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Hajj 2016: Safeguarding the faithful - Saudi Arabia takes the long view 2016年朝觐:保护信徒——沙特阿拉伯目光长远
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191902
Qanta A. A. Ahmed, Z. Memish
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引用次数: 1
Incidence of postoperative complications of simultaneous bilateral total knee arthroplasty in relation to American Society of Anesthesiologists risk scoring, pilot study 同时双侧全膝关节置换术术后并发症发生率与美国麻醉医师协会风险评分的关系,初步研究
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191910
M. Abbas, Ahmed A. Habis, Hamza Y Alshatri, A. Kaki
Introduction: As a procedure, simultaneous bilateral total knee arthroplasty (SB-TKA) has not received its acceptance into routine clinical practice yet; perhaps, due to concerns regarding higher rates of perioperative complications associated with it as compared to the conventional unilateral procedure. The objective of the current study is to assess the safety of SB-TKA in relation to the American Society of Anesthesiologists (ASA) score and to assess the incidence of postoperative complications. Materials and Methods: In a prospective study, 25 patients underwent SB-TKA between January 2011 and April 2014. The inclusion criteria comprised patients with bilateral end-stage primary osteoarthritis of knees interfering with daily activities. A well-defined pre-determined protocol for pre- and postoperative care was adhered. Results: The study included 8 male and 17 female patients. Mean age of the patients was 66.4 ± 8.3 years. Five cases were classified as ASA-1 (20%), 11 cases as ASA-2 (44%) and 9 cases as ASA-3 (36%). No death, deep venous thrombosis, pulmonary embolism or neurological injury was reported in any of our patients postoperatively. One patient developed chest congestion on day 2 and was treated conservatively. One patient suffered from non-ST-segment elevation myocardial ischaemia on day 3 and was treated uneventfully. Two patients had a minor complication in the form of wound infection. No statistical relation was found between ASA risking score and postoperative complications. Conclusion: SB-TKA is a safe procedure if done after careful selection of patients in addition to a proper pre- and postoperative management protocol.
摘要:双侧同期全膝关节置换术(SB-TKA)作为一种手术方式尚未被临床常规接受;也许是因为与传统单侧手术相比,该手术的围手术期并发症发生率较高。本研究的目的是评估SB-TKA与美国麻醉医师协会(ASA)评分的安全性,并评估术后并发症的发生率。材料和方法:在一项前瞻性研究中,25例患者在2011年1月至2014年4月期间接受了SB-TKA。纳入标准包括双侧终末期原发性膝关节骨关节炎干扰日常活动的患者。术前和术后护理遵循明确的预先确定的方案。结果:纳入男性8例,女性17例。患者平均年龄66.4±8.3岁。ASA-1型5例(20%),ASA-2型11例(44%),ASA-3型9例(36%)。术后无死亡、深静脉血栓形成、肺栓塞或神经损伤报告。1例患者在第2天出现胸充血,予以保守治疗。1例患者在第3天出现非st段抬高型心肌缺血,治疗顺利。2例患者有轻微的伤口感染并发症。ASA风险评分与术后并发症无统计学意义。结论:如果经过精心选择患者,加上适当的术前和术后管理方案,SB-TKA是一个安全的手术。
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引用次数: 0
Health promotion in the workplace 在工作场所促进健康
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191906
S. Al-Otaibi
The objective of this review was to describe the scientific evidence for coordinating health promotion at the workplace and to discuss the required future research in this field. Literature review from March 1990 to November 2014 was performed. Using the keywords ′health, promotion, worksite and workplace′, literature was searched in the following databases: Medline, PubMed and Google Scholar; with no time limit. There is emerging evidence that workplace health promotion enhances the effectiveness of effort to promote and protect workers′ health. It proves both cost-effective and cost-beneficial to health promotion at the worksite and subsequently further reduces absenteeism. However, future research is needed to identify the impact of other factors such as age, gender and race on workers′ exposure. There is also a need to develop valid tests to measure the outcome of these programmes at the workplace. Health promotion should be central to workplace planning and should be recognised as an integral part of proactive occupational health. Indeed, the workplace is viewed as one of the most popular venues for promoting health and preventing diseases among employees.
