Health Care Centers In Jeddah Research Articles

Oral Health-Related Quality of Life Following Root Canal Treatment of First Permanent Molars Among Children. A Cross-Sectional Study.

This study aimed to assess the Oral Health-Related Quality of Life (OHRQoL) of pediatric patients (9-18 years old) who underwent root canal treatment (RCT) on first permanent molars (FPMs). A cross-sectional study was conducted at three healthcare centers in Jeddah, Saudi Arabia. Participants (n = 482) completed the validated OHIP5-Ar questionnaire to assess OHRQoL. Responses were classified as "optimal" (no problems) or "less than optimal" (any reported problems). Logistic regression analyzed the relationship between OHRQoL and sociodemographic factors. There were 66.8% children reported optimal OHRQoL after RCT. Logistic regression showed no significant association between optimal OHRQoL and gender, family income, or location of treated tooth. However, although not statistically significant. Treating only one FPM with RCT (compared to multiple teeth) and lower family income (compared to higher income) were more likely to have decreased or increased odds of optimal OHRQoL (AOR = 0.684 or 1.424; respectively). RCT on FPMs can be a successful treatment option for pediatric patients, offering optimal oral health-related quality of life.

Distribution of Primary Healthcare Centers Between 2017 and 2021 Across Saudi Arabia.

Access to adequate healthcare systems is seen as a fundamental human right. Therefore, healthcare services must be distributed and accessiblein the most efficient way possible to those who need them the most. Primary healthcarecentersare the backbone of any healthcare system as they provide essential healthcare services to the general population. Inequalities in the distribution of primary healthcare centers can lead to disparities in healthcare access and outcomes. This study aimed to assess the equity of primary healthcare centers distribution, we analyzed and evaluated the allocation of primary healthcare centers in Saudi Arabia from 2017 to 2021. This cross-sectional study utilized data from the Health Statistical Yearbook published by the Ministry of Health, Saudi Arabia, during the period of 2017-2021. The number of primary healthcarecenters per 10,000 population was calculated for the 20 health regions. We used the Gini indexto measure inequalityin the distribution of primary healthcarecenters. The Pearson coefficient was calculated to assess the correlation between the number ofprimary healthcarecenters and the population in each health region. The overall ratio of primary healthcare centers to population decreased from 0.72 to 0.62 between 2017 and 2021. The Gini index showed relative equality in the distribution of primary healthcare centers from 2017 to 2021 with values between 0.2 and 0.3. There was a positivecorrelation between the population and the primary healthcare centers in Jeddah, Tabouk, and the Northern Region. However, in Riyadh, Makkah, Taif, Madinah, Qaseem, Eastern Region, Al-Ahsa, Aseer, Hail, Jazan, Najran, Al-Baha, and Al-Jouf, the correlation was found to be negative. From 2017 to 2021, primary healthcare facilities are distributed fairly throughout20 health regions of Saudi Arabia.However, there are still some disparities between provinces, and efforts must be made to ensure that primary healthcare centers are distributed equitably across the country to improve healthcare access and outcomes for all.

Primary Care Physician's Perception and Satisfaction With Telehealth in the National Guard Primary Healthcare Centers in Jeddah, Saudi Arabia in 2022.

Background Telehealth is a tool to facilitate the connection between patients and their healthcare providers. With the recent emergence of telehealth, implementation of this service in primary healthcare centers (PHCs) has been accompanied by specific challenges despite the high levels of satisfaction reported. This study aimed to assess the factors that affect clinicians' perceptions and satisfaction with telehealth in National Guard PHCs to help explore and overcome any barriers and challenges. Methods A cross-sectional survey was distributed among primary healthcare physicians using virtual clinics in the National Guard PHCs in Jeddah, Saudi Arabia, in 2022. A validated questionnaire from previous literature was used to evaluate clinicians' perceptions and satisfaction with telehealth. Results The study included 53 primary healthcare physicians, with an overall response rate of 90%. Most physicians (77%) were satisfied with their overall experience with offering virtual visits. Nevertheless, 72% of physicians perceived patients' limited technical knowledge, and 70% considered limited access to technology a significant barrier against virtual visits. Higher satisfaction levels were significantly associated with those who did not consider the lack of integration of virtual visits with current workflow or electronic medical records (EMRs) a significant barrier to conducting virtual visits (p-value =0.005). Conclusion Despite the undeniable advantages of telehealth, barriers, and challenges remain extant and can influence clinicians' satisfaction. Continuous monitoring for improvements is needed to enhance the telehealth experience.

