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Residents and teaching physicians' perception about bedside teaching in non-clinical shift in the emergency department of King Abdul-Aziz Medical City, Jeddah, Saudi Arabia 沙特阿拉伯吉达阿卜杜勒-阿齐兹国王医疗城急诊科住院医师和教学医师对非临床值班床边教学的看法
Pub Date : 2018-01-01 DOI: 10.4103/JHS.JHS_6_17
Azzah Aljabarti
Introduction: Bedside teaching (BT) is teaching in the presence of the patients which allows direct observation of the learner. It is a very crucial educational modality, which has declined significantly over the last decades. It is under-utilised and under-studied in Emergency Medicine. Although time constraints in the emergency department (ED) is associated with efficient and effective patient management; it exerts a negative influence on the time spent on bedside teaching. Objective: To determine the residents' and teaching physicians' (TPs') perception about BT in non-clinical shift regarding: Clinical knowledge, data gathering, procedure performance, communication and constructive feedback. Methods: Quantitative, cross-sectional study was done at King Abdulaziz Medical City, ED. Two groups were formed: (learners N=30) and (TP N=20) total N=50. We used self-administered questionnaire and then the data was analysed using SPSS version 20.0. Demographic data and results were expressed by mean ±SD and percentage. Comparison was then made between the two groups by using T-test (P < 0.05). Results: There were 50 participants in this study and 100% filled the questionnaires. All 20 (100%) of TP have previous experience with BT vs. only 17 (58%) of the learners. The residents and TPs responded to benefits of the BT: on clinical knowledge with mean values of (4.63±0.41 vs. 4.76±0.37) respectively and on data gathering with mean values of (4.73±0.51 vs. 4.24±0.97) respectively. Forty-six percent of the learners and 20% of the TPs responded to the benefits on procedures; however, the mean values of (4.93±1.0 and 5.0±0.01) were reported from the residents and TPs respectively. Regarding communications, we got mean values of (4.65±1.25 vs. 4.18±0.46) respectively. In regards to giving constructive feedback, the two groups' perceptions gave mean values of (4.58±1.01 vs. 4.57±0.8) in the residents group vs. TPs. Conclusion: Based on the review of the learners and the TPs' perception, we concluded that BT in non-clinical shift is very effective to improve the learners' clinical knowledge, data gathering, communication skills and facilitates giving constructive feedback. However, the benefits regarding procedure performance is still an area that needs further investigation.
床边教学(BT)是在患者面前进行教学,允许学习者直接观察。这是一种非常重要的教育方式,在过去的几十年里,它已经显著下降。它在急诊医学中未得到充分利用和研究。虽然急诊科(ED)的时间限制与高效和有效的患者管理有关;它对床边教学的时间产生了负面影响。目的:了解住院医师和教学医师在临床知识、数据收集、流程执行、沟通和建设性反馈等方面对非临床值班BT的认知。方法:在ED阿卜杜勒阿齐兹国王医疗城进行定量横断面研究,分为两组:(学习者N=30)和(TP N=20)总N=50。我们采用自填问卷,然后使用SPSS 20.0版本对数据进行分析。人口学数据和结果以均数±标准差和百分比表示。两组间比较采用t检验(P < 0.05)。结果:本研究共有50名被试,100%完成问卷调查。所有20名教师(100%)都有过BT的经验,而只有17名学习者(58%)有过BT的经验。住院医师和住院医生对BT的获益反应:在临床知识方面,平均值分别为(4.63±0.41比4.76±0.37);在数据收集方面,平均值分别为(4.73±0.51比4.24±0.97)。46%的学习者和20%的tp对程序的好处做出了回应;居民和住院医生的平均值分别为(4.93±1.0)和(5.0±0.01)。在通信方面,平均值分别为(4.65±1.25 vs. 4.18±0.46)。在给予建设性反馈方面,两组的感知均值分别为(4.58±1.01 vs. 4.57±0.8)。结论:通过对学习者和助教的观察,我们得出结论:非临床轮班的BT对提高学习者的临床知识、数据收集、沟通能力和提供建设性反馈是非常有效的。然而,关于过程性能的好处仍然是一个需要进一步研究的领域。
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引用次数: 1
Pancreatic tuberculosis causing biliary obstruction and mimicking pancreatic malignancy 胰腺结核引起胆道阻塞,类似胰腺恶性肿瘤
Pub Date : 2018-01-01 DOI: 10.4103/JHS.JHS_106_17
