scholarly journals Adherence to Vaccine Requirements among Hajj Pilgrims in Saudi Arabia, 2017-2019

2021 ◽  
Vol 3 (2) ◽  
pp. 86-97
Author(s):  
Adel Alotaibi ◽  
Sami S Almudarra ◽  
Homoud S Algarni ◽  
Yasser Bakhsh ◽  
Zahir Mohamed Elamin Dafaalla ◽  
...  

Hajj pilgrims must have certain vaccines for pilgrimage; these requirements aim to reduce the spread of infectious diseases. This study analyzed the trends in vaccine adherence for meningitis, yellow fever, and polio from January 2017- December 2019. These trends can help in guiding future policymaking to prevent outbreaks during Hajj and similar mass gatherings. We analyzed data using descriptive statistics for Hajj pilgrims and Hajj seasonal workers arriving in Saudi Arabia over three years (2017–2019). Health Control Centers (HCCs) collected data at points-of-entry (PoE) and entered it into Saudi Arabia’s Health Electronic Surveillance Network (HESN). We reviewed HESN data to collect information on total passengers arriving per country and the number of passengers vaccinated for: meningococcal meningitis, poliomyelitis, and yellow fever. We compared data to identify the difference in vaccination by region.  We used chi-square tests to assess differences in compliance rate among these travelers by year and country of origin. The number of participating countries increased from 113 to 132. Meningitis vaccine coverage increased by 5% from 2017–2019. The increase was not statistically significant. Asia had the lowest overall adherence rate (83%). Yellow fever adherence decreased significantly using a difference of mean adherence between 2017 and 2019 (p-value 0.01). Polio vaccination adherence decreased by 5% from 2017 to 2019; this was not significant (p-value = 0.08). The vaccine coverage increased for meningitis and decreased for yellow fever and polio. Less than 100% vaccine adherence among Hajj travelers creates the potential for the spread of infectious diseases. Proof of vaccination should be required in submitted visa applications. Countries of origin and Saudi Arabia must work together to ensure that all Hajjis are adequately vaccinated before departure.

2021 ◽  
Vol 5 (1) ◽  
pp. 19-27
Author(s):  
Astri Nur Amalia

ABSTRACT The incidence of infectious diseases due to personal hygiene in orphanages children often occurs. a factor that has an influence is predisposing factors. The purpose of this study is to known the correlation between the level of personal hygiene and predisposing factors in children at Panti Asuhan Al Amal Surabaya. The research type was observation research with cross sectional approach. The research subject’s samples used 67 children from 80 children of total population. Statistical analysis to obtain correlation used chi-square test. The results showed that there is  relationship between age (p value = 0.002), knowledge (p value = 0.039), and facility (p value = 0,001) to the level of personal hygiene. there is no relationship bentween gender (p value = 0.084) and attitude (p value = 0.225) to the level of personal hygiene. So it can be concluded that age and knowledge as predisposing factors are dominant to influence person's behavior. Keywords: personal hygiene, knowledge, predisposing factors, children   ABSTRAK Kejadian penyakit menular karena kurangnya kebersihan diri pada anak di panti asuhan sering terjadi. Salah satu faktor yang memiliki pengaruh yaitu faktor predisposisi. Tujuan dari penelitian ini adalah mengetahui hubungan antara tingkat kebersihan diri dan faktor predisposisi pada anak di Panti Asuhan Al Amal Surabaya. Jenis penelitian ini adalah penelitian obseravional dengan pendekatan cross sectional. Jumlah sampel yang digunakan sebesar 67 anak dari total populasi 80 anak. Analisa statistik untuk mendapatkan hubungan menggunakan uji chi-square. Hasil menunjukkan bahwa ada hubungan usia (p value = 0,002), pengetahuan ( p value = 0,039), dan fasilitas (p value = 0,001) terhadap tingkat kebersihan diri. Jenis kelamin (p value = 0,084) dan sikap (p value = 0,225) tidak ada hubungan terhadap tingkat kebersihan diri. Sehingga dapat disimpulkan bahwa usia, pengetahuan, dan fasilitas sebagai faktor predisposisi yang  dominan dalam mempengaruhi perilaku seseorang. Kata Kunci: kebersihan diri, pengetahuan, faktor predisposisi, anak


