The purpose was to measure the prevalence and related risk factors of low back pain (LBP) among health care workers (HCWs) at different levels of health care in southwestern Saudi Arabia.
A ...cross-sectional study using a self-administered questionnaire was conducted among HCWs providing primary, secondary and tertiary health care services in the Aseer region, southwestern Saudi Arabia. The questionnaire collected data regarding having LBP in the past 12 months, socio-demographics, work conditions and history of chronic diseases, regular physical exercise and overexertional back trauma. Univariate and multivariable logistic regression analyses were performed.
Out of 740 participants, the overall prevalence of LBP in the past 12 months amounted to73.9% (95% CI: 70.7-77.0). The prevalence of LBP with neurological symptoms reached 50.0%. The prevalence of LBP necessitating medications and or physiotherapy was 40.5%, while the prevalence of LBP requiring medical consultation was 20%. Using multivariable logistic regression, the following risk factors were identified: working in secondary and tertiary hospitals (aOR = 1.32, 95% CI:1.01-1.76), increased BMI (aOR = 1.10, 95% CI:1.01-3.65), and positive history of overexertional back trauma (aOR = 11.52, 95% CI:4.14-32.08). On the other hand, practising regular physical exercise was a significant protective factor (aOR = 0.61, 95% CI: 0.42-0.89).
LBP is a common problem among HCWs. Many preventable risk factors have been identified, including exertional back trauma, increased BMI and lack of regular physical exercise. Occupational health and safety programmes to build ergonomically safe working conditions and encourage regular physical exercise are needed.
Introduction Mobile health has the potential to improve self-care for people with chronic conditions. There are few previously published studies that have examined asthma patients' use of cell phone ...features and their willingness to use them for self-care in Saudi Arabia. Moreover, there is no validated instrument in Arabic to test the use of cell phone functions. Aim The aim of this study was to investigate the general use of cell phone features by asthma patients and their willingness to use them and to determine the frequency of use of cell phone features by asthma patients. It also aimed to translate and validate an Arabic version of the questionnaire to test the use of cell phone functions by asthma patients. Methods This study was conducted in Saudi Arabia in 2021 using an online questionnaire. The test was translated (changes were made as needed) and validated using Cronbach's alpha coefficient. After validation of the instrument, the questionnaire included 34 questions divided into three sections: demographic information, current use of cell phone features, and desire to use cell phone features. Adults with asthma aged 18 years and older who owned a smartphone participated in the study. Data were analyzed using descriptive statistics. Results Two hundred and seventy asthma patients completed the questionnaire. The Cronbach's alpha value of the questionnaire was 0.86, indicating its reliability and consistency. Only 39 (14.4%) of the participants use cell phones for asthma care, and 13 (4.8%) have apps for asthma care on their cell phones. However, 74.1% of participants have a desire to use a cell phone for asthma care. The majority of participating asthma patients (67.8%) occasionally used the mobile internet browser to search for asthma information. Surprisingly, most of the participating asthma patients did not show a greater desire to use methods other than the internet browser to obtain asthma information. They did, however, have a strong desire to use the news to obtain information about asthma. Conclusion Because the study shows that asthma patients prefer internet searches followed by the news to obtain information, stakeholders need to pay more attention to the quality, quantity, completeness, and accuracy of health information in these media.
To determine the prevalence, predictors, triggers and educational outcome of migraine among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia.
A cross-sectional study ...was completed among 566 participants selected through a multistage stratified random sample method. A validated, confidential, self-administered data collection sheet was utilized. It contained ID Migraine test™, Numeric Pain Rating Scale (NPRS). Questions about possible predictors, triggers and impact of migraine were asked. Descriptive, inferential statistics and multiple logistic regression analysis were conducted.
More than one-half (54.9%) of the participants had ≥ 2 headache attacks during the three months preceded the study. The prevalence of migraine was 26.3%, and 41.6% of the cases suffered from severe pain. The main migraine predictors were Functional Gastrointestinal Disorders (FGIDs), family history of migraine, female gender, and enrollment in the second academic year. Exam stress and sleep disturbances were the commonest triggers. The majority of the participants reported that their educational performance and ability to attend sessions were affected during migraine attacks.
A relatively high prevalence of migraine was seen among our participants. FGIDs, gender and academic year were the predictors. Screening and management of migraine among medical students are required. Conduction of relaxation programs and stress management courses are also recommended.
Abstract Background Steroids have been used for the treatment of certain epilepsy types, such as infantile spasms; however, the use in the treatment of other intractable epilepsies has received ...limited study. We report our experience with intravenous methylprednisolone in children with epilepsy refractory to multiple antiepileptic drugs. Methods A series of consecutive children were analyzed retrospectively. Patients with infantile spasms, progressive degenerative, or metabolic disorders were excluded. Results Seventeen children aged 2-14 (mean 5.3) years were included. Associated cognitive and motor deficits were recognized in 82%. Most children (88%) had daily seizures and 13 (76%) were admitted previously with status epilepticus. The epilepsy was cryptogenic (unknown etiology) in 47% and the seizures were mixed in 41%. Intravenous methylprednisolone was given at 15 mg/kg per day followed by a weaning dose of oral prednisolone for 2-8 weeks (mean 3 weeks). Children were followed for 6-24 months (mean 18). Six (35%) children became completely seizure free; however, three of them later developed recurrent seizures. At 6 months posttreatment, improved seizure control was noted in 10 (59%) children. Children with mixed seizures were more likely to have a favorable response than those with one seizure type (49% vs 31%, P = 0.02). No major side effects were noted, and 35% of the parents reported improvements in their child's alertness and appetite. Conclusion Add-on steroid treatment for children with intractable epilepsy is safe and may be effective in some children when used in a short course.
