Pub Date : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.209
H. Alturaigi, Mohannad M. Alshaya, Muhannad M Aldubaykhi, Ali Almhawas, Khaled Alshehri
Background: Upper respiratory tract infections (URTIs) are particularly common in children and are a major source of antibiotic misuse, which leads to antibiotic resistance development. Aims: To assess the Knowledge and Attitude towards antibiotics use among mothers Attending pediatric clinics in King Saud medical city |(KSMC), Riyadh, Saudi Arabia. Materials and Methods: This cross sectional study was conducted in pediatric clinics in KSMC, Riyadh, Saudi Arabia between March 2021 and August 2021. Desired population in this study was mothers of children aged ≤ 14 years Attending pediatric clinics in KSMC, Riyadh, they were selected via a convenient non-probability sampling technique. Data was collected using self-administered questionnaire and analysis was performed using (SPSS). Results: A total of 422 mothers participated in this study. 77.3% of the parents had poor knowledge of the use of antibiotics in children for URTIs, even though the majority of the participants (93.4%) considered physicians as the primary source of information. Only 17.3% of the participants strongly agreed that most of the URTIs are of viral origin and only 12.3% of the participants correctly know that antibiotics have side effects and 39.8% strongly agreed that the inappropriate use of antibiotics reduces their efficacy and drives bacterial resistance. Fever and ear ache were the most common reasons for which parents visited the physician. Additionally, mothers have child with history of chronic disease considered as have good knowledge compared to mothers not have child with history of chronic disease, with significant association (P = 0.007). Conclusion: The relationship between mothers and physicians is trusted, but Saudi mothers are insufficiently informed about antibiotics' use for URTIs, which results in inappropriate attitudes and practices. Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.
{"title":"Knowledge and attitude towards antibiotics use among mothers attending pediatric clinics in king Saud medical city, Riyadh, Saudi Arabia 2021","authors":"H. Alturaigi, Mohannad M. Alshaya, Muhannad M Aldubaykhi, Ali Almhawas, Khaled Alshehri","doi":"10.33545/comed.2021.v4.i4a.209","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.209","url":null,"abstract":"Background: Upper respiratory tract infections (URTIs) are particularly common in children and are a major source of antibiotic misuse, which leads to antibiotic resistance development. Aims: To assess the Knowledge and Attitude towards antibiotics use among mothers Attending pediatric clinics in King Saud medical city |(KSMC), Riyadh, Saudi Arabia. Materials and Methods: This cross sectional study was conducted in pediatric clinics in KSMC, Riyadh, Saudi Arabia between March 2021 and August 2021. Desired population in this study was mothers of children aged ≤ 14 years Attending pediatric clinics in KSMC, Riyadh, they were selected via a convenient non-probability sampling technique. Data was collected using self-administered questionnaire and analysis was performed using (SPSS). Results: A total of 422 mothers participated in this study. 77.3% of the parents had poor knowledge of the use of antibiotics in children for URTIs, even though the majority of the participants (93.4%) considered physicians as the primary source of information. Only 17.3% of the participants strongly agreed that most of the URTIs are of viral origin and only 12.3% of the participants correctly know that antibiotics have side effects and 39.8% strongly agreed that the inappropriate use of antibiotics reduces their efficacy and drives bacterial resistance. Fever and ear ache were the most common reasons for which parents visited the physician. Additionally, mothers have child with history of chronic disease considered as have good knowledge compared to mothers not have child with history of chronic disease, with significant association (P = 0.007). Conclusion: The relationship between mothers and physicians is trusted, but Saudi mothers are insufficiently informed about antibiotics' use for URTIs, which results in inappropriate attitudes and practices. Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116867044","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 : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.211
Dr. Shilpa Waghmare, Dr. Pratibha Verma
Background and Objective: Noise pollution is one of the commonest occupational and environmental health hazard. The extent of damage to hair cells is determined by the intensity of noise to which a person is exposed, and the duration of noise exposure [1] . Prolonged exposure to high intensity noise >85dB(A) or more, for eight hours can lead to permanent hearing loss. This exposure can be reduced significantly by using simple ear protection devices. NIHL can be easily prevented through the use of simple and economical tools, but are not used by people due to different reasons. 3 Our study aimed at determining the relation between the duration of exposure to loud noise on the severity of noise-induced hearing loss. The subjects of our study were train drivers working in an extremely noisy environment for long hours, without using any ear protection tool. Materials and Method: This study involved 60 subjects, who were all train drivers. They were working in an extremely noisy environment for more than eight hours a day for more than ten years. The responses to brainstem evoked response audiometry were recorded and evaluated for severity of hearing loss. Result: 60% subjects reported positive for sensorineural deafness. 18.3% of the subjects were having mild degree of hearing loss, 23.3% were having moderate degree of hearing loss and 18.3% were having severe degree of hearing loss. Conclusion: It was found that the duration of exposure to noise has a positive correlation with the degree of severity of hearing loss ( p <0.001), the intensity of noise being the same.
