scholarly journals Obesity Management in Primary Health Care: Front-Line Providers’ Experiences and Views

2020 ◽  
Vol 2 (6) ◽  
Author(s):  
Hatem Al-Saadi ◽  
Haya Malallah ◽  
Jameela Al-Saadi ◽  
Narjis ALsheala ◽  
Abdullah Al- Balushi ◽  
...  
Keyword(s):  
Primary Care Physicians ◽  
Management Training ◽  
Cross Sectional Study ◽  
World Health ◽  
Obesity Management ◽  
Inclusion Criteria ◽  
Online Questionnaire ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Survey Participant

As in the rest of the world, obesity in Oman has increased and according to World Health Organization (WHO) data, prevalence of obesity in 2008 and 2016 were 20.9% and 27% respectively. This study explores primary care physicians’ current strategies and management of obesity, attitude and perceptions towards obesity, educational needs, and their views on long-term follow up. Methods: A cross sectional study was conducted where practicing family medicine physicians from different governorates were invited to participate in an online questionnaire-based survey. Participant were invited via email and responses were kept anonymous. Responses were collected over three weeks in April 2019 and only responses that met inclusion criteria were analyzed with SPSS v22. Results: 77 complete responses met inclusion criteria and female were the majority (67.5%). Half of participants had less than 10 years of experience. Weight and BMI were recorded routinely by two-thirds of participants whereas waist- hip ratio was recorded by only 12%. Weight reduction medications were prescribed by 5.2% and 24% would refer an obese patient to Bariatric center. Main barrier to obesity management and referral was inadequate obesity specialist centers followed by short consultation times. The pathophysiology mechanism of obesity and related hormones was only known by 40.8%. Almost all participants agreed that formal obesity management training should be integrated as part of residency training. Conclusion: Despite the significant number of comorbidities related to obesity and its complications, weight, BMI and other anthropometric measures were not routinely performed. Nationally, the rate of referral to bariatric centers for evaluation is low. Boundaries and challenges do exist and need to be addressed. Obesity and weight management need to be integrated as part of Family Physicians Training Program.

scholarly journals Assessment of Saudi Parents’ Beliefs and Behaviors towards Management of Child Fever in Saudi Arabia—A Cross-Sectional Study

2021 ◽  
Vol 18 (10) ◽  
pp. 5217
Author(s):  
Mohamed N. Al Arifi ◽  
Abdulrahman Alwhaibi
Keyword(s):  
Saudi Arabia ◽  
Side Effects ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Electronic Thermometer ◽  
And Behavior

Objective: Fever alone can lead to rare serious complications in children, such as febrile seizures. The aim of this study is to assess the knowledge, beliefs, and behavior of parents toward fever and its management. Methods: A cross-sectional study using an online questionnaire was applied over a period of 3 months, from January to March 2018, to parents who were living in Saudi Arabia. The inclusion criteria were a parent who is a resident of Saudi Arabia, with at least one child aged 6 years or less, while incomplete questionnaires, having a child aged more than 6 years, or parents who were not living in Saudi Arabia were excluded. Results: A total of 656 parents completed the questionnaire. More than two-thirds of the subjects were female, the majority of whom were aged between 25–33 years old. The best-reported place to measure the temperature of children was the armpit (46%), followed by the ear (28%) and the mouth (10.7%). More than half of the parents considered their children feverish at a temperature of 38 °C. The majority of parents (79.7%) reported that the most serious side effects of fever were seizure, brain damage (39.3%), coma (29.9%), dehydration (29.7%), and death (25%). The most common method used to measure a child’s temperature was an electronic thermometer (62.3%). The most common antipyretic was paracetamol (84.5%). Conclusions: Our study demonstrates the good knowledge of parents in identifying a feverish temperature using the recommended route and tools for measuring body temperature.

scholarly journals Managing the Return to Football During the COVID-19 Pandemic: A Survey of the Head Team Physicians of the Football Bowl Subdivision Programs

