An assessment of the disaster preparedness knowledge of emergency medical services providers in Hajj of 2016.

Objectives: 1) Assess knowledge regarding disaster preparedness for mass gathering among SRC-EMS providers during the Hajj 2016 2) Explore the relationship between the demographic variables and knowledge about disaster preparedness among SRC-EMS providers during the Hajj 2016 3) Explore the sources of knowledge for SRC-EMS providers about disaster preparedness. Method: The data collection for this study was a cross-sectional survey using an online Qualtrics survey. It was convenience sample of 1650 respondents. For the analyses descriptive statistics was used, one-way ANOVA and Bonferroni correction for multiple comparisons tests, multiple regression analyses, and Pearson’s product coefficients. Results: The main findings in this study was providers in the age of 35-39 years and master’s degree had more general knowledge of disaster preparedness. Paramedics had more general knowledge of disaster preparedness and physicians had more knowledge of the Hajj. The military sector had more knowledge of disaster preparedness than other sectors. The trainings, workshops and drills should be held four times per year, the duration should be 6-12 months, trainings no more than 9 hours and workshops and drills more than 20 hours for retaining high knowledge of disasters. Thus, the characteristics of multiple regression analysis model for general knowledge of disaster preparedness are the level of EMS provider, highest level of education, and number of workshops ever attended and characteristics of knowledge of the Hajj model are the number of drills attended and level of EMS providers. Most sources of general knowledge of disaster preparedness are continuing education, university courses the media and the most sources of knowledge of the Hajj are real disasters, continuing education, university courses, and the media. Conclusion: This study indicates a relationship between the demographic variables with general knowledge of disaster preparedness and knowledge of the Hajj 2016. It provides valuable insights into understanding predictive factors. Also, it defines the sources of knowledge about disaster preparedness for mass gathering among SRC-EMS providers. This study offers recommendations to the Saudi government for improving the knowledge of disaster preparedness for SRC-EMS providers such as improving training and education and changing the scope of practice for Saudi EMS system

Stability of Rock Slopes along Raidah Escarpment Road, Asir Area, Kingdom of Saudi Arabia

The Raidah Escarpment road is located north west of Abha city, Asir region, Kingdom of Saudi Arabia. This escarpment road represents an important corridor in the area which connects different villages and tourist resorts with each other. The total length of this road section is about 9 km which passes through a highly mountainous area. The road also passes through areas of different geological hazards (rock, debris flow, soil, and weathered zones). The different environmental factors (e.g. intensive rainy summer), variable geological and structural elements (weak rocks, slide debris weak soils, shear zones, and faults) difficult road characteristics (narrow roads with tight horizontal andvertical curvature) and various human activities in the area make the road susceptible to frequent slope failures (rockfalls, rock sliding, debris flow, soil slides, and raveling) from time to time. This paper deals with the evaluation of the stability of the rock cuts along the Raidah escarpment road using two methods including a structural controlled method and a raveling type method. Raidah escarpment rock cuts have been classified into sixty nine stations which were investigated and subsequently rated. Results of this study indicated that: (1) Based on the structiural control mode of failures, it was found that 12 stations are potentially unstable due to planar, wedge, and toppling failures, and out of them five stations have a major impact on the road in the event of failure, including stations 11, 17, 20, 31, and 40. (2) According to the Modified Colorado Rockfall hazard rating system, it was found that 13, 12, 13, 17, and 49 stations are of high, high to moderate, moderate, moderate to low, and low hazard. On the other hand, it was found that 13, 11, 11, and 69 stations have a high, high to moderate, moderate, and low impact on the road in the case of failure. (3) According to the field simulation tests it was found that 6 stations potentially show highly problems from rolling and bouncing rocks. However, out of these sites it was found that only 4 stations have a high impact on the road due to rolling and bouncing. (4) the areas that are impacted by the debris flows have been mapped and determined. Finally, different recommendations and remediation methods have been discussed to minimise the impact of problimatic sites

Long term visual outcomes in laser treated threshold retinopathy of prematurity in Central Saudi Arabia