{"title":"Correlation between duration of noise exposure and severity of hearing loss","authors":"Dr. Shilpa Waghmare, Dr. Pratibha Verma","doi":"10.33545/comed.2021.v4.i4a.211","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.211","url":null,"abstract":"Background and Objective: Noise pollution is one of the commonest occupational and environmental health hazard. The extent of damage to hair cells is determined by the intensity of noise to which a person is exposed, and the duration of noise exposure [1] . Prolonged exposure to high intensity noise >85dB(A) or more, for eight hours can lead to permanent hearing loss. This exposure can be reduced significantly by using simple ear protection devices. NIHL can be easily prevented through the use of simple and economical tools, but are not used by people due to different reasons. 3 Our study aimed at determining the relation between the duration of exposure to loud noise on the severity of noise-induced hearing loss. The subjects of our study were train drivers working in an extremely noisy environment for long hours, without using any ear protection tool. Materials and Method: This study involved 60 subjects, who were all train drivers. They were working in an extremely noisy environment for more than eight hours a day for more than ten years. The responses to brainstem evoked response audiometry were recorded and evaluated for severity of hearing loss. Result: 60% subjects reported positive for sensorineural deafness. 18.3% of the subjects were having mild degree of hearing loss, 23.3% were having moderate degree of hearing loss and 18.3% were having severe degree of hearing loss. Conclusion: It was found that the duration of exposure to noise has a positive correlation with the degree of severity of hearing loss ( p <0.001), the intensity of noise being the same.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126467596","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 : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.207
AL Hanoof AL Emran, Tarek Al Siad
Background: Diabetes prevalence is increasing globally and Saudi Arabia is not an exception. As a result, diabetic foot complications are increasing. Such complications can be prevented by regular foot examination. We conducted this study aiming to assess the rate of physicians performing foot examination and education that is reported by diabetic patients and to explore the clinical and demographic variables that may affect physician performance in diabetic foot examination and education. Methods: A cross-sectional study was conducted among diabetic patients at AL-Wezarat diabetic clinic, PSMMC, Riyadh, Saudi Arabia. Data was collected through a questionnaire that was previously used in a similar study, the questionnaire was translated into Arabic validated and distributed randomly to the sample population. Results: A total of 248 patients' medical records were analyzed, more than half (56.10%) were females, and 15.29% were smokers. Diabetic foot complications were prevalent among 76.23% of the participants, and the prevalence of foot ulcers was 7.26%. The majority of the respondents reported that their physicians examined their feet during the last year at 84.21%, and more than half (54.33%) said that the physicians examine their feet every visit. Inspection only was the most used method by 87.80%. The prevalence of diabetic foot was significantly higher among females at 61.6% compared to 38.4% among males. Similarly, the correlation was statistically significant with educational level, employment status and smoking. Conclusion: According to the current study findings, diabetic foot examination by family physicians is considered high, as reported by diabetic patients; however, the examination was mostly by inspection rather than specific tool examination. The reasons for such findings should be addressed in future studies in order to learn the causes and put solutions in place by health care authorities in order to help prevent diabetic foot complications.
