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   2006| May-August  | Volume 13 | Issue 2  
    Online since June 28, 2012

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Perception of female students of King Saud university towards premarital screening
Awatif A Alam
May-August 2006, 13(2):83-88
Objectives: The aim of this study was to investigate the perception of King Saud University female students towards the implementation of premarital screening (PMS) in the Kingdom of Saudi Arabia (KSA). Methods: Two consecutive surveys on knowledge, attitudes and practice (KAP) were conducted two and nine months after the compulsory implementation of PMS in KSA in 1/1/1425H. The female students of King Saud University were given health education lectures before the survey. The first survey was done with a designed close-ended questionnaire distributed at pre and post stages of the health education lecture. However, the second one explored the participants' perception of the same items in open-ended questions summarized as a "consensus statement". In fulfillment of their demands, the signed statement was mailed to the legislative authorities. Results and discussion: A total of 140 university female students attended the first lecture. The response rate for both pre and post lecture surveys were 132 (94.3%) and 128 (91.4%) respectively. A total of 112 out of 132 (84.8%) students in the pre test and 111 out of 128 (86.7%) in the post-test were single. Of the married students 7/20 (35.0%) and 7/17 (41.2%) in pre and post tests had previously had PMS screening. The attitude of the students towards PMS was generally positive. One hundred and eight (81.8%) in the pre test and 110 (85.9%) in the post test saw the importance of PMS in controlling the commonest hereditary diseases. However, a smaller percentage of students (69.7% and 75.0%) in pre and post lecture respectively were in favor of the compulsory application of PMS in KSA. In spite of the positive attitude of all the students in the pre and post tests, fears were expressed towards the confidentiality of PMS test results and it was felt that social and psychological problems would ensue from abnormal results. This, however, does not represent the feeling of the entire population in KSA since the participants of the study formed a select group. The second awareness lecture was attended by 319 students from the College of Education. They were subsequently requested to state their perceptions of PMS application with regard to its content, nature and method of application in KSA in their own words. The collected forms were summarized into a "consensus statement" and signed by all 319 students. They felt that the scope of PMS should be extended to investigate and screen for other diseases especially sexually transmitted diseases that would adversely affect the health of members of the family and the community as a whole. Their worry about the lack of screening for other diseases may be because a majority of the study group were single and would, therefore, refuse to get married on account of the risks to their future offspring. In addition, it may reflect their knowledge of the effects of globalization on the transmission of diseases. Conclusions: Health education is an important means of improving the public's perception of newly-introduced health interventions. University students have a good perception of the compulsory implementation of PMS in KSA. Pre-marital screening could be extended to include a broader spectrum of health/genetic disorders and will be useful for early identification and possible intervention as well as the prevention of complications.
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Dermatoses in obese female schoolchildren in the Al-Khobar area, Eastern Saudi Arabia
Wafa Y Al-Saeed, Kasim M Al-Dawood, Iqbal A Bukhari, Ahmed Bahnassy
May-August 2006, 13(2):65-69
Objectives: The aim of this study was to determine the most frequent skin disorders in obese female schoolchildren in primary and intermediate schools in the Al-Khobar area, Eastern Saudi Arabia . Methodology: This was a cross-sectional study conducted in the Al-Khobar area. It involved 2239 female schoolchildren randomly selected from 30 regular public and private primary and preparatory schools. A multi-stage stratified random sampling technique with proportional allocation was used. Data was collected using clinical examination and anthropometric measurements. Result: The skin diseases that were most common in obese schoolchildren were: dandruff, acne, xerosis, acanthosis nigricans, folliculitis, alopecia, stria distensae (stretch marks) and callosity. Conclusions and recommendations: obesity is associated with specific skin disorders. Health education programs on skin diseases and obesity should be provided to all schoolchildren, their families and teachers.
