World Family Medicine Journal /Middle East Journal of Family Medicine最新文献

{"title":"Rare Presentation of Aortic Aneurysm: A Diagnostic Challenge","authors":"Ali A Shiraz, Amir Tauqir Chaudhary","doi":"10.5742/mewfm.2023.95256181","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256181","url":null,"abstract":"This case report highlights a rare presentation of abdominal aortic aneurysm, which posed a diagnostic challenge due to its atypical clinical manifestations. The patient initially presented with vague symptoms of renal colic and underwent a comprehensive evaluation, including imaging studies, to establish the diagnosis. Through a multidisciplinary approach and careful analysis of the diagnostic findings, a rare form of aortic aneurysm was identified. This case emphasizes the importance of considering unusual presentations of aortic aneurysms and the need for thorough investigation to ensure accurate diagnosis and appropriate management. Keywords: aortic aneurysm, rare presentation, diagnostic challenge, multidisciplinary approach","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82814049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Irritable Bowel Syndrome","authors":"Abdullah Qadir, Mirza Shaharyar Babar","doi":"10.5742/mewfm.2023.95256203","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256203","url":null,"abstract":"This paper reviews the guidelines for IBS with the aim to make clinicians aware of signs and symptoms of irritable bowel syndrome, and how to manage these in the community. Key words: Irritable bowel syndrome","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of the Indications and Complications of Sleeve Gastrectomy in Riyadh, Saudi Arabia","authors":"Khalid A. Bin Abdulrahman, Alanoud S. Bin Suayb, Maha S. Albarrak, Norah I. Almedemegh, Reem M. Alkublan","doi":"10.5742/mewfm.2023.95256014","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256014","url":null,"abstract":"Background: Obesity significantly affects daily activities and contributes to countless diseases and comorbidities that can drastically alter an individual’s life. This study aims to measure the awareness of the indications and complications of sleeve gastrectomy in Riyadh, Saudi Arabia. Methods: This study was cross-sectional, and participants completed an online self-administered questionnaire on sleeve gastrectomy in Riyadh through Google Forms. Data were entered into Microsoft Excel 2013 and statistically analyzed using SPSS software. Results: The total number of respondents assigned is 1,700. Among these individuals, women outnumbered males with a percentage of (67.4%) versus (23.6%). The majority of respondents held a bachelor’s degree (64.0%). The majority of participants are familiar with the complications associated with sleeve gastrectomy (43.9%). However, 33.1% of the participants are unaware of the complications related to sleeve gastrectomy surgery. As a result, the study has a favorable attitude among the target populations, as the majority are well aware of the surgery. Conclusion: According to our findings, the study population is moderately aware of the indications and complications. However, to ensure that our community has a significant level of knowledge about complications, we must raise social awareness about the indications and complications of sleeve gastrectomy. Keywords: Sleeve surgery, obesity, gastrectomy, complications, Saudi Arabia.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75214958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of COVID-19 lock down on development of infants and toddlers","authors":"Muhammad Qaisar Jamal Khattak, Bilal Hasan Chaudhry","doi":"10.5742/mewfm.2023.95256114","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256114","url":null,"abstract":"The COVID-19 lockdowns played a major role in restricting growth of disease(1) and that saved many lives(2). However, COVID-19 lockdowns had some major drawbacks too. There was a significant impact on the economy (2) and it undoubtedly affected the development of infants and toddlers in multiple ways. This paper looks at the impact of the COVID-19 lockdown on infants and toddlers. Key words: Covid-19, lockdowns, early childhood development, infants, toddlers","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73337814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life among the Parents of Saudi Arabian children with Autistic Spectrum Disorder, Riyadh, KSA","authors":"A. Alhazmi, A. Alduraibi, M. Alhemaid, A. Albreakan, R. Alshaqha","doi":"10.5742/mewfm.2023.95256038","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256038","url":null,"abstract":"Objective: To assess the factors influencing the quality-of-life differences between families caring for a child with Autistic Spectrum disorder diagnosis. Methods: Cross-sectional study of either parent of ASD child aged 1 to 14 years following up at the OPD setting in Riyadh, KSA from June 2019 through to the end of January 2020 at the Division of Developmental Pediatrics at King Saud medical city in Riyadh, Saudi Arabia via a structured questionnaire, (The World Health Organization Quality of Life Assessment-BREF (WHOQOL-BREF). Inclusion criteria: Parent of child with ASD who has been diagnosed by a developmental pediatrician at least 6 months prior to the commencement of this study, parent of child with ASD who receives follow-up treatment at the King Saud medical city children’s Hospital. Parent should be the primary caregiver of the child with ASD. (For the purposes of this study, “primary caregiver” is defined as the individual in the family whose main responsibility is to provide care to the ASD child). Parent who has no history of previous psychological, psychiatric disorder or physical disability. Parents who have been residing in Saudi Arabia for at