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Perception of Pediatric Physiciansâ Attire by Children and Parents withinGeneral Pediatrics Practice in Saudi Arabia 在沙特阿拉伯的普通儿科实践中,儿童和家长对儿科PhysiciansâÂÂ服装的看法
Pub Date : 2016-12-02 DOI: 10.4172/2380-5439.1000199
Yossef S. Alnasser, Habeeb Alsaeed, Nourah Z. Al-Beeshi, Hadeel Al-Sarraj, Haya Alotaibi, Rawabi Algahmdi, Kholoud Alamari, Ayshah Jaber
Background: Physicians’ attire can play a critical factor in patient-doctor relationship. Such relationship is necessary to improve healthcare outcomes and eventually lead to healthier children. Objective: This study aims to assess perceptions of Saudi children and parents toward physicians’ attire within inpatient general pediatrics settings. To our knowledge, no such assessment has been presented until now. Methods: A questionnaire was adopted and evaluated by pilot study. Then, data were collected from parents along with certain demographic data within inpatients general pediatrics settings. Results: Perceptions of attire differ according to physician’s gender. Wearing scrubs was found more professional, approachable, and trust-worthy for male physicians by parents while wearing conservative long black skirts with lab coat perceived similarly for female physicians. However, wearing summer dress and Saudi traditional attire thought to jeopardies infection controls. Furthermore, children found these attires more intimidating. Although majority of parents thought wearing lab coat is necessary, most of children disagreed. Also, discordance in perception of decorated stethoscopes was observed. Surprisingly, tennis shoes were the preferred shoes for both male and female physicians. Conclusion: Physicians’ attire can be interpreted as indicator of professionalism which could impact patient-doctor relationship. Moreover, children can perceive physician attire differently from their parents.
背景:医生的着装在医患关系中起着至关重要的作用。这种关系对于改善保健结果并最终使儿童更健康是必要的。目的:本研究旨在评估沙特儿童和家长对住院普通儿科医师着装的看法。据我们所知,到目前为止还没有这样的评估。方法:采用问卷调查法进行初步评价。然后,从父母那里收集数据,以及住院患者一般儿科设置的某些人口统计数据。结果:不同性别医师对着装的看法不同。家长们认为男医生穿手术服更专业、更平易近人、更值得信赖,而女医生则认为穿保守的黑色长裙配实验室大褂更值得信赖。然而,穿夏装和沙特传统服装被认为会危及感染控制。此外,孩子们觉得这些服装更吓人。虽然大多数家长认为穿白大褂是必要的,但大多数孩子不同意。此外,还观察到装饰听诊器的感知不一致。令人惊讶的是,网球鞋是男性和女性医生的首选鞋。结论:医师着装可作为职业精神的指标,影响医患关系。此外,孩子们对医生着装的看法与父母不同。
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引用次数: 8
Re-writing Pre-Clinical Medical Textbooks to Reflect Local Content - A Prerequisite for Building Better Clinicians in Africa 重写临床前医学教科书以反映当地内容——在非洲培养更好的临床医生的先决条件
Pub Date : 2016-11-30 DOI: 10.4172/2380-5439.1000201
I. Abi, J. O. Ibu
Textbooks are vital tools in the training of medical students. In Africa, there is a huge deficit in terms of literary medical works compared to the western world. Ultimately, this leaves the aspiring African clinician at the mercy of the western authors when it comes to acquiring knowledge about local health issues. The textbooks we use in teaching preclinical medical students in Africa are by foreign authors which fail to adequately capture the local content. Poor funding of biomedical research by governments of African countries has left the output of local authors dismally low. Reliance on foreign authors in writing our pre-clinical textbooks has left some disconnect between the pre-clinical and clinical stage of the medical training in African medical schools. Paying close attention towards bridging this gap by stimulating African biomedical researchers towards developing pre-clinical medical textbooks that reflect the African peculiarities; is of topmost importance The current pre-clinical textbooks used for training medical students will need to be re-written (to fully reflect local content) if the quest for high quality clinicians in the continent will be realized.
