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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 718-722
em Inglês | IMEMR | ID: emr-192583

RESUMO

Background: Hepatitis B is one of popular health problem and is considered as major global infectious hazard. It represents an occupational risk for all people who are working in healthcare, including doctors, nurses, laboratory staff, and training interns as well as the student who is trained in hospitals. This can be correlated with their contact with body fluids during clinical rotations and activities. However, protection from getting any infection logically is mandatory for healthcare worker


Aim: Our problem in this study was to assess how our new doctors in Saudi Arabia, specifically those in Riyadh Region and Eastern Region are safe and are protected from hepatitis B infection by evaluating their knowledge, attitude and practice towards Hepatitis B


Method: That was a cross-sectional study which was conducted to intern doctors in Riyadh and Eastern Regions. Random sampling technique was used to select 350 intern doctors. Study tool was a self-administrated questionnaire that is made online by using Google drive forms and sent as an internet link to all interns via WhatsApp mobile application. Data analysis was done using computer application SPSS 24. Comparison between results and many variables was done using Chi-Square test and statistical significance is considered when P-Value < 0.05


Result: In this study, 131 intern doctors participated out of 350 who received the questionnaires [response rate 94.6%]. Regarding the level of knowledge, attitude, and practice, around 86% of participants have good knowledge, 63% of them have a positive attitude and 85% have a good practice. Chi-Square test was applied to compare our results of KAP with gender and region. No difference between males and females was found in the level of knowledge and attitude [P-value > 0.05]. Males were better than females in practice [P < 0.05]. Intern doctors in Riyadh region were better than those in Eastern region in knowledge and attitude [P-value < 0.05], no difference was found between them in practice [P-value > 0.05]


Conclusion: It was obvious that our new doctors in Eastern and Riyadh regions have good knowledge, attitude and practice for Hepatitis B. People in Eastern region have less knowledge and attitude compared to those in Riyadh with a significant difference between them. Also, males interns have a better practice than females interns in general

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (5): 845-849
em Inglês | IMEMR | ID: emr-192603

RESUMO

Background: Hepatitis B is one of popular health problem and is considered as major global infectious hazard. It represents an occupational risk for all people who are working in healthcare, including doctors, nurses, laboratory staff, and training interns as well as the student who is trained in hospitals. This can be correlated with their contact with body fluids during clinical rotations and activities. However, protection from getting any infection logically is mandatory for healthcare worker


Aim: Our problem in this study was to assess how our new doctors in Saudi Arabia, specifically those in Riyadh Region and Eastern Region are safe and are protected from hepatitis B infection by evaluating their knowledge, attitude and practice towards Hepatitis B


Method: That was a cross-sectional study which was conducted to intern doctors in Riyadh and Eastern Regions. Random sampling technique was used to select 350 intern doctors. Study tool was a self-administrated questionnaire that is made online by using Google drive forms and sent as an internet link to all interns via WhatsApp mobile application. Data analysis was done using computer application SPSS 24. Comparison between results and many variables was done using Chi-Square test and statistical significance is considered when P-Value < 0.05


Result: In this study, 131 intern doctors participated out of 350 who received the questionnaires [response rate 94.6%]. Regarding the level of knowledge, attitude, and practice, around 86% of participants have good knowledge, 63% of them have a positive attitude and 85% have a good practice. Chi-Square test was applied to compare our results of KAP with gender and region. No difference between males and females was found in the level of knowledge and attitude [P-value > 0.05]. Males were better than females in practice [P < 0.05]. Intern doctors in Riyadh region were better than those in Eastern region in knowledge and attitude [P-value < 0.05], no difference was found between them in practice [P-value > 0.05]


Conclusion: It was obvious that our new doctors in Eastern and Riyadh regions have good knowledge, attitude and practice for Hepatitis B. People in Eastern region have less knowledge and attitude compared to those in Riyadh with a significant difference between them. Also, males interns have a better practice than females interns in general