{"title":"Diabetic foot examination by family physicians as reported by diabetic patients: A cross-sectional study","authors":"AL Hanoof AL Emran, Tarek Al Siad","doi":"10.33545/comed.2021.v4.i4a.207","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.207","url":null,"abstract":"Background: Diabetes prevalence is increasing globally and Saudi Arabia is not an exception. As a result, diabetic foot complications are increasing. Such complications can be prevented by regular foot examination. We conducted this study aiming to assess the rate of physicians performing foot examination and education that is reported by diabetic patients and to explore the clinical and demographic variables that may affect physician performance in diabetic foot examination and education. Methods: A cross-sectional study was conducted among diabetic patients at AL-Wezarat diabetic clinic, PSMMC, Riyadh, Saudi Arabia. Data was collected through a questionnaire that was previously used in a similar study, the questionnaire was translated into Arabic validated and distributed randomly to the sample population. Results: A total of 248 patients' medical records were analyzed, more than half (56.10%) were females, and 15.29% were smokers. Diabetic foot complications were prevalent among 76.23% of the participants, and the prevalence of foot ulcers was 7.26%. The majority of the respondents reported that their physicians examined their feet during the last year at 84.21%, and more than half (54.33%) said that the physicians examine their feet every visit. Inspection only was the most used method by 87.80%. The prevalence of diabetic foot was significantly higher among females at 61.6% compared to 38.4% among males. Similarly, the correlation was statistically significant with educational level, employment status and smoking. Conclusion: According to the current study findings, diabetic foot examination by family physicians is considered high, as reported by diabetic patients; however, the examination was mostly by inspection rather than specific tool examination. The reasons for such findings should be addressed in future studies in order to learn the causes and put solutions in place by health care authorities in order to help prevent diabetic foot complications.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"120 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114133386","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 : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.208
Aymen Afifi, Mustafa Kofi
{"title":"Insomnia, stress, and psychological coping among residents in a major tertiary hospital in Riyadh, Saudi Arabia","authors":"Aymen Afifi, Mustafa Kofi","doi":"10.33545/comed.2021.v4.i4a.208","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.208","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114466345","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 : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.216
Karali Hf, Smith Daniel Robert, Goodson Michaela Louise, Farhad Es
{"title":"Holistic obstetrics and gynaecology mind maps teaching an easy-to-use tool provides equality of learning, teaching, and assessment","authors":"Karali Hf, Smith Daniel Robert, Goodson Michaela Louise, Farhad Es","doi":"10.33545/comed.2021.v4.i4a.216","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.216","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116426982","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 : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.210
Dr. Konika Jain, D. Chouhan, Dr. Abhinav Jain
Background: Anaemia is one of the most important factors influencing maternal morbidity and mortality and also the health of the newborn. It is a global health issue affecting nearly half of pregnant women. This study aimed to assess the association of maternal anemia with poor pregnancy outcomes. Methods: It was a cross-sectional study that included 2 study centers. As per inclusion/exclusion criteria, this study included 650 post-partum mothers. Using Stratified random sampling study participants were enrolled. Data were collected and analyzed in SPSS 23. Using statistical tests i.e., Chi-square, t-test, etc data was analyzed. Results: Anaemic mothers had a statistically significant association with low birth weight (χ 2 -9.099, p -0.003) and babies born dead (χ 2 -8.045, p -0.005). Using the student t-test, there was a significant mean birth weight difference of 114 gms of newborns among anemic and non-anemic mothers (p-0.003). Conclusions: Improving anemic status during pregnancy can reduce the burden of poor pregnancy outcomes.
