Pub Date : 2022-07-01DOI: 10.4103/jnsm.jnsm_167_21
J. James, M. Puranik, K. Sowmya
Introduction: Malocclusion is one of the common public health problems worldwide. The study aimed to assess the self-perception of dental esthetics, malocclusion, and oral health-related quality of life (OHRQoL) and to determine the relation between them among 13–15-year-old schoolchildren in Bengaluru. Materials and Methods: In this cross-sectional study, 540 children were selected equally from government, aided, and private schools in Bengaluru. Self-perception of dental esthetics was measured using Oral Aesthetic Subjective Impact Scale (OASIS), whereas malocclusion and OHRQoL were assessed using Dental Aesthetic Index and Oral Health Impact Profile-14 (OHIP-14), respectively. Descriptive and analytical statistics was done using the SPSS 22. Analysis of variance, Kruskal‒Wallis test, and Pearson correlation test were used. P < 0.05 was considered statistically significant. Results: The prevalence of malocclusion was found to be 29.63%. Among schoolchildren, the mean OASIS scores (self-perception) and OHIP-14 scores were 14.62 ± 6.93 and 9.04 ± 8.07, respectively. There was a significant difference among government, aided, and private schoolchildren regarding “definite malocclusion” and mean OHIP scores. Overall, there was a significant weak correlation between the severity of malocclusion and OHIP scores ([r = 0.259], [P = 0.01]) as well as between the severity of malocclusion and OASIS scores ([r = 0. 192], [P = 0.02]). Conclusion: The severity of malocclusion significantly correlated with self-perception of dental esthetics and OHRQoL among schoolchildren. Hence, there is a relation between self-perception of dental esthetics and malocclusion as well as malocclusion and OHRQoL.
{"title":"Self-perception of dental esthetics, malocclusion, and oral health-related quality of life among 13–15-year-old schoolchildren in Bengaluru: A cross-sectional study","authors":"J. James, M. Puranik, K. Sowmya","doi":"10.4103/jnsm.jnsm_167_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_167_21","url":null,"abstract":"Introduction: Malocclusion is one of the common public health problems worldwide. The study aimed to assess the self-perception of dental esthetics, malocclusion, and oral health-related quality of life (OHRQoL) and to determine the relation between them among 13–15-year-old schoolchildren in Bengaluru. Materials and Methods: In this cross-sectional study, 540 children were selected equally from government, aided, and private schools in Bengaluru. Self-perception of dental esthetics was measured using Oral Aesthetic Subjective Impact Scale (OASIS), whereas malocclusion and OHRQoL were assessed using Dental Aesthetic Index and Oral Health Impact Profile-14 (OHIP-14), respectively. Descriptive and analytical statistics was done using the SPSS 22. Analysis of variance, Kruskal‒Wallis test, and Pearson correlation test were used. P < 0.05 was considered statistically significant. Results: The prevalence of malocclusion was found to be 29.63%. Among schoolchildren, the mean OASIS scores (self-perception) and OHIP-14 scores were 14.62 ± 6.93 and 9.04 ± 8.07, respectively. There was a significant difference among government, aided, and private schoolchildren regarding “definite malocclusion” and mean OHIP scores. Overall, there was a significant weak correlation between the severity of malocclusion and OHIP scores ([r = 0.259], [P = 0.01]) as well as between the severity of malocclusion and OASIS scores ([r = 0. 192], [P = 0.02]). Conclusion: The severity of malocclusion significantly correlated with self-perception of dental esthetics and OHRQoL among schoolchildren. Hence, there is a relation between self-perception of dental esthetics and malocclusion as well as malocclusion and OHRQoL.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"262 - 267"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42457430","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}
Background: Diversity in clinical practice may become a problem and increase the risk of errors. Several tools have been suggested to reduce this diversity and improve unification in clinical practice. These tools include the clinical pathway, clinical guidelines, and practice protocol. They have been proven effective. However, there are different barriers to their application. Methods and Data Analysis: A cross-sectional survey in the Eastern Province of the Kingdom of Saudi Arabia aimed to identify the availability of the clinical pathway, clinical guidelines, and practice protocol and their benefits, as well as barriers in their development and utilization. Both quantitative and qualitative analyses were used to evaluate the study results. Findings are presented as numbers and percentages. Results: Clinical pathway, clinical guidelines, and practice protocol are available to a large extent in the Eastern Province. The study showed some difficulties in the development and implementation of these tools, such as insufficient training and leader support. It also provided some suggestions to overcome these barriers. Conclusion: The availability of clinical pathway, clinical guidelines, and practice protocol has helped unify practice and reduce errors in the clinical setting. The barriers can be overcome by different solutions.
