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Alkarrash MS, Shashaa MN, Kitaz MN, Rhayim R, Alhasan MM, Alassadi M, Aldakhil A, Alkhamis M, Ajam M, Douba M, Banjah B, Ismail A, Zazo A, Zazo R, Abdulwahab M, Alkhamis A, Arab A, Alameen MH, Farfouti MT. Migraine and tension-type headache among undergraduate medical, dental and pharmaceutical students of University of Aleppo: a cross-sectional study. BMJ Neurol Open 2021; 3:e000211. [PMID: 34712954 PMCID: PMC8515458 DOI: 10.1136/bmjno-2021-000211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 09/29/2021] [Indexed: 01/03/2023] Open
Abstract
Introduction Headache disorders are among the most common 10 causes of disability worldwide according to the global burden of disease survey 2010. Headache is also wildly common among universities students when compared with other populations. The purpose of this study is to assess headache prevalence among Aleppo University medical, dental and pharmaceutical undergraduate students. Methods A questionnaire-based cross-sectional study was conducted among medical, dental and pharmaceutical students at Aleppo University, Syria. We determined the type of headache according to the International Classification of Headache Disorder-III. The total number of participants was 2068. A χ2 test was used to evaluate the association between the categorical outcomes. P<0.05 was considered significant. Results Out of 2068 participants, 1604 (77.6%) were medical students, 205 (9.9%) were dental students and 259 (12.5%) were pharmaceutical students. The effect on daily activities was higher in chronic tension headache (96.7%) and migraine without aura (94.6%) than migraine with aura (91.3) and episodic tension headache (85.1%). Out of 1191 who had a headache, only 188 (15.9%) had a medical consultation. Conclusions There was no a statistically significant difference in prevalence of tension headache and migraine according to faculties. There was a statistically significant difference in patients with migraine according to academic year, living with family and smoking. The effect on daily activities was higher in chronic tension-type headache and migraine without aura. There is a significant lack of medical consultation among students and most of them took over the counter analgesics depending on personal choice.
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Affiliation(s)
| | | | | | - Roaa Rhayim
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | | | - Maya Alassadi
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ahmad Aldakhil
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohamad Alkhamis
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohanad Ajam
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohamad Douba
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Bashar Banjah
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ahmad Ismail
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Aya Zazo
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Rama Zazo
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Majd Abdulwahab
- Faculty of Pharmacy, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ali Alkhamis
- Faculty of Pharmacy, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Abdullah Arab
- Faculty of Dentistry, University of Aleppo, Aleppo, Syrian Arab Republic
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Ayoub K, Mahli N, Dabbagh MF, Banjah B, Banjah B. Left sided Richter type obturator hernia causing intestinal obstruction: A case report. Ann Med Surg (Lond) 2018; 36:1-4. [PMID: 30364664 PMCID: PMC6197568 DOI: 10.1016/j.amsu.2018.10.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Accepted: 10/06/2018] [Indexed: 11/17/2022] Open
Abstract
Introduction Although relatively rare, an obturator hernia is a significant cause of intestinal obstruction. It usually occurs in emaciated elderly females. Computed tomography is the imaging modality of choice to diagnose obturator hernias. Case report In this report we present a case of an elderly female who presented to the emergency department with features suggesting bowel obstruction. The patient was admitted to the hospital and was initially managed conservatively. Two days later the patient underwent an exploratory laparotomy and was diagnosed with a left sided Richter type obturator hernia. The hernia was successfully reduced and the necrotic bowel was resected with end to end anastomosis. Discussion An obturator hernia is a rare type of abdominal hernias which often occurs in very thin old females. Patients with obturator hernias usually present with symptoms of acute or intermittent small bowel obstruction. Mild symptoms without abdominal pain may be due to incomplete obstruction or Richter type hernia. Computed tomography is considered the gold standard diagnostic modality for obturator hernias. An early surgical intervention is the treatment of choice. Conclusion The clinical diagnosis of an obturator hernia is often difficult due to its nonspecific symptoms and infrequent signs. Yet early diagnosis is mandatory because its delay contributes to bowel necrosis and to the poor prognosis in these patients. Surgery remains the only effective management of this condition. Obturator hernias are a rare cause of intestinal obstruction. An obturator hernia usually occurs in very thin elderly females. Obturator hernias present with symptoms of intestinal obstruction. Computed tomography is the imaging modality of choice to diagnose obturator hernias. The only management of this condition is surgery through either laparotomy or laparoscopy.
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Affiliation(s)
- Kusay Ayoub
- Department of Surgery, Aleppo University Hospital, Aleppo, Syria
| | - Nihad Mahli
- Department of Surgery, Aleppo University Hospital, Aleppo, Syria
| | | | - Bashar Banjah
- Faculty of Medicine, University of Aleppo, Aleppo, Syria
| | - Bassel Banjah
- Faculty of Medicine, University of Aleppo, Aleppo, Syria
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