2018 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Aida Maftuhah

Penyakit tuberkulosis merupakan infeksi menular yang sampai saat ini masih menjadi masalah kesehatan masyarakat dunia. Kepatuhan pasien TB Paru merupakan parameter utama dalam menilai berhasil tidaknya pengobatan TB Paru.Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan terhadap tingkat kepatuhan pasien TB paru di BKPM Provinsi Jawa Barat. penelitian ini merupakan penelitian observational dengan desain cross sectional, pengukuran data dengan menggunakan kuesioner yang sudah divalidasi oleh Armelia Hayati tahun 2011 kemudian dianalisa univariat dan bivariat dengan menggunakan uji Chi-Square. Hasil penelitian ini diperoleh dari 27 responden mempunyai tingkat pengetahuan sangat baik sebesar 59,3% dan tingkat kepatuhan kelompok terbesar dengan tingkat kepatuhan tinggi sebesar 66,7%. hasil uji Chi-Square didapatkan nilai p value = 0,462 kurang dari 0,05 artinya tidak ada hubungan yang signifikan antara pengetahuan pasien TB paru dengan kepatuhan berobat pasien TB paru. Abstract Tuberculosis is a contagious infection that is still a world public health problem. Compliance of tuberculosis patients is a major parameter in assessing the success or failure of tuberculosis treatment.This study aims to determine the relationship of knowledge to the level of compliance of tuberculosis patients in BKPM West Java Province. This research is an observational research with cross sectional design, data measurement using questionnaires already validated by Armelia Hayati in 2011 and then analyzed univariat and bivariate by using Chi-Square test. The results of this study were obtained from 27 respondents have a very good knowledge level of 59.3% and the level of compliance of the largest group with high compliance rate of 66.7%. Chi-Square test results obtained p value = 0.462 less than 0.05 means there is no significant relationship between the knowledge of patients with tuberculosis compliance treatment.


Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1077
Author(s):  
Saad Saeed Alqahtani

Avoidance of medication errors is imperative for the safe use of medications, and community pharmacists are uniquely placed to identify and resolve the errors that may arise due to poorly handwritten prescriptions. Purpose: To explore the opinion and attitudes of community pharmacists towards poor prescription writing and their suggestions to overcome this concern. Methods: A cross-sectional, self-administered survey was conducted among the community pharmacists in the Jazan region, Saudi Arabia. Descriptive analysis and chi-square test were used at 5% p-value (p > 0.05) as the significance level. Results: The response rate for the survey was 78.66%, and 140 community pharmacists agreed to participate. Among the study subjects, the majority (73.57%) had a bachelor’s degree. Nearly three-fourths (3/4) of the pharmacists (72.29%) chose to send the patient back to the prescriber when they found difficulty in interpreting the information from an illegible prescription. As many as 80.71% of the pharmacists believed that poorly handwritten prescriptions were the cause of actual errors when dispensing medications. The most commonly encountered problem due to poorly handwritten prescriptions was the commercial name of medicine, which was reported by around two-thirds (67.86%) of the pharmacists. The use of e-prescription was suggested by 72.86% of the pharmacists as a probable solution to encounter this problem. Conclusion: Our findings highlight the belief and attitudes of community pharmacists in the region and their opinions to solve this impending problem of poor prescription writing. Continuous professional development courses can be adopted to tackle the problem. Additionally, health authorities can work on incorporating and facilitating the use of e-prescription in the community sector, which can be a boon to physicians, pharmacists, and patients. Proper and extensive training is however needed before the implementation of e-prescribing.


2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii134-ii134
Author(s):  
Lauren Karpf ◽  
Sanjeev Chawla ◽  
Lisa Desiderio ◽  
Suyash Mohan