本综述的目的是描述协调工作场所健康促进的科学证据,并讨论该领域未来需要进行的研究。回顾1990年3月至2014年11月的文献。使用关键词“健康、推广、工作场所和工作场所”,在以下数据库中检索文献:Medline、PubMed和Google Scholar;没有时间限制。越来越多的证据表明,促进工作场所健康可以提高促进和保护工人健康工作的效力。事实证明,这既符合成本效益,又有利于在工作场所促进健康,从而进一步减少缺勤。然而,未来的研究需要确定年龄、性别和种族等其他因素对工人暴露的影响。还需要制定有效的测试来衡量这些方案在工作场所的成果。促进健康应是工作场所规划的核心,并应被视为主动职业健康的一个组成部分。事实上,工作场所被视为促进员工健康和预防疾病的最受欢迎的场所之一。
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引用次数: 0
Children′s growth pattern and mothers′ education and socio-economic status in Riyadh, Saudi Arabia 沙特阿拉伯利雅得儿童成长模式、母亲教育和社会经济地位
Pub Date : 2016-10-01 DOI: 10.4103/2468-6360.191909
Suliman Ibrahim Alhaidari, A. A. Al Houssien, Mohammad Ahmed Alteraiqi, Assad Al Arafah, Rana Al Houssien, O. Alhaidari, A. Omair
Background: An important indication of a child′s well-being is evidence of having a normal growth pattern. A child′s growth pattern is influenced by multiple factors, genetic and/or environmental. From an environmental point of view, the socio-economic status of the mother plays an important role in a child′s growth during the early stages of childhood. Aim: The aim of this study was to explore the association between mothers′ educational and socio-economic status on their children′s growth in Riyadh. Methods: A cross-sectional study was conducted in eight hospitals in Riyadh. The target population was children aged between 1 month and 7 years and their mothers visiting the vaccination clinics. The mother′s data were collected using a structured interview, and the child′s weight and height were measured and plotted on growth charts. Results: A total of 744 mothers and children were screened (392 males, 352 females). The proportion of children with weight and height under the 25 th percentile was 40% and 29%, respectively. In terms of education, the height of a higher proportion of children (33%) was under the 25 th percentile if the mother had a high school education compared with 25% when the mother had a college education (P = 0.02). Private sector-employed mothers had a lower proportion of children (26%) with weight below the 25 th percentile compared to mothers who were government-employed or unemployed (both 41%). Mothers living in an apartment had a significantly lower proportion of children (24%) with height under the 25 th percentile compared to mothers living in a house (33%) (P = 0.04). In addition, mothers living in a rented residence had a significantly lower proportion (40%) of children with weight under the 25 th percentile than mothers living in owned ones (42%) (P = 0.02). Conclusion: Underweight and short stature among children are associated with less educated and unemployed mothers and with mothers who live in a house. The mother′s socio-economic background provides various indicators that could be further researched to identify children who are at risk.
背景:儿童健康的一个重要标志是有正常生长模式的证据。儿童的生长模式受到多种因素的影响,包括遗传和/或环境因素。从环境的角度来看,母亲的社会经济地位在儿童早期阶段的成长中起着重要作用。目的:本研究的目的是探讨母亲的教育和社会经济地位对其子女在利雅得的成长之间的关系。方法:在利雅得的八家医院进行横断面研究。目标人群是到疫苗接种诊所就诊的1个月至7岁的儿童及其母亲。通过结构化访谈收集了母亲的数据,并测量了孩子的体重和身高,并绘制在生长图表上。结果:共筛查母亲和儿童744例(其中男性392例,女性352例)。体重和身高低于第25百分位的儿童比例分别为40%和29%。在受教育程度方面,母亲受过高中教育的孩子身高低于第25百分位的比例较高(33%),而母亲受过大学教育的孩子身高低于第25百分位的比例为25% (P = 0.02)。与受雇于政府或失业的母亲(均为41%)相比,受雇于私营部门的母亲体重低于第25百分位的子女比例(26%)较低。在身高低于第25百分位的子女中,住公寓的母亲所占比例(24%)明显低于住房子的母亲(33%)(P = 0.04)。此外,租房母亲体重低于第25百分位的孩子所占比例(40%)显著低于自有住房母亲(42%)(P = 0.02)。结论:儿童体重过轻和身材矮小与母亲受教育程度较低和失业以及母亲住在房子里有关。母亲的社会经济背景提供了可以进一步研究的各种指标,以确定处于危险中的儿童。
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引用次数: 4
Awareness of online medical databases - UpToDate® and BMJ - among Ministry of Health staff in Saudi Arabia: A cross-sectional survey 沙特阿拉伯卫生部工作人员对在线医学数据库(UpToDate®和BMJ)的认识:一项横断面调查
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186505
H. S. Ahmed, F. Kaliyadan, Mohammed J. Alramadan, Hany Shahin
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引用次数: 0
It all starts and ends with the programme director 一切从项目主管开始,到结束
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186474
F. Munshi
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引用次数: 0
Extensive intracranial calcification and neurological manifestations 广泛的颅内钙化和神经系统症状
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186506
M. Sasani
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引用次数: 0
