Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256216
Mohammed A. Alghamdi
Salivary Gland Tumors arise in the Parotid gland in about 80% of cases[2, 3]. Benign parotid gland tumors account for 80% of cases [3]. Around 80 percent of all benign salivary glands’ tumors are pleomorphic adenomas, which are the most frequent salivary gland tumor overall (between 50 and 70 percent) [2-4]. Despite their benign nature, Pleomorphic Adenomas can occasionally result in benign metastases and carry the potential to evolve into malignancy [1, 5–9]. The main course of treatment is surgical excision, where the optimal extent of surgery has been an area for debate. The Pleomorphic adenoma is known for hard-to-treat multilocular recurrences, hence it is widely advocated to remove the whole or at least the superficial part of the gland with the tumor as a standard treatment to avoid recurrences based on the evidence of histological presence of pseudopods and satellite nodule but other advocate minimal intervention removing only the tumor with cuff of normal tissue around it and presenting evidence of comparable recurrence rates to traditional approach and lower complications rate compared to it. They argue that the cuff of normal tissue will include satellite nodule and pseudopod based on histological measurements. Keywords: Salivary Gland, Parotid, Parotid Gland, Pleomorphic Adenoma, Mixed Tumor, Complete Parotidectomy, Partial Parotidectomy, Superficial Parotidectomy, Lateral Parotidectomy, Extracapsular Dissection,
{"title":"Pleomorphic Adenoma Review of Surgical Management with a focus on histopathological aspects","authors":"Mohammed A. Alghamdi","doi":"10.5742/mewfm.2023.95256216","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256216","url":null,"abstract":"Salivary Gland Tumors arise in the Parotid gland in about 80% of cases[2, 3]. Benign parotid gland tumors account for 80% of cases [3]. Around 80 percent of all benign salivary glands’ tumors are pleomorphic adenomas, which are the most frequent salivary gland tumor overall (between 50 and 70 percent) [2-4]. Despite their benign nature, Pleomorphic Adenomas can occasionally result in benign metastases and carry the potential to evolve into malignancy [1, 5–9]. The main course of treatment is surgical excision, where the optimal extent of surgery has been an area for debate. The Pleomorphic adenoma is known for hard-to-treat multilocular recurrences, hence it is widely advocated to remove the whole or at least the superficial part of the gland with the tumor as a standard treatment to avoid recurrences based on the evidence of histological presence of pseudopods and satellite nodule but other advocate minimal intervention removing only the tumor with cuff of normal tissue around it and presenting evidence of comparable recurrence rates to traditional approach and lower complications rate compared to it. They argue that the cuff of normal tissue will include satellite nodule and pseudopod based on histological measurements. Keywords: Salivary Gland, Parotid, Parotid Gland, Pleomorphic Adenoma, Mixed Tumor, Complete Parotidectomy, Partial Parotidectomy, Superficial Parotidectomy, Lateral Parotidectomy, Extracapsular Dissection,","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"32 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139190114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256236
Abdulmohsen M.S. Alqahtani, Faisal Abdullah I. Alshyer, Mohammed Abdullah S. Alrabie, Abdulrahman Mohammed A Alshehri, Abdulkarim Abdurahman M. Alshehri, Fowziah Mastour A. Al-Jouid, Ali A. Al-Mousa AlQahtani
Aim of Study: To assess the awareness level of women about breast cancer as a major threat to women’s health and the importance of its early detection. Methods: This study followed a cross-sectional research design, which included 400 adult Saudi women, without breast cancer, who live in Aseer Region, Saudi Arabia. An online study questionnaire was developed in a simple Arabic language. It comprised participants’ personal characteristics; their awareness about breast cancer; assessment of risk factors for breast cancer; and their attitude and screening practices for breast cancer. Results: Only 59.4% of the participants were aware that breast cancer could be inherited in some families. The majority of the participants (78%) were aware that breastfeeding could protect against breast cancer. Early menarche and late menopause were recognized as risk factors for breast cancer by only 13.5% and 21.3% of the respondents respectively. Similarly, only 24.3% of the respondents answered correctly that the late age of first full-term pregnancy is a risk factor for breast cancer. More than half of the respondents (54.5%) were aware that hormonal replacement therapy is a risk factor for breast cancer. Women who had higher levels of education showed significantly more sufficient knowledge regarding breast cancer risk factors compared to those who were illiterate (48.2% versus 16.4%, P<0.001). The majority of women, 91.5%, who have heard of BSE, recognized that it should bedone to search for tumours, while only 37.8%, 18.5%, and 27.4% recognized that the objective of BSE is to look for nipple discharge, nipple changes, and changes in the skin of the breast, respectively. Most of the participants in the 18-30 years age group (76.0%) have heard of BSE as compared to only 13.5% of those aged over 50. This association between women’s ages and hearing of BSE was statistically significant (P<0.001). The majority of non-married women have heard of BSE (82.9%) as opposed to 53.1% of married women (P<0.001). More employed women have heard of BSE than non-employed women (81.0% vs. 54.0%, p<0.001). More women with a university education have heard of BSE than those who are illiterate and those who have a school education (79.8% vs. 18.2% and 62.5% respectively, P<0.001). Conclusions: Knowledge levels of adult Saudi women in Aseer Region about breast cancer risk factors and screening methods are suboptimal. The awareness and practice of BSE among them is generally poor. Primary healthcare professionals have a limited role in educating women regarding breast cancer issues. Key Words: Awareness, attitude, practice, Women, Early detection of breast cancer, Saudi Arabia.
