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Factors associated with the gaps in the knowledge of diabetic patients attending primary health care center in Aseer region, KSA 沙特阿拉伯Aseer地区初级卫生保健中心糖尿病患者知识差距的相关因素
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_35_22
Fatima Riaz
Objectives: To know the factors associated with the gaps in knowledge of diabetic patients about their disease attending a primary health-care center. Methodology: At the primary health-care center, this cross-sectional study was conducted among 400 type 2 diabetic patients, selected by simple random sampling technique. A self-administered questionnaire was employed for the data collection. Results: Mean percent score of knowledge was found to be 30.4% among diabetic patients. About 52.5% of participants were 40–60 years of age, 53% were male, 76.3% were married, 16.5%, 24.5%, 21.5%, and 17.5% had illiteracy, primary, secondary, and university education, respectively. Almost half of the participants had a government job, while 37.1% were homemakers. Monthly income was 11,000–15,000 SR for 41.5% of participants. The duration of diabetes was <5 years among 30% of participants. About 53.8% were using oral hypoglycemic, while 48.3% were using insulin. Regarding comorbids, 37.3%, 32.3%, and 4% were hypertensive, dyslipidemic, and had ischemic heart disease, respectively. Regarding the factors, participants' mean knowledge percent scores significantly differed according to their age, education and monthly income (P < 0.001, P < 0.001 and P < 0.036 respectively). According to gender, social status, and occupation, knowledge percent scores were not statistically significant. Conclusion and Recommendations: Patients with type 2 diabetes had poor knowledge which differs significantly according to age, education, and monthly income. It is recommended to implement interventional programs that would enforce health education, keeping in mind the factors associated with gaps in the knowledge of diabetic patients.
目的:了解糖尿病患者在初级卫生保健中心就诊时对自身疾病认知差距的相关因素。方法:在初级卫生保健中心,采用简单随机抽样方法,对400例2型糖尿病患者进行横断面研究。数据收集采用自填问卷。结果:糖尿病患者的知识知晓率平均为30.4%。约52.5%的参与者年龄在40-60岁之间,53%为男性,76.3%已婚,16.5%,24.5%,21.5%和17.5%分别受过小学,中学和大学教育。几乎一半的参与者在政府工作,37.1%的人是家庭主妇。41.5%的参与者月收入在11,000-15,000 SR之间。30%的参与者的糖尿病病程<5年。口服降糖药占53.8%,胰岛素占48.3%。在合并症方面,37.3%、32.3%和4%分别为高血压、血脂异常和缺血性心脏病。不同年龄、受教育程度、月收入的被试平均知识百分比得分差异有统计学意义(P < 0.001、P < 0.001、P < 0.036)。在性别、社会地位和职业方面,知识百分比得分无统计学意义。结论与建议:2型糖尿病患者知识贫乏,年龄、文化程度、月收入差异显著。建议实施干预方案,加强健康教育,牢记与糖尿病患者知识差距相关的因素。
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引用次数: 0
Career development counseling: Trends and perception among health science students at King Khalid University 职业发展咨询:哈立德国王大学健康科学专业学生的趋势和看法
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_14_23
A. Alamri
Background: Health sciences students are exposed to a wide variety of specialties. Their experiences influenced their desire to pursue advanced health science degrees. Many factors influence health science students' career choices, affecting many elements of health care delivery. To highlight academic programs, semesters, and colleges that require career development guidance; analysis of students' knowledge of career development and post-graduation possibilities, and their academic program satisfaction will help health science students in obtaining jobs and contribute to economic development. Health science students should focus on career development to overcome difficulties and improve job prospects after graduation. Methodology: The study included a convenient sample of health college students from King Khalid University in Asir province. Colleges were used for a single-stage cross-sectional study. Data were analysed in three categories: first, the demographic information. Second, the students' current perception of their program, and in the third section, they were asked to predict future career opportunities. To analyse data and understand the impact of career development counselling, Microsoft Power BI Desktop was used to create coherent, graphically immersive reports and chi-squared tests to see if the future perspective is affected by demographic and current perspectives variables. Results and Conclusions: The study revealed that most college participants desire to implement a CDC program. Those who have completed half of their college program chose CDC. Second-year college students start to worry about their future professions and seek CDC for more serious guidance and job exploration. Overall, increasing undergraduate students' awareness of professional development appears to be an efficient way to provide career education while still in college.
