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Abd-Elgawad M, Abdelsattar NK, Genedy GT, Madeeh AK, Khamis M, Ryaad M, Hassaan WH, Abdullah EA, Mustafa MG, Assar A, Farhat AM, Soliman Y, Shrestha AB, Taha AM. Prevalence of depression and anxiety among diabetic patients in Egypt: A cross-sectional study. Medicine (Baltimore) 2023; 102:e35988. [PMID: 37986306 PMCID: PMC10659621 DOI: 10.1097/md.0000000000035988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 10/15/2023] [Accepted: 10/16/2023] [Indexed: 11/22/2023] Open
Abstract
Depression and anxiety are highly prevalent among diabetics and may reduce their quality of life. However, data is limited on the prevalence of depression and anxiety among Egyptian diabetics. Therefore, we aimed to assess the prevalence of anxiety and depression and their association with different demographics and comorbidities among Egyptian diabetics. This multicentric cross-sectional study included 679 patients with diabetes in Fayoum, Egypt. We assessed the prevalence of depression and anxiety using the Hospital Anxiety and Depression Scale and collected socio-demographic characteristics with other relevant clinical variables. We used descriptive statistics to describe demographic characteristics and frequency of depression and anxiety. We applied logistic regression to measure the association between the different covariates and depression/anxiety. Of 679 diabetic patients, 65.4% were females, and 54.1% were above 50 years old. The median (IQR) age was 52 [43, 60]. Overall, 34.2% had depression, and 38% had anxiety. The results of multiple logistic regression suggested that age (odds ratio [OR] = 2.28, 95% confidence interval [CI] [1.54, 3.41]), neuropathy (OR = 2.25, 95% CI [1.38, 3.70]), sexual dysfunction (OR = 2.24, 95% CI [1.02, 4.96]), the presence of coma or spasm (OR = 2.82, 95% CI [1.44, 5.72]), and anxiety (OR = 3.15, 95% CI [2.21, 4.52]) were associated with increased risk of depression among diabetics. For anxiety, only the presence of depression was strongly associated with an increased risk of anxiety (OR = 2.99, 95% CI [2.12, 4.24]). Over one-third of Egyptian diabetics had depression and anxiety. Depression and anxiety may be associated with poor clinical outcomes in diabetics.
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Affiliation(s)
| | | | | | | | - Moaz Khamis
- Faculty of Medicine, Fayoum University, Fayoum, Egypt
| | - Mahmoud Ryaad
- Faculty of Medicine, Fayoum University, Fayoum, Egypt
| | | | | | | | - Ahmed Assar
- Faculty of Medicine, Menofia University, Menofia, Egypt
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Elnaggar AA, Diab KR, El-Hangour BA, Kamel IS, Farhat AM, Abdelsattar AT, Zarad MS. Direct trocar insertion vs. Veress needle technique in laparoscopic surgeries. A systematic review and meta-analysis. J Visc Surg 2023; 160:337-345. [PMID: 36842955 DOI: 10.1016/j.jviscsurg.2023.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
AIM To compare the safety and efficacy between Veress needle insertion and direct trocar insertion in laparoscopic surgeries. METHODS Relevant clinical trials were retrieved from major databases; Web of Science, Cochrane CENTRAL, PubMed, and SCOPUS. The following outcomes were pooled for analysis: failed entry, extraperitoneal insufflation, vascular lesion, omental lesion and visceral lesion, site bleeding, reintervention, subcutaneous emphysema, solid organ lesion, and infection of the trocar site. A fixed-effects model was used to analyze homogeneous outcomes, whereas random-effects models were used to analyze heterogeneous outcomes. RESULTS We included a total of twelve clinical trials. The pooled analysis showed that the Veress needle was accompanied by a significant increase in the incidences of extraperitoneal insufflation (RR = 0.204; 95% Cl [0.136, 0.307], P=0.001), omental lesion (RR=0.444 95% Cl [0.239, 0.825], P=0.01), and failed entry (RR=0.169 95% Cl [0.101, 0.284], P=0.001). There is no significant difference between both cohort regarding the vascular lesion (RR=0.847 95% Cl [0.259, 2.777), P=0.7), infection of the trocar site (RR=0.583 95%Cl [0.106, 3.216], P=0.5, and visceral lesion (RR=1.308 95% Cl [0.314, 5.438], P=0.7. CONCLUSION The DTI was accompanied by a significantly lower incidence of complications such as extraperitoneal insufflation, failed entry, omental lesion, and subcutaneous emphysema. On the other hand, both cohorts showed similar results regarding; vascular lesions, visceral lesions, reintervention, site bleeding, and solid organ lesion.