{"title":"Extent and feasibility of the application of the clinical pathway, clinical guideline, and practice protocol in eastern province Saudi Arabian Hospitals: A cross-sectional survey study","authors":"Zahra Al Qamariat, K. Alkhalifah, Safia Alqarni","doi":"10.4103/jnsm.jnsm_9_22","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_9_22","url":null,"abstract":"Background: Diversity in clinical practice may become a problem and increase the risk of errors. Several tools have been suggested to reduce this diversity and improve unification in clinical practice. These tools include the clinical pathway, clinical guidelines, and practice protocol. They have been proven effective. However, there are different barriers to their application. Methods and Data Analysis: A cross-sectional survey in the Eastern Province of the Kingdom of Saudi Arabia aimed to identify the availability of the clinical pathway, clinical guidelines, and practice protocol and their benefits, as well as barriers in their development and utilization. Both quantitative and qualitative analyses were used to evaluate the study results. Findings are presented as numbers and percentages. Results: Clinical pathway, clinical guidelines, and practice protocol are available to a large extent in the Eastern Province. The study showed some difficulties in the development and implementation of these tools, such as insufficient training and leader support. It also provided some suggestions to overcome these barriers. Conclusion: The availability of clinical pathway, clinical guidelines, and practice protocol has helped unify practice and reduce errors in the clinical setting. The barriers can be overcome by different solutions.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"299 - 308"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42571352","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}
Background: Computer vision syndrome (CVS) is a group of visual and musculoskeletal symptoms that are associated with the use of computers and electronic devices. The use of computers is increasing in the field of education which puts teachers at higher risk of CVS. The severity of CVS symptoms can affect teachers' quality of life and productivity. Aim: This study aims to estimate the prevalence of CVS and its symptoms among Riyadh high school teachers in 2020. The secondary objectives were to determine the factors associated with CVS among high school teachers and to compare between the symptoms of CVS in male and female school teachers. Subjects and Methods: This is an observational cross-sectional study. Data were collected by self-administered questionnaire from teachers working in public high schools in Riyadh, Saudi Arabia, using a multistage random sampling technique. Data analysis including descriptive statistics and Chi-square test was performed using SPSS. Results: The prevalence of experiencing one or more symptoms of CVS among high school teachers was 94.6%. The most common symptom was neck and shoulder pain, reported by 84.9% of high school teachers. Male teachers were 80% less likely to have CVS (odds ratio [OR] = 0.213, 95% confidence interval [CI] [0.079–0.578]). The risk of CVS was higher in those who use electronic devices for more than 5 h (OR = 3.4, 95% CI [1.015–11.4]). Male teachers experienced less headache (OR = 0.504, 95% CI [0.344–0.75]), less neck and shoulder pain (OR = 0.326, 95% CI [0.186–0.57]), and less eyestrain (OR = 0.495, 95% CI [0.308–0.796]) in comparison to female teachers. Conclusion: Female high school teachers are having higher odds of developing CVS than male teachers. School teachers need awareness programs about CVS.
