scholarly journals Prevalence of Chronic Complication among Type 2 Diabetics Attending Primary Health Care Centers of Al Ahsa District of Saudi Arabia: A Cross Sectional Survey

2014 ◽  
Vol 6 (4) ◽  
Author(s):  
Ataur Rahman Khan ◽  
Zaki naser Al abdul Lateef ◽  
Shaheen Fatima ◽  
Sana Abdullah Ahmad Al Yousuf ◽  
Syed Zakaullah Khan Afghan ◽  
...  
2019 ◽  
Vol 4 (5) ◽  

Background: Cardiovascular disease (CVD) is common in the general population, affecting many of adults above 40 years of age. It is a multi-factorial disease. Some risk factors; such as family history, gender, ethnicity and age cannot be changed. Other risk factors are modifiable including high blood pressure, high cholesterol and diabetes. Patients will not necessarily develop cardiovascular disease if they have a risk factor. But the more risk factors they have the greater the likelihood that they will, unless protective measures and actions are taken to modify their risk factors and work to prevent them compromising their heart health. Objectives: The objectives of this study were: to evaluate the adherence of major primary health care centers to the WHO-PEN Protocol 1, Package of essential noncommunicable (PEN) disease interventions for primary health care, recommendations;and to provide more accurate estimate of cardiovascular risk using hypertension, type 2 diabetes mellitus and tobacco use as entry points. Methods: A cross-sectional study involving 200 patients who were already diagnosed with NCDs was conducted atprimary health care centers. Data was collected retrospectively using a self-designed questionnaire based on the WHO- PEN checklist. Patients’ files were selected randomly. Results: Based on the analysis of whole cohort (200 cases). The prevalence of type 2 diabetes was 39% and hypertension was 28.5%, whereas 32.5% had both. There were only 17 smokers among patients representing 8.5% of the sample. Using WHO/ISH, WHO/International Society of Hypertension, Risk prediction charts; half of patients were in the tenyear cardiovascular risk category of less than 10%. On the other hand, 5% had a ten-year cardiovascular risk over 40%.49% of patients had a first-degree family history of heart disease? All patients were counseled on diet, exercise and smoking cessation. Conclusion: These results demonstrate high adherence to the WHO-PEN protocol in these two centers reflecting a high quality of care and follow-up. Furthermore, the medical records were fully filled with adequate information for each item. However, there were some deficiencies in the risk estimation, which should be documented for better counseling for patients with high risk.


Author(s):  
Indri Hapsari ◽  
Marchaban Marchaban ◽  
Chairun Wiedyaningsih ◽  
Susi Ari Kristina

Extemporaneous compounding is one of traditional drug prescribing methods. Although this compounding is still used until present days, but it remains problems since many unexpected cases happen such as medication error, quality of the compounding and also bacterial contamination that may appear in each compounding dosage. This study aims to determine prescribing pattern of antibiotic on dosage of extemporaneous compounding suspension in primary health care centers. The employed method is cross sectional survey conducted in 24 primary health care centers; it is obtained 87 extemporaneous compounding suspensions containing antibiotics. The result shows the antibiotics frequently used in the compounding in the primary health care centers are amoxicillin (90.62%) in form of tablet dosage (10.42) and suspension dosage (89.58%). The most used pattern of antibiotic prescribing in dosage of extemporaneous prescribing suspension is antibiotic suspension + anti-histamine tablets + corticosteroids tablet (18.39%). It can be concluded that the most used prescribing pattern of antibiotic in dosage of extemporaneous prescribing suspension is antibiotic suspension + anti-histamine tablets + corticosteroids tablet.


2015 ◽  
Vol 8 (8) ◽  
pp. 192 ◽  
Author(s):  
Majed A. Aloufi ◽  
Marwan A. Bakarman

<p><strong>OBJECTIVES:</strong> To estimate the prevalence of emergency cases reporting to Primary Health Care centers (PHC), Jeddah, Saudi Arabia and to explore the barriers facing PHC physicians when dealing with such emergency cases.<strong></strong></p><p><strong>METHODS:</strong> A cross-sectional analytic study, where all physicians working in the PHC of the Ministry of Health (MOH) in Jeddah; were invited to participate (n=247). The study period was from July 2013 till December 2013. Data were collected through two sources. 1- A self-administered questionnaire used to determine the physicians’ perceived competence when dealing with emergency cases. 2- A structured observation sheet used to evaluate availability of equipment, drugs, ambulances and other supporting facilities required to deal with emergency cases.</p><p><strong>RESULTS:</strong> The response rate was 83.4%. The physicians’ age ranged between 25 and 60 years with a mean ±SD of 34.4±7.5 years. Majority of them (83.5%) did not attend ATLS courses at all whereas 60.7% never attended ACLS courses. The majority (97.1%) had however attended BLS courses. Physicians in the age group 36-45 years, non-Saudi, those who had SBFM, those who reported experience in working in emergency departments and physicians who reported more working years in PHCCs (&gt;5 years) had a significant higher score of perceived level of competence in performing emergency skill scale than others (P&lt;0.05). The prevalence of emergency cases attending PHC in Jeddah (2013) was 5.2%.</p><p><strong>CONCLUSION:</strong> Emergency services at PHC in Jeddah are functioning reasonably well, but require fine tuning of services and an upgrade in their quality.</p>


2021 ◽  
pp. 12-16
Author(s):  
Dania Alshiha ◽  
Mashael Alghamdi ◽  
Abeer Aldakhil

Nowadays, internet and social media are being used widely. They affect individuals who seek medical information, as a result, inaccurate information lead individuals to misdiagnose themselves and change their treatment plan. The purpose of this study is to determine the behavior of individuals regarding using internet and social media to obtain medical information, sociodemographic factors and reasons for seeking medical information. This study employed a cross-sectional analytical design in primary health care centers in Dammam and Khobar cities. A total of 439 participants were invited to complete a structured, self-administered questionnaire. The results of the study revealed that 87.7% used internet and social media to obtain medical information. The most common reason for searching was symptoms participants had 42.9%. Eighty ve percent were inuenced and 15% were rarely inuenced by the information obtained. More than half of individuals had a positive behavioral change. Majority of individuals had veried the information they obtained, mostly with a physician 83.6%.


2020 ◽  
Vol 35 (6) ◽  
pp. e196-e196
Author(s):  
Kamila Al-Alawi ◽  
Ahmed Al-Mandhari

Objectives: The literature has described several positive outcomes related to diabetes management via nurse-led clinics. This is especially true where a shortage of physicians is recorded within a team-based approach. We sought to explore the perceptions of patients with type 2 diabetes towards the current diabetes management visits at public primary health care centers in Muscat, Oman and their opinions towards nurse-led diabetes management clinics. Methods: This pilot qualitative study included seven semi-structured interviews with type 2 diabetes patients from four purposely selected public primary health care centers in Muscat. Qualitative thematic analysis was applied. Results: Patients with type 2 diabetes expressed their satisfaction with the present diabetes management visits at public primary health care. Their opinions towards nurse-led clinic were diverse and divided patients into three categories: those who totally refused the nurse-led clinics, those who accepted the clinics but with reservations, and patients that totally accepted the nurse-led clinics. The patients’ main concern was the nurses’ abilities to handle and understand the disease and its management. Conclusions: Our pilot study revealed type 2 diabetes patients’ satisfaction with the current diabetes management clinics. However, transformation to nurse-led clinics within team-based approach requires further studies with a bigger sample size. Further studies on requirements related to the Omani health care system and a better understanding of patients’ worries and their readiness to accept the concept of nurse-led clinics and their outcomes are also recommended.


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