A. Abduljabbar, R. Ahmad, Basem H. Bahakeem, Yahea A. Alzahrani, N. Batawil, K. Bahubaishi, R. Filfilan, Mohammad A Wazzan
The prediction of risks and the predisposing factors that lead to the formation of blood clots, using appropriate clinical examination is crucial to the treatment of thrombosis. It is important to estimate the length of hospital stays of those clinically suspected of thrombosis. This study evaluated the prevalence of lower-limb deep venous thrombosis and its associated risk factors to predict the lengths of hospital stays of the patients. The 1,201 medical records of patients, aged 16 to 98 years, were collected from the King Abdulaziz University Hospital from January 2013 to December 2015. Their thrombosis were evaluated using a doppler ultrasound and a sonographic assessment. The results of the study revealed the prevalence of thrombosis among 18.9% of the elderly patients, 14.5% in patients with diabetes mellitus, 13.3% in those with hypertension, 17.8% in bed-ridden patients, 12.2% in patients with ischemic heart disease, 20.5% in patients with breast cancer, 5.1% in pregnant women, and 10% in obese patients. No deep venous thrombosis was reported in patients with history of heart failure. Having breast cancer and being old were the major risk factors that were identified among the patients with lower limb deep venous thrombosis.
{"title":"The Prevalences, Risk Factors, and Lengths of Hospital Stay of Patients with Suspected Lower Limb Deep Venous Thrombosis in the King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia","authors":"A. Abduljabbar, R. Ahmad, Basem H. Bahakeem, Yahea A. Alzahrani, N. Batawil, K. Bahubaishi, R. Filfilan, Mohammad A Wazzan","doi":"10.4197/MED.27-1.5","DOIUrl":"https://doi.org/10.4197/MED.27-1.5","url":null,"abstract":"The prediction of risks and the predisposing factors that lead to the formation of blood clots, using appropriate clinical examination is crucial to the treatment of thrombosis. It is important to estimate the length of hospital stays of those clinically suspected of thrombosis. This study evaluated the prevalence of lower-limb deep venous thrombosis and its associated risk factors to predict the lengths of hospital stays of the patients. The 1,201 medical records of patients, aged 16 to 98 years, were collected from the King Abdulaziz University Hospital from January 2013 to December 2015. Their thrombosis were evaluated using a doppler ultrasound and a sonographic assessment. The results of the study revealed the prevalence of thrombosis among 18.9% of the elderly patients, 14.5% in patients with diabetes mellitus, 13.3% in those with hypertension, 17.8% in bed-ridden patients, 12.2% in patients with ischemic heart disease, 20.5% in patients with breast cancer, 5.1% in pregnant women, and 10% in obese patients. No deep venous thrombosis was reported in patients with history of heart failure. Having breast cancer and being old were the major risk factors that were identified among the patients with lower limb deep venous thrombosis.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128935575","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}
Carotid blowout syndrome is an uncommon and fatal medical emergency in patients with head and neck cancer. Tumor progression, previous surgery, and radiotherapy on the head and the neck regions are some of the predisposing factors that affect its presentation. An early suspicion of a carotid blowout syndrome allows early safety measurements to prevent catastrophic events. A 71-year-old man with advanced base of tongue cancer was presented with a self- limiting oral bleeding 18 months after receiving chemoradiotherapy. Fiberoptic laryngoscopy and contrast-enhanced computed tomography revealed the presence of edema of the hypopharynx and thyroid cartilage fracture and necrosis. The patient developed acute oral hemorrhage. Surgical intervention was insufficient to achieve hemostasis. The carotid angiography revealed a common carotid artery rupture, and a covered stent was placed endovascularly. The covered stent placement was enough to stop the bleeding. However, the patient died from perioperative complications. Experience is necessary for the early detection and prevention of a carotid blowout syndrome.