Noura Al Najdi, Basim Felemban, Ahmed Abou Issa
Tuberculosis (TB) is a bacterial infection which can affect any part of the body from head to toe and has various presentations depending on the site of the infection. Pancreatic TB is very rare and usually happens as a part of disseminated or miliary TB, whereas isolated pancreatic TB is even rarer. Here, we present a case of pancreatic TB at a TB endemic zone which presented with obstructive jaundice and pancreatic lesions mimicking pancreatic malignancy. A 46-year-old Saudi female patient presented with right upper quadrant abdominal pain associated with dark coloured urine and pale stool. The patient had been admitted to the surgical ward as a case of acute cholecystitis for further evaluation. On abdominal ultrasound (US), findings demonstrated dilated common bile duct (CBD), but the distal part was difficult to be visualised; hence, further evaluation by magnetic resonance cholangiopancreatography (MRCP) was recommended to look for CBD stones. The MRCP showed two focal pancreatic lesions causing the distal CBD obstruction with no stones at CBD. Based on these findings, malignancy was considered and computed tomography-guided fine-needle aspiration biopsy from the pancreatic neck lesion was performed. This demonstrated multiple granulomas and lymphocytes with no malignant cell which indicated pancreatic TB. The patient became well after a course of anti-TB medications. pancreatic TB should be included in the differential diagnosis of pancreatic masses, especially in those patients who live in an endemic area of TB. A biopsy is necessary to establish the diagnosis and start the appropriate treatment for this curable disease as soon as possible.
结核病(TB)是一种细菌感染,可影响身体从头到脚的任何部位,并根据感染部位的不同有不同的表现。胰腺结核非常罕见,通常作为播散性或军旅性结核的一部分发生,而孤立的胰腺结核则更为罕见。在这里,我们提出一个病例胰腺结核结核流行区,其表现为阻塞性黄疸和胰腺病变模拟胰腺恶性肿瘤。46岁沙特女性患者表现为右上腹部疼痛,伴有深色尿液和浅色粪便。该患者作为急性胆囊炎病例入住外科病房进行进一步评估。腹部超声(US)显示胆总管(CBD)扩张,但远端难以可见;因此,建议通过磁共振胆管造影(MRCP)进行进一步评估,以寻找CBD结石。MRCP显示两个局灶性胰腺病变导致CBD远端梗阻,CBD未见结石。基于这些发现,考虑恶性肿瘤,并在计算机断层扫描引导下对胰腺颈部病变进行细针穿刺活检。可见多发肉芽肿和淋巴细胞,无恶性细胞,提示胰腺结核。病人在服用了一个疗程的抗结核药物后恢复了健康。胰腺结核应纳入胰腺肿块的鉴别诊断,特别是生活在结核病流行地区的患者。活检是必要的,以确定诊断,并开始适当的治疗这种可治愈的疾病尽快。
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引用次数: 1
A grounded theory pilot study: Exploring the perceptions of patient advocacy in a Saudi Arabian critical care context 一个接地理论试点研究:探索患者倡导的观念在沙特阿拉伯重症监护的背景下
Pub Date : 2018-01-01 DOI: 10.4103/JHS.JHS_86_17
Manfred Mortell, Chean Ahmad, Khatijah Lim Abdullah
Aim: The purpose of this pilot study was to determine the applicability, feasibility and practicality of a constructivist-grounded theory design to explore the perceptions of patient advocacy amongst Saudi Arabian Intensive Care Unit (ICU) nurses and to assess the effectiveness of the data collection methodology. Background: Patient advocacy for all patients in a critical care setting is essential as a component of patient safety. However, data, information and knowledge pertaining to Saudi Arabian ICU nurses' perceptions of patient advocacy in the critical care setting are currently non-existent. Methods: The pilot study used a constructionist-grounded theory approach with a purposive sample of five Saudi Arabian ICU nurses. The data were collected using single participant semi-structured interviews which were guided by the individual participant's responses. A reflective participant journal and a follow-up focus group interview were also employed. Results: The findings of the study confirmed that a constructivist-grounded theory design was a feasible and logical approach