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Patients' attitudes toward alternative medicine as a treatment for musculoskeletal conditions: One center's experience 患者对替代药物治疗肌肉骨骼疾病的态度:一个中心的经验
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_46_21
K. Alsaleh, Zeyad Alkhenizan, Abdulelah Aldossari, Ali Alammari, Abdulaziz Dakhil, A. Alzakri
Introduction: Despite rapid progress in providing advanced medical care, patients still seek traditional and alternative medicine (AM) therapies for their musculoskeletal complaints. Materials and Methods: A survey of adult patients attending the outpatient orthopedic clinics of a Tertiary Care Institution in Riyadh, Saudi Arabia, was performed. The survey was designed to delineate the patients' demographics, current musculoskeletal complaints, previous history of seeking an alternative treatment modality, and their opinions regarding these AM therapies. Results: One hundred and ninety-six patients agreed to fill the questionnaire. Fifty-four (27.6%) admitted to having had AM in the past. Wet cupping and traditional manual therapy were the most popular AM modalities undertaken, follow closely by herbal treatment and cautery. Age and educational level were found to be associated with the use of AM (P < 0.05). Most participants would never consider using AM, their rationale because it was perceived to be either unsafe or ineffective. Conclusion: AM use for musculoskeletal ailments is still prevalent. It is provision by the untrained and unlicensed individual is a concern. Better access to healthcare, advances in education, and a younger population may decrease its prevalence in the future.
引言:尽管在提供高级医疗护理方面取得了快速进展,但患者仍在寻求传统和替代医学(AM)疗法来治疗他们的肌肉骨骼疾病。材料和方法:对沙特阿拉伯利雅得一家三级医疗机构骨科门诊的成年患者进行了调查。该调查旨在描述患者的人口统计数据、当前的肌肉骨骼疾病、以前寻求替代治疗方式的历史,以及他们对这些AM疗法的看法。结果:196名患者同意填写问卷。54人(27.6%)承认过去曾患过AM。湿拔罐和传统手法治疗是最受欢迎的AM治疗方式,紧随其后的是草药治疗和烧灼。年龄和教育水平与AM的使用有关(P<0.05)。大多数参与者永远不会考虑使用AM,他们的理由是AM被认为是不安全或无效的。结论:AM用于肌肉骨骼疾病仍然很普遍。它是由未经培训和未经许可的个人提供的,这是一个令人担忧的问题。更好地获得医疗保健、教育的进步以及人口的年轻化可能会在未来降低其流行率。
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引用次数: 0
Epidemiological Profiles and Clinical Outcomes of Non-COVID-19 Patients during COVID-19 Pandemic: A Single-Center Experience COVID-19大流行期间非COVID-19患者的流行病学概况和临床结果:单中心经验
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_67_21
Yousef M. Alsofayan, Trad S. AlWakeel, Heba AlNasser, Mosaed Alnowaiser, Ghada Alskait, Reema Alotaibi, Hanin Bashaikh, Yasir Almuzaini, Alhanouf Aburas, Abdullah H. Nofal, Anas A. Khan
Background: Coronavirus disease-2019 (COVID-19) pandemic continues to storm internationally. Various essential services in the health systems have failed to meet the standardized health needs for those non-COVID-19 patients. In this single academic center study, we describe the epidemiological profiles and clinical outcomes on non-COVID-19 patients during COVID-19 pandemic to guide decision-makers in maintaining essential health services and building a structured recovery plan by the end of this pandemic. Materials and Methods: This retrospective cross-sectional single academic center study included 718 non-COVID-19 patients in King Saud University Medical City between March and June 2020. Demographic, clinical, laboratory, treatment, and disposition data were extracted from the Hospital Electronic Records, Electronic System for Integrated Health Information database. Results: The highest age group was 26–35 years, representing 28.6% (n = 205), and 56% (n = 402) were females. The most common comorbidity was hypertension by 25.5% (n = 183), and the main route of admission was through Emergency Medicine Department, 76.7% (n = 551), and 87% (n = 624) of the admissions were to wards, 13% (n = 92) were to Intensive Care Unit, and 7% (n = 51) were deceased. Based on International Classification of Diseases, Revision 10 classifications, 33.6% (n = 241) had diseases of the respiratory system, 14.5% (n = 104) were obstetrics, and 10.4% (n = 75) were cardiac cases. Conclusion: In this single-center study, maintaining essential health-care services is critical during COVID-19 pandemics. Attention should be addressed to extreme ages and to those with pulmonary, obstetric, and cardiac diseases. Mapping decisions taken to curb COVID-19 is critical to structure a solid recovery plan.
