Objectives: To evaluate the advantages and disadvantages of telemedicine among physicians during the COVID-19 pandemic. To assess the awareness about telemedicine among physicians and determine their opinions about telemedicine in the post-pandemic era. Methods: A cross-sectional study was conducted at government hospitals (King Faisal Medical Complex [KFMC]-King Abdulaziz Specialist Hospital [KASH]) in Taif, Kingdom of Saudi Arabia (KSA), from May-August 2020. Taif is a small city in the western region of KSA with a population of 689,000 and 2 main hospitals (KFMC & KASH) which also serve rural areas close to Taif city. A total of 36 physicians practiced telemedicine, only 25 physicians accepted to participate in this study. Results: Thirty-six percent of the responders believed that telemedicine could improve the effectiveness of therapeutic intervention and 44% believed that the quality of care was enhanced using telemedicine. Difficulty in reaching the correct diagnosis due to the lack of physical examination was one of the disadvantages that faced the participants. Conclusion: Telemedicine should be part of medical services but should not completely replace physicians’ personal interaction. Telemedicine could be continued for stable remotely residing patients even after the COVID-19 pandemic.
Objective: Studies assessing prevalence and risk factors of abdominal hernia are scarce in Saudi Arabia, that is why this study aimed to find out the prevalence and risk factors of abdominal hernia among the Saudi Population in 2020. Methods: A cross-sectional study was done on 500 participants. A pre-designed questionnaire included three sections: Section A consisted of sociodemographic, Section B had items for three dimensions: pain at the site of the hernia or the hernia repair, restriction of activities, cosmetic discomfort; Section C included medical history and other associated risk factors of hernia. Results: The prevalence of abdominal hernia in our study was found to be 38.8%. The participants in 18-25 years had less prevalence (21.2%). participants with BMI >25 (Overweight and Obese) had higher prevalence than others. The mean EuraHS-QoL score in participants who had abdominal hernia was significantly higher than patients who didn't have AH. Age >40 years, male gender, BMI >25, congenital anomalies, history of abdominal surgery, history of abdominal trauma, family history, grand multipara, chronic cough, chronic bronchitis, and smoking were potential predictive factors of AH. Conclusion: Abdominal hernia is a common problem in Saudi Arabia. Abdominal hernias are more common in men than women, there is an obvious relationship between obesity, history of abdominal surgery, history of abdominal trauma, family history and hernias. Early diagnosis, easily accessible health facilities and health education are important to prevent complications and improve quality of life.
Objective: Studies assessing knowledge about rheumatic fever (RF) and rheumatic heart disease (RHD) are scarce in KSA. The aim of this study was to assess the awareness about ARF and RHD among the population at Taif city, Saudi Arabia. Methods: A cross-sectional study was done on 716 of residents of Taif city. A pre-designed questionnaire that collected data about the participants' demographic characters, their history of sore throat and medication used, participants' knowledge about cause and complications of sore throat, its relation to RHD, treatment, primary and secondary prevention of RHD. Results: 77% of the participants had a history of sore throat, of them 58.4% took antibiotics as a self-medication. A significant higher prevalence of previous history of sore throat was present among 42-50-year-old females, graduated, and those with an income above 10000 SR. Participants with an age of 18-24 years and graduated, had significantly higher percent of those who knew about: cause and complications of sore throat, sore throat is associated with heart diseases, and if treating sore throat can prevent heart disease. Females had a significantly higher percent of those who knew about: complications of sore throat, being extremely aware of that primary prevention of sore throat by using antibiotics such as penicillin and being extremely aware of secondary prevention of recurrence RF and decrease progression of RHD. Conclusion: Raising awareness about ARF and RHD through health education programs is needed.
Background: The COVID-19 pandemic has significantly impacted the health-care system worldwide, and physicians face challenges in clinical practice, especially in managing cancer patients. This study aimed to assess the impact of COVID-19 on physicians managing breast cancer patients in Saudi Arabia.Methods: A cross-sectional study was conducted from May to October 2020 among physicians practicing in Saudi Arabia, using an online-based survey. The questionnaire included items on physicians’ sociodemographic, barriers faced with breast cancer patients, concerns about and satisfaction with breast cancer patients’ management, and treatment protocols they follow.Results: A total of 317 physicians participated in this study. Most of them faced difficulties in their work with breast cancer patients during this pandemic, and 77.3% reported that they diagnosed at least one breast cancer case. Many patients missed chemotherapy sessions, and half of the centres indicated that more than 10% of their patients missed at least one session. 83% of the physicians were satisfied with the way they managed breast cancer patients, and 73% follow a specific protocol in managing breast cancer patients.Conclusions: The study’s findings show that the active COVID-19 pandemic led to a more stressful situation among physicians, which has affected management of breast cancer patients. COVID-19 is reshaping the delivery of not only breast cancer care but also general oncology practice. Currently, due to the availability of effective vaccination and more understanding of COVID-19, we believe that breast cancer operations should be performed on their scheduled date.
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