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712199204
Author(s):  
Alexander D. Slabaugh ◽  
John W. Belk ◽  
Jonathan C. Jackson ◽  
Richard J. Robins ◽  
Eric C. McCarty ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
National Collegiate Athletic Association ◽  
College Football ◽  
Cross Sectional Study ◽  
Return To Play ◽  
World Health ◽  
Cross Sectional ◽  
Football Bowl Subdivision ◽  
Health Organization

Background: COVID-19 is a severe respiratory virus that spreads via person-to-person contact through respiratory droplets. Since being declared a pandemic in early March 2020, the World Health Organization had yet to release guidelines regarding the return of college or professional sports for the 2020-2021 season. Purpose: To survey the head orthopedic surgeons and primary care team physicians for the National Collegiate Athletic Association (NCAA) Football Bowl Subdivision (FBS) football teams so as to gauge the management of common COVID-19 issues for the fall 2020 college football season. Study Design: Cross-sectional study. Methods: The head team orthopaedic surgeons and primary care physicians for all 130 FBS football teams were surveyed regarding their opinions on the management of college football during the COVID-19 pandemic. A total of 30 questions regarding testing, return-to-play protocol, isolating athletes, and other management issues were posed via email survey sent on June 5, 2020. Results: Of the 210 team physicians surveyed, 103 (49%) completed the questionnaire. Overall, 36.9% of respondents felt that it was unsafe for college athletes to return to playing football during fall 2020. While the majority of football programs (96.1%) were testing athletes for COVID-19 as they returned to campus, only 78.6% of programs required athletes to undergo a mandatory quarantine period before resuming involvement in athletic department activities. Of the programs that were quarantining their players upon return to campus, 20% did so for 1 week, 20% for 2 weeks, and 32.9% quarantined their athletes until they had a negative COVID-19 test. Conclusion: While US Centers for Disease Control and Prevention guidelines evolve and geographic regions experience a range of COVID-19 infections, determining a universal strategy for return to socialization and participation in sports remains a challenge. The current study highlighted areas of consensus and strong agreement, but the results also demonstrated a need for clarity and consistency in operations, leadership, and guidance for medical professionals in multiple areas as they attempt to safely mitigate risk for college football players amid the COVID-19 pandemic.

scholarly journals EVALUATION OF DIABETES SELF-MANAGEMENT EDUCATION IN PATIENTS WITH CONCOMITANT CHRONIC KIDNEY DISEASE

2020 ◽  
Vol 73 (10) ◽  
pp. 2170-2174
Author(s):  
Oleksii M. Korzh
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Management Training ◽  
Cross Sectional Study ◽  
Self Management ◽  
Average Score ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Diabetes Educators

The aim: Was to evaluate the quality of DSME provided by primary care physicians to people with diabetes mellitus. Materials and methods: A descriptive cross-sectional study was conducted among 120 primary care physicians. The quality of diabetes self-management training provided by physicians was assessed on a personal scale of 39 Likert questions obtained from the American Association of Diabetes Educators in seven areas of diabetes self-monitoring. The Cronbach’s reliability coefficient for each domain / subscale was ≥ 0.7. The data were analyzed using an independent selective t-test and one-way ANOVA. Results: More than half of the doctors provided “inadequate quality” of diabetes self-management in all areas. Doctors had the highest average score in the domain of “drug intake” (4.46 ± 0.61). Average scores in the “problem-solving domain” (3.52 ± 0.63) and “ being active domain” (3.46 ± 0.75) were low. The quality of DSME provided by physicians was not related to any of the characteristics of the physician. Conclusions: The quality of doctors’ communication on DSME in this study was suboptimal. Most adequately informed cases of diabetic behavior associated with self-management have been associated with reduced risk factors and an orientation towards disease. Thus, training of primary care physicians in diabetic self-management is recommended because of the key role that these doctors play in managing diabetes.

scholarly journals Proficiency, Attitudes, and Practices in Breastfeeding of Participants in a Pediatric Congress