{"title":"Awareness, attitude, and practices of adult females in Aseer Region, Saudi Arabia, about early detection of breast cancer","authors":"Abdulmohsen M.S. Alqahtani, Faisal Abdullah I. Alshyer, Mohammed Abdullah S. Alrabie, Abdulrahman Mohammed A Alshehri, Abdulkarim Abdurahman M. Alshehri, Fowziah Mastour A. Al-Jouid, Ali A. Al-Mousa AlQahtani","doi":"10.5742/mewfm.2023.95256236","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256236","url":null,"abstract":"Aim of Study: To assess the awareness level of women about breast cancer as a major threat to women’s health and the importance of its early detection. Methods: This study followed a cross-sectional research design, which included 400 adult Saudi women, without breast cancer, who live in Aseer Region, Saudi Arabia. An online study questionnaire was developed in a simple Arabic language. It comprised participants’ personal characteristics; their awareness about breast cancer; assessment of risk factors for breast cancer; and their attitude and screening practices for breast cancer. Results: Only 59.4% of the participants were aware that breast cancer could be inherited in some families. The majority of the participants (78%) were aware that breastfeeding could protect against breast cancer. Early menarche and late menopause were recognized as risk factors for breast cancer by only 13.5% and 21.3% of the respondents respectively. Similarly, only 24.3% of the respondents answered correctly that the late age of first full-term pregnancy is a risk factor for breast cancer. More than half of the respondents (54.5%) were aware that hormonal replacement therapy is a risk factor for breast cancer. Women who had higher levels of education showed significantly more sufficient knowledge regarding breast cancer risk factors compared to those who were illiterate (48.2% versus 16.4%, P<0.001). The majority of women, 91.5%, who have heard of BSE, recognized that it should bedone to search for tumours, while only 37.8%, 18.5%, and 27.4% recognized that the objective of BSE is to look for nipple discharge, nipple changes, and changes in the skin of the breast, respectively. Most of the participants in the 18-30 years age group (76.0%) have heard of BSE as compared to only 13.5% of those aged over 50. This association between women’s ages and hearing of BSE was statistically significant (P<0.001). The majority of non-married women have heard of BSE (82.9%) as opposed to 53.1% of married women (P<0.001). More employed women have heard of BSE than non-employed women (81.0% vs. 54.0%, p<0.001). More women with a university education have heard of BSE than those who are illiterate and those who have a school education (79.8% vs. 18.2% and 62.5% respectively, P<0.001). Conclusions: Knowledge levels of adult Saudi women in Aseer Region about breast cancer risk factors and screening methods are suboptimal. The awareness and practice of BSE among them is generally poor. Primary healthcare professionals have a limited role in educating women regarding breast cancer issues. Key Words: Awareness, attitude, practice, Women, Early detection of breast cancer, Saudi Arabia.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256231
Gamiyaha Salman M. Al-Qahtani, Mohammad Abdullah S. Garnan, Shahira Salman M. Al-Qahtani, Maliha Salman M. Al-Qahtani, Ahmed Ali A. Hamoud, Fatmah Mohamed A. Alahmari, Dhama Hussein A. Abdullah Faraj, Kreemah Odah Yahya Al Ahmary, Ghadi M. Ayed Asiri, Abdullah Mohammed Qahtani, Turki Ali Alyami, Ahmed Eidhah S. Al Dogman, M. Alrizq
Background: Weaning refers to transitioning an infant’s diet from breast milk or formula to other foods and fluids. When the infant stops receiving breast milk, it is considered fully weaned. Aims: To assess the knowledge, and practices of mothers on child weaning in the Aseer region. Methods: A cross-sectional descriptive study was conducted among 189 mothers in Aseer Region, using a self-administered online questionnaire. Results: Nearly two-thirds of the participants were aware of the terms: weaning, diet, or complementary food (65.1%). Most of the participants (87.3%) knew the nutritional requirements for weaning their infants. There was a non-significant relationship between knowledge of mothers and their sociodemographic characteristics (e.g., their level of education, and socioeconomic condition). More than two-thirds of theparticipants (71.4%) preferred breastfeeding their children associated with semi-solid food during the 6– 9-month period. The majority of the participants (74.6%) initiated weaning with thin-consistency food. There was a significant relationship between the reason for supplementary feeding before six months and mothers’ socioeconomic condition (P <0.05). Conclusions: Mothers’ knowledge and practices were good. There were no significant relationships between mothers’ knowledge level with weaning and socioeconomic characteristics. There was a significant relationship between the reason for supplementary feeding before six months and the socioeconomic condition. Keywords: Knowledge, practice, mothers, weaning, Aseer region, Saudi Arabia.
