Effect of triple therapy for helicobacter pylori eradication on hepatic encephalopathy: a randomized controlled trial

Helicobacter pylori [H. pylori] infection could potentially contribute to the development and severity of hepatic encephalopathy due to strong urease activity in the stomach of H. pylori infected cirrhotic patients. To assess the effect of triple eradication therapy for H. pylori on hepatic encephalopathy. Open randomized controlled clinical trial with 4 arms. liver diseases unit in Suez Canal University Hospital - tertiary care. Forty four Hp+ [Group 1] and 44 Hp- patients [Group 2] [based on rapid urease test of gastric biopsy] with hepatic encephalopathy grade 1 - 3. Triple eradication therapy for H. pylori versus standard treatment for hepatic encephalopathy in group 1 and antimicrobial therapy [without Omeprazole] versus standard treatment in group 2 for 14 days. Blind assessment of the grade of encephalopathy before and within three days from end of treatment. One grade improvement was considered treatment success. Success rate was 18.2% in standard treatment and 63.6% in triple therapy [p< 0.001] in H pylori positive. While in H. pylori negative patients the success was 9.1% in standard treatment versus 59.1% [P< 0.001] in and antimicrobial therapy. Success rate was not significantly different between standard treatment or between triple therapy and antimicrobial therapy among both groups. Among other factors in logistic regression models both triple therapy [OR: 1.03<6.22<37.69, P= 0.047] and antimicrobial therapy [OR: 2.09<11.42<59.46, P= 0.02] were significant predictors of success in the respective groups. Both triple eradication therapy for H. pylori and antimicrobial therapy only, equally improve the outcome of management of hepatic encephalopathy. The improvement may be attributed to the effect of antimicrobial therapy on ammonia producing gut flora rather than H. pylori eradication. H pylori eradication therapy adds no benefit in hepatic encephalopathy

comparison of static and dynamic balance among blind, deaf and normal primary school aged children in the state of Bahrain

The purpose of this study was to compare the performance level of static and. dynamic balance among blind, deaf and non-handicapped boys and girls, aged 6-12. in the state of Bahrain. Balance was measured by the Bruminks-Oseretsky Test of Motor Prqfvaeno [subtest 2: balance] to investigate the differences between the three groups in balance performance [dynamic and static]. A total of 54 male and female students were randomly selected to serve as subjects. There were three groups: 18 blind students from Al-Noor Institute for the Blind: 18 deaf students from the Rehabilitation Center, Isa Town, who had a hearing loss of not less than 70 decibels and met the specific education criteria for placement as deaf children: and 18 nan-handicapped students fom Isa Town Primary School. Sex was represented equally in all three groups. The test items were administered to the subjects in the mannewr suggested in the manner suggested manual. The total communication system was utilized with the deaf students whereas the technique qf being pui through the movement by an assistant was used with the blind students, in order to ensure that the students understood the test directions. A two by three analysis of variance fixed model was used as the appropriate statistical tool to test the null hypothesis, with an alpha level of 0.05, power level of 0.80 and effect size of 0.25. The results of this study indicated that: 1] There was a significant difference between the male and female total balance mean scores [dynamic and static]. Female mean scores were greater than the male mean scores/or the three groups of the study. 2] There was a significant difference among the non-handicapped, blind and deaf children for total balance. The mean scores for the non-handicapped were greater than the mean scores for the deaf, and the mean scores for the deaf were greater than the mean scrores for the blind. 3] No significant difference was found between the normal children's mean scores and the deaf children's mean scores in the dynamic balance. 4] There was no significant interaction between sex of subjects and the group categories used in this study. The conclusion was reached that the deaf and blind children are inferior to non-handicapped children in total balance performance and the deaf children are not inferior to the non-handicapped children in the dynamic balance

effect of peer prescence on strength test scores of Bahraini male athletes

This study examined the effect of the presence of peers as a motivator on strength scores as measured on an isokinetic dynamometer. The results show that strength score measurements increase significantly when peers are present. Coashes, trainers, and therapists may emprove strength, and perhaps other exercise, programs by including the presence of other in their program plans. This study has also supported the concept that peer presence affect simple motor responses while perhaps disturbing those that are newer and less well learned. More studies are needed to look at the role of new tasks

comparison of static and dynamic balance among blind, deaf and non-handicapped primary school-children in the state of Bahrain

The purpose of this study was to compare the performance level of static and dynamic balance among blind, deaf and non-handicapped boys and girls, aged 6-12, in the State of Bahrain. Balance was measured using the Hughes Basic Gross Motor Assessment to investigate the differences between the three groups in dynamic and static balance. A two by three analysis of variance fixed model was used as the appropriate statistical tool to test the null hypothesis, with an alpha level of 0.05. The results indicated that there was a significant difference among the normal, blind, and deaf children for static and total balance. No significant difference was found between the normal children and the deaf children in dynamic balance. However, there was a significant difference between the male and the female total balance mean scores for the three groups of the study

effects of a two days per week aerobic dance programme on cardiovascular endurance and body composition of American, Egyptian and Bahraini female college students

The purpose of this study was to determine the effects of an aerobic dance programme on the cardiovascular endurance and the body composition of female physical education college students in three countries. The colleges used were Oregon State University, U.S.A.; Helwan University, Alexandria, Egypt; and The University College of Bahrain. Thirty students from each college were used. Half of each group were assigned as a control group. The training sessions for each group were identical and consisted of a 10 minute warm-up, 30 minutes continuous aerobic dance to music, and a 5 minute cool-down dance period. The exercise intensity for the aerobic dance routines were prescribed at 70% and 85% of maximum heart rate. Resting heart rate and blood pressure were measured. The sum of seven skinfold [subscapular, triceps, chest, midaxillary, superailiac, abdominal and thigh] and seven circumference measures [upper arm, chest, waist, abdomen, hips, thigh and calf were used as indicators of subcutaneous fat and body dimensions. The 12 minute run and walk test was used as a measure of cardiovascular endurance. An analysis of variance was used to test the data. The results indicated that a two-day per week aerobic dance programme did increase cardiovascular endurance. There was a significant decrease in resting heart rate and no significant changes were found in blood pressure. Significant changes were found in body composition measures and body weight for the Egyptian and Bahraini subjects

effect of peer presence upon the special fitness test scores of orthopedically handicapped children

The testing environment has a significant impact on test results. The presence of others in a testing environment is predicted to have either beneficial or detrimental effects on an individual's performance. Thirty subjects were selected from Alexandria Rehabilitation Center, 15 boys and 15 girls, who had been previously diagnosed as orthopedically handicapped. Subjects were tested twice on the three special fitness test. The test items were: sit and reach, flexed arm hang, and the sit-up. On one testing method the subject and the experimenter were the only individuals present in the testing environment. In another testing method the experimenter and the child performed in front of a passive audience composed of four of the child's peers and one adult. The results indicated that there was a significant difference between the special fitness test scores for boys and girls. Also, there was a significant difference between the two testing methods in favor to the presence of an audience method for the flexed arm hang, and the sit up tests. However, there was no significant difference between the two testing methods for the sit and reach test