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   1999| January-June  | Volume 6 | Issue 1  
    Online since July 31, 2012

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Ability of adult patients to predict absence or presence of fever in an emergency department triage clinic
Sameeh M Al-Almaie
January-June 1999, 6(1):29-34
Introduction: Fever is the most appreciated manifestation of disease which usually raises high therapeutic expectations. Patients seek medical advice because they think they are sick and feverish. If they feel that they are sick but not feverish, they may not seek medical advice. Subjective fever may also be an important clue to further evaluation of the patient. Objective: The aim of this study was to assess the reliability of adult patients to predict absence or presence of fever in Emergency Department triage clinic. Methods: A prospective study of 1241 ambulatory adult patients (above 12 years of age) was carried out over a three-week period. All patients were asked whether or not they had fever or felt they had fever or were running a temperature before oral temperature was taken with an IVAC digital machine. Two sets of temperature readings were taken to define fever as 37.8 o C or greater, and 38.0 o C or greater. Results: The sensitivity and specificity of detecting fever by subjective means was 89.6% and 94.5% for male and 90.0% and 94.8% for female. The accuracy rates were 93.9% and 94.6% respectively. The prevalence of objective fever was 8.7% yielding general positive and negative predictive values of 80.9% and 98.9% with an accuracy rate of 94.2%. Conclusion: The reliability of adult patients attending triage clinic in assessing subjective fever was found to be good. Four out of five of our patients who believed they had a fever were actually found to have an objective temperature increase (38.0 o C or greater). This means that medical staff should take a complaint of subjective fever in our population more seriously.
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Peak expiratory flow rate in a sample of normal Saudi males at Riyadh, Saudi Arabia
Ahmed A Al-Taweel, Khalid A Kalantan, Hamza A Ghani
January-June 1999, 6(1):23-27
Objective: To find out the normal peak expiratory flow rate for adult Saudi males and to compare our standards with British standards. Methods: A cross-sectional study was carried out in five primary health care centers representing Riyadh city in the period between 15 th November through December 1993. Six hundred and eighty Saudi men who satisfied stringent criteria of normality were included in the study. Results: The mean and standard deviation of the subjects' age and height were 28.4 ± 13 and 167.6 ± 6.4 respectively. Linear regression analysis was performed through step-wise procedure to determine the form of regression of peak expiratory flow on age and height. Regression curves were obtained and it was found that peak expiratory flow rate did not begin to decline until about the age of 25 years; and as height increased the peak expiratory flow rate increased in a linear relationship. Conclusion: It was demonstrated that our study group had lower peak expiratory flow rate compared with British people. These findings will serve as a basis for preparing flow rate values for our population.
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Knowledge, attitude and practice of primary health care doctors and nurses in hypertension of pregnancy
Mohammad B.S. Gandeh, Waleed A Milaat
January-June 1999, 6(1):35-44
Objective: To assess the status of knowledge, attitude and practice (KAP) of doctors and nurses in Primary Health Care (PHC) centers with regard to hypertension in pregnancy and to identify factors associated with KAP in Al-Khobar, Saudi Arabia. Methodology: Using a self-administered comprehensive questionnaire, all available doctors and nurses in PHC centers of the Al-Khobar area were approached to determine their knowledge, attitude and practice in hypertension during pregnancy. Questionnaires were validated and pilot tested. Each section of the questionnaire was scored and the mean scores calculated. Factors affecting each section were identified by means of multiple regression analysis. Results: A total of 36 doctors and 91 nurses were enrolled in the study. Saudis formed 22.2% of the doctors and 47.3% of nurses. Mean years of practice after graduation were 12.6 and 8.7 years for doctors and nurses, respectively. Saudi nurses spend only 3 weeks in the obstetrics ward during the whole period of their internship. All Saudi nurses hold only diplomas and not many courses on the hypertensive disorder are offered to both doctors and nurses after graduation. The practice of doctors particularly in the management of patients after reaching a diagnosis and educating them on diet and salt intake was poor. Furthermore, their knowledge was also poor. Though their level of knowledge was poor, the nurses' practice was satisfactory, particularly in taking history and physical examination. The attitude of both doctors and nurses towards hypertensive disorders was in general, positive and satisfactory towards health education. Nurses' nationality and duration of post-internship training were the factors that influenced their attitude and scores on knowledge. Conclusion and recommendation: The study revealed that both doctors and nurses working in the PHC lacked training and knowledge in this area of their work. It is therefore necessary to give PHC doctors and nurses refresher courses on common and serious problems like hypertension. A longer period of training in action management is needed to improve the knowledge and practice of doctors and nurses working in antenatal clinics in this area.
  2,904 348 -
Factitious disorder in Saudi Arabia: A report of two cases
Tariq A Al-Habeeb
January-June 1999, 6(1):49-52
Factitious disorders are characterized by physical or psychological manifestations that are intentionally produced or feigned with no apparent external incentives in order to assume the sick role. These disorders are rarely reported or may be under-reported in Saudi patients. We describe here two male and female Saudi cases of such disorders. Both presented predominantly with features of Munchausen's syndrome. Like most psychiatric patients both had sought help from traditional healers prior to their reporting to the hospitals. Inspite of the socio-cultural factors, it is clear that doctors' awareness and acceptance of the possibility of factitious disorders is a prerequisite to making the diagnosis.
  2,560 143 -
Impact of health education program on knowledge about AIDS and HIV transmission in students of secondary schools in Buraidah city, Saudi Arabia: An exploratory study
Mahmoud A Saleh, Yasser S Al-Ghamdi, Omer A Al-Yahia, Tariq M Shaqran, Ahmed R Mosa
January-June 1999, 6(1):15-21
Background: Accurate information about Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) is important for their prevention. Objectives: This study is intended to assess knowledge on AIDS in students of secondary schools in Buraidah city and to measure the effect of a health education program on their knowledge about AIDS in general, modes of HIV transmission and the degree of their misperception about the transmission of the disease through casual contact. Methodology: A well-designed health education program using personal communication and visual media techniques was conducted for 483 secondary school students in Buraidah secondary schools during the year 1997. Pre and post-tests were done to examine their knowledge about AIDS. Results and recommendations: The results of this study pointed out that a health education program on AIDS for students of secondary schools greatly and significantly improved their scores on general knowledge on AIDS views on its transmission and misperception of AIDS (p<0.01). Continuous in-service programs for secondary students are recommended.
  2,540 154 -
An unusual presentation of tuberculous splenic abscess
Mohammed Y Al-Naami
January-June 1999, 6(1):45-48
A 55-year-old male presented with painful lobulated mass on the left lateral lower chest and upper abdomen. Evaluation revealed the mass as a subcutaneous abscess originating from and communicating with a splenic abscess. The patient was treated by incision and drainage of the subcutaneous abscess along with splenectomy, and antituberculous therapy. Histopathological examination of the spleen confirmed the diagnosis of splenic tuberculosis. Postoperatively, the patient improved, and was discharged ten days later on antituberculous drugs. One year later, the patient remains asymptomatic and shows progressive improvement.
  2,305 166 -
HIV/AIDS knowledge in youth: The need for school health programmes
Yagob Y Al-Mazrou
January-June 1999, 6(1):13-13
  1,877 166 -


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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010