背景:贫血是影响孕产妇发病率和死亡率的重要因素之一，也是影响新生儿健康的重要因素之一。这是一个影响近一半孕妇的全球健康问题。本研究旨在评估孕妇贫血与不良妊娠结局的关系。方法:采用横断面研究，包括2个研究中心。根据纳入/排除标准，这项研究包括650名产后母亲。采用分层随机抽样方法对研究参与者进行登记。采用SPSS 23进行数据收集和分析。采用统计学检验即卡方检验、t检验等对数据进行分析。结果:贫血母亲与低出生体重(χ 2 -9.099, p -0.003)和新生儿死亡(χ 2 -8.045, p -0.005)有统计学意义。使用学生t检验，贫血母亲和非贫血母亲的新生儿平均出生体重差异为114克(p-0.003)。结论:改善妊娠期贫血状况可减轻不良妊娠结局的负担。
{"title":"Association between maternal anemia and poor pregnancy outcome in selected hospitals of Ujjain districts of the central part of India","authors":"Dr. Konika Jain, D. Chouhan, Dr. Abhinav Jain","doi":"10.33545/comed.2021.v4.i4a.210","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.210","url":null,"abstract":"Background: Anaemia is one of the most important factors influencing maternal morbidity and mortality and also the health of the newborn. It is a global health issue affecting nearly half of pregnant women. This study aimed to assess the association of maternal anemia with poor pregnancy outcomes. Methods: It was a cross-sectional study that included 2 study centers. As per inclusion/exclusion criteria, this study included 650 post-partum mothers. Using Stratified random sampling study participants were enrolled. Data were collected and analyzed in SPSS 23. Using statistical tests i.e., Chi-square, t-test, etc data was analyzed. Results: Anaemic mothers had a statistically significant association with low birth weight (χ 2 -9.099, p -0.003) and babies born dead (χ 2 -8.045, p -0.005). Using the student t-test, there was a significant mean birth weight difference of 114 gms of newborns among anemic and non-anemic mothers (p-0.003). Conclusions: Improving anemic status during pregnancy can reduce the burden of poor pregnancy outcomes.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124927101","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 : 2021-07-01DOI: 10.33545/comed.2021.v4.i3a.200
Otobo Daniel David, O. I. Ngozi
Nigeria is a country of more than 200 million citizens. Amongst these, 40% live below the poverty line and earn less than $400 dollars annually. The laws in the country does not also affect all f her citizens equally. The large gap in equity in the nation has been seen to have a direct impact on the recent public health emergency, the covid-19 pandemic that occurred. With a lot of policies put in place to cub the spread and enhance control of the virus, the country had a lot of gaps and windows for her elite citizens. This did not just cause an introduction of the virus into the country; it also played a pivotal role in the pattern of spread in the country. The paper also went further to reflect the need for government office holders to have strong unbiased knowledge of medical emergencies (Epidemics and pandemics) and their implications. The public health implications of a fall in civilization and what impacts it can have in the prognosis of public health affairs in a nation. It creates a direct linkage between the impact of government policies, civil violence and most importantly Inequity.
{"title":"The Covid-19 and the Nigerian pandemic: A review on Covid-19 in the inequitable world of Nigerians","authors":"Otobo Daniel David, O. I. Ngozi","doi":"10.33545/comed.2021.v4.i3a.200","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i3a.200","url":null,"abstract":"Nigeria is a country of more than 200 million citizens. Amongst these, 40% live below the poverty line and earn less than $400 dollars annually. The laws in the country does not also affect all f her citizens equally. The large gap in equity in the nation has been seen to have a direct impact on the recent public health emergency, the covid-19 pandemic that occurred. With a lot of policies put in place to cub the spread and enhance control of the virus, the country had a lot of gaps and windows for her elite citizens. This did not just cause an introduction of the virus into the country; it also played a pivotal role in the pattern of spread in the country. The paper also went further to reflect the need for government office holders to have strong unbiased knowledge of medical emergencies (Epidemics and pandemics) and their implications. The public health implications of a fall in civilization and what impacts it can have in the prognosis of public health affairs in a nation. It creates a direct linkage between the impact of government policies, civil violence and most importantly Inequity.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116616837","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 : 2021-07-01DOI: 10.33545/comed.2021.v4.i3a.204
Naif M. Alqahtani, Halimah Alhifzi, Hamad Alhothaily, Mohammad Alotaibi, Omar Alkenani