least 6 months prior to the commencement of this study. Parent who has offered informed consent. Exclusion criteria: parent of any child who has dysmorphic features or a diagnosed genetic syndrome, parent of child with ASD who has sibling diagnosed with ASD, or parents of child with ASD who has sibling diagnosed with other chronic medical illness. Results: Marital status, housing settings, total household income, current employment, being part of support groups and associated illness in the ASD child significantly impacted at least one domain of WHOQOL-BREF. Conclusion: Modifiable factors that have the ability to elevate the quality of life for parents of ASD children are marital status, housing settings, total household income, current employment, being part of support groups and overall care of ASD children. Key words: ASD, Quality of Life, Autism Spectrum disorder, WHOQOL-BREF","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73742601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Awareness of the Public toward Pediatric Eye Health and Diseases in Aseer region, Saudi Arabia: A Cross-Sectional Population Study","authors":"Abdulrahamn Alamri, Faisal Saud I. Alhudaithi, B. M. Asiri, Abdulaziz saad mohammed Al-shahrani, Rozan Abdulaziz Ali Alghamdi, T. B. Alotaibi, Abdulrahim Ali Hassan Hassan, Faisal Nabil Fouad Abughazalah, A. Korkoman, B. A. Alghamdi, S. Korkoman, H. A. H. Alasiri","doi":"10.5742/mewfm.2023.95256176","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256176","url":null,"abstract":"Pediatric ophthalmic conditions are a common and a serious public health problem, as they can not only impact the child’s ability to learn, have a normal social life, and get a better quality of life, but they can also lead to complete blindness or visual impairment. Early intervention is necessary for childhood eye diseases since they can result in ongoing issues. The underlying causes of blindness in children differ significantly from region to region, depending on some factors, including socioeconomic development and access to primary healthcare services and facilities. However, it is estimated that there are over 19 million people globally with visual impairments and that there are roughly 1.4 million cases of blindness. As a result, the purpose of this study is to assess the parents’ and caregivers’ awareness in Aseer, Saudi Arabia, about various common pediatric ophthalmic diseases, including strabismus, amblyopia, refractive errors, and congenital glaucoma. By identifying the gap in knowledge and awareness, this could help create targeted educational and awareness programs geared toward the parents and the public of Aseer, Saudi Arabia, which could help prevent or reduce the prevalence of pediatric ophthalmic conditions, and boost the children’s eye health. Key words: knowledge, awareness, paediatric eye health, eye diseases, Aseer, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84444310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude toward epilepsy and seizure first aid among school teachers in Al-Kharj City, Saudi Arabia","authors":"Daifallah Mohammed Almalki, M. Kotb, Turki M Bin Saqyan, S. Alkahtani, A. Alshaikhi, L. F. Alanazi","doi":"10.5742/mewfm.2023.95256027","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256027","url":null,"abstract":"Background: Teachers’ knowledge about epilepsy and seizures can have a significant effect on building well-educated and socially developed students. Hence, teachers’ positive behaviors encourage social acceptance of children with epilepsy from their classmates and prevent social stigmatization at school. In schools, seizures are a common emergency, and emergency management training is required for school teachers. This study aimed to assess the knowledge and attitude toward epilepsy and seizure first aid among school teachers in Al-Kharj City, Saudi Arabia. Methods: This was a cross-sectional study conducted among school teachers in Al-Kharj City, Saudi Arabia. A self-administered questionnaire was distributed among teachers using an online survey. The questionnaire included sociodemographic characteristics and assessment of knowledge and attitude toward epilepsy and seizure first aid. Results: In total, 500 school teachers were included in this study. The most common age group was 31–40 years. The prevalence of teachers who had witnessed a student with a seizure attack was 32.4%. The levels of knowledge regarding epilepsy and seizure first aid were moderate, poor, and good in 50.2%, 47%, and 2.8% of the teachers, respectively. The factors associated with increased knowledge were older age (>40 years) and being a non-Saudi teacher. Conclusion: Despite adequate knowledge and attitude demonstrated by the school teachers, nearly half of them showed a lack of understanding about epilepsy and seizure first aid. More education and training are required among school teachers to narrow the gaps in their knowledge about epilepsy and seizuremanagement. Keywords Epilepsy, seizure first aid, school teachers, knowledge, attitude","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84678552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Behavioral and Psychological Symptoms in Bedridden Dementia Patients. A Study from Jeddah, Saudi Arabia","authors":"Mazen A. Basheikh, Ashraf M. Dhaiban, Adnan A. Badahdah, Ahmed T. Almalki, Waahaj A. Kattan, Hisham A. Alshite, Mohammed A Alqarni, Suleiman A. Alsuleimani, Jamal A. Thaiban, Abdulrahman O. Batarfi, M. Basheikh","doi":"10.5742/mewfm.2023.95256066","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256066","url":null,"abstract":"Background: Bedridden patients who are suffering from dementia require close care which is usually done by a relative or a professional caregiver. The caregiver may face inappropriate behaviors from the