scholarly journals Male Infertility and Psychological Repercussions: Α Neglected Problem in Northern Upper Egypt

2019 ◽  
Vol 4 (4) ◽  
pp. 1
Author(s):  
Wafaa Mostafa Ahmed Gamel ◽  
Hanan Elzeblawy Hassan ◽  
Alyaa Abdallah El-ezazy
Keyword(s):  
Male Infertility ◽  
Ethical Issues ◽  
Cross Sectional Study ◽  
Psychological Aspects ◽  
Cross Sectional ◽  
Upper Egypt ◽  
Infertile Men ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Social And Ethical Issues

Background: Infertility, although not а life-threatening illness, is а life crisis that leads to medical, psychological, social and ethical issues. Male infertility is а neglected area of research, particularly, in Upper Egypt. Most of the studies carried out on this issue, mainly, focused on the etiological factors associated with infertility. The vast majority of researcher studied infertility as а causative or result of psychological aspects but little study psychological aspects as reactive or effect of infertility. Aim: This study shed some light on the extent of psychological repercussions, which was negatively impacted on through the male infertility experience, in Northern Upper Egypt. Method: Α descriptive cross-sectional study was performed on 50 infertile men in governmental hospitals in Fayoum, Egypt. Α structured questionnaire comprises 2 parts was used: (1) sociodemographic characteristics, participants’ lifestyle, and sexual behavior & infertility history, (2) Depression-Anxiety-Stress-Scаle-42 (DΑЅЅ 42). Results: The results of the present study portrayed that 42% of the studied subjects were having а sever level of depression. However, 36.0% had а moderate level of anxiety. Moreover, 46.0% of the subject had severe tension. To sum up, infertility hаs many implicаtions for the psychologicаl state of infertile men. Men’s psychosociаl status was influenced by the type and duration of infertility treatment. Conclusion: Concluding we will hаve to аdmit that Upper Egyptiаn men аppeаr to develop psychologicаl distress when fаcing infertility аnd thаt this is а construct overly influenced by sociodemogrаphic chаracteristics, lifestyle аnd sexual pаttern supported by our reseаrch results. Recommendations: Our findings reinforce the need for аndrologist, gynecologist, and infertility speciаlist аnd health cаre sectors аs well аs psychologicаl professionals to look for psychosociаl issues in men undergoing infertility treаtment. Further reseаrch is needed to understаnd the аssociation between psychosociаl issues аnd fertility outcomes, аs well аs effective psychosociаl interventions.

scholarly journals Study on Early Childhood Adversities of Orphans Rearing in Orphanages

2021 ◽  
Vol 49 (1) ◽  
pp. 26-32
Author(s):  
Fahad Mahmood ◽  
Nirmeen Rifat Khan ◽  
Md Ziaul Islam ◽  
Tasmia Shahreen ◽  
Md Noor Ashad Uz Zaman
Keyword(s):  
Early Childhood ◽  
Social Impact ◽  
Ethical Issues ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Physical Assault ◽  
Childhood Adversities ◽  
Cross Sectional ◽  
Life Threatening Illness ◽  
Life Threatening

Orphans spread a significant mass of our absolute child folks and this study was planned to determine the early childhood adversities of orphans that may attract them in various violence and perilous fortune lead further that in the end have a long-standing psycho-social impact on their adulthood. This was a cross-sectional study that was completed among 301orphans of both genders. The subjects were chosen by convenient sampling technique based on specific inclusion criteria and maintaining ethical issues. The study was directed from January to December 2017 in different orphanages of Chittagong and Dhaka city. The examination uncovered, maximum (84%) of participants were male and the rest (16%) were female. Among them, around 44.9% of them were matured from 10-12 years followed by 37.9% matured between 13-15 years. The majority (62%) of the participants had education up to primary/equivalent level. A maximum (69.77%) of them lost their father and 17.94% of them lost both of their parentages. The study revealed, physical assault (30.2%), serious domestic accident (27%), and life-threatening illness/injury (33.6%) had higher frequencies than other events that happened with the participants personally. Additionally, events like traffic transportation accidents (47.3%), serious domestic accidents (36.8%), and physical assault (28.3%) had higher frequencies than other events experienced through observing to transpiring. Then again, transportation accidents, domestic accidents (ꭓ2 =32.673, p<0.05), physical assault, life-threatening illness/injury were experienced among 16-18 years of aged orphans personally where assault with a weapon and sexual assault (ꭓ2 =14.637, p< 0.05) were more frequent among 13-15 years old gathering. Bangladesh Med J. 2020 Jan; 49 (1): 26-32

scholarly journals Knowledge and Attitude of Saudi Emergency Medical Services Students Regarding Pain Management: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110560
Author(s):  
Daifallah M. AlRazeeni
Keyword(s):  
Pain Management ◽  
Emergency Medical Services ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Emergency Medical ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Knowledge And Attitude