背景:2019冠状病毒病(COVID-19)大流行继续在国际上肆虐。卫生系统中的各种基本服务未能满足这些非covid -19患者的标准化卫生需求。在这项单一学术中心研究中,我们描述了COVID-19大流行期间非COVID-19患者的流行病学概况和临床结果,以指导决策者在本次大流行结束前维持基本卫生服务并制定结构化恢复计划。材料和方法:本回顾性横断面单学术中心研究纳入了2020年3月至6月在沙特国王大学医学城的718例非covid -19患者。人口统计、临床、实验室、治疗和处置数据提取自医院电子记录、综合健康信息电子系统数据库。结果:26 ~ 35岁年龄组占28.6% (n = 205),女性占56% (n = 402)。高血压是最常见的合并症,占25.5% (n = 183),主要入院途径为急诊科,其中76.7% (n = 551)、87% (n = 624)的入院者为病房,13% (n = 92)为重症监护病房,7% (n = 51)为死亡。根据《国际疾病分类》第十版分类,呼吸系统疾病占33.6% (n = 241),产科疾病占14.5% (n = 104),心脏疾病占10.4% (n = 75)。结论:在这项单中心研究中,在COVID-19大流行期间维持基本卫生保健服务至关重要。应注意极端年龄和患有肺病、产科和心脏病的人。制定遏制COVID-19的决策对于制定可靠的恢复计划至关重要。
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引用次数: 3
The global shortage of essential drugs during the COVID-19 pandemic: Evidence based on aggregated media and social media reports 新冠肺炎大流行期间全球基本药物短缺:基于综合媒体和社交媒体报道的证据
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_61_21
Mohammed Salahuddin, Dilshad Manzar, Aleem Unissa, S. Pandi‑Perumal, Ahmed S. Bahammam
Background: Implications from accumulated bodies of commentaries and media/social-media reports highlight the drug shortage during the COVID-19 pandemic. In this special report, the relation between drug shortage and response measures is discussed in the light of a preliminary data construct. Materials and Methods: Media reports and social media posts on public and national drug regulatory bodies' websites were searched between March 1, 2020, and August 11, 2020. The search's key terms were shortage, nonavailability, essential medicine, essential drug, imported medicine, imported drug, COVID-19, current pandemic, and corona. A qualitative and quantitative summary of drug-shortage response pages and trends of drug-shortage reports are presented. Results: In the developed countries, the drug regulatory bodies released drug-shortage response pages; such pages were not made available in the developing countries. There were reports of drug shortages from both the developing and developed countries. There were reports of drug shortage from as early as March 2020 when the lockdown was first implemented and continued until July 2020. The reported drug shortages varied from that of simple essential medicines to those needed in critical care. Conclusions: The study findings highlighted the spread (across the developing and developed countries), time trend of drug-shortage reports (started from the 1st week of the first round of lockdown and continued throughout the study duration), and nontermination of drug-shortage reports even after availability of drug-shortage response page.