背景:健康科学专业的学生接触到各种各样的专业。他们的经历影响了他们追求高级健康科学学位的愿望。许多因素影响健康科学学生的职业选择,影响医疗保健服务的许多要素。突出需要职业发展指导的学术项目、学期和学院;分析学生对职业发展和毕业后可能性的认识,以及他们对学术课程的满意度,将有助于卫生科学专业学生找到工作并为经济发展做出贡献。健康科学专业的学生应注重职业发展,以克服困难,改善毕业后的就业前景。方法:本研究选取了来自阿西尔省哈立德国王大学的卫生学院学生作为样本。大学被用于单阶段横断面研究。对数据进行了三类分析:第一,人口统计资料。第二,学生目前对他们的专业的看法,在第三部分,他们被要求预测未来的职业机会。为了分析数据并了解职业发展咨询的影响,使用Microsoft Power BI Desktop创建连贯的、图形化的沉浸式报告和卡方检验,以查看未来前景是否受到人口统计和当前前景变量的影响。结果和结论:研究显示,大多数大学参与者希望实施疾病预防控制计划。那些完成了一半大学课程的学生选择了CDC。大学二年级的学生开始担心自己未来的职业,并向CDC寻求更认真的指导和工作探索。总的来说,提高大学生的专业发展意识似乎是在大学期间提供职业教育的有效途径。
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引用次数: 0
Burden and risk factors associated with bronchial asthma among secondary school children in Abha City, Saudi Arabia 沙特阿拉伯阿卜哈市中学生支气管哮喘负担和相关危险因素
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_39_22
A. Alshaikh, Abdulhakeem A. Assiri, I. Al-Shehri, Maied Alshehery, Fatima Riaz, Shehata Farag, R. Bharti, Alanood Alahmary, S. Mahmood
Background and Objective: Certain regional demographic factors, such as high altitude, may serve as an aggravating factor that may further jeopardize the already burdened airways of asthmatic children. Abha city is located at a high altitude in the Aseer Province of Saudi Arabia. Therefore, this study explored the prevalence of bronchial asthma among secondary school students residing in Abha city and the associated risk factors for the same. Materials and Methods: This cross-sectional study used a simple random sampling technique to collect the data. The study enrolled 487 students (243 males and 244 females). A self-designed questionnaire was used to interview the students regarding personal, family, and environmental characteristics that could be associated with asthma. Results: The prevalence of bronchial asthma among secondary school students in Abha city was found to be 9%. 40% of cases of asthma were seasonal. The most frequent allergens were dust (95.6%), smoke (80%), incense (65.9%), perfumes (29.5%), and some food items. Only 37.8% of cases regularly took treatment and just 24.4% regularly visited asthma clinics. Cigarette smoking, the presence of overcrowding, and cockroaches in house were significantly associated with asthma in comparison to nonasthmatics. Conclusions: It is recommended that asthmatic students must quit smoking and avoid exposure to dust, smoke, and animal pets. Proper house cleaning and insect control measures must be adopted. Health education and awareness about triggers of bronchial asthma should be increased. People must be educated about the harmful effects of incense burning in asthma.
