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   1999| July-December  | Volume 6 | Issue 2  
    Online since July 31, 2012

 
 
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LEADING ARTICLES
Knowledge, attitude and smoking patterns among nursing and laboratory technology students, Dammam, Saudi Arabia
Ahmed M Mandil, Ahmed A Bahnassy, Shadia M Aboul-Azm, Laila A Bashawri
July-December 1999, 6(2):51-58
PMID:23008604
Objective: To study the reported practices of knowledge about and attitude towards smoking among nursing and medical laboratory technology (MLT) students, College of Medicine, King Faisal University at Dammam and Al-Khobar. Setting: College of Medicine, Dammam and King Fahd Hospital of the University, Al-Khobar, Saudi Arabia Methods: A cross-sectional approach involving a sample of 266 students and interns (152 nursing and 114 MLT), which included all enrolled students in the academic year (1998/1999). A self-administered questionnaire was used to collect data covering knowledge, practice and attitude to smoking. SPSS was used for statistical analysis. Results:The overall smoking prevalence was low (5.6%), slightly higher among nursing (6.6%) versus MLT (4.4%) students. Knowledge of and attitude towards smoking was generally satisfactory in both groups, although deficient in some key areas, such as the addictive nature of smoking, some of its consequences on health, and difficulty of quitting. Conclusion and Recommendations:The prevalence of smoking among nursing and MLT students is generally low but their knowledge and attitude need improvement. Health education on facts, dangers and consequences of smoking should start as early as the primary school, and should continue throughout the education of future health professionals (role models for the community).
  3,059 231 -
Audit of diabetic care in a Saudi primary care setting
Abdallah M Mangoud, Ahmed M Mandil, Ahmed A Bahnassy, Abdulaziz M Al-Sebiany, Nabil Y Kurashi
July-December 1999, 6(2):59-66
PMID:23008605
Objective: To audit the care offered to diabetic patients attending the Family and Community Medicine Clinic (FAMCO), King Faisal University, Kingdom of Saudi Arabia (KSA). Design: A cross-sectional study of medical records of 45 diabetic patients who regularly visited the clinic during a one-year period from June 1997 to May 1998. Subjects: Patients who presented at the clinic because of non-insulin-dependent diabetes mellitus (type II). Results and Conclusions: The level of care for diabetic patients was relatively inappropriate, and some important parameters were under-recorded. Specific measures to improve and promote diabetic care in FAMCO clinics need to be undertaken. These include formulating and using protocols for diabetes management and better training of health-care providers.
  2,207 194 -
Are young arab women eating a healthy diet? A qualitative dietary study among college hostel students
Parveen Rasheed, Aisha A Al-Kunji, Basma M Al-Saffar, Hanan M Al-Abdul Karim, Maysoon I Al-Thawadi
July-December 1999, 6(2):17-22
PMID:23008599
Background: Two recent studies conducted on young College Arab Women showed a trend towards over nutrition. It is well known that good eating habits adopted early in life not only improve health and control obesity in the youthful years but also promote healthy eating behaviours in later life. Objective: To investigate the dietary habits of young college women and identify specific areas for nutrition education. Methods: A self-administered questionnaire containing 20 items related to qualitative dietary history was distributed to all the college (King Faisal University, Dammam) women residing in the hostel during a one-week period in April 1998. Result: Out of a total of 56 women, 50.7% frequently missed out on breakfast and lunch. To satisfy their state of hunger, frequent snacking with deserts/carbohydrate-rich food items (21.4%) and consumption of regular cola drinks (32.1%) was common. Fast food rich in fat and calories from restaurants was popular among a majority (98.2%) of the students. On the other hand, there was a deficient intake of protective foods and nutrients for repair, maintenance and growth, such as fruits (73.2%), vegetables (85.6%), milk and milk products (66.1%) and protein-rich foods (82.1%). Conclusion: To decrease the risk of malnutrition among young college women, there is a need to target them for nutrition education and adoption of healthy eating practices within the context of a healthy life style.