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (12): 2029-2033
em Inglês | IMEMR | ID: emr-192762

RESUMO

Background: Obesity often coexists with hypertension [HTN] and a linear relationship between blood pressure [BP] values and weight was observed


Objective: The aim of this study was to determine the prevalence rate of prehypertension and hypertension and to estimate the coexistence of prehypertension and hypertension and obesity in young adults in Arar, Saudi Arabia


Materials and Methods: This was a cross sectional study. The study subjects were selected from health young adults attending 5 randomly selected primary health care centers in Arar city, the capital of the Northern Province of KSA. Participants were given a predesigned and pretested questionnaire to collect the relevant data


Results: Among the studied participants, Fifty [52.1%] of females and 58.8% of males were pre-hypertensive and 1.5% from males were hypertensive. 37.9% of the studied participants were obese and same percentage were overweight. 18.2% of obese were hypertensive or pre-hypertensive and 40.9% of overweight were hypertensive or pre-hypertensive. While 3% of the underweight were hypertensive or pre-hypertensive and 3% were not [P<0.05]


Conclusion: In young adults in Arar, KSA. 37.9% of the studied participants were obese and same percentage were overweight. About half of females and more than half of males were pre-hypertensive and small percentage of males were hypertensive. Obesity was associated with pre-hypertension and hypertension. So education sessions should be carried out to educate the public specially adolescents and young adult population

4.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (4): 2232-2237
em Inglês | IMEMR | ID: emr-190611

RESUMO

Background: Informed consent has become a vital factor for the clinical treatment of modern practice in the medical field, it is participating in legal, ethical and administrative compliance side. However, informed consent is variably applicable and rarely fulfills its theoretical ideal. Disclosure of adequate information is very important before signing informed consent. It is important to make patient enable to take a proper decision with good knowledge about his/her case. Informed consent for the surgical procedure is consent that taken from the patient before surgical operations and invasive procedures after explaining advantages and disadvantages. Getting patient's signature for the consent of operations and the surgical procedure is surgeon's job. The opinion of the surgeon about informed consent is important, as that may affect the performance of surgeon in explaining procedure with its risks and benefits


Aim: Assessment of knowledge, opinion, and attitude of surgeons towards informed consents. Find out how to improve the quality of informed consent from surgeons' suggestions


Method: This cross-sectional study is questionnaire-based study. Our target was to reach many surgeons in Saudi Arabia with different specialties, different status and from different hospitals. We take our sample using random sampling technique. We selected surgeons from each hospital that our data collector can reach and enter easily. Collection of data was done by interview. Our questionnaire contained four parts in addition to demographic data part. The first part was asking about surgeons' opinions regarding informed surgical consent process. The second part was responsible for inquire about obtaining informed surgical consent. The third part is about the refusal to sign informed surgical consent. Last part is to ask about surgeons' suggestions to improve informed surgical consent


Result: Total number of respondents was 140 [Response rate is 93.3%]. Around 34% of participants agreed that surgeons don't give adequate information about the surgical procedure. 33.6% insisted to know about their surgery. After asking each surgeon about the importance of informed surgical consent they selected the following answers in descending order; informing patients about advantages, hazards and alternatives [81.4%], Medico-legal importance [79.3%], decision taking about procedure [72.1%], hospital policy [50.7%] and surgical tradition [19.3%]. Most of the doctors [85%] complained that sometimes, their patients refused to sign consent. Fear was the most common cause of singing consent refusal according to opinions of 62.9% of surgeons


Conclusion: Surgeons in Saudi Arabia have acceptable knowledge about informed surgical consent and how to obtain it. But still there were some opinions of surgeons opposite to what is practiced, and also some of them practiced something not ideal while obtaining informed surgical consents. However, most of the surgeons know the importance of consent and what is important to be disclosed in it. In general, the frequency of consent refusal was low

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