Physicians' Knowledge, Practices, and Perceptions of Reporting Communicable Diseases at Primary Health Care Centers in Jeddah, Saudi Arabia: A Cross-Sectional Study.

Background Jeddah has the highest international traffic and is among the most diverse cities in Saudi Arabia. The chance of importing an emerging communicable disease is significant, particularly during the religious seasons. Therefore, timely and accurate reporting of communicable diseases at primary health care centers (PHCCs) is crucial. Objectives The main objective of this study wasto assess physicians' knowledge, practices, and perceptions of reporting communicable diseases at PHCCs in Jeddah, Saudi Arabia. Methods The study was a cross-sectional study comprising 143 physicians from all PHCCs in Jeddah from October 2017 to February 2018. An electronic questionnaire was used to collect data to assess the physicians' knowledge, practices, and perceptions related to reporting communicable diseases at PHCCs. Results A total of 106 physicians participated in the study.Although only 21.7% of the physicians had received training on reporting communicable diseases, the average knowledge score for the six commonly reported diseases was 72%. More than half (58.5%) of the physicians indicated that they had reported at least one disease. However, there was no agreement on who should be responsible for reporting communicable diseases at PHCCs. Furthermore, some obstacles were perceived that could prevent disease reporting, including physicians not knowing which diseases to report (66%), not knowing how or whom to report to (54.7%), and a limited diagnostic or laboratory capacity (52.8%). Conclusions Reporting communicable diseases at PHCCs was of adequate quality. However, some obstacles must be addressed, and regular applied training must be provided. More extensive assessments are needed to improve the reporting of communicable diseases locally and nationally.

Practice in child restraint system use among attendees of Well-baby clinics in Jeddah, Saudi Arabia.

Background:The systematic use of child restraint system (CRS) while driving has been promoted by the WHO to improve road safety.Objectives:To assess the levels of practice in CRS use for children aged ≤5 years among mothers attending the Well-baby clinics and to explore the associated factors and attitudes.Methods and Material:A cross-sectional study was conducted among mothers visiting the Well-baby clinics at five primary health care centers in Jeddah, Saudi Arabia, using a multistage stratified-cluster sampling. Practice in CRS was assessed by interviewing the participants regarding the availability of a CRS in their car, usage frequency for a child <5 years, and alternative child-sitting methods. Sociodemographic data, further road safety parameters, and attitudes were analyzed as independent factors of adequate practice using multivariate logistic regression.Results:Of the 192 included mothers, eight (4.2%) had a history of accident while driving with a child. Majority of the participants (62.5%) declared not having their cars equipped with a CRS and used inappropriate car-sitting methods. Of the 37.5% who had CRS in their cars, 27.1% declared using it always or frequently. Adequate practice in CRS was independently associated with mother’s age (OR = 0.91, P = 0.09), low (OR = 0.10, P = 0.001) and moderate family income (OR = 0.23, P = 0.012), and the belief that CRS is not essential while driving with children (0.32, P = 0.023).Conclusions:There is inadequate practice in child road safety among families attending the Well-baby clinics in Western Saudi Arabia, which is associated with several misconceptions and negative attitudes towards the utility of CRS.

Evaluation of Communicable Disease Surveillance System at Primary Health Care Centers in Jeddah, Saudi Arabia.

