Experiences of obesity among Saudi Arabian women contemplating bariatric surgery: An interpretative phenomenological analysis

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2013 The Authors.This study explored experiences of obesity, its perceived causes and motives for surgery, as described by seven Saudi women contemplating bariatric surgery. The women experienced cultural restrictions on their physical and social activities. Obesity embodied these restrictions, attracting stigma and moral failure. Traditional clothing, foods, hospitality norms and limited outdoor female activities were regarded as barriers to weight loss. Bariatric surgery was chosen to protect health and to access normative female roles. Some were encouraged by relatives who had undergone surgery. Opting for surgery reflected both participants’ sense of powerlessness to self-manage weight and the social acceptability, within their family context, of this biomedical approach

Effect of Thrombolytic Therapy on the Incidence of Early Left Ventricular Infarct Expansion in Acute Anterior Myocardial Infarction

Abstract Objectives: To determine the incidence of early left ventricular infarct expansion within five days after first anterior ST-segment elevation myocardial infarction and the effect of early thrombolytic therapy on the incidence of early infarct expansion compared with late thrombolytic therapy. Methods: In a prospective study of 101 patients (75males and 26 females), with the first attack of acute anterior myocardial infarction, their ages ranged from 40-80 years (mean age: 61.07±10.78) who had been admitted to the Coronary Care Unit of Hawler Teaching Hospital for the period from July 2007 through to September 2009. Those who received alteplase ≤3 hours of acute myocardial infarction were labelled as group-I (49 patients) and those who received alteplase >3-12 hours were labelled as group-II (52 patients). Results: The incidence of early left ventricular infarct expansion was diagnosed by 2D-echocardiography and was found to be 17.8%. Group I patients had a lower incidence of early left ventricular infarct expansion (8.16%) compared with group-II (26.92%; p=0.014). Patients with early left ventricular infarct expansion had a higher frequency rate of left ventricular systolic dysfunction (94.44%) compared to patients without early left ventricular infarct expansion (8.43%; p<0.001). There was a significant difference in the incidence of in-hospital mortality between the patients who developed early left ventricular infarct expansion (11.1%) compared with patients without early left ventricular infarct expansion (1.2%; p=0.025). Conclusion: Early reperfusion therapy in acute anterior myocardial infarction can decrease the incidence of early left ventricular infarct expansion, preserve left ventricular systolic function and decrease in-hospital mortality

Meckel’s diverticulum: a rare cause of intestinal perforation in a preterm newborn

Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. It is usually encountered as an incidental finding at operation or autopsy. Symptomatic cases usually present during infancy with intestinal obstruction, intestinal hemorrhage, diverticulitis, or perforation. We report on a preterm newborn who developed abdominal distension at 17 h of age and pneumoperitoneum at 30 h. At laparotomy, a  narrow-based MD with a small  perforation at the tip was encountered. Segmental resection of the ileum,  including the MD, and end-to-end anastomosis was performed. A review on perforated MD from the English medical literature is also presented. Perforated MD, although rare, should be included in the differential diagnosis of neonatal gastrointestinal perforations and acute abdomen.Keywords: acute abdomen, gastrointestinal perforation, perforated Meckel’s diverticulum, preterm newbor

Combining Flexible Queries and Knowledge Anchors to facilitate the exploration of Knowledge Graphs

Semantic web and information extraction technologies are enabling the creation of vast information and knowledge repositories, particularly in the form of knowledge graphs comprising entities and the relationships between them. Users are often unfamiliar with the complex structure and vast content of such graphs. Hence, users need to be assisted by tools that support interactive exploration and flexible querying. In this paper we draw on recent work in flexible querying for graph-structured data and identifying good anchors for knowledge graph exploration in order to demonstrate how users can be supported in incrementally querying, exploring and learning from large complex knowledge graphs. We demonstrate our techniques through a case study in the domain of lifelong learning and career guidance

Prevalence of Urinary Incontinence and Probable Risk Factors in a Sample of Kurdish Women

