European Journal of Medical and Health Research
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Use of Health Services Research for Quality Improvements in Primary Healthcare Services in Saudi Arabia
Get PDFBackground: Health systems research can be an important tool supporting quality improvement in health care services. There are various examples of research supporting quality improvement on the international level. This project presents the local-level efforts to use health services research as a tool to support quality improvement in health care services. The challenge has always been formulating good research questions that identify needed actions and interventions to improve healthcare services and patient outcomes. This project explains how health research supports quality improvement in healthcare provision and improves patients' local outcomes.Methods: The study primarily focused on health services research over the past few years that was conducted at the Family and Community Medicine Dept, which was planned for health services quality improvement and to support decision-making and improving quality of services provided that ultimately led to improved patient outcomes and reduced morbidity and related costs.Results: in this study, our project yielded a noteworthy result of solid examples of research supporting improved quality of health care provided and decision making. Research on needs assessment for different types of clinics, research on patient population health needs assessment, and impact of interventions and their utility for general use in all primary health care settings.Conclusion: The project centered around health research activities within primary healthcare settings. By specifically explaining how it supports improvement in healthcare quality and improved patient outcomes, there is a promising opportunity to enhance healthcare quality provided to patients through the ongoing research aiming to improvement of quality in primary healthcare. The results underscore the significance of integrating research activities and continuous quality improvement in health care provision which ultimately leads to reduced morbidity and mortality and improved patient outcomes and patient satisfaction
Breast Cancer and Its Association with ABO Blood Groups
Get PDFBreast cancer remains a significant global health challenge, characterized by diverse outcomes and risk factors. This retrospective study examines the association between ABO blood group distribution and breast cancer in 395 female patients compared to a control group of 400 women with benign conditions, sampled from hospitals in Wasit Governorate.The study found that blood group B was predominant among breast cancer patients. Notably, familial cases of breast cancer exhibited a significant excess of blood group B compared to sporadic cases, suggesting a potential genetic association. However, no significant link was found between ABO blood groups and specific histopathological subtypes, indicating that ABO blood groups may influence breast cancer susceptibility through mechanisms independent of tumor morphology.The analysis also revealed significant differences in blood group distribution. Blood type O was more dominant in premenopausal patients, whereas blood type B was more communal in postmenopausal patients. These findings emphasize the essential for further research to study the genetic, hormonal, and environmental factors underlying these associations.In conclusion, this study highlights a potential suggestion between ABO blood groups and breast cancer, emphasizing the importance of exploring the biological mechanisms that link blood group differences to cancer susceptibility
Association Between Latent Toxoplasmosis and Schizophrenia
Get PDFToxoplasma gondii, a protozoan parasite, is known to establish a lifelong latent infection in humans. This infection, termed latent toxoplasmosis, has been implicated in various neurological and psychiatric disorders, including schizophrenia. Schizophrenia is a complex psychiatric disorder characterized by disruptions in thought processes, perceptions, and social behavior. While its exact etiology remains elusive, studies have increasingly explored the potential role of infectious agents in its development and progression. Epidemiological studies have shown an association between toxoplasma infection and an increased risk of schizophrenia development. Moreover, several plausible pathways have been proposed through which Toxoplasmosis may exert its influence on the central nervous system, including alterations in neurotransmitter levels, immune response dysregulation, and neuroinflammation. Understanding the intricate relationship between latent toxoplasmosis and schizophrenia could pave the way for novel therapeutic interventions and preventive strategies for individuals at risk. This review aims to consolidate current knowledge regarding the relationship between latent toxoplasmosis and schizophrenia. It synthesizes findings from epidemiological studies, clinical observations, and experimental research investigating the prevalence of toxoplasmosis in individuals with schizophrenia compared to the general population. Additionally, it examines the potential mechanisms through which T. gondii infection might contribute to the pathogenesis of schizophrenia, including neuroimmune responses, neurotransmitter alterations, and neurodevelopmental effects
Exploring the Primary Stroke Preventive Strategies in Sub-Saharan Africa. A Systematic Review of Literature
Get PDFIntroduction: Stroke is a major cause of death in sub-Saharan Africa, and approximately 80% of all deaths by stroke occur in the region. Evidence indicates that a greater number of years of potential life lost is due to Stroke, also the huge social and economic problem of stroke is large and demands efficient strategies for prevention.Aim: This descriptive systematic literature review explores the primary prevention strategy of stroke in Sub-Saharan Africa. This report draws on a comprehensive review of the literature.Methodology. The primary preventive strategies for stroke were systematically searched in Pub Med and Cinahl, Google, Google Scholar, Science Direct, Scopus, etc.Results: This review summarizes all aspects of the primary preventive strategies under the headings; the awareness of stroke, screening, identifiable risk factors, primary preventive strategies of stroke, and lastly the challenges of primary preventive strategies of stroke in sub-Saharan Africa.Conclusion; Primary preventive strategies in Sub-Saharan Africa (PPSS) include high-risk strategy and mass strategies. This included identifying risk factors for cerebrovascular diseases and controlling them. It also involved mass awareness of primary prevention strategies of stroke (PPSS) with the mass population campaign and digitalized strategies of prevention
Extra-Peritoneal Caesarean Section or Back to the Future? What are the Limits to its Spread?