IntroductionJeddah is one of the busiest and multicultural cities in Saudi Arabia. It poses a higher risk of importing and spreading emerging communicable diseases because of the increased international traffic during the seasons of Hajj and Umrah. The Saudi Ministry of Health (MOH) emphasizes the role of primary health care centers (PHCCs) as the first gate of the health care system. Therefore, having an efficient and effective communicable disease surveillance system (CDSS) at the level of PHCCs is crucial to provide early warning and sustain health security.MethodsThis study took place at all PHCCs in Jeddah city between September 2017 and January 2018 as a descriptive cross-sectional study. Data were collected from CDSS key informants using an interview-based questionnaire to evaluate the performance of CDSS by assessing its core and support functions at PHCCs.ResultsThe majority (93%) of PHCCs had reporting forms, and all of them had working laboratories. However, about 41% of PHCCs had the standard manual and only in the Arabic language, 12% were performing basic data analysis, and none of them had a written plan for epidemic response. Although Internet access was available at only 33% of PHCCs, other resources such as computers, printers, and personal protective equipment (PPE) were available at all PHCCs.ConclusionCDSS at PHCCs had an acceptable performance especially in functions such as reporting, confirmation, and supervision. However, other functions such as detection, registration, data analysis, epidemic preparedness, and feedback need to be strengthened. More comprehensive evaluations are required to further enhance the CDSS in Jeddah and Saudi Arabia.

Use of 2SFCA Method to Identify and Analyze Spatial Access Disparities to Healthcare in Jeddah, Saudi Arabia

The issue of reducing spatial disparities in access to healthcare is one of the most important healthcare planning issues that policy makers and planners investigate and consider as a key focus until present time. A healthcare system that meets the requirements of availability and affordability will be useless if the spatial accessibility to healthcare is not provided to all equally. Therefore, this study aims to identify and analyze spatial disparities in access to healthcare centers in Jeddah, Saudi Arabia. The two-step floating catchment area (2SFCA) method was used to measure spatial accessibility of healthcare centers based on the travel time threshold (i.e., 30-min drive time in this study). The GIS technology was used to execute the 2SFCA method. A geodatabase, which includes the population districts, locations of healthcare centers, and road network, was created. Some procedures were performed within the road network database to set the travel time that is considered as an essential step to compute the origin–destination (OD) cost matrix. The OD matrix was later used as the source for calculating provider-to-population ratios and the spatial accessibility scores for population districts. The results of the study revealed spatial disparities in access to healthcare centers in Jeddah city. The majority of the Jeddah population (i.e., 97.51%) have accessibility to healthcare centers, but with disparate levels. The central districts have a higher access score compared to the rest of the city’s districts. Most districts that do not have accessibility to healthcare centers are concentrated in the southeast of the city. The results can help local health planners improve spatial equity in access to healthcare centers through giving the less-served districts a priority when allocating future healthcare centers in Jeddah city.

The Impact of COVID 19 Precautionary Measures on Management of Chronic Disease Patients Following in Primary Health Care Centers Jeddah, Saudi Arabia, 2020

Purpose: Since the declaration of the wide and progressive spread of COVID-19 as a pandemic, the health systems worldwide are facing challenges in the balance between applying recommended precautionary measures for COVID-19, while maintain providing essential routine health care to other groups like chronic diseases' patients. The current study aims to explore impact of precautionary measures of COVID-19 on chronic diseases' patients in Jeddah, Saudi Arabia.&#x0D; Methodology: Through an analytical cross-sectional study; a representative sample of chronic diseases' patients were selected randomly from primary health care centers in Jeddah. They were invited to respond to a valid questionnaire designed to collect data about the impact of Covid 19 pandemic measures on chronic diseases’ patients. The questionnaire is adapted from valid published questionnaires conceptualized around the impact of Covid 19 measures on chronic patients. Chi-square test was used to identify association between the health status and the independent variables. P-value &lt;0.05 was considered as an indication for significance. &#x0D; Results: Out of all respondents (n=386) there was almost equal distribution of females (52.3%) and males (47.7%), and remarkable dominance of Saudis (91.7%); two thirds (62.7%) reported one chronic disease while the rest had two or more diseases. Considerable proportions faced difficulties in medical appointments (43.8%), reaching physicians (30.1%) and obtaining medicines (16.6%) during the pandemic. The health status of 23.3% became worse; especially among those with low income (46.4%), those who needed emergency care (57.1%) and all who did not get it p&lt;0.005.&#x0D; Conclusion and recommendations: The precautionary measures of COVID-19 have an impact on the care, health status of chronic diseases' patients. Efforts should be made to plan for innovative measures to ensure providing essential health care to chronic diseases' patients during pandemics.