{"title":"Radiotherapy-induced Acute Carotid Blowout Syndrome in Base of Tongue Cancer","authors":"Abdulrahman Almazrooa","doi":"10.4197/MED.27-1.10","DOIUrl":"https://doi.org/10.4197/MED.27-1.10","url":null,"abstract":"Carotid blowout syndrome is an uncommon and fatal medical emergency in patients with head and neck cancer. Tumor progression, previous surgery, and radiotherapy on the head and the neck regions are some of the predisposing factors that affect its presentation. An early suspicion of a carotid blowout syndrome allows early safety measurements to prevent catastrophic events. A 71-year-old man with advanced base of tongue cancer was presented with a self- limiting oral bleeding 18 months after receiving chemoradiotherapy. Fiberoptic laryngoscopy and contrast-enhanced computed tomography revealed the presence of edema of the hypopharynx and thyroid cartilage fracture and necrosis. The patient developed acute oral hemorrhage. Surgical intervention was insufficient to achieve hemostasis. The carotid angiography revealed a common carotid artery rupture, and a covered stent was placed endovascularly. The covered stent placement was enough to stop the bleeding. However, the patient died from perioperative complications. Experience is necessary for the early detection and prevention of a carotid blowout syndrome.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"149 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115590039","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}
The study aims to evaluate the various techniques used to perform circumcision in Saudi Arabia. In September 2018, this cross-sectional survey was performed. A questionnaire was sent to all pediatric surgery units across the Kingdom. The responses to the questionnaire were analyzed and categorized. A total of 176 questionnaires were send and more than half (56.3%) of the practitioners filled the questioners, 62 (63%) were consultants, 19 (19%) were specialists and 19 (19%) were trainee in pediatric surgery fellowship program. Circumcisions were performed in Maternity and Children hospitals (32.3%), tertiary hospitals (32.3%), private hospitals (16%) and in general or academic hospitals (19%). The most commonly used method for circumcision was Gomco clamp (n = 39; 39.6%) followed by Plastibell (n = 30; 30%) and bone cutter (n = 25; 25.4%). The optimal time for circumcision was in neonatal period. Eighty-six percent of the surgeons agree that 2.5 to 5 kg is the optimal weight for the baby to do circumcision. In Saudi Arabia circumcision is a religious practice done for every Muslim male. It should be done by trained medical practitioner and circumcision done by non-medical personal should be avoided. Circumcision should be performed in the neonatal period and attention should be given to analgesia.
{"title":"Male Circumcision: A Practice Survey from Saudi Arabia","authors":"O. Bawazir, H. Sembawa","doi":"10.4197/med.26-2.5","DOIUrl":"https://doi.org/10.4197/med.26-2.5","url":null,"abstract":"The study aims to evaluate the various techniques used to perform circumcision in Saudi Arabia. In September 2018, this cross-sectional survey was performed. A questionnaire was sent to all pediatric surgery units across the Kingdom. The responses to the questionnaire were analyzed and categorized. A total of 176 questionnaires were send and more than half (56.3%) of the practitioners filled the questioners, 62 (63%) were consultants, 19 (19%) were specialists and 19 (19%) were trainee in pediatric surgery fellowship program. Circumcisions were performed in Maternity and Children hospitals (32.3%), tertiary hospitals (32.3%), private hospitals (16%) and in general or academic hospitals (19%). The most commonly used method for circumcision was Gomco clamp (n = 39; 39.6%) followed by Plastibell (n = 30; 30%) and bone cutter (n = 25; 25.4%). The optimal time for circumcision was in neonatal period. Eighty-six percent of the surgeons agree that 2.5 to 5 kg is the optimal weight for the baby to do circumcision. In Saudi Arabia circumcision is a religious practice done for every Muslim male. It should be done by trained medical practitioner and circumcision done by non-medical personal should be avoided. Circumcision should be performed in the neonatal period and attention should be given to analgesia.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116698312","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}
The present study was designed to investigate potential liver damage due to acrylonitrile in Streptozotocin induced diabetes in rats. Twenty-four rats were divided into 4 treatment groups. Nondiabetic control rat receiving distilled water, non-diabetic rat receiving acrylonitrile aqueous solution (10 mg/kg/day), diabetic control rat receiving distilled water and diabetic rat receiving acrylonitrile aqueous solution. All groups received the treatment for 4 weeks. The animals were assessed for hepatoxicity markers in serum, oxidative stress markers, CYP2E1 activity and cyanide formation in tissues. Acrylonitrile significantly elevated serum aminotransferase, alanine aminotransferase, total bilirubin levels, triglycerides and total cholesterol in diabetic groups as compared to normal control group. Antioxidant markers like glutathione showed significant decline while a significant increase in malondialdehyde, superoxide dismutase and catalase in diabetic rats treated with acrylonitrile. CYP2E1 activity was observed in acrylonitrile – exposed nondiabetic and diabetic groups as compared to control. Cyanide formation was raised in both the nondiabetic and diabetic groups as compared to control group. Acrylonitriles can produce acute hepatic injury, induction of diabetes mellitus type II, and accomplish the CYP2E1 enzyme which sequentially leads to generation of oxidative stress and its metabolic product–cyanide that may potentiate the oxidative stress posing more deleterious effect.
