Bulletin of Faculty of Physical Therapy; December 2022, Vol. 27 Issue: 1
Background: Healthcare workers are at the risk of developing weakness in core muscles and balance disturbance due to stress at the workplace. The purpose of this study was to examine the relationship between core muscle strength measured with a plank test and dynamic balance assessed with the modified Star Excursion Balance Test (MSEBT) among hospital staff. A convenience sample of 27 healthy male employees at Rabigh General Hospital participated in the study; participants performed MSEBT and plank tests in the gym of the physical therapy department at the hospital. Results: The mean age of the 27 participants was 32.19, standard deviation (SD) 4.16 years; mean height was 171.15, SD 6.39 cm; mean weight was 72.37, SD 11 kg; and body mass index was 24.73, SD 3.62 kg/m2. Pearson’s correlation coefficient showed a positive significant correlation between scores on the plank test with leg reach scores on MSEBT. The data showed a highest correlation between scores on plank test with dominant anterior leg reach scores on MSEBT (r= 0.446, p= 0.010), and lowest with non-dominant anterior leg reach scores on MSEBT (r= 0.335, p= 0.044). Conclusion: Weak to moderate positive significant correlation between the plank test of isometric core muscle strength and both the right and dominant of the anterior, posteromedial, and composite score on the MSEBT of the lower limb and significantly with non-dominant anterior reach. There was no significant difference between the administrative and health practitioner on the plank test or MSEBT.
Alothman, Danah, Card, Timothy, Lewis, Sarah, Tyrrell, Edward, Fogarty, Andrew W., and Marshall, Charles R.
JAMA Neurology; November 2022, Vol. 79 Issue: 11 p1148-1154, 7p
IMPORTANCE: Patients with dementia may be at an increased suicide risk. Identifying groups at greatest risk of suicide would support targeted risk reduction efforts by clinical dementia services. OBJECTIVES: To examine the association between a dementia diagnosis and suicide risk in the general population and to identify high-risk subgroups. DESIGN, SETTING, AND PARTICIPANTS: This was a population-based case-control study in England conducted from January 1, 2001, through December 31, 2019. Data were obtained from multiple linked electronic records from primary care, secondary care, and the Office for National Statistics. Included participants were all patients 15 years or older and registered in the Office for National Statistics in England with a death coded as suicide or open verdict from 2001 to 2019. Up to 40 live control participants per suicide case were randomly matched on primary care practice and suicide date. EXPOSURES: Patients with codes referring to a dementia diagnosis were identified in primary care and secondary care databases. MAIN OUTCOMES AND MEASURES: Odds ratios (ORs) were estimated using conditional logistic regression and adjusted for sex and age at suicide/index date. RESULTS: From the total sample of 594 674 patients, 580 159 (97.6%) were controls (median [IQR] age at death, 81.6[72.0-88.4] years; 289 769 male patients [50.0%]), and 14 515 (2.4%) died by suicide (median [IQR] age at death, 47.4 [36.0-59.7] years; 10 850 male patients [74.8%]). Among those who died by suicide, 95 patients (1.9%) had a recorded dementia diagnosis (median [IQR] age at death, 79.5 [67.1-85.5] years; median [IQR] duration of follow-up, 2.3 [1.0-4.4] years). There was no overall significant association between a dementia diagnosis and suicide risk (adjusted OR, 1.05; 95% CI, 0.85-1.29). However, suicide risk was significantly increased in patients diagnosed with dementia before age 65 years (adjusted OR, 2.82; 95% CI, 1.84-4.33), in the first 3 months after diagnosis (adjusted OR, 2.47; 95% CI, 1.49-4.09), and in patients with dementia and psychiatric comorbidity (adjusted OR, 1.52; 95% CI, 1.21-1.93). In patients younger than 65 years and within 3 months of diagnosis, suicide risk was 6.69 times (95% CI, 1.49-30.12) higher than in patients without dementia. CONCLUSIONS AND RELEVANCE: Diagnostic and management services for dementia, in both primary and secondary care settings, should target suicide risk assessment to the identified high-risk groups.
