6th Conference 29012015002final.indd

Sec.01 6th SC of KSAU-HS

Riyadh 20151


Riyadh 2015 2

Table of contents

SECTION I: PAGE1. FOREWORD

• HEDrBandarAlKnawy 003• ProfessorYoussefAlEissa 004• Prof.AliAlTuwaijri 005• Dr.ManalBawazzer 006

2. University Student Research Board 0073. Scientific Program 009

SECTION II: ABSTRACTS PRESENTATIONRiyadh A–CollegeofMedicine:Undergraduate 013B–CollegeofMedicine:MastersinMedicalEducation 061C–CollegeofAppliedMedicalSciences 065D–CollegeofPublicHealthandHealthInformatics 085E–CollegeofNursing 115F–CollegeofScienceandHealthProfessions 125G–CollegeofDentistry 129H- CollegeofPharmacy 133

JeddahI–CollegeofMedicine 141J–CollegeofNursing 155K-CollegeofPublicHealthandHealthInformatics 165L-CollegeofScienceandHealthProfessions 167Al-AhsaM-CollegeofNursing 169


Riyadh 2015 6

FOREWORD

Dr. Manal BawazeerChairmanofScientificCommittee

Onceagainwewouldliketowelcomeyoutotheuniversitystudents6thscientificconference.Researchispivotalaspectofmedicalpractice,establishingaresearchcultureamongourstudentsisavisionarygoalofKSAU-HS.

Eachyearweareproudofthenumberofresearchprojectsthathavebeensubmittedbyourstudents.Thisyearisnotanexception,However,wenoticedremarkableimprovementinthequalityofthescientificcontentofthesubmittedprojects.

WearetrulygratefulforstudentresearchboardandtheirchairmanprofessorAliHajerfortheirendlesssupportandguidance

Iwouldliketotakethisopportunitytothankallthosewhohaveworkedalongsidemetoreviewandevaluatestudentsresearchproject.Thehardworkofourdedicatedscientificcommitteemembersisgreatlyappreciated.


Riyadh 20157

UNIVERSITY STUDENT RESEARCH BOARDChairman: Prof. Ali Hajeer, Professor of Immunology, College of Medicine, RiyadhCo-Chair: Dr. Hanan Balkhy, Associate Professor, Pediatrics, COM, RiyadhMembers:• Prof.AliAlTuwaijri,Dean,DeanshipofStudentAffairs,KSAU-HS• Prof.BashirHamad,Professor,MedicalEducation,CollegeofMedicine,Riyadh• Prof.AliKarrarOsman,Professor,CollegeofAppliedMedicalSciences,Riyadh• Prof.ShadiaAbdElkader,ProfessorofNursing,CollegeofNursing,AlAhsa• Dr.SuilaimanAlQueflie,AssociateDean,DeanshipofStudentAffairs,KSAU-HS• Dr.BaderAlMuqbil,AssociateDean,DeanshipofStudentAffairs,KSAU-HS• Dr.HananAlKadri,AssociateDean,CollegeofMedicine-FemaleBranch,Riyadh• Dr.TalalAlHarbi,AssociateDean,AcademicAffairs,CollegeofScience&HealthProfessions,Riyadh• Dr.NesrinAlharthy,AssociateDean,Academic&StudentAffairs,CollegeofMedicine-FemaleBranch,

Riyadh• Dr.FayezAlHejaili,AssociateDean,PostgraduateEducation,KSAU-HS,Riyadh• Dr.AliAlShehri,AssociateDean,CollegeofPublicHealth&HealthInformatics,Riyadh• Dr.RanaKattan,AssistantDean,AcademicAffairs,CollegeofMedicine-FemaleBranch,Riyadh• Dr.FahadAlHussain,AssociateProfessor,Family&CommunityMedicine,CollegeofMedicine,Riyadh• Dr.AhmedBahnassy,AssociateProfessor,Biostatistics,KingFahadMedicalCity,FOM,Riyadh• Dr.MotasimBadri,AssociateProfessor,Biostatistics,CollegeofScience&HealthProfessions,Riyadh• Dr.AbdulhalimKinsara,AssistantProfessor,Cardiology,CollegeofMedicine,Jeddah• Dr.LolwahAlriyees,AssistantProfessor,GeneralSurgery,CollegeofMedicine,Riyadh• Dr.AbdullahAlZahem,Consultant,DentalServices,KAMC-R• Dr.YousefAlOlah,AssistantProfessor,CollegeofPharmacy,Riyadh• Dr.AbdullahAlGhamdi,AssistantProfessor,CardiacSurgery,CollegeofMedicine,Riyadh• Dr.MohammedAlDubayee,AssistantProfessor,MedicalEducation,CollegeofMedicine,Riyadh• Dr.ManalBawazeer,AssistantProfessor,Pediatrics,CollegeofMedicine,Riyadh• Dr.HalaAlSaied,AssistantProfessor,PediatricNursing,CollegeofNursing,Riyadh• Dr.AmaniAlMuallem,AssistantProfessor,Family&CommunityMedicine,CollegeofMedicine,Riyadh• Dr.WafaaElArousy,AssistantProfessor,PediatricNursing,CollegeofNursing,Jeddah• Dr.AamirOmair,Lecturer,MedicalEducation,CollegeofMedicine,Riyadh


Riyadh 2015 8

Members of Organizing Committee Chairman: Prof. Ali Tuwaijri, Dean, Deanship of Student Affairs, KSAU-HSMembers:1. Dr.SulaimanAlQueflie,AssociateDean,DeanshipofStudentAffairs,KSAU-HS2. Dr.BaderAlMuqbil,AssociateDean,DeanshipofStudentAffairs,KSAU-HS3. Dr.NesrinAlharthy,AssociateDean,Academic&StudentAffairs,CollegeofMedicine-FemaleBranch,

Riyadh4. Dr.RanaKattan,AssistantDean,AcademicAffairs,CollegeofMedicine-FemaleBranch,Riyadh5. Dr.MohammedAlDubayee,AssistantProfessor,MedicalEducation,CollegeofMedicine,Riyadh6. Dr.ManalBawazeer,AssistantProfessor,Pediatrics,CollegeofMedicine,Riyadh

Members of Scientific CommitteeChairman: Dr. Manal Bawazeer Assistant Professor, Pediatrics, COM, RiyadhMembers:1. Prof.BashirHamad,Professor,MedicalEducation,CollegeofMedicine,Riyadh2. Prof.AliKarrarOsman,Professor,CollegeofAppliedMedicalSciences,Riyadh3. Prof.ShadiaAbdElkader,ProfessorofNursing,CollegeofNursing,AlAhsa4. Prof.WafikaA.Suliman,Professor,CollegeofNursing,Jeddah5. Dr.HananAlKadri,AssociateDean,CollegeofMedicine-FemaleBranch,Riyadh6. Dr.AliAlShehri,AssociateDean,CollegeofPublicHealth&HealthInformatics,Riyadh7. Dr.AhmedBahnassy,AssociateProfessor,Biostatistics,KingFahadMedicalCity,FOM,Riyadh8. Dr.MotasimBadri,AssociateProfessor,Biostatistics,CollegeofScience&HealthProfessions,Riyadh9. Dr.AbdulhalimKinsara,AssistantProfessor,Cardiology,CollegeofMedicine,Jeddah

10. Dr.LolwahAlriyees,AssistantProfessor,GeneralSurgery,CollegeofMedicine,Riyadh11. Dr.NesrinAlharthy,AssociateDean,Academic&StudentAffairs,CollegeofMedicine-FemaleBranch,

Riyadh12. Dr.HalaAlSaied,AssistantProfessor,PediatricNursing,CollegeofNursing,Riyadh13. Dr.AmaniAlMuallem,AssistantProfessor,Family&CommunityMedicine,CollegeofMedicine,Riyadh14. Dr.WafaaElArousy,AssistantProfessor,PediatricNursing,CollegeofNursing,Jeddah15. Dr.AamirOmair,Lecturer,MedicalEducation,CollegeofMedicine,Riyadh16. Dr.AmenBawazir,AssistantProfessor,DepartmentofCommunity&EnvironmentalHealth,Collegeof

PublicHealth&HealthInformatics,Riyadh17. Dr.EmadDawood,AssistantProfessorPsychiatric/MentalHealthNursing,CollegeofNursing,Riyadh18. Dr.AmalRateb,Head,BasicScienceDepartment,Coordinator,Pre-ProfessionalProgramCollegeof

Nursing,AlAhsa19. Dr. Salwa Hassanein, Assistant Professor/Chairperson of Community Mental Health & Nursing

Management,CollegeofNursing,AlAhsa20. Dr.HouaidaHelal,AssistantProfessor,CommunityHealthNursing,CollegeofNursing,Jeddah21. Dr.EmadMasuadi,AssistantProfessor,Biostatistics,MedicalEducation,CollegeofMedicine,Riyadh22. Dr. Hana Fakhoury, Associate Professor, Biochemistry, Basic Science, College of Science & Health

Professions(Female),Riyadh23. Dr.SusannaHattingh,AssociateDeanofClinicalAffairs,CollegeofNursing,AlAhsa24. Dr.AmelAbouelfettoh,AssistantProfessor,Maternal&ChildHealthNursing,CON-AlAhsa.Internship

CoordinatorCollegeofNursing,AlAhsa


Riyadh 20159

Schedule of Scientific Event

TIME TITLE PRESENTER

12:30-12:45 Opening Remark Prof. Al Tuwaijri

12:45-14:45 Oralpresentation KSAU-HSstudents

14:45-15:00 Break

15:00-15:30 PosterRound

15:30-15:45 ClosingRemark/Awards


Riyadh 2015 10


Riyadh 201511

A.College of MedicineUndergraduate

Riyadh


Riyadh 2015 12 10

A-01

Abstract Title Factors associated with quitting among smokers from a Saudi population.

Presenting Author Omar Abdullah A. Al-Mohrej

Contact Information

of Presenting Author

City: Riyadh College: College of Medicine

All other Authors

Sara I. AlTraif, Sarah D. Al-Shirian, Hani M. Tamim, Hana M.A Fakhoury

Objectives

Despite the noticeable increase in public awareness among Saudis, Saudi Arabia remains the fourth in tobacco import globally. A very limited number of studies have studied ex-smokers in the Saudi population. In this study, we aimed to analyze the socio-demographic characteristics of ex-smokers in an attempt to determine who is most likely to quit smoking among Saudis.

Methods

This work is part of a cross-sectional study, which was conducted in Saudi Arabia in the period between April and May 2013. A new questionnaire was developed and distributed, manually in public places in Riyadh, and electronically through different popular twitter accounts. The self-administered questionnaire was written in Arabic and included information on socioeconomic factors and smoking history.

Results

The results of 2057 questionnaires showed that 808 (39 %) were current smokers, 460 (22%) were ex-smokers, while another 808 (39%) never smoked. The majority of ex-smokers (57%) had decided to quit because of religious and social reasons. In addition, health reasons were the drive for 40% of the quitters, while only 2.7% of quitters made the decision because of financial reasons. In the multivariate analysis for reasons to stop smoking, we found that quitting was not influenced by gender, income, or age at onset of smoking.

Conclusion

We have looked at quitting from a broader perspective analyzing different categories of the Saudi population. Social, religious, and health reasons must be emphasized by counselors assisting Saudi smokers to quit.


Riyadh 201513 11

A-02

Abstract Title

Common fall-related injuries in children at King Abdul-Aziz Medical City Riyadh – Kingdom of Saudi Arabia

Presenting Author Yara AlGoraini

Contact Information


City: Riyadh College: medicine

All other Authors

Dr. Manal Bawazeer

Dr. Rana Kattan

Manar AlGhamdi

Objectives: To identify the common types of injuries associated with falling down in Saudi and non-Saudi children up to 17 years old and to determine the relation between the type of injuries and the outcomes.

Methods : We conducted a cohort analytic study of all children aged from 0 to 17 years old who presented to the Emergency Department during 2001 to 2014 with fall related injury and associate it with the outcomes at King Abdul-Aziz Medical city in Riyadh.

Results : A total of 1639 children were treated in KAMC, ED for fall related injuries. Boys experienced significantly higher rates than girls. Upper limb fracture was the most common type of injury overall (40.6%). In males were skull and face (80.6%); while in female’s neck and vertebra were the most common type of injury (40.0%). Middle childhood was the most common age group with falling related injuries. 95.2% of children were hospitalized in less than 12 days, while 4.7% of the patients were hospitalized for 12 days or more. The majority of the patients presented to the ED were released home, pending or transferred (99.5%). Closed head injury was the commonest injury presented dead (2.1%).

Conclusion : A large proportion of falls and large proportion of upper limb fracture are characteristics of childhood fall related injury profile in Saudi Arabia.


Riyadh 2015 14 12

A-03

Abstract Title

Frequency of Nosocomial infections in Pediatric Patients in PICU of King Abdul Aziz Medical City, Riyadh (KSA)

Presenting Author Mohammed Ghazi Alotaibi

Contact Information


City: Riyadh College: Medicine

All other Authors

Saeed ur Rahman , Mohammed Abdullah Al-Shalaan

Background:

Nosocomial infections among the pediatric patients in PICU vary from 6 – 26%. Organisms involved depend upon the exposure, environment and system affected.

Objectives

To determine the frequency of nosocomial infections, organisms involved, and sites of infection in PICU at King Abdul Aziz Medical City, Riyadh.

Methods

Retrospective cross-sectional study on pediatric patients (from neonate up to 14 years) who acquired nosocomial infections after 48 hours at PICU during 2012. Data was collected from medical records.

Results

Among 684 admissions, 22 (3%) patients acquired nosocomial infections in 2012, Female (12) and male (10). First year of age was found the common age that constituted 10 patients (46%). There were a total of 57 events in these patients; most common was respiratory 24(42%) followed by urinary infections 19 (33%). Most common organism involved was Klebsiella spp 16 (25%) followed by Candida spp 13(20%).

Klebsiella pneumoniae 6(20%) and Pseudomonas aeruginosa 5(17%) were most common in respiratory infections, and Klebsiella spp 6 (30%) and Candida 5 (25%) in urinary tract infections. The common organisms causing septicemia included Candida spp 4(27%) and Klebsiella pneumoniae 4(27%).

In initial 10 days of admission, 10 patients (46 %) acquired infections (Median 14 days), nosocomial infections prolonged the hospital stay (Median 49.5) and mortality among infected patients was 17 patients (77 %).

Conclusion

Nosocomial infections in pediatric patients comprised of Klebsiella spp and Candida spp, which affected mainly the respiratory, urinary tract and blood, respectively. It extends the stay of hospitalization and has a high mortality rate. There is need for further studies for origins and the factors with review for empiric management.


Riyadh 201515 13

A-04

Abstract Title

The Prevalence of Diverticular Disease in the Colonoscopy Department of a Tertiary Care Center in Riyadh, Saudi Arabia

Presenting Author Nora Mohammed Alalem

Contact Information


City: Riaydh College: Medicine

All other Authors Sabah Al-Aklabi, Maissa Sadee, Kholoud AL- Amer, Mohammed Khan

Introduction

Diverticulosis is an outward protrusion of the mucosa and submucosa of the colon. Only 5% of patients may develop inflammation of the diverticula (diverticulitis). Life style and eating habits significantly impacts the distributional prevalence of the disease. Diverticulosis is on the rise in developing countries and underreported in countries such as Saudi Arabia. Despite the low complication rates of the disease, immediate intervention is critical due to the severity of the complications once occurred.

Objectives

This is a hospital-based study to assess the prevalence of diverticular disease and its clinical implications on patients.

Methods

This is a cross sectional study where data were extracted from the colonoscopy medical charts (2006-2011) at the National Guard Health Affairs (NGHA) – Riyadh, Saudi Arabia. Assuming a prevalence of 27%, α= 0.05, β=0.20, and a precision of 0.05, the optimal sample size was 302 subjects. Only 269 charts met the study inclusion criteria and were reviewed. Data was analyzed descriptively to identify both demographic and clinical characteristics of patients with diverticulosis. Moreover, logistic Regression was used to identify significant predictors of “diverticulitis”.

Results

Diverticular Disease accounted for 7%; it was mainly (57%) positioned on the left side (descending and sigmoid). The majority of the patients were male (62%), mean age (63 ±12), mean BMI (29.1± 5.9). The majority of patients were symptomatic (72%), where diffused abdominal pain ranked highest (51%) The complication rate was 2%, the main two being: Fistula (40%) and perforation (40%). Use of NSAIDS was the only significant predictor of diverticulitis (P-value: 0.03)


Riyadh 2015 16 14

A-05

Abstract Title Practical Value of Canadian CT Head Rule in a Single Institution: A Ground Reality

Presenting Author Ala Arab

Contact Information



All other Authors Ahmed, M. E. Khankan, A. A. Anwar E. Ahmed, Hussein, M. A

Objectives

The controversy of performing a cranial computed tomography (CT) imaging for patients with minor head injury was supposed to be resolved by the foundation of the Canadian CT Head Rule (CCHR) that was published 11 years ago. However, various reports in the current literature have challenged their practical value. The purpose of our study is to evaluate the compliance and effectiveness of using the CCHR in a busy emergency department in Saudi Arabia’s main trauma center.

Methods

A cross-sectional retrospective study of 368 patients who presented to the emergency department from July 2010 to June 2011 with a mild head injury, was conducted following the institutional review board (IRB) approval. The patients were selected from the emergency department registry out of 600 patients with head trauma of the same period by systematic randomization. The CCHR was reapplied on the patients’ charts. A survey was generated to evaluate emergency physicians’ level of education and application of the CCHR and to evaluate their ability to determine the necessity of CT scans by giving scenarios of patients presenting to the emergency department with mild head injury. Two experienced neuroradiologists reviewed the CT scans of these patients to evaluate the significance of the injury according to the CCHR. The main outcome measure was the need for neurosurgical intervention and clinically important head injury on CT.

Results

The level of education regarding the CCHR was found to be optimal among emergency physicians using case-based scenario survey. However, 61.96 % of the cranial CT scans conducted were unjustified suggesting noncompliance with CCHR by 2.3%. Patients who had abnormal cranial CT scans findings constituted 0.87 % of the unjustified CT scans and 2.86% of the justified CT scans. Abnormalities that were found in the two of the unjustified CT scans were not significant and no follow up scans were performed. Whereas abnormalities found on justified CT scans included a patient with a brain edema and 3 patients had epidural hemorrhage; one who showed improvement on CT, another who was stable on follow-up CT, and the other patient had minimal epidural hemorrhage that was only detected by the second investigator.

Conclusion

The CCHR has a poor compliance potential in busy emergency departments of trauma centers and may not reduce the incidence of unjustified cranial CT scans. Even when the guidelines are applied, they may not prevent any unjustified CT scans.


Riyadh 201517 15

A-06

Abstract Title Opinions of Medical Students at King Saud bin Abdulaziz university for health sciences toward Student Mentorship Programs

Presenting Author Omar Saad Al-hadlaq

Contact Information


City: Riyadh College: COM

All other Authors Dr. Nadia Al-Attas

Dr. Amir Omair

Objectives

Mentoring has been found to improve professional and social skills, and boost the confidence of students, as well as support research initiatives. The aim of this study was to explore the perceptions of medical students at College of Medicine (COM) in KSAU-HS on the concept of mentorship and identify specific areas in which students require support and guidance.

Methods

This study was conducted at the COM, KSAU-HS in Riyadh. It targeted all male and female medical students enrolled in the COM at KSAU-HS at the time the study was conducted (January – March 2013). A questionnaire was developed based on a literature review of the topic and validated by expert review and a pilot study. The questionnaire was distributed to the students during their scheduled sessions; participation was voluntary and anonymous. Quantitative data was analyzed using SPSS while Qualitative data was gathered, listed, and underwent thematic analysis.

Results

A total of 178 students (53% response rate) participated in the survey. Medical students surveyed had a clear understanding of the definition and role of a mentor. They highly valued a senior mentor with clinical and educational background as well as previous mentoring experience. They also identified friendliness and approachability as important characteristics of a mentor. Students were divided regarding gender differences in mentoring across all subgroups, with female students and junior students considering it important to be of the same gender. The main perceived drawback of having a structured mentorship program was the issue of scheduling and time constraints. Most students wanted the opportunity to choose their own mentor. Also, a certain degree of trust and confidentiality is required before students feel comfortable discussing personal and social topics with a mentor.

Conclusion

When choosing mentors for medical students, consider clinicians, with a teaching background and experience in mentoring. When developing a mentorship program, ensure confidentiality, one-to-one mentoring, evaluate gender and cultural issues and consider allowing students to pick their own mentors. An interview based qualitative study with students would further explore the understanding of problems with mentorship programs as well as areas of improvement.


Riyadh 2015 18 16

A-07

Abstract Title

Altered Expression of Lamin A/C Alternative Splice Variants as a Possible Tumor Marker in Breast Cancer

Presenting Author Shahad Al-Matar, Sarah Al-Gabbani

Contact Information



All other Authors

Ahmad S. AlJada ,Ayman M. Saleh, Shahad H. Al-Matar, Sarah AlGabbani, Joseph Doria, Heba Bani Shamsa, Ahmad Al-Bawab, Altayeb Abdalla Ahmed.

