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   1996| January-June  | Volume 3 | Issue 1  
    Online since July 31, 2012

 
 
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LEADING ARTICLES
Health profile of Balhareth area in Taif region
Waleed A Milaat, Tawfik M Ghabrah
January-June 1996, 3(1):39-47
PMID:23008547
Objective: To describe demographic, socio-economic, environmental factors and general health status of one of the rural and semi-urban areas around Taif city at the western province of the Kingdom. Methodology : A cross sectional multipurpose survey for 2 weeks composed of household and school surveys using questionnaires, anthropometric measurements and physical and dental examinations. Results : 340 houses and 14 schools were surveyed. A higher percentage of young age population was found. Findings indicated a high illiteracy rate especially among females. Environmental status of the area was not optimum with a need for better services. Maternal data indicated a high fertility rate with high rate of unattended deliveries. Breast feeding was a common practice and children pattern of feeding was satisfactory. School survey revealed a lower weight and height compared to NCHS population and a high rate of dental caries. Conclusion : The area was not underprivileged and did not show specific endemic disease pattern. Improvements in the areas of sanitation, female education and school dental education is recommended based on the findings.
  2,743 172 -
Utilisation of health services by the primary health care centres-registered elderly people in Burraidah city, Saudi Arabia
Mohammed A Al Mahdi, Ahmed G Elzubier, Nabil Y Kurashi
January-June 1996, 3(1):14-21
PMID:23008543
Objective: To assess the pattern of and factors associated with geriatrics' utilisation of health services. Design: A cross-sectional, study involving a random sample of 266 elderly subjects registered in the primary health care centres in Burraidah city, Saudi Arabia. Setting: The primary health care centres in Qassim Region, Saudi Arabia. Methods: Data was collected from PHC centres-registered elderly subjects at their homes. Information including utilisation of primary health centres, hospital admissions and duration of hospital stay were recorded. Results : The response rate was 96.7%. Twenty percent of the sample had not used any health services facility during the previous year. Two-thirds of subjects made visits to the primary health care centres, majority of them having made 6 visits or less. Significant factors positively associated with those visits were female, advancing age, and having a family. Three-quarters of the sample did not have hospital admissions. Significant factors positively associated with admissions were diabetes mellitus, hypertension, paralysis, advanced age, and living with a family. Conclusions: Geriatric health services utilisation by the study sample is affected by family ties and the high prevalence of chronic diseases. Subjects living alone or crippled by immobility may not be able to utilise available health services properly. Community based geriatrics services can help this vulnerable group.
  2,127 235 -
Breast cancer: Attitude, knowledge and practice of breast self examination of 157 Saudi women
Rashad Habibulla Kashgari, Abdulbari Mohammed Ibrahim
January-June 1996, 3(1):10-13
PMID:23008542
Introduction : Breast cancer is the commonest cancer in Saudi females. Breast self examination (BSE) is a practical screening method for early detection of breast cancer. Objectives : The aim of the study is to find out knowledge and practice of BSE among Saudi women and their attitude towards breast cancer. Methods: 157 Saudi women were randomly selected and interviewed in the general clinics of King Abdulaziz University Hospital, Jeddah, and a questionnaire was used to collect data. Results: The age range of the women was from 15 to 69 years with mean age of 32.5 years and median of 30 years. 80 (51 [0] 1o) out of 157 women were illiterate. 19 (12%) women were found to conduct BSE, 8 (5%) regularly and 11 (7%) irregularly. 145 (92%) showed willingness to seek medical advice if they discover lumps in their breasts. The motives of these women were, a desire to reach a diagnosis at an early stage in the hope of cure in 120 (76%) and fear of cancer in 25 (16%). 11 (7%) women were unwilling to seek medical advice and the motives of these women were fear of cancer in 5 (3%) and shyness in 6 (4%). Conclusions & recommendations: The proper technique of BSE should be taught to all Saudi women using all means of education either through books and magazines for literate women or through video films and self explanatory charts for illiterate women. A national campaign aimed at raising women's awareness about breast cancer and BSE is recommended.
  1,952 245 -
Evaluation of antenatal referrals from health centres to the maternity and children's hospital in Dammam city, Saudi Arabia
Latifa S Al-Soweilem, Abdallah M Mangoud
January-June 1996, 3(1):22-28
PMID:23008544
Objective: To evaluate antenatal referral rates from Primary Health Care (PHC) centres to the Maternity and Children's Hospital in Dammam and factors affecting it. Methodology: Four randomly Selected Primary Health Care Centres in Dammam city. A sample of 135 pregnant women referred to the hospital (cases) and 135pregnant women not referred (controls) were randomly selected. A double phase sampling scheme was adopted. Questionnaires regarding the characteristics of the general practitioners (GPs) were distributed to those GPs caring for antenatal patients in the 4 health centres. Results: There was a variation in the referral rates of the five generalpractitioners from 11.5 to 21.2 per 100 antenatal consultation. It was found thatS certain characteristics of the GPs had an important influence on the referral rates. High risk factors in pregnancy were present in some of the controls but they were not referred. Conclusion & Recommendations: There is a variation in the referral rates between the GPs. There is a need to monitor and improve the quality of the antenatal care and the referral process. Better training of the GPs and implementing shared obstetric care is recommended.