to explore the perceptions of patient advocacy amongst Saudi Arabian ICU nurses. It also highlighted important implications for all Saudi Arabian nurses and their indigenous patients, which would ultimately enhance patient outcomes and safety. The pilot study also validated the efficacy of the data collection strategies, with the participants' approval that data collection transpired without prompting or forcing the data by the researcher. Conclusions: As novice researcher, the pilot study provided a discerning introduction to grounded theory as a research methodology. It also confirmed that a grounded theory approach was apt to explore the perceptions of patient advocacy amongst Saudi Arabian ICU nurses, in addition to being an effective participant recruitment strategy and a data collection and analysis tool.
目的:本初步研究的目的是确定构建主义理论设计的适用性、可行性和实用性,以探索沙特阿拉伯重症监护病房(ICU)护士对患者倡导的看法,并评估数据收集方法的有效性。背景:作为患者安全的一个组成部分,重症监护环境中所有患者的患者倡导是必不可少的。然而,有关沙特阿拉伯ICU护士对重症监护环境中患者倡导的看法的数据、信息和知识目前尚不存在。方法:初步研究采用建构主义扎根理论方法,目的样本为5名沙特阿拉伯ICU护士。数据是通过单个参与者的半结构化访谈收集的,该访谈以个体参与者的回答为指导。还采用了反思性参与者日记和后续焦点小组访谈。结果:研究结果证实,构建主义为基础的理论设计是一种可行的和合乎逻辑的方法来探索患者倡导的看法在沙特阿拉伯ICU护士。它还强调了对所有沙特阿拉伯护士及其土著患者的重要影响,这将最终提高患者的治疗效果和安全性。试点研究还验证了数据收集策略的有效性,参与者同意数据收集是在没有研究者提示或强迫数据的情况下进行的。结论:作为新手研究者,试点研究为扎根理论作为一种研究方法提供了一个清晰的介绍。它还证实,除了作为有效的参与者招募策略和数据收集和分析工具外,接地理论方法还易于探索沙特阿拉伯ICU护士对患者倡导的看法。
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引用次数: 1
Career choices of final year medical students and interns at King Abdulaziz University: Where does orthopaedics stand? 阿卜杜勒阿齐兹国王大学医学院毕业生和实习生的职业选择:整形外科在哪里?
Pub Date : 2018-01-01 DOI: 10.4103/JHS.JHS_49_17
A. Ashour, A. Ashour, M. Asiri, Mohammed Alghamdi, A. Jamjoom, A. Al-Ghamdi, Ali Chaudhary
Background: An extensive variety of medical specialities challenge medical students, owing to the numerous factors in choosing a profession or area of specialisation. Understanding the factors that lead to their choice of speciality is important to address the job market requirements. Objective: To determine graduating medical students' aptitude in making a career choice from King Abdulaziz University (KAU). To identify the factors affecting their career choices and determine where Orthopedic Surgery stands as a career choice amongst other specialities; and to assess whether trends and perceptions change once the students graduate and are near completing their internship. Methodology: A cross-sectional study was conducted amongst 6th year medical students and medical interns at KAU, Jeddah, Saudi Arabia, during the period of February to April 2015. A self-administered questionnaire was formulated and converted electronically and sent to the respondents through E-mail. Responses were recorded in Google spreadsheet and data analysis was done using SPSS version 23. Results: It was found that amongst the 232 respondents, Internal Medicine was the most prevalent speciality chosen by both 6th year students and interns while Orthopaedic sits at the sixth rank. Personal interest was the most important factor in choosing a speciality followed by positive experience during undergraduate elective rotation. Future job opportunity was also a consideration in addition to previous positive clerkship experience along with the desire to serve the community. Conclusion: The medical students' speciality of choice at KAU did not lean or was not affected by fixed factors, such as their grade point average, level of education or gender. Instead, their choice of speciality was greatly affected by their personal interest which is considered to be subjective by nature.
