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During the month of February 2015, a total of 248 consecutive elderly patients (over 60 years of age) were evaluated by a single investigator within the first 48 h of admission, all patients with limb amputation, with terminal cancer, re-admitted within the study period, suffering from any abnormality that will interfere with accurate measurement of body weight and/or height & Patients (or their relatives) unable or unwilling to give written informed consent were excluded from the study.

Overall, more than one-quarter of the patients 72 (29%) were overtly malnourished (MNA-SF score 0-7 points), while almost one-half 118 (47.6%) were at risk of becoming malnourished (MNA-SF score 8-11 points), making a total of 76.6% who were either malnourished or at nutritional risk, and the rest 58 (23.4%) were within normal.

Regarding the anthropometric measures that partly reflect malnutrition, as expected, 6.3% of the malnourished patients were categorized as being underweight compared to 0% of the normally nourished; also, the mean calf circumference was significantly lower among the malnourished patients. The laboratory investigation results showed that the malnourished elderly patients had significantly lower serum albumin levels (28.2 7.7), hemoglobin levels (10.5 1.8), and lymphocyte count (1.7 0.91). Most of the patients 210 (84.7%) reported being previously diagnosed with a chronic disease; of these, 143 patients (57.7%) were diabetic and 132 (53.2%) were hypertensive; while 68 patients (27.4%) had ischemic heart disease (IHD) and 60 (24.2%) had dyslipidemia.

When compared to patients with a normal nutritional status, a significantly higher percentage of malnourished patients experienced either a severe (18.4%) or moderate (45.8%) decrease in food intake. Moreover, a significantly higher percentage of malnourished patients (50%) reported that they could not walk independently and mobilized either with assistance (19.5%), with wheelchairs (10.5%), or were bedbound (20%). Furthermore, malnourished elderly patients were significantly more likely to be readmitted when compared to patients with a normal nutritional status, with a total of (45.3%) being readmitted for an average of 7 days (IQR, 5-11 days). Lastly, out of the 7 reported mortalities, 5 were elderly malnourished patients (Table 2).

Regarding mortality and survival rate, the median of the length of stay were 5.0 months (95%CI: 4.2-5.7) among normal nutrition patients and 7.0 months (95%CI: 6.2-7.7) among malnutrition patients (Fig. 1).

Menstrual irregularity is defined as any differences in the frequency, irregularity of onset, duration of flow, or volume of blood from the regular menstrual cycle. It is an important medical issue that many medical students suffer from. The study aimed to determine the menstrual cycle abnormalities women experienced during exams and to investigate the most common types of irregularities among female medical students at King Abdulaziz University in Jeddah, Saudi Arabia.

The results showed that female medical students have a significant frequency of menstruation abnormalities during exams period. Colleges should raise awareness among medical students about coping with examination stress and seeking medical care for menstrual abnormalities.

The menstrual cycle is the most important measure of female reproductive health [1, 2]. It is a normal physiological process where the uterus eliminates the endometrium (innermost lining layer) and allows a regulated loss of endometrial tissue, mucus, and blood through the vagina every month [3]. Menstruation lasts 2 to 6 days and occurs between every 21 and 35 days (counting from the start of one cycle to the start of the next cycle), but this can vary from month to month depending on the woman [4].

The most prevalent menstrual irregularities reported by the students in the current study were dysmenorrhea, followed by cycle lengthening, and heavy bleeding. These results support a study done in Saudi Arabia that found that dysmenorrhea was the most common irregularity [34]. The majority of participants in this study had dysmenorrhea during the exam period, and this supports findings by Kollipaka et al. which found that dysmenorrhea was the most common menstrual abnormalities reported by students [35]. A study in Nigeria also found that dysmenorrhea was the most common problem associated with female medical students [36].

Several studies discuss the relationship between the academic level and menstrual cycle irregularity. In this study, a non-significant relationship indicated that most students with menstrual changes were in the first 3 years of study. On the other hand, a study done in Al-Ahsa, Saudi Arabia, found that students in clinical years had high levels of stress and were two times more likely to suffer from menstrual changes [34]. A study in Dammam, Saudi Arabia, found that many students exposed to similar levels of stress had normal menstruation [21]. However, the current study suggests that there is a high prevalence of dysmenorrhea among medical students, most of whom were in the clinical years. Previous literature showed that the most frequent gynecological condition among female medical students is dysmenorrhea [20, 38]. In contrast, a study by Ibrahim et al. found that the prevalence of dysmenorrhea was considerably greater among students in the basic years which is the first 3 years in medical school compared to those in the clinical years which Is the last 3 years [22]. This may be due to the pressure of adapting to a new location, which may put a psychological burden on medical students in the clinical years who have recently entered hospital settings.

This study showed that female medical students have a significant frequency of menstruation abnormalities during exams. Based on these results, and to minimize the negative effects of the educational process, it is recommended that universities educate female students about relaxation techniques, such as yoga, before the exams. Also, females should have a better understanding of menstrual pain and perceptions of treatment choices could be improved.

Our study aimed to detect menstrual cycle irregularities during exam among female medical students in King Abdulaziz University. According to that, we find significant frequency of menstruation abnormalities during exams. Which indicate that exam can disturb the menstrual cycle. Consequently, we recommend universities to educate female students about relaxation techniques, such as yoga. Also, they should have a better understanding of menstrual pain and their treatment choices.

One of the specifications deals with the question of which font is used on a government document. Many clerks use the classic Times New Roman, which has been the standard for documents of all kinds for many years. The good news is that there are no legal requirements for the choice of fonts for official documents. However, some best practices should be followed to give a professional impression to the outside world.

An official letter's font must essentially satisfy one simple requirement: It must be easy to read. It's not a good idea to use a font that looks nice but is difficult to read. However, there is no need to be concerned. Since there are several fonts to choose from. In the following paragraphs, we will show you some aspects to consider when making your choice.

Arial and Times New Roman are two fonts that are truly universal for nearly every business document. Both are legible and simple. However, there are differing viewpoints on these two fonts.

Some people admire the classics and can testify to their seriousness and professionalism. Others, on the other hand, have grown tired of these fonts and considered them monotonous and outdated. Furthermore, the sender is often accused of not giving much attention to the recipient's appearance. If you dont want to use the two mentioned fonts, you might take a look at these:

For official letters, a font size of 11 or 12 point is used as a rule of thumb. However, in the end, it is always dependent on the font chosen. And, even though the size is set to the same, the size will vary greatly depending on the font. Since certain ones are actually larger than others, this is the case.

A business text, as previously said, must be well-structured and easy to read. It should also give off a serious and professional vibe. This means that any fonts that are too whimsical, ornate, or difficult to read for other purposes would be rejected.

You have to book an economy ticket, I normally book directly with Saudia simply to guarantee the email that will offer an upgrade but it is not necessary. Even third-party bookings will receive that if they have your email on their system.

Data were expressed as mean SD. An unpaired t-test was used to compare continuous variables between two groups. Comparisons of categorical variables were made using chi-square test. An evaluation of normality was performed with Kolmogorov-Smirnov test, and logarithmic transformations were performed for serum osteocalcin concentrations due to a positively skewed distribution.

Significant correlations are shown in bold font. DBP: diastolic blood pressure, FBG: fasting blood glucose, HDL-C: High-density lipoprotein cholesterol, SBP: systolic blood pressure, TG: triglycerides, WC: waist circumference. ff782bc1db