The association between hypertension and other cardiovascular risk factors among non-diabetic Saudis adults-A cross sectional study.

Population specific associations between cardiovascular disease with various risk factors including pre-hypertension and hypertension were reported. We aimed to investigate the association of higher than optimal blood pressure with measures of dysglycemia, dyslipidemia, and markers of inflammation in non-diabetic Saudi adults hoping to improve current Saudi guidelines to prevent cardiovascular disease. Volunteers were recruited randomly from public healthcare centers in Jeddah. Demographic information, blood pressure (BP), and anthropometric measurements were taken. Fasting blood samples were drawn, then again following 1-hour oral glucose tolerance test. Glycated hemoglobin, fasting plasma glucose (FPG), lipid profile, highly sensitive C- reactive protein, gamma glutamyl transferase, and 1-hour plasma glucose were measured. Complete data was found for 742 men and 592 women. Pre-hypertension was found in 47.2% of men, and 24.7% of women, while 15.1% of men, and 14.6% of women were hypertensive. Means of measured variables differed significantly between normotensive, pre-hypertensive, and hypertensive groups of men and women in gender specific manner. Association between measured variables and elevated BP, and hypertension were assessed using logistic regression models. After adjustment for age, body mass index and waist circumference, elevated blood pressure was associated with elevated triglycerides in men, while hypertension was significantly associated with elevated fasting plasma glucose, total cholesterol, triglycerides, low density lipoprotein- cholesterol, and low high density lipoprotein- cholesterol in men, and elevated triglycerides, and total cholesterol in women. Therefore, it is strongly recommended to measure lipid profile, specifically TG, for all diagnosed pre-hypertensive and hypertensive patients in addition to FPG for men.

The Association between Dyslipidemia, Dietary Habits and Other Lifestyle Indicators among Non-Diabetic Attendees of Primary Health Care Centers in Jeddah, Saudi Arabia

Diet and other lifestyle habits have been reported to contribute to the development of dyslipidemia in various populations. Therefore, this study investigated the association between dyslipidemia and dietary and other lifestyle practices among Saudi adults. Data were collected from adults (≥20 years) not previously diagnosed with diabetes in a cross-sectional design. Demographic, anthropometric, and clinical characteristics, as well as lifestyle and dietary habits were recorded using a predesigned questionnaire. Fasting blood samples were drawn to estimate the serum lipid profile. Out of 1385 people, 858 (62%) (491 men, 367 women) had dyslipidemia. After regression analysis to adjust for age, body mass index, and waist circumference, an intake of ≥5 cups/week of Turkish coffee, or carbonated drinks was associated with increased risk of dyslipidemia in men (OR (95% CI), 2.74 (1.53, 4.89) p = 0.001, and 1.53 (1.04, 2.26) p = 0.03 respectively), while the same intake of American coffee had a protective effect (0.53 (0.30, 0.92) p = 0.025). Sleep duration <6 h, and smoking were also associated with increased risk in men (1.573 (1.14, 2.18) p = 0.006, and 1.41 (1.00, 1.99) p = 0.043 respectively). In women, an increased intake of fresh vegetables was associated with increased risk (2.07 (1.09, 3.94) p = 0.026), which could be attributed to added salad dressing. Thus, there are sex differences in response to dietary and lifestyle practices.