背景:由于选择专业或专业领域的众多因素,各种各样的医学专业对医学生提出了挑战。了解导致他们选择专业的因素对于满足就业市场的需求非常重要。目的:了解阿卜杜勒阿齐兹国王大学医学生的职业选择倾向。找出影响他们职业选择的因素,并在其他专业中决定骨科作为职业选择的位置;并评估一旦学生毕业并即将完成实习,趋势和观念是否会发生变化。方法:2015年2月至4月期间,在沙特阿拉伯吉达KAU的六年级医学生和医学实习生中进行了一项横断面研究。一份自我管理的问卷以电子方式编制和转换,并通过电子邮件发送给应答者。结果用谷歌电子表格记录,数据分析采用SPSS 23。结果:在232名受访者中,内科是六年级学生和实习生最普遍选择的专业,骨科排在第六位。在选择专业时,个人兴趣是最重要的因素,其次是本科选修轮转期间的积极经验。未来的工作机会也是一个考虑因素,除了以前积极的见习经验以及为社区服务的愿望。结论:大学医学生的专业选择不受学业成绩、受教育程度、性别等固定因素的影响。相反,他们的专业选择很大程度上受到个人兴趣的影响,而个人兴趣本质上被认为是主观的。
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引用次数: 6
Defensive practice among psychiatrists in middle East Countries: A questionnaire survey 中东国家精神病医生的防御行为:一项问卷调查
Pub Date : 2018-01-01 DOI: 10.4103/jhs.JHS_87_17
A. Al-Atram
Purpose: Increasing medicolegal litigations, claims and compensation have forced doctors to make some defensive changes in their practice. This study was conducted to examine the prevalence of defensive practice among psychiatrists in Middle Eastern countries along with examining the relationship of defensiveness with seniority and previous medicolegal experiences. Methods: A questionnaire with thirteen questions was shared among 215 psychiatrists practicing in Middle Eastern countries. The collected data were analysed statistically using SPSS version 21. Results: Ninety-two valid responses were received and analysed, out of which sixty-two of them were from Saudi Arabia. An overall 30% (n = 28/92) of the psychiatrists have taken a defensive action in their practice in the past one month. Nearly 28% (n = 26/92) of them approved unwanted patient admission, 30% (n = 28/92) kept the patient on a higher observation. Both these defensive actions are less prevalent among the senior psychiatrists. While 24% (n = 22/92) and 30% (n = 28/92) of psychiatrists had written specific remarks such as “not suicidal” and dictated letters more than necessary for managing patient's illness, respectively, and this behaviour was more prevalent among senior psychiatrists. Conclusion: An overall 30% (n = 28/92) of the psychiatrists have taken a defensive action in their practice over the past one month. Knowledge and experience of previous medicolegal issues were important factors influencing the defensive practice. The propensity of junior psychiatrists to practice defensively may be attributed to decreased confidence. More systematic problem-based training, proper guidelines for practice insurance and more clarity and transparency in the investigation and handling of medicolegal issues may help reduce the defensive practice and improve better patient care.