{"title":"Knowledge and Practices of Mothers’ regarding Weaning of Children and their Relation with Socioeconomic Variables in Aseer Region, Saudi Arabia","authors":"Gamiyaha Salman M. Al-Qahtani, Mohammad Abdullah S. Garnan, Shahira Salman M. Al-Qahtani, Maliha Salman M. Al-Qahtani, Ahmed Ali A. Hamoud, Fatmah Mohamed A. Alahmari, Dhama Hussein A. Abdullah Faraj, Kreemah Odah Yahya Al Ahmary, Ghadi M. Ayed Asiri, Abdullah Mohammed Qahtani, Turki Ali Alyami, Ahmed Eidhah S. Al Dogman, M. Alrizq","doi":"10.5742/mewfm.2023.95256231","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256231","url":null,"abstract":"Background: Weaning refers to transitioning an infant’s diet from breast milk or formula to other foods and fluids. When the infant stops receiving breast milk, it is considered fully weaned. Aims: To assess the knowledge, and practices of mothers on child weaning in the Aseer region. Methods: A cross-sectional descriptive study was conducted among 189 mothers in Aseer Region, using a self-administered online questionnaire. Results: Nearly two-thirds of the participants were aware of the terms: weaning, diet, or complementary food (65.1%). Most of the participants (87.3%) knew the nutritional requirements for weaning their infants. There was a non-significant relationship between knowledge of mothers and their sociodemographic characteristics (e.g., their level of education, and socioeconomic condition). More than two-thirds of theparticipants (71.4%) preferred breastfeeding their children associated with semi-solid food during the 6– 9-month period. The majority of the participants (74.6%) initiated weaning with thin-consistency food. There was a significant relationship between the reason for supplementary feeding before six months and mothers’ socioeconomic condition (P <0.05). Conclusions: Mothers’ knowledge and practices were good. There were no significant relationships between mothers’ knowledge level with weaning and socioeconomic characteristics. There was a significant relationship between the reason for supplementary feeding before six months and the socioeconomic condition. Keywords: Knowledge, practice, mothers, weaning, Aseer region, Saudi Arabia.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139190094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256238
O. Albaqqar, S. Alsaleem, A. Alsamghan, Mohammed Albaggar, Mohannad A. Albajjar, Khalaf Abdulaziz, Mohammed Abdullah Alghamdi, Saad Mohammed Alghamdi, Nasser Khalil, Abdulrahman Abdullah Alghamdi
Objectives: To determine the prevalence, pattern of smoking, and associated factors as well as attitudes toward E-cigarettes among medical students. Methods: A cross-sectional study was conducted among 340 medical students. An online questionnaire was used in data collection. It consists of socio-demographic characteristics, smoking history, awareness of E-cigarettes, the prevalence of their use, beliefs regarding E-cigarettes, and reasons for E-cigarette use Results: Males represented 58.8%, with a mean age of 22.4±1.5 years. The prevalence of current smoking and ex-smoking among participants was 13.5% and 9.1%, respectively. Most participants have heard of E-cigarettes (94.4%); female students have heard about E-cigarettes more than males (99.3% vs. 91%, respectively, p<0.001); 36.8% of participants have tried using E-cigarettes at least once during their lifetime, 15.9% have used them during the last month and 11.8% intended to use them in the next year. Junior students were likelier to try E-cigarettes during their lifetime (44.5% vs. 32.1%, respectively, p=0.020). The commonest reasons for trying E-cigarettes were reducing the number of traditional cigarettes (93.6%), being less dangerous than traditional cigarettes (87.2%), and as an attempt to quit smoking (84.8%). Conclusions: E-cigarettes are tried by a considerable proportion of medical students, mainly to reduce the number of traditional cigarettes, assuming that they are less dangerous than traditional cigarettes, and as an attempt to quit smoking. Key Words: Cigarette smoking, E-smoking, medical students, knowledge, attitude, risk factors.
{"title":"Prevalence, Risk Factors, and Awareness of Electronic-Cigarette Use among Medical Students at King Khalid University, Saudi Arabia","authors":"O. Albaqqar, S. Alsaleem, A. Alsamghan, Mohammed Albaggar, Mohannad A. Albajjar, Khalaf Abdulaziz, Mohammed Abdullah Alghamdi, Saad Mohammed Alghamdi, Nasser Khalil, Abdulrahman Abdullah Alghamdi","doi":"10.5742/mewfm.2023.95256238","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256238","url":null,"abstract":"Objectives: To determine the prevalence, pattern of smoking, and associated factors as well as attitudes toward E-cigarettes among medical students. Methods: A cross-sectional study was conducted among 340 medical students. An online questionnaire was used in data collection. It consists of socio-demographic characteristics, smoking history, awareness of E-cigarettes, the prevalence of their use, beliefs regarding E-cigarettes, and reasons for E-cigarette use Results: Males represented 58.8%, with a mean age of 22.4±1.5 years. The prevalence of current smoking and ex-smoking among participants was 13.5% and 9.1%, respectively. Most participants have heard of E-cigarettes (94.4%); female students have heard about E-cigarettes more than males (99.3% vs. 91%, respectively, p<0.001); 36.8% of participants have tried using E-cigarettes at least once during their lifetime, 15.9% have used them during the last month and 11.8% intended to use them in the next year. Junior students were likelier to try E-cigarettes during their lifetime (44.5% vs. 32.1%, respectively, p=0.020). The commonest reasons for trying E-cigarettes were reducing the number of traditional cigarettes (93.6%), being less dangerous than traditional cigarettes (87.2%), and as an attempt to quit smoking (84.8%). Conclusions: E-cigarettes are tried by a considerable proportion of medical students, mainly to reduce the number of traditional cigarettes, assuming that they are less dangerous than traditional cigarettes, and as an attempt to quit smoking. Key Words: Cigarette smoking, E-smoking, medical students, knowledge, attitude, risk factors.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"16 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139190695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256234