背景:大量评论和媒体/社会媒体报道的影响突出了新冠肺炎大流行期间的药物短缺。在本特别报告中,根据初步数据结构讨论了药物短缺与应对措施之间的关系。材料和方法:在2020年3月1日至2020年8月11日期间,搜索公共和国家药品监督管理机构网站上的媒体报道和社交媒体帖子。搜索的关键词是短缺、不可用、基本药物、基本药物,进口药物、进口药物、新冠肺炎、当前大流行和电晕。对药品短缺响应页面和药品短缺报告趋势进行了定性和定量总结。结果:在发达国家,药品监管机构发布了药品短缺响应页面;发展中国家没有提供此类网页。有来自发展中国家和发达国家的药物短缺报告。早在2020年3月首次实施封锁并持续到2020年7月,就有药物短缺的报告。报告的药物短缺情况各不相同,从简单的基本药物到重症监护所需的药物。结论:研究结果强调了药物短缺报告的传播(在发展中国家和发达国家)、时间趋势(从第一轮封锁的第一周开始,并在整个研究期间持续),以及即使在药物短缺响应页面可用后,药物短缺报告也不会终止。
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引用次数: 3
Prevalence and treatment preference of burnout, depression, and anxiety among mental health professionals in Saudi Arabia 沙特阿拉伯精神卫生专业人员中倦怠、抑郁和焦虑的患病率和治疗偏好
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_93_21
A. AlHadi, Mohammad I Almutlaq, Mohammed Almohawes, A. Shadid, Abdulaziz S. Alangari
Background: Mental health workers face a lot of stressors in their jobs. This issue has been addressed widely by researchers as a major factor predisposing these professionals to many mental health disorders. However, there is limited research addressing the prevalence of these disorders and their treatment preferences among mental health professionals (MHPs) in Saudi Arabia. Aims: This study aims to assess the prevalence and treatment preference of depression, anxiety, and burnout among MHPs in Saudi Arabia. Methods: In this cross-sectional study, MHPs in Saudi Arabia were approached to participate in the study. A self-administered online survey was administered with questions on basic demographics, treatment preference, and three scales that assessed burnout (the Maslach Burnout Inventory), depression (Patient Health Questionnaire-9), and anxiety (Generalized Anxiety Disorder-7). SPSS version 22.0 was used to perform the analysis. Results: A total of 1,253 surveys were completed (59.8% by women); most respondents were psychologists (72.5%). Burnout was the most prevalent in our sample (42.7%), followed by depression (21%) and anxiety (19%). Psychiatrists were more likely to suffer from emotional exhaustion than other MHPs. Women were significantly more likely to develop anxiety and depression than men. For (37%) of the psychologists and similarly (36.65%) of the psychiatrists, making decisions about inpatient treatment was influenced by confidentiality or stigma. Conclusion: Burnout, depression, and anxiety are prevalent among MHPs. Implementing strategies to overcome these issues are vital to improve their well-being and maintain the provision of high-quality mental health care to their patients.
背景:心理健康工作者在工作中面临很多压力。研究人员已经广泛讨论了这一问题,认为这是导致这些专业人员患上许多心理健康障碍的主要因素。然而,关于沙特阿拉伯心理健康专业人员(MHP)中这些疾病的患病率及其治疗偏好的研究有限。目的:本研究旨在评估沙特阿拉伯MHP中抑郁、焦虑和倦怠的患病率和治疗偏好。方法:在这项横断面研究中,沙特阿拉伯的MHP参与了这项研究。一项自我管理的在线调查涉及基本人口统计、治疗偏好和评估倦怠(Maslach倦怠量表)、抑郁(患者健康问卷-9)和焦虑(广泛性焦虑障碍-7)的三个量表。使用SPSS 22.0版本进行分析。结果:共完成了1253项调查(女性占59.8%);大多数受访者是心理学家(72.5%)。在我们的样本中,倦怠最为普遍(42.7%),其次是抑郁(21%)和焦虑(19%)。精神病学家比其他MHP更容易遭受情绪衰竭。女性比男性更容易出现焦虑和抑郁。对于(37%)的心理学家和同样(36.65%)的精神科医生来说,决定住院治疗受到保密或污名的影响。结论:倦怠、抑郁和焦虑在MHP中普遍存在。实施克服这些问题的战略对于改善他们的福祉和保持向患者提供高质量的心理健康护理至关重要。
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引用次数: 4
Body image concerns and weight control behaviors among medical students in Oman 阿曼医学生的身体形象关注与体重控制行为
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_44_21
C. Divecha, M. Simon
Background: Body image perceptions and satisfaction are known to influence health behaviors; however, data on body image concerns in medical students, especially in the Middle East, are scarce, with no studies on the differences in body image perceptions and satisfaction across the years of medical training. Objectives: The objective was to study the body image concerns and weight control behaviors among medical students in a private medical college in Oman and analyze differences among various groups of medical students (premedical, preclinical, and clinical). Materials and Methods: A cross-sectional study was conducted among students of a private medical college in Oman. Information regarding their body image perceptions, image satisfaction, and attempts to control weight was obtained through a self-administered questionnaire. Students' responses on self-reported body mass index (BMI), perceived body image, body image satisfaction, and weight control measures were collected, tabulated, analyzed, and interpreted. Results: A total of 351 medical students participated in the study (mean age of 21.56 ± 2.2 years, mean BMI of 22.7 ± 4.3 kg/m2, 87.7% females), of these 129 (36.8%), 112 (31.9%), and 110 (31.3%) students belonged to the premedical, preclinical, and clinical years, respectively. There were 226 (64.4%) students with normal BMI, 43 (12.3%) were underweight, and 82 (23.3%) overweight/obese. Incorrect image perceptions were observed in 204 (58.1%). One hundred and nine students (31.1%) were dissatisfied with their body image and 245 (69.5%) attempted to lose weight (earlier/currently). Perceived body image and body image satisfaction were significantly associated (P < 0.001); however, there was no association of body image perceptions/image dissatisfaction with self-reported BMI. Weight control measures such as exercise, calorie restriction, fasting, crash diet, and liquid diet were noted. Attempts to change weight were significantly related to students' perceived image (P < 0.001) and body image satisfaction (P = 0.011) but not to their self-reported BMI. No differences were found between students belonging to premedical, preclinical, and clinical years with respect to their body image perceptions, image satisfaction, BMI, attempts to change weight, and weight control methods (except fasting). Conclusions: Results indicate that body image misperceptions (58.1%) and image dissatisfaction (31.1%) exist among our medical students from Oman. Exposure to the knowledge of body image issues and eating disorders during their medical training did not positively impact their image perceptions/image satisfaction and weight control attempts across the years of study. This underlines the need to revise the medical curriculum through the introduction of awareness modules and psychoeducation sessions focusing on body image issues and healthy weight control behaviors.
背景:众所周知,身体形象感知和满意度会影响健康行为;然而,关于医学生,尤其是中东医学生身体形象问题的数据很少,也没有关于多年医学训练中身体形象感知和满意度差异的研究。目的:研究阿曼一所私立医学院医学生的身体形象问题和体重控制行为,并分析不同医学生群体(医学预科、临床前和临床)之间的差异。材料和方法:在阿曼一所私立医学院的学生中进行了一项横断面研究。关于他们的身体形象感知、形象满意度和控制体重的尝试的信息是通过自我管理问卷获得的。收集、制作表格、分析和解释学生对自我报告的体重指数(BMI)、感知身体形象、身体形象满意度和体重控制措施的反应。结果:共有351名医学生参加了这项研究(平均年龄21.56±2.2岁,平均BMI 22.7±4.3 kg/m2,87.7%为女性),其中129名(36.8%)、112名(31.9%)和110名(31.3%)分别属于医学预科、临床前和临床年级。有226名(64.4%)学生的BMI正常,43名(12.3%)学生体重不足,82名(23.3%)学生超重/肥胖。204名学生(58.1%)观察到不正确的形象感知。109名学生(31.1%)对自己的身体形象不满意,245名学生(69.5%)试图减肥(早期/目前)。感知身体形象与身体形象满意度显著相关(P<0.001);然而,身体形象感知/形象不满与自我报告的BMI之间没有关联。注意到了运动、热量限制、禁食、速成饮食和流质饮食等体重控制措施。改变体重的尝试与学生的感知形象(P<0.001)和身体形象满意度(P=0.011)显著相关,但与他们自我报告的BMI无关。医学预科、临床前和临床年级的学生在身体形象感知、形象满意度、BMI、改变体重的尝试和体重控制方法(禁食除外)方面没有发现差异。结论:阿曼医学生存在身体形象错觉(58.1%)和形象不满意(31.1%)。在多年的研究中,在医学训练中接触身体形象问题和饮食失调的知识并没有对他们的形象感知/形象满意度和体重控制尝试产生积极影响。这突出表明,有必要通过引入意识模块和心理教育课程来修订医学课程,重点关注身体形象问题和健康的体重控制行为。
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引用次数: 0
Saudi Population Perception about Medical Internists, 2020 2020年沙特民众对医学实习生的看法
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_42_21
Fahad Abdullah Dokhaikh, Mohammad A. Alzubaidi, Abdullah Saleh Alghamdi, Abdulaziz A Alghamdi, Thamer A. H. Alghamdi
Background: As a specialty, internal medicine's historical and philosophical roots lie in the German medical tradition of the second half of the 19th century. However, what uniquely defines the specialty of internal medicine is certainly not fully captured in its name. Objective: To assess the knowledge of Saudi population regarding the scope of internal medicine speciality, 2020. Methods: This is a cross-sectional study that utilized an online questionnaire for data collection. All those who consent and can fill the Arabic online form were eligible to participate in the study. The only exclusion criteria were health-care workers and non-Arabic speakers. Data were analyzed using the Statistical Package for the Social Sciences software (SPSS, version 26.0). Results: A total of 1692 responses were analyzed, of which 60.7% were females and (76.8%) had university education. The majority (77.5%) see that the term is clear. Of the total sample, only (35.8%) answered correctly when asked about the role of internal medicine doctor. When asked if the term (internal medicine) is clear, educational level and region were significantly associated (P = 0.004, 0.03), respectively. Conclusion: The Arabic contrast of the term (internal medicine) may not describe the true meaning or the job of internal medicine doctors as approximately only one third (35.8%) knew the role of medical internists. A variety of factors other than the Arabic synonymous of the term (internal medicine) can influence the understanding of the public to what is internal medicine.
