Perceptions of primary care physicians about early diagnosis of rheumatoid arthritis and methotrexate monitoring

Background: Current guidelines recommend the early recognition and diagnosis of rheumatoid arthritis and treatment with disease-modifying antirheumatic drugs (DMARDs). Methotrexate is the first drug of choice for most patients with rheumatoid arthritis, but this medication has contraindications and side effects that need monitoring. This survey analysis aims to explore the level of knowledge of primary healthcare physicians towards the early detection of rheumatoid arthritis and monitoring treatment with methotrexate.Methods: A self-administered structured questionnaire was distributed to primary healthcare physicians in the region of Riyadh, Saudi Arabia. The survey consists of sections including the demographics of respondents, knowledge about rheumatoid arthritis, and methotrexate. Data were analyzed using SPSS version 22.Results: In total, 249 physicians responded to the survey. Physicians with more years of experience showed a significantly higher level of knowledge about rheumatoid arthritis and methotrexate monitoring (p-value <0.001). The responses of physicians regarding knowledge about the disease were better than their responses about the drug.Conclusions: The knowledge of primary healthcare physicians in Riyadh, Saudi Arabia, is considered satisfactory in regard to rheumatoid arthritis diagnosis, but the level of knowledge about methotrexate requires improvement.

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Knowledge, Attitude and Practice of Primary Care Physicians in Dealing with Acute Stroke in Indonesia

Journal of Health Science and Medical Research ◽

10.31584/jhsmr.2021800 ◽

2021 ◽

Author(s):

Putu Jaya Kusuma ◽

Lilik Djuari ◽

Abdulloh Machin ◽

Asra Al Fauzi

Keyword(s):

Primary Care ◽

Clinical Practice ◽

Thrombolytic Therapy ◽

Acute Stroke ◽

Primary Care Physicians ◽

P Value ◽

Stroke Management ◽

Significant Difference ◽

Level Of Knowledge ◽

Stroke Knowledge

Objective: There are still many things that interfere with the practice of effective acute stroke management, with one of them being the failure of health workers providing appropriate management. Hence, this study was conducted to evaluate the level of knowledge, attitude and practices of primary care physicians (PCPs) in acute stroke management in Indonesia.Material and Methods: This cross-sectional face-to-face survey was conducted among all PCPs, from 63 primary health care centres; from October, 2019 to January, 2020 in Surabaya, Indonesia. A self-designed questionnaire, consisting of 25 questions, based on several guidelines, was used as the instrument of this survey.Results: In total, 134 PCPs participated. The majority of their level of knowledge obtained was in the moderate category (51.5%), while the majority of their attitude and practices towards stroke were in the good category (67.9% and 75.2%). Nearly 75.0% of PCPs also knew about thrombolytic therapy, but only <50.0% knew the ‘golden period’ of thrombolytic therapy. A significant correlation was found between PCPs knowledge-attitude (p-value<0.001), knowledge-practices (p-value=0.002) and attitude-practices (p-value<0.001). There was also a significant difference in the level of stroke knowledge between PCPs, with different clinical practice experience (p-value=0.015). Better stroke knowledge tended to be obtained by PCPs with younger clinical practice experience.Conclusion: The level of knowledge, attitude and practices of PCPs in acute stroke management in Indonesia is good, but should still be improved; especially knowledge about the use of thrombolytic therapy and its ‘golden period.’

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Knowledge and Perception on Hearing Loss, Hearing Management Modalities, Speech and Language Pathology among General Public in Al-Khobar, Kingdom of Saudi Arabia

10.21203/rs.3.rs-105801/v1 ◽

2020 ◽

Author(s):

Najwa Zabeeri ◽

Shaykhah Nasser AlNaimi ◽

Dinah Abdulhadi AlNoaimi ◽

Reema Mohammed Bamousa ◽

Maha Abdualaziz Alassaf ◽

...