The Global Burden of Disease: A critical resource for informed policy making in the Gulf region 《全球疾病负担:海湾地区知情决策的重要资源》
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186482
A. Mokdad
The Gulf countries have made tremendous improvements in their health systems in a short period of time due to extensive investments. However, during the same time period, rapid changes in lifestyle habits led to a changing burden of disease. In this manuscript, we report the burden of disease and risk factors for the Gulf countries (Bahrain, Kuwait, Oman, Qatar, Kingdom of Saudi Arabia, United Arab Emirates, and Yemen) measured by causes of death, years of life lost due to premature mortality (YLLs), years of life lived with disability (YLDs), and disability-adjusted life years (DALYs) for the years 1990 to 2013. Our findings showed a decline of infectious diseases and a rising burden of road traffic accidents and non-communicable diseases while Yemen is still facing a large burden from communicable diseases. Our findings call for the development and implementation of programmes to reduce these burdens and engage other sectors such as the Government and the community in these efforts. These programmes need to be developed and adopted locally since many of the programmes found in the literature may not succeed in the region. Moreover, there is an urgent need for a political will and legislations to ensure their success.
由于广泛的投资,海湾国家在短时间内在卫生系统方面取得了巨大的进步。然而,在同一时期,生活习惯的迅速变化导致疾病负担的变化。在这篇论文中,我们报告了海湾国家(巴林、科威特、阿曼、卡塔尔、沙特阿拉伯王国、阿拉伯联合酋长国和也门)的疾病负担和危险因素,通过死亡原因、因过早死亡而损失的生命年数(YLLs)、残疾生活年数(YLDs)和残疾调整生命年数(DALYs)来衡量1990年至2013年的疾病负担和危险因素。我们的调查结果显示,传染病下降,道路交通事故和非传染性疾病负担上升,而也门仍然面临着传染病的巨大负担。我们的研究结果呼吁制定和实施减轻这些负担的方案,并让政府和社区等其他部门参与这些努力。这些方案需要在当地制定和采用,因为文献中发现的许多方案在该区域可能不会成功。此外,迫切需要政治意愿和立法来确保其成功。
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引用次数: 5
Mass gatherings: A one-stop opportunity to complement global disease surveillance 大规模集会:补充全球疾病监测的一站式机会
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186487
Habida Elachola, E. Gozzer, J. Zhuo, Samba Sow, R. Kattan, S. Mimesh, J. Al-Tawfiq, Mohammed Al-Sultan, Z. Memish
Emerging infections including those resulting from the bioterrorist use of infectious agents have indicated the need for global health surveillance. This paper reviews multiple surveillance opportunities presented by mass gatherings (MGs) that align with fundamental questions in epidemiology (why, what, who, where, when and how). Some MGs bring together large, diverse population groups coming from countries with high prevalence of communicable diseases and disparate surveillance capacities. MGs have the potential to exacerbate the transmission dynamics of infectious diseases due to various factors including the high population density and rigor of events, increase in number of people with underlying diseases that predisposes them to disease acquisition, mixing of people from countries or regions with and without efficient disease control efforts, and varying endemicity or existence of communicable diseases in home countries. MGs also have the potential to increase the opportunities for mechanical and even heat-related injuries, morbidity or deaths from accidents, alcohol use, deliberate terrorist attacks with biological agents and/or with explosives and from exacerbation of pre-existing conditions. Responding to these wider range of events may require the use of novel bio-surveillance systems designed to collect data from different sources including electronic and non-electronic medical records from emergency departments and hospitalisations, laboratories, medical examiners, emergency call centres, veterinary, food processors, drinking water systems and even other non-traditional sources such as over-the-counter drug sales and crowd photographs. Well-structured, interoperable real-time surveillance and reporting systems should be integral to MG planning. The increase in magnitude of participants exceeding millions and diversity of people attending MGs can be proactively used to conduct active surveillance of communicable and non-communicable diseases or indicators of global and national public health interest during MGs than can collectively complement efforts to enhance global health security.