背景:内科学作为一门专业,其历史和哲学根源在于19世纪下半叶的德国医学传统。然而,内科专业的独特定义并没有完全体现在其名称中。目的:评估沙特民众对2020年内科专业范围的了解。方法:这是一项横断面研究,利用在线问卷进行数据收集。所有同意并能够填写阿拉伯语在线表格的人都有资格参加这项研究。唯一的排除标准是医护人员和非阿拉伯语使用者。使用社会科学统计软件包(SPSS,26.0版)对数据进行分析。结果:共分析了1692份回复,其中60.7%为女性,76.8%受过大学教育。大多数人(77.5%)认为这个术语是明确的。在总样本中,当被问及内科医生的角色时,只有(35.8%)回答正确。当被问及术语(内科)是否明确时,教育水平和地区分别显著相关(P=0.004,0.03)。结论:(内科)一词的阿拉伯语对比可能无法描述内科医生的真正含义或工作,因为大约只有三分之一(35.8%)的人知道内科医师的角色。除了阿拉伯语同义词(内科学)之外,其他各种因素都会影响公众对内科学的理解。
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引用次数: 0
Use of skin-bleaching products among Saudi population: Are they aware of their hazards? 沙特人口使用皮肤漂白产品:他们是否意识到其危害?
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_101_20
Hend Alotaibi, Raghad Alharthi, Hanadi M ALMutairi, Alanoud Alsuhibani, Rakan Alenezi, Abdulaziz A. Alodhayani
Background: The application of skin-whitening products to have fairer and lighter skin tone has now become common practice worldwide. Research supports that even skin distribution and fairer skin are the symbol of attractiveness and superiority. Objective: This study aims to determine the belief and awareness about the composition and hazardous effects of skin-whitening products among Saudi population. Design: This was a descriptive cross-sectional study. Methods: A total of 395 respondents participated in the study. This was a cross-sectional survey study that was carried out in Riyadh, Saudi Arabia. The two-part questionnaire was filled by a convenience sample of 395 Saudi participants. The survey questions were related to whitening creams effectiveness, reasons of use, and the safety of the whitening products. The survey data were analyzed using SPSS version 21. Results: The most representative age group who responded was 18–25 years (26%), 73% were female (n = 185), and 53.1% were married. Regarding the level of knowledge among respondents on skin-whitening cream-negative implications, it was found that there is an association between age and whitening cream side effects (<0.05). Ages between 18 and 25 (73.5% said yes) and between 31 and 35 (75.6%) suffer higher from side effects of whitening creams as compared to the other age groups. Conclusion: The analysis shows that cosmetic use of skin-whitening creams is more common among females. The people of all age groups were not aware of the deleterious effects of skin-whitening creams. From the study, it was found that people who suffer from the negative effects of creams were mostly of age less than 35.