Objectives

1. To investigate lamin A/C transcript variants mRNA differential expression in breast cancer biopsies.

2. To verify the correlation between lamin A/C transcript variant mRNA expression and metastasis in breast cancer.

Methods

Differential mRNA expression levels of Lamin A, Lamin C, Lamin AΔ10 and Lamin AΔ50 were measured in 47 normal tissues/organs with newly designed TaqMan qRT-PCR assays. We also measured Lamin A/C alternative splice variants mRNA expression and Lamin C: Lamin A ratio in 128 primary breast cancers and 16 normal breast tissues. Similarly, Lamin A/C alternative splice variants mRNA were also analyzed in other 7 different cancers

Results

The mRNA expression levels of Lamin C increased significantly in breast tumors while the mRNA levels of Lamin A and Lamin AΔ50 were significantly decreased in tumors. There was no significant change in Lamin AΔ10. The study demonstrated for the first time that Lamin C:Lamin A mRNA ratio is increased in all clinical stages of breast cancer tissues (Stage I to IV). Increased Lamin C:Lamin A ratio was also observed in adenocarcinoma of colon, ovary, and prostate and carcinoma of liver, lung and thyroid.

Conclusion

Lamin C:Lamin A ratio may have biomarker utility in breast cancer and possibly in liver, lung and thyroid carcinomas and colon, ovary, and prostate adenocarcinomas. Further studies are required to examine Lamin C:Lamin A ratio as diagnostic and/or prognostic marker.


Riyadh 201519 17

A-08

Abstract Title

Predictors of Delayed Pre-hospital Presentation Among Patients with ST- Segment Elevation Myocardial Infarction

Presenting Author Mohammed Abbas T. Albrahim

Contact Information



All other Authors

Amjad Ahmed, Abdulrahman Alwakeel, Faisal Hijji, Mouaz Al-Mallah

Objectives

Early treatment of ST elevation myocardial infarction (STEMI) is essential to improve the survival of these patients. However, not all patients present early enough to receive optimal treatment. Thus, the aim of this study is to determine the social factors that are associated with delayed presentation of STEMI patients.

Methods

All patients with STEMI presenting to King Abdul-Aziz Cardiac Center (KACC) from 10/2013 – 7/2014 were approached. After obtaining consent, patients were interviewed regarding their psychosocial conditions using a standardized questionnaire. Their medical charts were also reviewed for further clinical data. Patients were divided according to their symptom to door time into early (≤6h) and late (>6h). Presentation and group comparisons were conducted.

Results

A total of 79 patients were enrolled, of which 24 patients (30%) presented late. Patients with increased symptom to door time had higher prevalence of diabetes (40% vs. 79.2%, p=0.001), hypertension (43.6% vs. 70.8%, p=0.023), and dyslipidemia (23.6% vs. 54.2%, p=0.009). Most of the late presenters did not undergo PCI (primary coronary intervention) (72.7% vs. 47.8%, P=0.034) and had less prior information about myocardial infarction (43.6% vs. 25%, P=0.023). Late presenters were more often illiterates and lived most often far away from the hospital.

Conclusion

One third of the patients with STEMI present more than six hours after symptom onset; these patients have high prevalence of coronary risk factors and less information about STEMI. Programs should be designed to educate these about the symptoms of STEMI and the necessary action to be taken if a heart attack is suspected.


Riyadh 2015 20 18

A-09

Abstract Title

QUALITY OF LIFE AMONG BREAST CANCER SAUDI PATIENTS WHO UNDERWENT MASTECTOMY WITHOUT RECONSTRUCTION AT KING ABDULAZIZ MEDICAL CITY, RIYADH: A CROSS- SECTIONAL STUDY

Presenting Author Farah Alotaibi

Contact Information of Presenting Author

City: Riyadh College: Collage of Medicine

All other Authors Al-Faadhel L, Al-Qahtani M, Al-Riyees L

Objectives

To assess the QoL in Saudi, non-metastatic breast cancer patients treated with mastectomy without reconstruction at King Abdulaziz Medical City (KAMC), Riyadh.

Methods

A hospital based cross- sectional study was conducted using the Arabic version of the European Organization for Research and Treatment of Cancer QoL Cancer Specific Version (EORTC QLQ-C30, v.3.0) questionnaire and its breast cancer specific module (BR 23). Possible candidates were identified through medical records. Patients were contacted and screened for eligibility then phone interviews were performed by authors.

Results

A total of 64 patients completed the interview successfully. The majority of patients were > 50 years old (62.5%), 71.88% were married, 53.13% were illiterate, and 85.94% of patients were unemployed. Obesity accounted for 68.75% while menopause accounted for 84.38% of the sample population. Using the QLQ-C30 questionnaire we found that the global health score was 79.82 (mean). Functional scales showed good functioning among study subjects. Social and cognitive functions scored the highest (81.77and 80.21, respectively). Symptom scales showed that sleep disturbance (mean 35.42) was the most afflicting symptom. For QLQ-BR23 questionnaire, sexual enjoyment in functional scales scored the lowest (mean 33.33) and body image (mean 73.96) scored the highest. On the symptom scales, patients upset from hair loss (mean 42.67) scored the highest, while arm symptoms score was (mean 38.19). Multinomial logistic regression failed to identify any significant predictors for all the key outcomes.

Conclusion

The QoL in Saudi women who underwent mastectomy for non-metastatic breast cancer is comparable to that in other Gulf countries.


Riyadh 201521 19

A-10

Abstract Title

The Pattern of Managing the Adverse Effects of Targeted Therapy Used in the Treatment of Non-Small Cell Lung Cancer at King Abdulaziz Medical City

Presenting Author Mohammed D. Alotaibi



Dr. Abdul Rahman Jazieh

Ms. Nagham Sheblaq

All other Authors

Dr. Abdul Rahman Jazieh

Ms. Nagham Sheblaq

Objectives

To recognize the side effects induced by targeted therapies (tyrosine kinase inhibitors) used in the treatment of NSCLC and better understand how to manage these side effects.

Methods

This is a retrospective case series done by chart review in King Abdulaziz Medical City, Riyadh (KAMC-R) on patients with a diagnosis of NSCLC and have received treatment with targeted therapy (erlotinib) between 2006 and 2014.

Results

A total of 61 cases were reviewed. The most common adverse effect of targeted therapy was rash. It occurred in 59% of the cases. Doxycycline proved to be an effective prophylactic agent for rash. The second most common side effect was diarrhea with a percentage of 46%. Loperamide was the drug of choice as a treatment for diarrhea. In about 6.6% of the cases these side effects affected the course of the treatment of cancer by either reducing the dose of the targeted therapy or discontinuing the medication.

Conclusion

Targeted therapies (tyrosine kinase inhibitors) are safe in our patient population. The most common side effects of targeted therapies were rash and diarrhea. Doxycycline and loperamide were the drugs of choice used to prevent and manage these side effects.


Riyadh 2015 22 20

A-11

Abstract Title

Compare Between The Complication of Simultaneous and Staged Bilateral Knee Replacement at King Abdulaziz Medical City (KAMC) - Riyadh

Presenting Author Muath Ibrahim Abu-Abah

Contact Information

Of Presenting Author


All other Authors

Dr.Wazzan AlJuhani (supervisor)

Objectives

The aim of this study is to identify and compare the complication of simultaneous bilateral total knee replacement (BTKR), staged bilateral total knee replacement (BTKR) and unilateral total knee

replacement (UTKR) in term of morbidity and quality of life.

Methods

The study included 84 simultaneous BTKR, 110 staged BTKR (with time interval between the two 3 to 6 months) and 51 UTKR whom performed the surgery between January 2000 and August 2014. (60.3 years) was the mean age. 85.71% of the patient were female, 14.29 % were male. Groups were compared in respect of complication, blood loss during the surgery, blood transfusion, and hospital stay.

Results

5 patients whom underwent BTKR developed pulmonary embolism, three of them performed staged BTKR and 2 of simultaneous. One of the 2 simultaneous required intensive care admission. 2 patient developed deep venous thrombosis both of them performed BTKR, but one was for simultaneous and the other for a stage. 8 patients retuned to the hospital with septic arthritis, 3 simultaneous BTKR, 2-staged BTKR and 3 UTKR. Hospital stay, perioperative blood transfusion rate were in favor of UTKR, where there were no significant different between simultaneous and staged BTKR.

Conclusion

Simultaneous TKR is a save procedure to be performed especially in hospital where there is long waiting list as well difficulty of having elective bed as in our hospital. But for morbid obesity patients we recommend doing a staged procedure due to the more risk of complication.


Riyadh 201523 21

A-12

Abstract Title

Level of control among patients with type 2 Diabetes Mellitus attending diabetic clinic under family medicine compared to diabetic clinic under endocrinology at king Abdul-Aziz medical city - Riyadh

Presenting Author Mohammed alhabdan

Contact Information



All other Authors

Dr. Mohammed Al-Ateeq

Faisal Al-Jurbua

Ahmed Al-Olah

Objectives

- To asses level of control of type 2 diabetic patients attending Diabetic Center at King Abdul-Aziz Housing Family Medicine Clinics and patients attending diabetic clinics at Ambulatory Care Clinics , King Abdul-Aziz Medical City , National Guard, Riyadh

- To compare the level of control of diabetic patients in both groups. - To explore the effect of different variable on the level of control in both groups

Methods

- Retrospective cross-sectional study by reviewing diabetic patients' medical records and lab study from Hospital Information System.

- Using predesigned sheet for data collection. - The data collection sheet consists of 3 parts: part one for personal and demographic data,

Part 2 for diabetes data and Part 3 for glycemic control data.

Results

- Among 352 patients, 176(50%) patients were from the family medicine setting and 176(50%) patients were from the hospital setting.

- The mean HA1c for the whole study population was 8.97 + 1.87. - There was no significant difference between the two groups in regard to level of control

(9.01 + 1.75 in the family medicine setting compared to 8.93+ 1.98 in the hospital setting ) - No significant correlation was found between level of control and age, duration of disease

and number of follow up in both settings.

Conclusion

Patients with type 2 diabetes mellitus in this study were found to be poorly controlled in both setting, diabetic clinic under family medicine and diabetic clinic under endocrinology. No difference in the level of control between the two settings. More to be done toward improvement of diabetic patient care at diabetic clinic under family medicine which is more accessible, more convenient to patients and more cost effective.


Riyadh 2015 24 22

A-13

Abstract Title The Outcomes of a 3 Year Program of Autologous Stem Cell Transplantation (ASCT) at King Abdulaziz Medical City (KAMC)

Presenting Author Khaled Al Abduljabbar

Contact Information



All other Authors

Dr. Dunia Jawdat

Dr. Ahmed Alaskar

Dr. Mohsen Al-Zahrani

Mr. Samer Ghazi

Abdulellah Aladel

Sultan Aleshaiwi

Objectives

The aim of this article is to report a comprehensive clinical outcome of adult autologous stem cell transplantation in a single center.

Methods

All adult patients who underwent autologous stem cell transplantation were included. The data were analyzed retrospectively, describing patients according to their characteristics, including age, gender, diagnosis and risk class, disease status per transplantation, conditioning regimens, 2-year overall survival (OS) and 2-year disease free survival (DFS).

Results

Forty-three patients received autologous stem cell transplantations between February 2010 and December 2013, including 27 male and 16 female. The median age at transplantation was 36 years. The 2-year OS was 85% and the DFS was 75%. Six (14%) patients died after transplantation and 37 (86%) are still alive. The median time for neutrophils and platelets engraftment was 12 days and 11 days respectively. The 2-year OS for the HL patients (n=25) was 84%, and the DFS was 81%. The 2-year OS for the MM patients (n=9) was 100% and the DFS was 65%.

Conclusion

The results reported here indicate that the clinical outcomes are comparable to international results.


Riyadh 201525 23

A-14

Abstract Title

Antimicrobial Dosing Errors in Critically Ill Patients with Severe Sepsis OR Septic Shock

Presenting Author Abdullah Talat M. Eissa

Contact Information



All other Authors Dr. Hasan Aldorzi

Objectives

The aim of the study was to study the frequency and the risk factors of antimicrobial dosing errors in adult critically ill patients with severe sepsis or septic shock at King Abdulaziz Medical City- Riyadh.

Methods

This was a prospective observational study of all adult patients with severe sepsis or septic shock in intensive care unit at King Abdulaziz Medical City- Riyadh. Using Micromedex as the reference, the doses of administered intravenous antibiotics were compared to the recommended doses. Chi Square test and Student t-test were used to compare between the variables. Multivariate logistic regression analysis used to determine the predictors of antimicrobial dosing errors.

Results

Out of 189 patients in the study, 117 (62%) received appropriate antimicrobial doses. Nevertheless, 39 (21%) under-dosing, 30 (16%) patients had antibiotic over-dosing, and three (1.5%) had combination of over-dosing and under-dosing. Septic patients with chronic cardiovascular disease (P=0.04) and renal insufficiency (P=0.02) had more tendency to have antimicrobial dosing error. However, respiratory failure, liver failure, immunodeficiency and diabetes were not clearly associated with errors. Vancomycin was associated with the highest rate of dosing error (43%). The other antibiotics (pipercillin/tazobactam, meropenem, imipenem, ceftriaxone, ciprofloxacin, colistin and gentamicin) were dosed appropriately in > 70% of prescriptions. The multivariate analysis model showed that the estimated glomerular filtration rate was the only variable that was associated with dosing error (odds ratio, 0.98 per 1 ml/min increment; 95% confidence interval, 0.97-0.99).

Conclusion

Dosing errors, which include under- and over-dosing, were common in patients with severe sepsis or septic shock. Vancomycin had the highest rate of inappropriate dosing. Lower glomerular filtration rate was a significant predictor of dosing error and so should be routinely considered when prescribing antibiotics.


Riyadh 2015 26 24

A-15

Abstract Title

Cardiovascular Complications among Urine positive Amphetamine Users Admitted to King Abdul-Aziz Medical City in Riyadh between January 2006 and December 2013

Presenting Author Bader Saad Al-Qahtani

Contact Information



All other Authors

Dr. Mohammed G. Al-Ghamdi– Adult Cardiology consultant.

Objectives

The main objectives of this study are to identify the epidemiologic and clinical aspects of the cardiovascular complications among the amphetamine test-positive individuals who were admitted to King Abdul-Aziz Medical City in Riyadh from January 2006 through December 2013.

Methods

This is a retrospective case-series study, which included all Amphetamine test-positive individuals who had a concurrent cardiac biomarker testing and have been admitted to the hospital for more than 24 hours. Relevant demographic and clinical variables were collected from electronic databases.

Results

A total of 7450 urine amphetamine tests were performed during the study period, out of which 720 (9.6%) tests were positive. Two-hundred and nine (209) and 134 Amphetamine Positive Test individuals had concurrent troponin and CK-MB tests respectively. Sixty-four (64) Troponin I and 4 Creatinine Kinase MB mass tests fulfilled the cutoff levels for the diagnosis of acute myocardial infarction (AMI).

Forty admissions with documented cardiovascular complications were identified. All cases are males with mean age of 41+/- 10. Thirty-eight cases were admitted under cardiology service. Diagnosis of Acute Coronary Syndrome was made in 31 cases (77.5%). Coronary interventions were performed in 20 cases (17 catheter interventions and 3 bypass surgery). Average hospital stay was 7 days (ranges from 1 to 28 days) and mortality was 7.5%. The mean BMI was 27.6 and 24 patients are smokers.

Conclusion

Our results are concordant with previous reports in this subject matter and suggest that ACS is the most common cardiovascular complication in amphetamine users which carries high risk of in-hospital mortality.


Riyadh 201527

25

A-16

Abstract Title

Compare Between The Complication of Simultaneous and Staged Bilateral Knee Replacement at King Abdulaziz Medical City (KAMC) - Riyadh

Presenting Author Muath Ibrahim Abu-Abah

Contact Information

Of Presenting Author


All other Authors Dr.Wazzan AlJuhani (supervisor)

Objectives

The aim of this study is to identify and compare the complication of simultaneous bilateral total knee replacement (BTKR), staged bilateral total knee replacement (BTKR) and unilateral total knee replacement (UTKR) in term of morbidity and quality of life.

Methods

The study included 84 simultaneous BTKR, 110 staged BTKR (with time interval between the two 3 to 6 months) and 51 UTKR whom performed the surgery between January 2000 and August 2014. (60.3 years) was the mean age. 85.71% of the patient were female, 14.29 % were male. Groups were compared in respect of complication, blood loss during the surgery, blood transfusion, and hospital stay.

Results

5 patients whom underwent BTKR developed pulmonary embolism, three of them performed staged BTKR and 2 of simultaneous. One of the 2 simultaneous required intensive care admission. 2 patient developed deep venous thrombosis both of them performed BTKR, but one was for simultaneous and the other for a stage. 8 patients retuned to the hospital with septic arthritis, 3 simultaneous BTKR, 2-staged BTKR and 3 UTKR. Hospital stay, perioperative blood transfusion rate were in favor of UTKR, where there were no significant different between simultaneous and staged BTKR.

Conclusion

We found out that simultaneous BTKR is a save procedure, and it is preferred to be performed in our hospital due to the difficulty of having an elective surgeries where the patient would wait up to 1 year to have a bed at the hospital. But for a comorbid patient (e.g.: increased BMI) we suggest to go for a staged BTKR due to the high risk of complication and the unavailability of beds.


Riyadh 2015 28 26

A-17

Abstract Title Factor predicting stem cell count in cord blood units collected at King Abdullah International Medical Research Center Cord Blood Bank

Presenting Author Reham AlQahtani , Sarah AlHedaithy

Contact Information



All other Authors

Dr. Dunia Jawdat

Amal Aljuhani

Suha Arab

Objectives

Stem cells originating from neonatal cord blood have been used worldwide in transplant medicine to treat various diseases. Stem cells efficacy in the umbilical cord blood (UCB) can be predicted by the number of total nucleated cells (TNC). To optimize the clinical use of stem cell in our population, this study addresses several variables affecting TNC count.

Methods

This is an observational cross- sectional study conducted at King Abdulaziz Medical City. From 2012 to 2014, 957 UCB units were collected from consented mothers by trained personnel using standard procedure. Data analysis of clinically accepted CBUs was correlated with maternal and infant factors.

Results

The demographic data of our subjects included maternal age, gestational age (means ± SE: 29±0.18, 39±0.04, respectively). The [Median (IQR)] of the mother’s gravidity is [3(4)], parity [2(3)], abortion [0(1)] and the number of living children is [2(3)]. Based on the TNC accepted level of banking which is at least 90x107 cells, 188 CBUs (19.64 %) were rejected from a total of 957 units. Of the 17 maternal and infant variables evaluated, three factors demonstrated a statistically significant predictive value of accepted TNC level. Cord blood volume was the best predictive factor (p-value=<0.0001). Consequently, newborn birth weight (p-value =0.025) and method of delivery (P-value= 0.002)

Conclusion

Several maternal, neonatal and obstetric factors appear to play a major role in predicating accepted TNC count level which can be used to improve the criteria of the donation of stem cells in cord blood unit.


Riyadh 201529 27

A-18

Abstract Title Outcome of Delayed Surgery in Developmental Dysplasia of the Hip (DDH) Patients

Presenting Author Dr.Yazeed Adeeb Alshoaibi

Contact Information



All other Authors Primary: Dr. Mohammad Alnamshan Secondary: Dr. Ayman Jawadi

Objectives

Developmental dysplasia of the hip (DDH), is a dislocation of the hip, which is usually but not necessary, found at birth. What happens in DDH is that the acetabulum is too shallow and the femoral head may slip out, one or both joints may be affected. DDH occurs in 1 to 2 per 1000 children worldwide

Our main objective is to evaluate the outcome of delayed surgery on DDH patient clinically and radiologically.

Methods

It is a retrospective cohort study which was conducted in Riyadh, King Abdulaziz medical city, Patient who underwent DDH surgery whose age are less than 5 years old at the date of referral to orthopedic clinic, and more than 6 months of waiting time between first visit and operation or if the patient shifted from one category to from 2008 to 2011 were included. Any patient didn’t fulfill this criteria, or has a missing data wasn’t included.

Results

We have collected 62 patients, 34 being unilateral joint involvement and 28 bilateral with a total of 90 hips. 31 patient did there surgeries early while 31 did there surgeries late. 10 (16%) of the patients were male while 52 (84%) were female. Mean age at presentation is 18 months and the mean age at operation is 26 months.

Our research found that post-operatively the ROM was limited in 12 patients (19%), 11 of them (92%) had a waiting time of more than or equal to 6 months and only one (8%) with less than 6 months of waiting time with a P value of 0.001. The gate was limping in 13 patient 11 of them (85%) with a waiting time of more than or equal to 6 months compared to only two (15%) with less than 6 months of waiting time with a P value of 0.005.

Conclusion

Delayed DDH surgery caries a worse clinical and physical disability and a possible radiological effect on the patients.