Ahmad Abdullah Az-Zahrani, Abdulrahman Al-Ghamdi, Fahad Bakheet Mohammed, Ali Abdullah Alzahrani
Background: Hypertension is a serious healthcare problem and a highly prevalent disease in Saudi Arabia. Dietary modification plays an important role in its management. This study aimed to evaluate the dietary habits among hypertensive patients. Methods: This cross-sectional study was conducted among 116 hypertensive patients attending Bani Farwah Primary Healthcare Center (PHCC) in Al Baha City, Saudi Arabia. The dietary habits of the participants were evaluated using a self-administered questionnaire. Results: Out of 116 participants, the number of male participants was 97 (83.6%). Almost half of the participants (50.9%) were on a low healthy diet index (HDI), 49.1% were on moderate HDI, and none were on high HDI. Almost one-fifth of the participants (20.7%) were avoiding salt in their meals, and 20.7% were avoiding adding sugar to hot drinks. Male and elderly patients had lower HDI (P = 0.008 and P = 0.004, respectively). Conclusions: Most hypertensive patients do not follow healthy food. Healthcare providers need to increase patients’ awareness through health education toward better control of their blood pressure. Further community-based studies, on a larger sample are needed. Keywords: Diet, Hypertension, Cross-sectional study, Saudi Arabia
{"title":"Prevalence and determinants of healthy dietary habits among hypertensive patients attending primary health care centers in Al-Baha City, Saudi Arabia: A cross-sectional study","authors":"Ahmad Abdullah Az-Zahrani, Abdulrahman Al-Ghamdi, Fahad Bakheet Mohammed, Ali Abdullah Alzahrani","doi":"10.5742/mewfm.2023.95256234","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256234","url":null,"abstract":"Background: Hypertension is a serious healthcare problem and a highly prevalent disease in Saudi Arabia. Dietary modification plays an important role in its management. This study aimed to evaluate the dietary habits among hypertensive patients. Methods: This cross-sectional study was conducted among 116 hypertensive patients attending Bani Farwah Primary Healthcare Center (PHCC) in Al Baha City, Saudi Arabia. The dietary habits of the participants were evaluated using a self-administered questionnaire. Results: Out of 116 participants, the number of male participants was 97 (83.6%). Almost half of the participants (50.9%) were on a low healthy diet index (HDI), 49.1% were on moderate HDI, and none were on high HDI. Almost one-fifth of the participants (20.7%) were avoiding salt in their meals, and 20.7% were avoiding adding sugar to hot drinks. Male and elderly patients had lower HDI (P = 0.008 and P = 0.004, respectively). Conclusions: Most hypertensive patients do not follow healthy food. Healthcare providers need to increase patients’ awareness through health education toward better control of their blood pressure. Further community-based studies, on a larger sample are needed. Keywords: Diet, Hypertension, Cross-sectional study, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"200 1-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256235
Mohammed Alqahtani, M. Almetrek, Ali J Alfaifi, Asaiel Al Hadi, Enas Al Hadi, Nasser Al Hayder, Amnah Alzarar, Shuruq Alzahuf, Zahra Abdalwahab, Laila Almalki, Sarra Alqahtani, Ahlam Alqahtani, Nazeha Alassiri, Arif Alamri, Mubarak Alqahtani, Adel Alqahtani
Background: Telemedicine was integrated into the medical sector to provide information and communication technologies and achieve more effective treatments. Telemedicine service has a pivotal role during the coronavirus pandemic enabling healthcare providers to communicate and follow up with patients, especially elderly patients, or those with chronic conditions. Patient satisfaction is an effective indicator to assess that service. Aim: To assess the attitude and satisfaction of patients with telemedicine and e-clinics in Aseer Healthy Cities. Methods: This cross-sectional study was performed at the medical centers that provided telemedicine clinics in seven healthy cities in Aseer (Abha, Bisah, Balgarn, Muhayel, Alharajah, Tareeb, and Alamwah) during 2023. The study was conducted in seven cities on patients who were served by telemedicine, using a valid-written questionnaire that was sent electronically. Results: A total of 497 patients participated in this study; 50.3% were females, and most of the patients, 81.5%, used E-clinics 1-3 times. A small percent reported having worries about e-clinics (35.8%) and found confusion while using it (29.8%). The mean±SD of the satisfaction score was 4.306±0.8. The determinants of satisfaction included age (P<0.0001), medical insurance (P<0.0001), and family doctor (P<0.0001). There was a positive attitude among patients toward using e-clinics. Participants reported that using e-clinics is better than doctors’ visits, they will use it again and will recommend it, (36.2%, 51.1%, and 57.5%, respectively). Conclusion: Patients are satisfied with the telemedicine and e-clinic healthcare services, and they have positive attitudes toward them. This reflects improvements in healthcare services provided by Aseer Healthy Cities. Keywords: Attitude, Telemedicine, Satisfaction, Healthcare services, Saudi Arabia.
