VOL. 7 2000 Issue 3 (September-December)
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Item Adolescents and cancer: A survey of knowledge and attitudes about cancer in eastern province of Saudi Arabia(2000) Hashim, TalalObjective: To determine the knowledge and attitudes of adolescents in the Eastern Province of Saudi Arabia towards cancer. Methodology: A pre-structured tested and revised questionnaire was administered to a randomly selected sample from four high schools (two males and two females) in Dhahran, Saudi Arabia. Results: Data were obtained from 572 adolescents. There was a marked variability in knowledge across informational items, particularly about the possible causes and how to avoid developing cancer. Conclusion: Students possess some knowledge of cancer, although this knowledge was not uniform. There were misconceptions about cancer and its pervention. The researcher concludes that the development and implementation of school health education programs on cancer are needed in this population.Item Continuing medical education on infectious diseases: A Saudi university hospital experience(2000) Al-Qurashi, AbdulrahmanBackground: Continuing medical education (CME) is an important and useful activity for updating knowledge in order to improve for outcome of health care. A CME update symposium on Infectious Diseases was therefore organized at the King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia. Participants included clinicians, laboratory personnel and nursing staff from different hospitals and universities in Saudi Arabia. Objectives: To report the proceedings of the first CME on Infectious Diseases in the region and to evaluate it using a questionnaire-based feedback. Methodology: This CME was evaluated on specific feedback obtained on standardized evaluation forms provided during the symposium. The responses of 194 participants were statistically analyzed for the various components of the symposium. Results and Conclusion: Salient important issues covered during the program are presented. The CME included five sessions on: hospital acquired infections, immunology, mycotic diseases, malaria, lesihmaniasis and virology. Some lacunae were also identified. The evaluation of the scientific sessions showed a satisfaction level of 3.98 ± 0.59, on a scale of five. As this CME activity proved successful on many counts, it was concluded that it was worthwhile to conduct updates on infectious diseases on a regular basis.Item Hydatidiform mole: A study of 90 cases(2000) Al-Mulhim, AbdulazizObjectives: To determine the incidence, epidemiology, complications and management of Hydatidiform mole (HM) at the King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia. Methods: A retrospective study was conducted covering a period of 15 years from May 1983 to May 1998. There were 90 cases of hydatidiform mole. The details of maternal characteristics, clinical presentation, tumor behavior, management and complication were studied. Results: There were 40,700 deliveries during the study period giving an incidence of hydatidiform mole (HM) of 2.2/1000 deliveries. The most common clinical feature was vaginal bleeding which was noted in 81 (90%) cases. Fifty-six (62%) cases had uterus larger than dates, while in 12 (13%) cases, the uterine size was smaller than dates. Ovarian enlargement was noted in 24 (27%) cases. Complications in the form of hemorrhage occurred in 19 (21%) cases and 9 (10%) cases were complicated by cated by sepsis. The complications were more common in patients presenting late to the hospital. There were 6 (6.7%) cases of invasive mole and 3 (3.3%) cases of choriocarcinoma during the follow-ups of the study group. Conclusion: On the basis of this study, the incidence of hydatidiform mole is comparable to the incidence in some oriental countries. Earlier diagnosis and treatment of HM will probably result in the decrease of complications found in this study.Item Hypertension in diabetics registered in primary health care centers in Makkah district, Saudi Arabia(2000) Elzubier, AhmedBackground: Hypertension in diabetes is a common and important problem, which aggravates diabetic macro- and microvascular complications. Since both diabetes and hypertension are common diseases, their follow up in primary health care centers should emphasize the early detection of hypertension in diabetes. This study aims at studying the magnitude of hypertension in diabetic subjects registered in primary health care centers. Methods: A sample of 1039 diabetic subjects registered at the primary health care in urban and rural Makkah region were interviewed. Information gathered included demographic and diabetes-related variables. Blood pressure and body mass index were determined for 1020 subjects. Results: Diabetic subjects who had high blood pressure readings amounted to 560 (54.9%), of whom with stage 1, 2, and 3 hypertension formed 25.5%, 7.0% and 2.5%, respectively. Subjects with undetected high blood pressure amounted to 225 (22.1%). There was significant association of high blood pressure with age, male gender, body mass index and low education. Conclusion: The problem of hypertension in diabetes could be sizeable. Many patients may remain undetected. A diligent search for diabetic subjects with elevated blood pressure should be made through an efficient system of follow up in the PHCC centers.Item Inpatients satisfaction with nursing services at King Khalid University Hospital, Riyadh, Saudi Arabia(2000) Al-Doghaither, AbdullaAbstract: Recent development and changes in health care services in Saudi Arabia have encouraged a search a search for comprehensive and established measurements of the quality of care. Patient satisfaction with nursing care in particular has ferquently been used as a sensitive and objective measure of quality of hosiptal services. Objectives: The objectives of this study are: (1) to assess the level of inpatient satisfaction with nursing care (PSWC) in the various wards of the hospital; (2) to assess the socio-demographic determinants of PSWC in addition to the effects of duration of hospital stay and type of wards on the level of satisfaction. Methods: The sample consisted of randomly selected 450 inpatients with probability proportion to the size of the wards. The data was collected by personal interviews using a 21-item structured questionnaire pertaining to nursing services. Results: The results revealed that the instrument of measurement was valid and reliable. The overall mean satisfaction score was 2.4 (77%) and the highest mean satisfaction was for items on skillfulness and the lowest score was for communication items. Multiple regression analysis indicated that sex, age, marital status and duration of stay are the most imortant predictors of PSWC; female, young, married and short duration of hospital stay have the highest satisfaction score. Conclusion: In conclusion, this study has highlighted the aspects of nursing care at King Khalid University Hospital (KKUH) which need re-examination by the management. The most importance findings have been that there is: (1) a shortage of nurses at the hospital; (2) limited communication between nurses and patients: most probably due to cultural and language barriers; (3) no proper oversight of patients personal hygiene; (4) dissatisfaction of male patients with most of the nursing care rendered. These results offer the hospial management the opportunity to work out stategies to connect the deficiencies highlighted.Item Issues in peak expiratory flow rate measurements: Analysis and interpretation of results(2000) Al-Dawood, KasimAbstract Not Available(Letter to the Editor)Item Rift valley fever: Lessons to be learned(2000) Alam, Awatif; Mohammed, AshryAbstract Not Available(Editorial)Item