Prevalence, Types and Determinants of Complementary and Alternative Medications among Health Clinic Clients

Complementary and Alternative Medicine (CAM) covers a wide range of over 100 healing approaches, philosophies and therapeutic modalities that are not provided by conventional medicine. Complementary and Alternative Medicine (CAM) covers a wide range of healing approaches not provided by conventional medicine. Objectives: The study was aimed at identifying the prevalence , types and determinants of CAM use,  sources of information about CAM that patients usually depend upon and  reasons of using CAM, Methods: : A cross-sectional survey was used to collect data from random consecutive patients attending  two PHC centres out of ten which was selected randomly in Abha city. All the patients more than 18 years attended to the clinic during two months (March & April) /2014 was included in the study. Results: The present study included 504 patients attending the PHC centres. The mean age of the participants was  47.6 ± 10.2 years. 232(46.0%)  were Males and 272(54.0%) were females. The majority of participants were Saudi ((88.7%)) and Muslims (96.4%). Most of the participants were Illiterate or school level (82.1%) and less than half of them (42.9%) had  enough family income > 10,000 SR. About three fourths of the participants were born in city, most of them were non smokers (81.9%) and about one third of them had self-perceived stress level more than 5. About one third  (36.9%) of participants reported using CAM during the 12 months preceded the study. About half of the participants used CAM due to the personal and family beliefs and because of friends advice ( 63.4% & 46.8% ) respectively. More than half of CAM users used it regularly. 58.6% of CAM users Feeling physically & psychologically better after using it and most of them did not reported any side effects after using CAM.  Conclusions: Use of CAM is prevalent among patients attending  health clinics in Abha City. CAM is commonly used by all age groups. The significant factors found to increase the likelihood of CAM use were Saudi nationality, Illiterate and the place of birth, there were a statistical significant increase  of using CAM among participants born in village. However, factors like age, gender, income, religion, smoking and perceived stress level did not prove to be statistically significant and thus did not affect CAM prevalence significantly. Most families has strong personal belief on CAM Because of the Belief that CAM builds up the body’s own defenses and promotes self-healing and has less side effects. Key words: Prevalence, Determinants, Complementary,  Alternative Medications, Client

Molecular Mechanisms Contributing Bacterial Infections to the Incidence of Various Types of Cancer

Cancer causes a major health concern worldwide due to high incidence and mortality rates. To accomplish this purpose, the Scopus, PubMed, and Web of Science databases were searched using the keywords bacteria and cancer. Most of published research addressed several different factors that induced cancer, such as toxins, medications, smoking, and obesity. Nonetheless, few studies are dealing with cancer induction via bacterial infection. In addition, mechanisms of cancer induction via bacterial infections are not well understood. Therefore, in this review, we will shed light on different bacteria that induced cancer via different molecular mechanisms. Among the bacterial infection that induced cancer, Helicobacter pylori was the first recognized bacteria which caused gastric cancer and might be also linked to extragastric cancer in humans. H. pylori has been associated with adenocarcinoma in the distal stomach by its ability to cause severe inflammations. It has been found that inflammations induced cancer via different mechanisms including induction of cell proliferation and production of high levels of free radicals. Recently, free radicals were found to induce and cause various types of cancer. Salmonella typhi has been found to be associated with gallbladder carcinoma (GBC). Also, intercellular infection of lungs with Chlamydia pneumoniae was found to contribute as one of the ethological factors of lung cancer. Moreover, infection of the urinary tract with Staphylococcus aureus, Klebsiella spp., and Proteus mirabilis has been found to cause bladder cancer. These microorganisms produce a high level of N-nitrosamines which are metabolically activated leading to the generation of alkylating agents that damage DNA and other macromolecules. It is concluded that a certain bacterium is linked with induction of a specific type of cancer via different molecular and biochemical mechanisms as discussed in the text in details. This infection could potentially affect human health in different ways. In addition, it is important to know the possible factors involved in cancer induction for better treatment of cancer patients

Influence of altitude on pediatric asthma severity and quality of life in southwestern Saudi Arabia

Objectives: The study investigates the influence of altitude on asthma severity and quality of life in asthmatic children in southwestern Saudi Arabia. Methods: Comparative hospital based study was conducted on 90 bronchial asthma patients aged 5–12 years prospectively underwent consultations in pediatric clinics at Maternity and Children Hospital (MCH) in moderate altitude area and 90 age and sex matched patients during consultation in pediatric clinics at MCH in low altitude area. For both groups, asthma severity was assessed according to GINA 2002 criteria and patients responded pediatric quality of life inventory generic core scales. Altitude and climatic conditions were abstracted from standardized sources. Results: Asthma severity was significantly lower in moderate altitude compared to low altitude. Also, severity of symptoms and need for controller medications were negatively associated with altitude. In multiple regression analysis, the physical and psychosocial domains of quality of life were positively predicted by altitude and negatively with asthma severity. In conclusion: Moderate altitude was significantly associated with lower degree of asthma disease severity, lower need for controller medication and better quality of life

