scholarly journals Gastrointestinal Symptoms in Endometriosis

2020 ◽  
Vol 33 (2) ◽  
pp. 140-142
Author(s):  
Shakeela Ishrat ◽  
Farzana Deeba ◽  
Parveen Fatima

Background: Endometriosis is frequently associated with gastrointestinal symptoms, inaddition to dysmenorrhoea, dyspareunia and infertility. Gastrointestinal tract is not alwaysinvolved when gastrointestinal symptoms are present. Method: A cross sectional study was conducted in the department of Obstetrics &Gynaecology of Bangladesh Sheikh Mujib Medical University (BSMMU) on 55 infertile womenwith surgical diagnosis of endometriosis with the objective to determine the frequency ofgastrointestinal symptoms in our population of women with endometriosis and to find outwhether they were relevant to severity of endometriosis. Results: There was a high prevalence (37.5%) of gastrointestinal symptoms in women withendometriosis. Bloating was the most frequent gastrointestinal symptom. Among the womenwith severe stage IV endometriosis, 57.6% had gastrointestinal symptoms. Conclusion: A gynecologist must consider the gastrointestinal symptoms while dealing withthe women with endometriosis. Further evaluation of gastrointestinal tract involvement isnecessary for counseling and comprehensive management of the women with endometriosis. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 140-142

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Abdul Aziz Sahto ◽  
Amir Shahzad ◽  
Ruqayya

Objectives: The aim behind this study was assess the frequency of ischemic and hemorrhagic stroke and associated risk factors in patients with hypertension. Study Design: Cross sectional study. Period: One year. Setting: Department of Medicine People’s Medical University, Shaheed Benazeerabad. Material and Methods: This study was a hospital based study in which sampling was done through a purposive sampling technique. A total of 160 patients admitted with stroke were included in our study. After taking informed consent patient’s relevant history and examination were carried out. CT-Scan was done to confirm and different between ischemic and hemorrhagic stroke.SPSS version 17.0 was used to analyze the collected data. Results: Ischemic stroke was observed in 105(66%) patients and 55(34%) were suffered hemorrhagic stroke. Hypertension was 100% in both types of storks in ischemic stroke and hemorrhagic stroke.Rate of diabetes mellitus, dyslipidemia and smoking were significantly high in hemorrhagic stroke than ischemic stroke (p<0.01). Conclusion: We found a high prevalence of ischemic stroke than hemorrhagic stroke in our population. Among associated factors gender, hypertension, dyslipidemia, diabetes and smoking were prevalent in both ischemic and hemorrhagic stroke patients.


Author(s):  
Fariba Kahnamouei-aghdam ◽  
Anahita Zakeri ◽  
Firouz Amani ◽  
Mostafa Sajjadifar ◽  
Perham Mohammadi ◽  
...  

Background: Self-medication is one of the main health problems. Given the high prevalence of self-medicationin society and between students, the aim of this study was to assess the rate of self-medication among Ardabil medical students.Methods: This cross–sectional study has been done on 150 students which selected randomly from Ardabil Medical University Science students. Data collected by a questionnaire and then analyzed by statistical method in SPSS.19.Results: The rate of self-medication among students was 65%. Most of usage drug was sedatives with 77.1%. 7.2% of students were prepared drugs from places other than pharmacies and most of self-medication was the existence of drug free market with 71%.Conclusions: Given the high prevalence of self-medication among students it is necessary to promote a culture of drug use among students, education in the field of self-medication and its side effects are given to students.


2019 ◽  
Vol 8 (2) ◽  
pp. 36-39
Author(s):  
N. Sapkota ◽  
B. Baral ◽  
U. Bhagat ◽  
D. Agrawal ◽  
D.D. Baral ◽  
...  

Introduction: Medical and Dental students are vulnerable to higher levels of Psychological distress than other age matched peers. This study was carried to identify prevalence of depression and anxiety in medical and dental students. Material and Method: A cross sectional study was done among medical and dental students (2nd year to interns) of BPKIHS. A total of 600 students were enrolled through systematic random sampling and 588 (98%) responded. Semi-structured questionnaire was used to record socio-demographic variables along with Becks Depression Inventory(BDI) and Becks Anxiety Inventory(BAI). Results: The mean age of participants was 22±2years among which 61.2%(360) were male, 69.7%(410) were from medical faculty, 90.5%(532) were Nepalese and 9.5%(56) were Indians. Depressive symptoms was recorded in 25.3%(149) out of which 12.6%(74), 6.5%(38), 5.3%(31), 0.5%(3), 0.5%(3) had mild, borderline, moderate, severe and extreme depressive symptoms respectively. Similarly anxiety was recorded among 7.8%(46) students with 42 having moderate and 4 having severe anxiety symptoms. Among the participants 6.3%(37) had suicidal thoughts and 4(0.7%) of them had suicide attempt in last one year. Conclusion: Medical and dental students showed high prevalence of anxiety and depression even with suicidal thoughts including past attempt.