教材是培养医学生的重要工具。在非洲,与西方世界相比,在文学医学作品方面存在巨大的赤字。最终,当涉及到获取有关当地健康问题的知识时,这使得有抱负的非洲临床医生任由西方作者摆布。我们在非洲教授临床前医学学生时使用的教科书是外国作者编写的,未能充分反映当地的内容。非洲国家政府对生物医学研究的资助不足使得当地作者的产出低得令人沮丧。我们在编写临床前教材时依赖外国作者,这在非洲医学院的临床前和临床阶段的医学培训之间造成了一些脱节。密切关注通过鼓励非洲生物医学研究人员编写反映非洲特点的临床前医学教科书来弥合这一差距;如果要实现非洲大陆对高质量临床医生的追求,目前用于培养医学生的临床前教材就需要重写(以充分反映当地内容)。
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引用次数: 0
Concurrent Hyperthyroidism and Papillary Thyroid Cancer 并发甲状腺功能亢进和甲状腺乳头状癌
Pub Date : 2016-11-27 DOI: 10.4172/2380-5439.1000203
E. Gagliano, G. Sturniolo, A. Querci, A. Milone, D. Paparo, Fabiano, D. Ricciardello, F. Vermiglio
Background: Concurrent thyroid cancer and hyperthyroidism is rare, though increasingly reported. Hyperthyroidism due to thyroid cancer is very rare and challenging. Case presentation: We present a 35-year-old woman who had been on irregular regimen of propanolol and digoxin as treatment for worsening palpitations for 12 months. She came to our Policlinic University for her propanolol medication evaluation. We identified features of hyperthyroidism and found a left uninodular goiter with no cervical lymphadenopathy. She was referred for thyroid assessment which suggested primary hyperthyroidism and an enlarged heterogeneous left lobe with a well-defined homogenous solid mass. We restarted her on propanolol and referred her for a new course with methimazole. At the Policlinic University, she also underwent a left thyroid lobectomy. The resected lobe was sent for cytology evaluation which revealed a neoplastic nodule with features suggestive of a papillary thyroid cancer causing hyperthyroidism. The postoperative clinical progress of the patient was good and a regression of hyperthyroidism was also evidenced. Conclusions: The historical, clinical, and laboratory findings were suggestive of hyperthyroidism due to papillary thyroid cancer. A high index of suspicion, prompt referral, and counter-referral lead to a positive outcome of such a rare case. We advocate for systematic and careful evaluation of all thyroid nodules.
背景:并发甲状腺癌和甲状腺功能亢进是罕见的,尽管越来越多的报道。甲状腺癌引起的甲状腺功能亢进是非常罕见和具有挑战性的。病例介绍:我们报告了一名35岁的女性,她因心悸恶化,连续12个月不规律地服用丙泊洛尔和地高辛。她来我们的Policlinic大学进行丙泊洛尔药物评估。我们确定了甲状腺功能亢进的特征,并发现了一个没有颈部淋巴结病的左单结节性甲状腺肿。她被转介进行甲状腺检查,提示原发性甲状腺功能亢进和异质性左叶肿大,并有明确的均匀实性肿块。我们重新给她开丙泊洛尔,并建议她用甲巯咪唑进行新的疗程。在政治大学,她还接受了左侧甲状腺叶切除术。切除的肺叶被送去做细胞学检查,发现一个肿瘤结节,其特征提示甲状腺乳头状癌引起甲状腺功能亢进。术后患者临床进展良好,甲状腺功能亢进也有所消退。结论:病史、临床和实验室结果提示甲状腺乳头状癌所致的甲状腺功能亢进。高怀疑指数,及时转诊和反转诊导致这种罕见病例的积极结果。我们提倡对所有甲状腺结节进行系统和仔细的评估。
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引用次数: 2
WomenâÂÂs Performance of Breast Cancer Screening (Breast Self-Examination, Clinical Breast Exam and Mammography) WomenâÂÂs乳腺癌筛查表现(乳房自检、临床乳腺检查、乳腺x线摄影)
Pub Date : 2016-11-24 DOI: 10.4172/2380-5439.1000202
Somaya Aljohani, I. Saib, Muatasim Noorelahi
Background: Breast cancer is the most common malignancy among women in Saudi Arabia. Despite the availability of early detection methods to diagnose breast cancer, a huge number of women are still unaware about these methods. This study was conducted to identify the attitude of women in Medina toward breast cancer screening methods, including breast self-examination (BSE), clinical breast examination (CBE) and mammography. Materials and methods: A cross sectional survey has been conducted on 124 women aged from 39 and older, who attended Taibah Medical Center for cancer screening either by doctor’s recommendation, family or friends advice, or by herself. Face to face questionnaire was used to collect data. All data were analyzed by statistical analysis system software. Results: The results showed only 35.5%, 27.4% and 37.8% of participants reported that they practiced BSE, CBE and annual mammography, respectively. Only 27.3% of women practiced BSE once per month, and 8.8% visited doctor annually for CBE. Both educational level and family history were significantly related to BSE. 57.7% of the participants who had positive family history practiced BSE, and 56.0% of the participants who practiced BSE were highly educated. Lacking awareness about BSE is the most important barrier in not practicing BSE, while not having a breast lump was the reason for not undergoing either clinical breast examination (38.7%) or periodic mammography (54.9%). Conclusion: This study emphasized the need for massive health education program to increase awareness, and improve the attitude of women toward breast cancer screening methods.