新出现的感染,包括利用传染物进行生物恐怖活动造成的感染,表明需要进行全球卫生监测。本文回顾了群众集会(MGs)提供的多种监测机会,这些机会与流行病学的基本问题(为什么、什么、谁、在哪里、何时和如何)一致。一些监测小组将来自传染病高发国家和监测能力各异的大量不同人口群体聚集在一起。由于各种因素,包括人口密度高和事件的严重性,患有潜在疾病的人数增加,使他们容易感染疾病,来自有或没有有效疾病控制措施的国家或地区的人混合在一起,以及本国不同的地方性或传染性疾病的存在,mg有可能加剧传染病的传播动态。mg还可能增加机械性甚至与热有关的伤害、因事故、饮酒、使用生物剂和(或)爆炸物进行蓄意恐怖袭击以及因原有疾病恶化而造成的发病率或死亡的机会。应对这些范围更广的事件可能需要使用新型生物监测系统,旨在从不同来源收集数据,包括来自急诊科和医院、实验室、法医、紧急呼叫中心、兽医、食品加加工者、饮用水系统甚至其他非传统来源(如非处方药销售和人群照片)的电子和非电子医疗记录。结构良好、可互操作的实时监视和报告系统应该是MG计划的组成部分。在联大期间,与会者人数增加到数百万以上,参加人员多样化,可积极用于对传染性和非传染性疾病或全球和国家公共卫生利益指标进行主动监测,从而共同补充加强全球卫生安全的努力。
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引用次数: 14
Eliciting students′ perceptions of integrated clinical dental education in Saudi Arabia: A cross-sectional study 激发学生对沙特阿拉伯综合临床牙科教育的看法:一项横断面研究
Pub Date : 2016-07-01 DOI: 10.4103/2468-6360.186494
M. Al-Dajani
Purpose: The purpose of this study was to evaluate the following research questions: (1) What are dental students′ perceptions of their clinical training in an integrated curriculum? and (2) What are the students′ confidence levels in performing routine dental procedures? Materials and Methods: A cross-sectional study was conducted among 32 undergraduate students in the last 2 years of the dental program in April 2015 at the College of Dentistry, Aljouf University. The survey included 16 items that describe dental students′ confidence levels in performing various clinical procedures. Data were analysed using univariate, bivariate and multivariate analyses, as indicated. Results: Students demonstrated high levels of confidence in performing routine clinical procedures, whereas the 5 th year students were more confident in interpreting radiographs, giving oral hygiene instructions, performing extractions and restorative treatments, as well as fabricating removable complete dentures. The mean confidence level among students in performing clinical procedures was 2.9 (standard deviation = 0.48). The mean confidence level significantly increased among the 5 th year students compared to their 4 th year counterpart (P = 0.005), while the effect of grade point average and number of weekly hours devoted to the study was not significant. Conclusion: In the integrated curriculum, our study highlights the importance of clinical training not only in making dental students competent but also in increasing their confidence in performing clinical procedures.
目的:本研究的目的是评估以下研究问题:(1)牙科学生对他们在综合课程中的临床训练的看法是什么?(2)学生对进行常规牙科手术的信心如何?材料与方法:于2015年4月对阿尔儒夫大学牙科学院牙科专业最后2年的32名本科生进行横断面研究。调查包括16个项目,描述牙科学生在执行各种临床程序时的信心水平。如所示,数据分析采用单因素、双因素和多因素分析。结果:学生在进行常规临床操作方面表现出较高的信心,而五年级学生在解释x线片,给予口腔卫生指导,进行拔牙和修复治疗以及制作可拆卸全口义齿方面表现出更大的信心。学生执行临床程序的平均置信水平为2.9(标准差= 0.48)。与四年级学生相比,五年级学生的平均信心水平显著提高(P = 0.005),而平均成绩和每周投入学习的小时数的影响不显著。结论:在综合课程中,我们的研究强调了临床训练的重要性,不仅使牙科学生能够胜任,而且增加了他们执行临床程序的信心。
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引用次数: 1
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Journal of Health Specialties
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