Riyadh 2015 30 28

A-19

Abstract Title Two Years Outcomes of Allogeneic Stem Cell Transplantation at King Abdulaziz Medical City, Riyadh, Saudi Arabia

Presenting Author Amal AlJuhani

Contact Information



All other Author D Jawdat , R Alqahtani , B Alhathlol , S Ghazi , A Hejazi ,

W Almashaqbeh , M Alzahrani , K Ahmed and A AlASKAR

Objectives

Hematopoietic Stem cell transplantation (HSCT) is the main treatment strategy for many hematological disorders. An HSCT program was recently established in 2010 at the Ministry of National Guard Health Affair in Riyadh, Saudi Arabia. Here we report comprehensive results of the two years’ experience in adult related-allogeneic HSCT.

Methods

This is a retrospective study on all the patients (n=54) who received allogeneic HSCT from January 2010 till December 2013, describing the patients according to their characteristics, including age, gender, diagnosis and risk class, disease status per transplantation, HLA compatibility, conditioning regimens, significant complications such as acute and chronic GVHD, overall survival (OS), and disease free survival (DFS).

Results

The 2 year OS, for the patients who received related allogeneic HSCT was 64%. The 2-year DFS was 70%. The incidence of acute and chronic GVHD was 22% and 39% respectively. For the AML patients, (n=23) the median age at transplantation was 30 years old. The engraftment duration ranged from 11 to 20 days, the 2 year OS was 69% and DFS was 62%. For the ALL patients, (n=19) the median age at transplantation was 20 years old. The engraftment duration ranged from 13 to 30 days.

Conclusion

These results indicate a good outcome compared to international results. The incidence of GVHD is relatively lower compared to others, which most likely is a result of the high rate of consanguinity in the Saudi population.


Riyadh 201531 29

A-20

Abstract Title USING HEALTH BELIEF MODEL TO ASSESS WOMEN'S PERCEPTION TOWARDS BREAST CANCER

Presenting Author Amal Aljuhani

Contact Information



All other Authors

Aboalfotouh M, Bani Mustafa A, Alaskar A

Objectives:

To study women’s knowledge, awareness, attitude and perception towards breast cancer in addition to the practice of breast self-examination using the health belief model

Methods:

A Cross-sectional study was conducted in ambulatory care center at KAMC, Riyadh. Saudi Arabia during the time of the study.118 women were interviewed using a pre-validated Arabic questionnaire to collect data on (1)knowledge & practice on BSE, (2)knowledge on breast cancer, risk factors, warning signs and screening tools, (3)perception towards BC susceptibility, seriousness, benefits & barriers of screening and curability using HBM. For data analysis a scoring system was applied by which the total scores of each of knowledge and perception domains, and percentage mean scores were presented graphically

Results:

only one-third of all women reported previous practice of BSE(36,4). percentage mean score of knowledge was 52.9±22.9 for general knowledge, 60.9±30.4 for warning signs and only 43.1±24.0 for risks of BC. According to HBM, percentage mean score of different domains of perception to BC were as follows: Seriousness(55.4±14.5), benefits(74.2±13.3), barriers(40.5±13.0), susceptibility(45.0±16.3), motivation(74,4±12.0), confidence(54.7±14.7). Those who reported knowledge about BC screening tests were 37.6% for mammogram, 41.7% for CBE, and 55.1% for BSE.

Conclusion:

generally speaking, levels of knowledge on BC and its risk factors and warning signs were less than satisfactory. Although women reported positive attitude to benefits of screening, yet their current practice is low perception to susceptibility. Therefore conduction of mass education campaigns on BC is necessity


Riyadh 2015 32 30

A-21

Abstract Title What Frequently Frightens Patients Scheduled For Surgery From Anesthesia? A Cross-sectional Study In Central Saudi Arabia.

Presenting Author Mead Esam Ruhaiyem

Contact Information


City: Riyadh College: COM-F

All other Authors

Dr. Nasser Tawfeeq

Adel Al Shehri

Talal Al Shoabi

Maissa Saade

Objectives

1. To estimate the prevalence of the fear of postoperative pain. 2. To identify the most common fears of general anesthesia. 3. To compare the most common fears of anesthesia across demographic characteristics of the

patients (gender, age) 4.

Methods

Structured questionnaires with consents were distributed to patients in their pre-anesthesia clinic visit before going for surgery. Patients’ demographics and questions related to their fears about anesthesia were included in the questionnaires.

Results

Four hundred questionnaires were collected and analyzed. 54.1% were males and 45.9% were females. Eighty-eight percent experienced preoperative fear. The top three causes of their fears were fear of post-operative pain (77.3%), fear of intraoperative awareness (73.7%), and fear of being sleepy postoperatively (69.5%). Patients are less fearful of drains and needles in the operative theater (48%), of revealing personal issues under general anesthesia (55.2%), and of not waking up after surgery (56.4%). Age and gender were significant predictors of the overall fear among the pre-anesthetic patients. Females are 5 times more likely to experience fear before surgery (p = 0.0009). Patients aged more than 40 years old are also at a 75% higher risk of being more afraid (p = 0.008).

Conclusion

Most patients going for surgery experienced fear of anesthesia, of surgery, or of both. Gender and age discrepancies towards females’ who aged 40 and above.


Riyadh 201533 31

A-22

Abstract Title Effect of Education on Menstrual Knowledge among Saudi Adolescent School Girls

Presenting Author Sara Al Eraij , Medical Student

Contact Information


City: Riyadh College: King Saud bin Abdulaziz University for Health Sciences

All other Authors

Dr. Hanan Al Kadri, Consultant OB/GYN

Objectives

This study is designed to identify the effect of education on adolescent school girls’ knowledge about menstruation, and to assess the hygienic behavior and indigenous practices among the study population during menstruation.

Methods

A quasi-experimental study was conducted to assess the impact of a menstrual education program on adolescent girls' knowledge about menstruation. A total of 232 students in a randomly selected intermediate and high schools in the eastern region of Riyadh City were included. A self-administered questionnaire was distributed before and after the menstrual education program to obtain the required information from the study population.

Results

The results showed a significant difference in the mean score of knowledge before the menstrual education program and the mean score of knowledge after the menstrual education program among Saudi adolescent school girls (before:2.81±1.07, after:5.16±1.12, P <0.001). The high school girls’ mean knowledge score was significantly higher than the mean knowledge score of the intermediate school girls before and after the menstrual education program (P= 0.016 and P= 0.013 respectively)

Conclusion

The present study confirms that menstrual education programs can be an effective method in improving the adolescent girls’ knowledge about menstruation and promoting their menstrual health.


Riyadh 2015 34 32

A-23

Abstract Title Outcomes of Mitral Valve Repair and Replacement Surgeries in KAMC-KACC Mitral Stenosis Patients from the 1999-2012 Data

Presenting Author Alqasem Fuad H. Al Mosa (Co-Investigator)

Contact Information



All other Authors Principle Investigator (PI) : Dr. Hani Najm

Tel. No.: +9661 2520088 (Ext. 16783) E-mail: [email protected]

Objectives

Mitral valve replacement procedures with either a bioprosthetic or a mechanical valve are used to treat mitral stenosis. This study aims to evaluate the outcomes of these two procedures.

Methods

A retrospective analytical cohort study was performed involving a total of 195 mitral stenosis patients who have undergone mitral valve replacement either bioprosthetic (n=50) or mechanical (n=145) in KACC-KAMC (a tertiary center) from 1999-2012.

Data were analyzed for NYHA classes, early and late mortality, pre- and post-operative echocardiography findings, and early and late valve-related complications.

Results

Out of 195 patients, 104 (53%) patients could be reached by telephone.

Twelve patients had late mortality, six in the bioprosthesis group and six in the mechanical. Chi-square test revealed the following:

Factors that are significantly related to post-operative NYHA classes III and IV (p-value <0.05) are: mitral valve type, hypertension, and stroke.

Significant factors that were associated with late mortality (p-value <0.05) are: post-operative stroke, and post-operative NYHA classes III and IV. Factors that had borderline association with late mortality (p-value<0.10) are: mitral valve type, and early post-operative ventricular tachycardia.

Factors that were significantly associated with the bioprosthesis group in comparison with the mechanical group (p-value <0.05) are: post-operative NYHA classes III and IV, and re-operation. Late mortality had a borderline significance (p=0.055) association with the bioprosthesis.

Conclusion

Mechanical mitral valve replacement in mitral stenosis patients is associated with better NYHA classes, less late mortality, and re-operation compared to a bioprosthetic mitral valve replacement.

Hypertension and stroke are associated with late mortality and worse NYHA classes.


Riyadh 201535 33

A-24

Abstract Title Pattern of Burn injuries in the Pediatrics Emergency Department (PED) at King Abdul-Aziz Medical City (KAMC) – Riyadh

Presenting Author Nesrin Alharthy / Najd Bin Manie

Contact Information



All other Authors

Nesrin Alharthy, Mohammad Almutiri, , Salahaldin Bin Nafesa, Aminah Bin Nafesa

Objectives

The main objective of the study was to report the incidence of pediatric burn injuries and to describe the pattern of pediatric burns seen in KAMC to suggest a preventive strategy.

Methods

A retrospective cross-sectional was carried-out based on chart review. Data was collected from all pediatric patients presented to the PED with burn injuries during 2013. 148 patients met the inclusion criteria. Data collection included demographic data, place and mechanism of burn, in addition to the clinical outcome. To compare risk association of severe burns the outcome of burn were divided into less or more than 10% total body surface area (TBSA)

Results

The incidence was 4.9/1000 per year. Male represented 54.1% while female were 45.9%. Children below 3 year sustained the majority of burn injuries constituting 71.6% of all pediatric burns. Scald burn was the commonest mechanism of injury (76.4%). Hot water and hot beverages were blamed for most scald burn injuries. Face, neck and chest were the most commonly affected body parts with percentage ranging between 20 – 30 %. Burn injuries sustained at home were 35% compared to 2.7% occurring outside the home. The burn injury severity ranged from 1% to 37% TBSA, with a mean of 5% TBSA. None of the study variables were good predictors for severe burn injuries affecting more than 10% TBSA

Conclusion

The incidence and the severity of burn injuries remain high at the national level. Burn injuries continue to affect the pediatric population, predominantly young children, which indicate the need for parent educational programs.


Riyadh 2015 36 34

A-25

Abstract Title Caregivers' Knowledge in Dealing with Different Pediatric Emergency Situations, Cross Sectional Study in Riyadh, Saudi Arabia

Presenting Author Norah Al-manna

Shahla Al-mani

Contact Information


City: Riyadh College: collage of medicine

All other Authors

Dr. Rana kattan

Dr. Manal Bawazeer

Objectives

To assess Saudi caregivers' knowledge in dealing with some pediatric Emergency situations, before they seek medical advice. Also, to compare their knowledge to their educational level, age, and gender.

Methods

A cross sectional study survey, a self-administered questionnaire, has been distributed to Saudi caregivers in common public places in Riyadh like, malls, hospitals, schools, and universities. It involved demographic variables and general information from caregivers that contributed in assessing their knowledge and actions in dealing with emergencies.

Results:

A total of 380 Saudi caregivers participated in filling a questionnaire. 77.3% of them were females and 22.6% were males, of different ages and educational backgrounds. More than half of caregivers' children have experienced an emergency situation in their lifetime. Burns were the most common experienced emergencies (31.3%).

60.8% of caregivers knew the Red Crescent phone number. Recalling the number was higher in Males (p=0.0002) and Caregivers age group from 21-40 years (p= 0.002). There was a considerable lack of caregivers' knowledge in dealing with chocking. For example, Only 20.8% answered Choking and coughing child question correctly. Dealing with Chocking infants knowledge was, higher in younger caregivers (p=0.04), and in females (p=0.04).

Only 41.3% of caregivers answered near drowning question correctly. People with higher education were more knowledgeable (p=0.05).

73.1% of caregivers did not identify the correct answer in burning question. Conclusion

Pediatric emergencies are common. Caregiver’s knowledge in dealing with them shows to be low. So, there is an urgent need to educate caregivers to prevent children morbidity and mortality.


Riyadh 201537 35

A-26

Abstract Title Community Acquired MRSA osteomyelitis among Children in King Abdul-Aziz Medical City in Riyadh, their Risk Factors, Mortality Rate and Length of Hospitalization, case control study.

Presenting Author Hatoun AlMaziad

Contact Information


City: Riyadh College: college of medicine KSAU-HS

All other Authors

Objectives

Identify the risk factors and outcomes of MRSA + osteomyelitis compared to MSSA osteomyelitis and to estimate the prevalence of bacteremia in MRSA +/- Osteomyelitis.

Methods

Design. Retrospective case control study

We conducted a retrospective study on children aged 1 month – 14 years diagnosed with osteomyelitis in KAMC between 2000-2012. Patients were divided into case and control. The case included children with MRSA + osteomyelitis and the control was children with MSSA osteomyelitis.

Results

59 patients were studied. Demographic data, risk factors, and length of hospitalization (LOS) of the case ( 15 female, 22 male, mean age 5.9 +- 3.8) and control ( 9 female, 13 male mean age 5.8 +- 4.1) were obtained from medical records and QuadraMed system of the hospital and compared between the groups. The LOS was 25.2 and 24.6 days for the case and control, respectively. Risk factors were not significantly different in the two groups. Presence of chronic illness was higher in the control group with 35.1% in comparison to 22.7% in the case group. History of trauma was positive in 40.5% in control group compared to 36.4% in case group. Bacteremia was present in 45.9% in the control group and 27.3% in the case group

Conclusion

Osteomyelitis MRSA + osteomyelitis and MSSA osteomyelitis showed similar risk factors and mortality. Preventative measures should be applied to prevent both MRSA+ and MSSA osteomyelitis.


Riyadh 2015 38 36

A-27

Abstract Title Proportion of patients with TEL-AML1 translocation t(12;21) in Acute Lymphoblastic Leukemia in King Abdulaziz Medical city

Presenting Author Talal khalid M Aljumah

Contact Information



All other Authors

Primary investigator: Dr.Kahlid aljamaan, Consultant pediatric Hematology/Oncology

Objectives

This research is designed to Identify the proportion of t(12,21) translocation among diagnosed Acute Lymphoblastic Leukemia pediatric patients in KAMC between the period 2006-2011. T(12,21) has a good prognosis, and knowing the proportion would help us allocating the appropriate resources to treat it.

Methods

. We studied 55 childhood ALL patients cross-sectionally looking for the translocation of TEL/AML1 t(12; 21) using bone marrow samples results that were referred for molecular and cytogenetic studies (FISH analysis) at the time of presentation and we have got the bone marrow results, leukemia lineage (either B-cell or T-cell),White blood cells count upon diagnosis, Number of blasts at day 14 and 28 of induction treatment and other demographic characteristics by reviewing the patients data utilizing Quadra-med access.

Results

FISH analysis of ALL pediatric patients shows the frequency of t(12; 21) results with 5 positive cases and the percentage is (9.09%) of the total studied subjects with mean age being 5.6 years, and mean white blood cells count upon diagnoses being 26.9 ×106/L. The results of number of blasts at day 14 and day 28 after induction of treatment were significantly in favor of TEL/AML1 positive cases with one hundred percent remission.

Conclusion

In conclusion, out of 55 ALL pediatric patients we found 5 positive cases with t(12;21) that were in remission at day 14 and 28 of induction treatment.


Riyadh 201539 37

A-28

Abstract Title Permcath exchange based on suspicion of sepsis in hemodialysis patients: A preliminary evaluation in a national institute

Presenting Author Ala Arab

Hiba Abu Khalil

Contact Information


City: Riyadh College: COMF

All other Authors Dr.Azzam Khankan

Dr.Mohammed Hussein

Objectives

The frequency of catheter exchange over a guidewire was found trend toward a high rate of catheter related bacteremia (CRB). Much effort was put in the development of local and international guidelines for the management of CRB. The current study focused on evaluating the efficacy of the protocol generated by our center for the management of suspected bloodstream infection in patients with Hemodialysis Central Venous Catheters.

Methods

This is a cohort study of 84 patients who came for their first permcath insertion between January 2010 and December 2011. All subjects had at least one exchange and were followed for two years from the first permcath insertion. Local guidelines were applied retrospectively on patients’ electronic charts and archives to evaluate current practice pattern.

Results

The demographics of the patients dialyzing with permcath were: 64 ± 15 years (median age), 66% of the patients were females, 83% were diabetic, and 95% were hypertensive. Approximately, 50% of the exchanges were according to the local guidelines. Female gender, diabetes, and hypertension were found to be at higher risk for multiple exchanges.

Conclusion

Applying local guidelines for the management of suspected bloodstream infection may lead to excess permcath exchange. Strict compliance to the guidelines may protect patients from the potential risk and reduce the financial resources expenditure.


Riyadh 2015 40 38

A-29

Abstract Title Prevalence of diabetic peripheral neuropathy among type I and type II diabetic patients in Saudi Arabia.

Presenting Author Banderi Abdullah Mohammad Ahmad.

Contact Information



All other Authors

Dr. Fahad AlEidan

Dalal AlEessa

Farah AlOtaibi

Nuha AlHefdhi

Objectives

The aim of this study is to estimate the prevalence of diabetic peripheral neuropathy within the Saudi population in type 1 and type 2 diabetic patients, and to investigate other factors associated with the development of neuropathy among them.

Methods

This study was conducted as a retrospective, cross-sectional study at King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia. 297 Patients were enrolled randomly using a computerized database of all type 1 and 2 diabetic patients (how to write DPN patients how were they diagnosed receiving medical care at KAMC. Medical records of enrolled patients were accessed and The following data were obtained: baseline characteristics of the study population (gender, age and body mass index (BMI)), diagnosis (type of diabetes, duration of diabetes and the presence of diabetic neuropathy), disease history (presence of hypertension, kidney disease and other comorbidities), life style (smoking and drinking), the most recent laboratory test and examination results (fasting blood glucose, glycosylated hemoglobin, lipid profile and systolic and diastolic blood pressure) and the type of treatment received by patients (insulin, diet or oral hypoglycemic agents).

Results

Overall prevalence of DPN in diabetic patients was 24.9%. Prevalence of DPN among type I diabetic patients was 14.2% and it was 28.7% in type II diabetic patients. several factors were identified to DPN including age of the patient, , history of foot ulcer, gangrene, lower limb amputation, CVA, HTN, DLP, BPH in males, osteoarthritis, and DKA ER admission according to multiple logistic regression analysis?.

Conclusion

The results of our study showed a higher (significant?) prevalence of DPN among type II diabetic patients than type I.


Riyadh 201541 39

A-30

Abstract Title Prevalence, Risk factors and Outcomes of Methicillin-Resistant Staphylococcus aureus Colonization in Critically Ill Patients.

Presenting Author Meshari Abbad Al-Mutairi

Contact Information



All other Authors Badr Nasser M. Alhammadi 30-03-010-28

Objectives

The main objectives of the study were to determine the prevalence of MRSA in patients admitted to ICU of KAMC-Riyadh, and to evaluate the relationship between MRSA colonization and ICU-acquired MRSA bacteremia and pneumonia.

The secondary objectives that were met in the study were to determine the risk factors of MRSA colonization as well as to determine the independent association with morbidity and mortality.

Methods

This was a retrospective cohort study of all patients who were admitted to the ICU of a tertiary-care hospital in 2011, stayed >48 hours and had nasal swab for MRSA colonization. We calculated the MRSA colonization prevalence and studied the association between MRSA colonization status and patient characteristics and outcomes including infections due to MRSA and mortality.

Results

The cohort included 464 patients with the following characteristics: age= 51.7±21.9 years, APACHE II score= 23.3±8.7, 65.9% males and mostly admitted from the emergency department (40.7%) and wards (30.2%). Thirty-one (6.7%) patients were MRSA colonized and had similar age, APACHE II and gender distribution compared with the other patients. Patients referred from other hospitals had the highest prevalence (19.4% versus 6.2% for the other patients, p=0.02). Only 3 patients had MRSA bacteremia and were MRSA colonized (p<0.001). Furthermore, 14 patients had respiratory tract infection due to MRSA , 9 (64.3%) of whom were MRSA colonized (p<0.001). MRSA colonized patients had similar hospital mortality (38.7% versus 41.8%, p=0.74) and length of stay (42±43 versus 55±97 days, p=0.48) compared with the other patients.

Conclusion

MRSA colonization was present in 6.7% of ICU patients and was associated with MRSA bacteremia and respiratory tract infections, but not with mortality.


Riyadh 2015 42 40

A-31

Abstract Title Removal of Hemodialysis Catheter in the Management of Suspected Catheter-Related Sepsis: Correlation with Clinical Presentation and Laboratory Data .

Presenting Author Dr.Mohammad abdullah meaigel



All other Authors

Primary: Dr. Azzam Khankan

Objective In the real practice the management strategy is based on immediate removal or replacement of the catheter with suspicious clinical sings of infection with no confirmation. Due to the considerable economic impact of catheter change, the objective of this study was to assess the removal of hemodialysis catheter in the management of suspected catheter-related sepsis in King Abdulaziz Medical City , Riyadh.

Methods Each patient with hemodialysis catheter who had exchange catheter following a suspicious catheter-related infection had been evaluated. Clinical variables collected were evaluated using Chi-square test to compare the white blood cell counts and association with the presence of fever and positive catheter tip culture. P< 0.05 was used to determine statistical significance.