背景与目的:某些地区的人口因素,如高海拔,可能是一个加重因素,可能进一步危及哮喘儿童已经负担过重的气道。阿卜哈市位于沙特阿拉伯阿西尔省的高海拔地区。因此,本研究旨在探讨阿布哈市中学生支气管哮喘患病率及相关危险因素。材料与方法:本横断面研究采用简单的随机抽样技术收集数据。该研究招募了487名学生(243名男性和244名女性)。采用自行设计的问卷对学生进行访谈,内容涉及可能与哮喘相关的个人、家庭和环境特征。结果:阿布哈市中学生支气管哮喘患病率为9%。40%的哮喘病例是季节性的。最常见的过敏原是粉尘(95.6%)、烟雾(80%)、熏香(65.9%)、香水(29.5%)和一些食物。只有37.8%的病例定期接受治疗,只有24.4%的病例定期前往哮喘诊所。与非哮喘患者相比,吸烟、过度拥挤和室内蟑螂与哮喘显著相关。结论:建议哮喘学生戒烟,避免接触粉尘、烟雾和动物宠物。必须采取适当的房屋清洁和昆虫控制措施。应加强健康教育,提高对支气管哮喘诱因的认识。人们必须了解焚香对哮喘的有害影响。
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引用次数: 0
Incidence of root canal treatment after orthognathic surgery cases: A retrospective 5-year follow-up 正颌手术后根管治疗的发生率:回顾性5年随访
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_40_22
A. AbuMelha
Background: Success in modern orthognathic surgery is based on the close association between the oral maxillofacial surgeon and the orthodontist during various phases of the treatment, starting from the preoperative treatment planning to obtain the ideal occlusion. Orthodontic and endodontic treatments are commonly studied. Although studies revealed that orthodontic treatment could cause an impact on endodontically treated teeth, and vice versa, to date, no study has been conducted revealing the incidence of root canal treatment (RCT) in patients who underwent orthognathic surgery. Thus, the present study was conducted to evaluate the incidence of root canal therapy among patients subjected to orthognathic surgery. Materials and Methods: The present retrospective study was done on 814 patients who underwent orthodontic treatment. The clinical and radiographic records were assessed for all patients, and evidence of RCT was calculated. The data were obtained about gender, type of teeth involved, and diagnosis of the condition. Results: Out of those 57 patients who underwent orthognathic surgery in the past 5 years, 11 (1.35%) had undergone RCT, with the mean age being 21.72 years. A statistically significant difference (P < 0.05) was found between both genders in diagnosis. A maximum of 27.27% of cases subjected to RCT were left maxillary first premolar, followed by right maxillary first premolar, and right maxillary first molar, with a statistically insignificant difference (P > 0.05) between both genders to the type of tooth involved. Conclusion: A significant rate of prevalence of RCT was observed among the patients undergoing orthognathic surgery (19.29%), mainly involving premolars. Males showed a higher incidence of RCT in the left mandibular molar, whereas in females, first maxillary premolars were mainly involved among patients subjected to orthognathic surgery. Thus, there is a need to evaluate patients for the requirement of RCT after orthognathic surgery.
背景:现代正颌手术的成功是基于口腔颌面外科医生和正畸医师在治疗的各个阶段的密切配合,从术前的治疗计划开始,获得理想的咬合。正畸和牙髓治疗通常被研究。虽然有研究表明正畸治疗可能会对经根管治疗的牙齿产生影响,反之亦然,但迄今为止,还没有研究显示接受正颌手术的患者进行根管治疗(RCT)的发生率。因此,本研究旨在评估接受正颌手术的患者进行根管治疗的发生率。材料与方法:对814例接受正畸治疗的患者进行回顾性研究。评估所有患者的临床和影像学记录,并计算RCT证据。数据包括性别、牙齿类型和诊断情况。结果:57例近5年行正颌手术的患者中,11例(1.35%)行RCT,平均年龄21.72岁。两性诊断差异有统计学意义(P < 0.05)。其中左侧上颌第一前磨牙最多占27.27%,其次为右侧上颌第一前磨牙,右侧上颌第一磨牙占27.27%,性别差异无统计学意义(P > 0.05)。结论:正颌手术患者的RCT检出率显著(19.29%),以前磨牙为主。男性在左下颌磨牙的RCT发生率较高,而女性在正颌手术中主要累及第一上颌前磨牙。因此,有必要评估患者对正颌手术后RCT的需求。
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引用次数: 0
Nutritional status and its associated factors in children under 5 years of age in the Aseer Region, Southwestern Saudi Arabia 沙特阿拉伯西南部阿西尔地区5岁以下儿童的营养状况及其相关因素
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_9_23
Saleh M. Al-Qahtani
