Background and Aims:This study aims to explore the incidence of hypoglycemia and its risk factors among diabetic patients attending primary health care center during Ramadan Abha city, Aseer region, Saudi Arabia.Methods:This cross-sectional study was conducted among adult diabetic patients attending Primary health care centers (PHCCs) in Abha city, southwest of KSA. A questionnaire in Arabic language was used. It consisted of five parts that covered patients demographic and DM relevant profile, hypoglycemia attacks during Ramadan, compliance with drug, diet, exercise and glucose monitoring. Four PHCCs in Abha city were selected randomly to conduct this study. All diabetic patients who attended the selected PHCCs during the month of Shawwal 1439 (corresponding to June-July 2018) were interviewed by the investigators. Data were coded, entered and analyzed using SPSS version 22. Appropriate statistical tests were used accordingly and P value was considered as significant if it was less than 5%.Results:The total patients participated in this study was 378. The mean age was 45 years, males represents 51%, mean duration of DM was 12 years, type-1DM constitutes about one third. Most of type-1 DM patients used act rapid and long acting insulin (65%), while in type-2 DM, more than one third (38%) used OHA, 8% were on insulin alone. More than half of patients (52%) reported at least one attack of hypoglycemia during Ramadan, (29%) out of them had more than four attacks. About two third of attacks (67%) occurred in the morning and evening while less than one fourth have hypoglycemia at night (17%), (2%) visited ER or PHC and 1% were admitted to hospital for further management.Conclusion:This study revealed that the incidence of hypoglycemia among diabetics was high. Many Risk factors were identified; young age, type-1 DM, long duration of DM, insulin use. More attacks occurred during Ramadan day period and led to breaking the fasting among all affected patients. Most of patients were not given instructions regarding self-care immediately before or during Ramadan. Structured health education program for diabetics attending PHCC should be constructed and implemented before beginning of Ramadan in order to minimize the incidence of acute complications particularly hypoglycemia.
Alzheimer’s disease is incurable at the moment. If it can be appropriately diagnosed, the correct treatment can postpone the patient’s illness. To aid in the diagnosis of Alzheimer’s disease and to minimize the time and expense associated with manual diagnosis, a machine learning technique is employed, and a transfer learning method based on 3D MRI data is proposed. Machine learning algorithms can dramatically reduce the time and effort required for human treatment of Alzheimer’s disease. This approach extracts bottleneck features from the M-Net migration network and then adds a top layer to supervised training to further decrease the dimensionality and delete portions. As a consequence, the transfer network presented in this study has several advantages in terms of computational efficiency and training time savings when used as a machine learning approach for AD-assisted diagnosis. Finally, the properties of all subject slices are combined and trained in the classification layer, completing the categorization of Alzheimer’s disease symptoms and standard control. The results show that this strategy has a 1.5 percentage point better classification accuracy than the one that relies exclusively on VGG16 to extract bottleneck features. This strategy could cut the time it takes for the network to learn and improve its ability to classify things. The experiment shows that the method works by using data from OASIS. A typical transfer learning network’s classification accuracy is about 8% better with this method than with a typical network, and it takes about 1/60 of the time with this method.
This qualitative study aims to explore the core leadership practices of school principals in the Kingdom of Saudi Arabia. Given the exploratory nature of this study, a qualitative research design methodology was employed through which an in-depth, multi-perspective study of the practices of four secondary school principals was carried out. Employing a semi-structured interview protocol developed specifically for this study, data was collected from the principals and four teachers and four parents from each of the participating schools. The findings of the data analysis revealed that the principals demonstrated a repertoire of five core practices, namely, setting achievement goals, developing teachers, building strong relationships with parents, focusing on academic excellence and developing school climate. The principals enacted these core practices in a variety of ways. These core practices are discussed in detail along with the important implications for further research and practice.
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