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   1995| July-December  | Volume 2 | Issue 2  
    Online since July 31, 2012

 
 
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LEADING ARTICLES
Patient satisfaction survey in a teaching hospital in Saudi Arabia: Preliminary results
Khalid Al Umran, Adnan Albar, Suleiman AI-Awdah, Saleh AI-Jaber, Lade Wosornu
July-December 1995, 2(2):14-20
PMID:23012220
Background: Patient satisfaction is a useful indicator of the quality of health care, but there is no one universally acceptable tool for measuring it. In Saudi Arabia, such studies are, few. Setting: In-patients in a teaching hospital. Methodology: Opinions of hospital in-patients were sampled by means of a self­administered questionnaire over a period of 12 consecutive months. Fright areas were evaluated: professional services from medical, nursing anal admission staff, and four amenities, i.e. room and linen, meals, and provision for telephone and television. Results: A total of 1,319 patients were surveyed, forming 7.9% of the 17,536 admissions. Patients were satisfied with professional services from medical staff. However, they were dissatisfied with silence in wards during day, taste, temperature and variety of meals, as well as provisions for telephone and television. Remedial actions had been taken. Conclusions: We concluded that the results indicated areas of patients' dissatisfaction in our hospital, and that such surveys are unique to the hospital involved. We recommend the method used here: it is easy to use, cost-effective, and beneficial to patients.
  2,716 267 -
Permanent diversion stomas: "Guidelines for Muslim physicians and patients "
Adnan A Albar
July-December 1995, 2(2):21-26
Background: Ethical issues in medical practice are increasing in number, diversity and complexity and posing professional diemmas for physicians. It is the duty of Muslim physicians in collaboration with jurists, to resolve these issues. Objectives: These guidelines aim at answering the following two questions: 1. On religious grounds to what extent is a Muslim patient bound ground to accept surgical treatment requiring permanent diversion of stool and urine? 2. What should be the role of medical staff in convincing the patient aril his relatives to accept diversion stomas. Methods: 1. Identification of the consequences of diversion stomas. 2. Verification of the religious rule in relation to seeking treatment. 3. Identify the effect of carrying a stoma bag on the patient's purity during worship. 4. Outline the role of the medical staff in convincing the patient vial his relatives to accept a needed stoma. Results & Discussion: A Muslim patient needing a permanent diversion stoma has a religiously proven duty to listen to the instructions of a proficient physician in order to save himself if safety is most probable. Carrying a stoma bag does not interfere totally with patients purity. The exact role of medical staff in convincing the patient and his relatives to accept the procedure is discussed.
  1,825 146 -
Asymptomatic Salmonella, shigella and intestinal parasites among primary school children in the eastern province
Mohammed Hussain Qadri, Mohammad Ali AI-Gamdi, Riyadh Ali Al-Harfi
July-December 1995, 2(2):36-40
Objective : The main objective of this study was to determine the prevalence of some potential entropathogens among primary school children. Methodology : This study was conducted, on a sampled population of3258 primary school going children in the age group of 6-11 years. They were investigated for the presence of some potential enteropathogens in their stools. Results : The overall prevalence of enteropathogens was 10.44 percent. Salmonella and Shigella species were found among 114 percent children. Multiple drug resistance was common in the isolated species of Salmonella and Shigella with ma exception of Nalidixic acid and cephalothin in Shigella. The prevalence rate of parasitic infection was 9.30%. The most common parasite found was giardia lambia, 8.16 percent, and next most common was Entamoeba histolytica 0.74%, followed by other parasites: (Hemenolepis nana, Ascaris lumbricoides, Trichuris trichuira and Enterobious vermicularis, in order of their frequencies). Conclusion : This study lays emphasis on the importance of asymptomatic carriers as a potential source of infection and demonstrates the emergence of resistance in salmonella and Shigella species.
  1,662 123 -
Hospitalisation due to acute poisoning in children - Tabuk experience
Ibrahim S Al Hifzi, Pejaver Kumar, Wafaa Talol
July-December 1995, 2(2):27-30
PMID:23012222
Background & Method : Acute poisoning in children is still a major problem in our community, taking up a lot of resources from the health care system. We report here the result of' a three year study (1991-1994) carried out in the Northwest Armed Forces Hospital, Tabuk, Saudi Arabia regarding hospitalisation of children as a result of poisoning. Results : Sixty eight children below twelve years of age were admitted, accounting for a total of approximately 175 inpatient days . The majority of them (n=60, 88.2%) were below the age of five years. house hold products (16.2%), kerosene (10.3%) and antihistamines (19.1%) were the commonest ingested substances. An analysis of various aspects of this problem and the review of relevant literature is included. Conclusions : Health education about safe storage of medicine at home and a knowledge of first aid is very necessary. This may prevent the occurence of such accidents and reduce morbidity.
  1,538 176 -
REVIEW ARTICLE
Health understanding and its effect on health outcome
Anthony F Cole, Thord Theodorsson
July-December 1995, 2(2):9-13
PMID:23012219
Literature regarding health belief models, health understanding and their effect on health outcome is reviewed. Aspects of the major elements comprising health understanding- including lay explanations of illness, locus of control and the affective meaning of symptoms - are described. The particular problems posed by utilising these models in a developing Middle Eastern country are discussed, together with the importance of applied research to assess the feasibility of improving health outcome by enhanced health understanding.
  1,492 137 -
LEADING ARTICLES
The introduction of epidemiology in training future doctors: The Oman experience
Anjali Saha, Anthony F Cole, Gilbert F .D. Heseltine
July-December 1995, 2(2):31-35
PMID:23012223
This paper highlights the emphasis put on epidemiology in the training of future doctors at Sultan Qaboos University. It describes the special features of the teaching of epidemiology making it needs-oriented with continuous practical application in the field throughout the preclinical period. The students take an active part in planning field studies using their knowledge of epidemiology. Integration of epidemiology with statistics enables the students to analyze and interpret their own data thus obtaining a quick feed-back of the epidemiological studies conducted by them. They apply their knowledge of epidemiology to evaluate the data and formulate intervention programmes. Close collaboration with the Ministry of Health provides an opportunity for the students to orient themselves with the important health problems of Oman and participate in the country's national programs. The scheduling of courses and continuation of application of epidemiology in the clinical years help to reinforce their knowledge of epidemiology and statistics for the clinical period and subsequent postgraduation.
  1,492 125 -
EDITORIAL
Patient Satisfaction - A valid tool of quality assurance (C. Q. I)
Shyam Parashar
July-December 1995, 2(2):7-8
PMID:23012218
  1,179 124 -
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Online since 05th September, 2010