Journal of Health Specialties最新文献

{"title":"Hajj 2016: Safeguarding the faithful - Saudi Arabia takes the long view","authors":"Qanta A. A. Ahmed, Z. Memish","doi":"10.4103/2468-6360.191902","DOIUrl":"https://doi.org/10.4103/2468-6360.191902","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82057722","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":"Incidence of postoperative complications of simultaneous bilateral total knee arthroplasty in relation to American Society of Anesthesiologists risk scoring, pilot study","authors":"M. Abbas, Ahmed A. Habis, Hamza Y Alshatri, A. Kaki","doi":"10.4103/2468-6360.191910","DOIUrl":"https://doi.org/10.4103/2468-6360.191910","url":null,"abstract":"Introduction: As a procedure, simultaneous bilateral total knee arthroplasty (SB-TKA) has not received its acceptance into routine clinical practice yet; perhaps, due to concerns regarding higher rates of perioperative complications associated with it as compared to the conventional unilateral procedure. The objective of the current study is to assess the safety of SB-TKA in relation to the American Society of Anesthesiologists (ASA) score and to assess the incidence of postoperative complications. Materials and Methods: In a prospective study, 25 patients underwent SB-TKA between January 2011 and April 2014. The inclusion criteria comprised patients with bilateral end-stage primary osteoarthritis of knees interfering with daily activities. A well-defined pre-determined protocol for pre- and postoperative care was adhered. Results: The study included 8 male and 17 female patients. Mean age of the patients was 66.4 ± 8.3 years. Five cases were classified as ASA-1 (20%), 11 cases as ASA-2 (44%) and 9 cases as ASA-3 (36%). No death, deep venous thrombosis, pulmonary embolism or neurological injury was reported in any of our patients postoperatively. One patient developed chest congestion on day 2 and was treated conservatively. One patient suffered from non-ST-segment elevation myocardial ischaemia on day 3 and was treated uneventfully. Two patients had a minor complication in the form of wound infection. No statistical relation was found between ASA risking score and postoperative complications. Conclusion: SB-TKA is a safe procedure if done after careful selection of patients in addition to a proper pre- and postoperative management protocol.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87709693","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":"Health promotion in the workplace","authors":"S. Al-Otaibi","doi":"10.4103/2468-6360.191906","DOIUrl":"https://doi.org/10.4103/2468-6360.191906","url":null,"abstract":"The objective of this review was to describe the scientific evidence for coordinating health promotion at the workplace and to discuss the required future research in this field. Literature review from March 1990 to November 2014 was performed. Using the keywords ′health, promotion, worksite and workplace′, literature was searched in the following databases: Medline, PubMed and Google Scholar; with no time limit. There is emerging evidence that workplace health promotion enhances the effectiveness of effort to promote and protect workers′ health. It proves both cost-effective and cost-beneficial to health promotion at the worksite and subsequently further reduces absenteeism. However, future research is needed to identify the impact of other factors such as age, gender and race on workers′ exposure. There is also a need to develop valid tests to measure the outcome of these programmes at the workplace. Health promotion should be central to workplace planning and should be recognised as an integral part of proactive occupational health. Indeed, the workplace is viewed as one of the most popular venues for promoting health and preventing diseases among employees.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74414365","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":"Children′s growth pattern and mothers′ education and socio-economic status in Riyadh, Saudi Arabia","authors":"Suliman Ibrahim Alhaidari, A. A. Al Houssien, Mohammad Ahmed Alteraiqi, Assad Al Arafah, Rana Al Houssien, O. Alhaidari, A. Omair","doi":"10.4103/2468-6360.191909","DOIUrl":"https://doi.org/10.4103/2468-6360.191909","url":null,"abstract":"Background: An important indication of a child′s well-being is evidence of having a normal growth pattern. A child′s growth pattern is influenced by multiple factors, genetic and/or environmental. From an environmental point of view, the socio-economic status of the mother plays an important role in a child′s growth during the early stages of childhood. Aim: The aim of this study was to explore the association between mothers′ educational and socio-economic status on their children′s growth in Riyadh. Methods: A cross-sectional study was conducted in eight hospitals in Riyadh. The target population was children aged between 1 month and 7 years and their mothers visiting the vaccination clinics. The mother′s data were collected using a structured interview, and the child′s weight and height were measured and plotted on growth charts. Results: A total of 744 mothers and children were screened (392 males, 352 females). The proportion of children with weight and height under the 25 th percentile was 40% and 29%, respectively. In terms of education, the height of a higher proportion of children (33%) was under the 25 th percentile if the mother had a high school education compared with 25% when the mother had a college education (P = 0.02). Private sector-employed mothers had a lower proportion of children (26%) with weight below the 25 th percentile compared to mothers who were government-employed or unemployed (both 41%). Mothers living in an apartment had a significantly lower proportion of children (24%) with height under the 25 th percentile compared to mothers living in a house (33%) (P = 0.04). In addition, mothers living in a rented residence had a significantly lower proportion (40%) of children with weight under the 25 th percentile than mothers living in owned ones (42%) (P = 0.02). Conclusion: Underweight and short stature among children are associated with less educated and unemployed mothers and with mothers who live in a house. The mother′s socio-economic background provides various indicators that could be further researched to identify children who are at risk.