目的:越来越多的医学诉讼、索赔和赔偿迫使医生在实践中做出一些防御性的改变。本研究旨在调查中东国家精神科医生中防御行为的普遍程度,以及防御行为与资历和以前的医学经验之间的关系。方法:对在中东国家执业的215名精神病医生进行问卷调查,共13个问题。收集的数据采用SPSS 21版进行统计学分析。结果:收到并分析了92份有效回复,其中62份来自沙特阿拉伯。在过去的一个月里,总共有30%(28/92)的精神科医生在执业过程中采取了防御措施。近28% (n = 26/92)的患者同意非自愿入院,30% (n = 28/92)的患者继续观察。这两种防御行为在资深精神科医生中都不那么普遍。24% (n = 22/92)和30% (n = 28/92)的精神科医生曾分别写下诸如“不自杀”之类的具体评论,以及口述超过管理病人疾病所需的信件,而这种行为在资深精神科医生中更为普遍。结论:30%(28/92)的精神科医生在过去一个月的执业中采取了防御措施。以往的医学问题知识和经验是影响辩护实践的重要因素。初级精神科医生的防御性执业倾向可能归因于自信心的下降。更系统的基于问题的培训,适当的执业保险指导方针,以及在调查和处理医学法律问题方面更加清晰和透明,可能有助于减少防御性执业,改善对患者的更好护理。
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引用次数: 1
A cross-sectional survey on nursing students' attitude towards research 护生科研态度的横断面调查
Pub Date : 2017-10-01 DOI: 10.4103/JHS.JHS_36_17
Samia Al Furaikh, Badriyah Al Omairi, T. Ganapathy
Background: Nursing research promotes optimum care for patients through evidence-based nursing practice. Students' attitude towards research motivates them to engage in research, develop research skills and apply research findings in clinical settings to promote positive patient outcome. Aim: The aim of this study is to analyse the attitudes of undergraduate nursing students towards research component in order to discover implications for the best practices in teaching/learning process. Materials and Methods: A descriptive, cross-sectional investigation was carried out with purposively selected n = 186, level 5–8 students at the College of Nursing-A, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa from 2016 to 2107. With informed, voluntary consent, data on students' attitudes towards research were collected using a self-administered questionnaire. The questionnaire consisted of 32 items on a Likert scale of strongly agree (4) to strongly disagree (1) with the scores ranging from 32 to 128. Analyses were performed using SPSS version 20. Results: The overall attitude towards research was positive with a mean score (68.4 ± 6.580). Most of the students (78%) regarded that research is useful for the nursing profession. Positive attitude towards research was demonstrated by 68% of the nursing students, 61% reported that research plays an important role in professional and personal life, whereas the highest proportion of students (71%) perceived research as a difficult, complicated, stressful subject and 64% reported statistical difficulty. Conclusion: Although many of the students have a favourable attitude towards the research process and acknowledge its usefulness and benefit to the nursing profession, many of them perceived their research course as stressful. Most of them reported having negative feelings and anxiety towards the research process. Incorporating research course(s) into the curriculum at the pre-university level and having a statistical expert from the research centre teach learning strategies, would yield more positive experiences for students.