Alrusayyis, Danah, Aljubran, Hussain, Alshaibani, Askar, Alsharhan, Salma, AlSaied, Abdulmalik, ALEnazi, Abdulaziz, Alghamdi, Amal, Alshahrani, Saad, Salam, Abdul, and Al Bar, Mohammed
Journal of Primary Care & Community Health; October 2022, Vol. 13 Issue: 1
Objective: Many studied investigated the manifestations of COVID-19, yet few described the pattern and severity of otolaryngological symptoms. We aim to describe the picture of COVID-19-associated otorhinolaryngological manifestations and recovery to explore individualized treatment, onward referral, and complications prevention.Design: Prospective longitudinal questionnaire-based study.Setting: The online questionnaire was filled 3 times through a remote interview over a period of 1 month from June 2020 to July 2020.Participants: Patients with confirmed COVID-19 by RT-PCR who were clinically stable.Main Outcome Measures: Date of diagnosis, sociodemographic data, and the presence of predictive factors, such as nasal and paranasal disease, anosmia and dysgeusia. Validated tools were used, such as Sino-nasal Outcome Test (SNOT-22), smell test (medical academy screening tool), Voice Handicap Index (VHI), and Reflux Symptoms Index (RSI).Result: The questionnaire was sent to 363 patients and the response rate was 70.80% (n = 257). The mean age was 34.58 years (SD = 11.22) and the rate of male participants was 60.7%. The most common otorhinolaryngological symptoms at the time of enrollment was fever (48.6%), whilst the commonest severe symptom was cough (57%). After 1 month, only 11 participants had persistent severe symptoms, especially sleep and psychological symptoms (73%), and the majority were female (63.6%). All of them had at least 1 comorbidity. There was a significant difference between the mean age of participants with severe symptoms (mean = 27.45, SD = 8.39) and without severe symptoms (mean = 34.90, SD = 2.53, t(255) = 2.17, P= .031).Conclusion: COVID-19 has a wide-ranged spectrum of presentations, with otorhinolaryngological symptoms being the commonest and most serious. Studying these symptoms is vital to advance management options.
In this special issue of the Australasian Journal of Educational Technology, we take a step back from the events of the last 2 years and the changes that we have seen in the education arena, to remember that which has remained constant -- how students learn best. Developing teaching and learning pedagogy based on lasting education theory and practice makes the past of education relevant to the present and future and creates a context where innovation can be scaled and taken further, from a single instance of impact to many. In this editorial, we present an argument for going back to our roots and present examples of the effective use of established theories of learning that continue to advance online education practice. We discuss the scaling of educational best practice to more students and more institutions, and we provide recommendations for creating sustainable and lasting future practice. [ABSTRACT FROM AUTHOR]
Al Abdulghafoor, Danah, Al Nesef, Najla, and Ali, Dena
Journal of International Dental & Medical Research; 2022, Vol. 15 Issue 3, p1194-1201, 8p
DENTAL fillings, TOOTH fractures, DENTAL records, LOG-rank test, MICROSOFT software, and ORAL hygiene
The aim of this study is to evaluate the risk factors for failures of direct class II restorations performed at Kuwait University Dental Center (KUDC). This study retrospectively analyzed 103 dental records of patients who received Class II direct restorations of at least 2 surfaces at the Kuwait University comprehensive dental care clinic. Electronic data collection was done using Microsoft Forms software. Success or failure of a procedure was assessed by accessing the progress notes from digital dental files. Restorations were considered as failed restorations when a new restoration was placed in the same tooth number, including ≥1 surfaces of the previous restoration. The data was analyzed using Statistical Package for Social Sciences (SPSS) software. To investigate the impact of factors on restoration survival, a multivariate Cox regression analysis was performed. Significant differences between selected groups were determined with Kaplan-Meier statistics and log-rank tests where P value < 0.05 is considered statistically significant. Factors such as endodontically treated teeth and the type of restorative material used were found to be significant predictors for restoration failures. Factors such as caries risk and periodontal status including oral hygiene were found to be non-statistically significant. Emphasis on the knowledge in modern tendencies in restorative procedures is useful to guide dental schools to improve their teaching methodology. In addition, documentation of the reasons for the placement and replacement of direct restorations is important to prevent potential failures and facilitate future clinical studies. [ABSTRACT FROM AUTHOR]
