scholarly journals Arrhythmias in Children with Normal Heart in Albaha, Saudi Arabia

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Abdulmajid Almawazini ◽  
◽  
Saleh Jamaan Al Ghamdi ◽  
Chafik Ibrahim Hassan ◽  
Sami Ahmed Taha ◽  
...  

Introduction: Arrhythmias in children with structurally normal hearts are common and reported as the causes of many hospital admissions. Generally, the risk of death is low. Physical examination is important in children with arrhythmias. Objectives: This study aimed to review the common types and clinical presentations of arrhythmias in children with normal heart structures in Albaha, Saudi Arabia. Methodology: In this hospital-based retrospective cross-sectional study, the medical records of children were reviewed from January 2010 to December 2020. Results: Overall, 214 children were included in this study. The prevalence of arrhythmias was 27.10% in children aged 5-8 years; 18.7%, 8-12 years; 16.82%, 3-5 years; 16.35%, 1-3 years; 13.55%, 12-14 years; and 7.48%, <1 year. Arrhythmias were more frequent in females aged <5 years and in males aged >5 years; however, overall, there was no significant difference between females (47.20%) and males (52.80%). Supraventricular arrhythmias were the commonest and found in 85% of the children and ventricular arrhythmias were found in 15%. Sinus tachycardia was the most common type of arrhythmia, reported in 25% of the children. Conclusion: In general, arrhythmias in the children are asymptomatic. History, clinical examination, and electrocardiography are important for the diagnosis. Supraventricular arrhythmias are the most common. There is no significant difference between females and males with respect to the prevalence of arrhythmias.

2021 ◽  
Author(s):  
Abdulmajid Almawazini ◽  
Saleh Jamaan Al Ghamdi ◽  
Chafik Ibrahim Hassan ◽  
Sami Ahmed Taha ◽  
Ramzi Ahmed Mohammed Alzahrani ◽  
...  

Arrhythmias in children with structurally normal hearts are common and reported as the causes of many hospital admissions. Generally, the risk of death is low. Physical examination is important in children with arrhythmias. Objectives: This study aimed to review the common types and clinical presentations of arrhythmias in children with normal heart structures in Albaha, Saudi Arabia. Methodology: In this hospital-based retrospective cross-sectional study, the medical records of children were reviewed from January 2010 to December 2020. Results: Overall, 214 children were included in this study. The prevalence of arrhythmias was 27.10% in children aged 5-8 years; 18.7%, 8-12 years; 16.82%, 3-5 years; 16.35%, 1-3 years; 13.55%, 12-14 years; and 7.48%, &lt;1 year. Arrhythmias were more frequent in females aged &lt;5 years and in males aged &gt;5 years; however, overall, there was no significant difference between females (47.20%) and males (52.80%). Supraventricular arrhythmias were the commonest and found in 85% of the children and ventricular arrhythmias were found in 15%. Sinus tachycardia was the most common type of arrhythmia, reported in 25% of the children. Conclusion: In general, arrhythmias in the children are asymptomatic. History, clinical examination, and electrocardiography are important for the diagnosis. Supraventricular arrhythmias are the most common. There is no significant difference between females and males with respect to the prevalence of arrhythmias.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abeer Alharbi ◽  
Joharah Alzuwaed ◽  
Hind Qasem

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.


BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e023216 ◽  
Author(s):  
Amy GL Nuttall ◽  
Katie M Paton ◽  
Alison M Kemp

