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Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in Family Practice
Hani A. Jokhdar,
Mohammed A. Garout,
Mohammad M. Alkot,
Rana H. El-Helbawy,
Jehad O. Albitar
Issue:
Volume 3, Issue 1, March 2017
Pages:
1-5
Received:
20 September 2016
Accepted:
22 November 2016
Published:
27 December 2016
Abstract: Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted during the winter season (2015) in Al-Shohadaa family health center, Al-Shohadaa city, Menoufia governorate, Egypt. All patients ≥ 40 years, smoking ≥ 20 pack-years and attending the center with respiratory symptoms were subjected after their consent to a spirometry to check for early COPD diagnosis. Results: Although based on spirometry 33 out of 192 had COPD (18 (9.4%) had GOLD I and 15 (7.8%) had ≥ GOLD II, respectively), there was no significant difference in the type and the number of respiratory symptoms between Non-COPD and early COPD patients. Conclusion: It was demonstrated that the presenting symptoms specially in early stages could not discriminate the patients with COPD, so availability of spirometry in addition to training of family physicians at the family health care settings is a mandatory challenge for early diagnosis of COPD.
Abstract: Background: In real practice, Chronic Obstructive Pulmonary Diseases (COPD) is often diagnosed at a late stage as its clinical manifestations pass unnoticed and spirometry is almost not utilized. Objectives: To clarify the possibility of early detection of COPD by family physicians at the primary health care level. Methods: The study was conducted ...
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Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt
Nora A. Khalil,
Waleed M. Fathy,
Nariman S. Mahmoud
Issue:
Volume 3, Issue 1, March 2017
Pages:
6-11
Received:
12 December 2016
Accepted:
28 December 2016
Published:
16 January 2017
Abstract: Objectives: Study prevalence of gestational diabetes mellitus (GDM) among pregnant females attending family health center between 24 and 28 weeks of gestation and assessment of risk factors among the studied group. Background: Gestational diabetes mellitus (GDM) is the most prevalent metabolic disorder during pregnancy. It is defined as any degree of glucose intolerance during pregnancy. It affects between 2-14% of pregnancies. Screening for (GDM) during pregnancy is highly recommended. Material and Methods: The study was conducted on 250 pregnant women between 24 and 28 weeks gestation who attended a rural family health center in Menufia Governorate, Egypt. Selected participants were interviewed during their antenatal care visits using a questionnaire to assess different demographic criteria of the participants and potential risk factors for GDM. Initial screening was done by a glucose challenge test with 50 g glucose. If the 1-hour blood glucose level exceeded 130 mg/dl, then a 3-hour oral glucose tolerance test (OGTT) with 100g glucose was performed and diagnosis was established. Results: Prevalence of GDM among the studied group was 8%. Risk factors found to be significantly associated with GDM were advancing age & BMI ≥ 30, high BP> 140/90, previous history of pre-eclampsia, family history of diabetes and positive obstetric history for induced labor, abortion and large size baby. However socioeconomic status, previous history of hypertension and family history of hypertension failed to demonstrate significant associations with GDM. Conclusion: The prevalence of GDM was found to be 8% among pregnant females attending the studied rural family health center. Controlling risk factors and Screening for early detection are mandatory for better maternal and fetal health.
Abstract: Objectives: Study prevalence of gestational diabetes mellitus (GDM) among pregnant females attending family health center between 24 and 28 weeks of gestation and assessment of risk factors among the studied group. Background: Gestational diabetes mellitus (GDM) is the most prevalent metabolic disorder during pregnancy. It is defined as any degree ...
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Holter Monitoring (Ambulatory Electrocardiography) Defined Cardiac Arrhythmia Among Patients Presented with Palpitation in the Primary Care Setting
Issue:
Volume 3, Issue 1, March 2017
Pages:
12-16
Received:
13 December 2016
Accepted:
24 December 2016
Published:
18 January 2017
Abstract: Palpitation is non-specific and represents one of the most common symptoms in general medical settings. Discerning cardiac from noncardiac causes is important. A 24-hour ambulatory electrocardiography (Holter) monitor is usually used. This is a retrospective cross-sectional review including all patients presented with palpitation and had Holter monitoring performed in a regional primary care clinic of Hong Kong during the year 2010 to 2014. Clinical information and Holter outcomes were retrieved and analyzed to examine Holter monitoring defined significant cardiac arrhythmia and assess the predictive patient characteristics associated with significant cardiac arrhythmia. Holter monitoring were arranged for 89 (31.9%) male and 190 (68.1%) female patients. 163 (58.4%) patients had associated chronic comorbidity, including 38.0% had hypertension. 109 (39.1%) Holter monitoring showed significant cardiac arrhythmia, including prolong QT interval (11.1%), frequent supraventricular/ventricular ectopics (9.0%) and supraventricular/ventricular ectopics in bigeminy or trigeminy (5.0%). Patients who were smokers, or with concomitant ischaemic heart disease were more likely to have significant cardiac arrhythmia (P < 0.05). 39.1% of Holter monitoring for patients presented with palpitation in the primary care setting have significant cardiac arrhythmia, which need referral to medical specialist for further management.