{"title":"Enhancement of Liver Toxicity on Diabetes Mellitus by a Universal Chemical Pollutant (Acrylonitrile) in Rats","authors":"Sameer E. Alharthi","doi":"10.4197/med.26-2.2","DOIUrl":"https://doi.org/10.4197/med.26-2.2","url":null,"abstract":"The present study was designed to investigate potential liver damage due to acrylonitrile in Streptozotocin induced diabetes in rats. Twenty-four rats were divided into 4 treatment groups. Nondiabetic control rat receiving distilled water, non-diabetic rat receiving acrylonitrile aqueous solution (10 mg/kg/day), diabetic control rat receiving distilled water and diabetic rat receiving acrylonitrile aqueous solution. All groups received the treatment for 4 weeks. The animals were assessed for hepatoxicity markers in serum, oxidative stress markers, CYP2E1 activity and cyanide formation in tissues. Acrylonitrile significantly elevated serum aminotransferase, alanine aminotransferase, total bilirubin levels, triglycerides and total cholesterol in diabetic groups as compared to normal control group. Antioxidant markers like glutathione showed significant decline while a significant increase in malondialdehyde, superoxide dismutase and catalase in diabetic rats treated with acrylonitrile. CYP2E1 activity was observed in acrylonitrile – exposed nondiabetic and diabetic groups as compared to control. Cyanide formation was raised in both the nondiabetic and diabetic groups as compared to control group. Acrylonitriles can produce acute hepatic injury, induction of diabetes mellitus type II, and accomplish the CYP2E1 enzyme which sequentially leads to generation of oxidative stress and its metabolic product–cyanide that may potentiate the oxidative stress posing more deleterious effect.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129497825","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}
Khaled S. Aseri, A. A. Mulla, R. Alwaraq, R. J. Bahannan
A cross-sectional study was conducted to investigate the prevalence as well as the determinants and clinical features of occupational low back pain among surgeons working at Ministry of Health hospitals in Jeddah, Saudi Arabia by exploring its history combined with time of onset after starting the operating room work and self-appraisal of the relationship with the surgical work. Factors and predictors such as professional, socio-demographic and lifestyle factors, medical history, etc. were collected and analyzed. Two hundred and sixteen surgeons (69.9% males, mean age 39.03 years, median work: 5.00 years) responded. Prevalence of occupational low back pain was 55.8% (95% CI: 49.0%, 62.3%); high rates of inadequate management and self-treatment had a notable impact on all 4 domains. Multivariate regression showed two independent protective factors (regular physical exercise [OR = 0.27, P = 0.002] and back health education [OR = 0.41, P = 0.031] and two independent risk factors (high exposure to risky activities [OR = 1.06, P = 0.048] and presence of chronic pain other than back pain [OR = 2.59, P = 0.012]). More than one in two surgeons are likely to suffer from occupational low back pain. The protective roles of regular physical activity and back health education are highlighted
本研究旨在调查沙特阿拉伯吉达卫生部医院外科医生职业性腰痛的患病率、决定因素和临床特征，探讨其病史、开始手术室工作后发病时间以及与手术工作关系的自我评价。收集并分析职业、社会人口、生活方式、病史等因素及预测因素。216名外科医生回应，其中男性69.9%，平均年龄39.03岁，中位工作时间5.00年。职业性腰痛患病率为55.8% (95% CI: 49.0%， 62.3%);管理和自我治疗不足的高发率对所有4个领域都有显著影响。多因素回归显示两个独立的保护因素(定期体育锻炼[OR = 0.27, P = 0.002]和背部健康教育[OR = 0.41, P = 0.031])和两个独立的危险因素(高危险活动暴露[OR = 1.06, P = 0.048]和存在非背部疼痛的慢性疼痛[OR = 2.59, P = 0.012])。超过二分之一的外科医生可能患有职业性腰痛。强调了定期体育锻炼和背部健康教育的保护作用