Background: COVID-19 infection among healthcare workers is a major concern whenever a pandemic occurs. Health care professionals are the frontline in the war against this vicious outbreak which makes them at a higher risk of inquiring the infection than the general population. Use of Personal protective equipment (PPE) is considered a pivotal role in infection control measures. We aimed to study usage of personal protective equipment (PPE) among KSMC family medicine Residents to determine if the appropriate PPE were used by family medicine physician and to examine the factors that may determine inappropriate. Methodology: This is a cross-sectional study conducted on Family Medicine Residents of KSMC, Riyadh. All levels of residency of family medicine specialty were included in this research. We used convenient non-probability sampling technique. Results: A total of 134 Family Medicine Residents of KSMC, Riyadh were finally enrolled in this study. 86% of junior and 90% of senior residents received formal training in hand hygiene in the last three years. Most of them know that the main route of cross-transmission of potentially harmful germs between patients is health-care workers’ hands when not clean. Higher percentage of junior cleaning their hands after each consultation compared to senior (98% vs 86% respectively, P = 0.009). There was no statistically significant difference between males and females residents about wearing surgical masks by suspected patients whilst in common areas or throughout the consultation, and 87% of both of them received formal training in hand hygiene in the last three years. There was a significant difference between males and females residents in their knowledge about the main route of cross-transmission of potentially harmful germs between patients (P = 0.006); a higher percentage of males know that the main route is health-care workers’ hands when not clean compared to females (58% vs 52% respectively, P = 0.006), also higher percentage of females using PPE in infection room when a patient confirmed to have Covid-19 when compared to males (97% vs 80% respectively). Conclusion: At the time of the study, most medical residents were knowledgeable, had a positive attitude, and good level of awareness was observed regarding PPE as it prevents their infection when fighting COVID-19 pandemic. Despite these findings, there were few gaps in resident’s knowledge in certain situations and this need to be addressed through more training courses regarding PPE and this which will significantly raise the level of knowledge and also will set better attitude and practices regarding PPE. .
{"title":"Knowledge and attitude of family medicine residents toward Personal protective equipment correct usage in king Saud medical city, Riyadh","authors":"Naif M. Alqahtani, Halimah Alhifzi, Hamad Alhothaily, Mohammad Alotaibi, Omar Alkenani","doi":"10.33545/comed.2021.v4.i3a.204","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i3a.204","url":null,"abstract":"Background: COVID-19 infection among healthcare workers is a major concern whenever a pandemic occurs. Health care professionals are the frontline in the war against this vicious outbreak which makes them at a higher risk of inquiring the infection than the general population. Use of Personal protective equipment (PPE) is considered a pivotal role in infection control measures. We aimed to study usage of personal protective equipment (PPE) among KSMC family medicine Residents to determine if the appropriate PPE were used by family medicine physician and to examine the factors that may determine inappropriate. Methodology: This is a cross-sectional study conducted on Family Medicine Residents of KSMC, Riyadh. All levels of residency of family medicine specialty were included in this research. We used convenient non-probability sampling technique. Results: A total of 134 Family Medicine Residents of KSMC, Riyadh were finally enrolled in this study. 86% of junior and 90% of senior residents received formal training in hand hygiene in the last three years. Most of them know that the main route of cross-transmission of potentially harmful germs between patients is health-care workers’ hands when not clean. Higher percentage of junior cleaning their hands after each consultation compared to senior (98% vs 86% respectively, P = 0.009). There was no statistically significant difference between males and females residents about wearing surgical masks by suspected patients whilst in common areas or throughout the consultation, and 87% of both of them received formal training in hand hygiene in the last three years. There was a significant difference between males and females residents in their knowledge about the main route of cross-transmission of potentially harmful germs between patients (P = 0.006); a higher percentage of males know that the main route is health-care workers’ hands when not clean compared to females (58% vs 52% respectively, P = 0.006), also higher percentage of females using PPE in infection room when a patient confirmed to have Covid-19 when compared to males (97% vs 80% respectively). Conclusion: At the time of the study, most medical residents were knowledgeable, had a positive attitude, and good level of awareness was observed regarding PPE as it prevents their infection when fighting COVID-19 pandemic. Despite these findings, there were few gaps in resident’s knowledge in certain situations and this need to be addressed through more training courses regarding PPE and this which will significantly raise the level of knowledge and also will set better attitude and practices regarding PPE. .","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127702889","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 : 2021-07-01DOI: 10.33545/comed.2021.v4.i3a.205
