Pelvic Floor Disorders (PFDs) are common debilitating conditions among women worldwide, which have had a negative effect on women’s quality of life and can be particularly bothersome. The objective of this study was to assess the prevalence of PFDs and the degree of bother of PFDs symptoms among women seeking primary health care. A cross sectional study was conducted in primary health care settings affiliated with Ministry Of Health and Population (MOHP) in Ismailia city, Egypt. The study was carried out from October 2019 to May 2020 on 500 women who were recruited by two-stage cluster random sampling. A semi-structured questionnaire was used to collect data on demographic, and reproductive characteristics. PFD was assessed based on symptoms reporting by women. A short-form version of the Pelvic Floor Distress Inventory (PFDI-20) was used to assess the severity of pelvic floor symptoms. The prevalence of pelvic floor disorder was (41%), with over active bladder being the most prevalent type (32.8 %) followed by stress urinary incontinence (29.2%). Age, obesity, vaginal delivery 4 times or more, caesarean delivery, and history of abortion were positive predictors of PFD prevalence (p<0.001). More than one third (35.6%) of women who had urinary incontinence and (81.8 %) of women who had pelvic organ prolapsed reported their symptoms as severe. The study highlights the magnitude of pelvic floor disorder prevalence. This stresses for urgent action to improve prevention, diagnosis and treatment services to decrease the suffering of women from pelvic floor disorders.
Background. Egypt has been severely affected by the Coronavirus Disease (COVID-19) since March 2020. To slow the spread of Coronavirus , measures such as social isolation, travel restrictions and stay-at-home are dramatically increasing the risk of domestic violence.Objectives. This study aimed to assess the prevalence of various forms of spousal violence against women and explore whether the prevalence of domestic violence changed during the COVID-19 pandemic compared to its prevalence one year before. Material and methods. Using a web-based cross-sectional survey, we collected data from 2,190 Egyptian women using an anonymous online questionnaire. The survey was conducted through a link shared on social networks from 20 May 2020 to 20 June 2020. A semi-structured questionnaire was used to collect data on socio-demographic variables and details of domestic violence. Results. The overall prevalence of spousal violence during the COVID-19 pandemic was 43.2%, with physical violence being the most common type. 52.75% of abused women did not disclose the abuse or seek assistance although suffering. The findings revealed a significant increase in the rate of the overall spousal violence and all forms of violence (emotional, physical and sexual violence) during the COVID-19 pandemic quarantine (p < 0.05). Age, duration of marriage, educational status of subjects and their spouses, residence, spouse with substance-abuse, depression, and insomnia were reported as significant predictors of domestic violence among the Egyptian women. Conclusions. The prevalence of domestic violence in Egypt is considerably high and significantly increased during COVID-19 pandemic.
Background. The most common arrhythmia which have been reported frequently in COVID-19 patients is sinus tachycardia. As COVID-19 is usually misdiagnosed with other respiratory tract diseases, introduction of a rapid clinical indicator for out of proportional sinus tachycardia in the diagnosis of COVID-19 during the early viral replication stage is essential for better cost-effective use of resources. Objectives. This study was conducted to determine the diagnostic accuracy of sinus tachycardia as an independent indicator of COVID-19. Material and methods. This is a cross-sectional analytical study. It included 152 healthcare workers who fulfilled the inclusion criteria. Multiple logistic regression analysis was conducted to investigate the factors associated with COVID-19 among the entire study sample and among each group. Results. Among our participants, 32.9% were male, while 67.1% were female, with a mean age of 35.47 ± 7.09 years. It was found that 51.3% of our sample were COVID-19 PCR positive, and the mean number of days of symptoms at presentation was 2.01 ± 1.29. It was found that the prevalence of out of proportional sinus tachycardia among the participants diagnosed with COVID-19 in 2021 was triple that of the participants who were recruited in 2020 (61%, 26%, respectively). It was found that there was significant association between pulse rate and COVID-19, with gender, age, temperature or days of symptoms having no effect. Conclusions. The study highlights the diagnostic accuracy of sinus tachycardia as an independent indicator of COVID-19, especially the Omicron variant, as a higher pulse rate is associated with higher odds of having COVID-19
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