{"title":"The prevalence and associated factors of self-reported symptoms of computer vision syndrome among high school teachers in Riyadh: A cross-sectional study","authors":"Afnan S Younis, Laila Alsabbagh, Dimah Alaraifi, Ghaida Alsanad, Ahad Algrain, Rema Aldihan, Fatimah Albassam","doi":"10.4103/jnsm.jnsm_99_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_99_21","url":null,"abstract":"Background: Computer vision syndrome (CVS) is a group of visual and musculoskeletal symptoms that are associated with the use of computers and electronic devices. The use of computers is increasing in the field of education which puts teachers at higher risk of CVS. The severity of CVS symptoms can affect teachers' quality of life and productivity. Aim: This study aims to estimate the prevalence of CVS and its symptoms among Riyadh high school teachers in 2020. The secondary objectives were to determine the factors associated with CVS among high school teachers and to compare between the symptoms of CVS in male and female school teachers. Subjects and Methods: This is an observational cross-sectional study. Data were collected by self-administered questionnaire from teachers working in public high schools in Riyadh, Saudi Arabia, using a multistage random sampling technique. Data analysis including descriptive statistics and Chi-square test was performed using SPSS. Results: The prevalence of experiencing one or more symptoms of CVS among high school teachers was 94.6%. The most common symptom was neck and shoulder pain, reported by 84.9% of high school teachers. Male teachers were 80% less likely to have CVS (odds ratio [OR] = 0.213, 95% confidence interval [CI] [0.079–0.578]). The risk of CVS was higher in those who use electronic devices for more than 5 h (OR = 3.4, 95% CI [1.015–11.4]). Male teachers experienced less headache (OR = 0.504, 95% CI [0.344–0.75]), less neck and shoulder pain (OR = 0.326, 95% CI [0.186–0.57]), and less eyestrain (OR = 0.495, 95% CI [0.308–0.796]) in comparison to female teachers. Conclusion: Female high school teachers are having higher odds of developing CVS than male teachers. School teachers need awareness programs about CVS.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"292 - 298"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45067714","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 : 2022-07-01DOI: 10.4103/jnsm.jnsm_105_21
Bader Fatani, Abdulaziz Alabood, Raghad Almuqrin
Background: Oral cancers are well known for their disastrous and fatal consequences. This type of cancer manifests itself in various forms, ranging from simple ulcerative lesions to proliferative growths. The reduction of morbidity and mortality of cancer can be achieved via its early recognition through screening and patient awareness and can improve the outcome of the disease comparatively. Even though most of the dentists who were surveyed said that they are inclined to provide head-and-neck examinations for their patients, studies show that dentists generally lack the knowledge required for diagnosing oral cancer lesions. Objective: This study aims to assess and evaluate the knowledge, attitude, and practices of dental students regarding oral cancer at King Saud University. Materials and Methods: The data were collected from the dental students at King Saud University in Riyadh, Saudi Arabia, from May 2021 to August 2021. The targeted subjects were dental students – male and female students older than 20 years – studying at King Saud University. Results: A sample of 206 dental students was analyzed. It was found that most dental students have heard about oral cancer (93.2%) and knew that it was preventable (77.7%). They also knew that it was treatable (93.7%) and has the ability to metastasize (93.2%). The relationship between the knowledge of oral cancer and the gender of the students was not statistically significant (all P > 0.050). There were significant relationships between oral cancer knowledge and age of the student (P < 0.001) and oral cancer treatability and age (P = 0.002). Similarly, oral cancer knowledge (P ≤ 0.001), treatability knowledge (P = 0.007), and metastasis knowledge (P = 0.030) were significantly related to the progression of academic years. Conclusion: Our study showed that dental students have significant knowledge and awareness regarding oral cancer including the clinical appearance, signs, and symptoms of oral cancer. Moreover, few dental students even considered themselves very well informed and qualified to detect oral cancer in patients. Therefore, we assume that increasing the dental students' clinical practice as well as their self-confidence could highly influence the early detection of oral cancer for patients in future.
