Acne vulgaris is the commonest dermatological problem internationally and nationally. Its incidence is increasing every year in the Kingdom of Saudi Arabia (KSA). Though it is not a major health issue but it significantly affects the patient cosmetically, psychologically and socially. Previous studies have shown its association with lifestyle (age, diet, stress, sleep, smoking, exercise, obesity, etc.) and family history. By simple cost-effective lifestyle modification, its occurrence and late consequences could be minimized. Few hospital-based studies are done on this issue in Hail City, KSA. Hence present cross-sectional study was designed where data was collected by Google-Form from 484 residents of Hail City. Results have revealed that 65% of our respondents were suffering from mild to moderate Acne. Thirty percent of the respondents had BMI equal to more than 30. Majority of respondents (81%) had acne on whole face. Similarly, dairy products were also consumed by more than 50%. Majority of respondents (more than 50%) took chocolates, fast foods, oily foods and seafoods. Nuts were taken quite often by 37% of respondents. Age between 21-25 years and oily skin have a highly significant association (p = 0.000) with development of acne. Other variables that show significant association with acne were being obese, stressful, irregular menstrual cycles and excessive intake of nuts. Hence there is a need to address this issue in order to design recommendations for the general public to minimize the incidence and consequences of acne vulgaris by simple lifestyle modifications.
High parity is associated with the risk of fetomaternal complications such as gestational diabetes mellitus, hypertensive disorders, maternal anemia, preterm labor, miscarriage, postpartum hemorrhage, and perinatal and preterm mortality. The objective of the study was to compare fetomaternal complications in women of high parity with women of low parity. This involved a cohort study on a sample size of 500 women who had singleton births. Data were collected from the Maternity and Child Hospital, Ha’il, Kingdom of Saudi Arabia. Participants were classified into two groups according to parity, i.e., women of low parity and women of high parity. Socio-demographic data and pregnancy complications, such as gestational diabetes, hypertension, preeclampsia, intrauterine growth restriction, etc., were retrieved from participants’ files. Participants were followed in the postnatal ward until their discharge. The results revealed that women of high parity mostly (49%) were married before 20 years of age, less educated, obese, and were of un-booked cases. Premature babies and fetal mortality are significantly high (0.000) in this group. There is a significant difference between the two groups with respect to maternal anemia, gestational diabetes mellitus, joint pain, perineal tear, miscarriage, postpartum hemorrhage, preeclampsia, vaginal tear, and cesarean section. Determinants responsible for high parity should be identified via evidence-based medicine. Public health education programs targeting couples, weight control, nutrition, and contraception would be a cost-effective strategy for reducing the risk of possible fetomaternal complications.
Diabetes is a common among general population with many oral manifestations; persistent deprived glycemic control has been associated with the incidence and progression of diabetes related complications including gingivitis and periodontitis which the most common cause of tooth loss, evidence suggests that periodontitis affects glucose control in diabetes. The disease evoked bacteremia can cause elevation in serum pro inflammatory cytokines leading to elevated lipid levels and ultimately inflicting a hypoglycemic agent resistance syndrome and tributary to destruction of duct gland beta cells. Treating chronic odontology infections is crucial for managing polygenic disorder. Aim of this literature review is to look at the impact of odontology medical aid on glycemic management in sort II diabetic patients.