Prevalence and risk factors of domestic violence in women attending the National Guard Primary Health Care Centers in the Western Region, Saudi Arabia, 2018

BackgroundDomestic violence (DV) is considered a public health issue in Saudi Arabia as well as a violation of a fundamental human right. DV causes many acute and chronic physical and mental health consequences. Cultural taboos and lack of awareness regarding the appropriate support services can increase the number of cases annually.The objective of the study was to assess the prevalence and risk factors of DV in women attending the National Guard Primary Health Care Clinics in the Western Region of Saudi Arabia.MethodsA cross-sectional study was conducted with patients attending five Primary Health Care Centers in Jeddah from August 2017 to February 2018. A convenient sampling method was used. In total, 1845 participants were invited to complete a self-report validated Arabic version of the Norvold Domestic Abuse Questionnaire (NORAQ) to determine the prevalence and risk factors of DV. All women between 18 and 65 years who met the inclusion criteria were included. The data were analyzed using SPSS (Statistical Package Social Sciences) version 24.0.ResultsThe lifetime prevalence of DV in the study sample was 33.24%, with psychological abuse the most prevalent (48.47%), followed by physical abuse (34.77%) and sexual abuse (16.75%). A small proportion (4.1%) suffered from all three types of abuse. Risk factors for being a victim of abuse include being single or divorced, having a postgraduate level of education, employed, and being financially independent of the husband.ConclusionDV is prevalent in Saudi Arabia. Modernization has shifted the risk factors, identifying the risk factors and victim characteristics would support the development and implementation of preventive and screening programs to facilitate the early identification of cases as well as the initiation of empowerment programs for Saudi women.

Prevalence and risk factors of gestational diabetes mellitus among pregnant patients visiting National Guard primary health care centers in Saudi Arabia.

Objectives:To measure the prevalence of gestational diabetes mellitus (GDM) and its risk factors in Saudi Arabia, in comparison with developed and developing countries worldwide.Methods:We enrolled pregnant women aged 15-45 years who visited 3 National Guard-Health Affairs’ primary health care centers in Jeddah, Saudi Arabia between January 2017 and December 2017. We used stratified samples and computer-generated random numbers to collect data. This data includes demographics, obstetric history, blood pressure, non-fasting 1-hour glucose challenge test (GCT), 3-hour oral glucose tolerance test (OGTT), hemoglobin level, rubella immunization status, hepatitis B surface antigen status, urinalysis results, and labor, and delivery notes. We categorized the patients into 2 groups, GDM and non-GDM, based on GCT and OGTT.Results:We enrolled 347 women in the study (mean age, 28.8±6 years; range, 18-45 years). On GCT, 36.6% of women showed abnormal values and 6.9% exhibited diagnostic values. Oral glucose tolerance test indicated impairment in 18.7% of patients and a diagnostic finding in 15% of patients. Women diagnosed with GDM tended to be older and have greater body mass index (BMI) values.Conclusion:The prevalence of GDM in Saudi Arabia is high compared to other countries. Advanced maternal age and higher BMI values were associated with increased prevalence of GDM. Thus, early prevention and management of GDM is vital to minimize the risks to both the mother and fetus.

Demographic variations between blood donors and nondonors attending primary health care centers in Jeddah, Saudi Arabia, 2018–2019: a cross-sectional study

Context Blood is a fundamental and vital component of the human circulatory system. Blood transfusion is essential to save lives or improve health in different parts of the world. Despite the increased number of voluntary blood donors worldwide, the demand for blood transfusion continues to rise.Aims To assess the practice of blood donation and its demographic variations between donors and nondonors among primary health care’s (PHC) visitors of the Ministry of Health PHCs, in Jeddah city, Kingdom of Saudi Arabia, from December 2018 to February 2019.Settings and design A multistage sampling technique was used to choose the selected five PHCs. The target sample size was calculated based on Raosoft software.Patients and methods A cross-sectional analytic study was conducted from December 2018 to February 2019 at Ministry of Health PHCs in Jeddah on a total sample of 400 patients (200 males and 200 females) who were recruited by a multistage random sampling technique. Data were collected by using self-administered questionnaire about sociodemographic data and practices of blood donation among the study participants.Results The participants were equally taken from both sexes (50% males and 50% females). Overall, 95% of the participants were from Jeddah, and 80% of the participants were Saudi nationals. There was a significant relation between donors and other independents variables such as PHC, age, and sex (P≤0.05).Conclusion We concluded that the prevalence of blood donation among Saudi population is relatively low. Older married males with high educational level and low monthly income were the most common socio-demographic factors among the studied group.