{"title":"Characterizing Occupational Low Back Pain among Surgeons Working in Ministry of Health Hospitals: Prevalence, Clinical Features and Risk and Protective Factors","authors":"Khaled S. Aseri, A. A. Mulla, R. Alwaraq, R. J. Bahannan","doi":"10.4197/med.26-2.3","DOIUrl":"https://doi.org/10.4197/med.26-2.3","url":null,"abstract":"A cross-sectional study was conducted to investigate the prevalence as well as the determinants and clinical features of occupational low back pain among surgeons working at Ministry of Health hospitals in Jeddah, Saudi Arabia by exploring its history combined with time of onset after starting the operating room work and self-appraisal of the relationship with the surgical work. Factors and predictors such as professional, socio-demographic and lifestyle factors, medical history, etc. were collected and analyzed. Two hundred and sixteen surgeons (69.9% males, mean age 39.03 years, median work: 5.00 years) responded. Prevalence of occupational low back pain was 55.8% (95% CI: 49.0%, 62.3%); high rates of inadequate management and self-treatment had a notable impact on all 4 domains. Multivariate regression showed two independent protective factors (regular physical exercise [OR = 0.27, P = 0.002] and back health education [OR = 0.41, P = 0.031] and two independent risk factors (high exposure to risky activities [OR = 1.06, P = 0.048] and presence of chronic pain other than back pain [OR = 2.59, P = 0.012]). More than one in two surgeons are likely to suffer from occupational low back pain. The protective roles of regular physical activity and back health education are highlighted","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134608104","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}
Doaa Faleh, Seraj Nadir Baeshin, Ghaida Alzahrani, Hesham Tariq Nahhas, Nouri Abbas Abbas
The current study described a case of portal vein aneurysm at the confluence of the superior mesenteric and splenic veins, complicated by thrombosis in a patient with no liver pathology but with Factor V Leiden mutation.
{"title":"Portal Vein Aneurysm Complicated by Thrombosis","authors":"Doaa Faleh, Seraj Nadir Baeshin, Ghaida Alzahrani, Hesham Tariq Nahhas, Nouri Abbas Abbas","doi":"10.4197/med.26-2.8","DOIUrl":"https://doi.org/10.4197/med.26-2.8","url":null,"abstract":"The current study described a case of portal vein aneurysm at the confluence of the superior mesenteric and splenic veins, complicated by thrombosis in a patient with no liver pathology but with Factor V Leiden mutation.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131687565","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}
Nour Baghdady, D. Voit, Anne M. McDonell, D. Kubiak
The purpose of this observational study is to evaluate the effect of an active pharmacy intervention to facilitate timely discontinuation of empiric vancomycin therapy in oncology patients with febrile neutropenia who lack objective evidence of a Gram-positive infection. This was a two-phase study. Vancomycin use was evaluated retrospectively on all oncology patients with febrile neutropenia over four weeks (phase I). In a parallel four weeks a year later, vancomycin use in this patient population was evaluated prospectively (phase II). In the absence of evidence of Gram-positive infection after 72 hours of treatment initiation, the team was contacted by a pharmacist to encourage discontinuation. Usage was compared between both phases. Forty-three patients in phase I and 25 patients in phase II were treated with vancomycin with no evidence for Gram-positive infections. Pharmacists’ interventions were documented on 18 patients in phase II. Of these, 56% of interventions to discontinue vancomycin were accepted, but only 33.3% of patients had treatment stopped within 72 hours of initiation. Although not significant, a trend in more appropriate use of vancomycin in oncology patients with febrile neutropenia was observed. Pharmacist’s interventions might have played a role in this observation.