背景:护理研究通过循证护理实践促进患者的最佳护理。学生对研究的态度激励他们从事研究,发展研究技能,并将研究成果应用于临床环境,以促进积极的患者结果。目的:本研究的目的是分析本科护生对研究成分的态度,以发现教学/学习过程中最佳实践的启示。材料与方法:采用描述性横断面调查方法,有目的地选择2016年至2010年在Al-Ahsa沙特国王本·阿卜杜勒阿齐兹健康科学大学A护理学院5-8级学生186名。在知情、自愿同意的情况下,使用自我管理的问卷收集了学生对研究态度的数据。问卷由32个题项组成,采用李克特量表,从非常同意(4)到非常不同意(1),得分范围从32到128。使用SPSS version 20进行分析。结果:总体研究态度积极,平均得分(68.4±6.580)分。大多数学生(78%)认为研究对护理专业有帮助。68%的护理专业学生对研究表现出积极的态度,61%的学生报告说研究在职业和个人生活中起着重要作用,而最高比例的学生(71%)认为研究是一个困难、复杂、有压力的主题,64%的学生报告统计困难。结论:虽然许多学生对研究过程持积极态度,并承认其对护理专业的有用性和益处,但他们中的许多人认为他们的研究课程压力很大。他们中的大多数人报告说对研究过程有负面情绪和焦虑。将研究课程纳入大学预科课程,并由研究中心的统计专家教授学习策略,将为学生带来更积极的经验。
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引用次数: 17
The practice and attitude towards plagiarism among postgraduate trainees in Saudi Arabia 沙特阿拉伯研究生对抄袭的做法和态度
Pub Date : 2017-10-01 DOI: 10.4103/JHS.JHS_64_17
Abdullah E. Kattan, F. Alshomer, Abdullaziz K Alhujayri, Faisal A. Alfaqeeh, Yasser A. Alaska, Khwlaa Alshakrah
Introduction: Plagiarism is 'The wrongful appropriation or purloining and publication as one's own, of the ideas, or the expression of the ideas'. It is the most commonly committed research misconduct with the prevalence of 2%. Its effect can be devastating and damaging to science, indicating the need to recognise and curb such an act. Methodology: A cross-sectional survey was distributed to in-training residents from all specialities in one academic hospital using the attitude towards plagiarism questionnaire. Results: A total of 221 physicians in-training participated in this study. 52.2% were males and 47.5% were females. About half of the respondents (48.9%) had attended a medical writing course, 45.2% published manuscripts and 67% had attended courses in medical research ethics. Respondents had a mean positive attitude towards plagiarism score of 29.56 ± 6.81, indicating an inclination towards plagiarism. Moreover, the mean negative attitude towards plagiarism score was 26.26 ± 3.78, indicating the tendency towards diminished tolerance of plagiarism. Furthermore, subjective norms score showed a mean value of 24.84 ± 5.47, representing an inclination towards personal approval of plagiarism practice in society. No strong correlation was found between attending research ethics course and plagiarism. However, we found that having a previous publication or attending medical writing courses was significantly associated with positive leaning towards plagiarism. Conclusions: Despite having had courses in medical writing, research ethics and/or published a scientific manuscript before; we still found a positive lean towards plagiarism. This emphasises the importance of tackling such behaviour by increasing the level of awareness among trainees to avoid such misconduct.
引言:抄袭是“错误地挪用或窃取并作为自己的想法或想法的表达发表”。这是最常见的研究不端行为,发生率为2%。它的影响可能是毁灭性的,对科学是破坏性的,这表明有必要认识和遏制这种行为。方法:采用横断面调查法,对某学术医院各专科住院医师进行对抄袭态度问卷调查。结果:共有221名实习医师参与本研究。男性占52.2%,女性占47.5%。约一半(48.9%)受访者曾参加医学写作课程,45.2%曾发表论文,67%曾参加医学研究伦理学课程。受访者对抄袭的平均积极态度得分为29.56±6.81,表示有抄袭倾向。对抄袭的平均消极态度得分为26.26±3.78,表明学生对抄袭的容忍度有下降的趋势。主观规范得分平均值(24.84±5.47),代表个人对社会剽窃行为的认同倾向。参加研究伦理课程与抄袭之间没有很强的相关性。然而,我们发现以前发表过论文或参加过医学写作课程与抄袭倾向显著相关。结论:尽管之前有过医学写作、研究伦理和/或发表过科学手稿的课程;我们仍然发现了抄袭的积极倾向。这强调了通过提高受训者对避免此类不当行为的认识水平来解决此类行为的重要性。
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引用次数: 12
Factors influencing the choice of ophthalmology as a career among medical students of king saud bin abdulaziz university Riyadh, Saudi Arabia 影响沙特阿拉伯利雅得国王本阿卜杜勒阿齐兹大学医学生选择眼科作为职业的因素
Pub Date : 2017-10-01 DOI: 10.4103/JHS.JHS_61_17
S. Alsalman, Ghadah S. AlQahtani, B. Alasmari, Salwa Alrashed Alhumaid, E. Masuadi