AbstractPurposeTo assess the long term visual outcomes and refractive status of patients who underwent diode laser for threshold retinopathy of prematurity (ROP) and to investigate the risk factors leading to poor visual outcomes.MethodsFifty-seven patients (114 eyes) with threshold ROP who underwent laser therapy were contacted for reassessment. A chart review was performed for all patients to collect data on visual acuity, retinal status and strabismus. A favorable visual outcome was defined as ⩾20/160 (Snellen acuity) for young adults (cooperative patients), and ⩾CSM for children (uncooperative patients) while unfavorable visual outcome was defined as <20/160 or <CSM. Vision in uncooperative children was graded as central, steady, maintain. Descriptive and inferential analyses were conducted. Chi2 and odds ratios were calculated whenever appropriate. A P value <0.05 was considered as statistically significant.ResultsThe mean age at reassessment was 5.2±2.5years (range, 1–10years) where 36 (63.2%) patients were males and 21 (36.8%) were females. Out Of the 114 laser treated eyes, 73 (64%) were myopic, with mean spherical equivalent (SE) of −6.69 (5.9), range (−0.25 to −21) diaopters, 8 (7%) were emmetrope, while other 33 (29%) were hyperopic with mean SE of +2.43 (3.04), range (+0.25 to +17) diaopters. Strabismus was present in 31 patients (54.4%) of whom 81% (25/31) were esotropic. Retina was found to be normal in 77.1% of the examined eyes, while the remaining eyes had either macular dragging or retinal detachment. Almost 70% of the eyes with a normal retinal examination had favorable visual outcome. Thirteen (11.4%) eyes had zone 1 retinopathy, 83 (72.8%) eyes had zone 2 retinopathy and 2 (1.8%) eyes had zone 3 retinopathy. Vitreous hemorrhage was present in 7 (6.1%) eyes prior to laser treatment. The relationship between final retinal status and visual outcome was statistically significant (P<0.0001). There was no statistically significant correlation between visual outcome and the zone of the retinopathy (P=0.448).ConclusionThe majority of patients who underwent diode laser therapy for threshold ROP had favorable anatomical and visual outcomes. However, high refractive error and strabismus may be clinically the pertinent causes of visual impairment

Occurrence and sources of aliphatic hydrocarbons in surface soils from Riyadh city, Saudi Arabia

AbstractSoil particles contain a variety of anthropogenic and natural organic components derived from many sources such as industrial and traffic fossil fuel emissions and terrestrial biota. The organic contents of soil and sand from the Arabian region have not fully characterized. Thus, samples of fine soil particles (sieved to <125μM) were collected from the Riyadh area in November 2006 (late summer) and February 2007 (late winter). The samples were extracted with a mixture of dichloromethane/hexane and analyzed by gas chromatography–mass spectroscopy (GCMS) in order to characterize the chemical composition and sources of aliphatic hydrocarbons. The results showed that both anthropogenic and natural biogenic inputs were the major sources of the aliphatic hydrocarbons in these extracts. Vehicular emission products and discarded plastics were the major anthropogenic sources in the fine particles of the soils and ranged from 64% to 96% in November 2006 and from 70% to 92% in February 2007. Their tracers were n-alkanes, hopanes, sterane, plasticizers and UCM. Vegetation was also a major natural source of hydrocarbon compounds in samples ranging from ∼0% to18% in November 2006 and from 1% to 13% in February 2007 and included n-alkanes and triterpenoids

Infantile hypertrophic pyloric stenosis: a single institution’s experience

Background/purpose Infantile hypertrophic pyloric stenosis (IHPS) is said to be relatively common in the western world, but its incidence in the Kingdom of Saudi Arabia is unknown. We set out to study the incidence of IHPS in children presenting at our hospital and review the clinical presentation and treatment outcomes of such patients.Patients and methods A retrospective chart review of all cases with IHPS admitted to a tertiary hospital, Riyadh Military Hospital, over 18 years (1990–2008) was conducted. Diagnosis was confirmed by ultrasonography according to the length of the pyloric channel and thickness of the pyloric muscles. An analysis of demographic data, clinical presentation, diagnostic modality, and associated congenital anomalies was carried out. Operative technique, postoperative course, and complication rates were identified.Results The review of the medical records showed 22 patients with a diagnosis of IHPS. The incidence rate of IHPS was 1.4/10 000 live births. Demographically, most cases presented in the first month of life. It is more common in boys. In all, 55% of infants were first borns. Clinically, nonbilious projectile vomiting was the main symptom. Mild dehydration was found in half of the cases with alkalotic changes. Ultrasonography was the main diagnostic modality in 82% of cases. Others were diagnosed by contrast study. Open Ramstedt pyloromyotomy was the surgical approach in 20 (91%) cases and the laparoscopic approach in 2 cases (9%). Fourteen (14%) patients had an associated congenital inguinal hernia. The mean length of hospital stay was 5.5 days. The most common postoperative complication was wound infection in 4.5% of patients. Incidence of IHPS had obvious seasonal association.Conclusion Incidence of IHPS at our hospital (the biggest hospital in the Kingdom of Saudi Arabia with an annual birth record of 14 000) is far less common than international incidences reported in North America and Europe. More reports from Saudi Arabia, the Middle East, and Asia are recommended to support the rarity of IHPS in this region of the world. Seasonal variation suggests a possible etiological role for environmental factors. It is of practical use for both epidemiologists and clinicians for future comparability.Keywords: incidence, infantile pyloric stenosis, risk factor

