RESUMEN
There is increasing demand for herbal and nutritional supplements in the Middle East. This study aimed to examine the use of supplements by college students in Qatar and to elucidate users' views about them. A total of 419 college students completed a self-administered questionnaire. Almost half of the respondents (49.6%) had used supplements (ever users), with 32.7% reporting using them in the previous 6 months (current users). Of the latter, 27.7% had used herbal supplements, 56.2% vitamins and minerals and 56.9% non-vitamin, non-mineral, non-herbal supplements. Many participants considered supplements to be safer and more effective than conventional medicines. Supplements were preferred over conventional medicines for the treatment of digestive conditions and common respiratory ailments and for weight management. Educating health-care providers about the benefits and risks of supplements is imperative and will enable health-care practitioners to guide patients in making informed decisions about supplement use.
Asunto(s)
Terapias Complementarias/estadística & datos numéricos , Suplementos Dietéticos/estadística & datos numéricos , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Universidades , Adulto , Femenino , Humanos , Masculino , Qatar , Factores SocioeconómicosRESUMEN
Desmoplastic small round cell tumor is a recently recognized clinical entity with specific morphologic, immunocytochemical, and genetic features. Though this tumor is mostly described to involve serosal surfaces, we report a case with ovarian involvement. The clinical presentation and differential diagnoses as well as the treatment including aggressive surgical debulking and multiagent chemotherapy are discussed.
Asunto(s)
Neoplasias Abdominales/diagnóstico , Neoplasias Ováricas/diagnóstico , Sarcoma de Células Pequeñas/diagnóstico , Neoplasias Abdominales/diagnóstico por imagen , Neoplasias Abdominales/tratamiento farmacológico , Neoplasias Abdominales/secundario , Neoplasias Abdominales/cirugía , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Aorta Torácica , Diagnóstico Diferencial , Resultado Fatal , Femenino , Humanos , Inmunohistoquímica , Escisión del Ganglio Linfático , Metástasis Linfática , Neoplasias Ováricas/diagnóstico por imagen , Neoplasias Ováricas/tratamiento farmacológico , Neoplasias Ováricas/patología , Neoplasias Ováricas/cirugía , Pelvis , Sarcoma de Células Pequeñas/diagnóstico por imagen , Sarcoma de Células Pequeñas/tratamiento farmacológico , Sarcoma de Células Pequeñas/secundario , Sarcoma de Células Pequeñas/cirugía , Tomografía Computarizada por Rayos XRESUMEN
A unilateral twin tubal pregnancy occurring in a solitary fallopian tube is presented. The gynecological history was notable for a previous extrauterine pregnancy in the contralateral fallopian tube and reconstructive surgery to the ipsilateral one. Radical total salpingectomy was performed. The rationale for this management is discussed and different therapeutic alternatives presented.