Results The medical records of 75 consecutive patients (mean age 64+ 18 years; range 14-104 year) had fever clinically. By taking the WBC count of 10,000 as a cut-off, a Chi-Square Test shows results of statically significance (p = 0.002). Patient with WBC count < 10,000 had 92% negative culture and only 8% positive culture while patients with WBC count > 10,000 had 63% negative culture and 37% positive culture.

Conclusion In conclusion, in real practice, immediate catheter exchange upon clinical suspecting catheter related infection should be re-evaluated. Confirmatory laboratory workup should be considered prior to exchange or removal.


Riyadh 201543 41

A-32

Abstract Title

Faculty and Students perception of Pre-Professional program in King Saud Abdul-Aziz University for Health Sciences using World

Federation For Medical Education areas.

Presenting Author Amal Alshubeki

Contact Information



All other Authors

1- Abdulmohsen alkushi 2- Aamer Omair 3- Reem alsubait

Objectives

1. To identify areas that need improvement within the KSAU-HS’s pre-professional program from both faculty and students perception using Basic Medical Education WFME Global standards for Quality Improvement 2. To compare the perception of the male and female pre-professional students. 3. To compare the perception of batch 11 & 12 pre-professional students. Methods

1. Cross-sectional survey, using a five-point Likert scale indicating the ‘level of Effectiveness’ in each educational area in the pre-professional program.

2. Faculty Questionnaire included all nine WFME educational areas and Students Questionnaire included selected five WFME educational areas.

Results

• A total of 423 students responded to the questionnaire from different specialties and 67 faculty members. This study indicated that faculty rate the effectiveness of WFME subareas being high in three main areas: Mission and outcome (51%, n= 34) Educational Setting (81%, n=54) , Students Assessment( 66%, n=44) .

• The lowest effectiveness sub-areas were for two main areas related to Educational Resources (18%, n= 12), Governance & Administration (22%, n=15).

• There were two main areas in which both the faculty and students had a low rating: Program evaluation (29%, n=145) and Students area especially related to the Students counseling unit (26%, n=129).

• Male Students rates the effectiveness of the program higher than female students and

Batch 12 students rates it higher than batch 11.

Conclusion

• This study indicates that the program needs further development and more focus in a wide range of quality assurance besides basic educational standards, such as Program evaluation, Students, Educational resources, Governance & Administration.


Riyadh 2015 44 42

A-33

Abstract Title Outcome of delayed transfer of critically-ill pediatric patients from Pediatric Emergency Department to the Pediatric Intensive Care Unit in King Abdulaziz Medical City, a retrospective cohort study

Presenting Author Manal Bawazeer / Najd Bin Manie

Contact Information



All other Authors Manar AlGhamdi, Manar AlOmani

Objectives

This study aims to determine relationship between length of stay in ED in King Abdulaziz Medical City and mortality rate in-hospital and if there is an impact on the length of stay in-hospital generally or in PICU specifically. This study would help to improve the health care system in Saudi Arabia.

Methods

This is a retrospective cohort study of critically-ill pediatric patients who have been admitted to the PICU from the ER. The variables of interest were extracted from chart review including (demographic data, clinical characteristics, confounding factors, diagnosis, severity of illness, timing of decision of admission, timing of transfer to PICU (the delayed of transferring patients is defined as more than 6 Hrs and outcomes: mortality, LOS in-hospital

Results

375 subjects were recruited during 2010, 99 met the inclusion criteria. The mean age was 3 years. Male had more visits than female 56.6%. Delayed group were less than non-delayed (41.1% vs.58.9%). trauma and infection constitute the majority of the population. Immunological diseases were more associated with delayed group. Mortality rate was more in the delayed group. Length of stay in PICU was more in the delayed group with mean of 5 days vs. 4 days in non-delayed group, however length of stay in hospital is more in non-delayed group with mean of 18 days vs. 9 days in delayed group.

Conclusion

There is a growing rate of critically ill pediatric patients visits to the ED. Overcrowding in PICU is one of the factors that impact the delay transfer of critically ill pediatric patients from ED to PICU, however here is no significant relationship between delay and morality and length of stay


Riyadh 201545 43

A-34

Abstract Title Analysis of No Show Patients at Day Surgery Program in the KAMC

Presenting Author Abdulaziz Abdullah Albalawi – Co Investigator

Contact Information



All other Authors Dr. Nasser Ahmed Tawfeq – Principle Investigator

Objectives

King Abdul-Aziz Medical city in Riyadh is one of the largest tertiary referral centers in Saudi Arabia. Day surgery unit covers around 60% of the scheduled surgeries.

Patients not showing on their elective surgery is an important national problem. Limiting the no shows will help to increase the efficiency of operating rooms, reducing the financial expenses, save wasted time caused for surgeons and operating staff and improve quality of health care.

Methods

All patients who didn’t show on their elective surgery were prospectively enrolled in this study. Date was collected for a period of six months from January 2013 until June 2013.

A list of patients who didn't show on their surgery day were obtained. A clerk from operating room services contacted the patients through the phone using a form which included patient’s name, gender, age, medical number, MRP, surgery department and reasons for no show.

Results

A total of (5704) patients in 12 departments were scheduled for elective surgeries during 6-month study period. 583 (10.2%) surgeries was cancelled, 200 patients out of 583 (34.4%) was cancelled because of no show.

(36%) didn’t answer when confirming the surgery, (30%) had personal reason, (16%) were sick, (9%) claimed that their surgery was cancelled by the hospital, (8%) forgot their surgery appointment, 2 (1%) had their surgeries done elsewhere.

Conclusion

We believe that many of no show cases were potentially avoidable and we must take actions to reduce it by addressing each problem beginning with the initial booking and patient notification along with developing improved methods to ensure attendance.


Riyadh 2015 46 44

A-35

Abstract Title Hereditary neurometabolic causes of infantile spasms in 80 children presenting to a tertiary care center.

Presenting Author Mohammed Abdullah Alshaya

Contact Information



All other Authors

Muhammad Talal Alrifai , MD

Mohammed Abdullah AlShaya , MD

Ahmad Abulaban , MD

Majid Alfadhel , MD, MHSc, FCCMG

Objectives:

Infantile spasms are a devastating infantile epileptic syndrome with multiple etiologies.

Hereditary neurometabolic disorders (HNMDs) are rarely recognized causes of infantile spasms. The aim of this study was to identify HNMDs when they were the cause of infantile spasms in patients presenting to a tertiary care center in Saudi Arabia.

Methods:

We conducted a retrospective chart review of children presenting to the Pediatric

Department of King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia over a 15-year interval.

Results:

Eighty patients with infantile spasms were identified. The etiologies of the HNMDs were known in 10 cases (12.5%). Of these cases, 2 were Leigh-like disease; and there was 1 of each of the following diagnoses: ethylmalonicaciduria, non-ketotichyperglycinemia, hyperinsulinemic hypoglycemia, leukodystrophy, short chain acyl-CoA dehydrogenase deficiency (SCAD), molybdenum cofactor deficiency, primary carnitine deficiency, and neonatal hypoglycemia due to panhypopituitarism. This paper is the first to report the association of the last three conditions with infantile spasms. Compared with the other etiologies, the HNMD group had a strong history of similar disease in the same family (p

value=0.002), and consanguineous parents were present in the majority of cases (p value=0.021). Additionally, a typical hypsarrhythmia pattern was more common in the HNMD group (p value=0.003), which demonstrated a poor response to therapy (p value=0.04). Otherwise, there were no significant differences with regard to the type of spasms, neuroimaging or outcome; however, there was a trend toward poorer outcomes and death in the HNMD group.

Conclusion

HNMDs are relatively common causes of infantile spasms in this subpopulation of Saudi patients. An early diagnosis via proper metabolic and genetic testing has significant implications for applying specific treatments and for facilitating proper family counseling


Riyadh 201547 45

A-36

Abstract Title

Assessment and Comparison of Preferred Service Expectations by patients

in Medical and Surgical Wards Using the Kano Model

Presenting Author Ayman Aldeheshi

Contact Information



All other Authors Maha Jaradat, Fayez Hejaili & Abdulla Al Sayyari

Objectives

To explore the inpatients’ expectations and preferences in different service attributes

Methods

Comparative cross-sectional study based on the Kano model that allows service attributes to be classified into a “must” , “attractive” or “indifferent”

Results

150 patients were included. The top two “must” attributes were “cleanliness of the rooms” and "quick response by nurses". The top two ‘indifferent’ attributes were “visitors to be allowed all the time” and “rounds starting on time".

The two top attributes perceived as being “attractive “were “being provided with magazines " and "having personal attention from doctors”.

Whereas the medical patients ranked, "informed about condition” as their top “ must” attribute, the surgical patients opted for "cleanliness"

The top 'attractive’ attributes were 'having a private room by the medical inpatients and ”personal attention from doctors” by the surgical inpatients

Whereas the medical patients ranked “visitors all the time” as their top 'Indifferent' attribute ,the surgical patients opted for "ward rounds being on time”

More males than females considered “being able to understand explanations “as a “must” attribute” (p=0.017) . There were no other significant differences seen between male and female respondents

Conclusion

Health care institutions must study the service needs of their patients and reflect this on services they provide. Attributes considered a “must” need to be implemented, “indifferent” attributes should have less emphasis paid. If resources allows , the “attractive “ attributes should be implemented as they have added value.


Riyadh 2015 48 46

A-37

Abstract Title The Impact of Child Maltreatment on School Performance in Saudi Arabia

Presenting Author Dana Waleed AlTamimi

Contact Information



All other Authors Dr. Maha Abdullah AlMuneef

Objectives

To identify the impact of child maltreatment on school performance among adolescents in National Guard Schools

Methods

The study was conducted at National Guard schools in Riyadh. Students aged 12-19 years were invited to participate. Participants (N=674) completed the survey instrument which included demographics, exposure to different types of abuse, and overall level of academic performance.

Results

Participants’ mean age was 15.6±1.6 years and males (53%). Ninety five percent lived with both parents, 2% with single parent, and 3% with step parents. Four percent lived with alcoholic parents or guardians, and 7% have lived with a family member who has been arrested or imprisoned. Poor performance (failure in exam) were more likely among the students who lived with alcoholics vs. non alcoholics (33% vs. 11%, p<0.01), imprisoned family member vs. non imprisoned (26% vs. 11%, p<0.01), psychologically abused vs. not abused (21% vs. 10%, p<0.01), physically abused vs. not abused (19% vs. 9%, p<0.01). Predisposing factors to poor performance in school included living with alcoholic parents or guardians (OR=2.8, CI=1.1-6.7), psychologically abused (OR=1.7, CI=1.0-3.0), and physically abused (OR=1.7, CI=1.0-2.8)

Conclusion

The results suggest that child maltreatment may adversely impact school performance. These findings highlight the importance of increasing the awareness about the impact of child maltreatment on school performance among families, schools, and the community. Recommend to the Ministry of Education to consider counseling of students with poor performance due to adverse child experiences/maltreatment


Riyadh 201549 47

A-38

Abstract Title Epidemiology and clinical characteristics of leprosy in Saudi Arabia

Presenting Author Mohammad Hallal Alotaibi

Contact Information


City: Riyadh College: College of medicine

All other Authors

Saeed Ur Rahman;

Imad Hassan,

Adel Alothman

Objectives

The aim to find out the demographics and clinical presentations of leprosy patients in Saudi Arabia from 2000 to 2012.

Methods

This was a case series study in leprosy patients in Saudi Arabia. The subjects of this study were all patients with leprosy reported to the Ibn Sina Hospital. The total number of reported patients was 176. Patient information and data were collected from patient's files which including age, sex, nationality, area of residents, year of registry, type of the disease and the signs and symptoms.

Results

Of the total number of patients reported with leprosy during 2000 to May 2012 in Saudi Arabia, 129 (74%) were males and 46 (26%) were females, for a ratio of 2.8:1. The mean patient age was 43.24 + 17.1. Hundred and eleven (63%) were Saudi and 64 (37%) were non Saudi. The largest number of patients, 131 (77%) was from the western region. lepromatous leprosy had the highest number of patients 54 (33%).

Conclusion

The skin manifestation is less likely to develop in tuberculoid and pure neural leprosy, and nerve involvement is less likely to develop in lepromatous leprosy at time of diagnosis. erythema nodosum leprosum is a common complication of lepromatous and borderline lepromatous leprosy. It is important to diagnose the disease in early stages to prevent the possible complications. Courses to diagnose the leprosy should be organised for primary health care physicians.


Riyadh 2015 50 48

A-39

Abstract Title Predictors of Coronary Artery Disease in young Saudi Patients

Presenting Author Gaida Mohammed Albarqy

Contact Information


City: Riyadh College: COM KSAU-HS

All other Authors

Objectives

The aim of this study is to identify the predictors and the prevalence of coronary disease among young Saudi patients.

Methods

This study reviewed 1061 patients referred to the cardiac catheterization lab in King Abdulaziz Cardiac Center in Riyadh between the year 2010 and 2013. Included patients were males and females aged 18-45 years who underwent coronary angiography for various clinical indications.

Results

The results were divided into two groups; Group A aged <35 and Group B >35years. Male gender in Gp.A 143(16.1%) vs. Gp.B 747(83.9%) p-value= 0.500. Smoking Gp.A 84(15.8%) vs. Gp.B 446(84.2%) p=0.680. Obesity Gp.A 43(14.1%) vs. Gp.B 262(85.9%) p=0.234. Family history Gp.A 24(23.1%) vs. 80(76.9%) p=0.069. Hyperlipidemia Gp.A 40(12.9%) vs. Gp.B 271(87.1%) p=0.045. Hypertension Gp.A 20(8.2%) vs. Gp 233(91.8%) p=<0.001. Diabetes Gp.A 20(7.2%) vs.Gp.B 257(92.8%) p=<0.001.

Conclusion

The prevalence of CAD was found the highest in male gender, smoking, and obesity respectively. In patients >35 years we found that HTN and Diabetes were statistically significant risk factors. Therefore, a modification of lifestyle habits is recommended.


Riyadh 201551 49

A-40

Abstract Title Epidemiology and clinical outcomes of infective endocarditis over a 10 years period at KAMC-Riyadh.

Presenting Author SALEH MOHAMMAD ABU ADAS

Contact Information


City: RIYADH College: MEDICINE

All other Authors MOHAMMAD AL-GHAMDI

Objectives

To describe the epidemiological aspects and evaluate the clinical outcomes of infective endocarditis in a tertiary hospital in Riyadh, Saudi Arabia.

Methods

We conducted a retrospective review analysis of all reported cases of infective endocarditis that were admitted to King Fahd Hospital at KAMC-Riyadh between 2003 and 2013.

Results

Of the 142 cases of endocarditis reviewed, 111 (78.2%) were definite endocarditis and the remaining 31 (21.8%) were possible endocarditis based on Duke criteria. Patients with definite endocarditis included 73 (63.4%) males and 38 (36.6%) females with mean age (SD) 49.79 (19.22%) years. Of the definite endocarditis cases, a native valve was involved in 80 (76.2%) and a prosthetic valve in 31 (23.8%). The most commonly involved valves were mitral 62 (43.7%) and aortic 54 (38%). Blood cultures were positive in 76.4% of patients. The most common organisms were staphylococcus aureus and streptococcus. Rheumatic and congenital heart diseases were the most common Valvular heart disease present in 107 (97.2%). Surgical intervention was required in 46 (32.4%) cases and the in hospital mortality rate was 17 (12%). Of all patients, 3 (2.1%) had embolic stroke as a complication.

Conclusion

Native valve endocarditis is the predominant type of endocarditis. The patients were older adult and the most common organisms were S. aureus.


Riyadh 2015 52 50

A-41

Abstract Title The Influence of Role Models on Choosing a Medical Specialty in KAMC-Riyadh

Presenting Author Abdulkhaliq Ibrahim Alhifzi

Contact Information



All other Authors Dr. Khalid Alharbi (PI) Suliman Ibrahim Alhifzi Fahad Hussain Al Watban Sami Mesfer M. Alkahtani

Objectives

To identify the interns and R1 residents' role model choice and its effect on choosing their medical specialty and career outcome.

Methods

A questionnaire was developed by South Carolina University professors. We took permission for conducting the same study on our R1 and interns KAMC-Riyadh. The questionnaire was modified and translated. A question about ethnicity was removed due to racial consideration. The questionnaire has closed ended questions such as demographic information including: age, gender, and marital status, having a physician role model at the entry of medical school. Open ended questions in the questionnaire will have questions about the specialty or sub specialty of the role model. Data was collected only by persons included in the study and entered in password-protected files, Only people working in the study will be able to view it and data confidentiality will be insured. The questionnaire will be distributed to Interns and R1s working or rotating in KAMC-Riyadh.

All data will be entered in Excel and then analyzed using SPSS. The categorical variables will be presented as frequencies and percentages. Comparative studies: Chi square, and t-test with statistical significance if p value <0.05.

Results

The Study had a participation of 80 individual, 61 of which were males and the remaining 19 were females. A total of 45 individuals out of the 80 have a physician role model, 29 of the 45 decided to choose the same career specialty as their role models. 64.4% of the 45 who have physician role models had chosen the same career specialty as their recognized role models, the remaining haven’t got influenced by their respective role models to choose their career specialty.

Conclusion

64.4% of the medical graduates who have physician role models had chosen the same career specialty as their recognized role models, the remaining haven’t got influenced by their respective role models to choose their career specialty.


Riyadh 201553 51

A-42

Abstract Title Prevalence of Epilepsy stigma in Riyadh Saudi Arabia

Presenting Author Salman Aldakhil

Contact Information



All other Authors Dr. Sajida Agha , Abulrahman Alyemni

Objectives

To determine the factors associated with epilepsy related stigma among the Saudis and non Saudis population.

Methods

This cross sectional study was done in King Abdul Aziz Medical City for National Guard Health Affairs (NGHA). Total of 66 participants including males (n= 50) and females (n= 16) were contacted for the study. A self- developed questionnaire was designed to collect the responses including personal data (age, profession, gender, education level) and the general perception of epilepsy. The questionnaire was given to those who visited NGHA during the study time and were willing to participate. Statistical analysis was performed using SPSS 20. Descriptive statistics was used to assess stigma expression among the different groups in the population. A two-sided probability of less than 0.05 was considered as statistically significant.

Results

Results showed that most of the participants were aware of the causes of epilepsy and perceived it as one of the hereditary problem. They were in the opinion that schooling and marriage for such patients could be possible. Majority (64%) rated seizure as a cause of death to these patients and is not curable (57%). Participant opined that marriage of epilepsy patients is possible (83%) but they should not have children (88%).

Conclusion

In conclusion this study confirms the prevalence of stigma among the Saudi and non-Saudis. To get more significant result further study on a larger sample is recommended.


Riyadh 2015 54 52

A-43

Abstract Title Role of sedation in upper endoscopy among patients coming to KAMC-Riyadh endoscopy unit.

Presenting Author Dr.Naif albati and Dr.Abdullah alotaibi

Contact Information



All other Authors D. Abdullah aljahdali

Objectives : This study was conducted to assess the patient's discomfort, satisfaction and expectation during upper endoscopy procedure in endoscopy unit of King Abdulaziz Medical City (KAMC). Willingness to repeat the procedure and percentage of patient choosing to be sedated are also assessed.

Methods : This prospective observational cohort study was conducted in endoscopy unit of King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Patients were categorized into two groups, sedated and non-sedated, depending on patient’s choice. Before the procedure the questionnaire was distributed by the nurse to evaluate patient’s anxiety before the procedure and a form to evaluate patient's vital signs before, during and after the procedure is filled by the nurse. After the procedure, the second part of the questionnaire was distributed by nurse to evaluate the pain level during the procedure, satisfaction, expectation and willingness to repeat the procedure in future.

Results : 167 patients were studied and 44 patients chose to be sedated. Sedation did not have a statistically significant difference in regard to satisfaction (P=0.58) and pain level experienced during the procedure (P=.15). Also In regard to whether or not the endoscopy procedure met the patient's expectation, there was no statistically significant difference between sedated and non-sedated group(P=0.3).

Conclusion : We can conclude that sedation does not have significant role in decreasing the pain or improving patient’s satisfaction, expectation and willingness to repeat the endoscopy procedure.


Riyadh 201555 53

A-44

Abstract Title Pattern of Burn injuries in the Pediatrics Emergency Department (PED) at King Abdul-Aziz Medical City (KAMC) – Riyadh

Presenting Author Nesrin Alharthy / Najd Bin Manie

Contact Information



All other Authors Nesrin Alharthy, Mohammad Almutiri, , Salahaldin Bin Nafesa, Aminah Bin Nafesa

Objectives

The main objective of the study was to report the incidence of pediatric burn injuries and to describe the pattern of pediatric burns seen in KAMC to suggest a preventive strategy.