{"title":"Patients’ Attitude and Satisfaction with Telemedicine and Electronic Health Clinics in Aseer Healthy Cities, Saudi Arabia","authors":"Mohammed Alqahtani, M. Almetrek, Ali J Alfaifi, Asaiel Al Hadi, Enas Al Hadi, Nasser Al Hayder, Amnah Alzarar, Shuruq Alzahuf, Zahra Abdalwahab, Laila Almalki, Sarra Alqahtani, Ahlam Alqahtani, Nazeha Alassiri, Arif Alamri, Mubarak Alqahtani, Adel Alqahtani","doi":"10.5742/mewfm.2023.95256235","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256235","url":null,"abstract":"Background: Telemedicine was integrated into the medical sector to provide information and communication technologies and achieve more effective treatments. Telemedicine service has a pivotal role during the coronavirus pandemic enabling healthcare providers to communicate and follow up with patients, especially elderly patients, or those with chronic conditions. Patient satisfaction is an effective indicator to assess that service. Aim: To assess the attitude and satisfaction of patients with telemedicine and e-clinics in Aseer Healthy Cities. Methods: This cross-sectional study was performed at the medical centers that provided telemedicine clinics in seven healthy cities in Aseer (Abha, Bisah, Balgarn, Muhayel, Alharajah, Tareeb, and Alamwah) during 2023. The study was conducted in seven cities on patients who were served by telemedicine, using a valid-written questionnaire that was sent electronically. Results: A total of 497 patients participated in this study; 50.3% were females, and most of the patients, 81.5%, used E-clinics 1-3 times. A small percent reported having worries about e-clinics (35.8%) and found confusion while using it (29.8%). The mean±SD of the satisfaction score was 4.306±0.8. The determinants of satisfaction included age (P<0.0001), medical insurance (P<0.0001), and family doctor (P<0.0001). There was a positive attitude among patients toward using e-clinics. Participants reported that using e-clinics is better than doctors’ visits, they will use it again and will recommend it, (36.2%, 51.1%, and 57.5%, respectively). Conclusion: Patients are satisfied with the telemedicine and e-clinic healthcare services, and they have positive attitudes toward them. This reflects improvements in healthcare services provided by Aseer Healthy Cities. Keywords: Attitude, Telemedicine, Satisfaction, Healthcare services, Saudi Arabia.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"338 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256237
M. Almetrek, Maryam Alqahtani, Asrar Al Mudawi, Atheer Assiri, Alaa Alfayi, Nouf Alotaibi, Mohammed Quhal, Sara Sanad, M. Alshahrani, Norah Alshehri, Seham Alzahrani, Albatoul M Al Margan, Anwar Al Sharyan, Mai Almaraih, Faris Al Margan, Fatimah Alkhaywani, Aljawharh Alyami, Sarah Al-qablai, Mona Al-Ahmary, Faisal Ali M. Al-Qarni
Background: Adherence to antidiabetic medications is crucial for optimum glycemic control and decreasing complications. This study aimed to assess adherence to antidiabetic medications and the associated factors among individuals with type-2 diabetes mellitus (T2DM) attending chronic illness clinics at Najran Armed Forces Hospital (NAFH), Najran Region, Saudi Arabia. Methods: A cross-sectional study was conducted. A systematic sampling technique was used. Morisky Medication Adherence Scale (MMAS) scores were used for labeling patients as adherent or non-adherent. Data were entered and analyzed using SPSS version 20. To see the association of variables logistic regression with OR and 95% CI was done. Results: A total of 288 study participants were interviewed with a response rate of 100%. The level of adherence was found to be 85%. Factors found to be significantly associated with antidiabetic medication adherence were level of education (AOR = 14.27, 95% CI = 3.0, 67.82), duration of diabetes (AOR = 6.10, 95% CI = 2.03, 18.34), and knowledge about DM and its medications (AOR = 28.05, 95% CI = 8.96, 87.8). Conclusions and Recommendations: Our study, a family medicine-based cross-sectional study, found high medication adherence by patients with T2DM regarding their prescribed diabetes medication. Low adherence was significantly associated with educational status, duration of diabetes, and knowledge. We recommend improving T2DM patients’ knowledge related to diabetes and note the importance of compliance with the medication regimen through several health education sessions at diabetic educators, coaches, and other healthcare facilities. These sessions can be delivered by physicians and other healthcare providers, namely, nurses and community pharmacists. Keywords: Type 2 diabetes, adherence to medications, Najran Armed Forces Hospital, Najran Region.