{"title":"Knowledge, attitude, and practices of Saudi Dental students regarding oral/oropharyngeal cancer: A cross-sectional study","authors":"Bader Fatani, Abdulaziz Alabood, Raghad Almuqrin","doi":"10.4103/jnsm.jnsm_105_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_105_21","url":null,"abstract":"Background: Oral cancers are well known for their disastrous and fatal consequences. This type of cancer manifests itself in various forms, ranging from simple ulcerative lesions to proliferative growths. The reduction of morbidity and mortality of cancer can be achieved via its early recognition through screening and patient awareness and can improve the outcome of the disease comparatively. Even though most of the dentists who were surveyed said that they are inclined to provide head-and-neck examinations for their patients, studies show that dentists generally lack the knowledge required for diagnosing oral cancer lesions. Objective: This study aims to assess and evaluate the knowledge, attitude, and practices of dental students regarding oral cancer at King Saud University. Materials and Methods: The data were collected from the dental students at King Saud University in Riyadh, Saudi Arabia, from May 2021 to August 2021. The targeted subjects were dental students – male and female students older than 20 years – studying at King Saud University. Results: A sample of 206 dental students was analyzed. It was found that most dental students have heard about oral cancer (93.2%) and knew that it was preventable (77.7%). They also knew that it was treatable (93.7%) and has the ability to metastasize (93.2%). The relationship between the knowledge of oral cancer and the gender of the students was not statistically significant (all P > 0.050). There were significant relationships between oral cancer knowledge and age of the student (P < 0.001) and oral cancer treatability and age (P = 0.002). Similarly, oral cancer knowledge (P ≤ 0.001), treatability knowledge (P = 0.007), and metastasis knowledge (P = 0.030) were significantly related to the progression of academic years. Conclusion: Our study showed that dental students have significant knowledge and awareness regarding oral cancer including the clinical appearance, signs, and symptoms of oral cancer. Moreover, few dental students even considered themselves very well informed and qualified to detect oral cancer in patients. Therefore, we assume that increasing the dental students' clinical practice as well as their self-confidence could highly influence the early detection of oral cancer for patients in future.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"225 - 229"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44049733","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}
A. Jamal, Abdullah AlHokair, M. Temsah, F. Alsohime, A. Al-Eyadhy, Mohamad El-Mouzan, Shabana Tharkar
Background: As compared with traditional paper-based charts, population-specific Saudi Growth Charts (SGC) integrated into electronic health records offer several functionalities. However, few studies have explored clinicians' perceptions and practices related to the recording of growth parameters as they adapt to the electronic methods. Objective: The objective of this study is to estimate clinicians' use of the recently adapted electronic SGC versus other known electronic international growth charts. Methods: This cross-sectional survey was performed on 116 pediatricians serving at the university medical center. An online questionnaire that included the types of growth charts used, clinicians' confidence level with the electronic interface, and documentation practices for children's growth parameters was uploaded using the SurveyMonkey® platform, and participants were invited to participate through an e-mailed link. Data were analyzed using the IBM software Statistical Package for the Social Sciences version 22.0. (SPSS Inc., Chicago, IL, USA) for Windows®. Results: Most of the pediatricians (76.7%) reported using electronic-based growth charts in preference to paper-based charts, whereas 17.3% preferred using both. Seventy-five percent agreed that the SGC can accurately diagnose underweight Saudi infants and children, as compared with 56% for the World Health Organization and 44% for the Centers for Disease Control and Prevention growth charts. Height, weight (body mass index), and nutritional status were the most documented parameters. Multivariate linear regression analysis showed physicians with longer experience in pediatric clinical practice years demonstrated lesser documentation of growth parameters. In addition, physicians caring for more number of children per week were more likely to frequently document growth parameters (P = 0.003). Conclusion: The integration and implementation of the electronic version of SGC have been encouraging, and the SGC shows promising results in recording child growth parameters for Saudi children with minimum discrepancies in interpretation as compared to the other international growth charts.
