Nocturnal enuresis at a primary health care setting: analysis of 117 cases

To evaluate the social and personal characteristics, symptomatology, associated factors and management of nocturnal enuresis. Retrospective case-series study. Primary health care center, Al Khobar, Saudi Arabia. One hundred and seventeen medical records of confirmed nocturnal enuresis from 1[st] January 2009 to 30 December 2009 were reviewed. Diagnosis of nocturnal enuresis was based on detailed history and physical examination. Males were 76 [65%], 96 [82.1%] were of school age. Sixty-eight [58%] patients had positive family history of enuresis in one of the parents while 69 [59%] showed positive family history in one of the siblings. Seventy-two [62%] children were punished for bedwetting. Patients who improved with instructions and medications were 77 [66%]. Ninety-five [81%] patients were enuretic for most of the nights. A significantly higher proportion of patients aged 7-18 years improved by instructions plus medication. Parents of enuretic children seek medical care when the child is too old. Health education of parents is needed to explain the condition and treatment options and advice against punishment

Shisha smoking: knowledge and perception among male medical university students in dammam city, Saudi Arabia

There is growing evidence that tobacco use other than cigarettes is spreading across all world regions. Few reports have been published about shisha smoking among university students. It is important that medical students, the future medical practitioners, have adequate knowledge of smoking-related diseases and skills in smoking cessation. Was to assess the level of knowledge about shisha smoking and to identify behaviors and perceptions concerning shisha smoking among male medical students at University of Dammma, Eastern Province, Saudi Arabia. This was a cross-sectional study conducted at University of Dammma, among male medical students of the three Colleges namely, Medicine, Applied Medical Sciences, and Dentistry. A total of 371 students were included in the study. Data were collected through an interviewer-administered questionnaire pertaining to the following: socio-demographic characteristics, prevalence of shisha smoking, knowledge about hazardous effects of shisha and students' perceptions concerning reasons of initiation, continuation and future plans of shisha smoking. Descriptive statistics and Chi-square test were used for statistical analysis. The majority of students were Saudis [98.8%] and single [97.8%]. The overall knowledge score about the adverse health consequences of shisha smoking showed that 21.6% had poor knowledge and 78.4% had good knowledge. The students of college of Medicine [85.3%] had better knowledge than Applied Medical Sciences [71.6%] and Dentistry [60.8%] college students, [P<0.001]. Poor knowledge about shisha smoking was found among 28.0% of first level students in comparison with 18.2% and 15.7% second and third level students consecutively, [P=<0.05]. About 57.4% of shisha smokers were thinking of quitting smoking, while the remaining 42.6% were not thinking or had no future plans to quit smoking. There is unsatisfactory level of knowledge ajboylh shisha smoking hazards among male university students in medical colleages with poor intention to quit

Job satisfaction among family medicine providers in Alexandria, Egypt

Job satisfaction of the family physician is a critical factor for health system because the primary health care level is responsible for providing medical care to a greater proportion than any other care level. The aim of this study was to measure the level of job satisfaction among family medicine [FM] providers in 7 randomly selected FM units and centers in Alexandria, Egypt and to find possible associations with their characteristics. The total number of FM providers was 188 [43 family physicians, 25 specialists, 12 dentists, 16 pharmacists, and 92 nurses]. Data were collected using a self-administered questionnaire which was consisted of two main parts: respondent's characteristics and Job satisfaction questions [attribute-specific questions within 9 dimensions, and open ended questions]. About 82% of FM providers were working in urban FM facilities and three-quarters of the study sample were females. The Majority [76.1%] had no postgraduate degrees and 63.3% had no training courses at all. The great majority of FM providers [95.2%] were generally satisfied with their profession and also 93.6% were satisfied with working at their facilities. The following factors were found to be independently associated with increased job satisfaction: the type of family medicine facility [family medicine centers 6 folds more] and sex [females 6 folds more]. About 90% of FM providers were satisfied with different aspects of their status. However, 40% and 25% were dissatisfied with their total pay [salary and incentives] in relation to both the assigned work and in to similar positions in health institutions, respectively. Also, 37.8% were dissatisfied with their retirement benefits. Moreover, 64.4%, 42.6 and 38.8% of FM providers were dissatisfied with the amount of paper work, workload, and the amount of work hours, respectively. Also, 22.3% were dissatisfied with the opportunity to learn new skills. However, 90.4% and 83% were satisfied with their clear job description and the amount of freedom and flexibility in doing their work, respectively. It is evident that 96.8% of FM providers were satisfied with both the supplies and equipment available for practice and with the quality of the staff in the facility