Background: Despite progress in several health markers for under-five children, malnutrition continues to be a major health indicator and the chief cause of death in several countries. The manifestations of undernutrition, including stunting, underweight, and wasting, are major concerns worldwide. The present study aimed to explore stunting, wasting, and underweight in under-five children. Materials and Methods: This cross-sectional study was conducted in children who had medical files in three selected Primary Health Care Centers of the Aseer Region. Anthropometric variables, including age, weight, and height, were assessed using the World Health Organization guidelines. Results: The study included 664 children. The overall prevalence of wasting, underweight, stunting, and thinness was 17.8%, 20.5%, 30.3%, and 18.4%, respectively. Living in rural areas and at sea level were significant associated factors for overall stunting and living at sea level was the only significant associated factor for severe stunting. Conclusion: Malnutrition levels among under-five children in the Aseer Region continue to be a public health issue and are higher than the levels observed in other regions of Saudi Arabia. Governmental and nongovernmental stakeholders should collaborate to develop short- and long-term programs addressing the major determinants of childhood malnutrition and its associated health effects.
背景:尽管在五岁以下儿童的若干健康指标方面取得了进展,但营养不良仍然是一些国家的一个主要健康指标和主要死亡原因。营养不良的表现,包括发育迟缓、体重不足和消瘦,是全世界关注的主要问题。本研究旨在探讨五岁以下儿童的发育迟缓、消瘦和体重不足。材料和方法:本横断面研究是在亚洲地区选定的三个初级卫生保健中心进行的有医疗档案的儿童。人体测量变量,包括年龄、体重和身高,根据世界卫生组织的指导方针进行评估。结果:本研究纳入664名儿童。消瘦、体重不足、发育迟缓和消瘦的总体患病率分别为17.8%、20.5%、30.3%和18.4%。生活在农村地区和海平面是总体发育迟缓的显著相关因素,生活在海平面是严重发育迟缓的唯一显著相关因素。结论:东南亚地区五岁以下儿童的营养不良水平仍然是一个公共卫生问题,其水平高于沙特阿拉伯其他地区。政府和非政府利益攸关方应合作制定短期和长期方案,解决儿童营养不良的主要决定因素及其相关的健康影响。
{"title":"Nutritional status and its associated factors in children under 5 years of age in the Aseer Region, Southwestern Saudi Arabia","authors":"Saleh M. Al-Qahtani","doi":"10.4103/KKUJHS.KKUJHS_9_23","DOIUrl":"https://doi.org/10.4103/KKUJHS.KKUJHS_9_23","url":null,"abstract":"Background: Despite progress in several health markers for under-five children, malnutrition continues to be a major health indicator and the chief cause of death in several countries. The manifestations of undernutrition, including stunting, underweight, and wasting, are major concerns worldwide. The present study aimed to explore stunting, wasting, and underweight in under-five children. Materials and Methods: This cross-sectional study was conducted in children who had medical files in three selected Primary Health Care Centers of the Aseer Region. Anthropometric variables, including age, weight, and height, were assessed using the World Health Organization guidelines. Results: The study included 664 children. The overall prevalence of wasting, underweight, stunting, and thinness was 17.8%, 20.5%, 30.3%, and 18.4%, respectively. Living in rural areas and at sea level were significant associated factors for overall stunting and living at sea level was the only significant associated factor for severe stunting. Conclusion: Malnutrition levels among under-five children in the Aseer Region continue to be a public health issue and are higher than the levels observed in other regions of Saudi Arabia. Governmental and nongovernmental stakeholders should collaborate to develop short- and long-term programs addressing the major determinants of childhood malnutrition and its associated health effects.","PeriodicalId":344305,"journal":{"name":"King Khalid University Journal of Health Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130683262","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
Coccinia indica leaf extract inhibits herpes simplex 2 viruses' propagation In vitro 牛球虫叶提取物对单纯疱疹2型病毒体外繁殖的抑制作用
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_41_22
H. Chandramoorthy
Background: Herpes simplex virus-2 (HSV-2) is known to cause genital herpes a well-characterized sexually transmitted disease among humans. Although there are a couple of antiviral drugs available, poor adherence toward the treatment makes it more complicated. Recent reports on HSV drug resistance due to mutations have paved the way for the search of new antivirals required to control rising new virus infections. Objectives: The objective of this study was to screen the antiviral property of Coccinia indica ethanolic leaf extracts over the HSV-2 strain. Subjects and Methods: C. indica ethanolic extracts were assessed for anti-HSV-2 properties by the standard in vitro microtissue culture assay. Results: The results presented the least concentration of 75 μg of C. indica ethanolic leaf extract inhibited 100% of HSV-2 propagation and 50 μg inhibited around 60% of virus and showed a residual titer of 100.8 ± 0.04 at day 5. Conclusion: The C. indica ethanolic extracts exhibited a significant antiviral activity against the HSV-2 virus in vitro.
