Background: Increasing the number of qualified people, including school students who can play a significant role in first-aid (FA) and basic life support (BLS) arena is a public health demand. Aim: To assess the awareness of Saudi secondary school students regarding FA and BLS. Methodology: 360 male secondary school children in Taif, Saudi Arabia were surveyed. Results: The mean students' age was 17.4 ± 1.21 years. The mean participants' FA knowledge score was 64.8% ± 11%. Generally, trained students reported both better FA knowledge and skills than untrained counterparts; for 79.6% trained-compared to 53.7% untrained-students recorded such score > 70% [χ 2 (df 1) = 11.60, p < 0.001]. The younger the age was, the higher opportunity to record a high score (>70%) [62.3% <17 y vs. 49.3% ≥17 y, χ 2 (df 1) = 5.90, p = 0.02] was. Trained students better deal with critical cases, bleeding and bodily injury compared to untrained peers [89.8% vs. 55.9%, χ 2 (df 1) = 20.3, p < 0.001; 83.7% vs. 58.2%, χ 2 (df 1) = 11.62, p = 0.04; 81.6% vs. 67.2%, χ 2 (df 1) = 4.13, p = 0.04, respectively]. Only 37.2% of schools had FA incorporated in the education curriculum. Eventually, FA training and the presence of FA group were significant predictors for improved FA knowledge among students [odds ratio (OR) 3.35, 95% CI 1.60 -7.06; OR 2.28, 95% CI 1.34 -3.95, respectively). Conclusions: First-aid training is crucial to enhance school children's FA skills and to thrust their contribution to health emergency control efforts. Incorporating FA training within the educational curriculum of Saudi schools is a step forward to disseminate FA message in the community.
Background: Diabetes is a chronic disease of a genetic and environmental background. If it is not diagnosed and controlled early, it can have devastating complications. Aim: Measure and analyze the prevalence and risks of prediabetes and diabetes among recruits enlisted in the Wadi Al-Dawasir (WD) military zone, central Saudi Arabia. The influence of some demographic criteria, weight, and blood pressure upon blood glucose level would be evaluated. Methods: A cross sectional design was utilized, whereas predesigned questionnaire and clinical interview were used to screen the study population. Results: The participants' median age was 33.7 (IQR 11.9), mean body mass index (BMI) was 27.6 ± 5.4 kg/m 2 . Out of 531 recruits screened, almost two-thirds were either overweight (34.7%) or obese (29.9%). The mean waist circumference (WC) was 94.7 ± 13.3 cm; and 27.9% had central obesity (WC ≥102 cm). Random plasma glucose (RPG) median accounted 106 mg/dl (IQR 21).The participants' RPG levels significantly increased by age (U = 19697.0), by BMI [H(df 5) = 59.6], and by WC (U = 25,670.5), (p < 0.0001, all tests).Likewise, systolic blood pressure and RPG levels were significantly correlated [rho(df 503) = 0.241, p < 0.0001]. Furthermore, 29 (5.6%) subjects had RPG ≥200mg%: 23 (4.3%) known diabetic (uncontrolled) and 6 (1.3%) undiagnosed (pre-diabetes). Known diabetics tended to record higher RPG values than non-diabetics (U 3515, p < 0.0001). Weight did not influence the development of overt diabetes or prediabetes conditions. Yet known diabetics were prone to recording higher BMI (>25 to ≥40 kg/m 13community. An insufficient influence of obesity for developing diabetes symptoms in the study population may well be attributed to time factor separating the two variables. A preventive approach to revert the predisposition of prediabetes in WD recruits population is quite promising.
Background: Accidents pose a serious threat to health and economy in Egypt. Objectives: To identify and analyze the epidemiological factors associated with different types of accidents among adult males in Upper Egypt. Methods: A sample of 500 Egyptian males 20-28 years of age attending for health care at Quena University Hospital (QUH) or affiliated health institutions in South Egyptian governorates of Luxor and Red Sea was studied. The demographic, socioeconomic, and habitual data, as well as health status, medical history, and history of engagement into accidents for the recruits all were evaluated. Results: Accidents occurrences accounted up to 23/500 (4.6%) of the studied group. Road traffic accidents (RTAs) represented the highest percentage (30.4%), followed by street fights (21.7%) and animal bites (13.1%). Occupational accidents, electrical injuries, and near-drowning, all were equally encountered (8.7%), whereas falls and burns were least prevalent (4.3% each). Drug abuse, manual work, obesity, and having epilepsy were significant risk factors for accident injuries (
Severe child trauma poses a heavy burden upon the public's health and the nations' economies, in terms of mortality, morbidity, and disability. The burden varies by the maturity level of the adopted trauma system. This work aimed to identify the impact of trauma system maturity on the outcomes of care of severely injured children. Discharge data for the hospitalized trauma children in Florida (mature trauma system) and Indiana (immature trauma system) were retrospectively analyzed. All severely injured children, 1-15 years of age with an injury severity score ≥25 during 1999-2000 were included. Assessment involved the differences in specified treatment procedures, survival rates, hospital length of stay, and the need for post-hospital institutional care. Analysis revealed that Indiana children significantly stay longer in hospital, and that no differences in the rates of patient mortality, discharge-home, and selected procedures were found. Trauma system maturity impacts the volume and complexity of interventions, as well as the mortality, morbidity, and disability associated with severe children and adolescent trauma. The cost of such burden could be directed to improving the quality of the state's injury management services.
Deviant behaviours, namely physical violence, sexual abuse; illicit drug use are globally spreading risks. They tend to be socially concealed, rendering evaluating their impact upon population subsets difficult. Aim: Analyse trends and correlates of violence, sexual abuse, and substance abuse victimisation among adolescents in Upper Egypt. Methods: Youth aged 15-21 were randomly selected and cross-sectioned; and a validated questionnaire was used to achieve study aim.
Physical inactivity is generally accepted as one of the most serious health risk behaviors of young adults contributing to poorer health outcome. This study aimed at determining the impacts of behavioral and medical problems on physical activity (PA) among the Egyptian youth. In this study, 500 Egyptian men aged 18-30 years old attending for medical examination in Qena University Outpatient department between March 2013 and March 2014 were surveyed; risk factors for physical inactivity were analyzed. Significantly, 58.0% of smokers demonstrated the tendency to physical inactivity; only 0.8% did vigorous PA [X(df = 2) = 15.53, p < 0.001]. Most of those with history of drug abuse and all alcoholics reported low PA tendency [X 2 (df = 2) = 13.96, p < 0.001, Fisher's exact = 6.3, p = 0.045, respectively]. As much as 87.1% of the obese had mild PA, too [X 2 (df = 2) = 16.62, p < 0.001]. Heart disease was also associated with a tendency of physical inactivity [X 2 (df = 2) = 15.6, p < 0.001]. Most anemics (68.9%) reported mild PA and 31% of them reported having moderate PA [X 2 (df = 2) = 8.22, p = 0.027]. Both, hepatitis B virus (HBV)-and hepatitis C virus (HCV)-infection, and diabetes mellitus (DM) were not risk for physical inactivity. The present work provides that PA diminishes with some chronic illnesses and behavioral derangements, e.g., drug abuse and smoking. Interestingly, HBV, HCV infections and DM are not among risks for physical inactivity.
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