Knowledge, Detection, and Reporting of Domestic Violence among Family Medicine Residents of Eastern Province, Saudi Arabia

Introduction: Domestic violence (DV) is a global health-care problem, regardless of the socioeconomic backgrounds andeducation levels of the nations. Research has always shown that a woman is more likely to be abused by a spousal than byany other person.Aim: This study aimed to assess the knowledge, detection, and reporting of DV among family medicine resident of EasternProvince, Saudi Arabia.Materials and Methods: This is a prospective cross-sectional study conducted in the Eastern Province, Saudi Arabia, fromNovember 2018 to September 2019. A modified self-administered questionnaire based on “The Physician Readiness to ManageIntimate Partner Violence Survey” developed and validated in the United States which was distributed among family medicineresidents. Both descriptive and inferential statistics were conducted. P = 0.05 was considered statistically significant. All dataanalyses were performed using the SPSS version 20.Results: There were 166 family medicine residents involved in this study. The mean age was 28.7 years old and majority werefemale with slightly more were resident 2 (29.5%). In this study, good and poor knowledge were found to be 50.6% and 49.4%of the family residents, respectively. Residents 1 (R1) showed the least knowledge, whereas Residents 2 (R2) showed moreknowledge regarding intimate partner violence; however, this result did not differ significantly among the level of knowledge.The most commonly known identified risk factor of DV was alcohol/drugs. The percentage of DV as identified by the residentsfor the past 6 months was 21.7%. Only around 31.9% of the residents were able to screen new DV patients; however, aroundone-third (34.3%) of them do not currently screen DV.Conclusion: There was a moderate level of knowledge regarding DV among the residents. Second level residents showedbetter knowledge than the other levels while the 1st year level exemplified the least. Alcohol/drugs were the frequently mentionedas the risk factors of DV. On the other hand, residents’ practice of screening DV among the patients were found to be low.

Visión epistemológica del diagnóstico clínico tardío del sida en el proceso de formación del residente de medicina interna / Epistemological approach on the late clinical diagnosis of AIDS in the process of training the internal medicine resident

El diagnóstico tardío del sida y las complicaciones asociadas, constituyen un problema actual de salud que debe de ser tratado por el internista; la tendencia en los últimos años al incremento de estos casos es evidente en la provincia de Santiago de Cuba, sobre todo a nivel hospitalario. En esta investigación se abordan las limitaciones que existen en la formación del médico residente de medicina interna, quien no logra incorporar las habilidades teórico-prácticas en cuanto al conocimiento del virus de inmunodeficiencia humana/sida, la evaluación clínico-inmunológica, virológica y psicológica, y la prescripción de las pautas de tratamiento para el control y seguimiento preventivo de las infecciones oportunistas. Asimismo, se describen algunas insuficiencias en la instrucción a dicho especialista, que limitan su formación holística en el proceso salud-enfermedad de las personas que viven con el virus de inmunodeficiencia humana/sida.

The late diagnosis of AIDS and the associated complications constitute a present health problem of the current health that should be treated by the internist; the tendency in the last years to the increase of these cases is evident in Santiago de Cuba province, mainly in hospitals. In this investigation, the existing limitations in the training of the resident doctor of internal medicine are approached, who is not able to incorporate the theoretical-practical skills as for the knowledge of the human immunodeficiency virus/aids, the clinical-immunological, virological and psychological evaluation, and the prescription of the treatment schedules for the preventive control and follow-up of the opportunist infections. Likewise, some inadequacies in the instruction to this specialist which limit their holistic training in the health-disease process of people who live with the human immunodeficiency virus/aids are described.

Ultrasonography of Suspected Ileocolic Intussusceptions Performed by Emergency Medicine Residents

PURPOSE: The aim of this study was to evaluate the sensitivity and specificity of ultrasonography of suspected ileocolic intussusception performed by emergency medicine (EM) residents who participated in a 2-hour focused ultrasound training program for intussusception. METHODS: This was a 16-month retrospective, observational study. Pediatric patients with suspected ileocolic intussusception who underwent ultrasound performed by second or third year EM residents were included in the study. The gold standard was a diagnostic work-up performed by a radiologist or clinical follow-up, compared with the results of ultrasonography performed by EM residents. RESULTS: A total of 38 patients were enrolled. The sensitivity of ultrasound performed by emergency medicine residents for prediction of ileocolic intussusception was 92.86%(66.13% to 99.82%), the specificity was 91.67%(73.00% to 98.97%), the positive likelihood ratio was 11.14(2.93 to 42.34), and the negative likelihood ratio was 0.08(0.01 to 0.52). CONCLUSION: Emergency residents can identify ileocolic intussusceptions with only minimal training, which could substitute for ultrasonography performed by radiologists when they are not immediately available.