  1,915 176 -
Analysis of 303 road traffic accident victims seen dead on arrival at emergency room - Assir central hospital
Abdul N Batouk, Nader Abu-Eisheh, Saeed Abu-Eshy, Mohammad Al-Shehri, Mohammad AI-Naami, Suleiman Jastaniah
January-June 1996, 3(1):29-34
Background: Although Rood Traffic Accident (RTA) is a noticeable common cause of death in Saudi Arabia, there is no published data showing the relative frequency of this disease as a cause of death. Aim of the study: This study attempted to find out the relative frequency of RTA as a cause of death. Also, to identify age groups at risk as well as make some inferences from the different types of injuries seen. Methodology : In a period of over a four and half years, 574 patients were seen dead on arrival at the Emergency Department of Assir Central Hospital, Abha, Saudi Arabia. Of these, 303 (52.8%) were victims of RTA. Results : The 303 victims revealed a male to female ratio of 14:1, Saudi nationals of 69% and age range of 3 months - 85 years (mean = 34.25 years). The peak age group was between 21 and 49 years and the peak period of presentation at the Emergency Department was between 12:00 noon and 18:00 hours. The month of ten in Hegira Calendar represented the peak period; a significant (P<0-05) seasonal variations was also seen, summer being the highest. Clinical assessment of the victims revealed that head and neck injuries were the commonest followed by chest injuries. Conclusion: RTA is the primary cause of death among dead on arrival cases affecting the most active and productive age group. The study recommended the implementation of pre -hospital emergency medical system.
  1,899 142 -
Survival after stroke in Saudis : A hospital based study
EI Gamri E Mohammed, Musa A Nur, Nabil Y Kurashi, Ezzeldin Ibrahim, Kawkab Ammar
January-June 1996, 3(1):48-52
PMID:23008548
Background : Prognosis of stroke has been studied in various population. Factors adversely affecting short term survival include impaired consciousness, leg weakness and increasing age. Aim of the Study: In this study, the prognostic effects of age, sex, hypertension, diabetes mellitus and presentation in coma on the survival pattern of stroke patients presenting to a referral hospital, are reviewed. Methodology: The medical records of all patients hospitalized with definite stroke at King Fahd Specialist Hospital, Buraidah, for the period between June 1986 and June 1991, were reviewed. The Cranial CT Scans were also reviewed. Results : One hundred and seventy four patients, 106 males and 68 females, with a mean age of 64 years who had definite stroke were studied to estimate overall survival and the various risk factors influencing it. The case records and cranial CT scans were reviewed. At the time of analysis, just over 72% of the patients were, alive, with an overall mean survival after stroke of 120 weeks. Approximately 11% of patients died within two weeks of the stroke diagnosis. Conclusion : The factors adversely affecting survival in this study, were age above 60 (P<0.04), presentation in coma (P<0.003) and pre-existing heart disease (P<0.0009). There was no significant effect on survival due to sex, hypertension and/or diabetes mellitus.
  1,490 149 -
Preliminary study on acute rheumatic fever at high and low altitudes of Asir region
Fuad L Abbag
January-June 1996, 3(1):35-38
PMID:23008546
Objective : The objective was to study the profile of acute rheumatic fever (ARF) at high and low altitudes (hot and temperate areas respectively) with particular attention to the influence of these differences on the frequency or severity of carditis. Methodology : Thirty eight children with initial attack of ARF, diagnosed between November 1987 and July 1995, were studied. Result : Twenty seven were living at altitude, temperate climate (group-1) while 11 were living at low altitudes of Tihama, hot climate (group-2). Twenty two were males and 16 were females. The mean age was 9.7 years. Arthritis was the commonest feature (86.8%) and carditis (68.4%) came second. Mitral regurgitation occurred in 96.2% of those with carditis, aortic regurgitation occurred in 19.2% and tricuspid regurgitation in 7.7%. Mitral stenosis and aortic stenosis were not encountered. A comparison between group-1 and group-2 showed the frequency of carditis to be 66.7% and 72.7% respectively and the frequency of severe carditis in those affected to be 27.8% and 25% respectively. Chorea, erythema marginatum and subcutaneous nodules were uncommon. Conclusion: The study indicates that altitude and climate may not affect the frequency nor severity of carditis.
  1,452 150 -
Hemolytic-uremic syndrome in Asir region
Naffaa N Al Harbi, Mohammed E ElAwad, Mohammed A Al Homrany
January-June 1996, 3(1):53-57
PMID:23008549
Introduction: Hemolytic-Uremic Syndrome (HUS) is a worldwide disease and a common cause of acute renal failure in childhood. Recently the number of cases in our area seems to be increasing. Aim : The objective of this study was to look at epidemiology, clinical course and complications of hemolytic-uremic syndrome in the Southern region of Saudi Arabia. Method: The medical records of 24 patients with typical post diarrhea HUS who were seen in Asir Central Hospital (ACH) between January 1989 and December 1994 were retrospectively reviewed. Results : Of the 24 patients 15 were boys and 9 were girls with sex ratio 1.7:1. Ages ranged from 7 months to 11 years with a mean of 38 months. Clustering of cases were during spring and autumn time. Shigella dysenteriae was the most commonly isolated micro-organism, found in the stools of 5 patients. Complications occurred in 8 patients (33%) in the acute phase, 5 (21%) had generalized tonic-clonic seizures, while 2 (8%) had depressed level of consciousness. Three of the patients who had generalized seizures developed permanent cortical blindness. One patient developed chronic renal failure. One patient (4%) died in the acute phase after prolonged generalised seizure and coma. The mean age of the group with complications was 3335 months while it was 41:03 months in the uncomplicated group and mean platelets count was 46±40 x 10 [9] /L and 58 ± 35 x 10 [9] /L, respectively. Conclusion : Males seem to be more affected than females and Shigella was the most commonly isolated organism. Cortical blindness was relatively more common than in other studies and patients with complications were generally younger and had lower platelet count than those without complications.
  1,468 120 -
EDITORIAL
Breast cancer and early detection
Osama M Koriech
January-June 1996, 3(1):7-9
PMID:23008541
  1,236 123 -
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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010