The most common reason people seek emergency medical services is pain, either from a severe injury or a life-threatening illness emergency medical services (EMS). Few studies on analgesic administration and pain management assessments are available for EMS students to read (as potential EMS professionals). Therefore, the goal of this study is to find out the knowledge and attitude of EMS students about pain management. Saudi EMS students were asked to complete a survey on their knowledge and attitudes about pain management. As a result, the KASRP scale was used. A t-test was performed to assess the statistical descriptive and independent sampling findings. Data collection started in October 2020 and lasted for one month. EMS students completed 79 questionnaires (response rate of 53%). According to the findings, EMS students demonstrate inadequate fundamental knowledge and attitudes in pain management. The mean correct count for the entire scale was 47% (SD=.09). The findings showed that no major variations were observed in the scores of students associated with demographic features. There are potential opportunities in the program to improve the content and student competencies in pain management.

Learning Electrocardiogram Interpretation: Insights from Residents and a Proposed Solution in an Observational Study (Preprint)

2020 ◽  
Author(s):  
Mohammad Alakchar ◽  
Abdisamad M. Ibrahim ◽  
Mohsin Salih ◽  
Mukul Bhattarai ◽  
Nitin Tandan ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Correlation Coefficient ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Resident Attitudes ◽  
Internal Medicine Residents ◽  
Life Threatening ◽  
Degree Of Participation ◽  
Electrocardiogram Interpretation

BACKGROUND Interpretation of electrocardiograms (EKG) is an essential tool for every physician. Despite this, the diagnosis of life-threatening pathology on EKG remains suboptimal in trainees. The purpose of this study is to study resident attitudes and behaviours towards EKGs, and describe an innovative way to teach EKGs. OBJECTIVE Study attitudes and behaviours towards EKGs. Describe an innovative way to teach EKGs. METHODS Design: An observational cross-sectional study through an anonymous online survey of resident attitudes and comfort with EKG interpretation. This was followed by creation of a WhatsApp group for discussion and interpretation of EKGs with peers. At the end of the day, the official EKG interpretation was posted. Setting: Internal medicine residency at Southern Illinois University. Participants: Internal medicine residents Interventions: Creation of WhatsApp group to aid with EKG interpretation Measurements: A 17 item questionnaire, followed by detection of degree of participation in a WhatsApp group. RESULTS Forty-one out of 63 residents (65%) completed the survey. 85% of respondents thought that an interactive way to teach EKGs is the best method of teaching, and 73% did not feel confident interpreting EKGs. 30% often rely on automated EKG interpretation. Further analysis indicated that PGY-1 residents reported ordering fewer EKGs (correlation coefficient -0.399, p = 0.012) and were uncomfortable diagnosing QT prolongation on an EKG (correlation coefficient -0.310, p = 0.049). Residents in the third or greater year of training ordered more EKGs (correlation coefficient 0.379, p = 0.015), less frequently relied on the computer for EKG diagnosis (correlation coefficient 0.399, p = 0.010), and were comfortable diagnosing an acute myocardial infarction and atrial arrhythmias. CONCLUSIONS In conclusion, most IM trainees do not feel comfortable interpreting EKG, however, this does improve with PGY year. WhatsApp is a possible platform for teaching EKGs.

scholarly journals Views and attitudes of university students in Upper Egypt towards youth health centers

2020 ◽  
Vol 95 (1) ◽  
Author(s):  
Mohamed M. Abd El-Mawgod ◽  
Shimaa A. Elghazally ◽  
Heba M. Mohammed ◽  
Mariam Roshdy Elkayat ◽  
Doaa M. M. Osman
Keyword(s):  
University Students ◽  
Cross Sectional Study ◽  
Health Needs ◽  
University Campus ◽  
Youth Health ◽  
Cross Sectional ◽  
Upper Egypt ◽  
Sexually Transmitted ◽  
Laboratory Services ◽  
The University

Abstract Background A healthy youth is considered the major human resource for any country development. They are suffering from unmet health needs. Considering these needs and their attitude towards the use of youth health center (YHC) services would help to improve both the quality and quantity of these services. Objectives To identify the students’ perceived health needs and their attitude towards use of the YHCs in Assiut University campus, Upper Egypt a cross-sectional study was conducted among 305 randomly selected university students. Data were collected using an interviewer-administered questionnaire. Results The majority of the students (80%) said that youth have special health needs. The most reported needs were psychological support, health education on different topics including reproductive health and sexually transmitted diseases, and nutritional services respectively. There was a high perception among surveyed students (71.5%) that the existing health services are inadequate for meeting their needs. Counseling, laboratory services, and premarital examination were the most frequently reported services mentioned by youth to be offered in YHCs. The majority (78.1%) preferred the health provider to be of the same sex. Despite the prevailing conservative culture in Upper Egypt, the students had positive attitude towards availability of sexual and reproductive information and establishment of a YHC in the university campus. A low awareness rate (15.1%) about the already existing YHC in university campus was revealed. Conclusion University students perceived that there are unmet needs for youth-specialized services, mainly for providing sexual and reproductive information, and establishment of an on-campus YHC. The study provides important information for policymakers about the perspectives of youth which should be taken into consideration when new YHC are planned and implemented.

