Social Services Provided to Patients Attending Primary Health Care Centers, Riyadh Saudi Arabia

Introduction: Social Services is an essential part of the PHC procedures. This work prescribes the diversity of services supplied to support quality in health care services at PHC, Riyadh, Saudi Arabia.Methods: The study comprised patients who got social services from the social services overflow unit at PHC in Riyadh, Saudi Arabia. Frequency distribution patient and par shard altered to describe the study population, and par shard produced to explain details of services provided.Results: The social services unit served 411 patients, with 60% married and 80% widowed, 17% illiterate, and 66% had a housing adaptation for the sick and his family. 46.22% average, family support 40.14% good, and connection with the surrounding environment 42.10%, Social Services' Health Status 51.6% chronic sickness and 49.% anxiety, 67% low income, treatment recommendations for social services. Financial aid was provided to 53.5% of patients, 68.6% for procedures, and 31% for other services such as guidance and support.Conclusion: The social service program in PHC is an essential component of primary health care services. It promotes quality improvement in healthcare services. Social services can improve the quality of health care services provided in primary health care. And the same time helping patients to get improved access to health care services through counseling and financial aid. Social services also have a role in improving the awareness of family members of patients' conditions and determinants. Social services in PHCs realize the social responsibility of primary health care services towards the families of patients in the community

Design, synthesis, in vitro antiproliferative effect and in situ molecular docking studies of a series of new benzoquinoline derivatives

Quinoline derivatives have been reported to possess multi-therapeutic potential owing to the manifestations of different pharmacological effects. The current research work describes about the design and synthesis of a series of novel benzoquinoline analogues with an objective to evaluate their antiproliferative structure–activity relationship against colon, breast and hepatocellular cancers. Upon synthesis, all derivatives’ chemical structures were elucidated through FTIR, 1 HNMR and 13CNMR spectroscopic analysis. All derivatives were investigated for their in vitro anti-proliferative property against three different cancer cell lines (viz., colon carcinoma HT29, Caucasian breast adenocarcinoma MCF7, hepatocellular carcinoma HepG2) and a normal non-transformed human foreskin fibroblast Hs27 cell line. All derivatives demonstrated varied degrees of strong anticancer effect against all of the cell lines with the 2-Amino-4-(4-nitrophenyl)-5,6-dihydrobenzo[h]quinoline-3-carbonitrile (CNMP, 2) exhibited the most potent antiproliferative effect viz. LC50 21.23 lM for breast, 8.24 lM for colon, and 26.15 lM for the hepatocellular, respectively. Molecular docking studies against all the the target crystal structures of cancer proteins (1HK7, 3EQM, 3IG7 and 4FM9) revealed significant binding affinities via hydrophobic and H-bonding interactions with all the compounds in conformity with the wet lab results. CNMP showed the highest binding energy of �7.55 in the HT29, �6.9 (both in MCF7 HepG2) kcal/mol. Based on the results obtained from wet lab and dry lab experiments, it can be proposed that CNMP might prove to be a potential lead structure for the design and synthesis of more potent anticancer candidates

Validation and adaptation of the hospital consumer assessment of healthcare providers and systems in Arabic context: Evidence from Saudi Arabia

One of the main purposes of healthcare organizations is to serve patients by providing safe and high-quality patient-centered care. Patients are considered the most appropriate source to assess the quality level of healthcare services. The objectives of this paper were to describe the translation and adaptation process of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for Arabic speaking populations, examine the degree of equivalence between the original English version and the Arabic translated version, and estimate and report the validity and reliability of the translated Arabic HCAHPS version.The translation process had four main steps: (1) qualified bilingual translators translated the HCAHPS from English to Arabic; (2) the Arabic version was translated back to English and reviewed by experts to ensure content accuracy (content equivalence); (3) both Arabic and English versions were verified for accuracy and validity of the translation, checking for the similarities and differences (semantic equivalence); (4) finally, two independent bilinguals reviewed and made the final revision of both the Arabic and English versions separately and agreed on one final version that is similar and equivalent to the original English version in terms of content and meaning.The study findings showed that the overall Cronbach’s α for the Arabic HCAHPS version was 0.90, showing good internal consistency across the 9 separate domains, which ranged from 0.70 to 0.97 Cronbach’s α. The correlation coefficient between each statement for each separate domain revealed a highly positive significant correlation ranging from 0.72 to 0.89.The results of the study show empirical evidence of validity and reliability of HCAHPS in its Arabic version. Moreover, the Arabic version of HCAHPS in our study presented good internal consistency and it is highly recommended to be replicated and applied in the context of other Arab countries. Keywords: HCAHPS psychometrics, Reliability, Validity, Patient experience, Arabic language, Saudi Arabi

Improving the care of sepsis: Between system redesign and professional responsibility: A roundtable discussion in the world sepsis day, September 25, 2013, Riyadh, Saudi Arabia

This paper summarizes the roundtable discussion in September 25, 2013, Riyadh, Saudi Arabia as part of the World Sepsis Day held in King Abdulaziz Medical City, Riyadh. The objectives of the roundtable discussion were to (1) review the chasm between the current management of sepsis and best practice, (2) discuss system redesign and role of the microsystem in sepsis management, (3) emphasize the multidisciplinary nature of the care of sepsis and that improvement of the care of sepsis is the responsibility of all, (4) discuss the bundle concept in sepsis management, and (5) reflect on the individual responsibility of the health care team toward sepsis with a focus on accountability and the moral agent

