Objectives:To evaluate levels of physical activity among physicians in Riyadh, Saudi Arabia and to study the possible factors affecting physical inactivity. In addition, the study aims to estimate the prevalence of major non-communicable diseases (NCDs) and a possible correlation between physical inactivity and major NCDs.Method:A cross-sectional approach was used for this study conducted on 370 randomly-selected outpatient physicians of both genders working at 4 leading healthcare institutions in Riyadh, Kindom of Saudi Arabia between December 2013 and January 2014. Using a modified World Health Organization (WHO) STEPwise questionnaire. Data was analyzed using the Statistical Package for Social Sciences version 21.Results:The findings of the present study demonstrated a prevalence of physical activity among Riyadh physicians (63%), which is higher than the general population (32.4%). The main reason for not engaging in physical activity was lack of time (58.1%) followed by work duties (22.5%). The prevalence of the most frequently reported NCDs (cardiovascular diseases, diabetes, chronic respiratory diseases, and cancers) was 21.9%. No significant association between physical inactivity and major NCDs among physicians in our sample was found.Conclusion:The participating physicians are physically active and suffer from a small percentage of the most reported NCDs. The main factor associated with physical inactivity was lack of time. No association was detected between physical inactivity and major NCDs.
HighlightsIn this case report we highlight briefly the unique entities of Icthyosis, the commonest ophthalmological manifestation and the reported modalities of surgical therapy, which includes Mucous Membrane Graft (MMG).Up to our knowledge this is the first reported long term follow up of MMG offered for Ichthyosis-related cicatricial ectropion.Thus we believe that this case has a value in using MMG as the standard therapy for a generalized condition, which is not peculiar only to ophthalmologists.
BACKGROUNDFaced with growing healthcare demand, the Saudi government is increasingly relying on privatization as a tool to improve patient access to care. Variation in children’s access to surgical care between public (PB) and private providers (PV) has not been previously analyzed.OBJECTIVESTo compare access to pediatric surgical services between two coexisting PB and PV.DESIGNRetrospective comparative study.SETTINGSA major teaching hospital and the largest PV group in Saudi Arabia.PATIENTS AND METHODSThe outcomes for children who underwent inguinal herniotomy (IH) between May 2010 and December 2014 at both providers were with IH serving as the model. Data collected included patient demographics, insurance coverage, referral pattern and access parameters including time-to-surgery (TTS), surgery wait time (SWT) and duration of symptoms (DOS).MAIN OUTCOME MEASURE(S)TTS, SWT and DOS.RESULTSOf 574 IH cases, 56 cases of in-hospital referrals were excluded leaving 290 PB and 228 PV cases. PV patients were younger (12.0 vs 16.4 months, P=.043) and more likely to be male (81.6% vs 72.8%, P=.019), expatriates (18% vs 3.4%, P<.001) and insured (47.4% vs 0%, P<.001). The emergency department was more frequently the source for PB referrals (35.2% vs 12.7%, P<.001) while most PV patients were self-referred (72.8% vs 16.7%, P<.001). Access parameters were remarkably better at PV: TTS (21 vs 66 days, P<.001), SWT (4 vs 31 days, P<.001) and DOS (33 vs 114 days, P<.001).CONCLUSIONWhen coexisting, PV offers significantly better access to pediatric surgical services compared to PB. Diverting public funds to expand children’s access to PV can be a valid choice to improve access to care in case when outcomes with the two providers are similar.LIMITATIONSAlthough it is the first and largest comparison in the pediatric population, the sample may not represent the whole population since it is confined to a single selected surgical condition.
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