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   2008| May-August  | Volume 15 | Issue 2  
    Online since June 16, 2012

 
 
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ORIGINAL ARTICLES
Colorectal cancer: A case control study of dietary factors, King Faisal specialist hospital and researh center, Riyadh, Saudi Arabia
Reem M Nashar, Khalid S Almurshed
May-August 2008, 15(2):57-64
PMID:23012168
Objective: This study was designed to assess various dietary factors and the nutritional status of hospitalized patients with colorectal cancer. Materials and Methods: A case-controlled study of fifty newly-admitted patients at King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia diagnosed with colorectal cancer were interviewed to collect data on various dietary factors and their nutritional status. Their data were compared with a sex-matched control group aged fifty. Results: The consumption of meat high in fat, fried eggs and whole fat dairy products, and diet low in fibers 2-3 times or above per week increased the risk of colorectal cancer, while the consumption of whole wheat products, vegetables and fruits, and diet low in animal fats at the same rate per week may play a protective role against colorectal cancer in both men and women when compared to controls. Conclusions: The higher consumption of meat and fat from animal sources could increase the risk of colorectal cancer. The high consumption of whole wheat bread, fruits and vegetables with high fiber content could play a protective role against the risk of colorectal cancer in the Saudi society. Additional studies are needed in different regions of the Kingdom of Saudi Arabia to verify or refute these results.
  2,891 332 -
Knowledge of hepatitis B and vaccination status of some expatriate ethnic groups of blue collar workers in Northern Saudi Arabia
Abdul Sattar Khan, Maisa Al-Sweilem, Zekeriya Akturk
May-August 2008, 15(2):77-83
PMID:23012171
Objective: To find out the level of knowledge and vaccination status of some expatriate ethnic groups of blue color workers. Background: Hepatitis B (HBV) infection is relatively common throughout the world, but more prevalent in low socioeconomic and underprivileged classes. The chronic infection may lead to severe consequences including Hepatocellular carcinoma (HCC). Method: A cross-sectional, community-based survey of some ethnic expatriate groups of blue color workers (n=665) living in four main areas along the Northern Borders of Saudi Arabia was completed in 2005. We examined knowledge of HBV and vaccination status and compared them with some socio-demographic factors. Results: The mean age of the participants was 45.61 years (±8.44), 53% of whom were Non-Arabs (Non Arabic speaking). Of the total, 41.6% gave seven or more correct answers out of 12 questions addressing knowledge about the transmission and sequelae of HBV. Almost 40% of the respondents had not been vaccinated while the remaining respondents had had three full doses of vaccination. A high level of knowledge (≥ 7 correct answers) was significantly associated (p<0.05) with higher level of education, vaccination status, ethnic groups, occupation, age, marital status, and the time spent in Saudi Arabia. Income and type of accommodation were not associated (p>0.05) with level of knowledge. However, vaccination status was associated (p<0.05) with almost all socio-demographic factors. Conclusion: Hepatitis screening programs for expatriates in the Kingdom of Saudi Arabia started 10 years ago and are expected to have a great impact on the combat against HBV infections and their complications. However, beyond screening, health promotion, vaccination campaigns, and access to vaccine for the underprivileged classes are some necessary measures towards achieving success.
  2,166 253 -
Preterm singleton breech delivery in a teaching hospital of Saudi Arabia: Vaginal versus cesarean delivery
Turki G Gasim
May-August 2008, 15(2):65-70
PMID:23012169
Objectives:The aim of this study was to determine the incidence of singleton preterm breech babies born in a teaching hospital, and to study the influence of the mode of delivery on perinatal outcome in preterm births with breech presentation. Methods: A retrospective analysis from the medical records of patients who had preterm singleton breech delivery (24 - 36 weeks gestation) was undertaken in a tertiary care hospital in the Eastern province of Saudi Arabia between January 1992 and December 2001. All the patients with intrauterine fetal death, multiple pregnancies and lethal congenital fetal malformations were excluded from the study. Intrapartum and neonatal morbidity and mortality in vaginal versus cesarean delivery groups were the main outcomes measured. Results: Of 24,708 deliveries that occurred in the hospital during the period of study, there were 195 preterm singleton breech deliveries, giving an incidence of 0.08%. One hundred and forty-eight (75.9%) patients delivered vaginally and did not have any medical or obstetric complications. Forty-seven (24.1%) patients underwent caesarean section. While the neonatal morbidity was similar in the two groups, the neonatal mortality was significantly higher for vaginal delivery than cesarean section (p<0.00069). Conclusion: In view of the significantly higher neonatal mortality found in vaginal delivery, the present study favors abdominal delivery for a singleton preterm breech fetus.
  1,962 242 -
MEDICAL EDUCATION
Does academic performance in the premedical year predict the performance of the medical student in subsequent years?
