International Medical Journal

Journal ID : IMJ-15-11-2020-658

Total View : 333

Title : Prevalence of Chronic Venous Disease among Adults Attending Primary Health Care in the Kingdom of BahrainBahrain

Abstract : The prevalence of chronic venous disease (CVD) ranges between 20-60% and is more common among adults. This wide range may be explained by the different criteria used for patient selection, disease definition, imaging techniques used, and different exposures to risk factors. This study was conducted to determine the prevalence of chronic venous disease (CVD) among primary health care attendees in Bahrain as well as risk factors associated with CVD. This is cross-sectional study that was carried out on 415 participants >8 years old attending primary health centers in the Kingdom of Bahrain during the study period from 1st June to 15th June 2015. A Multistage stratified sampling technique was used to recruit the participants. A random selection of nine health centers from five health region in the Kingdom of Bahrain was conducted. Candidate selection from each health center was done using systematic random sampling. The number of candidates in each health center was selected proportionally according to the catchment area in each governorate. Analyses were performed using univariate statistics. The study enrolled a total of 415 participants with an overall mean age of 41±14 years ranging from 18 to 84 years and 62% (n=343) were female. The prevalence of participants with CVD was 27%. CVD was associated with older age (47 vs 39 years; p<0.001), females (81% vs 57%; p<0.001), obese (84 vs 77 kg; p<0.001), family (mother/father) history of venous leg problems (43% vs 14%; p<0.001), those that did less exercise (21% vs 40%; p<0.001), multiparty (4.0 vs 2.6; p<0.001), and menopause (44% vs 16%; p<0.001). CVD was also associated with heavy legs (72% vs 14%; p<0.001), pain in the legs (83% vs 27%; p<0.001), sensation of swelling (59% vs 4.6%; p<0.001), sensation of burning (38% vs 10%; p<0.001), night cramps (56% vs 9.6%; p<0.001), itching (26% vs 4.6%; p<0.001) and sensation of pins/needles (49% vs 6.3%; p<0.001). A significant proportion of the participants (27%) had chronic venous disease underlining the importance of adequate and early screening for CVD as well as early referral to specialist physicians..
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International Medical Journal

Journal ID : IMJ-15-11-2020-657

Total View : 466

Title : Comparative Study Between Surgical Treatment And Diltiazem 2% Gel Application In The Management Of Chronic Anal Fissure

Abstract : The surgical intervention on chronic anal fissure is still the first line of treatment for this disease. The importance of this research lies in finding a new treatment for one of the most common anal lesions, and to choose a safe and effective method in the treatment of chronic anal fissure, avoiding the risks of anesthesia and surgery. To compare the surgical treatment (Lateral Internal Sphincterotomy) and topical treatment (Diltiazem Gel 2%), in terms of the ability to heal, studying the degree of symptoms regression after the treatment (bleeding/pain), and studying the incidence of gas / fecal incontinence. A prospective pilot study, which included 60 patients divided into two groups equally, Group A (30 patients who underwent surgical treatment), Group B (30 patients who underwent topical drug treatment with Diltiazem 2% gel), and the study was conducted at Tishreen University Hospital in Latakia – Syria, in the period between 2019-2020. In group A, complete recovery occurred in 29 patients (96.6%), anal bleeding decreased in all patients (100%), pain feeling decreased in all patients (100%), and gas incontinence occurred only in 4 patients (13.3%). Fecal incontinence didn't occur. In group B, complete recovery occurred in 17 patients (56.6%), anal bleeding decreased in 17 patients (68%), pain feeling decreased in 17 patients (65.3%), and gas / fecal incontinence didn't occur at all. Lateral internal Sphincterotomy is still the first line of treatment in patients with a chronic anal fissure, but drug therapy with (Diltiazem 2% gel) can be applied to patients who refuse surgical treatment, or for those who have contraindications for surgical intervention.
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International Medical Journal

Journal ID : IMJ-10-11-2020-650

Total View : 486

Title : “Catch Them Early - Oral Cancer”: Oral Health Care Providers’ Knowledge and Practice in Qassim Region, Saudi Arabia