背景:与传统的纸质图表相比,集成到电子健康记录中的特定于人口的沙特增长图表提供了多种功能。然而,很少有研究探讨临床医生在适应电子方法时对生长参数记录的看法和实践。目的:本研究的目的是评估临床医生使用最近改编的电子SGC与其他已知的电子国际增长图的情况。方法:这项横断面调查是对116名在大学医学中心服务的儿科医生进行的。使用SurveyMonkey®平台上传了一份在线问卷,其中包括使用的生长图表类型、临床医生对电子界面的信心水平以及儿童生长参数的文档实践,并通过电子邮件链接邀请参与者参与。使用IBM软件Statistical Package for the Social Sciences 22.0版对数据进行分析。(SPSS股份有限公司,美国伊利诺伊州芝加哥)。结果:大多数儿科医生(76.7%)报告说,他们更喜欢使用电子生长图,而不是纸质生长图,17.3%的儿科医生更喜欢同时使用两者。75%的人同意SGC可以准确诊断体重不足的沙特婴儿和儿童,而世界卫生组织和疾病控制与预防中心的这一比例分别为56%和44%。身高、体重(体重指数)和营养状况是记录最多的参数。多元线性回归分析显示,儿科临床实践经验较长的医生对生长参数的记录较少。此外,每周照顾更多儿童的医生更有可能经常记录生长参数(P=0.003)。结论:SGC电子版的集成和实施令人鼓舞,SGC在记录沙特儿童的儿童生长参数方面显示出了有希望的结果,与其他国际生长图相比,其解释差异最小。
{"title":"Evaluation of the use of electronic growth charts customized for race and national values","authors":"A. Jamal, Abdullah AlHokair, M. Temsah, F. Alsohime, A. Al-Eyadhy, Mohamad El-Mouzan, Shabana Tharkar","doi":"10.4103/jnsm.jnsm_89_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_89_21","url":null,"abstract":"Background: As compared with traditional paper-based charts, population-specific Saudi Growth Charts (SGC) integrated into electronic health records offer several functionalities. However, few studies have explored clinicians' perceptions and practices related to the recording of growth parameters as they adapt to the electronic methods. Objective: The objective of this study is to estimate clinicians' use of the recently adapted electronic SGC versus other known electronic international growth charts. Methods: This cross-sectional survey was performed on 116 pediatricians serving at the university medical center. An online questionnaire that included the types of growth charts used, clinicians' confidence level with the electronic interface, and documentation practices for children's growth parameters was uploaded using the SurveyMonkey® platform, and participants were invited to participate through an e-mailed link. Data were analyzed using the IBM software Statistical Package for the Social Sciences version 22.0. (SPSS Inc., Chicago, IL, USA) for Windows®. Results: Most of the pediatricians (76.7%) reported using electronic-based growth charts in preference to paper-based charts, whereas 17.3% preferred using both. Seventy-five percent agreed that the SGC can accurately diagnose underweight Saudi infants and children, as compared with 56% for the World Health Organization and 44% for the Centers for Disease Control and Prevention growth charts. Height, weight (body mass index), and nutritional status were the most documented parameters. Multivariate linear regression analysis showed physicians with longer experience in pediatric clinical practice years demonstrated lesser documentation of growth parameters. In addition, physicians caring for more number of children per week were more likely to frequently document growth parameters (P = 0.003). Conclusion: The integration and implementation of the electronic version of SGC have been encouraging, and the SGC shows promising results in recording child growth parameters for Saudi children with minimum discrepancies in interpretation as compared to the other international growth charts.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"286 - 291"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43959744","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}
Abdulaziz H. Alhazmi, Wesam Moafa, Jalal Madkhali, Othman Saifain, Faizah Alyahyawi, O. Adhabi, Ahmad A. Alharbi
Objectives: To assess the prevalence of coronavirus disease 2019 (COVID-19) infection among sickle cell disease (SCD) patients in Jazan region and to determine the impact of COVID-19 on the SCD population. Methods: This was an observational, descriptive, cross-sectional study using a self-administrated questionnaire directed to SCD patients in Jazan to assess the prevalence of COVID-19. The data were analyzed using a t-test and Chi-square test. Results: A total of 188 responses were received and only 96 SCD patients were included (mean age is 24 years). About half of the study samples (53%) of the study population were male. About 11% of patients with SCD were diagnosed with COVID-19. Vaso-occlusive crisis was reported in 73% and a single patient presented with acute chest syndrome. About three-fourths of patients (73%) were admitted to the hospital and most of them experienced mild symptoms and one patient was treated in the intensive care unit. Conclusion: SCD patients are at risk of SARS-CoV-2 infection. In the absence of comorbidities, patients with SCD are not at increased risk of COVID-19 mortality, but a higher admission rate is reported. SCD patients with COVID-19 may have a milder clinical course, compared to other populations with comorbidities such as diabetes and hypertension, and this may be due to proinflammatory adaptation of the immune system. Larger studies including epidemiological and molecular details are needed to enhance our understanding of how SARS-CoV-2 could affect patients with SCD.