Context: Choosing a future speciality for medical students can be frightening as well as confusing. Identifying factors that influence medical students' future career choice is critical and can play an important role in shaping the future workforce. Aims: The study aims to determine factors associated with medical students' preference of Ophthalmology as a future career choice at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS). Settings and Design: A cross-sectional study was carried out among Saudi students of both genders who were enrolled in KSAU-HS (clinical phase) during the study. Subjects and Methods: A validated questionnaire was sent through E-mail to 302 eligible students, of which 275 participated, with a response rate of (91%). Statistical Analysis Used: Descriptive analysis was carried out for all categorical variables. In addition, data were compared using Chi-square test; all tests were two-sided and P < 0.05 was considered statistically significant. Results: A total of 28 students (10.2%) considered Ophthalmology as their first choice, while it was the second choice for four students (1.5%). Among all the participants, factors that attracted medical students to consider Ophthalmology as a career choice included the high income (54%), private sector opportunities (40%), part-time opportunities (40%) and leisure (34%). Whereas, the difficulty of getting into the Ophthalmology Residency Programme (53%) was the most important factor that pushed students away from choosing Ophthalmology. Conclusions: Multiple factors influenced the KSAU-HS medical students' choice of when choosing a future speciality. Knowing these factors can help in directing work-force to choose specialities that are currently limited in Saudi Arabia.
背景:医科学生未来的专业选择既令人恐惧又令人困惑。确定影响医学生未来职业选择的因素至关重要,并且可以在塑造未来劳动力方面发挥重要作用。目的:本研究旨在确定与沙特国王本阿卜杜勒-阿齐兹健康科学大学(ksauu - hs)医学生偏好眼科作为未来职业选择相关的因素。背景和设计:横断面研究在研究期间参加ksa - hs(临床阶段)的沙特男女学生中进行。对象与方法:通过电子邮件向302名符合条件的学生发送有效问卷,其中275人参与,回复率为91%。统计分析方法:对所有分类变量进行描述性分析。数据比较采用卡方检验;所有检验均为双侧检验,P < 0.05为有统计学意义。结果:共有28名学生(10.2%)将眼科作为第一选择,4名学生(1.5%)将眼科作为第二选择。在所有受访者中,吸引医学生考虑将眼科作为职业选择的因素包括高收入(54%)、私营机构的机会(40%)、兼职机会(40%)和休闲(34%)。然而,进入眼科住院医师项目的难度(53%)是促使学生放弃选择眼科的最重要因素。结论:影响我校医学生未来专业选择的因素有多种。了解这些因素可以帮助指导劳动力选择目前在沙特阿拉伯有限的专业。
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引用次数: 1
Publication output of Riyadh government hospitals: A bibliometric analysis 2006–2016 利雅得政府医院的出版物产量:2006-2016年文献计量分析
Pub Date : 2017-10-01 DOI: 10.4103/JHS.JHS_77_17
Ali Howaidi, Jude Howaidi, Nora Howaidi
Objective: The objective of this study was to perform and showcase a bibliometric analysis that demonstrates a quantitative research publication output in government hospitals in Riyadh, Saudi Arabia between 2006 and 2016. Methods: Scopus database was used for this bibliometric analysis in order to gather information relative to research publication output and types of publications. Data analysis was conducted using Microsoft Excel. Results: A total of 8420 publications were retrieved between 2006 and 2016. King Faisal Specialist Hospital and Research Centre contributed 3710 (44.06%) of the total publications followed by King Khalid University Hospital with 1293 (15.35%), while King Saud Medical City had 56 (0.66%) publications and King Salman Hospital had only 17 (0.20%). Articles were the most utilised form of publication adding up to 6631 (78%), followed by 779 (9.25%) reviews and 410 (4.86%) letters. The least used forms of publication were short surveys with 19 (0.22%) publications and books at 5 (0.05%). Conclusion: Saudi Arabia is growing and improving in terms of research publication output from government hospitals in Riyadh.