A. K. Alyahya, Husam Khalid Algayed, Nessreen Muhammad Algushiry, Thamer Fahad Sallum, A. M. Elnasieh
Background: Patient safety is a global concern among healthcare providers. However, the challenges to and the future of patient safety have not been explored in details at primary health care centers in recent literature in the Kingdom of Saudi Arabia. The World Health Organization (WHO) defines patient safety as “the prevention of errors and adverse effects to patients associated with health care” and “to do no harm to patients”. The study aims to identify and analyze factors that influence patient safety culture in the primary health care setting. Methodology: A cross-sectional study was conducted on primary health care physicians working in 12 primary health care training centers, cluster one, ministry of health, Riyadh city, Kingdom of Saudi Arabia, over a period of two months from the beginning of January, 2021 to the end of February, 2021 using a survey inspired from Hospital Survey on Patient Safety Culture (HSOPS). The HSOPS was developed by the Agency for Healthcare Research and Quality (AHRQ) in 2004 and has been translated into around 20 different languages. The questionnaire was answered by all primary health care physicians who accepted to be included in this study. The data was analyzed by Statistical Package for the Social Sciences (SPSS) latest version program. Results: In this study, the response rate was 94.55% and we were able to collect 208 responses of our questionnaire among primary health care physicians with 75% of the physicians were Saudis. 53.4% of the responders were males. The overall average positive response rate for the patient safety culture dimensions was 76.13%. Moreover, we found that 48.1% of the participants rated the procedures to achieve patients’ safety is very good while 32.2% of them reported excellent patients’ safety. Moreover, we found that almost half of the physicians (46.2%) reported no event reports in the last 12 months while 28.8% reported 1 -2 events, 20.2% reported 3-5 events and only 1% reported 11-20 event in the last 12 months. Conclusion: The patient safety culture in primary health care facilities in Riyadh city, Kingdom of Saudi Arabia is good and gives better results than previous studies.
{"title":"Knowledge, attitude, and practice towards patient safety culture among primary health care physicians in training centers at cluster one in Riyadh, Kingdom of Saudi Arabia","authors":"A. K. Alyahya, Husam Khalid Algayed, Nessreen Muhammad Algushiry, Thamer Fahad Sallum, A. M. Elnasieh","doi":"10.33545/comed.2021.v4.i3a.205","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i3a.205","url":null,"abstract":"Background: Patient safety is a global concern among healthcare providers. However, the challenges to and the future of patient safety have not been explored in details at primary health care centers in recent literature in the Kingdom of Saudi Arabia. The World Health Organization (WHO) defines patient safety as “the prevention of errors and adverse effects to patients associated with health care” and “to do no harm to patients”. The study aims to identify and analyze factors that influence patient safety culture in the primary health care setting. Methodology: A cross-sectional study was conducted on primary health care physicians working in 12 primary health care training centers, cluster one, ministry of health, Riyadh city, Kingdom of Saudi Arabia, over a period of two months from the beginning of January, 2021 to the end of February, 2021 using a survey inspired from Hospital Survey on Patient Safety Culture (HSOPS). The HSOPS was developed by the Agency for Healthcare Research and Quality (AHRQ) in 2004 and has been translated into around 20 different languages. The questionnaire was answered by all primary health care physicians who accepted to be included in this study. The data was analyzed by Statistical Package for the Social Sciences (SPSS) latest version program. Results: In this study, the response rate was 94.55% and we were able to collect 208 responses of our questionnaire among primary health care physicians with 75% of the physicians were Saudis. 53.4% of the responders were males. The overall average positive response rate for the patient safety culture dimensions was 76.13%. Moreover, we found that 48.1% of the participants rated the procedures to achieve patients’ safety is very good while 32.2% of them reported excellent patients’ safety. Moreover, we found that almost half of the physicians (46.2%) reported no event reports in the last 12 months while 28.8% reported 1 -2 events, 20.2% reported 3-5 events and only 1% reported 11-20 event in the last 12 months. Conclusion: The patient safety culture in primary health care facilities in Riyadh city, Kingdom of Saudi Arabia is good and gives better results than previous studies.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124104312","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 : 2021-07-01DOI: 10.33545/comed.2021.v4.i3a.206
