Aim: The present study aimed at investigating knowledge and attitudes towards bariatric surgery among family medicine physicians at cluster two in Riyadh city. Method: A cross-sectional study using a self-filled questionnaire was performed during the period between October and November 2021 over a study sample of 223 family medicine physicians from cluster two health care facilities in Riyadh city; namely King Fahad Medical City, Prince Mohammad Bin Abdul Aziz Hospital and the primary care centers. Data were analyzed using the SPSS software through descriptive statics and Chi-square analysis. Results: The findings of the study showed that 67.6% (n=151) were able to identify cases that should be considered for bariatric surgery, 81.6% (n=182) identified the safest way to perform weight loss surgery (laparoscopic), 87.9% (n=196) identified the research-based evidenced outcome of surgical management of obesity (extending life expectancy with increase in quality of life) compared to conservative treatment, and 87% (n=184) identified cases that should be referred to bariatric surgery based on their body mass index (BMI) range. In addition, the findings of the study showed that family medicine physicians had positive attitudes toward bariatric surgery in term of its effectiveness and outcomes. Finally, the study found significant statistical differences in the knowledge score based on physicians’ years of practice (Χ2=40.9278, p≤0.05). Conclusion: The study concluded that the family medicine physicians at cluster two in Riyadh city had varied level of knowledge and positive attitudes regarding bariatric surgery. The study recommended increasing family medicine physicians’ knowledge and awareness regarding the benefits, consequences, techniques and rationale of bariatric surgery through engaging them in basic and advanced health education workshops and courses concerned with surgical management of obesity and metabolic disorders.
COVID-19 has had a worldwide impact that is unprecedented and catastrophic. Infection with COVID-19 can cause various neuropsychiatric complications, including delirium, which is commonly reported with the acute phase of illness with COVID-19 infection. However, delirium after complete recovery from mild COVID-19 infection has never been reported. Here we present the first case for a 58-year-old male diagnosed with a positive COVID-19 infection with a PCR test after a 1-day history of headaches and loss of taste and smell. By 10 days after the positive PCR test, the patient recovered completely without any recurrence of symptoms. However, the patient was observed to be unaware of their surroundings and displayed changes in their behaviour 11 days after recovery from mild COVID-19 infection. Physical examinations were abnormal, while the lab tests and the brain images showed normal results. The patient started to improve on the second day of admission without presenting any decline in health. Delirium that develops after recovering from COVID-19 infection should be investigated thoroughly to determine the reason; if no clear cause can be identified, the delirium may be secondary to COVID-19 infection.
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