introitus]. Hymen morphology has a medico-legal importance. Pediatricians are some times confronted with the challenge of documenting evidence of acute or chronic accidental or non accidental trauma to the hymen [Ann Saudi Med, 2001]. Identification of different types and percentage of hymen. Assess Knowledge of students about hymen in both Faculties Nursing and Education in Assiut University and Comparison between student's Knowledge indifferent years the [1st and 4th] years Faculty of Nursing to assess the improvements in their knowledge with program of study. A descriptive, analytic and retrospective design was used for this study The sample of this study was divided into three categories: A total of 220 consecutive girls [210 At birth 36 to 42 weeks of gestation and 10 from 8 to 12 month] were examined at labor ward, to observe hymnal configuration. A total of 20 defloration injuries who were recorded in statistical records from 3 December 2004 up to 3 December 2005. A total of 800 students were recruited for the study included [300 students from 1st year of faculty of Educations] and [500 students include 300 from the 1st year and 200 students from 4th year of faculty of Nursing]. Structured interviewing questionnaires Examination sheet of the hymen [At birth and one year of age] which include Gestational age Age of infant. Shape of hymen. The study result showed that annular configuration is the most common shape [79%] followed by posterior rim [12.7%], sleeve-like, fimbriated and cribiform hymen.-Distribution of defloration injuries who are recorded in statistical record 20 defloration injuries. Results of these students indicated that their mean age was [18.73 +/- 1.42] years. [64%, 55.5%, 50%] of the [1st and 4th grade]students Faculty of Nursing and the students Faculty of Education were residents in rural areas respectively-Regarding to the student's knowledge about the female genital organs, it was found that more than three quarters of the students [83.1%] had correct answer about female genital organs. The source of knowledge about female genital organs and hymen, it was found that [91. 4%] of the students had their knowledge from study books, mass media and teachers few students got their from house and relatives family. The student's knowledge about hymen, it was found that more than three quarters of the students [79.8%] know hymen. Beliefs about hymen, it was found that [72%] of the students defined it a thin membrane allows menstrual blood, [93.4%] that a sign of virginity and more than half of the students [55.5%] that has a different shapes of hymen. The causes of hymen tearing before marriage, it was found that [80.8%] of students mentioned that the main cause of hymen tearing before marriage was masturbation followed by illegal sexual relation, hard sports and [39.4%] by horse riding. Regarding to use of traditional method to rupture hymen in the wedding day, it was found that [100%] of the students didn't agree on use of traditional method to rupture hymen.-Regarding to relation between student's knowledge and parent's education, it was found that when parents were more educated, their daughters were bad information, it seems that education of the parents creates more barriers between their and their daughters, it also indicates that the education of the parents didn't necessarily to improve their knowledge. The comparison between class 1 and 4 of Faculty of Nursing, it was found highly percentage of knowledge about hymen in class 4 more than class 1 of Faculty of Nursing Finally the students need to know more information about hymen [definition, site, morphology, causes of hymen tearing before marriag

Norplant and implanon acceptability by users in Assiut University Hospital

The aim of this study was assess the Norplant and Implanon acceptability by users at Assuit University Hospital. The study was carried out on a convenience sample of 50 women age with range 20 years to over 40 years or more A structured interview questionnaire was designed to collect data related to the field work was performed over a period its five months from January till April 2005 of the same year the majority of the sample were illiterate Duration of marriage 50% of the sample was 11-20 years menstruation were regular in about 68.6% more than half had 4-8 children history of used contraception 21.6% used Norplant as method and the minority used more than one method data related to current contraception duration of uses 37.2 less than one year and 35.2% and 27.4 used form 1-3 years and 4-5 years 29.4% had no side effect but 25.4 had amenorrhea. And 18.4 had metrorrhagia the minority had mixed causes decrease weight metrorrhagia and dizziness in 3.9% was illiterate group 17.6% used Norplant and 11.8% used lUDs in secondary group 3.9% in university group used Norplant and Implanon parity 1-3 times 35.1% and 4-8 times 53% more than 8 times. No significant relationship between parity and used Implanon and Norplant p=0.253. Also highly significant relations between parity and education p=0.000

Effect of compliance to Kegel exercises on the improvement of stress incontinence

Stress incontinence is the most prevalent form of female urinary incontinence; it affects approximately 5% of younger women to nearly 50% of elderly women. The objective of this study was to examine the effect of compliance to Kegel exercises on the improvement of women experiencing stress urinary incontinence and examining the factors affecting their compliance. Subject and Methods of this study was carried out as a quasi-experimental clinical trial. It comprised 60 stress urinary incontinent women attending to the outpatient clinics of urology and gynecology in El Minia University Hospital El Minia General Hospital and Suzan Muharak University Hospital They were assigned to a pelvic floor muscle training program for 3 months. Treatment outcomes "were assessed by subjective evaluation, and palpation and provocation tests. The results revealed that most patients were cured or improved [95.0%] after practicing Kegel exercises. The majority had good or powerful contraction on palpation test [50.0% and 45.0%]. In the provocation test, 40.0% and 50.0% had no or slight leakage, respectively. Age, BMI, level of education, gravidity, parity, number and amount of episodes, and compliance were factors that affected women improvement, while compliance was affected by job status, parity, and residence. Kegel exercises were effective in the treatment of stress incontinence, and the success of Kegel exercises depends on proper technique and compliance with a regular exercise program. The study recommended the development of training programs for nurse midwives and for those working in gynecologic clinics for early selection of women with SUI and caring for them

Comparative study among post cesarean section care women's in Assuit University Hospital, King Fahd Gizan Hospital and ideal nursing care

The care of the woman after a cesarean birth, is nurses responsibilities it is a combine aspects of surgical and maternity care. For this, the aim of this study was to assess the actual post Cesarean Section Care for women in Assuit University Hospital and King Fahd hospital in Gizan and their relation to the ideal nursing care. A sample of 267 mothers 220 and 47 mothers from Assuit and Gizan respectively] who inter for delivery unit in both hospital for CS. Delivery Data were collected using observation at check list The result showed that mean age for women was 27.80 +/- 5.57 28.3 +/- 6.02 in Assuit and Gizan respectively. While [36.4% and 34.02%] from the sample was illiterate in Assuit and Gizan respectively but only[7.3% and 8.5] of sample in Assuit and Gizan respectively had university education: Also found that the majority of the sample [86.4% and 95.74%] in Assuit and Gizan respectively as a house wife. For the causes of CS. It was found that [30.9% and 31.9%] of Assuit and Gizan respectively due to bleeding while [15.4% and 8.5%] of Assuit and Gizan respectively due to pelvic disproportion But for Measuring vital signs every 15,30 and every hour during 4 hour,observe I and O chart, do exercise [breathing, leg] it was found that the care not done in both hospital Assuit and Gizan.As regard check fundal level and learn mother how to carry baby to initiate breast feeding it was found that done [100%] in Gizan hospital only. As regard observe bleeding from vagina, check hardness of uterus, add some medication as doctor orders and encourage women for early ambulation it was found this care done accurate [100%] in both hospitals with mild statistical significant P=0.04. Finally the percentage of post CS. Care in Assuit university hospital was 52.9% and 41.1% in King Fahd hospital in Gizan