Abstract BACKGROUND Tumor treating fields (TTFields) has emerged as a novel antimitotic modality to treat glioblastoma (GBM). Recently, a positive association was reported between TTFields dose at the tumor bed and survival outcomes in GBM patients. Dose density depends upon power density and compliance rate (cumulative amount of time TTFields therapy is delivered to the patient). Increased compliance with TTFields has been proposed as an independent prognostic factor for improved clinical benefits. There is evidence that females tend to respond better than males to standard therapy. However, the impact of gender and age on TTFields compliance is not fully understood in GBM patients. OBJECTIVE To investigate potential interactions amongst age, gender and TTFields compliance in GBM patients. METHODS A cohort of 16 patients (males =9; females=7; mean-age=60.8±7.6years) with newly diagnosed and recurrent GBM receiving TTFields were analyzed retrospectively. Device usage time was collected from internal log files in each case. The mean duration of TTFields therapy in patients was 4 months. Chi-square and independent sample T-tests were performed to evaluate differences in compliance rates based on patient age and gender and to examine gender-age relationships. Additionally, Pearson correlation analyses were performed to determine associations between gender and compliance rates. The probability (p) value of 0.05 was considered significant. RESULTS A trend (p=0.067) towards greater TTFields compliance was observed in females (80.1±0.11%) versus males (63.0±0.22%). Additionally, there was a strong positive correlation (R=0.73; p=0.058) between age and compliance rates for female patients. There were 6 patients ≥ 65 years and 10 patients < 65 years. However, we did not find significant differences in compliance rate and gender variables between patients ≥ 65 years and < 65 years of age. CONCLUSIONS Our results demonstrate gender influences TTFields compliance amongst GBM patients. However, future studies with larger cohorts are warranted to validate these findings.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S193-S193
Author(s):  
Karen L Carvajal ◽  
Prishanya Pillai ◽  
Angelina Winbush ◽  
Rupinder mangat ◽  
Ted Louie

Abstract Background The COVID pandemic has changed and will continue changing the way we practice medicine. We sought to investigate the impact of telehealth (TH) in the delivery of healthcare in the general infectious diseases (GID), and HIV clinic during the COVID pandemic. The University of Rochester Medical Center is a major tertiary care and referral center for ID in upstate New York. From March through May of 2020, the clinics were closed, and nearly all visits were conducted by TH. Methods We surveyed (either by telephone or online) a total of 260 patients who participated in TH visits, with a mean age of 56 years in the HIV group and 59 years in the GID group. With a predominance of 62.8 of males v/s 37.2 of females. We collected information regarding the reason for the TH visits, access to technology, patient satisfaction, and preferences over in-person visits. We obtained the volume and no-show rate from prior years through EPIC. We evaluated compliance between in-person and TH visits using statistical analysis. Results We found 93.4% of GID and 84.3% of HIV patients surveyed, either strongly agreed or somewhat agreed that their TH visit was as satisfactory as a clinic visit. 67.5% of GID and 63% of HIV patients agreed that the option of TH would increase their compliance rate in the future. The no-show rate during the TH period in the HIV group decreased from 23% to 5% compared to the previous year, while the no-show rate in GID decreased from 9% to 4%. These results were statistically significant with a P-value < 0.005 in both groups. Conclusion GID patients were more likely to have TH for hospital follow-up, follow-up of acute problems, and outpatient antibiotic therapy, compared to HIV patients, who more often had TH for chronic problems. GID patients were more likely to have the capability for televideo visits when compared to the HIV group, although this was not statistically significant. TH was statistically significant in improving patient compliance with appointments in both the HIV and ID clinics. Patients were overall highly satisfied with their TH experience and many patients also reported that continued availability of telemedicine would improve their compliance with appointments. Disclosures All Authors: No reported disclosures


Author(s):  
Karunakar Shetty ◽  
Raghad Mohammed Mona ◽  
Fatmah Abdulrahman Ashy ◽  
Sarah Naji Aljahdali ◽  
Lama Salman Alhazmi

Introduction: Improving communication and collaboration between members of the dental team is important to the long term aim of improving the quality of dental care for patients. The aim of this cross‑sectional study was to compare and assess the communication and interactions between dental students and laboratory technicians for fixed prosthesis. Materials and Methods: The Survey based study was conducted online using a self-structured, pre-tested, closed ended with Face validity and content validity and consisting of 18 questions for dental students and 18 questions for dental technicians. Questionnaire was designed to compare and assess the quality of communication between dental students and laboratory technicians for fixed prosthodontics in Makkah region of Saudi Arabia. The data were tabulated and analyzed using SPSS version 21. Chi-square test was used to compare and assess the quality of communication between dental students and laboratory technicians for fixed prosthodontics. P-value of less than 0.05 was considered statistically significant. Results: In our survey around forty percent of technicians indicated that work authorization forms were complete and legible to provide the prosthesis. Regarding Communication with the dental technicians by the dental students, 38.5% (77) of them communicate by filling the authorization form, 38.5% (77) of them giving instructions to the delivery boy and 21% (42) of them giving instructions over the phone. Conclusion: Communication between dentist and dental students are very important and it is recommended to fill the authorization form for fixed prosthesis. Technicians should undergo training with designing of fixed prosthesis especially pontic design. 


