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Biomedical subjects

Ahmed A Bahnassy

Publications and source records attributed to Ahmed A Bahnassy.

5 recordsLinked to original sources

Prevalence and pattern of skin disorders among female schoolchildren in Eastern Saudi Arabia.

OBJECTIVE: To determine the prevalence and pattern of skin disorders among female schoolchildren in primary and intermediate schools in Al-Khobar city, Eastern Saudi Arabia. METHODS: This is a cross-sectional study conducted in Al-Khobar city, Kingdom of Saudi Arabia during the period from January-March 2003. It involved 2239 female schoolchildren randomly selected from 30 regular public and private primary and preparatory schools. We used a multi-stage stratified random sampling technique with proportional allocation. We collected data using a pre-designed structured questionnaire and clinical examination. RESULTS: The prevalence of skin diseases among female schoolchildren in Al-Khobar city was 98.6%. The most common skin disease and conditions group was the pigmentary disorders (91.6%), followed by a group of dermatitis/eczema and related conditions (26.7%), and disorders of skin appendages (25.3%). The common skin diseases and conditions in this study were melanocytic nevi (MN) (68%), post-inflammatory pigmentation (56.6%), scars (26.8%), acne (22.5%), dandruff (18.1%), pediculosis capitis (5.2%) and eczema (3.1%). Postinflammatory hyper/hypo pigmentation was more common among primary schoolchildren, whereas MN, dandruff, keratosis pilaris, acne and folliculitis were significantly more common among preparatory schoolchildren. CONCLUSION: The prevalence of skin disorders among female schoolchildren in Al-Khobar city was very high. Therefore, we recommended the introduction of a preventive health education program for schoolchildren at different levels and their families and teachers on skin diseases.

Adolescent↗

Obstructive sleep apnea syndrome among a snoring community.

OBJECTIVE: To evaluate the relation between snoring and the presence of obstructive sleep apnea (OSA) in terms of relevant health parameters and questionnaire responses. METHODS: Selective random sampling within a household survey in the cities of Al-Khobar and Dammam, Kingdom of Saudi Arabia over a 3 month period during the year 2000, was carried out. One hundred and fifty-two persons, aged 17-62 years, with a positive history of snoring as determined by the spouse or other members of the family were selected. RESULTS: The presence of OSA was determined using the Epworth sleepiness scale (ESS). The predictors included age, gender and body mass index. Snoring was found to be more associated with OSA as suggested by ESS in the study sample. The severity of snoring and its pattern are more associated with apneic patients. CONCLUSION: Snoring is common and may be a serious medical problem. This study revealed that snoring is associated with symptoms suggesting OSA syndrome as detected by ESS. The family doctor and his team should be aware of the condition, using simple screening test such as ESS, improves the patient care, and finding of suspected cases.

Adolescent↗

Conservative treatment of idiopathic detrusor instability in elderly women.

OBJECTIVE: The aim of this paper is to give an overview of the conservative treatment of idiopathic detrusor instability in elderly women. It describes the clinical and urodynamic features of the over-active bladder and the role of physiotherapy as well as the various physiotherapeutic techniques in the management of this condition. METHODS: This is a prospective, uncontrolled clinical trial in which 20 older women aged 55-75 years participated for 8 weeks duration. The study was started on April 2000 at King Fahad Hospital of the University, Kingdom of Saudi Arabia. Therapeutic modalities including bladder training, pelvic floor exercise and electrical stimulation were applied for all subjects. RESULTS: The first desire to void, maximum capacity, flow rate and voiding intervals was increased in its mean at the end of the study period (P<0.0001), while the means of residual volume and frequency of micturation had significantly decreased at the end of the study (P< 0.0001). CONCLUSION: The study shows that correctly taught pelvic floor exercise, combined with bladder training, electrical stimulation and restriction of fluids' intake are effective treatment modalities for the idiopathic detrusor instability in elderly women.

Aged↗

Treatment-related misconceptions among diabetic patients in Western Saudi Arabia.

OBJECTIVE: To describe the types and pattern of treatment-related misconceptions among Primary Health Care Centers (PHCCs) registered diabetic patients in Makkah, Kingdom of Saudi Arabia. METHODS: A sample of 1039 PHCCs registered diabetic patients were interviewed using a structured questionnaire, concerning diabetic treatment-related misconceptions. This cross-sectional study was carried out in Makkah city, Kingdom of Saudi Arabia from May 2000 to September 2000. A scoring system was used to document the frequency of misconceptions. The relationship of misconceptions to socio-demographic and diabetes-related variables were assessed using chi-squared tests. RESULTS: Four hundred and five (39%) patients had a high treatment misconception score. The score was significantly higher among females than males (P< 0.00001), and also among patients older than 35 years (P< 0.05). There were no statistically significant differences between Saudis and non-Saudis, or in association with different education levels. Also, the score was significantly higher among patients with a shorter disease duration (P<0.04), and among patients who did not enjoy continuity of care (P<0.00001). Patients' misconceptions were mostly related to reasons for stopping medications. Moreover, patients thought that cure from diabetes was expected following a short course of treatment (16.5%) and that one could eat what he or she liked as long as medications were taken (23%). CONCLUSION: The results of this study showed the rate of treatment-related misconceptions to be high. It stresses the need for constant motivation and one on one level education at frequent intervals to encourage better knowledge regarding the disease and subsequent compliance to treatment.

Adult↗