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

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156 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.
June 2011 KUWAIT MEDICAL JOURNAL 157 Registered nurses absenteeism will not only result in shortage of trained nursing personnel, but also lowered standard of client care. It also has cost implications as temporary substitute staff may have to be employed during their period of absence or sick leave. This has implications for nursing management. Emergence of Tigecycline and Colistin Resistance in Acinetobacter Species Isolated from Patients in Kuwait Hospitals J Chemother 2011; 23:13-16 Al-Sweih NA, Al-Hubail MA, Rotimi VO The development of resistance is a compelling reason for reviewing administration of antibiotics. Recently, most Acinetobacter infections are caused by multidrug-resistant (MDR) strains which have necessitated the use of tigecycline or colistin. This study was undertaken to determine the susceptibility of Acinetobacter spp. to these and other drugs. A total of 250 Acinetobacter isolates were collected from the 8 government hospitals over a period of 6 months. Susceptibility to 18 antibiotics, including tigecycline and colistin, was investigated by determining their minimum inhibitory concentrations using E test. Of the 250 isolates, 13.6% and 12% were resistant to tigecycline and colistin. A total of 25.2% and 37.2% were resistant to imipenem and meropenem, respectively. Of the 250 isolates 88.4% were MDR. This relatively high prevalence of tigecycline and colistin-resistant isolates indicates an emerging therapeutic problem which may severely compromise the treatment of MDR Acinetobacter spp. infections in Kuwait. Knowledge and Attitudes About HIV/AIDS of Dental Students from Kuwait and Sri Lanka J Dent Educ 2011; 75:574-581 Ellepola AN, Sundaram DB, Jayathilake S, Joseph BK, Sharma PN Faculty of Dentistry, Kuwait University, P.O. Box 24923, Safat, 13110 Kuwait E-mail: devipriya@hsc.edu.kw Several studies regarding knowledge and attitudes of dental students towards HIV/AIDS have been reported from various countries. However, to the best of our knowledge, an international comparison between countries with diverse cultural and educational backgrounds has not been reported in the literature. The aim of this study was to compare the knowledge and attitudes towards HIV/AIDS of dental students of Kuwait University (KU), Kuwait and the University of Peradeniya (UP), Sri Lanka, the only dental schools in the respective countries. A cross-sectional survey was conducted among a total of 258 dental students, representing the clinical years of both universities, using a similar structured questionnaire with sixty questions to examine their knowledge of various aspects of HIV/AIDS and thirteen questions to examine their attitudes towards the disease. The mean knowledge and attitude scores were calculated and compared between students from the two universities using t-test with SPSS 17.0. A total of 215 questionnaires were completed and returned, giving a total response rate of 83.3 percent. The KU students were significantly more knowledgeable (p = 0.018) regarding HIV/AIDS than the UP students. However, the UP students demonstrated a more highly significant positive attitude (p
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Vol 43 # 2 June 2011 - Kma.org.kw

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