Building capacity for quality and safety in critical care: A roundtable discussion from the second international patient safety conference in April 9-11, 2013, Riyadh, Saudi Arabia

This paper summarizes the roundtable discussion from the Second International Patient Safety Conference held in April 9-11, 2013, Riyadh, Saudi Arabia. The objectives of the roundtable discussion were to: (1) review the conceptual framework for building capacity in quality and safety in critical care. (2) examine examples of leading international experiences in building capacity. (3) review the experience in Saudi Arabia in this area. (4) discuss the role of building capacity in simulation for patient safety in critical care and (5) review the experience in building capacity in an ongoing improvement project for severe sepsis and septic shock

Eco-friendly fabrication of novel hydrophobic CMC–C18@MWCNTs nano-sorbent for fat content removal in the analysis of polycyclic aromatic hydrocarbons in fatty-food samples

In this study, carbon nanohybrids was developed by hybridizing carboxymethyl cellulose (CMC) biopolymer with various amounts of multi-walled carbon nanotubes (MWCNTs: 0.2, 0.5, 1, 3, and 5%) in eco-friendly process to produce hydrophobic CMC–C18@MWCNTs, which was then used as a sorbent material for fat content in fatty food samples analysis. The hydrophobic biopolymers were synthesized using an ultrasound-assisted esterification process, and the physicochemical properties were analyzed using FT-IR, XRD, TGA, FE-SEM, and TEM. The performance of the hydrophobic nanocomposites was evaluated by assessing their ability to remove fat content during polycyclic aromatic hydrocarbon (PAHs) analysis in tuna samples. The results showed that CMC–C18–CNT _0.2% provided the best peak shapes and highest recoveries for PAHs compounds, ranging between 74.3 and 89.7%, while CMC–C18–CNT _5% had the lowest recoveries, ranging between 0 and 35%. Therefore, the lowest amount of MWCNTs was found to be the most efficient for removing fat content with providing high PAHs recovery, while increasing the MWCNTs percentage increased the hydrophobicity and removed PAHs analytes along with fat content. After the investigation, the method was validated using CMC–C18–CNT _0.2% in three various levels: 2, 5 and 10 μ g kg ^−1 . The obtained results were satisfactory; the average recoveries for all PAHs compounds ranged between 74.3 to 89.7%, and the intra-day precision were estimated by coefficient of variation (%CV), where were less than 10% for all PAHs. The LOD and LOQ were lies between 0.33 to 0.89 μ g kg ^−1 and 1.12 to 1.92 μ g kg ^−1 respectively. For the calibration curve linearity, the correlation coefficient (r2) were higher than 0.999 for all PAHs. Overall, the hydrophobic CMC–C18@MWCNTs are a promising, modifiable, and useful material for fatty food analysis

Experimental study and finite element modelling of pure copper tube fabrication via the Parallel Tubular Channel Angular Pressing (PTCAP) Process

The Parallel Tubular Channel Angular Pressing Process (PTCAP) has emerged as a promising method for refining the grain structure and enhancing the mechanical properties of metallic materials through severe plastic deformation. This study focuses on a comprehensive investigation of the PTCAP process, combining experimental and numerical analysis to gain insights into its underlying mechanisms. Experimental investigations involve processing a commercially pure copper tube using PTCAP under controlled conditions. In parallel, an explicit numerical analysis is developed using ABAQUS software to simulate the deformation behavior during PTCAP. The model incorporates material constitutive equations and accounts to describe the material response under high strain rates and large deformations. The research aims to investigate how multi-pass PTCAP affects hardness, strain homogeneity, and stress distribution. A comparison between the load punch from the experimental and FEM is conducted to validate the FEM results, and there is a good correlation between both. Hardness measurements are conducted at various stages to quantify the changes in material hardness resulting from the successive PTCAP passes. The hardness of the Cu tube increased by 63.45, 94.51, 103.98, and 105.64% after 1 to 4 passes, respectively

Modeling and Experimental Investigation of U-R Relationship of AA6061-T6 Tubes Manufactured via Free Bending Forming Process

Forming tubes with various bending radii without changing the bending dies is much easier for the 3D free bending forming (FBF) process. In the 3D-FBF process, different bending radii were realized by adapting the eccentricities of the bending dies. The accuracy of the U-R curve is crucial for the precision forming of complex bending components. In this study, the U-R relation curve of the Al alloy tube with a specific friction coefficient, fixed geometry size, clearance between tubes, and bending die was fitted first based on the forming results of AA6061-T6 tubes under different eccentricities. Second, the U-R relationship curve based on the experiment is used to propose the U-R relationship’s mathematical formula based on many hypotheses. Finally, the modified U-R mathematical formula was applied in the finite element (FE) simulation and the actual FBF experiments for the AA6061-T6 Al alloy complex shape space bending members. The U-R relationship curve’s reliability was verified by comparing the simulation and experimental results. The results obtained from the modified U-R relationship align well with the FE modeling results and can be directly applied to the bending process for the intended components