Author(s):  
Leonardo de Mello DEL GRANDE ◽  
Luis Fernando Paes LEME ◽  
Francisco Pimenta MARQUES ◽  
Andressa Teruya RAMOS ◽  
Paula Teruya RAMOS ◽  
...  

ABSTRACT Background: The incidence of cholecystolithiasis is approximately 15% of the population. It is believed that between 30-40% of cholecystectomy patients have symptoms after surgery, being changes in bowel habits the most common among them. Aim: 1) Defining the prevalence, and 2) identifying predictors of changes in bowel habits after laparoscopic cholecystectomy. Methods: This is a retrospective cross-sectional study with an initial sample of 150 patients diagnosed with cholecystolithiasis operated between July and September 2014. Patients were submitted to a questionnaire about the presence of gastrointestinal symptoms and changes in stools consistency before and after the surgical procedure. They were divided into two groups (with or without changes in bowel habits) being combined with the following variables: high blood pressure, body mass index, hypothyroidism, adherence to postoperative dietary orientations, previous abdominal and bariatric surgery. Results: The prevalence of changes in bowel habits in the study population was 35.1%. The association between it and gastrointestinal symptoms was demonstrated to be statistically significant (‰2=7.981; p=0.005), and people who did not have gastrointestinal symptoms had 2.34 times the odds of not presenting changes in bowel habits. None of the other investigated factors had shown to be a predictor of risk for post-cholecystectomy changes in bowel habits. Conclusion: 1) There was a high prevalence of changes in bowel habits, and 2) there was association between changes in bowel habits and the presence of gastrointestinal symptoms.


2020 ◽  
Vol 3 (1) ◽  
pp. 113-122
Author(s):  
Nidesh Sapkota ◽  
Garima Pudasaini ◽  
Binav Baral ◽  
Umesh Bhagat ◽  
Diksha Agrawal ◽  
...  

Introduction: Medical and Dental students are vulnerable to higher levels of psychological distress than other age matched peers. Many studies reveal that there is high prevalence of psychoactive substance use and psychiatric co-morbidities among them. Objective: To identify prevalence of substance use (alcohol, nicotine, cannabis) among medical and dental students. Methods: A cross sectional study was done among medical and dental students (2nd year to interns) of B PKIHS. A total of 600 students were enrolled through systematic random sampling and only 588(98%) responded. Semi-structured questionnaire was used which included socio-demographic variables, AUDIT (Alcohol Use Disorders Identification Test), Fagerstrom (for Nicotine dependence) and Cannabis Abuse Screening Test (CAST). Result: The mean age of participants was 22±2years. Among them, 61.2% (360) were male; 69.7% (410) were MBBS; 90.5% (532) were Nepalese and 9.5% (56) were Indians. The prevalence of alcohol users was 47.75% (281) in which 32% (90) were harmful users. Among 19.55% (115) nicotine users; 56.5% (65), 37.4% (43), 6.1% (7) had low, low to moderate and moderate dependence respectively. The prevalence of cannabis users was 9% (53) with 45.3% (24), 18.9% (10) having low and high addiction respectively. Conclusion: High percentage of medical and dental students showed substance use, harmful use and dependence. It is expected that they have knowledge about the harmful consequences of psychoactive substances.


Author(s):  
Akram Ghadiri-Anari ◽  
Somayeh Gholami ◽  
Elham Sheyda ◽  
Shadab Kharazmi ◽  
Nasim Namiranian

Abstract- Due to high prevalence of diabetes in our region (16.3%) and no data on the frequency of gastrointestinal (GI) symptoms in this population, we performed a cross-sectional study to evaluate the frequency of GIsymptoms in diabetic patients and its association between microvascular complications (retinopathy and nephropathy) and gastrointestinal symptoms in diabetic subjects.This analytical crosssectional study was conducted from 2014 to 2016 on 233 patients with type 2 diabetes mellitus (T2DM), 3065-year, referred to Yazd diabetic research center. They were selected by convenient sample method. A questionnaire according to Rome III Criteria was used to collect digestive information related to diabetes. Last HbA1c (Since 2-3 months ago) was available in the patient's medical folder. Diabetic nephropathy defines to increased excretion rate of albumin in the urine in the range of above 30 mg/g creatinine. Diabetic retinopathy was examined by an expert ophthalmologist (retinal specialist). For the current study, 233 patients (age 30-65 years with mean age of 57.43±10.49 years, 102 (43.8%) males and 131 (56.2%) females) were included. Among 233 patients, 91 cases (39.1%) had nephropathy,and 111(47.6%) subjects had different degrees of retinopathy. Bloating and early satiety and upper GI symptoms were higher in the subjects with retinopathy than another group. In summary, this study provides evidence that GI symptoms in diabetic subjects are independently linked to diabetic complications, particularly to retinopathy.


