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  1. Article ; Online: Risk profile of Qatari women treated for infertility in a tertiary hospital

    Sarah Musa / Sherif Osman

    Fertility Research and Practice, Vol 6, Iss 1, Pp 1-

    a case-control study

    2020  Volume 17

    Abstract: Abstract Background Female infertility is a multifactorial condition constituting a worldwide public health problem. The ability to reproduce is an important product of any marriage, hence infertility may exert a negative impact on physical, financial, ... ...

    Abstract Abstract Background Female infertility is a multifactorial condition constituting a worldwide public health problem. The ability to reproduce is an important product of any marriage, hence infertility may exert a negative impact on physical, financial, social and emotional wellbeing of affected couples. The cornerstone to the management of any disease, including infertility, is prevention. Identifying the modifiable risk factors of female infertility will aid at prevention, early detection, and treatment of medical conditions that can threaten fertility as well as promoting healthy behaviours that can preserve it. Aim To explore the risk profile of infertility among Qatari women and compare risk factors distribution among primary vs. secondary infertility. Methodology A hospital-based case control study was conducted from September 17th, 2017- February 10th, 2018. Cases (n = 136) were enrolled from infertility clinic and controls (pregnant women, n = 272), were enrolled from antenatal clinic, Women Hospital, Hamad Medical Corporation (HMC). Interview questionnaire was utilized to collect data about sociodemographic, risk factors related to infertility and patient health Questionnaire (PHQ)-2. Body Mass Index (BMI) was calculated. Logistic regression was used to identify the associated factors to infertility. Statistical significance was set at 0.05. Results Forty three primary and ninety three secondary infertility cases were included. Risk factors were age > 35 years (OR = 3.7, 95% CI: 1.41–9.83), second-hand smoking (OR = 2.44, 95% CI:1.26–4.73), steady weight gain (OR = 4.65,, 95% CI: 2.43–8.91), recent weight gain (OR = 4.87, 95% CI: 2.54–9.32), menstrual cycle irregularities (OR = 4.20, 95% CI:1.14–15.49), fallopian tube blockage (OR = 5.45, 95% CI: 1.75–16.95), and symptoms suggestive of sexually transmitted infections (STIs) including chronic lower abdominal/pelvic pain (OR = 3.46, 95% CI: 1.57–7.63), abnormal vaginal discharge (OR = 3.32, 95% CI:1.22–9.03) and dyspareunia (OR = 7.04, 95% CI: 2.76–17.95). Predictive factors for secondary infertility were; longer time from previous conception (OR = 5.8, 95% CI: 3.28–10.21), history of stillbirth (OR = 2.63, 95% CI: 1.04–6.67) or miscarriage (OR = 2.11, 95% CI: 1.21–3.68) and postpartum infection (OR = 3.75, 95% CI: 1.27–11.06). Protective factors were higher education level (OR = 0.44, 95% CI: 0.25–0.78), higher income (OR = 0.17, 95% CI: 0.06–0.49), and awareness/loyalty to fertility window (OR = 0.33, 95% CI: 0.21–0.52 and OR = 0.29, 95% CI: 0.19–0.44, consequently). Conclusion This study highlighted the opportunities to strengthen public health as well as hospital-based health promotion programs importantly toward behavioural-related risk factors (e.g. smoking, obesity, STIs etc.). Moreover, detecting, preventing, and managing modifiable risk factors through awareness, screening and early management of chronic diseases, may contribute at reduction of incidence and severity of infertility. Such interventions can be delivered at premarital, family planning, post-natal and antenatal clinics at primary health care with early referral to secondary care if required.
    Keywords Infertility ; Risk factors ; Sexual transmitted disease ; Modifiable ; Prevention ; Medicine ; R ; Nursing ; RT1-120 ; Pediatrics ; RJ1-570
    Subject code 360 ; 610
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Depression, Stress and Anxiety in Patients Recovering from COVID -19 Pneumonia after Hospitalization

    Safwat Eldaabossi / Sherif Osman / Amgad Awad / Saber Abo Elhassan / Abdallah . Elatrash / Gasmelseed Y. Ahmed / Abbas Al Mutair / Hatem Elkenany / Waheed Mahdi

    International Journal of Medical Arts, Vol 4, Iss 3, Pp 2243-

    Experience at Almoosa Specialist Hospital

    2022  Volume 2251

    Abstract: Background: The coronavirus disease 2019 [COVID-19] pandemic has created an environment in which many determinants of mental health are affected. Our objective was to determine the prevalence of depression, stress, and anxiety symptoms in adult patients ... ...