背景:已知单纯疱疹病毒-2 (HSV-2)可引起生殖器疱疹,这是一种具有明显特征的人类性传播疾病。虽然有几种抗病毒药物可用,但治疗依从性差使其更加复杂。最近关于单纯疱疹病毒因突变而产生耐药性的报告为寻找新的抗病毒药物以控制不断上升的新病毒感染铺平了道路。目的:筛选印度球菌乙醇叶提取物对HSV-2株的抗病毒作用。对象和方法:采用标准的体外组织培养法,评价印度荆芥乙醇提取物抗hsv -2的性能。结果:最低浓度75 μg的籼稻乙醇叶提取物对HSV-2的抑制率为100%,最低浓度50 μg的提取物对HSV-2的抑制率为60%左右,第5天的残留效价为100.8±0.04。结论:籼稻乙醇提取物具有明显的体外抗HSV-2病毒活性。
{"title":"Coccinia indica leaf extract inhibits herpes simplex 2 viruses' propagation In vitro","authors":"H. Chandramoorthy","doi":"10.4103/KKUJHS.KKUJHS_41_22","DOIUrl":"https://doi.org/10.4103/KKUJHS.KKUJHS_41_22","url":null,"abstract":"Background: Herpes simplex virus-2 (HSV-2) is known to cause genital herpes a well-characterized sexually transmitted disease among humans. Although there are a couple of antiviral drugs available, poor adherence toward the treatment makes it more complicated. Recent reports on HSV drug resistance due to mutations have paved the way for the search of new antivirals required to control rising new virus infections. Objectives: The objective of this study was to screen the antiviral property of Coccinia indica ethanolic leaf extracts over the HSV-2 strain. Subjects and Methods: C. indica ethanolic extracts were assessed for anti-HSV-2 properties by the standard in vitro microtissue culture assay. Results: The results presented the least concentration of 75 μg of C. indica ethanolic leaf extract inhibited 100% of HSV-2 propagation and 50 μg inhibited around 60% of virus and showed a residual titer of 100.8 ± 0.04 at day 5. Conclusion: The C. indica ethanolic extracts exhibited a significant antiviral activity against the HSV-2 virus in vitro.","PeriodicalId":344305,"journal":{"name":"King Khalid University Journal of Health Sciences","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131676932","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
Factors associated with breakfast skipping and its attitude among undergraduate students of King Khalid University 哈立德国王大学本科生不吃早餐的相关因素及其态度
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_12_23
A. Alhazmi
Background: Breakfast is one of the essential meals needed for normal growth. Skipping breakfast can cause poor concentration, fatigue, irritability, obesity, and high blood pressure, in university students. This study aimed to identify the factors associated with skipping breakfast and its attitude among university students. Methodology: This cross-sectional study was conducted using a sample of 368 students. The sample was selected by a simple random sampling technique. A web-based, self-administered, electronic questionnaire was used to collect the data. Results: Breakfast skipping was found in 62.4% of the participants. The most common reasons for breakfast skipping included not getting up early, not feeling hungry in the morning, and the burden of learning. The most common types of food consumed by the study subjects were juices, eggs, and cheese. A statistically significant negative relationship was found between breakfast skipping and students' overall breakfast attitudes as well as between skipping breakfast and the Cumulative Grade Point Average of the studied participants. However, there is a statistically significant positive relationship between breakfast skipping, body mass index, and the time of early morning awakening of the respondents. Conclusion: The results of this study indicate that breakfast skipping was prevalent among students and their overall attitudes toward breakfast were neutral. Raising public awareness about the importance of breakfast and its impact on academic achievement by organizing and executing nutritional programs, particularly for the university students is required.