背景：坚持服用抗糖尿病药物对于实现最佳血糖控制和减少并发症至关重要。本研究旨在评估在沙特阿拉伯奈季兰地区奈季兰武装部队医院（NAFH）慢性病门诊就诊的 2 型糖尿病（T2DM）患者服用抗糖尿病药物的依从性及其相关因素。研究方法进行了一项横断面研究。采用系统抽样技术。采用莫里斯基用药依从性量表（MMAS）评分将患者标记为依从或非依从。数据使用 SPSS 20 版进行输入和分析。使用 OR 和 95% CI 进行逻辑回归，以了解变量之间的关联。结果共访问了 288 名研究参与者，回复率为 100%。受访者的依从性为 85%。研究发现，与抗糖尿病药物治疗依从性密切相关的因素包括受教育程度（AOR = 14.27，95% CI = 3.0，67.82）、糖尿病病程（AOR = 6.10，95% CI = 2.03，18.34）以及对糖尿病及其药物治疗的了解程度（AOR = 28.05，95% CI = 8.96，87.8）。结论与建议：我们的研究是一项以家庭医学为基础的横断面研究，发现 T2DM 患者对处方糖尿病药物的依从性很高。用药依从性低与受教育程度、糖尿病病程和知识水平密切相关。我们建议提高 T2DM 患者对糖尿病相关知识的了解，并指出通过糖尿病教育工作者、教练和其他医疗机构开展的健康教育课程来遵守用药方案的重要性。这些课程可由医生和其他医疗服务提供者（即护士和社区药剂师）提供。关键词2 型糖尿病、坚持服药、纳吉兰武装部队医院、纳吉兰地区。
{"title":"Adherence of Type 2 Diabetic Patients to Antidiabetic Medications and its Associated Factors in Najran Armed Forces Hospital, Saudi Arabia","authors":"M. Almetrek, Maryam Alqahtani, Asrar Al Mudawi, Atheer Assiri, Alaa Alfayi, Nouf Alotaibi, Mohammed Quhal, Sara Sanad, M. Alshahrani, Norah Alshehri, Seham Alzahrani, Albatoul M Al Margan, Anwar Al Sharyan, Mai Almaraih, Faris Al Margan, Fatimah Alkhaywani, Aljawharh Alyami, Sarah Al-qablai, Mona Al-Ahmary, Faisal Ali M. Al-Qarni","doi":"10.5742/mewfm.2023.95256237","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256237","url":null,"abstract":"Background: Adherence to antidiabetic medications is crucial for optimum glycemic control and decreasing complications. This study aimed to assess adherence to antidiabetic medications and the associated factors among individuals with type-2 diabetes mellitus (T2DM) attending chronic illness clinics at Najran Armed Forces Hospital (NAFH), Najran Region, Saudi Arabia. Methods: A cross-sectional study was conducted. A systematic sampling technique was used. Morisky Medication Adherence Scale (MMAS) scores were used for labeling patients as adherent or non-adherent. Data were entered and analyzed using SPSS version 20. To see the association of variables logistic regression with OR and 95% CI was done. Results: A total of 288 study participants were interviewed with a response rate of 100%. The level of adherence was found to be 85%. Factors found to be significantly associated with antidiabetic medication adherence were level of education (AOR = 14.27, 95% CI = 3.0, 67.82), duration of diabetes (AOR = 6.10, 95% CI = 2.03, 18.34), and knowledge about DM and its medications (AOR = 28.05, 95% CI = 8.96, 87.8). Conclusions and Recommendations: Our study, a family medicine-based cross-sectional study, found high medication adherence by patients with T2DM regarding their prescribed diabetes medication. Low adherence was significantly associated with educational status, duration of diabetes, and knowledge. We recommend improving T2DM patients’ knowledge related to diabetes and note the importance of compliance with the medication regimen through several health education sessions at diabetic educators, coaches, and other healthcare facilities. These sessions can be delivered by physicians and other healthcare providers, namely, nurses and community pharmacists. Keywords: Type 2 diabetes, adherence to medications, Najran Armed Forces Hospital, Najran Region.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.5742/mewfm.2023.95256218
Faisal Hussein Alkhaywani, Ali Yahia Ali Alsalah, Hassan Yahia Ali Alsalah, Ali Muhammad Yahya Al-Khaiwani, Tareq Husain Alqanas, Ali Naser Almurdef, Saud Daghman Hussain Al daghman, Hamad Mahdi Ali Al Zaman, Atheer Abdullah Alqarni
Aim of Study: To explore patients’ perspectives regarding the reasons why some less urgent, or non-urgent patients prefer to attend emergency departments (EDs) instead of using other more appropriate healthcare services. Methods: This study followed a quantitative cross-sectional design. The study obtained and analyzed emergency attendance data from King Khalid Hospital, Najran City. A study questionnaire was designed by the researcher to interview 400 ED patients, who inappropriately attended the ED, to identify the reasons for their inappropriate attendance to the ED. Data collection was performed during the period of two months (November-December, 2022) to explore the proportions of different attendances that were deemed inappropriate according to the hospital’s followed triage system. The interviews were conducted with the non-urgent and less urgent patients during their waiting times. Results: The age of 18.3% of patients were <30 years old, while 28.5% were 30-39 years old. More than half of the participants’ visits were non-urgent, while 43.25% were less-urgent, 55.3% of patients visited the ED before due to similar complaints, and 46% visited a primary health care center before their ED visits. The main reasons for visiting the ED instead of the primary healthcare center (PHCC) were to save time (49.3%) and to get an earlier appointment (48%). Patients’ triage levels differed significantly according to their age groups (p<0.001), nationality (p=0.022), educational level (p=0.022), marital status (p=0.002), ED visits due to similar complaints (p<0.001), and previously visiting the PHCC for the current health problem (p=0.002). Triage levels also differed significantly according to some reasons for choosing to go to the ED instead of the PHCC, especially to get an earlier appointment (p=0.044), preferring the healthcare services provided by the ED (p=0.005), having a nearby ED (p=0.001), or being at the hospital at that time (p=0.002). Conclusions: There is a clear relationship between inappropriate ED visits and certain associated factors, indicating that prevention would be best targeted to certain categories, such as Saudi, younger, and educated patients. The main reasons for inappropriate ED visits are to save time and to avoid getting a late appointment. Recommendations: This study emphasized the importance of implementing proper health education and redirecting patients with inappropriate ED visits. Conducting a detailed analysis of the shortages in the utilization of primary healthcare resources is a pressing necessity. Further nationwide studies on patients’ perspective for non-urgent ED presentations are largely needed. Key Words: Emergency Department, Triage, Quantitative Research, Najran City, Saudi Arabia