    Abstract Background: The coronavirus disease 2019 [COVID-19] pandemic has created an environment in which many determinants of mental health are affected. Our objective was to determine the prevalence of depression, stress, and anxiety symptoms in adult patients discharged and recovering after hospitalization for COVID -19 pneumonia, at Almoosa Hospital. Materials and Methods: In a cross-sectional study, the Depression Anxiety Stress Scale 21 [DASS21] assessment instrument was used to measure distress along the three axes of depression, anxiety, and stress and distributed one month after discharge and recovery. Medical records were reviewed to collect information on medical details.Results: Of the 466 respondents, 53.2% were female, with an average age of 54.20 years. Mental health problems were noted in 130 [27.9%] patients with anxiety symptoms, 79 [17%] with stress symptoms, and 63 [13.5%] with depression symptoms. Patients with mental health problems [depression, anxiety, and stress symptoms] were found to have significantly higher D-dimer levels than patients without these symptoms. The severity of depressive symptoms was found to be significantly associated with decreased oxygen saturation and increased length of stay in the intensive care unit [ICU]. Conclusion: Patients recovering from COVID-19 pneumonia have high rates of mental health problems. Significantly higher D-dimer levels were found in patients with mental health problems. The severity of depressive symptoms was associated with decreased oxygen saturation and increased ICU length of stay. Early recognition and appropriate management of mental health problems are needed.
    Keywords anxiety ; stress ; covid-19 ; emotional wellbeing ; depression ; saudi arabia ; mental health ; Medicine (General) ; R5-920
    Subject code 150
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher Al-Azhar University, Faculty of Medicine (Damietta)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Curriculum for the Imaging of Retroperitoneal Masses and Disease Spread With Anatomic Correlation

    Saeed Elojeimy / Mariam Moshiri / Puneet Bhargava / Sherif Osman / Charles Rohrmann

    MedEdPORTAL, Vol

    2013  Volume 9

    Abstract: Abstract Introduction Retroperitoneal anatomy is very complex. We wanted to create a presentation that would simplify this subject and show examples of illustrations highlighting the multiple retroperitoneal fasciae and planes, as well as their ... ...

    Abstract Abstract Introduction Retroperitoneal anatomy is very complex. We wanted to create a presentation that would simplify this subject and show examples of illustrations highlighting the multiple retroperitoneal fasciae and planes, as well as their corresponding appearance on cross-sectional CT imaging. Methods This PowerPoint presentation was designed primarily for radiology residents and faculty but can be used by anyone in the medical field who is interested in radiologic imaging and retroperitoneal anatomy. The presentation provides an overview of the complex retroperitoneal anatomy, with multiple illustrations of the retroperitoneal fasciae, spaces, and interfascial planes. It also discusses the pattern of disease spread in the retroperitoneum, provides a broad overview of the different types of retroperitoneal masses, and proposes an algorithmic approach for diagnosis of retroperitoneal masses based on imaging findings. A number of slides are dedicated to illustrating the role of imaging-guided procedures (mainly biopsies) utilized in the diagnosis and treatment of retroperitoneal masses. Finally, the multisystemic syndromes that involve the retroperitoneum are reviewed in a quiz format. The presentation takes from 30 to 60 minutes depending on the user's prior knowledge of retroperitoneal disease. Results This presentation was presented as an educational exhibit at the Radiologic Society of North America meeting in Chicago, Illinois, and as an exhibit at the imaging symposium at the University of Washington and received positive feedback. Many residents recommended that it would be very helpful for the presentation to be accessible online as a general reference and quick refresher for an overview of retroperitoneal disease. Discussion This presentation requires that the user have some basic understanding of radiology and imaging. The retroperitoneal pathology is very wide; in this presentation, we focus mainly on the pathology with interesting radiologic findings.
    Keywords Retroperitoneum ; Imaging ; Retroperitoneal Masses ; Fasciae ; Medicine (General) ; R5-920 ; Education ; L
    Subject code 302
    Language English
    Publishing date 2013-03-01T00:00:00Z
    Publisher Association of American Medical Colleges
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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