ObjectiveTo evaluate utility and equivalence of Glasgow Coma Scale (GCS) and the Alert, Voice, Pain, Unresponsive (AVPU) scale in children with head injury.DesignCross sectional study.SettingUK hospital admissions: September 2009–February 2010.Patients<15 years with head injury.InterventionsGCS and/or AVPU at injury scene and in emergency departments (ED).Main outcomeMeasures used, the equivalence of AVPU to GCS, GCS at the scene predicting GCS in ED, CT results by age, hospital type.ResultsLevel of consciousness was recorded in 91% (5168/5700) in ED (43%: GCS/30.5%: GCS+AVPU/17.3%: AVPU) and 66.1% (1190/1801) prehospital (33%: GCS/26%GCS+AVPU/7%: AVPU). Failure to record level of consciousness and the use of AVPU were greatest for infants. Correlation between AVPU and median GCS in 1147 children <5 years: A=15, V=14, P=8, U=3, for 1163 children ≥5 years: A=15, V=13, P=11, U=3. There was no significant difference in the proportion of infants who had a CT whether AVPU=V/P/U or GCS<15. However diagnostic yield of intracranial injury or depressed fracture was significantly greater for V/P/U than GCS<15 :7/7: 100% (95% CI 64.6% to 100%) versus 5/17: 29.4% (95% CI 13.3% to 53.1%). For children >1 year significantly more had a CT scan when GCS<14 was recorded than ‘V/P/U only’ and the diagnostic yield was greater. Prehospital GCS and GCS in the ED were the same for 77.4% (705/911).ConclusionThere was a clear correlation between Alert and GCS=15 and between Unresponsive and GCS=3 but a wider range of GCS scores for responsive to Pain or Voice that varied with age. AVPU was valuable at initial assessment of infants and did not adversely affect the proportion of infants who had head CT or the diagnostic yield.


2020 ◽  
Vol 14 (1) ◽  
pp. 440-449
Author(s):  
Khaled Alzahrani ◽  
Abdulrahman Mohammed Alnafisah ◽  
Khalid Gohormallah Alzahrani ◽  
Khalid Ghalib Alharbi

Objective: The aim of the study is to assess knowledge, attitude and practices of dental implants among dental interns in Saudi Arabia Materials and Methods: A self-designed, close-ended questionnaire was distributed among 205 interns chosen by stratified random sampling technique. The questionnaire consisted of 28 items pertaining to demographic characteristics, knowledge and practices of dental implants. Responses were coded and entered into spreadsheet software (Microsoft Excel 16.0.) and analyzed using Statistical Package for Social Sciences (SPSS, IBM Version 22.0) and contingency tables and chi-square test (χ2). Results: The majority of the participants were males (64.4%), between 24-26 years of age (64%) and had a GPA between 4-5 (63.4%). The majority of the participants gained knowledge of dental implants through theoretical lectures (98.5%), and most of them (80%) knew, what material, an implant was made up of. Almost all participants (91.7%) knew that dental implants had surface modifications. Most (64.4%) believed that case selection is the most important criteria for the success of dental implant therapy, and this differed significantly among participants with respect to GPA (p=0.03). Many participants (60%) believed that the most important advantage of dental implants over fixed prosthesis is that reduction of adjacent tooth is not needed, and this differed significantly between males and females (p=0.026). There was a significant difference (p<0.001) between males and females when it came to confidence in independently restoring teeth using dental implants. 63% of the participants were confident to use dental implants in their future practice. Conclusion: Knowledge of dental implants among dental interns is satisfactory, but this study reveals that participants lack practical experience and would like to acquire more clinical skills. Limitations: The response rate of participants from each university was low, which made comparisons between different universities difficult because sample size from some universities was very small, which could not produce statistically accurate results.


Author(s):  
Nusrat Bano ◽  
Muhammad Anwar Khan ◽  
Uzma Asif ◽  
Jennifer de Beer ◽  
Hawazen Rawass ◽  
...  