patient that should be handled with patience. Objective: To determine the prevalence of Behavioral and Psychological Symptoms among bedridden dementia patients. Methods: This is a cross-sectional study that utilized a structured questionnaire for data collection. The caregivers of bedridden patients diagnosed with dementia were targeted to fill out the questionnaire. No specific exclusion criteria were applied. The demography of the patients and caregivers was obtained along with BPSD and the responses of the caregivers. Results: A total of (64) responses were analyzed. The mean age for patients was 77.3±8.8. Of the patients, 59.7% were males whereas 77.6% of the caregivers were females. The median (IQR) for caregivers was 40 (35-45). Repeating sentences/questions and complaining were the most common reported behaviors with 37.3% each, followed by constant demand for unnecessary assistance by 29.9% of the patients. Conclusion: BPSD’s prevalence in patients with dementia in the community was found to be 50.7%. Key words: Alzheimer, Caregiver, Dependent, Elderly, Inappropriate behavior","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82088296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"http://www.mejfm.com/February%202023/Seasonal%20influenza.htm","authors":"E. Alfalogy, N. Hariri, Hamsa S AlQashqri, Yousra Alturki, Rawan M. Alzhrani, Sarah A Alaboud","doi":"10.5742/mewfm.2023.95256016","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256016","url":null,"abstract":"Background: Increasing vaccination rates and reducing the spread of influenza are both greatly improved by raising public knowledge about seasonal influenza. To promote acceptance and create awareness it is necessary to identify any potential barriers to vaccination. This study aimed to assess seasonal influenza awareness, knowledge, vaccination uptake, and barriers. Methods: A cross-sectional study was conducted as an online survey of 355 medical and non-medical students of Umm Al-Qura University. Results: Out of the total 355 participants, 175(49.3%) were medical students and 180 (50.7) were non-medical students. There was an almost equal distribution of males (178 (50.1%) and females 177 (49.9%) in both groups. Most of the students 208 (58.6%) were aged 21-24 and most of them were single 346 (97.5%). Awareness of seasonal influenza was 172 (98.3%) among medical students and 157 (87.2%) among non-medical students. The mean knowledge score was 7.75 ± 2.9, with a statistical difference between the two groups (P < 0.001). Vaccination uptake was low in both groups 29 (16.6%) vs 46 (25.6%) in medical and non-medical respectively. The most prominent barriers to vaccination were the negative perceptions of the vaccine’s efficacy (53%) followed by accessibility (20%) and vaccine safety concerns (17%). More than one-third (37.7%) of the medical students and (8.9%) of non-medical students had good knowledge levels of seasonal influenza. Surprisingly, 145 (40.8%) had a poor knowledge level of seasonal influenza with a significant difference between the medical and non-medical groups (p < 0.001). Conclusions: Despite the high level of awareness, the knowledge level and vaccine uptake were unsatisfactory. Negative perceptions of the vaccine’s efficacy, and accessibility were the most significant barriers to vaccination. Campaigns and health education programmes should be considered to encourage others to get vaccinated to reduce the burden of seasonal influenza. Keywords: Awareness, seasonal influenza, vaccine uptake, knowledge","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75622802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Irritable gastrointestinal syndrome","authors":"M. Helvaci, Yasemin Kayabasi, Aysenur Ceylan, Guner Dede, A. Abyad, Lesley Pocock","doi":"10.5742/mewfm.2023.95256024","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256024","url":null,"abstract":"Background: Recurrent upper abdominal discomfort may be the cause of nearly half of the applications to the Internal Medicine Clinics, and irritable bowel syndrome (IBS) and chronic gastritis (CG) may be the most commonly diagnosed disorders in such cases. Method: Consecutive patients with the IBS and age and sex-matched controls were included. Results: The study included 936 patients with the IBS (592 females) and 346 control cases, totally. Mean age of the patients was 41.0 years, and 63.2% of them were female. Although gastric sample biopsies were taken just in suspected cases, CG was diagnosed nearly in all of the patients with the IBS (80.4% versus 15.0%, p<0.001). Similarly, prevalences of antidepressants use (46.4% versus 16.1%, p<0.001), smoking (35.2% versus 20.8%, p<0.001), hemorrhoids (37.1% versus 7.2%, p<0.001), and urolithiasis (22.0% versus 9.5%, p<0.001) were all higher in the IBS patients, significantly. Beside that the mean values of fasting plasma glucose (FPG) (111.9 versus 105.4 mg/dL, p= 0.002) and plasma triglycerides (167.0 versus 147.3 mg/dL, p= 0.013) were also higher in the IBS patients, significantly. Conclusion: Because FPG and triglycerides are well-known acute phase reactants in the body, IBS and CG may be low-grade inflammatory processes initiated with anxiety, depression, infection, inflammation, trauma, and cancer fear-like stresses of the body, and eventually terminate with smoking, antidepressants use, hemorrhoids, and urolithiasis. Because of the highly significant association of the IBS and CG, they may actually be the two sides of the same paper, and should be called as the irritable gastrointestinal syndrome. Key words: Irritable bowel syndrome, chronic gastritis, depression, smoking, acute phase reactant, fasting plasma glucose, triglycerides","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85819583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}