背景:应用美白产品来获得更白皙、更轻盈的肤色已经成为世界各地的普遍做法。研究表明,均匀的皮肤分布和白皙的皮肤是吸引力和优越感的象征。目的:本研究旨在确定沙特人群对皮肤美白产品成分和有害影响的信念和认识。设计:这是一项描述性的横断面研究。方法:共有395名受访者参与了这项研究。这是在沙特阿拉伯利雅得进行的一项横断面调查研究。这份由两部分组成的调查问卷由395名沙特参与者组成。调查问题涉及美白霜的有效性、使用原因和美白产品的安全性。调查数据采用SPSS版本21进行分析。结果:反应最具代表性的年龄组为18-25岁(26%),73%为女性(n=185),53.1%为已婚。关于受访者对皮肤美白霜负面影响的了解程度,发现年龄与美白霜副作用之间存在关联(<0.05)。与其他年龄组相比,18至25岁(73.5%表示同意)和31至35岁(75.6%)的人更容易受到美白霜的副作用。结论:分析表明,美白霜在女性中的美容应用更为普遍。所有年龄组的人都没有意识到皮肤美白霜的有害影响。研究发现,受面霜负面影响的人大多年龄在35岁以下。
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引用次数: 1
Contemporary trends and ethical concerns in clinical photography in Saudi Arabia: A preliminary study 沙特阿拉伯临床摄影的当代趋势和伦理问题:初步研究
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_143_20
A. Jamal, K. A. Al Ghamdi, Shabana Tharkar, Ibrahhem Al-Rabiah, M. Al-Shehri, Abdulmalik Al-Sahaf, Mohammed Al-Baz, Abdullah Al-Rowailey, Abdulrahman Al-Fowzan
Objectives: Medical photography is imperative for maintaining documentation of patient records and aiding in diagnosis and management, research, education, and training. Smartphones have replaced conventional photography due to their ease of availability, accessibility, and storage; however, their use raises privacy and ethical concerns. The objective of the present study was to determine the current trends in clinical photography and to assess the ethical issues involved in this field. Methods: A cross-sectional survey was used to interview physicians registered at the Saudi Commission for Health Specialties. Data collection was performed using the SurveyMonkey platform, and the final sample included complete responses from 210 participants. Results: A total of 147 physicians (70%) reported taking clinical photographs. Personal smartphones were the most common device used by 116 (79%) physicians, and 43 (29.3%) reported also using hospital cameras for photographing their patients. Patient visit follow-ups and medical education/training were the most popular reasons for clinical photography. Access to these devices was not well secured, with only 42 (28.6%) physicians reporting storing them in a separate folder with a password. Furthermore, no significant differences were observed in consent-taking practices between male and female patients and in the cross-analysis between physicians' and patients' genders. However, significant differences were obtained in the method of consent for identifiable and nonidentifiable photographs, with written consent preferred over verbal in identifiable photographs (P = 0.025). Common misuses included not obtaining proper consent before taking and while sharing the photographs, which raises serious privacy concerns. Patients' refusal to be photographed was the most common barrier reported by 55 (26.2%) physicians. Conclusions: Physicians mostly resorted to personal smartphones for capturing and storing patient photographs. This study identified a widespread prevalence of inadvertent practices related to inadequate consent, photograph sharing, and unsecured storage, which increases the risk of a breach of confidentiality. There is an urgent need to enforce standard guidelines and regulations addressing patients' privacy and ethical concerns involving digital photography in clinical practice.