2018 ◽  
Vol 1 (1) ◽  
pp. 35
Author(s):  
Rindi Antika ◽  
Indah Budiastutik

AbstrakGizi merupakan salah satu penentu kualitas Sumber Daya Manusia (SDM). Makanan yang diberikan sehari-hari harus mengandung semua zat gizi sesuai kebutuhan, sehingga menunjang pertumbuhan yang optimal dan dapat mencegah penyakit defisiensi, mencegah keracunan dan juga mencegah timbulnya penyakit yang dapat mengganggu kelangsungan hidup anak. Penelitian ini bertujuan untuk mengetahui hubungan sosial ekonomi, berat lahir dan penyakit infeksi dengan kejadian stunting pada balita di Desa Semanga Kecamatan Sejangkung Kabupaten Sambas. Desain studi dalam penelitian ini adalah case control. Uji statistik yang digunakan dalam penelitian ini adalah uji chi square. Sampel adalah jumlah sampel kasus ditambah dengan jumlah sampel kontrol, sehingga penelitian ini memerlukan 82 balita dengan jumlah sampel 41 balita stunting sebagai kasus dan 41 balita tidak stunting sebagai kontrol. Pengambilan sampel dalam penelitian ini dilakukan dengan teknik Purposive sampling. Hasil penelitian menunjukkan ada hubungan antara pendidikan dengan kejadiaan stunting pada balita di Desa Semanga Kecamatan Sejangkung Kabupaten sambas (p value = 0,010), ada hubungan antara pengetahuan dengan kejadiaan stunting pada balita (p value =0,001), ada hubungan antara pendapatan dengan kejadiaan stunting pada balita (p value = 0,039).Tidak ada hubungan antara berat lahir dengan kejadiaan stunting pada balita (p value = 0,616), ada hubungan antara penyakit infeksi dengan kejadiaan stunting pada balita (p value = 0,021). Diharapkan ibu tetap harus aktif dalam mencari informasi melalui majalah, surat kabar, radio, TV, brosur-brosur, konsultasi dengan petugas kesehatan tentang makanan yang bergizi untuk meningkatkan pengetahuan tentang pentingnya makanan bergizi. Bagi Puskesmas diharapkan lebih mengoptimalkan kegiatan promosi kesehatan terutama tentang pencegahan stunting ke daerah-daerah terpencil yang sulit dijangkau khususnya daerah Desa Semanga kecamatan Sejangkung.Kata Kunci: Sosial Ekonomi, Berat Lahir, Penyakit Infeksi, Stunting AbstractNutrition is one of the determinants of human resources. Daily food intake should contain all the required nutrients  to support an optimal growth. In addition, it  prevents us from  nutritional deficiency, toxicity, and diseases that may interfere the viability of children. This study aimed at figuring out the correlation of socioeconomic, birth weight, infectious diseases, and the incidence of stunting among infants in Desa Semanga kecamatan Sejangkung kabupaten Sambas. A case control design was carried out in this study. The statistic test employed was chi square test. As many as  82 infants were selected as the sample by using purposive sampling technique.. They were divided into two groups; control  (41 infants and case  (41 infants). The study revealed two findings. First, there were correlation of education (p value = 0,010), knowledge (p value 0,039), income (p value = 0,039),infectious diseases (p value=0,021) and stunting in infants. Second, there was no correlation of birth weight  and stunting in infants (p value = 0,616). As a result,  mothers should be active in getting more information about nutritious food through magazine, radio, TV, brochures and health consultation. Besides, local public health centers also require to optimize their health programs, particularly the prevention of stunting to inaccessible remote areas, such as Desa Semanga kecamatan Sejangkung.Key words: Socioeconomic, Birth Weight, Infectious Diseases, Stunting


Author(s):  
Eman Jamal Fatani ◽  
Rawabi Mahmoud Eskandrani ◽  
Lina Omar Alfadil