Keyword(s):

Hearing Loss ◽

Saudi Arabia ◽

General Public ◽

Speech Development ◽

Repeated Measure ◽

P Value ◽

Speech And Language ◽

Language Pathology ◽

Level Of Knowledge ◽

Educational Campaign

Abstract Background: Hearing loss is considered a disability that hugely impacts the quality of life for 466 million people worldwide. The aim of the study was to assess the level of knowledge and perception on hearing loss, speech and language pathology, and to identify the effect of public educational campaign as an intervention to raise awareness among general public. Methods: A repeated measure designed-study was conducted during 2019 in Al-Khobar, Saudi Arabia. To collect the data, an electronic questionnaire was randomly distributed targeting all adult visitors of the campaign including adults with no medical background. A total of 330 participants, filled the questionnaire twice; before and after the intervention. Any p-value less than 0.05 was considered statistically significant. Results: The overall mean score of hearing loss was 5.43± 1.78 out of 11 points and higher awareness score toward hearing loss was significantly more after interventions (P<0.001). For the awareness of ear and hearing management, the overall awareness score was 9.57± (1.96 out of 13 points and the awareness toward ear and hearing management was also significantly more after interventions (P<0.001). In the awareness toward speech development, the total awareness score was 2.92±0.98 out of 5 points and the awareness toward speech development was significantly higher at after interventions (P<0.001). These results indicated that the answers after the intervention were significantly influenced by the campaign compared to the answers before the intervention. Conclusion: Although the participants had some level of knowledge before intervening with an educational campaign, the intervention showed a significant improvement in their level of knowledge. Therefore, this study recommends the implication of more interventional educational campaigns to increase the awareness amongst general public in Saudi Arabia.

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HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA TENTANG PERAWATAN ARTHRITIS RHEUMATOID PADA LANSIA DI DESA PAMALAYAN

Jurnal Keperawatan Galuh ◽

10.25157/jkg.v3i1.6578 ◽

2021 ◽

Vol 3 (1) ◽

pp. 5

Author(s):

Daniel Akbar Wibowo ◽

Dini Nurbaeti Zen

Keyword(s):

Rheumatoid Arthritis ◽

Health Sector ◽

The Elderly ◽

P Value ◽

Cross Sectional ◽

Family Attitudes ◽

The Family ◽

Level Of Knowledge ◽

The Impact ◽

Arthritis Rheumatoid

Penelitian ini dilatarbelakangi oleh permasalahan yang sering terjadi pada lansia yaitu arhtritis rheumatoid. Dampak bagi keluarga akan terganggu dan keluarga sebagai orang terdekat harus mampu menjalankan tugasnya di bidang kesehatan. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia di Desa Pamalayan Kecamatan Cijeungjing Kabupaten Ciamis. Pengetahuan merupakan hasil tahu dan ini terjadi setelah orang melakukan penginderaan terhadap suatu objek tertentu. Sikap merupakan reaksi atau respon yang masih tertutup dari seseorang terhadap suatu stimulus atau objek. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah kaluarga yang terdapat lansia dengan arthritis rheumatoid sebanyak 125 orang dengan menggunakan teknik pengambilan sampel secara purposif sampling. Instrumen yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia dengan p-value = 0,000. Saran bagi keluarga adalah harus memiliki pengetahuan yang cukup tentang arthritis rheumatoid dan upaya pencegahannya.This research is motivated by a problem that often occurs in the elderly, namely rheumatoid arthritis. The impact on the family will be disrupted and the family as the closest person must be able to carry out their duties in the health sector. The purpose of this study was to determine the relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly in Pamalayan Village, Cijeungjing District, Ciamis Regency. Knowledge is the result of knowing and this occurs after people have sensed a certain object. Attitude is a reaction or response that is still closed from a person to a stimulus or object. The type of research used is descriptive correlation with cross sectional approach. The population in this study were 125 elderly families with rheumatoid arthritis using purposive sampling technique. The instrument used is a questionnaire. The results showed that there was a relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly with p-value = 0.000. Suggestions for families are to have sufficient knowledge about rheumatoid arthritis and its prevention efforts.

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Assessing the Level of Knowledge and Attitude of the Saudi Population in Taif City towards Varicoceles Prevention and Treatment

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol06-i04/1112 ◽

2021 ◽

Vol 6 (04) ◽

pp. 264-268

Author(s):

Dr Khames Alzahrani ◽

Samir Ahmad Badr ◽

Khaled Abdulrahman Almalki ◽

Thamer Eid M Alhathla ◽

Abdulelah Mastour Alotaibi ◽

...