Burnout Syndrome among Emergency Physicians and Nurses in Abha and Khamis Mushait Cities, Aseer Region, Southwestern Saudi Arabia

Objectives. To explore the magnitude and determinants of burnout among emergency physicians and nurses working at emergency departments of hospitals in Abha and Khamis Mushait cities. Subjects and Methods. A cross-sectional hospital-based study was conducted in emergency departments of hospitals in Abha and Khamis Mushait cities belonging to Ministry of Health. All physicians (n=95) and nurses (n=187) currently working at these sites were invited to participate in the study by filling a validated self-administered questionnaire including two main sections: personal and professional characteristics of physicians and nurses as well as Maslach burnout inventory (MBI) to assess the three components of the burnout syndrome: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results. The study included 282 physicians and nurses. The age of more than half of them (54.3%) ranged between 31 and 35 years. Most of them (70.9%) were females. About two-thirds of the respondents (66.3%) were nurses while the remaining 33.7% were physicians. Majority of the emergency healthcare professionals (88.7%) had high emotional exhaustion. The prevalence of high depersonalization (cynicism) was 20.6% whereas that of low personal accomplishment was 41.1% among emergency healthcare professionals. The overall prevalence of burnout among healthcare professionals was 16.3%. Multivariate logistic regression analysis revealed that male healthcare professionals were at almost higher three-folded risk for developing burnout compared to females (aOR=2.76; 95% confidence interval (CI): 1.21-6.28, p=0.017)). Smokers were at higher significant risk for burnout compared to nonsmokers (aOR=15.37; 95% CI: 7.06-33.45, p<0.001). Healthcare professionals who reported a history of taking medications for sleep disorders expressed higher risk for burnout opposed to those with no history of sleep disorder medication (aOR=6.59; 95% CI: 2.08-20.81, p=0.001). Conclusion. A considerable proportion of physicians and nurses working at emergency departments of hospitals in Abha and Khamis Mushait cities had burnout syndrome, particularly high emotional exhaustion and low personal accomplishment

Current Practices and Existing Gaps of Continuing Medical Education among Resident Physicians in Abha City, Saudi Arabia

Background: Continuing medical education (CME) is an everlasting process throughout the physician&rsquo;s working life. It helps to deliver better services for the patients. Objectives: To explore CME among resident physicians in Abha City; their current practices, their opinions, and barriers faced. Methods: A cross-sectional study was conducted among resident physicians at the Ministry of Health hospitals in Abha City using a validated self-administered questionnaire. It included personal characteristics, current CME practices, satisfaction with CME, and barriers to attendance. Results: The present study included 300 residents from 15 training specialties. Their reported CME activities during the previous year were lectures and seminars (79.7%) followed by conferences (43.7%), case presentations (39.7%), workshops (34.0%), group discussion (29/7%), and journal clubs (27.3%). Astonishingly enough, very few (8%) attended online electronic CME activities. There were significant differences in CME satisfaction scores by different training specialties. Regarding residents&rsquo; perceptions of the effectiveness of different CME activities (conferences/symposia, workshops/courses, and interdepartmental activities) the results showed that workshops and courses were significantly the most effective method compared to the other two methods in retention of knowledge, improving attitudes, improving clinical skills, improving managerial skills, and in improving practice behaviors. Barriers reported were being busy, lack of interest, high cost, and lack of suitable providers. Conclusion: Based on the findings of this study, it is recommended that online learning be promoted as a CME format for trainees. There should be support of residents and clinicians through the provision of protected time for their CME activities outside their daily clinical commitments

Knowledge and attitude regarding child abuse among primary health care physician in Abha, Saudi Arabia, 2018

Backgrounds: Child abuse or child maltreatment is physical, sexual, or psychological maltreatment or neglect of a child or children, especially by a parent or other caregiver. Child abuse may include any act or failure to act by a parent or other caregiver that results in actual or potential harm to a child, and can occur in a child's home or in the organizations, schools, or communities the child interacts with. This study was conducted to assess the primary health care (PHC) centers' physicians' knowledge and attitude toward child abuse including its types, and child neglect with their behavior regarding reporting of abuse cases. Methods: A cross-sectional study was conducted in Abha which is the capital of Aseer Province, including all PHC physicians (about 475) working in PHC centers. Data regarding physicians' demographic characteristics, perception, and awareness regarding child abuse and neglect were collected by self-administrative questionnaire in the PHC center during their time between patients' consultation. Results: The study included 300 PHC physicians whose ages ranged from 25 to 50 years old with mean age of 28 years. About 65% of the physicians were males and 69% of them were married with about 73% having at least one child. Overall, 96.3% of the physicians recorded good awareness level regarding types of child abuse and 97.3% recorded good awareness level regarding child neglect patterns. Underreporting of child abuse cases was recorded by about 64% of physicians. Conclusion: Regarding child abuse and neglect, PHC physicians have good knowledge, optimal attitude, and positive perception. There was also the problem of underreporting of suspected child abuse cases among PHC physicians in Saudi Arabia, with many barriers to report, such as community traditions; unclear reporting strategy was identified