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Background: The hospital Emergency department (ED) is one of the most important components of the health delivery system. Objectives: To investigate the public awareness of the ERs in KSA, what the public knows about the provided services, and if they know the difference between the outpatient clinic and ERs. Methods: It is a cross-sectional descriptive community-based study carried out on 977 male and female, young and adult participants from all age groups, in different areas of the Kingdom of Saudi Arabia, during the period from 1st January to 31st July 2019. Data was collected through filling the pre-designed online questionnaire which guided us to the needed data. We utilized the SPSS program version 16. The X2 test was used as a test of significance, and differences considered significant at p-value less than 0.05. Results: Most of the participants (87.5%) reported that they know the difference between the outpatient clinic and ER. The majority (68.1%) of subjects said that ERs is meaning rapid and unplanned medical care, 17.3% said any needed health care is available there, 12.2% said that it means insufficient medical care and only 2.5% said it means availability of physician at any time for any purpose. As regards evaluation to the provided services in ERs; 32.5% of cases said it was very good followed by 28.5% good, 19.8% excellent, 10.2% accepted and 10% reported it was bad services. There were significant relations between the awareness and age (p=0.03) and education level (p=0.003), but no relation was found with the gender of the participant (p>0.5). Conclusion: In our study, Most of the participants reported that they know the difference between the outpatient clinic and ERs. The majority of subjects said that ERs is meaning rapid and unplanned medical care and/or availability of physician at any time for any purpose. There were significant relations between the awareness and age and education level, but insignificant relation was found with the gender of the participant.
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Background: Despite extensive research on HIV and hepatitis C [HCV], there remains a gap in knowledge on the burden
Objectives: To assess the prevalence of hepatitis C virus [HCV] among positive human immunodeficiency virus patients and to study the relationships between these infections and intravenous drug addiction
Methodology: A cross sectional study has been conducted among total of 325 positive immunodeficiency patients [HIV] diagnosed to have HCV infection in the gastroenterology clinic at King Abdul-Aziz hospital and oncology center in Jeddah, Saudi Arabia between January 2015 and January 2016
Conclusion: The high prevalence of these major virulent infections among drug addiction is a sign of a major public health problem. Other than complicating addiction illnesses of patients, they could play major roles in spreading these infections to other intravenous drug addictors
Subject(s)
Humans , Adult , Middle Aged , Hepacivirus , Prevalence , HIV , Substance-Related Disorders , Substance Abuse, Intravenous , Cross-Sectional Studies , HIV InfectionsABSTRACT
Aims: The aim of this study is to determine the number of newly diagnosed cancer cases and their distribution in two cancer-care providing facilities in Sudan. Study Design: This is a retrospective descriptive study. Methodology: Data was retrieved from patients’ records that were diagnosed and treated at the Radiation Isotope Center in Khartoum (RICK) and National Cancer Institute at Wadmadani (NCI -UG) in Sudan over the period between 2000 and 2006 and then statistically analyzed. Results: A total of 26652 cancer cases were retrieved with a noticeable increase in numbers from year 2000 to 2006. The maximum cancer number was observed in 45-64 year age group in both male and female patients with a male to female ratio of 1.3:1.0. The most common cancer sites for females were: the breast (29.3%), cervix uteri (8.2%), leukemia (7.2%), ovary (6.8%), and esophagus (5.9%) and for males: were prostate (7.6%), followed by leukemia, (7.0%), NHL (6.8%), esophagus (5.4%) and bladder (4.4), while leukemia (25.2%), NHL (12.4%), lymphoma (10.8%), retinoblastoma (6.6%) and brain tumors (3.3%) dominated in younger patients (<14 years old). Conclusions: This study provided some knowledge about the cancer situation in two institutions providing cancer care in Sudan that may draw attention of policy maker and aid in formulating appropriate cancer-control strategies in the country.
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Appropriate use of drugs is one essential element in achieving quality of health and medical care for patients and the community. The study aims to measure the performance of 10 primary health care centers [PHCCs] in Alexandria, Egypt regarding the use of drugs using the WHO/INRUD drug use indicators: prescribing, patient care and facility-specific indicators. One-thousand prescribing encounters were investigated for a period from January to December 2010. Three-hundred patients and 10 pharmacists were interviewed. Data entry and analysis were conducted using SPSS version 19. Mean, median and SD were measured. An ANOVA test was applied. Prescribing indicators were within optimal or slightly below the optimal value except encounters with antibiotics prescribed that were higher than the optimal value. The difference between PHCCs was statistically significant for all prescribing indicators [P = 0.000]. Concerning patient care indicators, average consultation and dispensing times were short, and there was no drug labeling at all. The difference between PHCCs was significant for all patient care indicators except the percentage of drugs labeled and patient's knowledge of correct dosage. Both facility-specific indicators were below the optimal value. Prescribing indicators were below optimum except average drugs/encounter and encounters with injection prescribed. Patient care indicators were below the optimal level especially for average consultation dispensing times and drug labeling. Facility-specific indicators were below optimum.
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The objective of this study was to determine the value of cervical insulin-like growth factor- binding protein-1 assay for the prediction of preterm labor in high-risk women. Thirty pregnant women at high risk for preterm labor were studied by serial cervical insulin-like growth factor - binding protein -1 assay between 26-36 weeks of gestation. The presence of cervical insulin-like growth factor-binding protein -1 in cervical secretions was compared to preterm labor. The preterm delivery rate was 40%. Cervical insulin-like growth factor- binding protein-1 was positive in 10/12 of women delivering preterm and in 7/18 of women delivering at term. As a prediction for preterm birth before 37 weeks, the presence of cervical insulin-like growth factor-binding protein- 1 showed a sensitivity of 83.3%, a specificity of 61.1%, a positive predictive value of 58.8% and a negative predictive value of 84.6%
Subject(s)
Humans , Female , Biomarkers , Insulin-Like Growth Factor Binding Protein 1 , Cervix Mucus , Pregnancy, High-Risk , Sensitivity and SpecificityABSTRACT
Se presentan los resultados de un estudio prospectivo, realizado en 100 pacientes que asistieron a la Maternidad del Hospital Central de Valencia (HCV), en los meses comprendidos entre octubre 88 y enero 89, las cuales se dividieron en dos grupos de 50 pacientes cada uno; a un grupo se le realizó Revisión Manual Endouterina (RME) y un grupo control donde no se realizó la maniobra. La mayor frecuencia de Endometritis Puerperal (EP) se presentó en el grupo de pacientes a quienes se realiza la RME. Las formas clínicas más frecuentes de infección post-parto, fueron: Endometritis Puerperal, Epsiorrafía Infectada y Loquios Fétidos