Methods

A retrospective cross-sectional was carried-out based on chart review. Data was collected from all pediatric patients presented to the PED with burn injuries during 2013. 148 patients met the inclusion criteria. Data collection included demographic data, place and mechanism of burn, in addition to the clinical outcome. To compare risk association of severe burns the outcome of burn were divided into less or more than 10% total body surface area (TBSA)

Results

The incidence was 4.9/1000 per year. Male represented 54.1% while female were 45.9%. Children below 3 year sustained the majority of burn injuries constituting 71.6% of all pediatric burns. Scald burn was the commonest mechanism of injury (76.4%). Hot water and hot beverages were blamed for most scald burn injuries. Face, neck and chest were the most commonly affected body parts with percentage ranging between 20 – 30 %. Burn injuries sustained at home were 35% compared to 2.7% occurring outside the home. The burn injury severity ranged from 1% to 37% TBSA, with a mean of 5% TBSA. None of the study variables were good predictors for severe burn injuries affecting more than 10% TBSA.

Conclusion

The incidence and the severity of burn injuries remain high at the national level. Burn injuries continue to affect the pediatric population, predominantly young children, which indicate the need for parent educational programs.


Riyadh 2015 56 54

A-45

Abstract Title Outcome of delayed transfer of critically-ill pediatric patients from Pediatric Emergency Department to the Pediatric Intensive Care Unit in King Abdulaziz Medical City, a retrospective cohort study

Presenting Author Manal Bawazeer / Najd Bin Manie

Contact Information



All other Authors Manar AlGhamdi, Manar AlOman

Objectives

This study aims to determine relationship between length of stay in ED in King Abdulaziz Medical City and mortality rate in-hospital and if there is an impact on the length of stay in-hospital generally or in PICU specifically. This study would help to improve the health care system in Saudi Arabia.

Methods

This is a retrospective cohort study of critically-ill pediatric patients who have been admitted to the PICU from the ER. The variables of interest were extracted from chart review including (demographic data, clinical characteristics, confounding factors, diagnosis, severity of illness, timing of decision of admission, timing of transfer to PICU (the delayed of transferring patients is defined as more than 6 Hrs and outcomes: mortality, LOS in-hospital

Results

375 subjects were recruited during 2010, 99 met the inclusion criteria. The mean age was 3 years. Male had more visits than female 56.6%. Delayed group were less than non-delayed (41.1% vs.58.9%). trauma and infection constitute the majority of the population. Immunological diseases were more associated with delayed group. Mortality rate was more in the delayed group. Length of stay in PICU was more in the delayed group with mean of 5 days vs. 4 days in non-delayed group, however length of stay in hospital is more in non-delayed group with mean of 18 days vs. 9 days in delayed group.

Conclusion

There is a growing rate of critically ill pediatric patients visits to the ED. Overcrowding in PICU is one of the factors that impact the delay transfer of critically ill pediatric patients from ED to PICU, however here is no significant relationship between delay and morality and length of stay


Riyadh 201557 55

A-46

Abstract Title Two Years Outcomes of Allogeneic Stem Cell Transplantation at King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Presenting Author Amal AlJuhani

Contact Information



All other Authors D Jawdat , R Alqahtani , B Alhathlol , S Ghazi , A Hejazi ,

W Almashaqbeh , M Alzahrani , K Ahmed and A AlASKAR

Objectives

Hematopoietic Stem cell transplantation (HSCT) is the main treatment strategy for many hematological disorders. An HSCT program was recently established in 2010 at the Ministry of National Guard Health Affair in Riyadh, Saudi Arabia. Here we report comprehensive results of the two years’ experience in adult related-allogeneic HSCT.

Methods

This is a retrospective study on all the patients (n=54) who received allogeneic HSCT from January 2010 till December 2013, describing the patients according to their characteristics, including age, gender, diagnosis and risk class, disease status per transplantation, HLA compatibility, conditioning regimens, significant complications such as acute and chronic GVHD, overall survival (OS), and disease free survival (DFS).

Results

The 2 year OS, for the patients who received related allogeneic HSCT was 64%. The 2-year DFS was 70%. The incidence of acute and chronic GVHD was 22% and 39% respectively. For the AML patients, (n=23) the median age at transplantation was 30 years old. The engraftment duration ranged from 11 to 20 days, the 2 year OS was 69% and DFS was 62%. For the ALL patients, (n=19) the median age at transplantation was 20 years old. The engraftment duration ranged from 13 to 30 days.

Conclusion

These results indicate a good outcome compared to international results. The incidence of GVHD is relatively lower compared to others, which most likely is a result of the high rate of consanguinity in the Saudi population.


Riyadh 2015 58 56

A-47

Abstract Title USING HEALTH BELIEF MODEL TO ASSESS WOMEN'S PERCEPTION TOWARDS BREAST CANCER

Presenting Author Amal Aljuhani

Contact Information



All other Authors

Aboalfotouh M, Bani Mustafa A, Alaskar A

Objectives:

To study women’s knowledge, awareness, attitude and perception towards breast cancer in addition to the practice of breast self-examination using the health belief model.

Methods:

A Cross-sectional study was conducted in ambulatory care center at KAMC, Riyadh. Saudi Arabia during the time of the study.118 women were interviewed using a pre-validated Arabic questionnaire to collect data on (1)knowledge & practice on BSE, (2)knowledge on breast cancer, risk factors, warning signs and screening tools, (3)perception towards BC susceptibility, seriousness, benefits & barriers of screening and curability using HBM. For data analysis a scoring system was applied by which the total scores of each of knowledge and perception domains, and percentage mean scores were presented graphically.

Results:

only one-third of all women reported previous practice of BSE(36,4). percentage mean score of knowledge was 52.9±22.9 for general knowledge, 60.9±30.4 for warning signs and only 43.1±24.0 for risks of BC. According to HBM, percentage mean score of different domains of perception to BC were as follows: Seriousness(55.4±14.5), benefits(74.2±13.3), barriers(40.5±13.0), susceptibility(45.0±16.3), motivation(74,4±12.0), confidence(54.7±14.7). Those who reported knowledge about BC screening tests were 37.6% for mammogram, 41.7% for CBE, and 55.1% for BSE.

Conclusion:

generally speaking, levels of knowledge on BC and its risk factors and warning signs were less than satisfactory. Although women reported positive attitude to benefits of screening, yet their current practice is low perception to susceptibility. Therefore conduction of mass education campaigns on BC is necessity


Riyadh 201559

B. College of MedicineMasters in Medical Education,

Riyadh


Riyadh 2015 6058

B-01

Abstract Title

Developing a course that prepares dental students in Saudi Arabia to deliver treatment to individuals with disabilities.

Presenting Author Salma Sami Al - Shehab

Contact Information


City: Dammam Ibn Sina Privet Dental Clinic

All other Authors

Supervisor: Prof. Bashir Hamad

Co – Supervisor: Dr. Mohamud Salaad Mohamud

Abstract Template

Introduction

Patients with disabilities do present difficulties in maintaining good oral hygiene; this surely puts them at high risk to develop rampant dental disease. Generally, they require special adaptations during dental appointments. Objectives Develop a specific course for undergraduate dental students in Saudi dental schools, to ensure adequate clinical and basic science preparation, and to provide dental care for special need patients. Methods

The Six – Step Approach for curriculum development, and the Module Design Format developed by Hamad (1985, modified 1992) were used. The latter contains different guidelines, such as: course title, duration, intended students, rationale, educational objectives, education strategies, work plan, students' assessment, evaluation, etc. Results

Five major course units were developed accordingly, containing a total of 71 specific learning objectives, classified into three domains "cognitive, attitude, and skills". Program implementation will take 5 steps: Identifying resources, support and administration, addressing potential barriers, introducing the course, and program evaluation. The key questions of evaluation would consider: curriculum, faculty and instructors, students, program organization, and teaching/learning methods. The continuous assessment will rely on performance in PBL, tutorials, lab, and clinical sessions through the OSCE. The final assessment will be based on final written exam through MCQs, SAQs, and MEQs, and final case study presentation.

Conclusion

Dental schools need to provide students with the knowledge, skills and positive attitudes to meet the oral health need challenge of ignored groups within their communities. The needs of patients with disabilities can be met through delivering of educational material as part of the curriculum.


Riyadh 201561 59

B-02

Abstract Title

Assessment of Students' Perception of Respiratory Care Program using the University of Dammam Respiratory Care Educational Environment Measure (UDREEM)

Presenting Author Maali Alqahtani

Contact Information


City: Dammam College: College of medicine

All other Authors

Supervisor: Dr. Ghazi Alotaibi

Co-supervisor: Dr. Aamir Omair

Dr. Nasreldin Ahmed

Objectives

To determine:

The areas of strengths and weaknesses of educational environment in the Respiratory Care (RC) Department at the University of Dammam (UoD).

Whether the students’ perceptions of the educational environment differ in regards to gender in RC department at UoD.

Whether years of study is associated with how students perceive their educational environment in RC department at UoD.

Methods

A cross-sectional survey was conducted at the Department of RC, College of Applied Medical Sciences, University of Dammam. Participants were 137 RC male and female students in 2nd, 3rd, and 4th years.

A self-administered UDREEM questionnaire Arabic version was used which composed of 71 items (in five domains), based on a 5 point Likert scale.

Results

The response rate was 97% (n=133). The Cronbach alpha coefficient for all items was 0.94.

The mean UDREEM score was 195.5 out of 284 (69%), indicated a more positive than negative environment. The strong area in the department was on the ‘perception of RC profession’ which was (77%), while the weak areas were in the perception of ‘program management’ which was (61%). There was no significant difference between male and female in the overall UDREEM score (p=0.66). There was a significant difference between the ‘second and third year’ students since p-value=0.04 and the ‘second and fourth year’ students since p-value=0.001 , the second year students gave higher score than third and fourth which was 210 out of 284, while there was no significant difference between the third and fourth year students (p =0.35).

Conclusion

Our study showed that UDREEM mean score reflected a more positive than negative Environment in the RC Department


Riyadh 2015 6260

B-03 Abstract Title Student perception and performance in regular quizzes after

introducing the flipped classroom learning style in undergraduate dental courses at Taibah University

Primary I Presenting Author

Hani T. Fadel


City: Madinah College: Dentistry

All other Authors Ayman M. Khalifah Wesam Abu Znadah

Objectives To assess the effect of implementing a flipped classroom on undergraduate dental student perception and performance in regular quizzes.

Methods In total, seventy-six 3'd and 4th year Periodontology students were included. A pre-test was given 6 weeks into the course, which was conducted via traditional lecturing. The post-test was given during a flipped classroom session that required giving pre-recorded videos to view before coming to class. In-class activities consisted of interactive exercises. A self-administered questionnaire was distributed after the sessions. Paired samples t test, Fisher's Exact test and Spearman's correlation were used for analyzing data from closed-ended questions. Responses to open-ended questions were broadly summarized into main answer themes.

Results The mean pre-test and post-test scores were 3.98±1 and 3.61±1, respectively (p<O.OS). No differences were observed within the 3'd or 4th year classes. Students were mostly neutral or tended to disagree with the posed statements regardless of the method. Weak or no correlations were found between the posed statements and the variable "Age". Traditional lectures were good but delivered large amounts of information, yielding them less helpful and boring. The flipped classroom was interesting and highly interactive but with little attainable information. There was no time for self-study regardless of the method.

Conclusion Student perception following both methods was generally negative. Despite the significant difference in pre- and post-test scores in the sample as a whole, no such differences where observed within each year.


Riyadh 201563

C. College of Applied Medical Sciences,Riyadh


Riyadh 2015 64

62

C-01 Abstract Title Measuring an Anxiety Level among ER Physician, Nurses and EMS

Worker Using GAD-7 Screening Tool

Presenting Author Osama Abdulrahman Nasser Al Rajeh

Contact Information


City: Riyadh College: Applied medical sciences

All other Authors

Dr. Nesrin Abdulrahman Alharthy Dr. Mohammed Almutairi Dr. Ahmed Alhajri Dr. Sulaiman Alqueflie

Objectives:

The objective of study is to screen and assess the severity of anxiety among health professionals working in emergency department.

Methods:

Cross-sectional study design was used. Generalized anxiety disorder: the GAD-7 was used to assess for anxiety symptoms. GAD-7 is a validated self-report tool that consisted of 7 questions where each question is rated on a scale (0-3), three being the maximum. Demographic data was collected from the study sample. The study sample was composed of Emergency physician, nurses and Emergency medical services workers. Descriptive statistics, nonparametric comparison and correlation were performed.

Results:

135 participate complete the questionnaire. 66 % of the participants were males. 50% age ranges between 30 and 40 years. Physicians accounted for 35.6%, nurses 27% and EMS 27.4%. After completing the GAD-7 questionnaire, 48% of participants were healthy, 23.7 % had mild symptoms of anxiety, and 20.7 % of Participants with moderate score are likely to have a diagnosis of an anxiety. 7.4 % participants with severe symptoms are at high risk for having anxiety disorder. Gender and older age group among health professionals was statistically significant correlated with higher GAD-7 score P value 0.028 and 0.048 respectively. Emergency medical services workers reported to have the highest GAD-7 score followed by physicians then nurses P value 0.039. There is no significant difference in GAD- 7 score among health professionals dealing with adult versus pediatrics patients.

Conclusion:

The study documents the existence of anxiety among Emergency health professionals. Quarter of the study sample do manifest with moderate to severe anxiety disorder that requires counseling and referral for support and treatment. Prolonged unrecognized anxiety predispose to major psychiatric morbidity, burnout and resignations. Hospital administration needs to be aware about the level of anxiety and the most likely affected population in order to build preventive strategies.


Riyadh 201565 63

C-02 Abstract Title

Determination of Sickle Cell Anemia (SCA) and Sickle Cell Trait (SCT) among Anemic Patients Treated at King Abdulaziz Medical City-Riyadh.

Presenting Author Mohammed Jahman Al-Shehri

Contact Information


City: Riyadh College: Applied Medical Sciences

All other Authors Dr.Mohieldin Elsayid. Yasser Abdullah Alkulaibi.

Objectives:

To determine the frequency of SCA and Sickle Cell Trait SCT among Anemic Patients Treated at King Abdulaziz Medical City-Riyadh.

Specific Objectives:

1. To determine the frequency of sickle cell hemoglobinopathies (SCH) from anemic patients. 2. To determine the frequency of sickle cell anemia (SCA) among patients with sickle SCH. 3. To determine the frequency of sickle cell trait (SCT) among patients with SCH. 4- To determine the most common pattern of hemoglobin among SCH patients.

Methods :

This is retrospective chart review study conducted to determine the frequency of SCA and SCT among anemic patients treated at King Abdulaziz medical city-Riyadh during period January 2011 –December 2013. Out of 3332 anemic patients in this study 307 anemic patients with SCH. The selection criteria and diagnosis were based on sickling test and hemoglobin electrophoresis. Non anemic patients or anemic patients with anemia other than SCH were excluded. Finally the raw data obtained were analyzed by using SPSS computer program.

Results :

Hemoglobin electrophoresis showed 297 (96.7%) SCA and 10 (3.3%) SCT. The results also showed that patients with SCA who have high level of hemoglobin F, have no crisis when compare with other SCA patients with low level or with no hemoglobin F.

The SCA is highly frequent 56.4% in males, while in female is only 40.5% out of all patients with SCH. According to age group SCA was found more common among children (48.5%) while a high frequency (1.6%) of SCT was found in adult group.

Conclusion :

Sickle cell anemia is the most common type of hereditary anemia in Saudi Arabia. The distribution of Hb S among Saudi population illustrate that Hb AS predominates among family. Patients with SCA have high level of hemoglobin F, have no crisis when compared with patients with low or no hemoglobin F. Neither the gender nor the age have any significant effect on the level of hemoglobin S of the individuals who were found to have SCA. These results indicate that family screening is necessary to identify sickle-cell carriers and should be extended to all areas which have the high frequency of hemoglobin S and pre-marriage investigation should be done as a routine investigation.


Riyadh 2015 66 64

C-03 Abstract Title

ABO AND RHESUS (Rh)PHENOTYPES OF PATIENTS RECEIVED BLOOD OR BLOOD PRODUCT IN KING ABDULAZIZ MEDICAL CITY-RIYADH

Presenting Author Younes Yahya Aseeri

Contact Information



All other Authors Dr. Mohieldin Elsayid.

Objectives:

To determine the ABO and Rh phenotypes among patients receiving blood or blood products in King Abdulaziz Medical City-Riyadh.


1. To determine the frequency of ABO phenotypes among Saudi population.

2. To determine the frequency of Rh phenotypes among Saudi population.

3. To compare the frequency of ABO and Rhuses phenotypes among patient received blood or blood products according to age groups.

Methods :

This is a retrospective chart review study conducted to determine the frequency of ABO and Rh phenotypes among patients receiving blood or blood products at King Abdulaziz Medical City-Riyadh in the year 2013. Participants in this study included one hundred patients (25 children; 7 youths, 22 adults and 46 olds). The gender distribution showed 58 males and 42 females. The selection criteria are based on receiving blood or blood products. Patients who did not receive blood or blood products were excluded. Finally the raw data of ABO and Rh grouping obtained were analyzed using SPSS computer program.

Results :

ABO phenotype results showed blood group A (27%), blood group B (22%), blood group AB (3%), and blood group O (48%). The percentage of positive and negative Rh grouping phenotypes were (96%) and (4%), respectively.

Conclusion :

The blood group O was highly frequent in Saudi population, while the blood group AB was the lowest. The Rh positive phenotype was most frequent, while the Rh negative was found less frequent. The variation in frequency of blood groups and Rh phenotypes is due to difference in race and migration routes.


Riyadh 201567 65

C-04 Abstract Title

Evaluation of Thyroid Hormones among Patients with type 2 Diabetes Mellitus at King Abdulaziz Medical City -Riyadh

Presenting Author Rayan Ibrahim S. Alhammad

Contact Information


City: Riyadh College: CAMS

All other Authors

Dr.Tarig Karar

Dr. Waleed Al Tamimi

Objectives

1. To evaluate the levels of thyroid hormones and HbA1c among patients.

2. To correlate between different type of lipid profile and HbA1c among diabetic patients.

3. To correlate between thyroid hormones and glycosylated hemoglobin HbA1c among patients.

Methods

A retrospective chart review study was conducted at King Abdulaziz Medical City in Riyadh, Saudi Arabia, during the period from August 2014 to December 2014, including 100 male and female patients diagnosed with diabetes mellitus type 2and excluding patients with type 1 diabetes. These patients were admitted to the hospital in 2013. Medical history and biochemical laboratory data was obtained from medical records and from biochemistry laboratory database. Statistical analysis was carried out using SPSS software conducting frequent analysis and correlation test.

Results

Result showed increased mean levels of HbA1c (8.4%) and normal level of TSH (4.5mlU/L) and T4 (14.1pmol/L), when compared with reference values (4.4 – 6.4), (0.35 – 4.94), (9 – 19) respectively.

Also the results showed week positive correlation between HbA1c and thyroid stimulating hormone. TSH (r=0.212 P=0.034), while showed insignificant correlation with thyroxin T4 (r=-0.018 p=0.855).

There was week positive correlation between HbA1c and total cholesterol and LDL (r=0.258 P=0.001), (r=0.297 P=0.003) respectively.

Conclusion

It is concluded that increased blood glucose could trigger anterior pituitary gland to increase secretion of thyroid stimulating hormones while there was no direct correlation between increase in blood sugar and the rate of thyroxin secretion.

It is furthermore concluded that there is an association between blood glucose and some lipid profile.


Riyadh 2015 68 66

C-05 Abstract Title

Determination of the Most Common Morphological Patterns of Anemia

Among Saudi Anemic Patients Attending King Abdulaziz Medical City-Riyadh

Presenting Author Abdullah Mesfer Alqahtani

Contact Information



All other Authors DR. MOHIELDIN ELSAYID

Objectives:

To determine the most common morphological patterns of Anemia among Saudi anemic patients seeking consultation at the King Abdulaziz Medical City in Riyadh.


1. To evaluate some hematological parameters in study group.

2. To estimate the most morphological patterns according to patient’s age.

3. To estimate the most morphological patterns according to patient’s gender.

Methods :

This is a retrospective chart review study conducted to determine the morphological patterns of anemia among anemic patients seeking consultation at the King Abdulaziz Medical City-Riyadh in the year 2013. Participants in this study included one hundred fifty patients (13 infants; 27 children, 12 youth, 52 adult and 46 old). The gender distribution showed 70 males and 80 females. The selection criteria were based on presence of anemia. Non-anemic patients were excluded. Complete blood count (CBC) and peripheral blood picture (PBP) results were used to determine the morphological patterns of anemia. Finally the raw data obtained were analyzed by using SPSS computer program.

Results :

The results of CBC and PBP showed 113 (75.3%) normocytic normochromic patterns, 36 (24%) microcytic hypochromic patterns, and 1(0.7%) macrocytic patterns. According to gender the results showed 62 (55%) normocytic normochromic patterns in males and 51(45%) in females, 7 (19%) microcytic hypochromic patterns in males and 29 (81%) in females and one case of macrocytic pattern in males.

Conclusion

The normocytic normochromic pattern of anemia is highly frequent in Saudi population, while the macrocytic pattern of anemia was the lowest. According to gender group microcytic hypochromic pattern of anemia is more common among females, while the normocytic normochromic pattern of anemia is found with high frequency in males.


Riyadh 201569 67

C-06 Abstract Title

Hematological and biochemical results of patients with Campylobacter infection at King Fahd Hospital, Riyadh, Saudi Arabia.