目的:本研究的目的是执行并展示一项文献计量分析,该分析展示了2006年至2016年间沙特阿拉伯利雅得政府医院的定量研究出版物产出。方法:采用Scopus数据库进行文献计量学分析,收集与研究出版物产量和出版物类型相关的信息。使用Microsoft Excel进行数据分析。结果:2006 - 2016年共检索文献8420篇。费萨尔国王专科医院和研究中心贡献了3710篇(44.06%),其次是哈立德国王大学医院,1293篇(15.35%),而沙特国王医疗城有56篇(0.66%),萨勒曼国王医院只有17篇(0.20%)。文章是最常用的出版形式,共计6631篇(78%),其次是评论779篇(9.25%),信件410篇(4.86%)。使用最少的出版形式是简短调查,有19种(0.22%)出版物和5种(0.05%)书籍。结论:沙特阿拉伯在利雅得政府医院的研究出版物产出方面正在增长和改善。
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引用次数: 3
Knowledge, attitude and practice of breast self-examination among females in medical and non-medical colleges in Qassim University 卡西姆大学医学院和非医学院女性乳房自我检查的知识、态度和做法
Pub Date : 2017-10-01 DOI: 10.4103/JHS.JHS_137_16
Safiya Ibnawadh, Mashael Alawad, Shorouq Alharbi, Nada Alduawihi, Feda Alkowiter, Anfal Alsalhy, Ameerah Alzahrani, Lamia Alenizy
Aims: The objective of this study was to investigate any difference between females in medical and non-medical colleges for (1) knowledge and attitude of breast self-examination (BSE) and (2) practice of BSE. Subjects and Methods: A cross-sectional study was conducted in Qassim University during 2014-2015. Cluster random sample method was used. The sample size consisted of 365 females. A confidential and self-administered questionnaire was used to collect data. Results: Age range of the study participants was from 18 to 55 years, with a mean of 20.3 years. Moreover, 11% of the subjects had positive family history of breast cancer. Regarding their knowledge levels about BSE, 95.8% of medical students had heard of BSE in comparison to 93.3% of non-medical students. Social media was the most commonly reported source of BSE information (50.14%). We found that 49.7% of medical students had carried out BSE previously in comparison to 35.71% of the non-medical students. Conclusions: Both medical and non-medical students showed lack of knowledge in BSE and even though their attitude towards it was positive, medical students had a better attitude towards it. Moreover, regarding the practice, the percentage of medical students who perform BSE was higher than that of non-medical students.
目的:本研究的目的是调查医学院校女生与非医学院校女生在(1)乳腺自我检查(BSE)知识和态度以及(2)乳腺自我检查实践方面的差异。研究对象与方法:2014-2015年在卡西姆大学进行横断面研究。采用整群随机抽样方法。样本量为365名女性。使用保密和自我管理的问卷来收集数据。结果:研究对象年龄18 ~ 55岁,平均20.3岁。此外,11%的研究对象有乳腺癌家族史。就有关疯牛病的知识水平而言,95.8%医科学生曾听说过疯牛病,而非医科学生则为93.3%。社交媒体是最常见的疯牛病信息来源(50.14%)。我们发现49.7%的医学生曾患过疯牛病,而非医学生的这一比例为35.71%。结论:医学生和非医学生均表现出对疯牛病知识的缺乏,尽管医学生对疯牛病的态度是积极的,但医学生对疯牛病的态度更好。此外,就实践而言,医学生实施疯牛病的百分比高于非医学生。
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引用次数: 19
期刊
Journal of Health Specialties
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