Journal of King Saud University - Science; Jul2022, Vol. 34 Issue 5, pN.PAG-N.PAG, 1p
The objective of this meta-analysis was to find out the prevalence of Night Eating Syndrome (NES) associated with psychological disorders among university students. Extensive search of database yielded 1541 articles matching the search keywords, out of which were 1528 were excluded due to difference in population, outcome, and study design. At the end, only 13 articles were retrieved which aligned with the inclusion criteria. Prevalence of NES associated with psychological disorders in 9432 participants was 8.2% (95% CI 4.9: 13.4) but there was high level of heterogeneity. Female university students had a higher prevalence of the disorder (7.2%) with a high degree of heterogeneity (τ2 = 0.687, I 2 = 96%, P < 0.01), as compared to male students (4.9%) with lower heterogeneity. Nevertheless, high level of clinical heterogeneity was observed in this metanalysis which mandates more real-world studies with larger samples to validate the causal relationship. [ABSTRACT FROM AUTHOR]
Pharmacy Practice (1886-3655); Jul-Sep2022, Vol. 20 Issue 3, p1-9, 9p
Background: Shortening the process of prescribing via permitting the pharmacist to select the most appropriate pharmaceuticals for each particular patient may provide great opportunities for pharmacists to develop suitable pharmaceutical care plan, monitor and follow up prescribed medications, communicate and consult physicians for more confirmations. Objective: The objective of the current protocol for the systematic review and meta-analysis of pharmacists prescribing interventions was to explore, investigate the evidence, assess and compare PICO in patients with medical conditions (population), receiving pharmacist's prescribing care services (interventions) versus non-pharmacist's prescribing (comparators), and identify how it will impact the clinical, humanistic, and economic patient's outcomes (outcomes). Methods: The necessary elements of PRISMA will be strictly followed to report the systematic review. The meta-analysis will be reported in line with the Cochrane guidelines for synthesis of trials and all forms will be based on quality measures as per the validated Cochrane templates. We will present the results of the systematic review and the meta-analysis based on PICO comparison between the included trials. Results: We have identified four models of pharmacist prescribing interventions (independent, dependent [collaborative], supplementary, and emergency prescribing). The results will contain a systematic critical evaluation of the included trials in terms of the sample number of the population (characteristics), the type of interventions and the comparators, and the main outcome measures. Conclusion: This protocol will report the evidence and explore the magnitude of impact of pharmacist prescribing interventions, on clinical, humanistic, and economic outcomes. . [ABSTRACT FROM AUTHOR]
Al-Regaiey, Khalid A, Alshamry, Wjdan S, Alqarni, Reem A, Albarrak, Majd K, Alghoraiby, Rinad M, Alkadi, Danah Y, Alhakeem, Leen R, Bashir, Shahid, and Iqbal, Muhammad
Human Vaccines & Immunotherapeutics; January 2022, Vol. 18 Issue: 1
ABSTRACTVaccination has had tremendous impact on human health. The tendency to hesitate or delay vaccination has been increasing, which has contributed to outbreaks of vaccine-preventable diseases. This cross-sectional study aimed to investigate the prevalence of childhood vaccine hesitancy and social media misconceptions in vaccine refusal among randomly selected parents from October 2019 through March 2020 in the outpatient clinics of King Khalid University Hospital, Riyadh, Saudi Arabia. The data were collected using a three-part questionnaire: the socio-demographic and economic questions, the Parents’ Attitudes about Childhood Vaccines (PACV) survey, and questions concerning social media use. Based on the PACV survey tool, 37 parents (11%) scored a value > 50 and were suggested as hesitant (8% hesitant and 3% very hesitant). Overall, 288 parents (89%) scored < 50, hence deemed to not be hesitant about childhood vaccination. There was no significant association between high educational level or social media exposure with vaccine hesitancy. The most commonly used social media platform was Twitter (40%). In conclusion, we report a low prevalence of vaccine hesitancy about childhood vaccination among parents, with no significant impact of education level or social media on vaccine hesitancy. Further studies are required to replicate these findings in other regions and cities to generalize these observations for Saudi Arabia.