背景:乳腺癌是沙特阿拉伯妇女中最常见的恶性肿瘤。尽管有早期检测方法可以诊断乳腺癌,但大量妇女仍然不知道这些方法。本研究旨在了解麦地那妇女对乳腺癌筛查方法的态度,包括乳房自我检查(BSE)、临床乳房检查(CBE)和乳房x光检查。材料和方法:对124名年龄在39岁及以上的妇女进行了横断面调查,这些妇女根据医生的建议、家人或朋友的建议或自己到Taibah医疗中心进行癌症筛查。采用面对面问卷调查的方式收集数据。所有数据采用统计分析系统软件进行分析。结果:结果显示,只有35.5%,27.4%和37.8%的参与者分别报告他们进行了疯牛病,CBE和年度乳房x光检查。只有27.3%的女性每月检查一次疯牛病,8.8%的女性每年检查一次CBE。受教育程度和家族史与疯牛病有显著相关。家族史阳性者中有57.7%患有疯牛病,高学历者占56.0%。缺乏对疯牛病的认识是不从事疯牛病治疗的最重要障碍,而没有乳房肿块是不接受临床乳房检查(38.7%)或定期乳房x光检查(54.9%)的原因。结论:本研究强调有必要开展大规模的健康教育项目,以提高妇女对乳腺癌筛查方法的认识和态度。
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引用次数: 2
Simulation for Medical Specialty Initial Certification and Maintenance ofCertification in the United States of America 美国医学专业初始认证和认证维护的模拟
Pub Date : 2016-11-17 DOI: 10.4172/2380-5439.1000195
Oroma Nwanodi
Surgical skills simulation (SSS) tests the application of factual knowledge and shows how knowledge is applied, representing the second and third levels of Miller’s Pyramid of Learning. SSS permits high-stakes scenario testing in safe environments. Therefore, SSS incorporation into initial specialty certification began in 2002 in Australia and New Zealand. The United States began SSS incorporation into specialty certification in 2008. This paper will determine where the United States stands in the process of SSS incorporation into specialty certification. Google scholar Internet and PubMed searches phrased “medical board certification surgical skills simulation”, performed on September 1, 2016 yielded 16 relevant articles. Hand search on September 1, 2016 yielded 7 additional articles. In 2008, cardiac catheterization simulation was required for interventional cardiology maintenance of certification (MOC). In 2010 the American Board of Anesthesiology (ABA) required SSS as part of the MOC program. In 2014, the summative assessment, Colorectal Objective Assessment of Technical Skills became part of the American Board of Colon and Rectal Surgery certification. In 2017, SSS will be added to the ABA initial certification examination. The United States has been slow to incorporate SSS into initial certification and MOC. Assessment validation, capital and recurring costs, personnel, physical facility and time requirements are barriers limiting SSS expansion into specialty certification processes. As SSS allows rapid technical skill assessment, without posing a threat to patients, expansion of SSS into initial certification and MOC programs represents non-maleficence and beneficence, and should be encouraged.
