RESUMO
OBJECTIVE: The aim of this study was to investigate the relationship between organizational characteristics and diabetes care from the perspective of health care professionals (HCPs) in Abha, Kingdom of Saudi Arabia. SUBJECTS AND METHODS: A cross-sectional, self-reported survey of healthcare professionals was done. The study comprised a total of 106 HCPs from various departments involved with diabetes patient clinics or service providers. The electronic data collecting form was used to gather the data. RESULTS: The study revealed a stronger association between the availability of bed facilities and better glycemic control. Moreover, the majority of HCPs believes that urbanization and sedentary lifestyles are the main contributors to the rise of diabetes mellitus in Saudi Arabia. Depending on organizational features, the regulations that are available for monitoring defaulter patients and running continuous medical education (CME) programs are vastly different. The main cause of the reported lack of medications for managing diabetic care was described as being a problem with the central medical supply store's drug supply, which was influenced by the type of health sector. CONCLUSIONS: Facilitating change at all levels, including patient education, HCPs education, and organizational development, can improve the quality of treatment. The current study can provide insight into the focus of interventional strategies to deliver diabetes patients with high-quality patient care.
Assuntos
Diabetes Mellitus , Humanos , Estudos Transversais , Diabetes Mellitus/terapia , Qualidade da Assistência à Saúde , Pessoal de Saúde/educação , Atenção à SaúdeRESUMO
An eighteen-year-old asymptomatic woman with a continuous murmur, normal two-dimensional echocardiogram, and mild haziness of the left lower segment of the lung on chest x-ray was diagnosed to have sequestration based on the presence of a large anomalous systemic artery arising from the descending thoracic aorta supplying the lower lobe of the left lung. Normal bronchial connections with the rest of the lung on bronchoscopy and delayed dye clearance from the left lower lobe bronchioles on bronchogram indicated its intralobar nature. The cause of the continuous murmur was thought to be the large flow through the anomalous systemic artery.
Assuntos
Sequestro Broncopulmonar/diagnóstico , Adolescente , Aortografia , Auscultação , Broncografia , Sequestro Broncopulmonar/diagnóstico por imagem , Feminino , Humanos , Pulmão/irrigação sanguínea , Pulmão/diagnóstico por imagemRESUMO
A case of aortic dissection (type 1, De Bakey) with a rent into the right atrium (RA), diagnosed by echocardiography (echo) and confirmed by aortography, is reported. The patient presented with cardiac failure and a continuous murmur in the right second and third intercostal spaces. The patient has survived for two years with medial treatment.
Assuntos
Dissecção Aórtica/complicações , Ruptura Aórtica/complicações , Átrios do Coração , Ruptura Cardíaca/complicações , Adulto , Dissecção Aórtica/diagnóstico por imagem , Ruptura Aórtica/diagnóstico por imagem , Aortografia , Átrios do Coração/diagnóstico por imagem , Ruptura Cardíaca/diagnóstico por imagem , Humanos , Masculino , UltrassonografiaRESUMO
A 10 year old cyanotic boy had direct communication between right pulmonary artery and left atrium. During cardiac catheterization, the catheter-tip balloon occlusion of this communication resulted in restoration of arterial oxygen saturation to normal levels, predicting that surgical interruption of the communication would be curative. Successful surgical correction was achieved by interruption of the communication.
Assuntos
Átrios do Coração/anormalidades , Artéria Pulmonar/anormalidades , Cateterismo Cardíaco , Criança , Cianose/etiologia , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/cirurgia , Humanos , Masculino , Artéria Pulmonar/diagnóstico por imagem , Artéria Pulmonar/cirurgia , RadiografiaAssuntos
Doença das Coronárias/diagnóstico , Adolescente , Adulto , Idoso , Computadores , Eletrocardiografia , Teste de Esforço , Humanos , Pessoa de Meia-IdadeRESUMO
Type D double aortic arch in a five year old boy (with interruption of left arch proximal to left common carotid artery)--with persistent ductus arteriosus and stenosis of right and left pulmonary arteries diagnosed during life is reported. At surgery for P.D.A., the anatomy was confirmed. There was no vascular ring. Types A, B and C double aortic arches with interruption of left arch respectively distal to P.D.A., proximal to P.D.A. and proximal to left subclavian artery have already been reported. Ours happens to be the first case of type D double aortic arch diagnosed ante-mortem and confirmed at surgery.