Abstract Objective: To assess the prevalence of depression, anxiety and stress in medical students, and to analyse effects of demographics and nomophobia on depression, anxiety and stress. Method: The descriptive cross-sectional study was conducted at the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia, from April 1 to May 23, 2019, and comprised male and female medical students aged 19-25 years. Data was collected using a demographic information form, the 21-item depression, anxiety and stress scale and the 20-item nomophobia questionnaire. Data was analysed using SPSS 20. Results: Of the 230 students, 108(47%) were boys and 122 (53%) were girls. The overall mean age was 21.93+1.80 years. Anxiety, depression and stress was reported in 168 (74.6%), 158 (70.2%) and 127 (55.9%) of the students. Extremely severe anxiety, depression and stress were self-reported by 92 (40.9%), 38 (16.8%) and 16 (7.04%) students. There was a significant difference in the distribution of subjects within different levels of anxiety across gender (p<0.05).  Higher anxiety and stress scores were observed in 78 (33.9%) students with severe nomophobia. Differences in the levels of anxiety and stress with regards to type of residence and nomophobia levels were significant (p<0.05). Conclusion: There was high prevalence of depression, anxiety and stress associated with gender, nomophobia levels and residence type. Key Words: Depression, Anxiety, Stress, Medical, Nomophobia.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Yaron Arbel ◽  
Edo Y. Birati ◽  
Itzhak Shapira ◽  
Talya Finn ◽  
Shlomo Berliner ◽  
...  

Introduction.Different anthropometric variables have been shown to be related to cardiovascular morbidity and mortality. Our aim was to compare the association between different anthropometric measurements and inflammatory status.Methods and results.A cross-sectional study design in which we analyzed the data collected during a five-year period in the Tel Aviv Medical Center Inflammation Survey (TAMCIS). Included in the study were 13,033 apparently healthy individuals at a mean (SD) age of 43. Of these, 8,292 were male and 4,741 female. A significant age-adjusted and multiple-adjusted partial correlation was noted between all anthropometric measurements and all inflammatory biomarkers. There was no significant difference in the correlation coefficients between different biomarkers and anthropometric variables.Conclusion.Most of the common used anthropometric variables are similarly correlated with inflammatory variables. The clinician can choose the variable that he/she finds easiest to use.


2015 ◽  
Vol 16 (10) ◽  
pp. 783-787
Author(s):  
Mohammad Sami Ahmad ◽  
Khalid Mohammad Al-Harbi

ABSTRACT Introduction Dental problems are commonly encountered in our lives. Some of the common problems are toothache, bleeding gums and halitosis. Objectives How the dental problems were handled, and reasons of not seeking dental treatment by the patients. Materials and methods This was an observational analytical cross-sectional study on adult's age above 14 years from Madinah. Results A total of 400 adults were included; 208 (52%) were males and 192 (48%) were females. Resident encountered toothache surprisingly only 49% sought dental treatment, while (41%) settled for taking medications. Among bleeding gum patients most of them (45%) went to the dentist, while (41%) settled for using the home care. And dealing with halitosis only (17%) went to the dentist. The most common reasons for not seeking dental treatment were fear and long appointments. And mostly they had fear because of dental drill and dental needle. Conclusion The most common problems for seeking treatment were toothache followed by bleeding gums and the least was halitosis. Number of people who sought treatment was still a low number. The most common reason that stopped patients from going to the dentist was fear and long appointments. There should be increase of dental clinics and patients should be given dental education. How to cite this article Ahmad MS, Al-Harbi KM. Behaviors and Management of the Dental Problems by the Residents of Madinah, Saudi Arabia. J Contemp Dent Pract 2015;16(10): 783-787.


2021 ◽  
Vol 10 (40) ◽  
pp. 3520-3525
Author(s):  
Pichaachari Rathika ◽  
Kaliyan Veeramuthu ◽  
Arumugam Subramanian Senthilkumar