{"title":"Patient's Perspective for their Non-Urgent Presentations to the Emergency Department in Najran City","authors":"Faisal Hussein Alkhaywani, Ali Yahia Ali Alsalah, Hassan Yahia Ali Alsalah, Ali Muhammad Yahya Al-Khaiwani, Tareq Husain Alqanas, Ali Naser Almurdef, Saud Daghman Hussain Al daghman, Hamad Mahdi Ali Al Zaman, Atheer Abdullah Alqarni","doi":"10.5742/mewfm.2023.95256218","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256218","url":null,"abstract":"Aim of Study: To explore patients’ perspectives regarding the reasons why some less urgent, or non-urgent patients prefer to attend emergency departments (EDs) instead of using other more appropriate healthcare services. Methods: This study followed a quantitative cross-sectional design. The study obtained and analyzed emergency attendance data from King Khalid Hospital, Najran City. A study questionnaire was designed by the researcher to interview 400 ED patients, who inappropriately attended the ED, to identify the reasons for their inappropriate attendance to the ED. Data collection was performed during the period of two months (November-December, 2022) to explore the proportions of different attendances that were deemed inappropriate according to the hospital’s followed triage system. The interviews were conducted with the non-urgent and less urgent patients during their waiting times. Results: The age of 18.3% of patients were <30 years old, while 28.5% were 30-39 years old. More than half of the participants’ visits were non-urgent, while 43.25% were less-urgent, 55.3% of patients visited the ED before due to similar complaints, and 46% visited a primary health care center before their ED visits. The main reasons for visiting the ED instead of the primary healthcare center (PHCC) were to save time (49.3%) and to get an earlier appointment (48%). Patients’ triage levels differed significantly according to their age groups (p<0.001), nationality (p=0.022), educational level (p=0.022), marital status (p=0.002), ED visits due to similar complaints (p<0.001), and previously visiting the PHCC for the current health problem (p=0.002). Triage levels also differed significantly according to some reasons for choosing to go to the ED instead of the PHCC, especially to get an earlier appointment (p=0.044), preferring the healthcare services provided by the ED (p=0.005), having a nearby ED (p=0.001), or being at the hospital at that time (p=0.002). Conclusions: There is a clear relationship between inappropriate ED visits and certain associated factors, indicating that prevention would be best targeted to certain categories, such as Saudi, younger, and educated patients. The main reasons for inappropriate ED visits are to save time and to avoid getting a late appointment. Recommendations: This study emphasized the importance of implementing proper health education and redirecting patients with inappropriate ED visits. Conducting a detailed analysis of the shortages in the utilization of primary healthcare resources is a pressing necessity. Further nationwide studies on patients’ perspective for non-urgent ED presentations are largely needed. Key Words: Emergency Department, Triage, Quantitative Research, Najran City, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"169 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-30DOI: 10.5742/mewfm.2023.95256121
M. Helvaci, Ummuhan Kodal Tuncsezen, Kubra Seckin, Kubra Piral, Sare Seyhan, A. Karabacak, Mehpare Camlibel, A. Abyad, Lesley Pocock
Background: There may be significant relationships between fasting plasma glucose (FPG) and severity of inflammations. Method: All cases with digital clubbing were included. Results: The study included 104 cases with clubbing detected among 2.428 cases (1.044 males). So clubbing was higher in males (8.1% versus 1.3%, p<0.001). Mean age of clubbing cases was 49.2 years, and there was a male predominance (81.7%), again. Parallel to the male predominance, there were higher prevalences of smoking (69.2% versus 41.6%, p<0.001), chronic obstructive pulmonary disease (COPD) (27.8% versus 10.8%, p<0.001), and coronary heart disease (CHD) and/or peripheric artery disease (PAD) (7.6% versus 0.0%, p<0.01) in the clubbing cases. Whereas the body weight, body mass index (BMI), and FPG were lower in the clubbing cases but the differences were nonsignificant probably due to the small sample size. But diabetes mellitus (DM) (12.5% versus 21.6%, p<0.05) and systolic blood pressure (BP) (127.6 versus 136.9 mmHg, p= 0.011) were lower in the clubbing cases, significantly. Conclusion: There are significant relationships between smoking, digital clubbing, COPD, CHD, and PAD probably due to strong atherosclerotic effects of smoking. Similarly, the body weight, BMI, FPG, systolic BP, and DM are inversely related with the clubbing probably due to the severe inflammatory effects of smoking on the vascular endothelium, again. FPG may behave as a positive acute phase reactant (APR) in mild inflammatory disorders such as irritable bowel syndrome but as a negative APR in moderate and severe inflammatory disorders such as smoking, digital clubbing, and sickle cell diseases. Key words: Fasting plasma glucose, diabetes mellitus, irritable bowel syndrome, smoking, digital clubbing, sickle cell diseases, atherosclerosis