{"title":"Effect of Pharmacists’ Interventions on the Appropriateness of Empiric Vancomycin Therapy in Oncology Patients with Febrile Neutropenia","authors":"Nour Baghdady, D. Voit, Anne M. McDonell, D. Kubiak","doi":"10.4197/med.26-2.6","DOIUrl":"https://doi.org/10.4197/med.26-2.6","url":null,"abstract":"The purpose of this observational study is to evaluate the effect of an active pharmacy intervention to facilitate timely discontinuation of empiric vancomycin therapy in oncology patients with febrile neutropenia who lack objective evidence of a Gram-positive infection. This was a two-phase study. Vancomycin use was evaluated retrospectively on all oncology patients with febrile neutropenia over four weeks (phase I). In a parallel four weeks a year later, vancomycin use in this patient population was evaluated prospectively (phase II). In the absence of evidence of Gram-positive infection after 72 hours of treatment initiation, the team was contacted by a pharmacist to encourage discontinuation. Usage was compared between both phases. Forty-three patients in phase I and 25 patients in phase II were treated with vancomycin with no evidence for Gram-positive infections. Pharmacists’ interventions were documented on 18 patients in phase II. Of these, 56% of interventions to discontinue vancomycin were accepted, but only 33.3% of patients had treatment stopped within 72 hours of initiation. Although not significant, a trend in more appropriate use of vancomycin in oncology patients with febrile neutropenia was observed. Pharmacist’s interventions might have played a role in this observation.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124918403","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}
Ineffective pain management has been recognized as a major problem faced by many patients with cancer. There is a lack of emphasis on cancer pain management in the undergraduate nursing curriculum which is one part of this problem. A descriptive cross-sectional study was carried out with a convenience sample of 135 nursing students at two universities in Jeddah, Saudi Arabia, to evaluate students’ current knowledge and attitudes toward cancer pain management. Data were collected using Pain Management Principles Assessment Test and Nurses’ Pain Management Attitudes Survey. The data were analyzed using IBM Statistical Package for the Social Sciences version 22, and P < 0.05 was interpreted as significant. Descriptive and inferential statistics and Pearson correlations were performed. Nursing students have insufficient knowledge (11.4 ± 2.92) and negative attitudes (68.8 ± 5.75) toward cancer pain management. None of the nursing students achieved complete, correct responses (31 or 100%) in the knowledge test. Students had poor knowledge regarding areas of pain physiology and assessment, pharmacologic and nonpharmacologic pain management such as cutaneous stimulation. A weak positive significant relationship between students’ knowledge and attitudes was also found (r = 0.225, P = 0.009). Continued work is required to develop specific strategies to effectively teach nursing students and enhance their knowledge and attitudes toward cancer pain management.
无效的疼痛管理已被认为是许多癌症患者面临的主要问题。在本科护理课程中缺乏对癌症疼痛管理的重视，这是这个问题的一部分。本研究以沙特阿拉伯吉达两所大学的135名护理专业学生为样本，进行了一项描述性横断面研究，以评估学生目前对癌症疼痛管理的知识和态度。数据收集采用疼痛管理原则评估测试和护士疼痛管理态度调查。使用IBM Statistical Package for Social Sciences version 22对数据进行分析，P < 0.05解释为显著性。进行描述性统计、推理统计和Pearson相关性分析。护生对癌性疼痛管理认知不足(11.4±2.92)，态度消极(68.8±5.75)。护生在知识测试中没有一个获得完整、正确的回答(31%或100%)。学生在疼痛生理学和评估、药物和非药物疼痛管理(如皮肤刺激)方面的知识贫乏。学生的知识与态度之间也存在微弱的正相关(r = 0.225, P = 0.009)。需要继续开展工作，制定具体的策略，有效地教育护理学生，提高他们对癌症疼痛管理的知识和态度。
{"title":"Evaluating Saudi Nursing Students’ Knowledge and Attitudes toward Cancer Pain Management: Implications for Nursing Education","authors":"D. Wazqar","doi":"10.4197/med.26-2.7","DOIUrl":"https://doi.org/10.4197/med.26-2.7","url":null,"abstract":"Ineffective pain management has been recognized as a major problem faced by many patients with cancer. There is a lack of emphasis on cancer pain management in the undergraduate nursing curriculum which is one part of this problem. A descriptive cross-sectional study was carried out with a convenience sample of 135 nursing students at two universities in Jeddah, Saudi Arabia, to evaluate students’ current knowledge and attitudes toward cancer pain management. Data were collected using Pain Management Principles Assessment Test and Nurses’ Pain Management Attitudes Survey. The data were analyzed using IBM Statistical Package for the Social Sciences version 22, and P < 0.05 was interpreted as significant. Descriptive and inferential statistics and Pearson correlations were performed. Nursing students have insufficient knowledge (11.4 ± 2.92) and negative attitudes (68.8 ± 5.75) toward cancer pain management. None of the nursing students achieved complete, correct responses (31 or 100%) in the knowledge test. Students had poor knowledge regarding areas of pain physiology and assessment, pharmacologic and nonpharmacologic pain management such as cutaneous stimulation. A weak positive significant relationship between students’ knowledge and attitudes was also found (r = 0.225, P = 0.009). Continued work is required to develop specific strategies to effectively teach nursing students and enhance their knowledge and attitudes toward cancer pain management.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133674120","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}
Afnan A. Abuassonon, B. Kalkatawi, L. S. Alzahrani, B. Eid, Thikryat A. Neamatallah
Inappropriate disposal of stored medications leads to an increased risk of environmental toxicity. This study aims to examine practices of Jeddah residents with regard to disposing unused and/or expired medications and to view their opinions about the presence of drug take-back centres. Over a three-month period, 771 participants completed an online questionnaire, that focused on disposal methods and the importance of having drug retrieval centres. The data demonstrated that 91.57% of the participants reported discarding their expired medications in household waste, and 2.98% of them return their medications to hospitals or pharmacies. With respect to unused medications, 67.07% of the participants disposed of them in household waste, and only 10.84% donated their medications. This improper practice, however, contradicted the fact that 92.35% of the respondents were interested in knowing the appropriate methods of disposing. In addition, 90.66% agreed to the need for drug take-back centres. This study demonstrated that a low percentage of respondents knew about correct medication disposal. This emphasizes the need for the Ministry of Health, the pharmaceutical industry and pharmacies to collaborate on a national program about the proper methods of medication disposal and to initiate drug retrieval programs.