BACKGROUND Alcohol use disorder is one of the dangerous public health burden. The construct of impulsivity and its various dimensions in relation with aggression are relevant for understanding alcohol dependence and relapse. The goal of the study is to describe the role of impulsivity and aggression in the context of alcohol dependence. The purpose and implications of this study was to understand the human factors contributing to aggression and impulsivity and in providing advanced treatment programs. METHODS This cross-sectional study was discussed in detail and approved by the ethical committee of the Madras Medical College. The cases were selected consecutively from all the patients attending the outpatients as well as inpatient for the same after fulfilling the inclusion and exclusion criteria, within seven days of last intake of alcohol. The diagnosis was made according to International Classification of Diseases (ICD-10) criteria after ruling out psychotic disorder and other comorbid medical illnesses. Informed consent was obtained from all the patients and caregivers. Descriptive statistics used meticulously to measure the magnitude. RESULTS This study found significant positive correlation (P < 0.001) between impulsivity, aggression subtypes with alcohol dependence. Various subsets in Barrett impulsivity scale (BIS) and subsets of Buss Perry aggression scales (BPAS) had positive correlations. We found that as severity of dependence increases, impulsivity and aggression scores increases and vice versa. The comparison of means of illness variables within groups showed that there was no significant difference between groups in terms of age of onset of illness, last alcohol intake, number of hospital admissions, duration of abstinence and frequency of relapse. CONCLUSIONS This study describes the important role of behavioural model and disease model of alcoholism, 1,2 greatly stresses the inability to control the quantity and frequency of the drinking behaviour. There is higher level of connectivity between alcohol dependence with biological and behavioural indicators of impulsivity and aggression. 3 It supports that relapse is an acquired behaviour in which the individual is able to control his substance taking pattern through adequate cognitive behavioural techniques in addition to pharmacological treatment and also suggest more research needed in future to focus on causality and intervention. KEY WORDS Impulsivity, Aggression, Alcohol dependence, Relapse


Author(s):  
Mohamed Awad ◽  
Mansour Alradan ◽  
Nawaf Alshalan ◽  
Ali Alqahtani ◽  
Feras Alhalabi ◽  
...  

Dental practitioner-related factors can affect the quality of composite restorations. This study aimed to investigate the clinical techniques used by dental practitioners (DPs) while placing direct posterior composite restorations. Methods: A questionnaire survey that sought information related to the placement of posterior composite restorations was delivered to 161 DPs working in the Al-Kharj area, Saudi Arabia. The collected data were statistically analyzed using Pearson’s Chi-square test and Fisher’s exact test considering the DP’s working sector and the answered questions. Results: A total of 123 DPs completed the survey (76.4% response rate). There was a statistically significant difference between DPs working in the private sector and those working in the governmental sector in 7 out of 17 questionnaire items namely: preparing a minimum depth of 2 mm, (p = 0.001); mechanical means of retention, (p = 0.003); operative field isolation, (p = 0.004); adhesive strategy, (p < 0.001); light-curing unit used, (p = 0.013); the use of radiometer, (p = 0.023), and dental matrix selection, (p < 0.001). Conclusion: The clinical techniques applied by DPs working in the private sector in Al-Kharj, Saudi Arabia when placing posterior composite restorations, including the specifications of cavity preparation, operative field isolation, and selection of the dental matrix system, may be substandard compared to those applied by DPs working in the governmental sector.


2019 ◽  
Vol 18 (4) ◽  
pp. 507
Author(s):  
Abdulrahman Alshuwayrikh ◽  
Abdulrahman Aljethaily ◽  
Faris Alosaimi ◽  
Osama Alshaya ◽  
Abdullah Alasmari ◽  
...  

Objectives: This study aimed to evaluate knowledge and attitudes towards first aid (FA) measures among medical students at the Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. Methods: This cross-sectional study was conducted between September and December 2016 among 600 medical students in different academic years at Al-Imam Mohammad Ibn Saud Islamic University. Knowledge and attitudes towards FA measures were evaluated using a modified version of a previously validated questionnaire. Data were compared between students with previous FA training and those without previous FA training. Results: A total of 259 medical students were included (response rate: 43%). Of these, 43% had previously received FA training and 63% had witnessed an emergency first-hand. Mean theoretical (5.93 ± 2.50 versus 4.49 ± 2.08; P <0.001) and practical (4.29 ± 2.62 versus 2.90 ± 2.17; P <0.001) knowledge scores were significantly higher among students with previous FA training compared to those without training; however, there was no significant difference in mean attitude score (5.60 ± 1.66 versus 5.39 ± 1.66; P = 0.329). Conclusion: The medical students, particularly those without previous FA training, demonstrated weak levels of FA knowledge. Such findings necessitate the inclusion of FA training in medical curricula in Saudi Arabia.Keywords: First Aid; Emergency Treatment; Medical Education; Knowledge; Attitudes; Saudi Arabia.


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