{"title":"Fasting plasma glucose may behave as a positive in mild but as a negative acute phase reactant in moderate and severe inflammatory disorders","authors":"M. Helvaci, Ummuhan Kodal Tuncsezen, Kubra Seckin, Kubra Piral, Sare Seyhan, A. Karabacak, Mehpare Camlibel, A. Abyad, Lesley Pocock","doi":"10.5742/mewfm.2023.95256121","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256121","url":null,"abstract":"Background: There may be significant relationships between fasting plasma glucose (FPG) and severity of inflammations. Method: All cases with digital clubbing were included. Results: The study included 104 cases with clubbing detected among 2.428 cases (1.044 males). So clubbing was higher in males (8.1% versus 1.3%, p<0.001). Mean age of clubbing cases was 49.2 years, and there was a male predominance (81.7%), again. Parallel to the male predominance, there were higher prevalences of smoking (69.2% versus 41.6%, p<0.001), chronic obstructive pulmonary disease (COPD) (27.8% versus 10.8%, p<0.001), and coronary heart disease (CHD) and/or peripheric artery disease (PAD) (7.6% versus 0.0%, p<0.01) in the clubbing cases. Whereas the body weight, body mass index (BMI), and FPG were lower in the clubbing cases but the differences were nonsignificant probably due to the small sample size. But diabetes mellitus (DM) (12.5% versus 21.6%, p<0.05) and systolic blood pressure (BP) (127.6 versus 136.9 mmHg, p= 0.011) were lower in the clubbing cases, significantly. Conclusion: There are significant relationships between smoking, digital clubbing, COPD, CHD, and PAD probably due to strong atherosclerotic effects of smoking. Similarly, the body weight, BMI, FPG, systolic BP, and DM are inversely related with the clubbing probably due to the severe inflammatory effects of smoking on the vascular endothelium, again. FPG may behave as a positive acute phase reactant (APR) in mild inflammatory disorders such as irritable bowel syndrome but as a negative APR in moderate and severe inflammatory disorders such as smoking, digital clubbing, and sickle cell diseases. Key words: Fasting plasma glucose, diabetes mellitus, irritable bowel syndrome, smoking, digital clubbing, sickle cell diseases, atherosclerosis","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82052103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
At Yarmouk Primary Health Care Center (PHCC), a continuous quality improvement and patient safety system is in place. Health care delivery was explored and paper-based incident reporting was found to compromise patient safety and quality. Induction of electronic reporting of incidents was started and its favorable outcome demonstrated. This was followed by establishing a continuous quality improvement process at the facility. Ethical principles were followed during data collection and analysis. Electronic Incidence reporting was started in January 2022. A substantial increase (16 in paper-based versus 53 in electronic reporting) in Incidence reporting, following introduction of electronic reporting at Yarmouk PHCC was demonstrated. A reduction of time consumption from 35 minutes in paper-based Incidence reporting to 10 minutes in electronic reporting was demonstrated. An improvement in accuracy while using electronic Incidence report (94%) in comparison to that while using Paper based Incidence reporting (85%) was documented. Maximum Incidence reporting was by Pharmacy followed by doctors, administration staff and laboratory. Maximum Incidences were product related followed by investigation related. No sentinel event reporting was found. The majority of reported incidences were in “no harm” and “near miss” categories. Employee satisfaction improved with electronic Incidence reporting. Due to advancement of technology today, it is imperative and strongly recommended to use principles of quality improvement process to improve patient safety and quality of care. Electronic Incidence reporting is found to improve quality and patient safety. Further studies into impact of better utilization of electronic Incidence reporting on health care outcomes is strongly recommended. Key words: Patient safety; Quality Improvement; Electronic Incidence reporting; Paper-based Incidence reporting
{"title":"Electronic Incidence reporting impact on Quality and Patient Safety: Results of Quality Improvement Project at Yarmouk Health Care Center, Kuwait","authors":"Huda Alduwaisan, Maryam AL-Khamees, Doaa khalifa Hussein, Rasheed AlRasheed, Tasneem Aljarki, Waris Qidwai","doi":"10.5742/mewfm.2023.95256190","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256190","url":null,"abstract":"At Yarmouk Primary Health Care Center (PHCC), a continuous quality improvement and patient safety system is in place. Health care delivery was explored and paper-based incident reporting was found to compromise patient safety and quality. Induction of electronic reporting of incidents was started and its favorable outcome demonstrated. This was followed by establishing a continuous quality improvement process at the facility. Ethical principles were followed during data collection and analysis. Electronic Incidence reporting was started in January 2022. A substantial increase (16 in paper-based versus 53 in electronic reporting) in Incidence reporting, following introduction of electronic reporting at Yarmouk PHCC was demonstrated. A reduction of time consumption from 35 minutes in paper-based Incidence reporting to 10 minutes in electronic reporting was demonstrated. An improvement in accuracy while using electronic Incidence report (94%) in comparison to that while using Paper based Incidence reporting (85%) was documented. Maximum Incidence reporting was by Pharmacy followed by doctors, administration staff and laboratory. Maximum Incidences were product related followed by investigation related. No sentinel event reporting was found. The majority of reported incidences were in “no harm” and “near miss” categories. Employee satisfaction improved with electronic Incidence reporting. Due to advancement of technology today, it is imperative and strongly recommended to use principles of quality improvement process to improve patient safety and quality of care. Electronic Incidence reporting is found to improve quality and patient safety. Further studies into impact of better utilization of electronic Incidence reporting on health care outcomes is strongly recommended. Key words: Patient safety; Quality Improvement; Electronic Incidence reporting; Paper-based Incidence reporting","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135640655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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