VOL. 9 2002 Issue 2 (May-August)
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Browsing VOL. 9 2002 Issue 2 (May-August) by Author "Elzubier, Ahmed"
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Item Attitudes of medical interns towards the practice of primary health care(2002) Al-Dawood, Kasim; Elzubier, AhmedBackground: Training in different specialties should prepare young physicians to assume responsibilities in primary care. Training for the acquisition of the proper attitude for health care, should be given in the course of the training in different specialties. Objective: To assess the attitudes of medical interns who have undergone rotation in the Department of Family and Community Medicine of a large university hospital, towards the provision of primary care. Methods: A cross-sectional study incorporating a structured questionnaire was carried out on a sample of 106 interns; and 20 consultants were selected as a reference group. Results: All medical interns almost unanimously endorsed continuous, coordinated, accessible and comprehensive care. In contrast, consultants less often supported the provision of such care for their own patients. Conclusions: Unless consultants change their attitudes towards the attributes of primary care, the quality of patient care as well as physician training would suffer.Item Dietary misconceptions among diabetic patients in Makka city, Saudi Arabia(2002) Al-Saeedi, Mohammed; Elzubier, Ahmed; Al-Dawood, Kasim; Bahnasi, AhmedObjectives : To assess the prevalence of some dietary misconceptions among primary health care center-registered diabetic patients in Makka City, Saudi Arabia. Methods: A sample of 1039 primary health care center- registered diabetic patients was interviewed using a structured questionnaire on diabetic diet -related misconceptions. A scoring system was used to document the frequency of misconceptions. The relationship of the misconceptions to socio-demographic and diabetes-related variables was assessed using chi-squared tests. Results : Most patients (68.7%) had a high diet misconception score. More than half of the sample had the misconception that carbohydrates were to be completely eliminated from the diet, and only dried bread and bitter foods were to be consumed. Data included the belief in the consumption of honey and dates; the omission of snacks; belief in the carcinogenicity of the sugar substitutes; and obesity as a sign of good health. The score was significantly higher among males (p<0.01), patients older than 35 years (p<0.02), and among patients whose level of education was low (p<0.01). Conclusion : It is important to note that the rate of diet-related misconceptions among diabetics in Makka city is high. The study pointed to the target fraction of diabetic patients among whom these misconceptions prevailed. There is a need for constant motivation and appropriate education at frequent intervals to encourage better knowledge of the disease so that there is compliance to treatment.
