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

{"title":"The impact of vitamin D deficiency on gestational COVID-19 infection","authors":"Kader Mutluer, J. Hashmi","doi":"10.5742/mewfm.2023.95256074","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256074","url":null,"abstract":"Background: A worldwide pandemic infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 2020 caused an outbreak of the disease called COVID-19 infection. Multiple researchers investigated the effect of serum Vitamin D levels in preventing and treating infectious respiratory syndromes. Vitamin D is a steroid hormone and fat-soluble vitamin which helps preserve a strong immune system and is frequently taken as supplements for the prevention of viral and bacterial illnesses. The serum Vitamin D levels in pregnant women have led to discussions on the severity of the clinical outcomes and its possible role in preventing a COVID-19 infection by treating Vitamin D deficiency with supplements. The purpose of this study is to describe the most recent studies on the impact of vitamin D levels on pregnant women with COVID-19 infection. Methods: This is a narrative literature review in which PubMed, Medline, ScienceDirect, Cochrane and Google Scholar database were used to select the most relevant research published in English before December 2022 and available to the authors. Results and Conclusion: Although lower serum vitamin D levels are associated with a higher chance of contracting a serious disease caused by several respiratory viruses like SARS-CoV-2, they are not associated with a higher possibility of COVID-19 occurring in expecting women. Key words: COVID-19, SARS-CoV-2, Vitamin D, Vitamin D deficiency, pregnant women","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83217780","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":"Robot-Assisted Versus Laparoscopic Radical Nephrectomy: A Systematic Review and Meta-Analysis","authors":"Hazim Mohammed alsufyani, Mohammed Adel Mohammed Shami, Ahmed abdelazim abdelaziz Haty, Mohammed Mutlaq Hamdan Althobaiti, Ayman Khalid Kurdi, Ahmed Faisal Siraj, Abdulaziz M. Althaqafi, H. Albarqi","doi":"10.5742/mewfm.2023.95256180","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256180","url":null,"abstract":"Background: For the treatment of renal cell carcinoma, robotic-assisted radical nephrectomy (RARN) has been developed as an alternative to laparoscopic radical nephrectomy (LRN) (RCC). The objective of this systematic review and meta-analysis was to compare the perioperative results of RARN and LRN in the treatment of RCC. Methodology: An exhaustive search of electronic databases from their inception until May 2023 was done. The meta-analysis comprised nine trials with a total of 13,676 individuals who underwent either RARN or LRN. Estimated blood loss, length of hospital stay, conversion rate, transfusion rate, and perioperative complications were evaluated as surgical outcomes. Results: The meta-analysis revealed no statistically significant demographic differences between the two surgical techniques. There were no significant differences between RARN and LRN in terms of predicted blood loss, length of hospital stay, conversion rate, or transfusion rate. The meta-analysis of complications revealed no significant differences between the two surgical methods for intraoperative or postoperative problems. Conclusion: This comprehensive review and meta-analysis suggests that RARN and LRN had comparable perioperative results when used to treat RCC. Although RARN may give prospective benefits in the form of enhanced visibility and dexterity, the clinical significance of these benefits remains unknown. Further high-quality studies with long-term follow-up are required to further comprehend the possible advantages and disadvantages of RARN against LRN in the treatment of RCC. Key words: Robot assisted laparoscopic radical nephrectomy, meta-analysis","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89498336","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":"Self-management behaviours and glycemic control in diabetic patients. A cross sectional study","authors":"Rasha A. Moussa, S. Mahmud, Lina A Okar, M. Aldeeb, Mohamad Rezek, Ahmed Shawesh, Tarif Kalash, M. Aseel","doi":"10.5742/mewfm.2023.95256025","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256025","url":null,"abstract":"Objective: The aim of this study was to explore the status of diabetes self-management (DSM) among patient with diabetes in Qatar and its relationship with glycemic control and other demographic variables. Methods: A cross sectional study using A structured questionnaire-based study (DSMQ,) and the hospital electronic medical records system to collect sociodemographic and clinical information. among diabetic patients registered in 3 primary health care clinics in Qatar. With a convenience sample of 400 patients with diabetes. Results : Mean age of participants was 54.36±11.58 years and mean duration of diabetes was 10.53±7.47years. Nearly one third of the patients used insulin and the majority used oral