2019 ◽  
Vol 6 (5) ◽  
pp. 2156
Author(s):  
Prashantha Kumar G. ◽  
Kumaravel K. S.

Background: HIV is a chronic disease which also significantly affects the behavior. This study aims at evaluating behavioral disorders in children with HIV/AIDS.Methods: This Cross-sectional study utilized the Child Behaviour Check List.Results: The overall prevalence of borderline and clinically significant behavioral problems were 69.3% (n=104). The prevalence of behavioral disorders were observed in the eight categories - anxious/depressed (borderline-7.7%, clinically significant-18.3%), withdrawn/depressed (6.7%, 18.3%), somatic problems (7.7%, 6.7%), rule-breaking behavior (7.7%, 18.3%), aggressive behavior (10.6%, 21.1%), attention problems (15.4%, 2.9%) and thought problems (9.6%, 2.9%). No social problems were observed. Internalizing problems were common in girls and externalizing problems were common in boys. As age advanced a simple linear progression in prevalence of Behavior Problems was found. There were 47.1% of Orphans in study and behavioral problems were more common in them.Conclusions: High prevalence of behavioural abnormalities warrants comprehensive management including Behavioural counselling and therapy and not just drugs for these children.


2015 ◽  
Vol 85 (3-4) ◽  
pp. 129-144 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Leila Azadbakht ◽  
Nizal Sarrafzadegan

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.


2012 ◽  
pp. 129-134
Author(s):  
Thi Lan Tran ◽  
Thi Huong Le ◽  
Xuan Ninh Nguyen

Objectives: Assess the nutritional status, worm infection status and some related factors among children aged 12-36 months of Dakrong district, Quang Tri province. Subject and method: A cross sectional study was carried out in 2010, in 680 children aged 12-36 months in 4 communes of Dakrong district, Quang Tri province. Results: The malnutrition rate was 55.0% for underweight, 66.5% for stunting and 16.2% for wasting. The prevalence of malnutrition increases by age group. The prevalence of worm infection was 31.6%, the highest prevalence was belong to Ascaris infection (24.6%), followed by Hookworm and Trichuris (6.5% and 6.2%, respectively). The prevalence of worm infection among children under two is very high (27.0%). The prevalence of worm infection was distributed quite equally between the malnutrition children group and normal children group. Recommendation: Early deworming forchildren from 12 months should be considered as important strategy against the malnutrition of children in Dakrong district, Quang Tri province


2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Shweta R Singh ◽  
Bunsoth Mao ◽  
Konstantin Evdokimov ◽  
Pisey Tan ◽  
Phana Leab ◽  
...  

Abstract Background The rising incidence of infections caused by MDR organisms (MDROs) poses a significant public health threat. However, little has been reported regarding community MDRO carriage in low- and middle-income countries. Methods We conducted a cross-sectional study in Siem Reap, Cambodia comparing hospital-associated households, in which an index child (age: 2–14 years) had been hospitalized for at least 48 h in the preceding 2–4 weeks, with matched community households on the same street, in which no other child had a recent history of hospitalization. Participants were interviewed using a survey questionnaire and tested for carriage of MRSA, ESBL-producing Enterobacterales (ESBL-E) and carbapenemase-producing Enterobacterales (CPE) by culture followed by antibiotic susceptibility testing. We used logistic regression analysis to analyse associations between collected variables and MDRO carriage. Results Forty-two pairs of households including 376 participants with 376 nasal swabs and 290 stool specimens were included in final analysis. MRSA was isolated from 26 specimens (6.9%). ESBL-producing Escherichia coli was detected in 269 specimens (92.8%) whereas ESBL-producing Klebsiella pneumoniae was isolated from 128 specimens (44.1%), of which 123 (42.4%) were co-colonized with ESBL-producing E. coli. Six (2.1%) specimens tested positive for CPE (4 E. coli and 2 K. pneumoniae). The prevalence ratios for MRSA, ESBL-producing E. coli and ESBL-producing K. pneumoniae carriage did not differ significantly in hospital-associated households and hospitalized children compared with their counterparts. Conclusions The high prevalence of ESBL-E across both household types suggests that MDRO reservoirs are common in the community. Ongoing genomic analyses will help to understand the epidemiology and course of MDRO spread.


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