Background: Orthodontic anchorage is a technique used to avoid undesired tooth movement. The miniature screw (mini-screw) implant is an orthodontic innovation that was introduced to circumvent the limitations of conventional anchorage systems. Mini-screws, known as temporary anchorage devices (TADs), give clinicians good control over tooth movement in 3 dimensions and can assist orthodontists in anchorage-demanding cases.Methods: A questionnaire was distributed by online survey using SurveyMonkey and on paper during orthodontic meetings in Saudi Arabia. Collected data were analyzed using SPSS statistical software (version 23, IBM). A 2-way cross-tabulation and Fisher’s exact or Pearson chi-square tests were used to evaluate statistically significant differences. A P-value < 0.05 was considered to be statistically significant.Results: Of 133 respondents, 72 (54.1%) of practitioners worked in the governmental sector and 61 (45.9%) worked in the private sector. A total of (87.3%) of practitioners in the governmental sector and (80%) of practitioners in the private sector reported using mini-screws in clinical practice. Practitioners who reported that they did not use mini-screws in clinical practice listed the following reasons: “I don’t have enough information” (33.3%), “It’s a surgeon’s job” (11.1%), “Not available in the hospital” (29.6%), and “Other” (25.9%). A total of 60.2% of practitioners loaded mini-screws immediately, 8.3% loaded them 1 week after implantation, 11.3% loaded them 2-3 weeks after implantation, and 3.8% loaded them >3 weeks after implantation. Regarding the method of placement, 63.2% of practitioners used radiography for placement guidance/confirmation, 9.8% used a self-made guide, and 8.3% did not use a guide.Conclusions: Lack of education and training are major reasons that practitioners do not use orthodontic mini-screws in Saudi Arabia. Increased efforts to organize seminars and workshops may motivate practitioners to incorporate mini-screw usage into routine practice.


2021 ◽  
Vol 10 (2) ◽  
pp. 177-188
Author(s):  
Siti Kurnia Widi Hastuti ◽  
Annisa Intan Fadilla ◽  
Selly Apriansyah

Transmission of nosocomial infections from person to person must be prevented by always maintaining hand hygiene after carrying out inspection activities and interaction activities in hospitals, one of them by doing hand hygiene. Awareness of the importance of hand hygiene in health workers is needed in efforts to prevent nosocomial infections. The hand hygiene compliance rate obtained at One of Private Hospital in Yogyakarta is 80%. Awareness of the importance of the implementation of hand hygiene does not yet exist or has not emerged in the nurse itself, while it is very important in addition to protecting himself from the transmission of infection and can reduce the risk and spread of nosocomial infections in the hospital. This study uses an observational analytic method with a cross-sectional design. The sampling technique uses proportional random sampling, with the number of samples studied as many as 89 people. The research data were analyzed using the chi-square test. The p-value of 0.040 (p 0.05) indicates that there is a relationship between knowledge and nurse compliance in the implementation of hand hygiene. A p-value of 1.00 (p 0.05) indicates that there is no relationship between attitude and nurse compliance in the implementation of hand hygiene. P-value of 0.425 (p 0.05) indicates that there is no relationship between motivation and nurse compliance in the implementation of hand hygiene


Author(s):  
Leena Rashad Baghdadi ◽  
Razan Rashad Baghdadi ◽  
Ruqayyah Sami Kamal ◽  
Elaf Faisal Obaid ◽  
Maryam Farraj Aloqalaa ◽  
...  

Abstract Objectives: To investigate the frequency of job satisfaction, burnout and ethics among physicians across specialties with varied levels of experience and seniority, in hospitals in Makkah, Saudi Arabia. Methods: From April-May 2016, job satisfaction, burnout and ethics were assessed in 136 physicians across specialties from six government hospitals in Makkah. Data collection was via a self-administered questionnaire. SPSS was used to obtain the likelihood ratio chi-square for all categorical bivariate statistical analyses. P value <0.05 was considered significant. Results: A total of 136 physicians participated in the study. Sixty-nine percent physicians were male and 31% were female. Medical specialties varied between genders. There was no significant difference by gender, in job satisfaction among physicians (p-value 0.99). However, a high level of burnout was statistically significant among physicians (51%, p-value <0.0001) and the level of burnout was significantly higher among physicians willing to change their specialty compared to those willing to repeat it (50% vs. 24%, p-value 0.02). Physicians dissatisfied with their salary had double the scores of ethics compared to satisfied physicians. Female physicians were better at resolving ethical dilemmas. Conclusion: This study provided the first evidence of high frequency of burnout and career choice regret among physicians working in Makkah, Saudi Arabia. Preventing physician burnout not only improves the quality of healthcare but also ensures patient safety. Keywords: Physician satisfaction, ethics, burnout, work stress, loss of enthusiasm


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