Dr. Swaroop N, Dr. Ajay Kumar Reddy Bobba
Introduction: Mobile Phone Culture is most widely spreading in the present era. It has become an essential part of modern life and is playing a vital role in decreasing distance and increasing communication among people. Mobile phone has affected almost every field of life but its effects on students learning especially at college level are deep and are multidimensional. With the passage of time, the darker side of technology is also revealed. Mobile devices have both positive and negative effects on human health and behaviour. Material and Methods: This is a cross-sectional study using purposive 120 sampling among newly intake of undergraduate students in tertiary care teaching hospital. Those who were absent and, withdraw during data collection as well as uncompleted questionnaire were excluded in the study. A pilot study was administered to 120 undergraduate students who were not participating in the study. Result showed that the students did not have difficulty in understanding and completing the questionnaire. Then, actual study was carried out. Result: Result from this study found 45.0% of students spent 4-6 hours a day to use the smartphone. Meanwhile, 30% of the students spend more than seven hours on and this figure is quite worrying. This is because time allocation for smartphones more than 5 hours is inappropriate for a student who should prioritize academic issues and concentrate on learning rather than social issues as it will affect the academic achievement. The finding of this study showed that most of the students used smartphones to browse social networking sites. Conclusion: It was observed in our study that many students use mobile phones excessively and inappropriately. They are giving more preference for mobile phone usage than their health and academics. As mobile phone usage is highly prevalent among college students their impact on mental health and academic performance should be discussed and judicial use recommended.
{"title":"Impact of mobile phone usage on psychological health status and academic performance of under graduate students in a private medical college","authors":"Dr. Swaroop N, Dr. Ajay Kumar Reddy Bobba","doi":"10.33545/comed.2021.v4.i3a.206","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i3a.206","url":null,"abstract":"Introduction: Mobile Phone Culture is most widely spreading in the present era. It has become an essential part of modern life and is playing a vital role in decreasing distance and increasing communication among people. Mobile phone has affected almost every field of life but its effects on students learning especially at college level are deep and are multidimensional. With the passage of time, the darker side of technology is also revealed. Mobile devices have both positive and negative effects on human health and behaviour. Material and Methods: This is a cross-sectional study using purposive 120 sampling among newly intake of undergraduate students in tertiary care teaching hospital. Those who were absent and, withdraw during data collection as well as uncompleted questionnaire were excluded in the study. A pilot study was administered to 120 undergraduate students who were not participating in the study. Result showed that the students did not have difficulty in understanding and completing the questionnaire. Then, actual study was carried out. Result: Result from this study found 45.0% of students spent 4-6 hours a day to use the smartphone. Meanwhile, 30% of the students spend more than seven hours on and this figure is quite worrying. This is because time allocation for smartphones more than 5 hours is inappropriate for a student who should prioritize academic issues and concentrate on learning rather than social issues as it will affect the academic achievement. The finding of this study showed that most of the students used smartphones to browse social networking sites. Conclusion: It was observed in our study that many students use mobile phones excessively and inappropriately. They are giving more preference for mobile phone usage than their health and academics. As mobile phone usage is highly prevalent among college students their impact on mental health and academic performance should be discussed and judicial use recommended.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126774750","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}
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