2021 ◽  
pp. 1-9
Author(s):  
Cynthia Francisca Xavier Costa de Assis Silva ◽  
Maria do Carmo Barros de Melo ◽  
Roberto Gomes Chaves ◽  
Maria Cândida Ferrarez Bouzada
Keyword(s):  
Health Professionals ◽  
Study Participant ◽  
Cross Sectional Study ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
The Public ◽  
Attitudes And Practices ◽  
The Subject ◽  
Health Organization

Objective: To investigate the proficiency, practices, and attitudes about breastfeeding of participants in a Pediatrics Congress. Methods: Cross-sectional study in which an online questionnaire was applied, using a specific QRcode, for each study participant, in June 2018. The questions were formulated according to the World Health Organization (WHO). Among the 39 questions, 13 identified the profile of the participants, 19 questions assessed the proficiency in breastfeeding and 7 questions the practices and attitudes. Results: Responses to 296 questionnaires were evaluated, 62.5% of which were health professionals and 37.5% were undergraduate health students. In assessing proficiency, the global average did not reach the expected minimum of 70%. But the highest proficiency averages were found among health professionals (p: 0.0136), among professionals with more recent degrees (p <0.0001), and those who performed most of their activity in the public sector (p: 0.018). 77% of health professionals and 73% of students assessed attitudes and practices about breastfeeding as appropriate. Conclusion: The low proficiency in the population studied points to the need for periodic training of professionals in breastfeeding and greater emphasis on undergraduate curricula in the health area on the subject.

scholarly journals The impact of the COVID-19 pandemic on parents’ behavior toward scheduled pediatric vaccinations in Saudi Arabia

2021 ◽  
Vol 15 (08) ◽  
pp. 1054-1058
Author(s):  
Abdullah Saleh Al-Nafeesah ◽  
Abdullah Saleh Aldamigh ◽  
Basel Abdulrahman Almansoor ◽  
Osama Al-Wutayd ◽  
Ashwaq Ahmed AlE'ed
Keyword(s):  
Logistic Regression ◽  
Saudi Arabia ◽  
Multiple Logistic Regression Analysis ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
World Health ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Impact

Introduction: Coronavirus disease (COVID-19) is caused by a newly discovered coronavirus and has resulted in a global pandemic. The World Health Organization recommended avoiding any delay or disruption of immunization services, as this could result in increases in outbreak-prone vaccine-preventable diseases. This study aimed to determine the impact of the COVID-19 pandemic on parents’ behaviour towards their children’s scheduled vaccinations. Methodology: This web-based cross-sectional study recruited 1,143 parents/guardians of children below six years of age living in Saudi Arabia between May 1 and May 30, 2020 via social media platforms. A self-developed online questionnaire consisting of eight items was used. Simple and multiple binary logistic regression was used to determine the factors associated with vaccine delay during the COVID-19 pandemic. Results: The parents/guardians were aged 20–60 years; 82% were aged between 20 and 39 years. It was found that 26% of parents did not vaccinate their children on time according to the national immunization schedule in regular situations, and 38% of parents reported delaying vaccination due to the COVID-19 pandemic. The multiple logistic regression analysis found that having two or more children, living in Riyadh or the Western region or not vaccinating children during regular situations were associated with an increased risk of vaccine delay during the COVID-19 pandemic. Conclusions: Delaying children’s vaccinations during the COVID-19 pandemic was influenced most by living in regions with high COVID-19 prevalence and having two or more children.

scholarly journals COVID-19 DIAGNOSIS ANNOUNCEMENT

2021 ◽  
Vol 9 (5) ◽  
pp. 424-431
Author(s):  
M. Yamoul ◽  
◽  
I. Hanine ◽  
F. Laboudi ◽  
A. Ouanass ◽  
...  
Keyword(s):  
Primary Care Physicians ◽  
Current Practice ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Diagnostic Process ◽  
Specific Training ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Treatment Side Effects ◽  
Quantitative Descriptive