背景:早餐是正常生长所必需的一餐。不吃早餐会导致大学生注意力不集中、疲劳、易怒、肥胖和高血压。本研究旨在确定大学生不吃早餐的相关因素及其态度。方法:本横断面研究采用368名学生为样本进行。采用简单的随机抽样方法选取样本。使用基于网络的、自我管理的电子问卷来收集数据。结果:62.4%的参与者不吃早餐。不吃早餐最常见的原因包括不早起,早上不觉得饿,以及学习的负担。研究对象最常见的食物类型是果汁、鸡蛋和奶酪。不吃早餐与学生的整体早餐态度以及不吃早餐与研究参与者的累积平均成绩之间存在统计学上显著的负相关关系。然而,不吃早餐、身体质量指数与被调查者的早起时间之间存在统计学上显著的正相关关系。结论:本研究结果表明,学生不吃早餐的现象普遍存在,他们对早餐的总体态度是中性的。需要通过组织和执行营养计划来提高公众对早餐的重要性及其对学业成绩的影响的认识,特别是对大学生。
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引用次数: 0
Evaluation of knowledge, attitude, and practices of foot self-care among diabetic patients attending different diabetic clinics in Najran, Saudi Arabia 在沙特阿拉伯纳吉兰不同的糖尿病诊所就诊的糖尿病患者足部自我保健的知识、态度和实践评估
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_43_22
S. Alsareii
Introduction: Diabetic foot syndrome is a significant hurdle for the health-care profession, with substantial economic outcomes for diabetic patients, their families, and society, affecting the quality of care and quality of life. Aim: The aim of this study was to assess diabetic patients' knowledge, attitude, and practices regarding foot care. Methods: A cross-sectional study was carried out at various diabetic clinics in Najran, Saudi Arabia. All attending diabetic patients were subjects of the study. The investigators developed the survey instrument based on prior surveys and guidelines. The survey explored the sociodemographic characteristics of the patients and evaluated attitudes toward diabetic patients and the level of knowledge of foot self-care practices. Results: The mean awareness score was 9.68 (standard deviation [SD]: 2.65) out of 16 points, with low, satisfactory, and high awareness scores identified in 28.7%, 60.6%, and 10.7% of patients, respectively. With regard to attitude, the mean score was 3.18 (SD: 1.55) out of 6 points, where, negative, neutral, and positive attitudes were found in 34.9%, 41.1%, and 23.9% of patients, respectively. The most commonly known risk factors of diabetes mellitus (DM) were neuropathy, followed by retinopathy. Antiglycemic control, duration of diabetes, and educational level were associated with neuropathy, retinopathy, vasculopathy, and foot deformity. On the other hand, uneducated patients, on monotherapy with insulin, with no diet plan, those with uncontrolled glycosylated hemoglobin levels, and with more than 10 years of DM significantly had poor awareness and negative attitude toward foot self-care. Conclusion: There were moderate awareness and attitudes concerning foot self-care among diabetic patients. Diabetic patients and physicians have an essential role to play in preventing diabetic foot syndrome. The health-care institutions should nurture diabetic patients with better knowledge and a positive attitude toward foot self-care.