外科技能模拟(SSS)测试事实知识的应用,并展示知识是如何应用的,代表米勒学习金字塔的第二和第三个层次。SSS允许在安全环境中进行高风险场景测试。因此,2002年澳大利亚和新西兰开始将SSS纳入初始专业认证。美国于2008年开始将SSS纳入专业认证。本文将确定美国在将SSS纳入专业认证过程中的立场。谷歌学者在互联网和PubMed上搜索“医学委员会认证外科技能模拟”,于2016年9月1日进行检索,获得16篇相关文章。2016年9月1日的手搜结果为7篇。2008年,介入心脏病学维护认证(MOC)要求心导管模拟。2010年,美国麻醉学委员会(ABA)要求SSS作为MOC项目的一部分。2014年,总结性评估《结肠直肠客观技术技能评估》成为美国结肠直肠外科委员会认证的一部分。2017年,SSS将加入ABA初始认证考试。美国在将SSS纳入初始认证和MOC方面进展缓慢。评估验证、资本和经常性成本、人员、物理设施和时间要求是限制SSS扩展到专业认证过程的障碍。由于SSS允许快速技术技能评估,而不会对患者构成威胁,因此将SSS扩展到初始认证和MOC项目中是非恶意和有益的,应予以鼓励。
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引用次数: 0
Commissioning of Virtual Simulation and its Role in the Treatment Planning of Head and Neck Cancers at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) 虚拟仿真技术在Charlotte Maxeke约翰内斯堡学术医院头颈癌治疗计划中的作用
Pub Date : 2016-11-11 DOI: 10.4172/2380-5439.1000198
B. V. Wyk, L. Masamba, Vinay Sharma, Thulani M. Nyathi
The objective of this paper was to share the experience of virtual simulation commissioning and its use in radiation therapy of head and neck cancers at Charlotte Maxeke Johannesburg Academic hospital. The first sixty three (63) head and neck cases planned on the virtual simulation station was analyzed as well as the impression of staff members after using the system. A semi structured survey revealed that staff was overall satisfied with the system. A follow-up study with more cases planned, however, is advised.
本文的目的是分享Charlotte Maxeke约翰内斯堡学术医院的虚拟模拟调试及其在头颈癌放射治疗中的应用经验。对虚拟仿真站规划的前63例头颈部病例进行了分析,并对工作人员使用该系统后的印象进行了分析。一项半结构化调查显示,员工总体上对该系统感到满意。然而,建议进行一项计划更多病例的后续研究。
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引用次数: 0
The Influence of Exam Stress on Menstrual Dysfunctions in Saudi Arabia 沙特阿拉伯考试压力对月经功能障碍的影响
Pub Date : 2016-11-11 DOI: 10.4172/2380-5439.1000196
Muneerah Khalid Aljadidi, Ohoud Oadah Almutrafi, Rawan Othman Bamousa, Sara Alshehri, Anwar Alrashidi, Huda Abdullah AlNijadi, Arwa Abdulrhman AMousa, Alanoud Saleh AlNami, Norah Mohammad AlSubaie, N. AlMulhim, Lamees A Alabdulgader
Menstrual changes affect the quality of females’ lives, it indicates some underlying problems. The purpose of this research is to determine the influence of exams’ stress on menstrual dysfunctions. The objectives are to measure the common menstrual dysfunctions among girls during exams, find the most affected characteristics among the measured ones, hence figuring out any relation between the exams (as a source of stress) and the menstrual dysfunctions of 204 Saudi female college students between the age groups of 18 to 25 who matched the required criteria when completed the exam stress social networks questionnaire study on menstrual disorders. It was found that 80.9% of the sample had menstrual changes during exams. Regarding the characteristics; 59.3% had a change in the level of pain, 50% had a change in blood flow, and 54.9% had it in the menstruation timing. The dysmenorrhea was marked as the most common dysfunction within 57.4% of the students during exams. A more detailed research is highly required to explore the risk factors, the pathophysiological mechanisms underlying stress in female students during exams in contemplation to establish a modifying or abortive treatment modalities.
月经的变化会影响女性的生活质量,它预示着一些潜在的问题。本研究的目的是确定考试压力对月经功能障碍的影响。目的是测量女生在考试中常见的月经功能障碍,找出被测者中受影响最大的特征,从而找出符合要求标准的204名年龄在18 - 25岁的沙特女大学生在完成月经障碍考试压力社交网络问卷研究时,考试(作为压力源)与月经功能障碍之间的关系。结果发现,80.9%的样本在考试期间出现月经变化。关于特点;59.3%的人疼痛程度发生了变化,50%的人血流量发生了变化,54.9%的人月经时间发生了变化。57.4%的学生在考试期间以痛经为最常见的功能障碍。需要更详细的研究来探讨女学生考试压力的危险因素、病理生理机制,以建立一种改善或流产的治疗方式。
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引用次数: 3
Knowledge Extraction for Sleep Apnea Medical Diagnosis 睡眠呼吸暂停医学诊断的知识提取
Pub Date : 2016-10-31 DOI: 10.4172/2380-5439.1000193
H. Chiu, B. Wang
This research aimed to extract medical diagnostic knowledge about sleep apnea by applying theories from process control management, library science, and knowledge management. We interviewed the President of the International Sleep Science Technology Association (ISSTA), a medical doctor, on the subject of sleep apnea, and validated the research findings with four other sleep apnea experts to achieve the following: A formal knowledge extraction procedure was established for sleep apnea. All medical knowledge pertaining to sleep apnea was mapped out.