hypoglycemic. The results of this study revealed that good adherence to diabetes self-management was reported among 52.8% of adult diabetic patients while the inadequate cases where around 47.3 % which demonstrated lack of diabetes self-management and subsequently at increased risk of complications. There was no gender difference regarding self-care of diabetes. Additionally, adequate DSM was significantly associated with later onset of DM and with college education. HA1C was significantly negative correlated with Glucose management, Physical activity, positive correlated with Diet control, and total score. For DSM subscales, glucose management was the best followed by diet control, health care utility. however, physical activity scored the lowest mean. Conclusion: Results indicated that around 47 % of diabetic patients in Qatar do not perform Diabetes self-management (DSM) consistently. Practice implications: The findings of this study set the stage to empower patient centered care, develop an easy clear teaching strategies for diabetic patients with a lower educational status and activate the role of wellness centers performing regular physical activity sessions for them & the multidisciplinary team that will improve DSM and subsequently improve diabetes management in diabetic patients in Qatar. . Keywords: Diabetes mellitus, Self-management behaviours, Diabetes self-management questionnaire (DSMQ).","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":"75633632","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":"A three-year audit of the effectiveness of family physician reminders on cervical screening uptake amongst non-responders in a UK family medicine setting","authors":"Faizan Ahmad Awan, Abiya Ahmed","doi":"10.5742/mewfm.2023.95256021","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256021","url":null,"abstract":"Background: Cervical cancer screening is offered to all women in the United Kingdom (UK) between the ages of 24.5 and 64 years of age. The majority of screening is performed in primary care settings and the coverage rate remains stubbornly below 80%, despite an automated national invitation system. Objective: To audit the effectiveness of physician reminders during patient-booked telephone or face-to-face family medicine appointments upon non-responders to automated invitations. Methods: One physician in a primary healthcare centre opportunistically administered a three-step verbal invitation to all individuals identified as non-responders during their appointments with him. Patients seen face-to-face were also given a fourth invitation, a written slip to give to the receptionist to help them book an appointment. A code was entered into the patient’s notes to indicate that this patient had received the invitation. The invitation was continued for three years. The rate of screening uptake in the invitation arm was then compared to the rest of the non-responder population who received other non-structured reminders. Results: 122 patients in the invitation arm and 602 in the control arm met the inclusion criteria. Cervical screening uptake was 11.1% greater in the invitation arm than the control arm (p < 0.0001; RR 1.188: CI 1.04 to 1.36). Patients receiving the fourth invitation in face-to-face appointments booked screening appointments 60 days earlier (mean = 110.8 days, n = 66) than those who received the verbal invitation only (mean = 170.4 days, n = 19, p = 0.08). Conclusion: There is evidence to support the use of both a verbal invitation followed by a written invitation by physicians in a family medicine setting in the UK for patients who are non-responders to cervical screening to increase uptake. The cost per extra cervical screening accepted in this non-responder population is £14.35. Both of these factors support the use of physician invitations to increase screening rates. Keywords cervical cancer screening, primary health care, non-responder, increasing uptake, invitations","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77344509","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":"The prevalence of Hypertension among patients with hyperlipidemia in Imam Muhammed Ibn Saud Islamic University medical center","authors":"Mohammad R. Alshammari, Abdulmajeed Mansour Alzeer, Majed Ghanem Alharbi, Maha S. Albarrak, Mazen Ayedh Albogami","doi":"10.5742/mewfm.2023.95256124","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256124","url":null,"abstract":"Background: The prevalence of cardiovascular diseases and their complications is rising, and they are considered the leading reason of death, along with disability, in many nations (1). Among the other cardiovascular risk factors, hypertension and dyslipidemia play a crucial role in developing various disorders, but most importantly, cardiovascular diseases (2), (3). Aim: To measure the prevalence of hypertension among hyperlipidemic patients at Imam Mohammad Ibn Saud Islamic University (IMSIU) medical center. Additionally, we set out to measure the prevalence of diabetes mellitus among the same sample. Methods: The present study is an