{"title":"Practices of Jeddah Residents Regarding the Disposal of Unused and Expired Medications: A Community-Based Survey","authors":"Afnan A. Abuassonon, B. Kalkatawi, L. S. Alzahrani, B. Eid, Thikryat A. Neamatallah","doi":"10.4197/med.26-2.4","DOIUrl":"https://doi.org/10.4197/med.26-2.4","url":null,"abstract":"Inappropriate disposal of stored medications leads to an increased risk of environmental toxicity. This study aims to examine practices of Jeddah residents with regard to disposing unused and/or expired medications and to view their opinions about the presence of drug take-back centres. Over a three-month period, 771 participants completed an online questionnaire, that focused on disposal methods and the importance of having drug retrieval centres. The data demonstrated that 91.57% of the participants reported discarding their expired medications in household waste, and 2.98% of them return their medications to hospitals or pharmacies. With respect to unused medications, 67.07% of the participants disposed of them in household waste, and only 10.84% donated their medications. This improper practice, however, contradicted the fact that 92.35% of the respondents were interested in knowing the appropriate methods of disposing. In addition, 90.66% agreed to the need for drug take-back centres. This study demonstrated that a low percentage of respondents knew about correct medication disposal. This emphasizes the need for the Ministry of Health, the pharmaceutical industry and pharmacies to collaborate on a national program about the proper methods of medication disposal and to initiate drug retrieval programs.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122961388","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}
Citation Al Tuwirqi AA, Khzam NO. Wait or intervene: dentigerous cyst associated with permanent Mandibular Canine. JKAU Med Sci 2018; 25 (1): 31-38. DOI: 10.4197/Med. 25.1.5 Abstract Dentigerous cysts are developmental odontogenic jaw cysts. Dentigerous cysts require early detection and prompt treatment ranging from marsupialization to complete enucleation. Few of these cysts have been reported in children younger than 12 years of age. The purpose of this case report was to describe the case of an 11-yearold boy with a dentigerous cyst associated with unerupted right mandibular canine. The clinical, radiographic and histopathologic features are discussed. This case report also describes the diagnosis of a mandibular dentigerous cyst using cone beam computed tomography, successful use of conservative enucleation and explains the need for such a radical treatment approach.
{"title":"Wait or Intervene: Dentigerous Cyst Associated with Permanent Mandibular Canine","authors":"Amani A. Al Tuwirqi, Nabil Khzam","doi":"10.4197/med.25-1.5","DOIUrl":"https://doi.org/10.4197/med.25-1.5","url":null,"abstract":"Citation Al Tuwirqi AA, Khzam NO. Wait or intervene: dentigerous cyst associated with permanent Mandibular Canine. JKAU Med Sci 2018; 25 (1): 31-38. DOI: 10.4197/Med. 25.1.5 Abstract Dentigerous cysts are developmental odontogenic jaw cysts. Dentigerous cysts require early detection and prompt treatment ranging from marsupialization to complete enucleation. Few of these cysts have been reported in children younger than 12 years of age. The purpose of this case report was to describe the case of an 11-yearold boy with a dentigerous cyst associated with unerupted right mandibular canine. The clinical, radiographic and histopathologic features are discussed. This case report also describes the diagnosis of a mandibular dentigerous cyst using cone beam computed tomography, successful use of conservative enucleation and explains the need for such a radical treatment approach.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127280520","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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