ABSTRACT
OBJECTIVES: The study was done to determine the physicians' perception about electronic medical record system (EMRS) in the context of its productivity in order to improve its functionality and advantages. MATERIALS AND METHODS: This cross-sectional survey was performed from July to August 2009 with structured questionnaire of 15 closed-ended questions with five points Likert scaling starting from strongly disagree to strongly agree as 1-5, reflecting the perception of physicians about EMRS. The physicians of the Makkah region working in six different hospitals were selected. "Positive" response means if percent of responses were rated 4 or 5 (agree/strongly agree), "neutral" if rated 3, and negative if rated 1 or 2 (strongly disagree/disagree). Descriptive data analysis techniques were used. RESULTS: We selected 317 completed questionnaires. Majority of subjects were from King Fahd Hospital, Jeddah (83, 26.3%), residents (147, 46.4%), male (200,63.1%), expatriates (207, 65%), and age group 36-45 years (133, 42%) were dominant. The stem regarding importance of computers for practicing medicine and EMRS to improve quality of practice was appreciated by majority, that is, 77.7 and 71.2%, respectively. However, "It does not disrupt the workflow" (35.1%) and "EMRS is comfortable while entering the data instead of writing" (34.8%) were appreciated negatively. Consultants (53.9%), male (53.4%), expatriates (56.7%), physicians of King Abdul Aziz Hospital, Ta'if (56.9%), and age group of 46-55 years (53.8%) appreciated EMRS positively. Overall perception of EMRS was found positive by 52.8%. CONCLUSION: Majority appreciated the EMRS, but specific concerns about its usage easiness and workflow disturbance were opposed by them also.
ABSTRACT
BACKGROUND: The incidence of patients with end-stage renal failure and type 2 diabetes mellitus as a comorbid condition has increased progressively in the past decades. Causes of renal disease might vary from one population to another. The aim of this study was to know the characteristics of the diabetic patients on regular dialysis at Al-noor Specialist Hospital, Makkah, Saudi Arabia. METHODOLOGY: The data had been collected retrospectively in the month of Shawal 1425 corresponding to 13-11-2004----12-12-2004 from the diabetic patients directly that were on dialysis due to end stage renal disease (ESRD) and from their files. RESULTS: The mean age of Diabetics was (55.2 years) showing male predominance 31 (60.8%). All were Saudies. The mean duration of Diabetes mellitus & dialysis were (16.8 years) and (22 months), respectively. The mean age of start of Diabetes mellitus & dialysis was (37.4 years) & (53.5 years). The mean duration of onset of diabetes to dialysis was (16.1 years). Out of the total, 29 (56.9%) were non-smoker. Patients with family H/O diabetes with other associated illnesses were 23 (45%) followed by 15 (29.4%) had family H/O only diabetes. Type II diabetics were 40 (78.4%). Regarding metabolic profile, patients with high blood glucose level were 10 (19.6%) while 3 (5.9%), 50 (98%) & 18 (35.3%) patients had high cholesterol, low density lipoprotein & triglyceride levels, respectively. CONCLUSION: Maximum patients were in sixth decade of life. Up to three fourth patients had family H/O diabetes. Most of the subjects had only diabetic nephropathy Maximum patients had high low density lipoprotein level. Dialysis was main treatment to control diabetes.
Subject(s)
Diabetes Complications/epidemiology , Diabetes Mellitus/epidemiology , Diabetic Nephropathies/epidemiology , Diabetic Nephropathies/therapy , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Adult , Age Distribution , Age of Onset , Aged , Diabetes Mellitus/diagnosis , Diabetic Nephropathies/diagnosis , Diabetic Nephropathies/etiology , Female , Humans , Incidence , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/epidemiology , Male , Middle Aged , Registries , Renal Dialysis/adverse effects , Renal Dialysis/statistics & numerical data , Retrospective Studies , Saudi Arabia/epidemiology , Sex Factors , Treatment OutcomeABSTRACT
BACKGROUND: The aim of this 4-year study is to give an initial account of the weight loss and complications after applying the Swedish adjustable gastric band (SAGB) at Al-Noor Specialist Hospital-Makkah. MATERIALS AND METHODS: 97 morbidly obese patients underwent SAGB. RESULTS: 94 patients benefited by losing weight. 1 patient had a minor complication (wound infection) and 1 did not return for follow-up. 2 early patients died of pulmonary embolism. The 64 females (68%) and 30 males had mean BMI 50.8 kg/m2 before SAGB and 35.0 at 2 years after SAGB. CONCLUSION: Gastric banding generally was a valuable procedure for morbidly obese patients. It was easy to perform, with low operative risk and few longterm complications.