导言:糖尿病足综合征是卫生保健专业的一个重大障碍,对糖尿病患者、其家庭和社会具有重大的经济后果,影响护理质量和生活质量。目的:本研究的目的是评估糖尿病患者对足部护理的知识、态度和实践。方法:在沙特阿拉伯纳季兰的多家糖尿病诊所进行横断面研究。所有参与研究的糖尿病患者均为研究对象。调查人员根据先前的调查和指导方针开发了调查工具。调查探讨了患者的社会人口学特征,评估了对糖尿病患者的态度和足部自我保健的知识水平。结果:在16分满分中,平均认知得分为9.68分(标准差[SD]: 2.65),其中28.7%的患者认知得分低,60.6%的患者认知得分满意,10.7%的患者认知得分高。在态度方面,平均得分为3.18分(SD: 1.55),其中34.9%的患者态度消极,41.1%的患者态度中立,23.9%的患者态度积极。糖尿病(DM)最常见的危险因素是神经病变,其次是视网膜病变。降糖控制、糖尿病病程和教育水平与神经病变、视网膜病变、血管病变和足部畸形有关。另一方面,未受教育的患者,单药胰岛素治疗,无饮食计划,糖化血红蛋白水平不受控制,糖尿病10年以上的患者对足部自我保健的认知较差,态度消极。结论:糖尿病患者足部自我护理意识和态度中等。糖尿病患者和医生在预防糖尿病足综合征方面发挥着至关重要的作用。卫生保健机构应培养糖尿病患者对足部自我保健的认识和积极态度。
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引用次数: 0
Knowledge and attitudes of Makkah government female school teachers regarding emergency management of dental trauma – A cross-sectional study 麦加政府女教师对牙外伤应急管理的知识和态度——一项横断面研究
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_34_22
Njood Alshareef, T. Nazer, Wala'a Altowairqi, Walid Fouad, B. Manjunatha, Ali Alzahrani, A. Marghalani
Background: Children dental trauma is a significant oral health issue worldwide; accidents involving falls in school are extremely common; they are the main etiological factor of traumatic tooth injury. Children around the age of 8–11 years are the most affected with these injuries. Aim: The purpose of the study is to assess the level of knowledge and attitude of Makkah government female school teachers regarding the emergency management of dental trauma. Materials and Methods: This was a cross-sectional study where participants were 378 teachers of 6–12 years old children in primary schools who were randomly selected from primary public schools in Makkah city and were invited to fill in a self-administered questionnaire. Teachers' knowledge was assessed using their answers on the appropriate action in given imaginary cases; their personal profile information was also obtained from the questionnaire. Results: A total of 378 female teachers participated in the study. Of these, 35.7% had first aid training and 6.3% had dental emergency training. However, teachers' knowledge of dental emergencies was severely lacking. The relation between teachers' knowledge and their age, educational level, years of experience, first aid training, dental emergency training, and the number of emergency dental cases experienced was tested; however, the results found no significant difference. Conclusions: This study concluded that female primary school teachers in Makkah were drastically lacking knowledge in dental trauma management. Accordingly, awareness programs focused on how teachers at primary school understand the basic management of emergency dental trauma is needed.