Risk assessment of power system transient instability incorporating renewable energy sources

Transient stability affected by renewable energy sources integration due to reductions of system inertia and uncertainties associated with the expected generation. The ability to manage relation between the available big data and transient stability assessment (TSA) enables fast and accurate monitoring of TSA to prepare the required actions for secure operation. This work aims to build a predictive model using Gaussian process regression for online TSA utilizing selected features. The critical fault clearing time (CCT) is used as TSA index. The selected features map the system dynamics to reduce the burden of data collection and the computation time. The required data were collected offline from power flow calculations at different operating conditions. Therefore, CCT was calculated using electromagnetic transientsimulation at each operating point by applying self-clearance three phase short circuit at prespecified locations. The features selection was implemented using the neighborhood component analysis, the Minimum Redundancy Maximum Relevance algorithm, and K-means clustering algorithm. The vulnerability of selected features tends to result great variation on the best features from the three methods. Hybrid collection of the best common features was used to enhance the TSA by refining the final selected features. The proposed model was investigated over 66-bus system

EFFECT OF MULTIMEDIA ACTIVITIES IN BLENDED LEARNING ON LISTENING SKILLS AND SATISFACTION IN A COLLEGE ENGLISH LANGUAGE COURSE

This study aimed to investigate the effect of proposed multimedia activities in blended learning on students’ listening skills and satisfaction in a college English language course at the Royal University for Woman (RUW) in Bahrain. The study attempted to assess the effects of the proposed strategy on the students’ listening skills and satisfaction with the multimedia listening activities in the OPL (Orientation Program Lower). Results indicated that experimental group students scored higher level in their listening post-test than those in the control group. Experimental group students were satisfied with the courses designed.KEYWORDS: multimedia activities, interactive multimedia, listening comprehension, blended learning

Biomass Mediated Synthesis of ZnO and ZnO/GO for the Decolorization of Methylene Blue under Visible Light Source

: In this study, zinc oxide (ZnO) as well as ZnO/GO (zinc oxide/graphene oxide) were successfully synthesized. The Carica papaya leaf extract was used to synthesize ZnO and oil palm empty fruit bunch biomass to obtain graphene, which was further used to obtain graphene oxide. The samples were characterized through a variety of analytical methods such as scanning electron microscopy, transmission electron microscopy, X-ray diffraction analysis, Fourier transform infrared spectroscopy and UV–Visible spectroscopy in order to understand their morphology, size, structural phase purity, functional groups and optical properties. Various peaks such as O-H, Zn-OH and Zn-O were found in the case of ZnO. Some additional peaks, such as C-C and C=C, were also been detected while analyzing the sample by Fourier-transform infrared spectroscopy. The results of the XRD and SEM studies demonstrated that the synthesized material shows the crystalline nature of the substance in the case of ZnO, and the crystallinity decreases for ZnO/GO. The average crystallite size was found to 80.0 nm for ZnO and 74.0 nm for ZnO/GO. Further, a red shift was shown in the case of ZnO/GO, which was indicated by the UV–Vis absorption spectrum. In the TEM analysis, the particles were shown to be nanosized. For instance, the highest number of particles was found in the range of 100 to 120 nm in the case of ZnO, while 80–100 nm sized particles were found for ZnO/GO. Using synthesized ZnO and ZnO/GO, the decolorization of methylene blue was found to be 64% and 91%, respectively