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87160494","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 online medical databases - UpToDate® and BMJ - among Ministry of Health staff in Saudi Arabia: A cross-sectional survey","authors":"H. S. Ahmed, F. Kaliyadan, Mohammed J. Alramadan, Hany Shahin","doi":"10.4103/2468-6360.186505","DOIUrl":"https://doi.org/10.4103/2468-6360.186505","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78598272","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":"It all starts and ends with the programme director","authors":"F. Munshi","doi":"10.4103/2468-6360.186474","DOIUrl":"https://doi.org/10.4103/2468-6360.186474","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82401726","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":"Extensive intracranial calcification and neurological manifestations","authors":"M. Sasani","doi":"10.4103/2468-6360.186506","DOIUrl":"https://doi.org/10.4103/2468-6360.186506","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75953168","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 Global Burden of Disease: A critical resource for informed policy making in the Gulf region","authors":"A. Mokdad","doi":"10.4103/2468-6360.186482","DOIUrl":"https://doi.org/10.4103/2468-6360.186482","url":null,"abstract":"The Gulf countries have made tremendous improvements in their health systems in a short period of time due to extensive investments. However, during the same time period, rapid changes in lifestyle habits led to a changing burden of disease. In this manuscript, we report the burden of disease and risk factors for the Gulf countries (Bahrain, Kuwait, Oman, Qatar, Kingdom of Saudi Arabia, United Arab Emirates, and Yemen) measured by causes of death, years of life lost due to premature mortality (YLLs), years of life lived with disability (YLDs), and disability-adjusted life years (DALYs) for the years 1990 to 2013. Our findings showed a decline of infectious diseases and a rising burden of road traffic accidents and non-communicable diseases while Yemen is still facing a large burden from communicable diseases. Our findings call for the development and implementation of programmes to reduce these burdens and engage other sectors such as the Government and the community in these efforts. These programmes need to be developed and adopted locally since many of the programmes found in the literature may not succeed in the region. Moreover, there is an urgent need for a political will and legislations to ensure their success.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81249339","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":"Mass gatherings: A one-stop opportunity to complement global disease surveillance","authors":"Habida Elachola, E. Gozzer, J. Zhuo, Samba Sow, R. Kattan, S. Mimesh, J. Al-Tawfiq, Mohammed Al-Sultan, Z. Memish","doi":"10.4103/2468-6360.186487","DOIUrl":"https://doi.org/10.4103/2468-6360.186487","url":null,"abstract":"Emerging infections including those resulting from the bioterrorist use of infectious agents have indicated the need for global health surveillance. This paper reviews multiple surveillance opportunities presented by mass gatherings (MGs) that align with fundamental questions in epidemiology (why, what, who, where, when and how). Some MGs bring together large, diverse population groups coming from countries with high prevalence of communicable diseases and disparate surveillance capacities. MGs have the potential to exacerbate the transmission dynamics of infectious diseases due to various factors including the high population density and rigor of events, increase in number of people with underlying diseases that predisposes them to disease acquisition, mixing of people from countries or regions with and without efficient disease control efforts, and varying endemicity or existence of communicable diseases in home countries. MGs also have the potential to increase the opportunities for mechanical and even heat-related injuries, morbidity or deaths from accidents, alcohol use, deliberate terrorist attacks with biological agents and/or with explosives and from exacerbation of pre-existing conditions. Responding to these wider range of events may require the use of novel bio-surveillance systems designed to collect data from different sources including electronic and non-electronic medical records from emergency departments and hospitalisations, laboratories, medical examiners, emergency call centres, veterinary, food processors, drinking water systems and even other non-traditional sources such as over-the-counter drug sales and crowd photographs. Well-structured, interoperable real-time surveillance and reporting systems should be integral to MG planning. The increase in magnitude of participants exceeding millions and diversity of people attending MGs can be proactively used to conduct active surveillance of communicable and non-communicable diseases or indicators of global and national public health interest during MGs than can collectively complement efforts to enhance global health security.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91322474","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":"Eliciting students′ perceptions of integrated clinical dental education in Saudi Arabia: A cross-sectional study","authors":"M. Al-Dajani","doi":"10.4103/2468-6360.186494","DOIUrl":"https://doi.org/10.4103/2468-6360.186494","url":null,"abstract":"Purpose: The purpose of this study was to evaluate the following research questions: (1) What are dental students′ perceptions of their clinical training in an integrated curriculum? and (2) What are the students′ confidence levels in performing routine dental procedures? Materials and Methods: A cross-sectional study was conducted among 32 undergraduate students in the last 2 years of the dental program in April 2015 at the College of Dentistry, Aljouf University. The survey included 16 items that describe dental students′ confidence levels in performing various clinical procedures. Data were analysed using univariate, bivariate and multivariate analyses, as indicated. Results: Students demonstrated high levels of confidence in performing routine clinical procedures, whereas the 5 th year students were more confident in interpreting radiographs, giving oral hygiene instructions, performing extractions and restorative treatments, as well as fabricating removable complete dentures. The mean confidence level among students in performing clinical procedures was 2.9 (standard deviation = 0.48). The mean confidence level significantly increased among the 5 th year students compared to their 4 th year counterpart (P = 0.005), while the effect of grade point average and number of weekly hours devoted to the study was not significant. Conclusion: In the integrated curriculum, our study highlights the importance of clinical training not only in making dental students competent but also in increasing their confidence in performing clinical procedures.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84612637","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}