背景:儿童牙外伤是世界范围内一个重要的口腔健康问题;在学校摔倒的事故极为常见;它们是外伤性牙损伤的主要病因。8-11岁的儿童最容易受到这些伤害的影响。目的:本研究旨在了解麦加公立女学校教师对牙外伤应急管理的知识和态度。材料和方法:这是一项横断面研究,参与者是378名6-12岁的小学教师,他们是从麦加市的公立小学随机挑选出来的,并被邀请填写一份自我管理的问卷。教师的知识是通过他们在给定的想象案例中对适当行动的回答来评估的;他们的个人资料信息也从问卷中获得。结果:共有378名女教师参与研究。其中,35.7%接受过急救培训,6.3%接受过牙科急救培训。然而,教师对牙科紧急情况的知识严重缺乏。考察教师的知识与年龄、受教育程度、工作年限、急救培训、牙科急诊培训、牙科急诊病例经验的关系;然而,结果没有发现显著差异。结论:麦加女小学教师严重缺乏牙外伤管理知识。因此,需要开展提高认识的项目,重点关注小学教师如何理解紧急牙外伤的基本管理。
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引用次数: 0
Determinants of intravitreal anti-vascular endothelial growth factor treatment outcomes in diabetic patients having macular edema 糖尿病黄斑水肿患者玻璃体内抗血管内皮生长因子治疗结果的决定因素
Pub Date : 2023-01-01 DOI: 10.4103/KKUJHS.KKUJHS_16_23
Ashwaq Y. Asiri
Background: With a growing number of patients diagnosed with microvascular complications of diabetes, cases of diabetic retinopathy (DR) are on the rise. This study helps to determine the treatment outcomes and factors associated with anti-vascular endothelial growth factor (VEGF) treatment for macular edema associated with diabetes in a Regional Hospital in Saudi Arabia. Materials and Methods: A retrospective study based on the data collected from the patient records of cases of diabetic macular edema presenting from May 2016 to December 2021 and treated with anti-VEGF agents. Information on demographics, disease, and treatment was extracted on a data driven form for 1293 patients. Student's paired t-tests and ordered logistic regression analysis were carried out to study the effect of various factors on treatment outcomes. All values were considered statistically significant at a value of P ≤ 0.05. Results: We found improvement in visual acuity (VA) and macular thickness following the treatment with anti-VEGF. VA improved from 0.24 ± 0.27 m to 0.28 ± 0.27 t (1716) = −2.958, P < 0.005, t (1716) = 27.30; and macular thickness decreased from 267.32 ± 200.17 to 194.40 ± 151.38 (P < 0.001). Younger patients, male gender, and patients having multimorbidity (presence of hypertension [HTN] or chronic kidney disease long with diabetes) significantly improved VA (P < 0.001). Intravitreal ranibizumab has significantly more effect on improvement in VA (P < 0.001), while all intravitreal anti-VEGF agents have a significant effect on reducing macular thickness (P < 0.001). Conclusion: Anti-VEGF agents provide successful treatment outcomes in patients having DR; however, treatment outcomes differ by gender, age, and co-existing HTN and kidney disease. Treatment with ranibizumab significantly increases VA.
背景:随着越来越多的患者被诊断为糖尿病微血管并发症,糖尿病视网膜病变(DR)的病例呈上升趋势。本研究有助于确定沙特阿拉伯一家地区医院抗血管内皮生长因子(VEGF)治疗糖尿病相关性黄斑水肿的治疗结果和相关因素。材料与方法:回顾性研究2016年5月至2021年12月糖尿病性黄斑水肿患者的临床资料,并采用抗vegf药物治疗。从数据驱动表格中提取了1293名患者的人口统计、疾病和治疗信息。采用学生配对t检验和有序logistic回归分析,研究各因素对治疗结果的影响。以P≤0.05为差异有统计学意义。结果:我们发现抗vegf治疗后视力(VA)和黄斑厚度均有改善。VA由0.24±0.27 m改善至0.28±0.27 t(1716) =−2.958,P < 0.005, t (1716) = 27.30;黄斑厚度由267.32±200.17降至194.40±151.38 (P < 0.001)。年轻患者、男性和多病患者(存在高血压[HTN]或慢性肾病伴糖尿病)的VA显著改善(P < 0.001)。玻璃体内注射雷尼珠单抗对VA的改善作用更显著(P < 0.001),而所有玻璃体内注射抗vegf药物对降低黄斑厚度均有显著作用(P < 0.001)。结论:抗vegf药物对DR患者治疗效果良好;然而,治疗结果因性别、年龄以及HTN和肾脏疾病的共存而异。雷尼单抗治疗可显著增加VA。
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King Khalid University Journal of Health Sciences
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