目的:医学摄影对于保存病人记录和帮助诊断和管理、研究、教育和培训是必不可少的。智能手机已经取代了传统的摄影,因为它们易于获得、访问和存储;然而,它们的使用引发了隐私和道德方面的担忧。本研究的目的是确定临床摄影的当前趋势,并评估该领域涉及的伦理问题。方法:采用横断面调查对在沙特卫生专业委员会注册的医生进行访谈。使用SurveyMonkey平台进行数据收集,最终样本包括210名参与者的完整回答。结果:共有147名医生(70%)报告拍摄了临床照片。个人智能手机是116名(79%)医生最常用的设备,43名(29.3%)医生报告称也使用医院相机为病人拍照。患者访视随访和医学教育/培训是进行临床摄影最常见的原因。访问这些设备的安全性不高,只有42名(28.6%)医生报告说,他们将设备存储在一个单独的文件夹中,并设置了密码。此外,在男性和女性患者之间以及在医生和患者性别之间的交叉分析中,没有观察到显著差异。然而,在可识别照片和不可识别照片的同意方法上取得了显著差异,可识别照片的书面同意优于口头同意(P = 0.025)。常见的滥用包括在拍摄和分享照片之前没有得到适当的同意,这引起了严重的隐私问题。55名(26.2%)医生报告患者拒绝拍照是最常见的障碍。结论:医生大多使用个人智能手机来拍摄和存储患者照片。这项研究发现,与不充分的同意、照片共享和不安全的存储相关的无意行为普遍存在,这增加了违反保密的风险。迫切需要执行标准的指导方针和法规,以解决临床实践中涉及数字摄影的患者隐私和道德问题。
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引用次数: 1
Effect of radiological grade of cochlear ossification on cochlear implant outcome in postmeningitis deafness 脑膜炎后耳聋耳蜗骨化的放射学分级对人工耳蜗植入效果的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_138_20
F. Alzhrani, H. Alassiry, I. Alorainy, F. Albadr, Yassin Abdulsamad, Ahmad Aldhaferi
Objectives: Cochlear implantation provides significant benefits to patients with postmeningitis deafness; however, the prediction of the outcome is difficult. Therefore, the goal was to investigate whether there is a correlation between cochlear implantation outcome in postmeningitis deafness and the radiological grade of cochlear ossification. Methods: In this retrospective cohort study conducted at King Abdulaziz University Hospital, Riyadh, Saudi Arabia, between January 2013 and December 2017, nine patients with 14 diseased ears were included. All patients with postmeningitis deafness who had cochlear ossification and underwent cochlear implantation were included. Patients' demographic data and postoperative audiological outcome were recorded. Preoperative computed tomography (CT) and magnetic resonance imaging (MRI) findings were independently reviewed by two neuroradiologists and graded for cochlear ossification. The correlation between the preoperative radiological grade of cochlear ossification and postcochlear implant audiological outcome was examined. Results: The mean duration of deafness before implantation was 6.5 months, and the average PTA4k for all included ears was 28.9 dB. The average speech reception threshold was 22.5 dB. There was no significant difference in the audiological outcome between the different radiological degrees of cochlear ossification using either MRI or CT. Conclusion: The present study showed that the radiological degree of cochlear ossification postmeningitis is not a useful predictor of the audiological outcome postcochlear implant. However, the small sample size remains a major limitation of the current study.
目的:人工耳蜗植入术对脑膜炎后耳聋患者有显著的疗效;然而,结果的预测是困难的。因此,目的是研究脑膜炎后耳聋的耳蜗植入结果与耳蜗骨化的放射学分级之间是否存在相关性。方法:在这项2013年1月至2017年12月在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王大学医院进行的回顾性队列研究中,纳入了9名患者,14只患病耳朵。所有脑膜炎后耳聋的患者都有耳蜗骨化并接受了人工耳蜗植入。记录患者的人口统计学数据和术后听力学结果。两名神经放射科医生对术前计算机断层扫描(CT)和磁共振成像(MRI)结果进行了独立审查,并对耳蜗骨化进行了分级。研究了术前耳蜗骨化的放射学分级与耳蜗植入后听力学结果之间的相关性。结果:植入前耳聋的平均持续时间为6.5个月,所有入选耳朵的平均PTA4k为28.9dB。平均语音接收阈值为22.5dB。结论:本研究表明,脑膜炎后耳蜗骨化的放射学程度并不能有效预测人工耳蜗植入后的听力学结果。然而,小样本量仍然是当前研究的一个主要限制。
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引用次数: 0
Parents' knowledge, attitude, and practice toward seasonal influenza vaccination of primary school children in Buraidah City, Qassim in 2018–2019 2018年至2019年,Qassim Buraidah市小学生家长对季节性流感疫苗接种的知识、态度和实践
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.4103/jnsm.jnsm_172_20
R. Alqarzai, LeenMajed Almaghyuli, Sharouq A Alolyan, F. Alharbi, Ebtehal Aljehani, Dalia Mohamed, M. Kamal
Introduction: Influenza viruses cause seasonal influenza which is an acute respiratory infection. The WHO reported that annually, there are about 290,000–650,000 deaths worldwide due to seasonal influenza. Vaccination is one of the most effective ways to prevent seasonal influenza and despite the high recommendation and the proven effectiveness of seasonal influenza vaccines in children, still, there is hesitancy and refuse among children's parents. Objective: This study assesses the parents' knowledge, attitude, and practice toward children's seasonal influenza vaccines (knowledge, attitude and practices). In addition, it aims to figures out solutions to increase awareness toward seasonal influenza vaccines. Methods: This study targets the parents of primary school children aged from 7 to 12 years who live in Buraidah. On 800 sample size, we used cluster random sampling. Self-administer hard copy questionnaire has been distributed. Results: The result shows that there is a significant association between the gender and receiving of flu vaccine P = 0.006, and the most common barrier prevents patents to vaccinate their children was because of their thoughts about its potential side effects 20.2%. Furthermore, there is no relationship between the educational level and the knowledge about seasonal influenza vaccination benefits P = 0.483614. In addition, a great proportion of our participants trust the information given to them by the Saudi Ministry of health and by their doctors 95.5% and 94.2%, respectively. Conclusions: We suggest increasing the effort in awareness campaigns and find a solution to correct the misconception and limits the rumors to increase the number of influenza vaccine uptake.