Presenting Author Fahad Mohammed Al-Saab

Contact Information



All other Authors Hazem Aqel and Sameera Al-Juhani

Objectives

Determination of hematological and biochemical results in reports of patients with Campylobacter pathogens from 2010 to 2013 at King Abdulaziz Medical City (KAMC), King Fahd Hospital, Riyadh, Saudi Arabia.

Methods

This study was carried out at the Clinical Labs (Microbiology, Hematology and Biochemistry Departments) in KAMC. A total of 91 non-duplicate patients with Campylobacter were reviewed during the period of the study from 2010 to 2013.

Results

Data on 91 patients with Campylobacter infection were reported, including 45 (49.45%) in 2010, 28 (30.77%) in 2011, 9 (9.89%) in 2012 and 2013. Of the total number of isolates, 60 (65.93%) were from patients <20 years of age and 21 (23.08%) were from patients 20-45 years of age. From 91 patients, the sensitivity of Campylobacter species to erythromycin was higher 48.86% in 2010 compared to 2012 and 2013 (10.23%). The most common hematological changes observed were; anemia (46.2%), lymphopenia (76.9%), neutrophilia (78%), leukocytosis (57%) & leucopenia (2.2%). Whereas, the biochemical changes included; raised alkaline phosphatase (72.5%), creatinine (50.5%), potassium (44%), and blood urea (36.3%), but the serum albumin was found to be low in 78%.

Conclusion

Campylobacter foodborne disease causes significant hematological changes as well as hepatic dysfunction. Despite the high incidence and serious nature of the hematological changes & liver involvement, these changes are transient and respond favorably to the appropriate antimicrobial therapy.


Riyadh 2015 70 68

C-07 Abstract Title Antimicrobial susceptibility of Escherichia coli isolates from blood in

relation to age, sex and months

Presenting Author Yasser Bader Sweilem

Contact Information




Objectives

Determination of antibiotic susceptibility in reports of E. coli pathogens isolated from blood in 2013 from January to December at King Abdulaziz Medical City (KAMC), King Fahd Hospital, Riyadh, Saudi Arabia.

Methods

This study was carried out at the Clinical Microbiology Department in King Abdulaziz Medical City (KAMC), King Fahd Hospital, Riyadh, Saudi Arabia. A total of 181 non-duplicate E. coli isolated from blood culture during the period of the study from January to December 2013 were reviewed. The protocol for E. coli susceptibility testing included the following antimicrobial agents: ampicillin, aminoglycosides (gentamicin, tobramycin and amikacin), fluoroquinolones (ciprofloxacin), third-generation cephalosporins (cefotaxime, ceftazidime and ceftriaxone) and fourth-generation cephalosporin (cefepime).

Results

Data on 181 isolates of E. coli, corresponding to the same number of patients, were reported, including 86 (47.51%) male patients and 95 (52.49%) female patients. All isolates were collected from blood. Of the total number of isolates, 17 (9.39%) were from patients <20 years of age, 30 (16.57%) were from patients 20-45 years of age, 72 (39.78%) were from patients 46-71 years of age and 62 (34.25%) were from patients >71 years of age. Patients with E. coli infection showed highly increased sensitivity to Amikacin (92.82%) but highly decreased sensitivity to ampicillin (18.23%). The antibiotics showed variation in sensitivity against bacteria in different months, e.g., Amikacin showed high sensitivity in September and June (100%); For gentamicin high sensitivity was seen in February (100%); whereas, ceftriaxone showed high sensitivity among patients in July and December (77.78% and 72.73%). Patients age >70 years showed high sensitivity to Amikacin (94.92% followed by patients age 46-71 years (93.1%). Non ESBL producers increased in patients attending the KAMC hospital in August and September (12.21%) and was higher in patients 46-76 years old (45.83%)

Conclusion

Reports from laboratories provide valuable information on antibiotic susceptibility in bacteremia and show a worrying decrease in susceptibility to important antibiotics.


Riyadh 201571 69

C-08 Abstract Title

Comparing of Lipid Profile Levels between Patients Complaining from Hypothyroidism and Hyperthyroidism at King Abdulaziz Medical City in Riyadh

Presenting Author Alhassan Ali A. Alkhuraim

Contact Information


City: RIYADH College: CAMS

All other Authors

Dr.Tarig Karar (PI)

Mr. Mohamed Abdel Fattah(COI)

Objectives

1. Identify prevalence of diabetes mellitus DM among patient.

2. To the levels of different type of lipid profile among patient.

3. To correlate between glycosylated hemoglobin HbA1c and different type of lipid profile among patient.

4. To correlate between different lipid profile and thyroid hormones among patient.

Methods

A retrospective chart review study was conducted in King Abdulaziz Medical City in Riyadh, Saudi Arabia, during the period from August 2014 to December 2014, including 100 male and female diagnosed with hyperthyroidism and hypothyroidism and excluding patient with partial or total thyroidectomy. These patients were admitted to the hospital in 2013. Medical history and biochemical laboratory data was obtained from medical records and from biochemistry laboratory database. Statistical analysis was carried out using SPSS software using frequency analysis and correlation test.

Results

The result shows high prevalence of DM (57%) (n=57) among patients and mean level of HbA1c (7.9%). Result shows apparently normal levels in (mmol/L) total cholesterol, triglycerides, high density lipoprotein, and low density lipoprotein (4.1), (1.7), (1.0), (2.3) when compared with reference values (5.2), (1.7), (1.6), (2.6) consecutively.

Also the results shows week positive correlation between triglycerides and HbA1c (r=0.258 P=0.001).

Thyroid stimulating hormone insignificantly correlated with cholesterol and triglycerides (r=-0. 021 P=0.837) (r=0.018 P=0.857) consecutively.

Conclusion

It was concluded that thyroid disease could be considered as risk factor for developing DM. Accordingly, management of HbA1C should be maintained as well as thyroid hormones level.

It was also concluded that there were no obvious relation between thyroid hormone and different lipid profile.


Riyadh 2015 72 70

C-09 Abstract Title Biochemical and hematological parameters in relation to infected

patients with Brucella species at King Fahd Hospital, Riyadh, Saudi Arabia.

Presenting Author Farraj Abdulmohsen Al-Qahtani

Contact Information




Objectives

To determine the prevalence and the intensity of infection with Brucella species among patients with different ages and sex at different months and to evaluate the efficacy in normalizing the levels of some biochemical, hematological and serological blood results.

Methods

This study was carried out at the Clinical Labs (Microbiology, Serology, Hematology and Biochemistry Departments) in King Abdulaziz Medical City (KAMC), King Fahd Hospital, Riyadh, Saudi Arabia. A total of 91 non-duplicate patients with Campylobacter during the period of the study from January to December 2013 were reviewed.

Results

A total of 79 patients infected with Brucella were enrolled into the study. The mean age±SD of the patients under the study were 24.99±13.09 years and males outnumbered the females, 74.68% vs. 25.32%. Of the total number of isolates, 26 (32.91%) were from patients <20 years of age, 16 (20.25%) were from patients 20-45 years of age, 30 (37.97%) were from patients 46-71 years of age and 7 (8.86%) were from patients >71 years of age. The most common hematological changes observed were: eosinopenia (91.14), monocytosis (29.1), anemia (22.8%), leucocytosis (15.2%), lymphocytosis (8.9%), leucopenia (7.6%), and lymphopenia (1.27%). The patients showed raised in level of ESR by 67.1). The biochemical changes included: low in sodium (54.4%), creatinine (19%), albumin (12.7%) and potassium (5.1%), but the total bilirubin was found to be raised (6.33%). The patients showed raised in serum AST (43.04%) and ALT (27.85%).

Conclusion

Brucella disease causes significant hematological changes as well as hepatic dysfunction. The involvement of liver was associated with high frequency of extrahepatic complications. Despite the high incidence and serious nature of the hematological changes & liver involvement, these changes are transient and respond favorably to the appropriate antimicrobial therapy


Riyadh 201573 71

C-10 Abstract Title Organophosphate poisoning – admitted patients in king abdulaziz

medical city (KAMC) over 12 years

Presenting Author Faisal Abdullah Almoaiqel

Contact Information


City: Riyadh College: College of Applied Medical Sciences

All other Authors Dr. Mohammed Almutairi, Dr. Abdullah Almutrafi, Dr. Abdullah Alqahtani, Dr. Nawfal Al Jerian, Dr. Shoeb Qureshi, Dr. Nasren Al Harthi

Objectives The aim of this study is to look for Organophosphate and Carbamate poisoning, demographic

information, clinical presentations, complications and mortality in admitted patient to KAMC over a period of 12 years.

Methods This is a retrospective record review for all patients who were admitted to KAMC with history

of organophosphate poisoning between January 2002 to June 2014. The study include both adults and children who were admitted either to ICU or general ward with acute toxicity.

Results The study included 82 patients were admitted during the study period. Eighty five percent of

admissions were Saudi. The age range was between 6 months and 91 years. Gender ratio was 1.02:1 female to male. Accidental exposure was 62.2 % of total incidents, followed by 30% suicidal attempt. About 50% of the patients ingested the poison orally, 28% and 12.2% was through skin and respiration of poisoning respectively. Most of the patients (59.8%) arrived to the hospital within 4 hours of exposure. Muscarinic effects had been dominant in those patients. Nausea and vomiting were present in 62% of the cases. Followed by pinpoints pupils 54% and hypersalivations 35%. Out of 82 patients, 35.4% showed impaired consciousness. During the treatment, 24 patients developed complications. Mortality rate was 2.4%.

Conclusion Organophosphate poisoning is not uncommon in Saudi Arabia. However, adult females and

those who had history of psychiatric illness or previous suicidal attempt are more likely to commit suicide with organophosphate, while children below 6 years are at high risk of accidental poisoning.


Riyadh 2015 74 72

C-11 Abstract Title

Assessment of Micro-albuminuria and Albumin Creatinine Ratio in Patients with Diabetes Mellitus Type2 at King Abdulaziz Medical City-Riyadh.

Presenting Author Rashed Ahmed R. Alniwaider

Contact Information



All other Authors Dr.Tarig Karar (PI), Dr. Waleed Al Tamimi(CO-I), Mr. Mohamed Abdel Fattah(CO-I)

Objectives

1. To evaluate the level of urine micro-albuminuria, urine albumin Creatinine ratio, plasma creatinine and glycosylated hemoglobin HbA1c among patients.

2. To correlate between urine microalbuminuria and plasma creatinine among patients

3. To correlate between urine albumin creatinine ratio and plasma creatinine among patients

4. To correlate between urine microalbuminuria and urine albumin creatinine ratio among patients

Methods

A retrospective chart review study was conducted at King Abdulaziz Medical City in Riyadh, Saudi Arabia, during the period from August 2014 to December 2014, including 100 male and female patients diagnosed with diabetes mellitus type 2and excluding patient with type 1 diabetes. These patients were admitted to the hospital in 2013. Medical history and biochemical laboratory data was obtained from medical records and from biochemistry laboratory database. Statistical analysis was carried out using SPSS software conducting frequent analysis and correlation test.

Results

Result showed increase in mean level of plasma creatinine (138µmol/L), urine microalbuminuria (240mg/L), albumin creatinine ratio (82) and HbA1c (8.7%) when compared with reference values (64 -110), (< 30), (< 2.5), (8.7) respectively.

Result showed moderate positive correlation between urine microalbuminuria and urine albumin creatinine ratio (r=0.509 P=0.000). Furthermore result showed week positive correlation between urine microalbuminuria and plasma creatinine (r=0.238 P=0.017), and moderate positive correlation between urine albumin creatinine ratio and plasma creatinine (r=0.553 P=0.000).

Conclusion

It is concluded that DM type2 could be considered risk factor for developing renal impairment. Accordingly, screening of renal function for diabetic patients using more sensitive parameters like urine microalbuminuria, urine albumin creatinine ratio and HbA1c level should be maintained.


Riyadh 201575 73

C-12 Abstract Title Correlation between ABG electrolytes and serum electrolytes

Presenting Author Nowaf Yousef Al Obaidi

Contact Information



All other Authors Dr. Abdullah Alanazi, Dr. Farhan Al. Enezi, Dr. Shoeb Qureshi, Mr. Mohammad Al Shahrani

Objective:

The aim of this study was to identify the correlation between ABG and serum electrolytes in patients

Methods:

This is a prospective observational study on serum and ABG electrolytes in samples from 53 (34 Male and 19 Female) patients admitted to ICU at KAMC. The analysis of ABG and serum samples was done in Central Laboratory. The results from patients’ file were entered and analyzed by SPSS.

Results:

The incidence of pathological conditions showed that the highest were post-MVA followed by CAP and respiratory failure. The comorbidities were not present in majority. However; the highest incidence was related to Diabetes + hypertension, followed by Hypertension alone and diabetes alone. SPSS analysis showed that the correlation between serum electrolytes and ABG electrolytes was significant at 0.01 levels.

Conclusion:

Majority of the patients were diagnosed with respiratory failure, CAP and Post MVA, DHF and cardiac arrest. The comorbidities observed were DM + HTN, DM alone and HTN alone. Despite of the deteriorating health, the correction between serum and ABG electrolytes was significant, however, related to time, it was weakly negative.


Riyadh 2015 76 74

C-13 Abstract Title

Correlation between ABG hemoglobin and serum hemoglobin patients in ICU at National Guard Hospital, Riyadh.

Presenting Author Mohammed Falah Alshahrani

Contact Information



All other Authors

Dr. Abdullah Alanazi

Dr. Farhan Al. Enezi

Dr. Shoeb Qureshi

Mr. Nowaf alobaidi

Objective

The main objective was to identify the correlation between serum hemoglobin and ABG hemoglobin in patients

Methods

This is a prospective observational study on serum and ABG hemoglobin in samples drawn from 54 (30 male and 24 female) patients admitted to ICU at KAMC. The analysis was conducted at central laboratory. The results from patients files were incorporated in the excel sheet and analyzed by SPSS software.

Results

The incidence of pathological conditions diagnosed showed that majority of the patients were normal, among the serious type of ailments, respiratory diseases were maximum followed by CNS. The comorbidities were not present in majority of the patients. However; the highest incidence was related to diabetes + hypertension, followed by hypertension alone, diabetes alone and bronchial asthma alone. SPSS analysis showed that correlation between serum hemoglobin and ABG hemoglobin was significant at the 0.01 level.

Conclusion

Although there were some serious pathological conditions and the associated comorbidities, majority of the patients were normal. The correlation between serum and ABG hemoglobin was significant, however; related to time, it was weakly negative.


Riyadh 201577 75

C-14 Abstract Title Assessment of Etiological Factors of Reintubations in Adult Intensive

Care Units

Presenting Author Mohammad Abdulaziz Alsanad

Contact Information



All other Authors

Dr. Farhan Al. Enezi Mr. Manjush K. Dr. Kavita M.S. Mr. Matar Alzahrani

Objectives

To identify the common etiological factors of reintubations To analyze the window period between extubation and reintubation in disease specific

populations. Methods

This research proposal got approved by Institutional Review Board of King Abdullah International Medical Research Centre. This cross-sectional study was conducted at Adult Intensive Care Units of King Abdulaziz Medical City. Convenient sampling was performed to recruit 31 patients who had received mechanical ventilation from October 2014 to December 2014. The data with respect to demographic characteristics, reason for intubation, types of ventilation strategy, peak pressures during initial and weaning phases, positive end expiratory pressure (PEEP) requirement and window period between extubation to reintubation was noted. The data were analyzed statistically by Statistical Package for the Social Sciences (SPSS).

Results

About 58.1% had normal lung ventilation strategy, 29% had airway disease ventilation and 12.9% has parenchymal disease ventilation. Statistical analysis indicated that there was a positive correlation (r = +0.1449) between age and duration of ventilation. Analysis of variance between window period and causative factors of reintubation indicated that there is a significant difference (F = 0.368) at 0.05 percent and at 95% confidence interval.

Conclusion

From the study it was concluded that etiological factors had a significant influence on the window period of extubation to reintubation and respiratory factors like tachypnea, increased work of breathing and oxygen desaturation were found to be more significant. The age and duration of ventilation were correlated positively. Further studies are recommended with a larger sample size under standardized protocol.


Riyadh 2015 78 76

C-15 Abstract Title Comparative Study on Various methods of Liberating/Weaning

Patients from Mechanical Ventilation.

Presenting Author Matar Saeed Alzahrani

Contact Information


City: Riyadh College: CAMS-R

All other Authors


Mr. Manjush K.

Dr. Kavita M.S.

Mr. Mohammed Alsanad

Objective

To analyze various liberation/weaning techniques commonly used in intensive care units in relation with the outcome.

Methods

This research proposal got approved by Institutional Review Board of King Abdullah International Medical Research Centre. This cross-sectional study was conducted at Adult Intensive Care Units of King Abdulaziz Medical City. Convenient sampling was performed to recruit 64 patients who had received mechanical ventilation from October 2014 to December 2014. The selected subjects were equally distributed into three weaning methods such as Pressure Support Ventilation (PSV), T piece wean and Continuous Positive Airway Pressure (CPAP), which formed a micro sample of 11 patients each for respective mode of weaning. Standardized protocols were followed to find out the influence of weaning techniques on Arterial Blood Gas (ABG) parameters, Respiratory Rate (RR), Tidal Volume (TV), Minute Ventilation (MV) and Rapid Shallow Breathing Index (RSBI). The data were analyzed statistically by Statistical Package for the Social Sciences (SPSS).

Results

The selected subjects were weaned by PSV, CPAP and T Piece methods. The statistical analysis of the data indicated that the mode of weaning has no significant influence on ABG parameters, RR, TV, MV and RSBI of the subjects.

Conclusion

It was concluded that ABG parameters, RR, TV, MV and RSBI have no significant relation with weaning techniques. It was also found that there is no significant difference between various parameters of the subjects on different weaning techniques. Further studies have to be conducted with a larger sample size and standardized protocol to validate the results.


Riyadh 201579 77

C-16 Abstract Title Assessment of Complications due to Arterial Puncture in Adult

Intensive Care Units.

Presenting Author Ibraheem Hassan Ahmed Asiri

Contact Information



All other Authors


Mr. Manjush K.

Dr. Kavita M.S.

Mr. Salem Al Qahtani

Mr. Mohammad Abdulaziz Alsanad

Objectives

To analyze the frequency of arterial puncture and its complications in adult intensive care units.

Methods

This cross-sectional study was conducted at Adult Intensive Care Units (ICUs) of King Abdulaziz Medical City. Convenient sampling was performed to recruit 43 patients who had arterial punctures for various reasons from October 2014 to December 2014. The selected subjects were assessed based on the sites of arterial puncture, complications and frequency of arterial punctures. Institutional Review Board of King Abdullah International Medical Research Centre had given the ethical clearance for the study. The data were analyzed statistically by Statistical Package for the Social Sciences (SPSS).

Results

Majority (72%) of the subjects was having arterial lines and rest (28%) was punctured for Arterial Blood Gas analysis. 64% of the subjects were having right radial arterial line and the remaining were left radial (25%), right femoral (3.2%) and left femoral (6.4%) arterial lines. Majority of the subjects (48%) had no complications, whereas the others were observed to have complications such as infections (11%), hematoma (32%), bulging (2.3%) and vasospasm (4.6%). Frequency of arterial puncture indicated that the subjects received the puncture at a rate of 1-7 times/ day. There was a positive correlation between duration of ICU stay and complications developed due to arterial puncture (r = 0.0050) and frequency of arterial puncture (r = 0.0115).

Conclusion

From the study, it was concluded that duration of stay in ICU, arterial punctures and complications are positively related. Further studies are recommended with a larger sample size under standardized protocol.


Riyadh 2015 80 78

C-17 Abstract Title Assessment of Patients in Relation with Delay in Liberation/ Weaning

from Mechanical Ventilation

Presenting Author Ryan Nasser.S Al-Qahtani

Contact Information


City: Riyadh College: CAMS-R

All other Authors


Mr. Manjush K.

Dr. Kavita M.S.

Mr. Salem Al Qahtani

Mr. Mohammed Hassan AL-Somali

Objectives

To analyze simple, difficult and prolonged weaning trials in Intensive Care Units.

Methods

This cross-sectional study was conducted at Adult Intensive Care Units (ICUs) of King Abdulaziz Medical City. Consecutive sampling was performed to recruit 30 patients who was on weaning phase in mechanical ventilation from October 2014 to December 2014. The selected subjects were assessed based on the sites of arterial puncture, complications and frequency of arterial punctures. Institutional Review Board of King Abdullah International Medical Research Centre had given the ethical clearance for the study. The data were analyzed statistically by Statistical Package for the Social Sciences (SPSS).

Results

Baseline characteristics of patients indicated that majority (70%) were with normal lung ventilation strategy, followed by parenchymal ventilation (23%) and airway ventilation strategy (6%). The maximum days between first and final trial was 9 days. Correlation studies indicated that there is a positive correlation in the interval between first and final trial. Majority of the weaning trials were simple (73.33%), followed by difficult (20%) and prolonged (6.66%). There is negative correlation (r = - 0.1837) between reason for intubation and the number of trials. There is a very strong negative correlation between number of trials and type of weaning (r = - 1.000)

Conclusion

From this study it was concluded that the major reason for intubation was neurological involvement. It was also found that the number of weaning trials and type of weaning were found to be negatively correlated. Future studies are recommended with larger sample size for validation of the result.


