BackgroundOver the last decade, the Internet has become an important source of health-related information for a wide range of users worldwide. Yet, little is known about the personal characteristics of Egyptian Internet users who search for online health information (OHI).ObjectiveThe aim of the study was to identify the personal characteristics of Egyptian OHI seekers and to determine any associations between their personal characteristics and their health information-seeking behavior.Methods This cross-sectional questionnaire study was conducted from June to October 2015. A Web-based questionnaire was sent to Egyptian users aged 18 years and older (N=1400) of a popular Arabic-language health information website. The questionnaire included (1) demographic characteristics; (2) self-reported general health status; and (3) OHI-seeking behavior that included frequency of use, different topics sought, and self-reported impact of obtained OHI on health behaviors. Data were analyzed using descriptive statistics and multiple regression analysis.ResultsA total of 490 participants completed the electronic questionnaire with a response rate equivalent to 35.0% (490/1400). Regarding personal characteristics, 57.1% (280/490) of participants were females, 63.4% (311/490) had a university level qualification, and 37.1% (182/490) had a chronic health problem. The most commonly sought OHI by the participants was nutrition-related. Results of the multiple regression analysis showed that 31.0% of the variance in frequency of seeking OHI among Egyptian adults can be predicted by personal characteristics. Participants who sought OHI more frequently were likely to be female, of younger age, had higher education levels, and good self-reported general health.ConclusionsOur results provide insights into personal characteristics and OHI-seeking behaviors of Egyptian OHI users. This will contribute to better recognize their needs, highlight ways to increase the availability of appropriate OHI, and may lead to the provision of tools allowing Egyptian OHI users to navigate to the highest-quality health information.
Background: Group B streptococcus is a leading infectious cause of morbidity in newborns and causes substantial disease in elderly individuals. Guidelines recommended antenatal culture-based screening as the optimal method for identifying chemoprophylaxis candidates. Objectives: To assess the primary care physicians' knowledge about group B streptococcus screening in pregnant women and to identify the barriers that prevent primary care physicians from screening as recommended. Methods: A cross-sectional study conducted at the Al-Wazarat healthcare center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. A self-administrated questionnaire was distributed to 89 physicians asking about their knowledge and barriers regarding group B streptococcal infection High Vaginal Swab (HVS) screening. Results: The GBS screening average knowledge is 74.0% distributed on 11.2% scored poor, 31.5% good, and 57.3% excellent level of knowledge. Eight physicians' attitude was positively agreeing with GBS screening statement with lowest agreement was in performing screening with primary care setting (76.4%). The barriers for GBS screening are system and protocol (52.8%), lack of training (46.1%), lack of tools (24.7%), fear of consequences (14.6%), and other barriers (16.9%). Regression analysis showed that in comparison to physicians younger than 30 years, physicians aged 30 -39 years has higher average by 9.4% (p-value = 0.039), 40 -49 years have higher knowledge with average 10.3% (p-value = 0.036), 50 years or older have higher knowledge on average 8.9% (p-value = 0.040) Conclusion: Education programs regarding GBS screening in pregnancy are needed to improve the primary care physicians' knowledge in order to prevent inevitable complications of GBS infection in pregnancy.
Background: Preventive oral health care (OHC) is an important part of preventive health care and needs to be started early in life. Family physicians are in a position where they can help to initiate preventive OHC. From previous literature, oral health has an impact on the general health and quality of life of individuals with a large burden on the health care system. In addition, pediatricians and family physicians lack knowledge in oral health and can be unwilling to participate in preventive OHC. We aim to increase family physicians’ knowledge of oral health. Objectives: This study aimed to measure the level of knowledge about oral health and identify some of its determinants among family physicians working in Riyadh, Saudi Arabia. Methods: This is a cross-sectional study that included 187 family physicians to measure the knowledge of family doctors about oral health using a self-administered questionnaire. Results: The total mean score was 119.28 ± 11.26 out of 175, indicating a poor level of knowledge level about oral health. Conclusion: Family physicians in Riyadh, Saudi Arabia lack knowledge of oral health. These findings make it necessary to include oral health topics during residency and continuing medical education programs.
Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries.
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