Level and determinants of job satisfaction among Saudi physicians working in primary health-care facilities in Western Region, KSA.

Introduction:Job satisfaction is an important factor influencing the health of workers and is directly related to quality of care.Objectives:To assess the level of job satisfaction and factors contributing to dissatisfaction of Saudi physicians in primary health care centers in Jeddah. Methods All Saudi physicians working in primary health care centers in a city in the Western region, KSA, were included in this web-based survey using the “Job Satisfaction Survey” questionnaire adopted by Paul E. Spector (1994). In addition, socio-demographic data (age, sex, marital status, work facilities, qualification, work experience and income) were collected (response rate 83% ).Results:63% of the physicians are satisfied about the nature of work in the primary health care centers, while 25.2% were satisfied about the payment. A large proportion of respondents were dissatisfied about the contingent rewards and fringe benefits (83.2%, 76.5%respectively). None of the specialists were satisfied about the work compared to 10.6% of the general practitioners.Conclusion:Slightly less than half of the physicians are satisfied. Financial incentives (contingent rewards and fringe benefits) impose a negative impact on job satisfaction for primary care physicians. On the other side, the nature of work has had the most positive impact on job satisfaction. Specialists were found to have less satisfaction. Investing in the physicians’ satisfaction about the nature of work in the primary healthcare facilities to create a sense of ownership that would be reflected on the quality of patient care is required. There is a need to conduct further studies on the fiscal privileges that lead to job satisfaction among physicians.

Levels and determinants of knowledge about chronic migraine diagnosis and management among primary health-care physicians in ministry of health, Jeddah 2019.

Background:Chronic migraine (CM) poses a significant burden for patients, and it has multiple diagnostic and managemental challenges, particularly among primary health-care physicians (PCPs).Objectives:The objective of this study is to assess the levels of knowledge regarding CM diagnosis and management among PCPs and to explore the factors associated with poor knowledge.Methods:A cross-sectional study was conducted among PCPs working at primary health-care centers in Jeddah, Saudi Arabia. A semi-structured questionnaire comprising 20 items related to CM diagnosis and treatment was used.Results:A total of 136 PCPs responded (aged 36.4 ± 8.1, 68.4% were females). The overall median (P75) knowledge score was 13.0 (15.0), and 45.6% of the participants had adequate knowledge (score > median). The majority of respondents (>50%) could not identify the lower limits of CM duration, the necessity of identifying at least eight migraine attacks in a month, the importance of managing medication overuse, and the indication of topiramate as the most efficacious agent in CM. Young physicians (23–35 years), bachelor graduates, general practitioners (GPs), and those having ≤5 years of experience scored lower than their peers. Physicians with 6–10 years of clinical experience were independently more knowledgeable than less-experienced PCPs (odds ratio = 5.09, P = 0.006).Conclusion:Knowledge regarding CM diagnosis and treatment was inadequate among PCPs, which could detrimentally influence the patterns of referral to secondary health-care facilities. Given these observations, it is recommended to amend the academic curricula for medical students/GPs and adopt continuing medical education programs for PHPs to support their levels of knowledge.