  2,121 198 -
Predictive factors and incidence of complications in apparently healthy full term infants of diabetic mothers
Hakam A Yaseen, Suleiman S Al-Najashi, Ashraf A Adel, Ahmad A Bahnassy, Khalid U Al-Umran, Abdulatif A Al-Faraidy
July-December 1999, 6(2):37-42
PMID:23008602
Aim: To determine the incidence of different complications of the apparently healthy full-term infants of diabetic mothers (IDMs) and whether these complications could be predicted early. Methods: A prospective study was performed in the Nursery Unit of King Fahd Hospital of the University in Al-Khobar over an 18-month period. Eligible neonates were those full-term IDMs who were asymptomatic at birth, with birth weight ≥ 2000 g and whose mothers had gestational or pregestational diabetes. AUDMs were routinely observed for at least 2 days. A complete blood count, glucose, bilirubin and calcium serum levels were monitored. The morbidity study group included all IDMs who experienced complications requiring treatment or observation for > 48 hours. Results: One hundred and eighty eight infants with a birth-weight of 3411 ΁ 616 g and with gestational age of 38.5 ΁ 1.2 weeks were enrolled in the study. Asymptomatic hypoglycemia (31%) was mostly mild and transient. The rate of other complications such as hypocalcemia (4%), polycythemia (13%), hyperbilirubinemia (18%), intrauterine growth retardation (2%) with 30% rate for large gestational age. Using a logistic regression model; maternal insulin therapy, poor diabetic control, birth asphyxia, early neonatal hypoglycemia and polycythemia were found to be highly predictive of morbidity with an odd ratio of 2.41, 2.91, 9.65, 3.88 and 3.74 respectively. Conclusion: Complications of apparently healthy IDMs appear to be very mild and transient. These were found to be strongly associated with specific perinatal events.
  2,006 193 -
Factors affecting child development in Madinah, Saudi Arabia
Hassan Bella, Salih S Al-Ansari
July-December 1999, 6(2):29-36
PMID:23008601
Introduction: This paper addresses an important pre-requisite for promoting child health; namely the promotion of sound child development. Objectives: The study aimed at identifying factors affecting child development in Madinah, Saudi Arabia. Design: A cross-sectional study with a multi-stage stratified random sample of children. Setting: Well-baby clinics of the primary health care centers in urban and rural areas of the Madinah region, North-western Saudi Arabia. Participants: A sample of 1219 "normal" children below the age of six. Intervention: Tools used for the study were the modified and translated Denver Revised-Pre-screening Developmental Questionnaire (R-PDQ), and the Denver Developmental Screening Test (DDST) kit together with a social questionnaire. Logistic Regression analysis was used to show any significant association(s) between the study variables and the 104 developmental items in the R-PDQ. Results: Eight variables were found to be strongly associated with each of the developmental items. Mothers' education was found to be significantly associated with 21 developmental items. Number of children in the household was next to mothers' education in its association with child development. Place of residence and gender were found to be significantly associated with seven and one abilities respectively. Conclusion: Findings emphasized the importance of girls and mothers' education as an aid in stimulating the development of their children and enabling mothers to prepare children for school. Adequate birth interval, and prolonged breastfeeding are recommended to enable mothers to care for their children, communicate with them and foster sound development. Scrutinizing the child's home environment and involving parents in the developmental progress of their children are also considered important. More stimulation and educational play are recommended for rural children and male urban children.