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Affiliation(s)
- A A Elnaggar
- Department of General Sugery, Faculty of medicine, Fayoum University, Fayuom, Egypt
| | - K R Diab
- Department of General Sugery, Faculty of medicine, Fayoum University, Fayuom, Egypt
| | - B A El-Hangour
- Department of General Sugery, Faculty of medicine, Al-Azhar University, Cairo, Egypt
| | | | - A M Farhat
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.
| | | | - M S Zarad
- Department of General Sugery, Faculty of medicine, Al-Azhar University, Cairo, Egypt
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Abdelsattar NK, Alrawi AG, Abdelraoof MI, Zaazouee MS, Elsayed SM, Farhat AM, El-Shafea MA, Abdeltawab AK, Ali MS, Madeeh AK, Assar A, Mohammed MH, Abdullah EA, Ragab KM, Abd-ElGawad M, Elsherif M, Rahim IAE, Ebada MA. Prevalence of negative mental health status during COVID-19 pandemic among general population of seven Arab countries: A cross-sectional study of 28843 participants. Indian J Psychiatry 2023; 65:90-102. [PMID: 36874525 PMCID: PMC9983458 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_202_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 10/18/2022] [Accepted: 12/17/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Previous studies documented a narrow scope of knowledge about the negative mental health status during the lockdown following the COVID-19 pandemic, especially in Arab countries. AIM We aimed to assess the association between negative mental health status and the COVID-19 pandemic and determine the different factors affecting mental health among the general population of seven Arab countries. METHODS This study is a multinational cross-sectional questionnaire-based survey conducted online from June 11, 2020 to June 25, 2020. The depression, anxiety, and stress Scale 21 Items (DASS-21) and the Event scale-Revised Arabic version (IES-R-13) scales were used. Multiple linear regressions were performed to study the association between the scales' total scores with COVID-19 and demographic characteristics. RESULTS A total of 28,843 participants from seven Arab countries were included. During the COVID-19 pandemic, the prevalence of mental health disorders has significantly increased. A total of 19006 participants (66%) were affected by variable degrees of depression, 13,688 (47%) had anxiety, and 14,374 (50%) had stress ranging from mild to severe. Higher levels were associated with other factors, such as lower age, female gender, chronic disease, unemployed, fear of getting infected, and a history of psychiatric disorders. CONCLUSION Our study findings show an increased incidence of mental disorders during the pandemic. This is expected to play a crucial role in guiding a psychological support strategy provided by healthcare systems to the general public during pandemics.
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Affiliation(s)
- Nada K Abdelsattar
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Aya Ghiath Alrawi
- Faculty of Medicine, Fayoum University, Giza, 6 of October City, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Ibrahim Abdelraoof
- Faculty of Medicine, Mansoura University, Mansoura, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed S Zaazouee
- Faculty of Medicine, Al-Azhar University, Assiut, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Sarah Makram Elsayed
- Faculty of Medicine, 6 October University, Giza, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Abdullah M Farhat
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mahmoud Abd El-Shafea
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Ahmed K Abdeltawab
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Menna S Ali
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Alyaa K Madeeh
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Ahmed Assar
- Faculty of Medicine, Menofia University, Shebin El-Kom, Menofia, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Manar H Mohammed
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Eman A Abdullah
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Khaled M Ragab
- Faculty of Medicine, Minia University, Minia, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Abd-ElGawad
- Faculty of Medicine, Fayoum University, Fayoum, Egypt.,International Medical Research Association (ImedRA), Beirut, Lebanon
| | - Mohamed Elsherif
- Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Inas Abd El Rahim
- Department of Family and Community Medicine, Faculty of Medicine, Misr University for Science and Technology MUST, Nasr City, Cairo, Egypt
| | - Mahmoud A Ebada
- Resident Physician, Egyptian Fellowship of Neurology, Nasr City Hospital for Health Insurance, Nasr City, Cairo, Egypt.,Faculty of Medicine, Zagazig University, Zagazig, Egypt
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