Psycho-social factors affecting antenatal care services utilization at the Ministry of Health’s primary health care centers in Jeddah, Kingdom of Saudi Arabia, 2017-2018: an analytical cross-sectional study

Background: This study aimed to explore the psychosocial factors affecting the utilization of antenatal care (ANC) services.Methods: This was an analytical cross-sectional study carried-out in the 4 main MOH maternity hospitals in Jeddah. The study sample included 2 groups: 80 women with inadequate ANC attendance and 159 with adequate ANC attendance. We applied probability proportional to size sampling technique. The outcome of this study was ANC attendance (adequate or inadequate). Independent variables included: age, nationality, educational level, occupation, monthly income, the dependent variables included: the number of ANC visits.Results: The utilization findings of this study revealed that 88 women out of 239 women had not fully used the health services provided to them (underutilization) and the utilization rate was 66.5%. Approximately one-half of the women with inadequate ANC had birth intervals of less than 2 years. Three-quarters of them reported that they did not plan their current pregnancies, and nearly two-thirds of them had high levels of stress. Logistic regression analysis indicated that inadequate ANC attendance was predicted by past negative experiences related to ANC attendance (p=0.001) (OR=0.183 CI=0.065-0.513).Conclusions: The most significant identified barriers to utilization of ANC services were high stress, previous negative ANC experience, unplanned pregnancy, and short birth intervals. Furthermore, women who had adequate ANC visits were more likely to have planned pregnancies and be aware of available ANC services.

Social Media and the Orthopaedic Surgeon: a Mixed Methods Study.

Introduction:Social media continues to grow in size, and popularity, The prevalence of social networking continues to develop and will likely play an increasing role in all aspects of society and business, including in healthcare services. This rapid growth has directly influenced healthcare professionals in the clinical setting.Aim:To assess the perceptions and usage of SM (SM) by OSs (OS) in Jeddah, Saudi Arabia, and its impact on their profession, and to evaluate their level of awareness of the potential risks on their practice.Methods:Quantitative: A cross-sectional survey was distributed to practicing OSs in 15 healthcare centers in Jeddah, Saudi Arabia (μ=323) using convenience sampling. Data was analyzed using SPSS. Qualitative: Eight OSs were recruited by purposive and snowball sampling and interviewed using a semi-structured approach. Data was analyzed using thematic content analysis.Results:The Quantitative survey revealed that 165 OSs participated (RR=51%). OSs who use SM partly or entirely for professional purposes represent 53.7% (n=87). The remaining OSs were excluded. Virtually 90% were 40 years old or younger. Residents were less likely to reply to medical questions on SM (p=0.035). It was found that 74.7% of OSs use SM daily. The most commonly used platform was Twitter (75.9%), with Instagram and Snapchat being significantly more used by younger OSs (p= 0.013 and 0.003, respectively). The results of the Qualitative interviews revealed four themes: Guidelines, Ethics and Professionalism; Usage and Perceptions; Doctor-Patient Relationship; Quality of Online Content.Conclusion:OSs’ perceptions and usage were generally cautious. The major concerns were patient confidentiality, along with ethical and legal consequences. The need to contribute to quality online content was evident. Lack of formal guidelines was a continuous theme. The development of national guidelines on SM use in the orthopaedic profession is recommended.

Level of Control of Type 2 Diabetic Patients Attending Primary Health Care Centers in Jeddah, Saudi Arabia