Abstract: Palpitation is non-specific and represents one of the most common symptoms in general medical settings. Discerning cardiac from noncardiac causes is important. A 24-hour ambulatory electrocardiography (Holter) monitor is usually used. This is a retrospective cross-sectional review including all patients presented with palpitation and had Holter mon...
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Assessment of Knowledge and Practices of Diabetic Patients Regarding Diabetic Foot Care, in Makkah, Saudi Arabia
Reda Goweda,
Mokhtar Shatla,
Arwa Alzaidi,
Arij Alzaidi,
Bashaer Aldhawani,
Hibah Alharbi,
Noran Sultan,
Daniah Alnemari,
Badr Rawa
Issue:
Volume 3, Issue 1, March 2017
Pages:
17-22
Received:
26 June 2016
Accepted:
8 July 2016
Published:
18 February 2017
Abstract: Background: 20.5% of Saudis between 20 and 79 years are diabetics. Diabetic foot is a chronic complication of diabetes. The incidence of non-traumatic lower extremity amputations is at least 15 times greater in those with diabetes than non-diabetics. Patient education is important to reduce lower extremity complications. Objective: To assess the knowledge and practices of the diabetic patients regarding foot care and diabetic foot complications. Methods: In Makkah hospitals, 350 diabetic patients who met the inclusion criteria were involved in this cross sectional study. Interviewing questionnaire and patients’ charts review were used to collect the data. Results: Mean age of patients was 53.0083±13.1 years, and mean duration of diabetes was 11.24±8.7 years. 35.1% had history of foot ulcer while 25.7% had ulcer on the time of interview. 11.7 % had history of amputation and 83.1% had numbness. 77.1 % examine their feet while 49.1% received foot care education and 34% read handouts on foot care. 34% walk around in bare feet. There is a significant statistical association between foot education, practices and diabetic foot ulcer (p-value < 0.05). Conclusion: Patient knowledge and practices regarding diabetic foot care is significantly associated with the reduction of diabetic foot ulcer.
Abstract: Background: 20.5% of Saudis between 20 and 79 years are diabetics. Diabetic foot is a chronic complication of diabetes. The incidence of non-traumatic lower extremity amputations is at least 15 times greater in those with diabetes than non-diabetics. Patient education is important to reduce lower extremity complications. Objective: To assess the kn...
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Awareness and Health Care Practice of Mothers’ About Obstetric Danger Signs at Haramaya District, Eastern Ethiopia
Tesfaye Assebe Yadeta,
Fekede Asefa Kumsa
Issue:
Volume 3, Issue 1, March 2017
Pages:
23-29
Received:
5 March 2017
Accepted:
17 March 2017
Published:
18 April 2017
Abstract: Mother’s awareness of potential obstetric danger signs during pregnancy, child birth and immediate post-delivery are crucial to influence their decisions to seek immediate health care. However, their awareness and health care practice were not well known in Haramaya district. Thus, this study was to assess mother’s awareness of obstetric danger signs and their health care seeking practice. Community based cross sectional study was conducted in June, 2012 on 757 mothers who gave birth for the last two years and reside in Haramaya District. Sample size was estimated by using a single population proportions formula. Multistage sampling method was used to select study subjects. Data was collected by interview using structured questionnaires. Bivariate and multivariate were used to analyze predictors. Results: Only 86 (11.3%) of respondents mentioned three and above key obstetric danger signs during pregnancy. About half of 402(53%) of respondents did not aware for at least one obstetric danger signs. 234 (31%) respondents were reported to have experienced one or more key danger signs but 31.2% of them did not sought for medical treatment. Mothers who followed primary education 2.7 times [AOR 2.7; 95% CI 1.5-7.2], and secondary and above education 2.4 times [AOR 2.4; 95% CI 1.3-5.4] more likely to have awareness on obstetric danger signs during pregnancy as compared to those didn’t attained formal education. Mothers who attended antenatal care were 4.28 times [AOR 4.28; 95% CI 2.01-9.12] more likely of having awareness on obstetric danger sign than mother who did not attended ANC. Similarly, the odds of giving birth at health institutions increased the level of awareness about obstetric danger signs about three fold [AOR 3.23; 95% CI 1.821-5.742] than those who giving birth at home. Conclusion: Awareness of mothers on obstetric danger signs in the study area and health seeking practice were low. Thus, community education and information during antenatal Care utilization, institutional delivery services and postnatal care about obstetric danger signs and its consequence if the mother will not seeking care are important steps in improving the awareness and health seeking practice.
Abstract: Mother’s awareness of potential obstetric danger signs during pregnancy, child birth and immediate post-delivery are crucial to influence their decisions to seek immediate health care. However, their awareness and health care practice were not well known in Haramaya district. Thus, this study was to assess mother’s awareness of obstetric danger sig...
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