scholarly journals Prevalence of Acute Kidney Injury in Patients with Liver Cirrhosis

2020 ◽  
Vol 58 (228) ◽  
Author(s):  
Pukar Thapa ◽  
Sudhamshu KC ◽  
Achyut Bikram Hamal ◽  
Dilip Sharma ◽  
Sandip Khadka ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Liver Cirrhosis ◽  
Hospital Stay ◽  
Hepatorenal Syndrome ◽  
Kidney Injury ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tubular Necrosis ◽  
Advanced Liver Cirrhosis ◽  
Life Threatening

Introduction: Acute kidney injury is a common and life-threatening event in patients with liver cirrhosis occurring in approximately 20-50% of hospitalized patients of liver cirrhosis. Pre-renal acute kidney injury, the hepatorenal syndrome type of acute kidney injury and acute tubular necrosis represent the common causes. The aim of this study was to study the profile of acute kidney injury in patients with liver cirrhosis. Methods: Consecutive patients of liver cirrhosis admitted in Liver unit of Bir Hospital were studied to see the presence of acute kidney injury in this hospital based descriptive cross-sectional study. Clinical and laboratory parameters along with various clinical outcome were compared between different groups categorized by the severity of liver disease and renal dysfunction. Results: Out of 302 liver cirrhosis patients, 56 (18.5%) had acute kidney injury among which 23 (46%) were found to have pre-renal acute kidney injury, 15 (30%) with hepatorenal syndrome– acute kidney injury and 12 (24%) with intrinsic renal disease. Patients with higher stages of acute kidney injury had longer duration of hospital stay and hepatorenal syndrome-acute kidney injury was seen in patients with higher grade of ascites and with hyponatremia. Conclusions: Acute kidney injury is a common occurrence in patients with advanced liver cirrhosis with pre-renal acute kidney injury being the commonest cause. Median hospital stay is directly affected by the severity of acute kidney injury and hepatorenal syndrome–acute kidney injury was seen in patients with higher grade of ascites and hyponatremia. Early identification of patients at high risk for acute kidney injury may help to reduce mortality and contain costs.  

scholarly journals Differences of Indirect MAR Test in the Unexplained Infertile and Fertile Couples

2020 ◽  
Vol 56 (1) ◽  
pp. 1
Author(s):  
Nur Hafiz Ramadhona ◽  
Aucky Ginting ◽  
Hamdani Lunardhi
Keyword(s):  
Observational Study ◽  
Male Infertility ◽  
Cross Sectional Study ◽  
Unexplained Infertility ◽  
Antisperm Antibody ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Immunological Examination ◽  
Infertile Couples

Infertility is the inability of a partner to get pregnant after regular sexual intercourse without contraception for 12 months. Based on the cause, male infertility is caused by genetic, hormonal, infectious, sexual, and unexplained infertility. However, many infertile couples are classified into unexplained infertility without an antisperm antibody (ASA) immunological examination. This study aimed to prove that couples classified as unexplained infertility can be caused by ASA wives. This was an observational study with a cross sectional study design. The sample consisted of 2 groups, in which the first group consisted of 36 fertile couples and the second group consisted of 35 unexplained infertility couples. All samples were carried out indirect MAR test to obtain the ASA value of the wife. If the wife's ASA value was >40%, the ASA results were positive. Conversely, if the ASA value was <40%, the ASA results were negative. From these 2 groups, there was a statistically significant difference (p<0.0001) that the wife's ASA value in the unexplained infertility group was significantly higher than that in the fertile group. This study concluded that the positive ASA results from the indirect MAR test were significantly found in the unexplained infertility sample.

scholarly journals Suicide, the main cause of referral of patients from a general hospital for psychiatric evaluation

2021 ◽  
Vol 5 (1) ◽  
pp. 018-021
Author(s):  
Gómez Elena ◽  
Guzmán Marianela ◽  
Torres Oriol Yuguero
Keyword(s):  
Suicide Attempts ◽  
Hospital Admissions ◽  
Cross Sectional Study ◽  
Psychiatric Evaluation ◽  
Outpatient Basis ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Life Threatening

Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals. Methods: Cross-Sectional study of all the patients referred in 2018. Sociodemographic variables and clinical variables, such as diagnosis and discharge destination, were analyzed. An analysis was performed by comparing means with the Chi Square test. Results: 433 derived emergencies were analyzed. Most of the patients were women. The main reason for derivation were suicide attempts. Of those patients, 40% required hospitalizations. More than 50% of the derived emergencies were referred to the home and followed up on an outpatient basis. Conclusion: Most derived emergencies are referred to the home after evaluation. This implies that most are not life-threatening and that with adequate tools for evaluating suicide risk, we could avoid transfers and improve the resolution of these cases.

scholarly journals Evaluation of Knowledge, Attitudes and Experience of off-label Drug Prescribing Practice among Physicians in Baghdad City Hospitals

2019 ◽  
Vol 28 (2) ◽  
pp. 115-123
Author(s):  
Aysha M. Shanshal ◽  
Ahmed H. Ataimish
Keyword(s):  
Clinical Trials ◽  
Ethical Issues ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Pharmaceutical Companies ◽  
Cross Sectional ◽  
Off Label ◽  
Healthcare Settings ◽  
Prescribing Practice ◽  
Self Administered Questionnaire

Abstract The present study aims to assess the knowledge, attitude, and experience of off-label prescribing practice among physicians in Baghdad city hospitals. This cross-sectional study was performed through the period from November 1st 2018 to March 2019 at 17 hospitals, a self-administered questionnaire was utilized to collect data from the physicians, and the targeted hospitals were randomly selected at different regions in Baghdad City area. Out of the 400 distributed questionnaires to the physicians, 383 of them were returned completed, 57.2% indicated that they were reasonably familiar with the term “off label drug”, 57.7% mentioned that the most common medical reasons for the prescribing off-label drugs were unavailability of alternatives, 67.6%, 65.5% had concerns regarding its safety and efficacy respectively, 62.7% agreed that the (MOH) authority should provide an incentive to stimulate pharmaceutical companies to perform clinical trials in Iraqi patients, 49.1% believed that clinical trials that recruit volunteers involve ethical issues. Extensive efforts are required to implant programs, regulations and guidelines to control the off-label prescribing practice among the Iraqi healthcare providers who are authorized to prescribe medications at different healthcare settings.    

scholarly journals Gene Xpert a Promising Tool in Diagnosis of Extrapulmonary TB in Developing Countries

2021 ◽  
Vol 39 (1) ◽  
pp. 26-30
Author(s):  
Jabin Akhter ◽  
MA Hassan Chowdhury
Keyword(s):  
Developing Countries ◽  
Diagnostic Tool ◽  
Ethical Issues ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
The Body ◽  
Clinical Samples ◽  
Cross Sectional ◽  
Conventional Culture ◽  
Promising Tool

Introduction: Although Tuberculosis mostly affects lungs in about 85% cases, but can cause lesion almost in every part of the body. Extrapulmonary TB (EPTB) accounts for 15 to 20% which involves other parts of the body beside the lungs. There are several methods that can diagnose Pulmonary TB (PTB) conclusively , but extrapulmonary TB is very difficult to diagnose till now especially in resource limited settings. Though it is not communicable but diagnostic delay has made it significant cause of morbidity and mortality. The snidy was aimed to find out the Gene Xpert as one of the diagnostic tool for EPTB. Methods: A laboratory based descriptive cross sectional study was conducted over a period of  17  months  from January 2017 to May 2018 to ascertain the performance of Gene Xpert technique as a diagnostic tool for EPTB. Data were collected through checklist and a total of 77 clinical samples were collected purposively with prior infom,ed consent from suspected EPTB patients following ethical issues. Laboratory investigations were  perfomed  at Rhodolphe Merieux Laboratory, Chittagong, Bangladesh with Gene Xpert MTB/Ri f assay, conventional culture (LJ media) and Microscopy (ZN stain) for the presence of Mycobacteium tuberculosis (MTB). Results: Among the 77 samples from suspected cases, seven(9.09%) from CSF, one(!.29%) from pus and one(l .29%) from lymphnode specimens were positive by Gene Xpert MTB/Rif assay.Only one(1.29%) CSF specimen  was found to be culture and microscopy positive which was Gene Xpert positive also. Except one specimen from pus that is both Gene Xpert and microscopy positive but culture negative, no other specimens from EPTB cases were culture and microscopy positive. Conclusion: Diagnosis of EPTB is challenging in worldwide. As it is paucibacillary, routine diagnostic test in detecting MTB is difficult. Gene X pert showed promising outcome in early detection of life threatening EPTB cases like TB meningitis which is common in developing countries. JOPSOM 2020; 39(1): 26-30

Sign in / Sign up

Export Citation Format

Share Document