简介:流感病毒引起季节性流感,是一种急性呼吸道感染。世界卫生组织报告,全球每年约有29万至65万人死于季节性流感。接种疫苗是预防季节性流感最有效的方法之一,尽管季节性流感疫苗在儿童中得到了高度推荐并已被证明有效,但儿童的父母仍然犹豫不决,拒绝接种。目的:本研究评估父母对儿童季节性流感疫苗的知识、态度和实践(知识、态度、实践)。此外,它还旨在找出提高人们对季节性流感疫苗认识的解决方案。方法:本研究以居住在Buraidah的7-12岁小学儿童的父母为对象。在800个样本量上,我们使用了聚类随机抽样。自行管理的硬拷贝调查表已经分发。结果:结果显示,性别与接种流感疫苗之间存在显著相关性P=0.006,阻止专利为其子女接种疫苗的最常见障碍是因为他们认为其潜在的副作用为20.2%。此外,受教育程度与季节性流感疫苗接种益处知识之间没有关系P=0.483614。此外,我们的参与者中有很大一部分人信任沙特卫生部和他们的医生提供给他们的信息,分别为95.5%和94.2%。结论:我们建议加大宣传活动的力度,找到纠正误解和限制谣言的解决方案,以增加流感疫苗的接种数量。
{"title":"Parents' knowledge, attitude, and practice toward seasonal influenza vaccination of primary school children in Buraidah City, Qassim in 2018–2019","authors":"R. Alqarzai, LeenMajed Almaghyuli, Sharouq A Alolyan, F. Alharbi, Ebtehal Aljehani, Dalia Mohamed, M. Kamal","doi":"10.4103/jnsm.jnsm_172_20","DOIUrl":"https://doi.org/10.4103/jnsm.jnsm_172_20","url":null,"abstract":"Introduction: Influenza viruses cause seasonal influenza which is an acute respiratory infection. The WHO reported that annually, there are about 290,000–650,000 deaths worldwide due to seasonal influenza. Vaccination is one of the most effective ways to prevent seasonal influenza and despite the high recommendation and the proven effectiveness of seasonal influenza vaccines in children, still, there is hesitancy and refuse among children's parents. Objective: This study assesses the parents' knowledge, attitude, and practice toward children's seasonal influenza vaccines (knowledge, attitude and practices). In addition, it aims to figures out solutions to increase awareness toward seasonal influenza vaccines. Methods: This study targets the parents of primary school children aged from 7 to 12 years who live in Buraidah. On 800 sample size, we used cluster random sampling. Self-administer hard copy questionnaire has been distributed. Results: The result shows that there is a significant association between the gender and receiving of flu vaccine P = 0.006, and the most common barrier prevents patents to vaccinate their children was because of their thoughts about its potential side effects 20.2%. Furthermore, there is no relationship between the educational level and the knowledge about seasonal influenza vaccination benefits P = 0.483614. In addition, a great proportion of our participants trust the information given to them by the Saudi Ministry of health and by their doctors 95.5% and 94.2%, respectively. Conclusions: We suggest increasing the effort in awareness campaigns and find a solution to correct the misconception and limits the rumors to increase the number of influenza vaccine uptake.","PeriodicalId":33866,"journal":{"name":"Journal of Nature and Science of Medicine","volume":"5 1","pages":"17 - 22"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49470751","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}
引用次数: 0
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Journal of Nature and Science of Medicine
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