Vol 43 # 2 June 2011 - Kma.org.kw

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Selected Abstracts of Articles Published Elsewhere by Authors in Kuwait June 2011
Symptomatic Secondary Vesical Calculus Formed on an Intrauterine
Contraceptive Device Inserted 25 Years Previously
Al-Awadi KA, Zaghloul AS, Kehinde EO
Department of Surgery, Division of Urology, Mubarak Al-Kabeer Teaching Hospital, Kuwait University, Rawda,
Kuwait
Urol Int 2011 Feb 18 [Epub ahead of print]
A 57-year-old postmenopausal woman presented with vague lower abdominal symptoms, dysuria and
recurrent urinary tract infection of a year’s duration. She had an intrauterine contraceptive device (IUCD)
inserted 25 years previously and denied having any significant gynecological or urinary tract symptoms
since the device was inserted. CT scan of her pelvis confirmed the presence of an IUCD that had migrated
into the urinary bladder and on which a calculus had formed. An attempt at removal of the calculus
and IUCD during cystoscopy failed. At cystolithotomy, the IUCD and the calculus were removed intact.
IUCDs may produce complications several years after insertion.
Premenstrual Dysphoric Disorder: Prevalence and Effects on Nursing
Students’ Academic Performance and Clinical Training in Kuwait
Omu FE, Al-Marzouk R, Delles H, Oranye NO, Omu AE
Authors: Florence E Omu, BSc, MEd, PhD, RN, Assistant Professor, College of Nursing, The Public Authority for
Applied Education and Training; Rabea Al-Marzouk, RN, Trainer B, College of Nursing, The Public Authority for
Applied Education and Training; Helen Delles, BSc, RN, Trainer B, College of Nursing, The Public Authority for
Applied Education and Training, Safat, Kuwait; Nelson O Oranye, BSc, MSc, PhD, Associate Professor, Faculty of
Medicine, UCSI University, Kuala Lumpur, Malaysia; Alexander E Omu, MBBS, FRCOG, Professor of Obstetrics and
Gynecology, Faculty of Medicine, Kuwait University, Safat, Kuwait
J Clin Nurs 2011 Mar 1. doi: 10.1111/j.1365-2702.2011.03708.x
Aims: This study investigated the prevalence of Premenstrual Dysphoric Disorder among nontreatment
seeking female students at the College of Nursing Kuwait. It also explored the effects
of the disorder on their academic performance as shown by their grade point average and rate of
absenteeism at clinical training.
Background: Many women worldwide are unaware of this distressing menstrual disorder which
affects about 3 - 8% of women of childbearing age. The cyclical mood symptoms often appear during
the last week prior to the onset of menstruation. These symptoms interfere with sufferers activities
of daily living including occupational, biopsychosocial and sexual activities.
Design: A prospective observational study
Methods: The study used an adapted Arabic version of Daily Record of Severity of Problem for two
menstrual cycles to collect data from 110 nursing students.
Result: Data analysis showed Cronbach’s alpha coefficient for the adapted tool was 0·95. The rate
of premenstrual dysphoric disorder was 5·6%. Hypotheses tested showed no significant effect on
students’ academic performance but a significant association with absenteeism at clinical training.
Conclusion: The rate obtained in this study was similar to those from recent studies. Participants
with high luteal scores believe that the condition have lowered their quality of life by making them
choose to be in isolation during the period.
Relevance to clinical practice: Nursing students’ absenteeism rate at clinical training is a predictor of
their work absence pattern after qualification. Absenteeism due to premenstrual dysphoric disorder, a
cyclic monthly disorder will be of monthly occurrences, if sufferers do not sought medical treatment.