  2,026 167 -
Patterns of resistance to antibiotics at King Fahd hospital of the university
Mastour S Al-Ghamdi, Fikry El-Morsy, Zaki H Al-Mustafa
July-December 1999, 6(2):43-50
PMID:23008603
Introduction and Aim: A sharp worldwide rise in bacterial resistance to antimicrobial agents in both nosocomial and community acquired pathogens has recently been observed. This may complicate treatment of infectious disease or increase the cost of its management. It is, therefore, important to regularly investigate the patterns of resistance to antimicrobial agents at both local and national levels. Methods: The antibiograms of organisms isolated over a one-year period in King Fahd Hospital of the University were analyzed. Results: Of the 3679 microbial isolates of 35 types of organisms identified, the most common were Streptococcous spp (25.5%), S. aureus (16.1%), E. Coli (12.7%), Psueudomonas spp (9.3%) and Klebsiella spp (7%) High resistance rates (>50%) to ampicillin and to amoxycillin + clavulanate (AMX+CLV) were encountered in Enterobacter spp., and H. influenzae while in E. coli, the resistance was higher to ampicillin (60.0%) than to AMX+CLV (38.1%). With regard to S. aureus, 98.3%, 91.1% and 25.5% of isolates were resistant to penicillin, AMX+CLV and methicillin respectively but all were sensitive to vancomycin. High resistance (53% of 2830 isolates) to tetracycline was also observed especially in H. influenzae (80.5%), Streptococcous spp (72.9%) and E. Coli (54.5%). The same organisms were also highly resistant to trimethoprim/sulphamethoxazole with rates of 75.5%, 80.4% and 48.1% respectively. Moderate resistance (26% of 1567 isolates) to gentamicin was noted but the drug remained very effective against most tested gram-negative organisms. In addition, multiple resistance to gentamicin and AMX+CLV was also detected in 24.3% of 839 isolates. Conclusions and Recommendations: It is concluded that the alarmingly high pattern of bacterial resistance to antibiotics may reflect the extent of use of each antibiotic in the eastern province of Saudi Arabia. It is recommended that hospital antibiotic policies (purchasing, prescribing and dispensing) be based on, and regularly reviewed in accordance with hospital antibiogram results. A center for infectious disease control should also be established in each region of the Kingdom to disseminate information and coordinate antibiotic policies among hospitals.
  1,875 142 -
The future of academic medical centers in Saudi Arabia: Difficulties encountered in a teaching hospital
Fahd A Al-Muhanna
July-December 1999, 6(2):23-28
PMID:23008600
Objective: The objective of this study was to define and analyze the major difficulties experienced and documented in a university teaching hospital. Methodology: The academic medical center (AMC) reviewed was the King Fahd Hospital of the University (KFHU), Al-Khobar, Eastern Saudi Arabia. Data sources included student registration figures, budget allocation and the hospital annual reports. The retrospective analysis was restricted to difficulties encountered. Results: While numbers of medical students increased, staff positions remained static. There was remarkable budgetary deficiency over 9 years; especially for pharmacy, equipment's and supplies. The number of patients' visit markedly increased. The difficulties encountered were 237 in 70 sections of KFHU. Other problems included recruitment difficulties and the triple role for the faculty; teaching, researching and service. Conclusion: The role of leadership is emphasized to provide answers for the problems; to manage AMC's more efficiently; to find ways of providing medical care more cost-effectively and to generate more funds.
  1,506 146 -
Attitudes of Saudi media towards world health events
Mohammed A Al-Zahrani, Abdulaziz M Al-Hudaithy, Hany H Ziady
July-December 1999, 6(2):67-74
PMID:23008606
Introduction: Mass media are very important in health education programmes. Health promoters rely on them to play a crucial role in their campaign. Aim: The aim of the study was to study the patterns of contribution of the Saudi daily newspapers on two international health occasion during the year 1416H (World AIDS Day 1995 and World Health Day 1996). Material and Methods: The study was retrospective, carried out by reviewing eight daily Saudi newspapers including all issues covering three months before and extending three weeks after each occasion. All newspaper materials concerning the two occasions were specified, and data obtained from them included types of materials, topics and characteristics of the paper. Results: The study revealed that the newspapers gave more coverage to World AIDS Day than on World Health Day. This meant that journalists considered that AIDS was more interesting to the readers than the environmental topic of World Health Day. Most of the materials especially in World Health Day were published in the inner pages. These findings are in consonance with previous work, which showed that Saudi journalists had little interest in environmental issues. Nearly two thirds of the materials were news items about ministerial and activities of other organizations. Informative articles on health education and readers' participation were minimal. Conclusion: It was concluded that newspapers took not much interest on health matters especially health education.
  1,513 121 -
EDITORIAL
Food: The way to health or disease
Sameeh M Al-Almaie
July-December 1999, 6(2):15-16
PMID:23008598
  1,251 123 -
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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010