本研究旨在运用过程控制管理、图书馆学、知识管理等理论,提取睡眠呼吸暂停的医学诊断知识。我们就睡眠呼吸暂停这一主题采访了国际睡眠科学技术协会(ISSTA)主席,一位医学博士,并与其他四位睡眠呼吸暂停专家验证了研究结果,达到以下目的:建立了一套正式的睡眠呼吸暂停知识提取程序。所有与睡眠呼吸暂停有关的医学知识都被列出来了。
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引用次数: 0
Decoding the Encoded Evidence: DNA in Forensic Science 解码编码证据:法医科学中的DNA
Pub Date : 2016-10-24 DOI: 10.4172/2380-5439.1000e125
S. Mukherjee
Sherlock Holmes said “it has long been an axiom of mine that the little things are infinitely the most important”, but never imagined that such a little thing, the DNA molecule, could become perhaps the most powerful single tool in the multifaceted fight against crime. 30 years after the development of DNA fingerprinting, forensic DNA analysis is to the conviction or exoneration of suspects and identification of victims of crime, accidents and mass disaster. As necessity is the mother of all invention, it drives us in the development of modern methods in molecular genetics, statistics, and the use of massive intelligence database.
夏洛克·福尔摩斯曾说过:“我一直坚信,微小的事物是最重要的。”但他从来没有想到,DNA分子这样的小东西,可能会成为打击犯罪的最强大的工具。在DNA指纹技术发展30年后,法医DNA分析主要用于犯罪嫌疑人的定罪或免罪,以及犯罪、事故和大规模灾难受害者的身份识别。由于需要是一切发明之母,它推动着我们在分子遗传学、统计学和大规模智能数据库的使用方面发展现代方法。
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引用次数: 0
Predominance of Gastrointestinal Protozoan Parasites in Children: A Brief Review 胃肠道原生寄生虫在儿童中的优势:综述
Pub Date : 2016-10-17 DOI: 10.4172/2380-5439.1000194
Iram Abdullah, H. Tak, F. Ahmad, Nazima Gul, Shafaquat Nabi, T. A. Sofi
Intestinal parasitic infections are among the major diseases of concern to public health throughout the world [1]. About 25% of world’s population suffers from one or more kinds of intestinal parasitic infections (helminthes/protozoa). Children because of their complex nutritional requirements and less developed immune systems are observed to be the principal sufferers of these parasitic infections [2]. Moreover, they have an extremely delicate physiology which can result in severe upsetting of their biochemical and physiological processes associated with these infections. Intestinal protozoan parasites can affect children in a variety of ways; they cause mal-absorption, reduced growth, increased risk for protein energy malnutrition, reduced psychomotor development and anemia. This report addresses Cryptosporidium, Giardia, and Entamoeba as the main parasitic protozoa of concern among children worldwide.
肠道寄生虫感染是全世界公共卫生关注的主要疾病之一。世界上约25%的人口患有一种或多种肠道寄生虫感染(蠕虫/原生动物)。儿童由于其复杂的营养需求和欠发达的免疫系统被认为是这些寄生虫感染的主要受害者。此外,它们具有极其微妙的生理机能,这可能导致与这些感染相关的生化和生理过程严重紊乱。肠道原生动物寄生虫可以通过多种方式影响儿童;它们会导致吸收不良、生长迟缓、蛋白质能量营养不良的风险增加、精神运动发育迟缓和贫血。本报告指出隐孢子虫、贾第鞭毛虫和内阿米巴原虫是全世界儿童关注的主要寄生原虫。
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引用次数: 21
期刊
Journal of health education research & development
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