observational retrospective study that includes collecting data from medical records in a cardiology clinic from 16/03/2017 to 25/04/2021 at the IMSIU medical center in Riyadh, Saudi Arabia. Results: There were 413 subjects in total who took part in the investigation, with males constituting 85.7% of the sample. In addition, 83.1% of the patients were over the age of 40. It was recognized that among patients with hyperlipidemia, hypertension was reported in 60.1% of them. Also, 58.7% of patients with hyperlipidemia have diabetes mellitus. Regarding prescriptions, 75.1% of the patients were on lipid-lowering medications. Besides, it was noticed that the prevalence of diabetes mellitus and hypertension rose dramatically with age. Conclusion: It was revealed that most patients with hyperlipidemia also have concurrent hypertension. On top of that, most hyperlipidemic patients are diagnosed with diabetes mellitus. Overall, the main findings support previous studies’ results that suggest an association between hyperlipidemia and hypertension. Keywords: Hypertension; Hyperlipidemia; Diabetes Mellitus.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77541861","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 practices of health practitioners toward pulmonary tuberculosis in Saudi Arabia","authors":"Manal Alotaibi, Manar Aljohar, Raghad Alyousef, Ruba Alosaimi, Norah A. Albdaya, M. Alshammri","doi":"10.5742/mewfm.2023.95256068","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256068","url":null,"abstract":"Background: Appropriate TB knowledge and good practice attitudes are substantial particularly among health care personnel because of great occupational risks during their daily activities. Therefore, TB prevention and control have become an important issue on training courses. This study mainly aimed to assess the level knowledge and practices of health practitioners toward pulmonary tuberculosis in Saudi Arabia. In addition we aim to assess the perception of health practitioners toward the role of CXR. Methodology: This is a cross-sectional online questionnaire-based study conducted in Al-imam medical clinics Saudi Arabia during 2022. Results: A total of 95 participants responded to our survey. Almost two thirds of the sample were general practitioners (n = 67, 70.5%). A total of 27 physicians (28.4%) reported seeing a positive result of pulmonary tuberculosis and 43 participants (45.3%) agreed on doing CXR with/without Microbiologic testing to investigate a suspected pulmonary TB patient. Almost half of the participants (n = 47, 49.5%) reported referring to isolation as the next step for positive cases. Conclusion: Generally speaking, there was a good understanding of TB and clinical knowledge among medical students and physicians which is particularly important for early detection, management and protective measures. Our results showed moderate knowledge regarding TB investigations and excellent knowledge in terms of dealing with positive or suspected cases. Key words: pulmonary tuberculosis, health practitioners, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74558956","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 or irritated by lactose?","authors":"M. Asif","doi":"10.5742/mewfm.2023.95256094","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256094","url":null,"abstract":"This case demonstrates that identification and linking of functional gastrointestinal symptoms helps distinguish lactose intolerance from irritable bowel syndrome. The high prevalence amongst Asian and African populations suggests that lactose intolerance should be considered early on and simple but effective interventions can lead to early diagnosis and better patient outcomes. Keywords: Lactose intolerance, Irritable bowel syndrome","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"300 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78534480","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":"An Unusual Presentation of Acute Pancreatitis: Case Report Study","authors":"Aza Ziyada, Reem Hassan, Mansour Elmahdi","doi":"10.5742/mewfm.2023.95256089","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256089","url":null,"abstract":"Acute pancreatitis (AP) is an inflammation of the pancreas and is one of the most common gastrointestinal causes of hospital admission in Qatar. Patients with AP usually experience severe epigastric pain, accompanied by nausea or vomiting. Acute pancreatitis is typically characterised by increased levels of pancreatic enzymes, but it is rarely accompanied by electrocardiogram (ECG) changes. In this study, we report a case of a patient with mild epigastric pain. According to his medical history, the patient is at high risk for cardiovascular diseases and was found to have ECG changes. As a result, the patient was sent to the emergency department to rule out acute coronary syndrome. Later, the patient was found to have AP with biliary colic and was admitted to the hospital for treatment and discharged for elective cholecystectomy. We present this case to highlight alternative diagnoses that should