{"title":"Coronavirus disease 2019 in patients with sickle cell disease: A cross-sectional study from Jazan Province, Saudi Arabia","authors":"Abdulaziz H. Alhazmi, Wesam Moafa, Jalal Madkhali, Othman Saifain, Faizah Alyahyawi, O. Adhabi, Ahmad A. Alharbi","doi":"10.4103/jnsm.jnsm_49_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_49_21","url":null,"abstract":"Objectives: To assess the prevalence of coronavirus disease 2019 (COVID-19) infection among sickle cell disease (SCD) patients in Jazan region and to determine the impact of COVID-19 on the SCD population. Methods: This was an observational, descriptive, cross-sectional study using a self-administrated questionnaire directed to SCD patients in Jazan to assess the prevalence of COVID-19. The data were analyzed using a t-test and Chi-square test. Results: A total of 188 responses were received and only 96 SCD patients were included (mean age is 24 years). About half of the study samples (53%) of the study population were male. About 11% of patients with SCD were diagnosed with COVID-19. Vaso-occlusive crisis was reported in 73% and a single patient presented with acute chest syndrome. About three-fourths of patients (73%) were admitted to the hospital and most of them experienced mild symptoms and one patient was treated in the intensive care unit. Conclusion: SCD patients are at risk of SARS-CoV-2 infection. In the absence of comorbidities, patients with SCD are not at increased risk of COVID-19 mortality, but a higher admission rate is reported. SCD patients with COVID-19 may have a milder clinical course, compared to other populations with comorbidities such as diabetes and hypertension, and this may be due to proinflammatory adaptation of the immune system. Larger studies including epidemiological and molecular details are needed to enhance our understanding of how SARS-CoV-2 could affect patients with SCD.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"199 - 203"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42654215","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 : 2022-07-01DOI: 10.4103/jnsm.jnsm_120_21
Sara Altraif, Lamees Almezaini, H. Alsaif, I. Altraif
Objectives: The aim is to evaluate the knowledge, attitude, and practice (KAP) regarding prevention, diagnosis, and management of COVID-19 in family medicine residents in Riyadh, Saudi Arabia and also to examine the association of the residents' demographic variables with their COVID-19 KAP level. Methods: A cross-sectional survey conducted during July to August 2020 that targeted all family medicine residents who were enrolled in the Saudi board training programs in Riyadh. An online version of a specifically designed questionnaire was distributed to determine the residents' KAP toward COVID-19. Results: A total of 97 of 170 residents responded for a response rate of 57%. The most important results noted from this study are that participants had satisfactory knowledge of COVID-19; but, it was not associated with their demographic characteristics. Most participants demonstrated positive attitudes toward persons having risk factors for COVID-19 and who disclose their exposure (n = 82, 85%). Most participants exhibited good practices except participating in training programs concerning COVID-19 infection prevention and control (n = 46, 47%). Total knowledge scores were significantly affected by feeling tired, lack of confidence in defeating the virus, and persons with risk of COVID-19 infection. There was no significant association between the knowledge and practice. Conclusion: The results demonstrated that family medicine residents in Riyadh overall had good KAP on COVID-19 disease in Riyadh, Saudi Arabia. Such good KAP could help limit viral spread.
{"title":"Knowledge, attitude, and practice of family medicine residents toward COVID-19 in Riyadh, Saudi Arabia","authors":"Sara Altraif, Lamees Almezaini, H. Alsaif, I. Altraif","doi":"10.4103/jnsm.jnsm_120_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_120_21","url":null,"abstract":"Objectives: The aim is to evaluate the knowledge, attitude, and practice (KAP) regarding prevention, diagnosis, and management of COVID-19 in family medicine residents in Riyadh, Saudi Arabia and also to examine the association of the residents' demographic variables with their COVID-19 KAP level. Methods: A cross-sectional survey conducted during July to August 2020 that targeted all family medicine residents who were enrolled in the Saudi board training programs in Riyadh. An online version of a specifically designed questionnaire was distributed to determine the residents' KAP toward COVID-19. Results: A total of 97 of 170 residents responded for a response rate of 57%. The most important results noted from this study are that participants had satisfactory knowledge of COVID-19; but, it was not associated with their demographic characteristics. Most participants demonstrated positive attitudes toward persons having risk factors for COVID-19 and who disclose their exposure (n = 82, 85%). Most participants exhibited good practices except participating in training programs concerning COVID-19 infection prevention and control (n = 46, 47%). Total knowledge scores were significantly affected by feeling tired, lack of confidence in defeating the virus, and persons with risk of COVID-19 infection. There was no significant association between the knowledge and practice. Conclusion: The results demonstrated that family medicine residents in Riyadh overall had good KAP on COVID-19 disease in Riyadh, Saudi Arabia. Such good KAP could help limit viral spread.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"230 - 238"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48393893","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 : 2022-07-01DOI: 10.4103/jnsm.jnsm_157_21
Hala G Omer, Amal Alhakami, M. Alghamdi, R. A. Al Khalifah
Pallister–Hall syndrome (PHS) is a rare, autosomal dominant genetic disorder. The phenotypic features of the syndrome include hypothalamic hamartoma, polydactyly, craniofacial anomalies, and other malformations. This case report describes a 5-year-old girl with Central precocious puberty (CPP) due to the presence of suprasellar hypothalamic hamartoma. With a history of polydactyl, suspicion of PHS was made, and the genetic test showed a novel GLI3 gene mutation. CPP is treated with gonadotropin-releasing hormone agonist. In addition to CPP, an extensive endocrine evaluation revealed central hypothyroidism while other pituitary functions were intact. The variable clinical phenotype of PHS makes it challenging to diagnose early, especially in the sporadic form. However, suspicion of these cases and early diagnosis leads to a better outcome as many endocrine features may evolve during follow-up, which necessitates interventions.