Objectives: The most common manifestation of pelvic floor dysfunction is urinary incontinence (UI) which affects 15–50% of adult women depending on the age and risk factors of the population studied. The aim of this study was to determine the probable risk factors associated with UI; the characteristics of women with UI; describe the types of UI, and determine its prevalence. Methods: A cross-sectional study was conducted between February and August 2011, in the Maternity Teaching Hospital of the Erbil Governorate, Kurdistan Region, northern Iraq. It included 1,107 women who were accompanying patients admitted to the hospital. A questionnaire designed by the researchers was used for data collection. A chi-square test was used to test the significance of the association between UI and different risk factors. Binary logistic regression was used, considering UI as the dependent variable. Results: The overall prevalence of UI was 51.7%. The prevalence of stress, urgency, and mixed UI was 5.4%, 13.3% and 33%, respectively. There was a significant positive association between UI and menopause, multiparity, diabetes mellitus (DM), chronic cough, constipation, and a history of gynaecological surgery, while a significant negative association was detected between UI and a history of delivery by both vaginal delivery and Caesarean section. Conclusion: A high prevalence of UI was detected in the studied sample, and the most probable risk factors were multiparity, menopausal status, constipation, chronic cough, and DM

Female genital mutilation among Iraqi Kurdish women: a cross-sectional study from Erbil city

BACKGROUND: Iraqi Kurdistan region is one of the areas where female genital mutilation is reportedly widely practiced but inadequately studied. The aim of this study was to determine (i) the prevalence of female genital mutilation among Muslim Kurdish women in Erbil city, (ii) the patterns and types of female genital mutilation, (iii) the factors associated with this practice and (iv) women’s knowledge and attitudes towards this practice. METHODS: A cross-sectional study was conducted in the primary health care centers and the Maternity Teaching Hospital in Erbil city, involving 1987 women aged 15–49 years. Data were obtained about female genital mutilation status and knowledge and perception towards this practice. The participants were clinically examined to verify the self-reported female genital mutilation status. RESULTS: The self-reported prevalence of female genital mutilation was 70.3%, while it was 58.6% according to clinical examination of the women’s genitalia. The most common type of female genital mutilation was type I (99.6%) and the most common age at which mutilation was performed was 4–7 years (60.2%). This practice was mostly performed by traditional birth attendants (72.5%). Only 6.4% of mutilated women reported having complications after mutilation, most commonly bleeding (3.6%). The practice was more reported among housewives (OR = 3.3), those women whose mothers were mutilated (OR = 15.1) or with unknown mutilation status (OR = 7.3) and those women whose fathers were illiterate (OR = 1.4) or could only read and write (OR = 1.6). The common reasons for practicing female genital mutilation were cultural tradition (46.7%) and dictate of religion (38.9%). Only 30% of the participants were aware about the health consequences of female genital mutilation. More than one third (36.6%) of the women support the practice and 34.5% have intention to mutilate their daughters. CONCLUSIONS: Prevalence of female genital mutilation among Muslim Kurdish women in Erbil city is very high; although, most cases are of type I. There is clear lack of knowledge about the health consequences of female genital mutilation and a relatively important segment of women support this practice. Custom or tradition and dictate of religion are the main reasons for this practice that need further in-depth exploration

Achieving Model Completeness for Hierarchally Structured Activities of Daily Life

Being able to recognise everyday activities of daily life provides the opportunity of tracking functional decline among elderly people who suffer from Alzheimer’s disease. This paper describes an approach that has been developed for recognising activities of daily life based on a hierarchal structure of plans. While it is logical to envisage that the most common activities will be modelled within a library of plans, it can be impossible to imagine that the library contains plans for every possible hierarchal activity. In order to generalise the activity recognition capability outside the framework of the core activities constructed to support recognition, decision trees are constructed using a well - known induction algorithm during a train period. The motivation of this work is to allow people with Alzheimer’s disease to have additional years of independent living before the disease reaches a stage where it becomes incurable

ACHIEVING NETWORK SECURITY WITH FIREWALLS

With the rapid increase in the number of LAN connections to the world's largest computer network (the Internet), new security techniques should be used to protect local networks against intrusion from the Internet. Basically, we need to prevent destruction of data by intruders, maintain the privacy of local information, and prevent unauthorized use of computing resources. To improve network security, network connections to the Internet, in general, do not take place transparently. Instead, firewall servers are used to protect the systems connected to the local network against assaults from the Internet. But, there is a price to pay, usually, because the firewall server results in a bottleneck for assaults from the Internet into the LAN as well as for allowed communication between the LAN and the Internet. In this paper, we will discuss how network security can be achieved via security and firewall design policies to satisfy deferent security requirements in order to protect computer networks against intrusion as they get connected to the Internet. We will also present some recommendations for achieving the security of networks using firewalls