Get PDFExtra-peritoneal caesarean section is not a new technique, but was described more than two centuries ago. So why has it not been adopted and what are the limits to its dissemination despite its reported advantages, we are going to describe the so-called French extra-peritoneal caesarean section technique and see what its advantages and disadvantages are
When Prolapse Becomes a Surgical Emergency!
Get PDFIt is accepted by all, patients and doctors alike, that prolapse is not an emergency and that it can wait. No one dies from prolapse, but what about the repercussions on the upper urinary tract and the risk of renal failure, which is moreover bilateral?In this article, we report a clinical case of operated genital prolapse complicated by renal failure
The Pattern of Referrals to Lifestyle Clinics in PHCs, Riyadh, Saudi Arabia
Get PDFIntroduction: lifestyle medicine is the cornerstone of a healthy population for the prevention of disease and promotion of health attitudes and practices among community members. Description of referred population to lifestyle medicine clinic is mandatory for health care planning and allocation of resources. This study aims to describe the pattern of the referred population to the lifestyle clinic in primary health care centers in Riyadh Saudi Arabia.Methods: cross-sectional study for registry of patients referred to Lifestyle clinic, data collection for January 2023 to October 2023 were collected. Sociodemographic characteristics of the referred patients to the Lifestyle clinic were produced.Results: during the study duration from January 2023 to October 2023, a total of 1228 patients were referred to the lifestyle clinic, 598 (48.7%) were females and 630 (51.3%) were males. The age of patients referred to the lifestyle clinic ranged from 18 to 74 years, with a mean age of 42.28 years and an SD of 14.8 years old.Conclusion and recommendations: Lifestyle clinic referrals are from different age groups and from both genders. The lifestyle clinic is receiving a variety of patients from different clinics such general primary health care clinics and family medicine. There is a more detailed larger studies both quantitative and qualitative studies to describe the pattern of patients and their general needs to better planning of health care resources and improvement of health care services
Quality of Life Assessment in Internal Medicine Patients
Get PDFThe relationship between quality of life and chronic illness is clearly established, the evaluation of the latter is necessary for overall care of these patients, the SF36 is a good tool dedicated to this purpose. Our study, although limited by its single-center nature, sheds light on the impact of pathologies encountered in internal medicine hospitalization on quality of life. Our series includes 41 patients with a slight female predominance: 22 women and 19 men. The average age is 48 years old. Thus, it appears that, just like cancer, diabetes and connective tissue disease significantly reduce the quality of life of patients
Symptomatic Schwannoma of the Abdominal Wall: A Case Report
Get PDFSchwannomas are rare benign tumors originating from Schwann cells of the nerve sheath, typically found in peripheral nerves. While they commonly affect extremities, occurrences in parenchymatous organs like the liver are exceedingly rare. Here, we present the case of a 62-year-old man with a symptomatic abdominal wall schwannoma, a unique finding in the medical literature. The patient underwent surgery for a liver hydatid cyst a year prior and subsequently experienced right hypochondrial pains localized at the laparotomy scar. The nodular mass was discovered intraoperatively, prompting surgical excision with enucleation and Lagrot intervention, which resulted in an uneventful postoperative recovery. Histological examination confirmed the diagnosis of a benign schwannoma. This case highlights the importance of considering schwannomas as a rare cause of abdominal pain and emphasizes the favorable prognosis associated with surgical management
Pattern of Mobile Phone Use in Children Diagnosed with Neuro-Developmental Disorders: A Retrospective Cross Sectional Study
Get PDFBackground: Digital technologies including mobile phone device have progressively become an integral part of the life of children and adolescents for communication as well as learning and playing. According to some authors, the use of mobile device constitutes a “passive” behavior or one-way communication, which takes the child away from other more useful learning processes.Objectives: To evaluate the pattern of mobile device use in children with Neurodevelopmental disorders in Bangladesh.Methods: This retrospective cross sectional type of study was conducted at Department of Paediatric Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from November 2022 to April 2023. Children aged 1-5 year with neurodevelopmental disorders eg; ASD, ADHD, Isolated speech delay, Epilepsy, GDD were selected and enrolled in this study. Then children were assessed thoroughly by taking detailed history and physical examination. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA). In confirmed cases, parents were asked retrogradely regarding the pattern of use mobile phone of their child. Data were collected in pre-designed structured questionnaire after taking approval of Institutional review board. An informed written consent was taken from the parents or the legal guardians.Results: Total 100 children were included. Male were outnumbered (71%) than female. Isolated speech delay was the commonest neurodevelopmental disorder (33%) followed by ASD. Average screen used time were about 3-5 hours of one-third children (38%). Majority of the parents (42.4%) were involved in their household work at the time of mobile use. More than half of the children (57.8%) use mobile phone for watching cartoon. About 50% parents believe that mobile phone having decremental effect on child’s brain development. Maternal mobile was the prime source (65.5%) for using mobile device. Conclusion: Isolated speech delay was the most commonly encountered neurodevelopmental disorder in this study. Average screen used time were about 3-5 hours for one-third studied children. More than half of the neurodevelopmental disordered children use mobile phone for watching cartoon. About half of the parents belief that mobile device have definite decremental effects on child’s brain development