Background: Breast-feeding practice is one of the main determinants that influence Infant Mortality Rate (IMR). To adopt this practice, mothers’ attitude plays a pivotal role. Attitude depends upon socio-cultural and economical factors. Objective: To assess factors affecting the attitude of primigravida towards Breastfeeding in Ha’il City, Kingdom of Saudi Arabia. Method: In this cross-sectional study, 156 primigravida were recruited by using predefined inclusion and exclusion criteria. Data was collected by awell-structured, closed-ended questionnaire. Results: Majority (51.3%) of our respondents were working ladies (employed, labor, self-employed), and had a high educational level (40.3%). More than half (54.5%) of the primigravida were willing to breastfeed their newborns. Thirty percent of respondents had the intention to practice exclusive breast feeding until 6 months. Majority (43.6%) hadplanned to give mixed feed as a large percentage, considered breast-feeding practices embarrassing and old fashioned. Higher educational level was significantly associated with; number of antenatal visits (according to the prescribed schedule), willingness to breastfeed after resuming the job, right time to have the 1st antenatal visit and willingness to continue exclusive breast feeding until 6 months of the newborn’s age. Although 90% of respondents were breast fed by their own mothers but there was a highly significant association (p≤0.001) of willingness to breastfeed newborns in those respondents whose mother in law breast-fed. Conclusion: Education is found as a main determinant that affects the attitude of primigravida towards breastfeeding. Other variable that influences attitude is the attitude of surrounding people regarding breast-feeding practices. Hence, it is recommended that health education programs on breastfeeding should be incorporated in female adolescent education programs, which will result in the building up of a positive attitude of future mothers towards breastfeeding practices. Keywords: Attitude, Primigravida, Breast-Feeding
Background: Pandemic of COVID-19 has affected almost every aspect of human life. Medical Education is profoundly affected globally because of social distancing which has prohibited teacher-medical student and medical student-patient’s interaction. During this paradigm shift, students both have faced different challenges. College of Medicine, University of Ha’il is not an exception. Aim: The aim of present study was to assess students’ perspective to list supportive and inhibitory factors that has affected implementation of Medical Education during COVID-19 Pandemic. Study results would be helpful to design a feasible cost effective strategy to minimize the effect of those inhibitory factors so our medical undergraduates of coming academic year attains maximum competencies during this period of pandemic. Methodology: It was a cross sectional study conducted in College of Medicine, University of Ha’il from November 2020 till February 2021. Our study respondents were undergraduate MBBS male and female students who were attending online sessions since March 2020. Results: Eighty-two percentage of students learned digital technology, gained confidence and self-efficacy (61%) hence their metacognitive learning ability has increased (71%). As the lectures are being recorded, students found online lecturing more useful (88%) as compared to classroom. Flipped Learning was liked by 70%. Online teaching saves time (89%) its low cost (89%) and there is there is flexibility of location (90%). Main barrier (95%) to online learning is its dependency on Internet availability. Students’ could not concentrate properly andthey were not satisfied with online assessment (65% & 68% respectively). Even the motivated students answered that Problem Based Learning sessions were not delivered effectively as it was before when it was by physical presence (p≤0.000).Community and patients’ care skills could not be developed by online learning instructions (p≤0.05). Conclusion: Students learned digital technology and developed metacognitive ability so become more responsible for their learning tasks as they were before pandemic. As teaching sessions are recorded that helps them in revision. However, online sessions are not suitable to learn soft skills. Student-patients’ interaction is a mandatory element in order to learn competency. Key Words: Medical Education, COVID-19 Pandemic, Impact
In the context of the global increase in the rate of cesarean deliveries, with an associated higher morbidity and mortality, this study aimed to investigate the role of maternal age and parity in the cesarean section rate among women in the Hail Region of Saudi Arabia. This retrospective cohort study used data collected from the labor ward of the Maternity and Child Health Hospital, Hail, over a period of 8 months, forming a cohort of 500 women. Women were categorized into four different parity classes. The results revealed that there was no significant relationship between cesarean deliveries and maternal age (p-value, 0.07). There was no significant difference in the mode of delivery between the study’s parity cohort group. A significant increase in cesarean deliveries was noticed among obese women with a BMI between 35–39.9 (52.14%). This increase was even greater among those with a BMI above 40 (63.83%). Fetal distress, malpresentation and abruptio placenta were the most significant indications for CS among all age groups (p-value 0.000, 0.021, and 0.048, respectively). Conclusions: The number of cesarean deliveries has no association with parity or age. However, there was a statistically significant association with BMI, a perineal tear after previous vaginal delivery, and a history of diabetes mellitus and gestational diabetes. The most reported reasons for CS were fetal distress, malpresentation, and abruptio placenta among all age groups.
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