Aim of the work: diabetic foot disease(DFD) is diabetic patient's foot affection by ulcers which are accompanied by peripheral vascular disease and/or diabetic neuropathy of the lower limb. Prevalence of diabetic ulcer is ranging from 2%-10%. High rate of lower limb amputation in DFD (More than 15%) and survival rate for undertaken amputation patient are short. Ninety diabetic amputations are performed monthly in Saudi Arabia capital of Riyadh. Identification of DFD and diabetic patient's awareness of DFD and how to take care of it will reduce the incidence of more complications like amputation. This study aimed to evaluate knowledge, education, attitude and practice with diabetic foot among diabetic patients all over Saudi Arabia. Patients and Method: cross-sectional study directed among the diabetic clinic visitors in Primary Health Care Centers (PHCs s). Selection of 55 PHCs was done by random sampling. Ten diabetic patients were randomly selected from each PHCs and collecting of data was done by interviews. Research questionnaire contains three parts; first part is asking about demographic data; second part is about data that are focusing on diabetes and its related questions and last part is the main part which asking about diabetic foot. Results: 519 diabetic patients were participated in this study. Only 180 participants were complaining of diabetic complications (34.7%). Most of participants (55.1%) get high score 7-8 out of 8 questions in Knowledge. Although, there were 166 persons (32%) who couldn't reach full score in attitude evaluation. There was a large percentage of our participants (69%) had very low score 0-2 out of 6 in assessment of previous education of diabetic foot. More than half of participants (56.5%) had score 6-10 out of 15 in evaluation of practice with diabetic foot. Conclusion: diabetic foot in Saudi Arabia is existing, even amputations and other diabetic foot complications were also present. Diabetic patients have good knowledge and attitude toward diabetic foot. Education about diabetic foot and practice is still weak.
Introduction: renal stone is an important health problem in the world and is the most common disease in urinary tract system. It is particularly a common problem in areas of hot climate like Saudi Arabia. Knowledge and lifestyle attitude of individuals towards renal stone plays a role in delivering optimum management. Aim: to determine the public awareness of renal stones causes, symptoms and management amongst Saudis. Patients and Methods: the data of this quantitative cross-sectional study was collected from participants from two regions in Saudi Arabia. Participants were given a self-administered questionnaire written in Arabic from October 2017 till November 2017. Individuals under the age of 18, tourists, medical staff and people unable to read Arabic were excluded. Data were analyzed using SPSS. Results: four hundred and seven participants with a mean age of 35 filled the questionnaire. About half of them had experienced renal stones either personally or in a direct family member. 91.4% of them are aware that increased water intake decreases the formation of renal stones. As for symptoms of urinary stones, 65.36% of them thought that pain and other urinary symptoms would occur when having urinary stones. Radiology imaging was the most chosen mode of diagnosing urinary tract stones especially amongst participants above the age of 35 (p-value= 0.002) with surgical intervention as the best treatment according to the participants. 57.2% of the participants believe that drinking parsley water prevents the formation of renal stones. Individuals who experienced renal stones before were more knowledgeable about the commonest type of renal stones (p-value= 0.005) and the quantity of recommended daily fluid intake (p-value= 0.008). Conclusion and Recommendation: this data indicates that the participants are to some degree aware of some aspects of renal stone prevention, symptoms and modes of diagnosis and treatment. Individuals who experienced renal stones were more knowledgeable in some aspects. Further emphasis on public awareness of renal stones is recommended.
Background: screening for prostate cancer (PCa) is surrounded by controversies regarding the benefits, risks and uncertainties of undergoing the screening. Current practices of prostate cancer involve measuring the level of PSA and digital rectal examination. This study aimed to measure the knowledge and awareness of undergoing a prostate cancer screening and the available treatment options amongst the participants. Method: a questionnaire-based quantitative cross-sectional study which focuses on determining the knowledge of prostate cancer screening and management in a hospital in Riyadh. Results: three hundred and twenty-three participants filled the surveys (100% males), more than 80% of all ages had heard about prostate cancer and that it is a disease of the male. A higher level of education is significantly associated with the level of awareness (P-value <0.001). More educated participants selected 40 years old as the appropriate age for PCa screening (P-value 0.009) and radiotherapy as the mode of treatment (P-value 0.01). 43.34% saw PCa as a cause of death and 41.4% saw it associated with smoking. Only 17.84% undergo continuous PCa screening most of them in 50-60 age group with "reassurance" as the main motivator. 37.8% of the participants did not know the symptoms of PCa and around 25% selected pain in micturition, difficult frequent micturition and bone pain as symptoms of PCa. Conclusion: although prostate cancer is known amongst the majority of the participants, only a minority of them has knowledge of the symptoms and undergoes regular screening.
Introduction: Penile fracture due to staddle injury is an underreported surgical emergency. Fall down in perinium can present with not only scrotum/perinium hematoma but can associated with more complicated injuries such as pelvis fracture, complex penile fracture with urethral injury, corpus cavernosal and spogiosium raptures. These findings lead to worse morbidity in the patient, especially in terms of sexual life and urinary symptoms. If such severe injuries are not properly managed, erectile dysfunction and urethral stricture can happen, leading to more complicated problems. Case Report: A 23-year-old male presented to the emergency department with complaints of scrotal swelling and pain for three hours due to fall from height on perinium. He had classic signs of a urethral injury and penile fracture. Conclusion: Penile fracture is not always spared injury and does not always occur during erection, but is sometimes associated with other injuries and in flaccid phase.
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