Introduction: Physicians find it difficult to announce the diagnosis of Covid-19 and often resort to the advice of a psychiatrist. This is due to the fear of the patients reaction and the negative psychological impact that the announcement would cause, the poorly known evolution of this pathology and to the lack of training regarding Covid-19 diagnosis announcement practices. The purpose of our study is trying to better understand the current practice and the difficulties encountered during the Covid-19 diagnosis announcement as well as evaluating the patients general reactions. Material and Methods: Quantitative, descriptive and analytical, cross-sectional study based on an online questionnaire. Results: 114 physicians filled in our questionnaire. More than half of them had not received any training regarding Covid-19 dignosis announcement. 94.7% of the physicians believe that it is necessary to announce the diagnosis of Covid-19, most of them considering it as an asset in their disease management. The reluctance to announce a disease with a severe prognosis, along with the fear of negative social and therapeutic repercussions, would slow down clinicians in their practice. Although most clinicians provide a variety of information (clinical, therapeutic, prognostic, target symptoms, and treatment side effects), the majority of participants were satisfied with the information they provide to Covid+ patients. Conclusion: A framework for the diagnostic process, training dedicated to the announcement and the use of material aids should be considered in order to limit these difficulties and to support physicians in their practice. In this respect, primary care physicians are almost unanimous in their desire for specific training.

scholarly journals Knowledge and use of the ICF in clinical practice by physiotherapists and occupational therapists of Minas Gerais

2018 ◽  
Vol 25 (2) ◽  
pp. 134-142 ◽  
Author(s):  
Andrei Pereira Pernambuco ◽  
Raquel de Carvalho Lana ◽  
Janaíne Cunha Polese
Keyword(s):  
Clinical Practice ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Minas Gerais ◽  
World Health ◽  
International Classification Of Functioning ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Health Council ◽  
Graduate Certificate

ABSTRACT This study aims to evaluate the profile and knowledge of physiotherapists and occupational therapists from Minas Gerais about the International Classification of Functioning, Disability and Health (ICF) application in professional practice, trying to understand the reason for the underutilization of this universal instrument in Brazil. Observational and cross-sectional study was conducted using an online questionnaire prepared by specialists. An email was sent to all physiotherapists and occupational therapists enrolled in the Regional Council of the 4th Region. Of 22,121 emails, 1,313 were answered. 53% of the sample had graduate certificate, 65% had between two to ten years of experience, and 62% reported that clinics and patients’ houses are the places where they work. 72% of the professionals knew the ICF and 84% correctly answered the meaning of the acronym. However, 71% of professionals are unaware of the fields that make up this classification. The first contact with the ICF happened during graduation to 50% of professionals, and 28% had never had contact with ICF. 74% reported not using it in clinical practice. However, 82% of the participants believed that the use of ICF is viable in clinical practice. Most professionals had graduate certificate, worked in clinics and patients’ homes and, although most of them claim to know the ICF, the largest portion of the sample reported they did not use this classification in their professional lives, even though believing the ICF use is feasible. The lack of knowledge about the ICF prevents professionals from complying with the recommendations of the World Health Organization (WHO), the Brazilian National Health Council (CNS) and COFFITO (Brazilian Federal Council of Physical Therapy and Occupational Therapy) on the adoption of this instrument in exchange of information about health and clinical practice.

scholarly journals Physician Burnout in Primary Care during the COVID-19 Pandemic: A Cross-Sectional Study in Portugal

2021 ◽  
Vol 12 ◽  
pp. 215013272110084
Author(s):  
Sofia Baptista ◽  
Andreia Teixeira ◽  
Luísa Castro ◽  
Maria Cunha ◽  
Carla Serrão ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Physician Burnout ◽  
Contributing Factors ◽  
Online Questionnaire ◽  
Cross Sectional