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Pregnancy outcome of gestational diabetic mothers: Experience in a tertiary center
Malak M Al-Hakeem
May-August 2006, 13(2):55-59
Background: Carbohydrate intolerance is the most common metabolic complication of pregnancy. Gestational Diabetes Mellitus (GDM) poses numerous problems for both mother and fetus. The objectives of this study are to find out the incidence of gestational diabetes mellitus in pregnant women and their pregnancy outcomes. It was also to discover the risk factors for the admission of neonates to the Neonatal Intensive Care Unit (NICU). Design and Patients: A hospital-based prospective study performed at King Khalid University hospital (KKUH), where 685 pregnant women who were diagnosed with gestational diabetes mellitus, out of 8000 pregnant women registered between January 2000 - December 2001, were followed and their outcomes studied. Results: The incidence of gestational diabetes mellitus was found to be 8.6% (95% C.I: 8.1, 9.3). There were 511 (74.6%) spontaneous vertex deliveries, and 148 (21.6%) were delivered by lower segment cesarean section. Maternal morbidity in these women was 1.2%.A total of 697 babies were delivered by these 685 women, out of whom 675 were singleton pregnancies, 9 sets of twins and one set of quadruplets. Six-hundred-eighty-seven babies were born alive, 7 babies died in utero and 3 died in the neonatal period. The incidence of neonatal intensive care admission was 4.9% .The mean length of stay in the NICU was 16 days. The commonest cause of neonatal NICU admission was hyperbilirubinemia (41.2%). The risk factors for NICU admission were delivery by non SVD procedure (RR: 4.6, 95% C.I:2.8, 7.7), preterm deliveries, (RR: 4.6, 95% C.I.:2.7, 7.7), and induction of labor (RR: 2.5, 95% C.I: 1.4, 4.5). Conclusion: The observation and quantification of maternal outcomes with gestational diabetes mellitus are necessary, so that proper measures could be taken to reduce complications during delivery and the neonatal period and thereby, minimize particularly NICU admission rate.
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Patterns of childhood cancer in children admitted to the institute of nuclear medicine, molecular biology and oncology (inmo), wad medani, gezira state
Huda M Haroun, Mohamed S Mahfouz, Ahmed M Elhaj
May-August 2006, 13(2):71-74
Introduction: Cancers form one of the major causes of death in children between the ages of one and 15 years. They differ markedly from adult cancers in their nature, distribution and prognosis. The patterns of childhood cancers in America and Europe are almost the same, with leukemia and central nervous system tumors accounting for over one-half of the new cases. In contrast, lymphoma is the most common prevailing cancer of this age group in Africa. Objective: The objective of this study is to determine the patterns of childhood cancers in Gezira State, Central Sudan. It is a retrospective study using hospital records. All children with cancer, aged 1 - 15 years diagnosed by means of histological or cytological examination admitted to the Institute of Nuclear Medicine, Molecular Biology and Oncology from May 1999 - December 2004 were included in the study. Results: The results showed a pattern of childhood lymphoma as the most common cancer (42.8%) followed by acute lymphoblastic leukemia (19.8%) and kidney tumor (12.8%). The prevalence of cancer was found to be higher among boys (64.7%) than girls (35.3%) with a rate of 1.8:1. Most of the children admitted with cancer were from rural areas (66.1%) compared to (33.9%) from urban areas. Conclusion : Lymphoma, acute lymphoblastic leukemia and bone tumor commonly occurred in children above 5 years in contradistinction to kidney tumor and retinoblastoma which was prevalent in children less than 5 years of age.
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Seropositivity of chlamydia trachomatis among saudi pregnant women in Makkah
Hani O Ghazi, Mazin H Daghestani, Mohamed F Mohamed
May-August 2006, 13(2):61-64
Objective: To determine the seroprevalence rates of immunoglobulin G (IgG) and immunoglobulin M (IgM) to Chlamydia trachomatis in Saudi pregnant women. Subjects and Methods: Using enzyme-linked immunosorbent assay (ELISA), a total of 1600 serum samples were tested for antibodies to Chlamydia trachomatis known to cause a variety of clinical syndromes in women and newborn infants. Results: Chlamydia trachomatis IgG antibodies were detected in 8.7% and IgM antibodies were found in 1.5% of different age groups. Conclusion: Pregnant Saudi women have low prevalence rate of Chlamydia trachomatis IgG antibodies and lower prevalence for Chlamydia trachomatis IgM.
