INTRODUCTIONAt any given time, more than half of women in reproductive age don't want to get pregnant and want to use any family planning (FP) method.1 FP enables women and their partners to achieve their desired number of children and to space their births. It has many benefits to women's health, child health and economic development. 2The percentage of married women who don't want to get pregnant but are not using any form of contraception are considered to be women with unmet need for FP. Globally, about 40% of all pregnancies were unintended where 81% of them were attributed to unmet needs for FP. 5,6 In 2015, 12% of married or in-union women globally were estimated to have an unmet need for FP; that is they wanted to stop or delay childbearing but were not using any method of contraception. 7Although Egypt has a strong FP program and lower rates of unmet need than other countries in the region, the downward trend in the unmet need and upward trend in the contraceptive prevalence rate (CPR) in the least two ABSTRACT Background: Although Egypt has a strong family planning program; the downward trend in the unmet need has been reversed recently. Thus the present study aimed to assess the magnitude of unmet need for family planning, its common reasons and the associated factors among women of reproductive age group. Methods: this is a community-based cross sectional household survey study conducted in Awish El-Hagar village, Mansoura, Egypt during the year 2015-2016. Using an interviewer questionnaire; 394 rural women in childbearing period were surveyed via a systematic random sampling technique with the help of the outreach community health workers affiliated to Awish El-Hagar family medicine center. Results: The overall prevalence rates of unmet need for family planning and contraceptive use were 11.2% and 69.5% respectively, while the total demand for family planning was 80.7%. Infrequent sex (27.3%), fear from the side effects (25%) and husband opposition (15.9%) were the most frequent reasons for non-use of family planning methods among unmet need women. Logistic regressions explored that risk factors for unmet need women were having husband disapproved family planning, having only girls, perception that having >3 children to be ideal, working, having husband with the main family planning decision maker, with no past history of unintended pregnancy and having only boys. Conclusions: A considerable proportion of Egyptian women still have an unmet need for family planning that need to be addressed by more effective family planning and health education programs together with improving counseling strategies and enforcing the role of outreach workers.
Purpose: This work was to study the clinic-epidemiological characteristics of patients with locally advanced NCSLC and to analyze their prognostic factors and also the results of different treatment modalities for local control and their effect on overall survival (OAS). Materials and Methods: This is a retrospective study including 121 patients with primary locally advanced NSCLC diagnosed between 2001 and 2010 at the radiotherapy department , National Cancer Institute, Cairo University, Egypt. Results: The study showed significant correlation between the tumor size < 7 cm, old age > 60, moderately differentiated tumors G2 and treatment outcomes; better locoregional control and better survival rates. On the opposite side poorly differentiated tumors G3, tumor size > 7 cm had the worst locoregional control and survival rates. The study also showed significant statistical correlation between treatment modality, locoregional control and survival rates. Patients who were treated by either concommitent chemo-radiotherapy or sequential chemo-radiotherapy had better local control compared to other patients who were treated by radical radiotherapy, and they also had the best survival rates among all the other treatment groups. The average 6 months OAS rates for all studied patients were 60.3% while 12 months survival rates were 38.8%. The median OAS was 7 months. Conclusions: From the present study, we concluded that concomitant chemo-radiotherapy is the treatment of choice for locally advanced non small cell lung cancer; also we concluded that better performance status and higher hemoglobin levels have better treatment outcome in these cases.
Background The purpose of the current study was to assess the impact of restoration thickness, surface conditioning and the interaction between them on the fracture resistance of CAD/CAM fabricated lithium disilicate occlusal veneers. Methods A total of 42 maxillary molars were prepared to receive CAD/CAM fabricated lithium disilicate occlusal veneer either with 0.5 mm (n = 21) or 1 mm (n = 21) thickness. Each main group was divided into 3 subgroups (n = 7), according to surface treatment, HF acid (HF-1, HF-0.5), acidulated phosphate fluoride (APF-1, APF-0.5) and Monobond etch & prime (MON-1, MON-0.5). Multilinik N (Ivoclar-Vivadent) adhesive resin cement was used for bonding according to the manufacturer instructions. One hour after bonding, specimens were stored in water bath for 75 days followed by cyclic loading fatigue for 240,000 cycles to simulate clinical situation. Finally, specimens were fractured under compressive load in (N) using a universal testing machine. Two and one-way ANOVA and Post Hoc Tukey test were used for statistical analysis. Results The means ± SD (N) fracture load for each group were calculated. MON-1 group showed the highest fracture load (1644.7 ± 155.3) followed by HF-1 group (1514.6 ± 212.5). Meanwhile, APF-0.5 showed the lowest fracture load (962 ± 249.6). Conclusion CAD/CAM fabricated lithium disilicate occlusal veneers can be used with a thickness of 0.5 mm instead of conventional crowns. Monobond etch & prime is recommended as a surface treatment for CAD/CAM fabricated lithium disilicate occlusal veneer due to biological hazards of Hydrofluoric acid.
Background: The purpose of the current study was to assess the impact of restoration thickness, surface conditioning and the interaction between them on the fracture resistance of CAD/CAM fabricated lithium disilicate occlusal veneers. Methods: A total of 42 maxillary molars were prepared to receive CAD/CAM fabricated lithium disilicate occlusal veneer either with 0.5 mm (n=21) or 1 mm (n=21) thickness. Each main group was divided into 3 subgroups (n=7), according to surface treatment, HF acid (HF-1, HF-0.5), acidulated phosphate fluoride (APF-1, APF-0.5) and Monobond etch & prime (MON-1, MON-0.5). Multilinik N (Ivoclar-Vivadent) adhesive resin cement was used for bonding according to the manufacturer instructions. One hour after bonding, specimens were stored in water bath for 75 days followed by cyclic loading fatigue for 240000 cycles to simulate clinical situation. Finally, specimens were fractured under compressive load in (N) using a universal testing machine. Two and one-way ANOVA and Post Hoc Tukey test were used for statistical analysis. Results: The means±SD (N) fracture load for each group were calculated. MON-1 group showed the highest fracture load (1644.7±155.3) followed by HF-1 group (1514.6±212.5). Meanwhile, APF-0.5 showed the lowest fracture load (962±249.6). Conclusion: CAD/CAM fabricated lithium disilicate occlusal veneers can be used with a thickness of 0.5 mm instead of conventional crowns. Monobond etch & prime is recommended as a surface treatment for CAD/CAM fabricated lithium disilicate occlusal veneer due to biological hazards of Hydrofluoric acid.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.