Dental anxiety among migraine patients Alyami, Yagoub Dhafer; Farran, Jana Khalid; Alsubhi, Jumanah Ateeq ...
Journal of medicine and life,
2021 Jul-Aug, Letnik:
14, Številka:
4
Journal Article
Odprti dostop
In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. ...The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from "not anxious" (scoring 1) to "extremely anxious" (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.
The purpose of this study is to analyze the various influencing factors affecting the adoption of artificial intelligence (AI)-enabled virtual assistants (VAs) for self-management of leukemia.
A ...cross-sectional survey design is adopted in this study. The questionnaire included eight factors (performance expectancy, effort expectancy, social influence, facilitating conditions, behavioral intention, trust, perceived privacy risk, and personal innovativeness) affecting the acceptance of AI-enabled virtual assistants. A total of 397 leukemia patients participated in the online survey.
Performance expectancy (μ = 3.14), effort expectancy (μ = 3.05), and personal innovativeness (μ = 3.14) were identified to be the major influencing factors of AI adoption. Statistically significant differences (p < .05) were observed between the gender-based and age groups of the participants in relation to the various factors. In addition, perceived privacy risks were negatively correlated with all other factors.
Although there are negative factors such as privacy risks and ethical issues in AI adoption, perceived effectiveness and ease of use among individuals are leading to greater adoption of AI-enabled VAs.
Background: Satisfaction of the patient plays a key role in determining the correlation between the quality of health-care services provided and the patients' trust. The objective of this study was ...to determine the level of satisfaction regarding the quality of dental care among patients at dental clinics of Riyadh Elm University. Materials and Methods: Self-administrated questionnaire was distributed to patients attending clinics of Riyadh Elm University. Questionnaire consisted of items on appointment availability, satisfaction with the performance of the reception, satisfied with your treating practitioner, treatment fees, satisfied with the level of cleanliness/sterilization, compassionate and caring of the support staff and treatment provider, and finally overall evaluation of the services received within the clinics. Results: A total of 600 questionnaires were collected from the electronic system used in the dental clinic of Riyadh Elm University. 89% of the participants agreed that it was easy to get an appointment in the dental clinics and 59% were very satisfied with the performance of the reception. Majority of the participants were satisfied with the treatment provider (80%), 82% were satisfied with treatment fees, 74% patients were very satisfied with the cleanliness, 81% agreed that the treating practitioner and supporting staff were compassionate and caring, and most of the participants were satisfied with services received in the dental clinic of Riyadh Elm University. Conclusions: Dental clinic of Riyadh Elm University has been successful in achieving participant's satisfaction regarding the services, staff, treatment, and fees.
Alternative energy sources have been investigated for utilization in various applications to mitigate carbon dioxide emissions. The transportation sector is one of the major sectors that require the ...adaptation of renewable energy storage technologies for onboard applications. Formic acid is a liquid energy carrier that has the potential of replacing current fuels and mitigating carbon dioxide emissions through a circular carbon economy. The production of energy from formic acid can be achieved by homogenous catalysis to extract hydrogen from formic acid. The most promising metals for formic acid dehydrogenation in aqueous solution have been mainly ruthenium and iridium. While iridium has mostly surpassed ruthenium, further exploration of ruthenium is necessary because it is more economical.;
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This work presents the synthesis and catalytic performance of a N,N-bidentate Ru(II) complex. X-ray diffraction (XRD), nuclear magnetic resonance (NMR), and Mass spectrometry (MS) were used to confirm the structure of the catalyst. The title complex was found to be an efficient system for formic acid dehydrogenation to hydrogen gas and carbon dioxide in the aqueous phase. The highest TOF achieved is 656 h-1 in the presence of two equivalents of sodium formate to formic acid in water at 90 °C. There was no detection of carbon monoxide throughout the reaction process, suggesting the high selectivity of this catalytic system.
Bicyclo1.1.1pentane (BCP), recognized as a bioisostere for para-disubstituted benzene, has gained widespread interest in drug development due to its ability to enhance the physicochemical properties ...of pharmaceuticals. In this work, we introduce a photoinduced, halogen bonding-initiated, metal-free strategy for synthesizing various BCP derivatives. This method involves the generation of nucleophilic α-aminoalkyl radicals via halogen-bonding adducts. These undergo selective radical addition to 1.1.1propellane, yielding electrophilic BCP radicals that subsequently participate in polarity-matched additions, culminating in the difunctionalization of bicyclopentane. The versatility and practicality of this metal-free approach are underscored by its broad substrate scope, which includes late-stage functionalization and a series of valuable transformations, all conducted under mild reaction conditions.Bicyclo1.1.1pentane (BCP), recognized as a bioisostere for para-disubstituted benzene, has gained widespread interest in drug development due to its ability to enhance the physicochemical properties of pharmaceuticals. In this work, we introduce a photoinduced, halogen bonding-initiated, metal-free strategy for synthesizing various BCP derivatives. This method involves the generation of nucleophilic α-aminoalkyl radicals via halogen-bonding adducts. These undergo selective radical addition to 1.1.1propellane, yielding electrophilic BCP radicals that subsequently participate in polarity-matched additions, culminating in the difunctionalization of bicyclopentane. The versatility and practicality of this metal-free approach are underscored by its broad substrate scope, which includes late-stage functionalization and a series of valuable transformations, all conducted under mild reaction conditions.
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