Riyadh 201581 79

C-18 Abstract Title

Toward safe schools – Injury prevention measures in Riyadh primary schools

Presenting Author Sami Saleh Alenazi

Contact Information


City: Riyadh College: King Saud bin Abdulaziz University for Health Science

All other Authors Dr Mohammed Khalaf AlMutairi , Dr.Abdullah Alanazi , Prof. Ali Karrar Osman , Dr. Nawfal Aljerian , Dr. Abdullah Alqahtani , Dr. Nesrin Alharthi, Dr.Shoeb Qureshi

Objectives

The aim of this study was to assess the injury prevention measures in Riyadh primary schools that may reduce the trauma.

Methods

This study was conducted on35 primary/elementary schools. The study included Demographic data about the school type, age, strength of students and teachers, basic life support training, traffic and parking lots and play areas. Our check list concentrated on injury prevention in falls, fire safety, and traffic injuries. Data was analyzed by SPSS.

Results

The school data showed more Government schools found equal in all regions. Despite the condition of school, decreased student/teacher proportion, deficit acquaintance of life saving measures and less access to Red Crescent and fire department, there were less injuries and no mortality. The traffic and parking lots showed control by surveillance cameras were perfect, while control of traffic flow, patrolling, fire lanes marking were weak. Fire safety (fire exits, extinguishers) was found to be excellent, while the escape routes, indicator panel and maintenance of equipment) was average. The play areas surface, paint, preservation, and fencing were good, but climbers, water regulation and slip-resistant surfaces in addition to equipment maintenance required attention. The handrails, ceiling tiles, doors, windows, and ramps were quite satisfactory in all schools, however; the lighting for ramps and steps was found insufficient and required attention.

Conclusion

Most of the schools are maintained perfectly, however; there are some negative aspects that warrant improvement. Periodic survey of different schools in the Kingdom will be a boon for safety and prevention of injuries.


Riyadh 2015 82


Riyadh 201583

D. College of Public Healthand Health Informatics ,

Riyadh


Riyadh 2015 84

81

D-01 Abstract Title Epidemiology of oral cancer in Arab countries – A review

Presenting Author Abeer bin jabeer

Contact Information


City: Riyadh College: PHHI

All other Authors Lubna Al-Nasser, Anna Ali, Mowafa Househ, Ashraf EL-Metwally

Objectives

To summarize the OC studies that were conducted in the Arab countries in regard to epidemiology, risk factors and prognosis

Methods

A computer-based PubMed literature search was performed to retrieve studies conducted in the Arab world about epidemiology of OC. After screening for exclusion criteria, cross-referencing and searching local journals; a total of 13 articles were included in this review.

Results

Six prevalence studies were cross-sectional and found an OC prevalence ranging from 1.8 to 2.13 per 100,000. Five studies explored risk factors while two studies focused on prognostic factors. OC patients are mostly in their fifth to sixth decade of life and incidence in younger age was reported in some Arab countries. Yemenis have an alarming high prevalence of OC among people younger than 45 years. Behavioral determinants such as smokeless tobacco (e.g. Shamma and Qat) and cigarette smoking were strongly associated with OC. Alcohol drinking and solar radiation exposure were cited as possible risk factors as well. The most affected sites were tongue; floor of mouth and lower lip, variations in the affected site were attributed to the socio-cultural behavior of the populations under study. Squamous cell carcinoma was the most frequently detected cancer, and usually patients were in late stages (e.g. III and IV).

Conclusion

The real pattern and frequency of oral cancer in Arab countries is inaccurate with the lack of population-based studies. However, from current evidence it seems that prevalence of oral cancer lies between that of Western and South-east Asian populations. It is relatively rare across the Arab countries with the exception of parts of Yemen and Saudi Arabia; this was attributed to the local habits of chewing tobacco and Qat. Furthermore, wide regional disparities in incidence rates within areas of Saudi Arabia were evident. Alarming increase in the incidence of OC in younger population in Yemen.


Riyadh 201585 82

D-02 Abstract Title Is It Time To Change the Current Hospital’s Policy from Daily Routine

Chest Radiographs To On-Demand Chest Radiographs in ICUs in Saudi Arabia?Healthcare Providers’ Perspective

Presenting Author Abdullah Al Shahrani

Contact Information


City: Riyadh College: College of Public Health & Health Informatics

All other Authors Supervisor: Khaled Al-Surimi , PhD

Objectives:

Daily routine portable chest radiograph (CXR) is the most commonly obtained radiology procedure performed on patients in the Intensive Care Units (ICUs) of hospitals in the Kingdom of Saudi Arabia (KSA). However, there is alternative to this protocol is called the on-demand CXR. The objective of this study was to seek the opinion of clinicians whose primary work assignment are in the ICUs in the KSA hospitals, if it is time to replace the current daily routine CXR protocol with the on-demand protocol in the KSA hospital’s ICUs.

Methods :

It is a cross-sectional study using self-administered questionnaire developed based on a previous questionnaire used in a similar study in the Netherlands. The study settings are the ICUs of selected hospitals in the KSA. The target study populations are the ICU intensivists, nurses and the respiratory therapists.

Results :

We had 67.5% of the anticipated participants responded to the survey; 70.8% of the participating were clinicians working at academic hospitals while 24% are from non-academic hospitals. About half (49.8%) of the respondents were working in an open-format ICUs compared with 46.8% work in a close-format ICUs. More than half (51.2%) of the respondents worked in hospital setting with more than 20 ICUs bed and only 3.2% were from hospital with less than 5 ICUs bed. Study findings showed that Daily routine CXR performed in almost 97% of ICUs patients and mostly performed to ascertain the positioning of medical devices. On the other hand, majority of study respondents (73%) agreed that the current daily routine CXR protocol in the ICUs should be replaced with the on-demand CXR policy while only 24% of the study respondents disagreed.

Conclusion :

There is a semi-consensus and emerging empirical evidence from most of clinicians working in the KSA hospital’s ICUs supporting that the current policy of performing daily routine CXR in the ICUs could be replaced with the on-demand CXR protocol.


Riyadh 2015 86 83

D-03 Abstract Title

Epidemiology of Irritable Bowel Syndrome in Arab countries -/A review

Presenting Author Maha Alotaibi , El-Metwally Ashraf


City:Riyadh College:College of Public Health &Health Informatics

All other Authors

Objectives The aim of this study was to systematically review published literature about the prevalence, incidence, and natural history of irritable bowel syndrome (IBS) in Arab country

Methods A computer-based literature search was conducted using relevant keywords to retrieve studies conducted in Arab world pertaining to the epidemiology IBS. Thirty-five articles were identified initially. After screening for exclusion criteria and retrieving full texts, a total of Twelve articles were used for this review. Results Studies about risk factors/prognostic markers were solely conducted in clinical –setting and mainly used case- control study design. Genetic expressions of various parasite (e.g. Dientamoeba fragilis), behavioral habit (emotional stress, anxiety), and viral infections (Hepatitis C virus and hepatitis B) were among factors investigated. Evidence extracted from these studies shows a possible link between IBS and stress, HBV and HCV Infections and co-occurrence of Tension Headache. Eight studies were cross-sectional and found a prevalence ranging from 8.9% to 31.8%. prevalence studies Two studies found cross sectional studies, one study in Iraq found the point prevalence is (woman in both TTH group and control( 79,7% and 10% ) versus men (62.7 % and 37.3%) :but that was not significant and second study in Palestine prevalence point =30%.study in Saudi found point prevalence =8.9% and 31.8%. Risk factor studies One study in Saudi found the incidence no reveal any pathological abnormalities after diagnostic test. one study in Kuwait found case control study case=39.13%, controlled=7.93% and higher proportion of female in case and controls (74%.61, 54%). Three studies in Egypt found one was no difference in the cells , plots significantly higher in female and higher in patient with chronic HCV. Conclusion

countries The prevalence of IBS in Arab gulf countries is comparable to other .The data about natural history of IBS is quite spare and renewed. Effort should be focused iately designed trials of epidemiology of IBS implementation of health education campaigns for all public to understand the epidemiology , risk factors and impact of IBS in Arab countries ihighly recommended . The were among risk factors related to IBS in this review Future studies should investigate different geographical locations, and at the population level, with suitable sampling methods to ensure representativeness. Community-based epidemiological studies critically based on an improved

understanding of the a etiology and physiology of the disorder is also needed-patho


Riyadh 201587

84

D-04 Abstract Title Assessment of Patient Safety Culture among Pharmacists in Riyadh Hospitals,

Saudi Arabia

Presenting Author Ali M. Alwabel

Contact Information


City: Riyadh College: Collage of Public Health and Health Informatics, Department of Community and Environmental Health

All other Authors Dr. Amen Bawazir Dr. Khaled Al-Surimi

Objectives To achieve patient safety in pharmacy, we need to focus on one of the major factors that impact patient safety i.e., the Adverse Drug Events (ADEs). It is evident that there is a direct link between poorly perceived safety cultures and increased error rates. Thus, this study assesses the perception of patient safety culture among pharmacists at tertiary referral hospitals in Riyadh, Kingdom of Saudi Arabia.

Methods A descriptive cross-sectional study conducted among pharmacists in the pharmacy department of tertiary referral hospitals. The study was conducted utilized a valid and reliable 11 dimensions developed by U.S. Agency for Health care Research and Quality. All pharmacists in pharmacy departments invited to participate with proportional number of tertiary referral hospital in five sectors.

Results A total of 600 questionnaires were distributed, with 68.5% response rate. The average percentage of positive response rates (PRR) ranged from 81.4% to 25.5%, while the overall was 59%. The highest PRR was in teamwork, while the lowest was in staffing and work Pressure. In a comparison among healthcare sectors, the specialized hospitals scored the highest PRR in eight dimensions. The overall average rating for patient safety was 43%.

Conclusion The results revealed that the positive patient safety culture dimensions among pharmacists in Riyadh below expected standard, however strengths being found in the teamwork aspect, and weaknesses in staffing and work pressure. Pharmacist behavior, in terms of communication and discussion of documentation about ADE, needs intervention to improve, particularly at inpatient pharmacies. Overall, pharmacists in specialized hospital settings have a better perception of patient safety than their peers in other setting.


Riyadh 2015 88 85

D-05 Abstract Title Epidemiology of Low Back Pain in Saudi Arabia

Presenting Author Maryam Ahmed Awaji

Contact Information


City: Khamis Mushayt College: CPHHI:HI

All other Authors Dr. Ashraf Elmetwally

Objectives

The aim of this study was to evaluate the prevalence and risk factors of lower back pain among patients in saudi Arabia.

Methods

A systematic review included relevant literature identified through searches of published studies between 2003 to 2014 Several electronic databases were searched in this review, including: ISI Web of Knowledge, MedLine, Pubmed, IME, LILACS, CINAHL , New England Journal of Medicine and other sources to identify citations on the prevalence of low back pain among patients in saudi arabia.

Results

Fifteen articles were identified initially. After screening for exclusion criteria and retrieving full texts, a total of Twelve articles were used for this study . seven studies were cross-sectional and found a prevalence and pattern ranging(63.8%). Studies about risk factors/prognostic markers were conducted in clinical-settings; using a case-control design mostly (n=4) and Cohort study (n=1). Evidence extracted from these studies shows a possible link in Low Back Pain.

Conclusion

The data in the current study suggests that the prevalence of low back pain needs to be investigated in different geographical locations, and at the population level, with suitable sampling methods to ensure representativeness. The authors recommend the need for future studies to improve the reporting of age information to make prevalence studies more applicable and informative.


Riyadh 201589 86

D-06 Abstract Title

Assessing the satisfaction level of physicians using the computerized physician order entry (CPOE) system in NGHA health care facilities

Presenting Author Jameel Mujalled

Contact Information


City: Riyadh College: CPHHI-Health Informatics

All other Authors Basema Saddik

Objectives

To assess physicians' satisfaction level overusing the Computerized Physician Order Entry (CPOE) system in NGHA health care facilities as well as determining the important factors affecting physicians’ satisfaction. In addition, the study aims to verify the availability and accessibility of the required information by the authorized physician, and to study the impact of using the CPOE system on reducing health care errors.

Methods

A questionnaire was developed to collect data from Physicians who are using the CPOE system in their work. A total of 350 questionnaires were distributed, among the National Guard Health Affairs (NGHA) hospitals in Riyadh, Jeddah, and Al-Ahsa. The response was 253 completed surveys, which indicating a valid response rate of 86%. The collected data were analyzed using descriptive analysis techniques

Results

The majority of physicians were satisfied by using the CPOE system, and agreed upon the usefulness of the CPOE system. Overall the majority of physicians agreed that the CPOE system provides comprehensive access for patient information (75.9%), reduces medication error (73.5%), and improves patient safety (81.8%), healthcare quality (81.8%) and overall productivity (79.5%).

Conclusion

The study has revealed the importance of the CPOE adoption and its usefulness in improving the quality of health care in terms of ease of access to comprehensive patient information, reducing medication errors, improving the patient safety, and reducing the negative impacts of using paper-based, i.e. it could be lost, damage or even difficult to read. There are also some critical success factors that can affect the adoption of the CPOE system such as usability, training, fulfills the business requirements, technical support, and reliability. These factors should be controlled properly in order to achieve the greatest benefits of adopting the CPOE system.


Riyadh 2015 90 87

D-07 Abstract Title Assessment of Diabetes Knowledge Among Saudi Diabetic Patients

Presenting Author Hussah Al-Ghodaier

Contact Information


City: Riyadh College: CPHHI

All other Authors

Dr. Hoda Jradi

Objectives

To assess level of diabetes knowledge and to investigate its determinants among Saudi diabetic patients.

Methods

Data collection included patients’ demographics, long-term glycemic control, diabetes type, duration, and co-morbidities. The Arabic Diabetes Knowledge Test (ADKT) was the tool of assessment. Type II diabetic patients who were not on insulin therapy, were excluded from the study.

Results

A sample of 535 diabetics with a mean age of 36 (SD= 18). Majority of them were females (63%), with lower educational level (51.3%), lower monthly income (58%), Type I diabetes (65.6%), and with uncontrolled HbA1c (90.2%). Only 21.1% of them were recently diagnosed with DM .Diabetes knowledge correlated positively with education, income and years of diagnosis; and negatively with age and HbA1c (P<0.05, for all). The mean ADKT score was 60.9%. Items with the least frequency of correct answers were about diet.

Conclusion

Level of diabetes knowledge was generally good. Determinants of poor diabetes knowledge were older age, lower educational level and monthly income, along with males and recently diagnosed diabetics. It is recommended to focus educational efforts on these groups.


Riyadh 201591 88

D-08 Abstract Title

Challenges Affecting the Adoption of Personal Health Records (PHR) in National Guard Health Affairs (NGHA)

Presenting Author Aljowhara Al-Sahan

Contact Information




Objectives

This study, being the first of its kind in Saudi Arabia, investigates the perceived barriers and /or challenges for PHR adoption in NGHA. These perceived barriers and /or challenges were investigated from two different perspectives; technical perspective and social perspective.

Methods

The study was conducted through the use of a mixed methods research study design (Qualitative and Quantitative). A cross-sectional study design was used for the quantitative component utilizing a questionnaire to determine the challenges/ barriers from a social perspective of patients. A phenomenological methodology was used by the use of focus groups to determine the challenges/ barriers from a technical perspective.

Results

The questionnaire had 424 respondents from NGHA population in Riyadh, (95.9 %) from those who either using computer or smart devices were browsing internet. Almost all of the participants (96.7%) indicated interest in having PHR, with (73.3%) had no concerns about the online accessibility of their health information. These finding dictated positive indications for PHR adoption. However, the majority (78.3%) were unaware about patients’ e-services within NGHA website. The themes reported from the focus groups reinforced the lack of awareness as a barrier for PHR adoption including end user readiness for PHR, policy and integration at certain circumstances.

Conclusion

This study has highlighted the perceived challenges and barriers for adoption of the PHR in NGHA. In order to ensure an efficient PHR with a strong adoption rate, effective steps need to be undertaken by building PHR awareness, and by setting clear guidelines and regulations from policy makers.


Riyadh 2015 92 89

D-09 Abstract Title

Epidemiological Characteristics of Hepatitis C Virus genotypes among patients Diagnosed in King Abdulaziz Medical City, National Guard Health Affairs, Riyadh

Presenting Author Fahad ALgusheri

Contact Information


City: Riyadh College: College of Public Health &Health Informatics

All other Authors

Dr. Amen A Bawazir

Dr. Mohammed Al Balwi

Dr. Hoda Jaradi

Objectives

The aim of this study is to determine the epidemiological characteristics and biochemical features of HCV genotypes among patients diagnosed with positive HCV Genotype in the Molecular Pathology laboratory (MPL) in King Abdulaziz Medical City (KAMC), National Guard Health Affairs (NGHA) in Riyadh

Methods

Cross sectional hospital-based study using secondary data retrieved from the Molecular Pathology Laboratory (MPL) Database, Laboratory Information System and from the medical electronic records (QuadraMed) in the hospital.

Results

The findings of this study have mentioned that genotype 4 is extremely common among the population of Saudi Arabia followed by genotype 1. Moreover, the study has also described that genotype 4 infected patients were extremely prominent to the risk of excessive viral load and cirrhosis. Majority of the patients, having moderate viremia. The study has also indicated that older and female individuals were at excessive risk of viremia and HCV genotype infection as compared to other age groups.

Conclusion

Genotype 4 is the predominant genotype in Saudi Arabia and most common in female followed by genotype 1. The severity of liver disease was more in genotype 1 as assessed by higher viral load. Further studies should be carried out to determine Genotype mapping over the country.


Riyadh 201593 90

D-10 Abstract Title Evidence-Based Public Health Approaches To Tobacco Use Prevention and

Cessation among School Children: A Pilot Study at Private School In Riyadh City

Presenting Author FAHAD ALLOHIDAN

Contact Information


City: Riyadh College: Public Health and Health Informatics, KSAU-HS

All other Authors Supervisor: Khaled Al-Surimi

Objectives

To implement and evaluate the combined social influence and social competence approach to Change student’s behavior and attitude towered smoking, prevent initiation of smoking among school student and encourage their smoking cessation.

Methods

This is an interventional pre-and post-study design. The researcher-trained group of teachers to conduct 10 interactive sessions to the students at intermediate school over 10 weeks and these sessions based on combined social influence and social competence approach. We did baseline assessment prior to implementing the program then we reassessed them again after the implementation. We focused primary to assess the rate of ever smoking, current smoking and knowledge and attitude toward smoking among intermediate school students.

We used SPSS version 20 for data entry and statistical analysis.

Results

The prevalence of ever smoking remained almost the same with no significant difference, which we consider one of the successes of our intervention. There was significant decline in the occasional other tobacco products users with p value 0.04 compared to baseline, and significant difference as well among the current smokers who tried to quit smoking with P value 0.006. We found significant improvement (P value 0.001) in the number of students who have been taught about the possible dangers of tobacco use, and in educational sessions that discuss why young people use tobacco with P value (0.031). Also there was significant difference in the number of the students who have been taught about the effect of smoking on appearance with P value (0.02). Furthermore, 44.9% of the students’ who thought smokers having more friends changed their opinion and 44.8% of the students who thought smoking makes boys more attractive changed their opinion after the intervention. Finally, 65.8% of the students who thought smoking girls who smoke having more friends change their opinion as well after the intervention.

Conclusion

Although this is a pilot study the study results indicate clearly there’s potential effect of this program in smoking prevention among school students. However, we need to replicate this experience in larger sample size with control group.


Riyadh 2015 94 91

D-11 Abstract Title

Impact of No-show and Rescheduled on access to MRI for outpatients in a tertiary care hospital

Presenting Author Hasan Areabi

Majeed AlRowaili

Contact Information


City: Riyadh College: Public health and health informatics

All other Authors

Abstract Template

Objectives

Long waiting list for MRI procedure is one the major challenges facing Radiology services all over the globe. It has been well addressed that delay in diagnostic procedures lead to poorer patients care outcome. This study intends to evaluate the impact of no-show and reschedule on the MRI waiting list. Moreover, we try to reveal the factors attribute to those two incidents. In addition, we aim to bring evidence for planning the remodeling of the MRI schedule.

Methods

A prospective cross-sectional study using the data enter in the MRI scheduled and self-administrated questionnaire to study the associations between the no-show and rescheduled cases with the demographic and clinical characteristics.

Results

Total of 904 Outpatients enrolled in this study, the response rate was 13%.

No-show and rescheduling are responsible for 35% of the wasted slots in MRI. . Gender, level of education, Clarity of the MRI instruction and Transportation are the leading proctors for the two incidents (Odd ratios 6.2, 2.7, 31.4 and 15.5, prospectively).

Conclusion :

In conclusion, our study suggests that the impact of no-show and rescheduling on the waiting of MRI is nearly 35%. Confirmation of the patients’ attendance within one or two days prior to MRI appointment is recommended to minimize waste of the MRI slots by no-show. Adequate education for outpatients about the instructions for MRI.