Background: Diabetes mellitus is one of the most prevalent chronic diseases, its proper management is important for better prognosis. poor control is not uncommon and factors associated with uncontrolled state vary between communities. No previous published researches focused on estimating uncontrolled cases in Jeddah, nor exploring its associated factors. Objectives of the study: To estimate prevalence of uncontrolled type 2 diabetic cases and explore its associated factors in patients attending primary heal care centers, Jeddah, KSA. Subjects and methods: Through a cross section study, with nested case control design, 400 diabetic patients were selected randomly from primary health care centers in Jeddah. They responded to a predesigned valid questionnaire enclosing information about glycemic level, and demographic and clinical variables possibly associated with poor glycemic control. Chi square test and Odds ratio were used to identify factors significantly associated and predicting uncontrolled diabetes. Results: Out of all patients (n=400), more than one half (54%) aged 60 years or older, with marked dominance of females (65.5%). almost three quarters (72.5%) were considered as being “uncontrolled cases”. The most significant factors associated with poor glycemic control included being a female (OR=1.456, 95% CI: 1.065-2.706)), older patients as it reached up to 80.4% in patients aged 60-79 years, widowed (87.1%), obese patients (73.6%) and hypertensive patients (OR=3.126, 95% CI:1.867-5.233). Poor control was less frequentr in those who had positive history of hyperglycemic crisis (OR=0.578, 95% CI:0.497-0.673) and those who had positive family history of diabetes mellitus (OR=0.822, 95% CI:0.728-0.928) p<0.05. Conclusion and recommendations: Poor glycemic control is markedly prevalent among diabetic patients attending PHC in Jeddah. Associated factors included being female, old age, obesity, hypertension and positive family history of diabetes. Tailored care should be planned for diabetic patients with the predictors of poor glycemic explored in the current study.

The Prevalence of Irritable Bowel Syndrome and its Associated Factors Among Physicians Working at Primary Health Care Centers of Ministry of Health in Jeddah, Saudi Arabia, 2017

Background: Irritable Bowel Syndrome is one of the most prevalent gastrointestinal disorders responsible for disability and negative economic impact. Stress had been suggested as one of its predictors, therefore, stressful occupation such as physicians are expected to be at a higher risk. Insufficient information is present for the link between working as a physician and suffering from Irritable Bowel Syndrome. Objectives of the study: To explore the prevalence and possible factors associated with Irritable Bowel Syndrome among physicians working in Primary Health Care centers, Jeddah, KSA. Subjects and methods: Through a cross-section study design, 190 physicians were selected randomly from primary health care centers in Jeddah. They responded to a predesigned valid self-administered questionnaire enclosing information about the prevalence and possible factors associated with Irritable Bowel Syndrome. Chi-square test and Binary logistic regression were used to identify factors and predictors of the syndrome among physicians. Results: Out of all sharing physicians (n=190), more than one quarter (28.4%) reported that they had been diagnosed with Irritable Bowel Syndrome. The prevalence was significantly higher in females (35.3%) with an Odds Ratio of (OR=1.284; 95% CI= 1.084-1.521) and living in rented houses (34.7%) (OR=1.198; 95% CI= 1.001-1.435) p<0.05. Positive family history and exposure to any kind of stress at work were significantly prevalent among cases (94.4%). Also, overweight and obesity (51.9% and 20.4% respectively) and food sensitivity (24.1%) were significantly much frequent among physicians with the syndrome. Logistic regression revealed that stress, positive family history, and high BMI are significant predictors for IBS. Conclusion and recommendations: Irritable Bowel Syndrome is prevalent among physicians in primary health care centers. Its prevalence is significantly higher among females, those who are living in rented houses, who are exposed to any kind of stress at work, who have a positive family history of IBS, with higher BMI values and have a food sensitivity. Further researches are needed to analyze types and sources of work stress in an attempt to plan for ameliorating stress and its consequences in physicians.

Prevalence and Determinants of Over-the-Counter Analgesics Usage among Patients attending Primary Health Care Centers in Jeddah, Saudi Arabia

Objective: To estimate the prevalence and describe the pattern of OTC use among patients attending primary healthcare (PHC) centers, and to assess their knowledge and attitude regarding the related side effects. Method: A cross-sectional study was carried out among 400 adult patients attending the General Medicine clinic in 10 selected PHC centers in Jeddah, Saudi Arabia. The data collected included socioeconomic parameters, practice and pattern of OTC analgesics use in past 6 months, knowledge and attitude about OTC analgesics, and safety assessment. Results: Results showed that 84.4% of the participants were using OTC analgesics, at least twice per week in 59.3% of the cases, and for Key words: Analgesics, Auto medication, Non-steroid anti-inflammatory, Over-the-counter, Painkiller, Paracetamol.