{"title":"Atypical presentation of pallister–Hall syndrome with central precious puberty","authors":"Hala G Omer, Amal Alhakami, M. Alghamdi, R. A. Al Khalifah","doi":"10.4103/jnsm.jnsm_157_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_157_21","url":null,"abstract":"Pallister–Hall syndrome (PHS) is a rare, autosomal dominant genetic disorder. The phenotypic features of the syndrome include hypothalamic hamartoma, polydactyly, craniofacial anomalies, and other malformations. This case report describes a 5-year-old girl with Central precocious puberty (CPP) due to the presence of suprasellar hypothalamic hamartoma. With a history of polydactyl, suspicion of PHS was made, and the genetic test showed a novel GLI3 gene mutation. CPP is treated with gonadotropin-releasing hormone agonist. In addition to CPP, an extensive endocrine evaluation revealed central hypothyroidism while other pituitary functions were intact. The variable clinical phenotype of PHS makes it challenging to diagnose early, especially in the sporadic form. However, suspicion of these cases and early diagnosis leads to a better outcome as many endocrine features may evolve during follow-up, which necessitates interventions.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"309 - 312"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41359436","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}
S. Alshammari, Razan M Alotaibi, A. Almajed, Thikrayat Omar
Objectives: (1) We aimed to measure the levels of depression, anxiety, and stress among the Saudi population during COVID-19 lockdown and their association with different personal characteristics. (2) The secondary aims included assessing the perceived social and physical impacts of COVID-19 lockdown on individuals and the different coping strategy practices during this tough period. Methods: A cross-sectional study was conducted between May and June 2020 in Saudi Arabia. We collected data from both sexes aged 18 years and older using social media. The online questionnaire collected data on their sociodemographic, physical, and social conditions, and the presence and control of chronic diseases as well as their evaluation according to the Depression, Anxiety, and Stress Scale-21. Results: Of the 878 participants, 56.6% were female, 54.6% were aged between 35 and below, 52.6% were married, and 97.4% had a secondary school and above. Approximately a quarter of the participants or relatives had been diagnosed with COVID-19. Moderate-to-severe depression, anxiety, and stress were reported in 32.6%, 28.7%, and 22.6% of the participants, respectively. The younger than 35 years, unmarried, not working, and the previous diagnosis of COVID-19 were associated with higher scores of depression, anxiety, and stress. In addition, the participants reported several coping strategies such as doing physical exercise, hobbies, chatting over social media, watching TV/movies, playing electronic games, increasing religious prayers, and getting psychosocial help. Conclusion: A quarter of the participants reported a moderate-to-severe psychological impact. They adopted various strategies to reduce the adverse lockdown effect. In a future pandemic, health-care providers and policymakers can focus on potential risk factors and coping strategies to prevent, intervene early, and treat sufferers.