Abdulrahman M Al-Mazrou
May-August 2008, 15(2):85-89
PMID:23012172
Background: Student admission into the College of Medicine at King Saud University (KSU) is dependent on the achievement of a grade point average (GPA) of 3.5 /5 by the end of the premedical year. This study was undertaken to ascertain whether pre-selected medical students who achieve a relatively low GPA (≤3.75/5) in the premedical year are at risk of having academic difficulties in subsequent years. Method: A cross-sectional study of all students admitted to the College of Medicine at KSU during 5 academic years (1994 to 1998) was conducted in 2004. The likelihood of completing the program by 2004 and the dropout frequency were compared in the two groups based on their GPA in the premedical year: High GPA (>3.75) and Low GPA (≤3.75). Results: During the study period, 739 students were admitted to the college. Of these, 619 (84%) were in High GPA group, and 120 (16%) in the Low GPA group. Of the students with High GPA, 545 (88%) out of 619 graduated compared with 79 (66%) of 120 in the Low GPA group (OR 3.822 [95% CI: 2.44, 5.99]: P<0.0001). Overall, 28 students (3.8%) dropped out, but there was a significantly greater frequency of dropping out in the Low GPA group (10/120; 8.3%) compared with the High GPA group (18/619; 2.9%: OR 3.035 [95% CI: 1.37, 6.75], P=0.01). Conclusion: Our results support the prerequisite of a minimum GPA in the premedical year before proceeding to the higher levels. The GPA of premedical year is a useful predictor of students who need close monitoring and academic support. The use of GPA in the premedical year for admission into medical colleges should help optimize the use of resources and reduce student wastage.
  1,689 229 -
ORIGINAL ARTICLES
Prescription non-conformities in primary care settings: How useful are guidelines
Fahad A Al-Hussein
May-August 2008, 15(2):51-56
PMID:23012167
Background: Apart from having a negative impact on work flow in practice, prescription errors may pose a threat to patient safety. Such errors have been reported in the pharmaceutical services in spite of the clear guidelines issued by the parent organization. Objective: This study was to explore the degree of conformity to the prescribing guidelines at Primary Care level in the Saudi National Guard Health Affairs in Riyadh. Methods: Prescriptions were collected during audits done fortnightly through a simple random selection from a sampling frame of all prescriptions given within the period. Information about each prescription was entered in a database by the pharmacists and each prescription was classified according to its conformity to the guidelines. Information was presented on 330 prescriptions for eleven audits carried out from September 2004 to February 2005. Results: 87% of the prescriptions did not conform to the given guidelines. Less than 1% of the inconsistencies were potentially harmful to the patient, 77.8% had possible negative effect on the pharmacist's work, while 21.3% were unimportant. Patient information was deficient in 16.9% of cases, drug information in 49.6% and archiving/record information related non-conformities constituted 33.5%. Conclusions: Conformity to prescribing guidelines is quite low in spite of the significant input of resources by the parent organization. This burden on work flow, utilization of time and service delivery needs to be studied and addressed by ensuring that there are periodic audits in the work routines of primary health care, and a feedback given to the care providers.
  1,631 216 -
CASE REPORT
Congenital mesoblastic nephroma: A case report
Hatim K Al-Turkistani
May-August 2008, 15(2):91-93
PMID:23012173
Congenital mesoblastic nephroma (CMN) is a rare renal tumor. It can be detected antenatally especially with judicious use of ultrasonography. A premature female neonate 28 weeks' gestation, complicated by polyhydramnios, was born to a 28-year-old woman. An abdominal mass was detected antenatally. At the end of the first week of life, the newborn had hypertension that was controlled by hydralazine. Ultrasonography and CT scan showed a right-sided renal heterogeneous solid mass. Right nephrectomy was performed and the histology showed CMN.
  1,578 182 -
ORIGINAL ARTICLES
Assessment of Pediatricians' need for training in child psychiatry
Fahad D Al-Osaimi, Fatima A Al-Haidar
May-August 2008, 15(2):71-75
PMID:23012170
Background: Psychosocial problems are common health concerns in children. Therefore, it is essential for pediatricians to be able to identify psychiatric disorders. This depends on the knowledge, practice and attitudes towards psychiatric disorders in childhood. Methods: A constructed questionnaire of items about knowledge, practice and attitudes of pediatricians toward psychiatric disorders in childhood was used. Four hundred and fifty questionnaires were distributed and collected from pediatricians in seven main governmental hospitals in Riyadh over a period of three months (between March 1 and May 30 2005). Findings were analyzed statistically. Results: About 88.8% of the samples had not had any training in child psychiatry during their residency. Forty-eight percent were hesitant in diagnosing psychiatric disorders in children, 76.5% were not confident enough to treat these children, 48.5% were not confident enough to follow them up after being managed by a child psychiatrist and 49.9% were not confident to treat common side effects of psychotropic medications. About 88.8% of the pediatricians thought that pediatricians needed training in child psychiatry during pediatric residency programs. Conclusion: A significant number of pediatricians reported a lack of training in child psychiatry during residency programs. This has an adverse impact on their knowledge, attitudes and possibly practices in dealing with childhood psychiatric disorders.
  1,470 195 -
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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010