Abstract : The most widely recognized reason for morbidity and mortality globally is cancer. Early detection and regular follow up of high-risk patients can curb the mortality and morbidity rate. Dentists play a vital role in the early detection of oral cancer; therefore, assessing their knowledge and practice for early detection of oral cancer is crucial. A cross-sectional study was designed to assess the dentists’ knowledge and practice for the early detection of oral cancer. The study was conducted in the Qassim region among dental interns, general dental practitioners (GPs), specialists, and consultants in both private and public sectors. The questionnaire consisted of 14 closed-ended questions that contain socio-demographic characters of participants, information regarding the participants' knowledge, and practice related questions. Data collected and analysed in SPSS software v. 21 and descriptive analysis was done. A total of 159 participants in the study. Regarding the potential risks for oral cancer, 48.4% and 34.6% believed viruses and hereditary. Regarding the high-risk sites for oral cancer, 38.4% of the participants choose soft palate complex, lateral border of the tongue, and floor of the mouth as high-risk sites. The majority of the participants, i.e., 70.4% (n=112) did not use any adjunctive screening tools. 57.2% (n=91) feel they do not have sufficient knowledge concerning the early detection of oral cancer. The vast majority, i.e., 87.4% (n=139) agreed that they need more information and continuing education for the same. The survey findings suggest that there is an existing gap in the knowledge and the use of chairside diagnostic procedures for the early detection of oral cancer, one of the barriers is lack of training. Dentists’ comprehension must be reinforced and constantly updated by continuing education programs..
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International Medical Journal

Journal ID : IMJ-04-11-2020-648

Total View : 371

Title : Cupping Therapy and Low Back Pain: A Review Literature Based on Randomized Controlled Trial Studies

Abstract :

The human life expectancy has increased 8% globally. Consistently, the aging population has also grown significantly. The increase of aging population is followed by many health issues, including, musculoskeletal pain. Low back pain (LBP) has been the key role of causing disability among musculoskeletal problems. Currently, American College of Physicians (ACP) recommended that nonpharmacologic treatment should be the first option in treating LBP. There are many studies about the effectiveness of cupping therapy (CT) in management LBP. Therefore, this review aims to outline the evidence of CT in treating LBP. The general conclusion of this review is CT can be a promising therapy as nonpharmacologic management of LBP.

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International Medical Journal

Journal ID : IMJ-30-10-2020-646

Total View : 355

Title : Evaluation of the Quality of Life of Patients with Myocardial Infarction

Abstract : For an objective and comprehensive assessment of all indicators of the quality of life of patients, the questionnaire “MOS SF-36 - Health Status Survey” was used. A specific questionnaire “Quality of life after myocardial infarction” - Quality of Life after Myocardial Infarction (QLMI) was also used. The total number of patients included in the study was 120, of whom 75 were men and 45 women, 62.5% and 37.5%, respectively. All patients were divided into three groups. The first group included 40 practical healthy patients. The second group is also represented by 40 patients who had myocardial infarction without complications, and the 3rd group included 40 patients who had myocardial infarction and who had complications. Indicators of the physical component of QL in patients with myocardial infarction in the second and third groups were reduced by a factor of 2-3 compared with the control group (1) and were significantly different in all indicators, especially in 1– Physical functioning by 60–75%, 2 - by role functioning by 30–55%, 3 by the intensity of pain by 33–73%, and 4 by the general state of health by 32.5– 52.5%. Indicators of quality of life, psychological component in patients undergoing myocardial infarction without complication and with complications, were significantly lower compared to practically healthy people in the following sequence: by vital activity by 32.5-45%, by role functioning, due to emotional state by 23, 9-57.3%, mental health by 32-44%, and social functioning by 20.5-62.5%. The results of the study showed that the indicators of the physical and psychological component of QL in patients after myocardial infarction, with and without complications, were 2-3 times lower than in the control group (p <0.05; p <0.01; p <0.001), indicating the effect of myocardial infarction on QOL.
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Submission Deadline ( Vol 30 , Issue 09 )
20 Sep 2023

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Publish On ( Vol 30 , Issue 07 )
31 Jul 2023