Keyword(s):

Saudi Arabia ◽

General Public ◽

National Level ◽

Survey Study ◽

Categorical Variables ◽

Average Score ◽

P Value ◽

Prevention And Treatment ◽

Level Of Knowledge ◽

Knowledge And Attitude

Background: Varicocele is a common problem in males that drastically affect their reproductive health. There is some way to reduce or prevent this problem from occurrence. However, the level of knowledge of the general public towards these measures is unclear. Methods: A cross-sectional observational survey study that was carried out in Saudi Arabia using an online self-developed questionnaire that was distributed, via a link to Google form, to the general public. All adult literate citizens and residents in Taif city, Saudi Arabia were eligible for inclusion in this study. Only completed surveys were included in the analysis. Data were represented in the form of frequencies (number of responders) and valid percentages for categorical variables. ANOVA test was utilized to compare means between different subgroups. All P values < 0.05 were considered statistically significant. Result: A total of 275 participants responded to the survey. The mean score for knowledge was 10.01±4.305, with a minimum score of zero and a maximum score of eighteen. Females showed a significantly higher mean score (13.67±3.114) (p-value = 0.002). Single participants showed significantly higher mean score (10.26±4.176) (p-value= 0.04). Responders with a university degree had a higher average score (10.35±4.257) (p-value=0.002), and participants with a medical background had a higher average score (11.48±3.401) (p-value<0.001). Conclusion: A poor level of knowledge and attitude towards varicocele prevention and treatment were observed in Saudi Arabia. Further studies are required to figure out the level of knowledge and behaviors on a national level, and to explore the reasons behind this poor knowledge about varicocele.

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Pre-schoolers bronchial asthma in the primary health care centres: physicians' knowledge and practice in Jazan region Saudi Arabia

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20194726 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2509

Author(s):

Gassem Ali Gohal ◽

Ebtihal Elameen Eltyeb

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Primary Health Care ◽

Bronchial Asthma ◽

Primary Care Physicians ◽

Adherence To Guidelines ◽

Primary Health ◽

Asthma Patients ◽

Level Of Knowledge ◽

Knowledge And Practice

Background: The aim of this study was to assess the knowledge and practice of primary health care (PHC) physicians in the diagnosis and management of preschoolers’ bronchial asthma in Jazan region in Saudi Arabia.Methods: A survey of 106 primary care physicians practicing in Jazan region was conducted. Domains that assessed include asthma causes, diagnosis, management, and prognosis. Item formats included self-reports through online version questionnaire during the period December 2018 to February 2019.Results: Among 72% of participants were general practitioners, with about 60% were mid-level experience (1-10 years), overall PHC physician level of knowledge and practice was moderate level, and the knowledge was significantly affected by grade of specialty, years of experience, and the number of bronchial asthma patients seen in the last three months in the center. This study showed mis concepts and mal practices of PHC physicians as 57% of them considered prescribing antibiotics during asthma attacks, while 72% agreed that anti-cough therapy is helpful in asthma like symptoms.Conclusions: This study proves that PHC physician in Jazan region are moderately aware of preschoolers’ bronchial asthma if compared to studies done in other regions of Saudi Arabia. There are certain practices and concepts regarding preschooler’s asthma that need to be revised. Raising the awareness regarding adherence to guidelines of pediatrics bronchial asthma mandates more attention and advocacy.

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AMBLYOPIA WITH RESPECT TO PARENTS AWARENESS AND PERCEPTIONS IN AL-JOUF REGION OF SAUDI ARABIA

International Journal of Advanced Research ◽

10.21474/ijar01/12452 ◽

2021 ◽

Vol 9 (02) ◽

pp. 338-345

Author(s):

Rahaf Mohammed J. Alruwaili ◽

◽

Bandar Krayem A. Alzarea ◽

Keyword(s):

Saudi Arabia ◽

Early Treatment ◽

Treatment Options ◽

Young Age ◽

P Value ◽

Important Resource ◽

Correct Information ◽

Level Of Knowledge ◽

Lazy Eye ◽

Awareness Level

Background/Objective: Amblyopia also known as lazy eye is an abnormal condition which is associated with decrease in an eye vision. Parents can play an important role in the management of amblyopia in their children, if they have correct information regarding the disease. The present study was conducted to check parents awareness and perception regarding the treatment, diagnosis, causes and consequences of amblyopia in Al-Jouf region of Saudi Arabia. Methodology: A questionnairebased study was conducted in Al-Jouf region of Saudi Arabia to fulfill the objectives of the study. A total of 429 parents aged between 19-45 years were included in the study. Out of 429 parents, 110 were males and 312 were females. Data obtained was analyzed both qualitatively and in percentages. Results: Majority of participants were of the opinion that there is no treatment for amblyopia 280 [66.4%], early treatment leads to better outcomes 369 [87.4%], can be best treated at young age 326 [77.3%] and condition worsens if left untreated 324 [76.8%]. It was observedthat parents occupation and source of knowledge regarding amblyopia is statistically significant with the amblyopia (p-value less than 0.05). Conclusion: In this study we reported that most of the parents are having mild to moderate level of knowledge regarding amblyopia. Furthermore, there is need for parents to increase their awareness level regarding the treatment options and causes of amblyopia.Social media has emerged as an important resource of information regarding amblyopia.