be considered in such clinical scenarios. Key words: acute pancreatitis, case report","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82145762","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 depressive symptoms and its predictive factors among male medical students in University of Bisha, Saudi Arabia","authors":"Abdullah Alshahrani, Mohammad S. Al-Shahrani, M. H. Alharthi, Mohannad S. Alamri, M. Ibrahim","doi":"10.5742/mewfm.2023.95256086","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256086","url":null,"abstract":"Background: Identifying the potential factors of depression among medical students is the first step towards academic excellence and future safe medical practice. Methods: A cross-sectional study was conducted during a period from December 2019 to February 2020 at the University of Bisha, College of Medicine (UBCOM), Bisha province, Saudi Arabia. Male medical students from year one to year six were involved. A self-administered questionnaire was used to collect data about the socio-demographic and academic characteristics of students. The Arabic version of the PHQ-9 scale with a score of 10 was used to diagnose depression. Logistic regression analysis was used to assess the prevalence and risk of depression. Results: Of the 190 male students enrolled, 26.8% had depressive symptoms, of whom 45.1% were having moderate to severe symptoms. The significantly highest depression rate was found among the second-year students, at 43.8% (OR=2.544; 95% CI 1.178-5.714; p =0.018), and the lowest rate was foundamong year one students, at 8.9% (OR=0.203; 95% CI 0.075-0.560; p=0.002). Univariate regression revealed a significant correlation between depression and dissatisfaction of family income, loss of family members, having psychological illness, difficulties in personal relationships, regretted studying medicine, failure in an academic year, a lower grade than expected, conflict with tutors, lack of college facilities and heavy academic load. In multivariate analysis, loss of family members (AOR=0.077; 95% CI 0.013-0.451), difficulties in personal relationships (AOR=2.371; 95% CI 1.009-5.575), regret study medicine (AOR=3.764; 95% CI 1.657-8.550), failed in an academic year (AOR=2.559; 95% CI 1.112-5.887) were independently correlated with depression. Conclusion: The study concluded that medical students at UBCOM also experience depressive symptoms associated with various risk indicators. Optimizing the educational and social environment coupled with infrastructure facilities at UBCOM might promote students’ mental health and well-being. Keywords: Depression, predictive factors, medical students, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82355404","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":"Sun-protective Behaviours among patients with Cutaneous Hyperpigmentation in Saudi Arabia: A Cross Sectional Study","authors":"Manar A Alotaibi, Nora M Al Dera, Reema Muqrin, Mohammed Almashali","doi":"10.5742/mewfm.2023.95256031","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256031","url":null,"abstract":"Background: Hyperpigmentation is a dermatologic disorder, and because dermatologic diseases are visible, they have a profound psychological impact on persons who are affected. Aim: To assess the sun protection practices in Saudi Arabia among patients with cutaneous hyperpigmentation. Method: In October 2022, an online cross-sectional study of patients with cutaneous hyperpigmentation was conducted in Saudi Arabia. Data were collected by questionnaire-based survey, which was designed by the researcher after a thorough literature review. Using binary logistic regression analysis, the factors that influence sunscreen use were identified. Results: A total of 418 people took part in this study. More than half (63.6%) of them reported post-inflammation or acne pigmentation. Almost half (49.0%) reported having this health condition for less than a year. Only about half of the patients (45.0%) said they use sunscreen. Approximately 47.0% of sunscreen users reported using sunscreen with a UV protection factor of 21-50. Almost one-third (35.0%) of the patients reported not reapplying sunscreen during the day. Only 4.8% of patients said they frequently use a hat or sunshade while they are outside, and 40.4% said they frequently stay in the shade when they are outside. Male patients were less likely than female patients to apply sunscreen (Odds ratio: 0.80 (95% CI: 0.64-0.99), (p0.05), Conclusion: Saudi hyperpigmentation patients use sunscreen inadequately. Males used sunscreen less than females. Healthcare authorities should conduct an educational campaign to inform this group of patients about their condition and the necessity of sunscreen. Social media should be utilized to educate the public about different types of sunscreens and improve their use of sunscreens to prevent sun-related skin problems. Keywords: Cutaneous Hyperpigmentation; Saudi Arabia; Sunscreen; Sun-protective","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":"90153841","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}