Background Primary care physicians have been present on the frontline during the ongoing pandemic, adding new tasks to already high workloads. Our aim was to evaluate burnout in primary care physicians during the COVID-19 pandemic, as well as associated contributing factors. Methods Cross-sectional study with an online questionnaire disseminated through social media, applying the snowball technique. The target population was primary care physicians working in Portugal during the first outbreak of the COVID-19 pandemic. In addition to sociodemographic data, the questionnaire collected responses to the Copenhagen Burnout Inventory (CBI), the Resilience Scale and the Depression, Anxiety, and Stress Scales (DASS-21). Data were collected from May 9 to June 8, 2020, a period comprising the declaration of a national calamity and then state of emergency, and the subsequent ease of lockdown measures. Levels of burnout in 3 different dimensions (personal, work, and patient-related), resilience, stress, depression, and anxiety were assessed. Logistic regression analyses were conducted to identify factors associated with burnout levels. Results Among the 214 physician respondents, burnout levels were high in the 3 dimensions. A strong association was found between gender, years of professional experience, depression and anxiety, and burnout levels. Conclusions Physician burnout in primary care is high and has increased during the pandemic. More studies are needed in the long term to provide a comprehensive assessment of COVID-19’simpact on burnout levels and how to best approach and mitigate it during such unprecedented times.

scholarly journals Interpreting Neonatal Growth Parameters in Oman: Are we doing it right?

2018 ◽  
Vol 17 (4) ◽  
pp. 411
Author(s):  
Reem M. Abdulrahim ◽  
Ahmed B. Idris ◽  
Asad Ur-Rahman ◽  
Mohamed Abdellatif ◽  
Nigel Fuller
Keyword(s):  
Growth Parameters ◽  
Cross Sectional Study ◽  
Full Term ◽  
University Hospital ◽  
World Health ◽  
Growth Charts ◽  
Local Data ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Males And Females

Objectives: This study aimed to compare reference anthropometric measures of Omani neonates with the international standard growth charts of the World Health Organization (WHO) in order to determine the appropriateness of these growth charts to assess the growth of Omani neonates. Methods: This cross-sectional study included all healthy full-term Omani neonates born between November 2014 and November 2015 at the Sultan Qaboos University Hospital, Muscat, Oman. Birth weight, length and head circumference measurementswere identified and compared to those of the 2006 WHO growth charts. Results: A total of 2,766 full-term neonates were included in the study, of which 1,401 (50.7%) were male and 1,365 (49.3%) were female. Mean birth weightsfor Omani males and females were 3.16 ± 0.39 kg and 3.06 ± 0.38 kg, respectively; these were significantly lower than the WHO standard measurements (P <0.001). Similarly, the mean head circumferences of Omani males and females (33.8 ± 1.27 cm and 33.3 ± 1.26 cm, respectively) were significantly lower than those reported in the WHO growth charts (P <0.001). In contrast, mean lengths for Omani males and females (52.0 ± 2.62 cm and 51.4 ± 2.64 cm, respectively) were significantly higher than the WHO standard measurements (P <0.001). Conclusion: The WHO growth charts might not be appropriate for use with Omani neonates; possible alternatives should thereforebe considered, such as national growth charts based on local data.

scholarly journals Saudi Population Awareness Regrading Methods of Colorectal Cancer Screening

2021 ◽  
pp. 812-820
Author(s):  
Mohammed Abdelrazik ◽  
Osamah Zeid Aldakkan ◽  
Afnan Abdaljabbar Almurashi ◽  
Balsam Ghazi Alshareef ◽  
Saad Abdulmalik Almohareb ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Saudi Arabia ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Cross Sectional Study ◽  
Screening Methods ◽  
Inclusion Criteria ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional

Aims: To assess the level of knowledge about colorectal cancer screening methods among the population in Saudi Arabia. Study Design: A cross-sectional study Place and Duration of Study: General Surgery Department, between January 2021 and November 2022. Methodology: This was a cross-sectional, survey-based study conducted in Saudi Arabia. Data was collected using a predesigned self-administered online questionnaire. Inclusion criteria include Saudi male and female between 18-65 years in Saudi Arabia. Then data were analyzed by the SPSS program, version 25 at a level of significance of 0.05. Results: A total of randomly taken 794 participants who filled our questionnaire according to the inclusion criteria. Most of our participants (67.1%) were females and 32.9% of them were males. Only 17.5% of the participants were less than 20 years old, 62.5% of them were between 20 and 30 years old and 20% were more than 30 years old. Most of our participants (58.3%) were university educated, Conclusion: CRC screening were not well known in Saudi Arabia. Educational programs are compulsory and should target people at risk.

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