relationship between children's attitude, family support and glycemic control in type-1 diabetes mellitus of school children in Alexandria city

The diagnosis of a chronic condition of any child places this family at risk, the physical health and emotional well-being of all members of the family are disturbed so, a family physician scope of service is to cope with chronic disease in children biopsychosocially. [1] To determine attitude of type -1diabetic children. [2] To study the effect of family support on glycemic control. [3] To study the effect of family support on compliance of diabetic children. [4] To study relationship between children's attitude, patient compliance and glycemic control. This study is a descriptive [cross-sectional] study which was carried out on diabetic students who were attending out patient clinic sporting health insurance hospital of students in Alexandria. The representative sample [100] was selected by simple randomization from type -1 diabetic students. The out come of study was achieved by a modified questionnaire which was applied during the period of April 2008 up to April 2009.The results illustrated that there was a significant relationship between childern's atttitude, family support, diabetic control and adherence of diabetic children at diabetic clinic of sporting student hospital. This study showed that there were different attitudes of diabetic children towards the disease. We conclude that the improvement of the quality of family support which introduced to diabetic children and the quality of diabetic care by the physician and the family leading to good metabolic control and lowering of HbA1c

Comparative study for the pattern of prescription writing in asthmatic children in Assir region, Kingdom of Saudi Arabia

A statistical and comparative study was done on the prescription prescribed for asthmatic children aged from 6 months up to 12 years, either by physicians of primary health care centers [PHCCs] or physicians of the Pediatric Department in Assir Central Hospital. Data regarding the prescriptions and all medical consultants were randomly collected without the physician's knowledge. The study showed that the significant differences in the prescription writing between the physicians of the Pediatric Department of Assir Central Hospital and those working in PHCCs were both in some missing items and prescribed drugs. The missing items were significant as regards the name in the prescription of PHCCs which was 26.47%, while that in the prescription of the Pediatric Department of Assir Central Hospital was 11.61%. The difference in the missing duration of medication was 34.31% in the prescriptions of PHCCs and 17.86% in the prescription of the Pediatric Department of Assir Central Hospital. As regards the prescribed drugs, the prescription of the Pediatric Department of Assir Central Hospital contained more certain drugs than in the prescriptions of PHCCs such as antibiotics and corticosteroids. While, the prescription of PHCCs contained more drugs than that of the Assir Central Hospital such as analgesic antipyretic drugs and antihistamines

Pattern and determinants of health services utllization in Ismailia - Egypt. A household [family] survey

Family practice health centers are newly introduced primary health care facilities at Suez Canal University. A utilization study of health services was proposed to find out the proportion of the population who would utilize these centers. A cross sectional household interview survey was carried out in Ismailia Governorate. Socio-demographic, illness and services related factors were studied to find out their association with the utilization of either private or public health services. Out of 650 households where 3425 people were interviewed about their recent illness and contacts with formal health services, it was found that 1276 [37%] persons had utilized the formal health services in the 2 months prior to the interview. It was also found that 57.8% of the contacts have used the private while 42.2% have used the public health services. There was no significant difference in utilization pattern as regards residence or sex of the studied population. Those with higher socio-economic class and with more severe illness showed higher utilization of private health services. Services related factors were also important determinants in utilization pattern. Distance, low cost and insurance were significantly associated with public health services utilization while the availability of specialists, good treatment and communications, previous experience, good reputation and cleanliness were among the factors which were significantly associated with private services utilization. It is concluded that the provision of high quality health services at a reasonable cost is preferred to free of charge services with low cost