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The Level of Keratoconus Awareness among the Saudi Population in Riyadh

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i30a31613 ◽

2021 ◽

pp. 47-53

Author(s):

Turad Alkadi ◽

Shahad Alruwaili ◽

Shahd Al Mahfud ◽

Fahad Alomair

Keyword(s):

Saudi Arabia ◽

Online Survey ◽

Cross Sectional Study ◽

P Value ◽

Saudi Population ◽

Cross Sectional ◽

Study Population ◽

Level Of Knowledge ◽

High Level ◽

Age Range

Aims: This study aims to reveal misconceptions about keratoconus, to assess the level of knowledge among Saudi nationals and to compare the level of awareness of keratoconus between affected and unaffected individuals. Methodology: A cross-sectional study was conducted through an online survey on a study population that consisted of Saudi nationals over the age of 18 from November until December 2020 in Riyadh, Saudi Arabia to assess the level of knowledge of keratoconus among the Saudi population. Results: Three hundred and ten responses were obtained, the age range of the participants was between 18 to 50 years oldof which 182 were females and 128 were males. Thirty percent of participants stated that they had acquired their knowledge of keratoconus from the internet, while 29% stated that they had no knowledge of keratoconus at all. The majority of the sample (38.4%) had a high level of knowledge about keratoconus, 31.3% had a moderate level of knowledge and 30.3% had a low level of knowledge. A significant correlation between the level of knowledge and the diagnosis of keratoconus was found, in which keratoconus patients had a higher level of knowledge (44.2%) (p value < .05). Moreover, males (60.1%) had a higher level of awareness compared to females (23.1%) (p value < .05). Age had no significant effect on the level of knowledge (p value > .05). Conclusion: The level of knowledge about keratoconus among the Saudi population in Riyadh is moderate to high. Keratoconus patients had a higher level of knowledge compared to unaffected participants. We recommend further assessment of the level of knowledge about keratoconus with a larger sample size in different provinces of the Kingdom of Saudi Arabia.

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Hubungan Pengetahuan Tentang Manajemen Bencana Dengan Prevention Masyarakat Dalam Menghadapi Bencana Gunung Meletus Pada Kepala Keluarga Di Rt 06/Rw 01 Dusun Puncu Desa Puncu Kecamatan Puncu-Kediri

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v5i2.143 ◽

1970 ◽

Vol 5 (2) ◽

pp. 01

Author(s):

Didit Damayanti ◽

Pria Wahyu R.G ◽

Muhanni’ah Muhanni’ah

Keyword(s):

Disaster Management ◽

Volcanic Eruption ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Head Of Household ◽

Correlational Research ◽

Level Of Knowledge ◽

Independent Variable ◽

Negative Impacts

Introduction: Disaster management is a dynamic, continual, and integrated process as to increase the qualities of the actions which are relevant to the process of observation and analysis of disaster as well as minimalizing the negative impacts, mitigation, readiness, early warning, immediate emergency, rehabilitation and reconstruction. The aim of this research is to analyse theconnection between disaster management and the prevention of community breakdown in order to face a volcanic eruption for every head of household. Method: The design of this research is correlational research with a cross sectional approach. The demographic group that is used for this research is the head of households in Rt 06/Rw 01 dusun Puncu desa Puncu, by using the purposive sampling technique which has been collected from the sampling of the 33 heads of households. Independent variable is the knowledge of disaster management, and the dependent variable is the prevention of community breakdown in the handling of the disaster. The data has been received by using the questionnaire, and the results have been analysed by using spearman rho test. Result: As according to the statistics test, it is found that p-value= 0,000 on the significant level (α) = 0,05 and r = 0,752. It is concluded that there is a connection between knowledge and the prevention of community breakdown in handling of the volcanic eruption in Rt 06/Rw 01. This research shows that the level of knowledge within the community about disaster management and prevention in handling volcanic eruption has been increasing. Conclution: This is shown by the capability of the community in mitigating the effects of the disaster. It is hoped that the community will further engage in training education and simulation to reduce the negative impacts of a disaster. The location where the participants resideis Kelud Volcano, and it is therefore hoped that the communities are willing to participate in better handling of any disaster by joining the education training and simulation; Kata kunci : Pengetahuan, Manajemen bencana, Prevention.

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