Knee replacement surgery and its effect on long term

The primary indication for total knee replacement is relief of significant, disabling pain caused by severe arthritis. Total knee replacement surgery begins with correct planning of both the incision and the exposure of the joint. Definitely, these are factors that are just as important to an optimal outcome as choosing the right implant, positioning the components, and balancing the ligaments. While it is true that the standard incision and arthrotomy will, in most primary implant cases, provide adequate joint exposure, it is also true that cases characterized by certain conditions, such as previous cutaneous incisions, present specific skin and exposure problems that need to be recognized, planned for and overcome

Diabetic foot awareness among diabetic patients in Saudi Arabia

Aim of the work: diabetic foot disease[DFD] is diabetic patient's foot affection by ulcers which are accompanied by peripheral vascular disease and/or diabetic neuropathy of the lower limb. Prevalence of diabetic ulcer is ranging from 2%-10%. High rate of lower limb amputation in DFD [More than 15%] and survival rate for undertaken amputation patient are short. Ninety diabetic amputations are performed monthly in Saudi Arabia capital of Riyadh. Identification of DFD and diabetic patient's awareness of DFD and how to take care of it will reduce the incidence of more complications like amputation. This study aimed to evaluate knowledge, education, attitude and practice with diabetic foot among diabetic patients all over Saudi Arabia

Patients and Method: cross-sectional study directed among the diabetic clinic visitors in Primary Health Care Centers [PHCs s]. Selection of 55 PHCs was done by random sampling. Ten diabetic patients were randomly selected from each PHCs and collecting of data was done by interviews. Research questionnaire contains three parts; first part is asking about demographic data; second part is about data that are focusing on diabetes and its related questions and last part is the main part which asking about diabetic foot

Results: 519 diabetic patients were participated in this study. Only 180 participants were complaining of diabetic complications [34.7%]. Most of participants [55.1%] get high score 7-8 out of 8 questions in Knowledge. Although, there were 166 persons [32%] who couldn't reach full score in attitude evaluation. There was a large percentage of our participants [69%] had very low score 0-2 out of 6 in assessment of previous education of diabetic foot. More than half of participants [56.5%] had score 6-10 out of 15 in evaluation of practice with diabetic foot

Conclusion: diabetic foot in Saudi Arabia is existing, even amputations and other diabetic foot complications were also present. Diabetic patients have good knowledge and attitude toward diabetic foot. Education about diabetic foot and practice is still weak

Awareness of tuberculosis among general populations in Riyadh Region and its surroundings

Background: in the past, and until the end of the twentieth century, TB was one of the major causes of death. Nowadays, the world is still challenging with TB control, even though the percentage of TB has been decreased. In Saudi Arabia, annual TB incidence rate is 12/100,000 population. Even though incidence rate of TB has been decreased in Saudi Arabia, still TB not fully control. Getting the world free from TB will not happen if general populations don't aware about TB

Aim: to evaluate knowledge, attitude and practice towards TB among general populations in Riyadh region of Saudi Arabia

Method: this is a cross-sectional study done by selection of general populations in Riyadh region by random sample. The study was done by a self-administrated questionnaire that contains demographic data part and other parts that evaluate the awareness of TB. Comparison of results between many variables by Chi-Square Test and P-value < 0.05 was considered as a significant level

Result: around 519 participants in this study [Response rate 94.36%] by mean age 33. Only 3.3% have a history of TB and 21.1% have relative with a history of TB. Only 19.4% of participants have good knowledge, only 18.0% have favorable attitude and most of the participants have a good practice [67.6%]. People with high degree educational level have better knowledge than others. Non-Saudi people are better than Saudis in practice and people who have relative with a history of TB are better in attitude than others. In practice, Female are better than male, married people also better than single, people with a history of TB or relative with a history of TB are better than others

Conclusion: papulations in Riyadh and its surroundings have a very low level of knowledge toward TB. Most people have unfavorable attitude level. Even though there is a high level of good practice but still it needs to be increased. Education has an important role to increase the level of knowledge about TB