{"title":"Depression, anxiety, and stress among the community during COVID-19 lockdown in Saudi Arabia","authors":"S. Alshammari, Razan M Alotaibi, A. Almajed, Thikrayat Omar","doi":"10.4103/jnsm.jnsm_62_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_62_21","url":null,"abstract":"Objectives: (1) We aimed to measure the levels of depression, anxiety, and stress among the Saudi population during COVID-19 lockdown and their association with different personal characteristics. (2) The secondary aims included assessing the perceived social and physical impacts of COVID-19 lockdown on individuals and the different coping strategy practices during this tough period. Methods: A cross-sectional study was conducted between May and June 2020 in Saudi Arabia. We collected data from both sexes aged 18 years and older using social media. The online questionnaire collected data on their sociodemographic, physical, and social conditions, and the presence and control of chronic diseases as well as their evaluation according to the Depression, Anxiety, and Stress Scale-21. Results: Of the 878 participants, 56.6% were female, 54.6% were aged between 35 and below, 52.6% were married, and 97.4% had a secondary school and above. Approximately a quarter of the participants or relatives had been diagnosed with COVID-19. Moderate-to-severe depression, anxiety, and stress were reported in 32.6%, 28.7%, and 22.6% of the participants, respectively. The younger than 35 years, unmarried, not working, and the previous diagnosis of COVID-19 were associated with higher scores of depression, anxiety, and stress. In addition, the participants reported several coping strategies such as doing physical exercise, hobbies, chatting over social media, watching TV/movies, playing electronic games, increasing religious prayers, and getting psychosocial help. Conclusion: A quarter of the participants reported a moderate-to-severe psychological impact. They adopted various strategies to reduce the adverse lockdown effect. In a future pandemic, health-care providers and policymakers can focus on potential risk factors and coping strategies to prevent, intervene early, and treat sufferers.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"273 - 280"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42680079","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 : 2022-07-01DOI: 10.4103/jnsm.jnsm_158_21
S. Aga, Refal Jaha, Rawaa Khan, Dhiyaa Junaydi, Alqassem Y Hakami, M. Khan, H. Alsaab
Objectives: The study was carried out to report the descriptive demographics, comorbidities, and adverse effects in women with ovarian cancer attending the King Abdulaziz Medical City (KAMC), Jeddah, Saudi Arabia. Materials and Methods: The current retrospective study was conducted at King Saud Bin Abdulaziz University for Health Sciences between the months of July and August 2021. The study sample included all the patients that had been admitted in the Princess Noorah Oncology Center in KAMC and fulfilling the two inclusion criteria (a) age not <18 and (b) confirmed histological or cytological diagnosis as per the International Federation of Gynecology and Obstetrics guidelines. A comprehensive review of the charts was conducted by a team of researchers for the extraction of data which included detailed demographics, tumor characteristics, comorbidities, and adverse effects. Results: A total of 119 ovarian cancer patients were identified, out of which 90 were included in the analysis. Most of the patients were aged above 40 years. A total of 67 of 90 (74.44%) tumors were of higher stage (II+IV) and 54 of 90 (60.0%) were located bilaterally. Among the comorbidities, we found that diabetes mellitus, hypertension, dyslipidemia, asthma, and hypothyroidism were the top five ones. Furthermore, most of the patients (82.1%) underwent a surgical intervention for the primary treatment of the tumor. The top adverse effect of the chemotherapy was the gastrointestinal ones (40.3%), followed by renal and metabolic disorders. Conclusions: Patients with ovarian cancer were of higher age and with advanced stage of the disease contrary to the reported trends in world literature. Almost all reported with one of more of the comorbidities and majority had surgical intervention as first line of treatment.
{"title":"Detailed demographics and the prevalence of comorbidities in ovarian cancer patients in Western Region of Saudi Arabia","authors":"S. Aga, Refal Jaha, Rawaa Khan, Dhiyaa Junaydi, Alqassem Y Hakami, M. Khan, H. Alsaab","doi":"10.4103/jnsm.jnsm_158_21","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_158_21","url":null,"abstract":"Objectives: The study was carried out to report the descriptive demographics, comorbidities, and adverse effects in women with ovarian cancer attending the King Abdulaziz Medical City (KAMC), Jeddah, Saudi Arabia. Materials and Methods: The current retrospective study was conducted at King Saud Bin Abdulaziz University for Health Sciences between the months of July and August 2021. The study sample included all the patients that had been admitted in the Princess Noorah Oncology Center in KAMC and fulfilling the two inclusion criteria (a) age not <18 and (b) confirmed histological or cytological diagnosis as per the International Federation of Gynecology and Obstetrics guidelines. A comprehensive review of the charts was conducted by a team of researchers for the extraction of data which included detailed demographics, tumor characteristics, comorbidities, and adverse effects. Results: A total of 119 ovarian cancer patients were identified, out of which 90 were included in the analysis. Most of the patients were aged above 40 years. A total of 67 of 90 (74.44%) tumors were of higher stage (II+IV) and 54 of 90 (60.0%) were located bilaterally. Among the comorbidities, we found that diabetes mellitus, hypertension, dyslipidemia, asthma, and hypothyroidism were the top five ones. Furthermore, most of the patients (82.1%) underwent a surgical intervention for the primary treatment of the tumor. The top adverse effect of the chemotherapy was the gastrointestinal ones (40.3%), followed by renal and metabolic disorders. Conclusions: Patients with ovarian cancer were of higher age and with advanced stage of the disease contrary to the reported trends in world literature. Almost all reported with one of more of the comorbidities and majority had surgical intervention as first line of treatment.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"254 - 261"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43069542","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}