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Current situation of continuing medical education for primary health care physicians in Al-Madinah Al-Munawarah province, Saudi Arabia
Ahmed H Al-Mosilhi, Nabil Y Kurashi
May-August 2006, 13(2):75-82
Objective: In the health care system, continuing medical education (CME) is concerned with the maintenance, improvement, and promotion of health care provided by physicians. The objectives of this study are: to assess the knowledge, attitude and practice of Primary Health Care (PHC) physicians of CME, and to analyze the utilization of Continuing Medical Education (CME) program. Material and Methods: This is a cross-sectional descriptive study with an analytic component. A two-stage stratified random sampling was done on 189 PHC physicians from 76 PHC centers in the Al Madina, Al Munawarah City. One Hundred Fifteen physicians actually took part in the study. Results: Only 3.5% of the physicians were Saudi, 2% had PHC postgraduate qualification in Primary Health Care and 75% had had basic training during their practice. The study showed that: (1) PHC physicians who worked in a group evaluated Medical Education Center (MEC) better than those who worked alone (p =0.0052). (2)Those who were aware of the presence of the MEC gave MEC contribution a better grade in evaluation than those who were not (p=0.0001). (3) PHC physicians who had more experience in medical practice evaluated CME achievement with a better grade than those who had less experience (p = 0.0173). (4) PHC physicians working in groups evaluated CME achievement with a better grade (p = 0.0330). (5) Those who were attached to the hospitals evaluated CME achievement with a better grade (p = 0.0392). (6) Those who attended activities outside PHC centers evaluated CME achievements better than those who did not (p = 0.0202). Conclusion: From the results it was concluded that: (1) There are many PHC physicians who were unaware of CME activities in their area of work and therefore tend to be unhappy with MEC contribution. (2) PHC physicians were not satisfied with MEC's contribution and with their CME's achievements. (3) PHC physicians felt the need for utilizable CME. (4) PHC physicians were not fully aware of the use of the internet, distance learning, and emails in CME.
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Attitudes of medical laboratory technology graduates towards the internship training period at King Faisal university
Layla A.M. Bashawri, Mirghani A Ahmed, Ahmed A.L. Bahnassy, Jawaher A Al- Salim
May-August 2006, 13(2):89-93
Objectives: The objective of this present survey was to look into the attitudes of medical laboratory technology (MLT) graduates towards the internship training period of the MLT Department, College of Applied Medical Sciences, King Faisal University. Material and Methods: A self-administered questionnaire was designed and distributed for this purpose. The study period was from December 1 st 2002 - 31 st December 2004. Two-hundred questionnaires were distributed to recent graduates, and 115 were returned completed. Results: All respondents agreed with the importance and necessity of the internship period, and felt it should not be reduced or eliminated. The most favorite laboratory where they liked to work was microbiology (70%). They all agreed that evaluation report with hospital staff and laboratory set up were vital in achieving the goals of the internship period. The majority stressed the significance of safety precautions and the application of theoretical knowledge before performing technical assignments. Conclusion: The respondents had very positive attitudes towards the internship-training period stressing its importance. The most favorite laboratory rotations were in rank order: Microbiology, Serology followed by Histotechnology, Hematology, Blood Banking and finally Clinical Chemistry. The majority of graduates had a very positive attitude also towards medical laboratory technology as a profession.
  1,465 199 -
Obesity and physical inactivity among Saudi children and youth: Challenges to future public health
Hazzaa M Al-Hazzaa
May-August 2006, 13(2):53-54
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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010