Riyadh 201595 92

D-12 Abstract Title

Patterns And Characteristics Of Frequent Visitors Of Emergency Department At King Abdulaziz Medical City

Presenting Author Majed Althagafi

Contact Information


City: Riyadh College: College of public health & Health informatics

All other Authors

Dr. Khalid Al-Surimi

Objectives

Emergency department frequent visiting was recognized as pattern of ED utilization that is linked with ED inefficiency. There are scarce data about frequent ED visiting patterns in Saudi Arabia. The frequent ED visitors are not a homogenous group and needs further exploration of their demographics and visit characteristics. The aim of this study was to describe the patients and visits characteristics of emergency department frequent visitors and identify the main predictors for high frequent visitors.

Methods

This is hospital database based study design aimed to review and analysis retrospectively one complete year of electronic medical records of emergency department’s patients visiting King Abdulaziz medical city during 2013. Frequent ED visiting operational definition was 4 visits or more in a year. A subgroup was divided as highly frequent visiting and defined as 20 visits or more in a year. The extracted data has been imported into SPSS for statistical analysis

Results

In 2013 there were 150727 visits to the emergency department. Frequent visitors were 70945 (9.68%) responsible for 47399 visits (31.4% of total visits). Highly frequent visitors were 87 (0.11%) representing 2625 visits (1.7% of total visits). Mean age is 39 (SD 18.2) and females predominates 53.7%. The finding showed also presence of cardiac disease history, diabetes, and hypertension representing 16.9%, 15.6%, 6.0% to 21.8%, 31.0%, and 31.0% respectively. Admission as an outcome of the visit was not statistically different among visiting groups, and with the total hospital admissions more than two per year of 2.6 %, 21.2 %, and 51.7 % for occasional, frequent visitor, highly frequent visitor respectively..

Conclusion

Emergency department frequent visitors are significant proportion of patients and their visits constitute almost one third of total visits. There is a need to develop appropriate interventions to address frequent visitors as well as conduct future research to study this phenomenon further.


Riyadh 2015 96 93

D-13 Abstract Title End users computing satisfaction with Laboratory Information System

Presenting Author Fatmah M AlDaraan

Contact Information



All other Authors

Basema Saddik

Objectives

The Laboratory Information System (LIS), is a powerful information system that serves the Laboratory Medicine Department with its different functionalities to improve the quality of healthcare and decrease costs. In King Abdul-Aziz medical city in Riyadh (KAMC-RD), the LIS has been used since 1995, with tremendous growth in size and patient numbers, in addition to modern advancement and technologies.

The purpose of this study is to measure the satisfaction levels of LIS end users using EUCS as a measurement tool of satisfaction

Methods

A previously adopted and reliable instrument, the End User Computing Satisfaction tool (EUCS) which is constructed of five factors (content, accuracy, timelines, ease of use, and format), was distributed to all LIS end users at KAMC-RD. Participants were asked to respond to questions on a 5-point likert scale. A total of 192 surveys were distributed and 103 were returned giving this study a response rate of 53.6%

Results

End users showed an overall satisfaction towards LIS in certain sections of the lab, however, the study failed to measure satisfaction levels from sections, such as anatomic pathology, and Molecular genetics due to low response. The study found that ease of use and format were the top factors that contributed to the level of satisfaction towards LIS.

Conclusion

Advanced LIS is needed to accommodate the trends in the clinical laboratory especially with sections that are still paper based. The EUCS has been found to be an effective tool in assessing end users satisfaction, and to illustrate the most important factors that contribute to end user satisfaction with LIS in KAMC-RD.


Riyadh 201597 94

D-14 Abstract Title

Factors influencing Patient Waiting Time as Key Performance Indicator of the Emergency Department Services At National Guard Health Affairs-Dammam Hospital

Presenting Author Deana Ahmad AlMulhim

Contact Information



All other Authors

Basema Saddik

Objectives

This study was conducted to identify the main factors that influence the average patient waiting time from bed check-in to discharge as a key performance indicator of the emergency department services at National Guard Health Affairs-Dammam Hospital.

Methods

A cross-sectional study using a questionnaire that consisted of 29 items was developed to highlight the main factors that have an impact on the patient’s waiting time in the emergency room. Using convenience sampling, all emergency room caregiver staff at Dammam NGHA hospital were targeted to participate in this study. Between February and March 2013, 110 participants completed the survey with a response rate of 87.3%.

Results

The study revealed that patients’ mean waiting time in the emergency department was 123.82 minutes after bed check-in. The study findings showed that factors including participant’s level of education, working schedule, years of experience as well as Health Information system accessibility had a statistically significant but weak relationship with the average waiting time after bed check-in (p < 0.01) with the exception for work field which showed a medium positive relationship (r=0.302). The participants’ working schedule and Health Information system accessibility were the most significant variables that influenced the patients’ average waiting time after bed check-in in the emergency room

Conclusion

This study has discovered five factors, including participant’s work field, level of education, working schedule, years of experience and Health Information system accessibility, that may influence the patient waiting time after bed check-in in the emergency room at NGHA Dammam Hospital. Several meetings should be conducted by stakeholders to implement proper solutions which may lead to better delivery of patients care in the emergency room. Further studies need to be conducted on staff and patients’ opinions to ensure high quality of services in the emergency room


Riyadh 2015 98 95

D-15 Abstract Title

Healthcare Providers’ Perception of the Usefulness of CDSS in Improving Quality of Care.

Presenting Author Arwa Fahad Ababtain

Contact Information




Objectives

Clinical Decision Support Systems (CDSS) have been implemented and are widely used in the laboratory, pharmacy and clinics to enhance patient health, provide safer, higher quality of healthcare and lower costs. CDSS have the ability to improve the clinical decision making process for all clinicians and healthcare providers by linking individual patient information with knowledge base and software algorithm. NGHA in Saudi Arabia are using some of the Decision Support System functionalities such as alerts, allergy checkers and reminders to increase clinicians and healthcare provider’s efficiency in order to improve patient care and reduce errors. This study explores healthcare providers’ perceptions on the usefulness of using Clinical Decision Support System (CDSS) alerts in making the right decision for improving the quality of healthcare, and to investigate the factors that limit the use of CDSS in NGHA in Dammam, Saudi Arabia.

Methods

A questionnaire was developed to collect data from nurses, lab technologist and pharmacists who were exposed to CDSS in their work. A total of 208 questionnaires were distributed, and 171 complete copies were returned, indicating a valid response rate of 82.2%. Collected data were analyzed using descriptive analysis techniques.

Results

Most healthcare providers agreed that alerts in CDSS are useful in term of accuracy, easy to understand, up-to-date, timeliness, relevancy, decision making, reducing risk and patient monitoring. Most healthcare providers agreed that system problems (91.8%) as well as customization (50.3%) and missing alerts (61.6%) are the most important factors that limit the use of alerts in CDSS.

Conclusion

The findings of this study will allow high level managers to understand some important considerations regarding the alerts from healthcare providers who were exposed to CDSS in their work. Additionally, this study provides useful healthcare providers’ suggestions and recommendations regarding the implementation of alerts in CDSS in order to enhance the system and increase the usability of alerts in CDSS.


Riyadh 201599 96

D-16 Abstract Title How has PACS benefitted Radiology departments in Jeddah?

Presenting Author Amany Al-Ghanmi

Contact Information



All other Authors

Basema Saddi

Objectives

Picture Archival and Communication System (PACS) is "a computer system designed for digital imaging which can capture, store, distribute and display digital images" [1]. The benefits of PACs have been reported in the literature, however, little is known about health care professionals’ opinions about the use of PACs. This study explored Radiology professionals (Radiologists and Technologists) opinions about Picture Archiving and communication system (PACS) benefits' within different governmental and private large hospitals in Jeddah City, western region of Saudi Arabia.

Methods

A cross-sectional study was conducted where a questionnaire was developed and distributed to 169 different Radiology professionals in 8 large governmental and private health institutions. Only 153 completed questionnaires were returned giving the study a response rate of 85%. Statistical analysis was carried out using chi square and T-test.

Results

The radiology population believed that the PACS system benefited their institution in terms of time saving, productivity improvement and healthcare quality. However, participants did not perceive that the PACS system improved their departments' efficiency or contributed as an educational and scientific research tool. Moreover, PACS end-users were mostly not satisfied with PACS because they felt that they did not receive adequate training or education about the PACS functional applications.

Conclusion

This study provides an overview of the current reported PACS system benefits in radiology departments within Jeddah city. Whilst some benefits have been recognized, others were perceived to not being achieved. Our results highlight the need for changes to be applied to improve the PACS system usage in order to achieve better medical care services and healthcare outcomes in the future.

[1] Terri L. Fauber. Radiographic Imaging Exposure. Published by Elsevier at 2006, Missouri, page 324


Riyadh 2015 100 97

D-17 Abstract Title

The adoption of electronic dental records in Saudi Arabia: Challenges and Expectations

Presenting Author Areej Alkahtani

Contact Information



All other Authors

Basema Saddik

Objectives

To find out the extent of adoption of the Electronic Dental Record (EDR) across the Kingdom of Saudi Arabia and identify the factors influencing the adoption of EDR from the users’ perspective.

Methods

A mixed methods research design was used for this research. Data were collected using a focus group discussion in the first stage and a survey in the second stage from dentists working in government tertiary hospital and dental schools in Riyadh, Dammam, and Jubail

Results

The focus group with 32 dentists revealed that cost is the main reason behind slow adoption followed by lack of interest of dental administration in the adoption of EDR. In the quantitative analysis of 150 Dentists surveyed (mean=32.5, sd=7.6), descriptive and inferential statistics showed that the EDR was adopted to a limited extent. A small number of participants were EDR users (13.3%). There were insignificant relationships found between affiliation and presence of computers at dental clinic. A statistically significant positive correlation was found between EDR rating experience and user acceptability of the design and navigation of EDRs, p (150) =0.799, p<0.001. An Overall positive attitude toward EDR was found and 78% of dentists regarded EDR useful to dental workflow.

Conclusion

The adoption of EDR in Saudi Arabia is limited and still requires additional improvement at the dental society level and national level. The investigating factors around EDR adoption did not seem to influence adoption , this could be attributed to the special nature of free dental services provided and the governmental funding of dental care. Furthermore, there is misconception about EDR which could be attributed to the lack of awareness of EDR as identity, content and functionalities. However, the results cannot be generalized due to the observed irrelevant answers and confusion between EDR and other health technologies. Despite the shortcomings of this study, the EDR was valued and regarded as an essential tool in dental practice


Riyadh 2015101 98

D-18

Abstract Title

The Impact of Computerized Physician Order Entry (CPOE) on Appropriate Medication Dispensing by the Pharmacists

Presenting Author Maher A Mominah

Contact Information




Objectives

To measure the impact of implementing Computerized Physician Order Entry (CPOE) on medication dispensing process in King Faisal Specialist Hospital and Research Centre. In addition, the study aims to measure the impact on patient safety by identifying incorrect order entry during the medication verification process as well as exploring the level of pharmacist’s satisfaction with CPOE

Methods

Qualitative and quantitative methods were utilized in this study; quantitative checklist was used to observe pharmacists while performing their daily work of dispensing medications. A total number of 450 observations were completed to measure the accuracy and the completeness of medication verification process. The qualitative methodology in this study was based on interviews, which were conducted on 10 experienced pharmacists. These interviews were guided by 5 open-ended questions to explore the overall pharmacists’ satisfaction with the current CPOE system and how they perceived it during their daily working activities.

Results

Observations revealed that 96% of medication orders were ordered as per Pharmacy and therapeutics guidelines, 98% correct medications, 96% correct dosing, 98% correct frequencies and duration of treatment, and 100% correct indication. However, only 78% of the pharmacists were actually reviewing the patient’s history during the verification process. In term of reporting and escalation processes, observations revealed that only 10% of the issues were reported, which were considered as medication-related ordering/prescribing matters. Pharmacists’ Interviews showed positive results from different aspects; eliminating hand writing errors, efficiency, accuracy, and ease of use.

Conclusion

This study has highlighted the importance of applying CPOE in hospitals and demonstrated its efficiency in minimizing medication errors and improving overall patient safety. The study shows that medication errors might result from improper utilization of the system either by the ordering physicians or the dispensing pharmacists thus, strong clinical knowledge and personal judgment is vital for proper medication processing.


Riyadh 2015 102 99

D-19 Abstract Title

Fungal Contribution to Central Line Associated Blood Stream Infections in King Abdulaziz Medical City-Riyadh

Presenting Author Dr. Zainab Abdulrazaq AL-Balushi

Contact Information


City: Riyadh College: Public Health and health informatics

All other Authors

Dr. Aiman Ramadan, Dr. Anwar Ahmad

Objectives

To determine the incidence and risk factors of fungal CLABSIs in Intensive Care Units (ICU) and oncology ward patients in King Abdulaziz Medical City in Riyadh (KAMC-Riyadh) for a period of 5 years.

Methods

A retrospective review of prospectively collected surveillance data in ICU and oncology wards in KAMC-Riyadh between January 2008 and March 2014.

Results

A total of 171 events of CLABSIs were detected during 127290 patient days and 64370 central line-days. Out of the 171 events, 44 (25.7%) fungal CLABSIs were diagnosed with an annual incidence rate of 0.68 per 1000 catheter-line days. Candida albicans constituted the single most common Candida subtypes (38.6%), followed by parapsilosis and glabrata Candidas (18%) and (16%), respectively. In bivariate analysis, age, adult ICUs, length of hospital stay, and hospitalization death were significantly associated with development of fungal CLABSIs (p-values; 0.035, 0.017, 0.034, and 0.028, respectively). In multivariate stepwise analysis, hospital length of stay was the only risk factor for developing fungal CLABSI. Patients with short hospital stay (≤ 30 days) exhibited significantly higher risk of fungal CLABSI than those with long hospital stay (OR=3.0; 95% confidence interval (CI):1.18 - 7.66; p-value = 0.034). Patients with fungal CLABSI showed lower survival as compared to non-fungal infections (hazard ratio (HR) = 1.9; 95% CI: 1.216 – 2.993; p-value = 0.005).

Conclusion

Fungal cases represent a considerable proportion of diagnosed CLABSI among critically ill and oncology patients in a tertiary care center in Saudi Arabia. Fungal CALBSI is associated with reduced survival.


Riyadh 2015103 100

D-20 Abstract Title

Measuring economic value of The Saudi Specialty Certificate in Restorative Dentistry Residency Program: Is it worth the investment?

Presenting Author Abdulaziz Alshaya

Contact Information


City: Riyadh College: public Health

All other Authors Omar Da’ar, Ph.D.

Objectives

To evaluate economic worth of The Saudi Specialty Certificate in Restorative Dentistry Residency Program.

Methods

Purposive sampling of graduate dental specialists from The Saudi Specialty Certificate in Restorative Dentistry (SSC-RD) and program centers to evaluate economic worth of the program. The analysis depended on data obtained from 108 specialists, 13 program centers from four regions, and government and market information from general practitioners. The study design identified the analytical perspectives of interest to both program participants and society. Using general practitioners as the alternative group, the study employed a Cost-Benefit Analysis (CBA) Accounting approach as a conceptual framework, to capture costs and benefits, and estimate benefit cost ratios.

Results

The residency program appears to be worth its cost from residents’ perspective given that benefit cost ratio of the program is 3.06, implying the benefit outweigh the cost of investment. However, the costs outweigh the benefits from overall societal perspective given that the program yields quantifiable benefit cost ratio of 0.73. That said, the program was additionally found to generate numerous non-monetizeable benefits to the society, including improved skills and knowledge of the resident, higher standard of care for the patient and improved quality of treatment.

Conclusion

While there was limitation in measuring all outcomes and hence the underestimation of benefits to society, the publicness of residency training might compel its continued existence and investment. It is also expected that the findings of the present study will have implications for dental education that relate to practitioner competency and provision of specialized dental services.


Riyadh 2015105 102

D-22 Abstract Title

Patient Perception of Interpersonal, Responsiveness and Tangible Characteristics of Care: The Case of New PET-CT Unit in KAMC-RD Toward Patient Centered Care

Presenting Author Ali Ahmed Al Ahmed

Contact Information


City: Riyadh College: CPHHI

All other Authors Dr. Hasan Areabi

Objectives

Assessing patient satisfaction is a key dimension of healthcare quality and an essential part of any improvement activity. Thus, the purpose of this study is to assess oncology patients’ satisfaction after their visit to the new PET/CT unit at KAMC-RD as well as examining the factors that most influence the overall satisfaction.

Methods

A cross-sectional study design was used to survey oncology patients concerning their experience and satisfaction immediately after completing their visit to the PET/CT unit. This study utilized the descriptive questionnaire type using a translated and adapted version of the Hospital Consumer Assessment of Health care Providers and System (HCAHPS) survey.

Results

A total of 61 patients were asked to participate in this study. However, only 50 patients responded to the survey with response rate of 82%. Majority of the study samples in respect to gender were male 58%. The oncology patients with age more than 50 years represented 56% of the respondents in this study. An analysis of the education level of the sample revealed 24% with no formal education. About 94% were Saudi nationals and 62% of them living in the central region of Saudi Arabia. Although, patients were satisfied with overall aspects of care at PET/CT, but certain areas of process shows different percentages of dissatisfaction. About 26% were dissatisfied with appointment process and procedure instructions. There was a statistical significant difference in the gender of the studies sample where 48% of patients were dissatisfied with the waiting area facilities. In addition, question about interpersonal skills of nurse providers in term of communication was taken the highest percentage in the patients’ dissatisfaction.

Conclusion

Participated patients were satisfied with over all aspect of care process in PET/CT unit. However, waiting area facility, procedure instructions and communication skills of nurse providers were key areas of dissatisfaction.


Riyadh 2015 106 103

D-23

Abstract Title

Assessment of Safety Culture Among Healthcare Professionals at King Abdul -Aziz Medical City of National Guard (NGHA) in Riyadh City.

Presenting Author Nassimah yahya Al-Awaji

Contact Information


City: Riyadh College: college of public health Informatics, KSAU-HS, KSA

All other Authors Supervisor: Dr Khaled Al-Surimi

Objectives

Aim: To assess the patient safety culture and attitude among healthcare professionals of King Abdul-Aziz medical city in NGHA at Riyadh City.

Specific objectives:

1. To estimate the overall perception of patient safety culture among health care professionals at King Abdul-Aziz medical city in NGHA in Riyadh.

2. To compare the level of perception of patient safety culture according to the different professional background characteristics.

3. To compare the level of patient safety culture among different units and departments at the King Abdulaziz medical city in NGHA.

Methods

This is a cross sectional survey conducted among health professional’s employees of King Abdul-Aziz medical city in NGHA in Riyadh, using well-validated self-administrated questionnaire (SAQ). SPSS version 20 has been used for data entry and analysis

Results

The overall positive perception of safety culture at domain levels found varied between 48.5% to 69.8% thorough all the six safety culture domains. The differences in the reported positives perception of safety culture found statistically significant across most of the respondents background characteristics as well as among in-patient, outpatient and emergency departments. ‘Job Satisfaction level’ among technicians found low compared with other staff; the perception of ‘Teamwork Climate’ and ‘Safety Climate’ among emergency , operating room professionals and intensive care units found need further improvement and more effort to promote safety culture among their staff.

Conclusion

The overall perception of positive response of safety culture among health care professionals at King Abdul-Aziz medical city in NGHA is mixed including strengths areas and areas require further improvement. A non-punitive culture should be encouraged among health professionals to speak up if they perceive problem related to patient care..


Riyadh 2015107 104

D-24 Abstract Title

Door-to-Balloon Time and Survival among Patients with Acute Myocardial Infarction following Primary Percutaneous Coronary Intervention at King Abdulaziz Cardiac Center, Riyadh, Saudi Arabia

Primary /

Presenting Author

Amirah Alanazi

Contact Information


City: Riyadh College: CPPHI

All other Authors Dr. Anwar Ahmed, Dr. Ali Alghamdi

Objectives

To examine the association of Door-to-Balloon (DTB) time and mortality rate of patients with Acute ST Elevation Myocardial Infarction (STEMI) who underwent primary percutaneous coronary Intervention (PPCI)

Methods

A cohort study was conducted at King Abdulaziz Cardiac Center (KACC), Riyadh, Saudi Arabia. All patients admitted with a diagnosis of STEMI and treated with PPCI at the Cardiac Catheterization Laboratories (CCL) were included in this study between January 2010 and August 2014. Door-to-Balloon (DTB) Time was classified into two groups, short DTB time (≤ 90 minutes) and long DTB time (> 90 minutes).

Results

The overall in-hospital mortality of STEMI patients is 3.4% (3.3% in short DTB time and 3.6% in long DTB time, p-value = 0.860). There were no significant survival difference between long and short DTB time (Hazard Ratio (HR) =0.843; 95% CI= 0.328-1.167; p-value=0.722). However, patients with diabetes, hypertension, dyslipidemia, congestive heart disease, low diastolic blood pressure, and low creatinine clearance were associated with a longer DTB time (p-values < 0.05). According to stepwise logistic regression, Saudi patients found to have almost twice higher risk of long DTB time than non-Saudis (OR=1.5; 95% CI= 1.06-2.23; p-value = 0.0024). Furthermore, patients with hypertension have 50 % greater odds of long DTB than patients with no hypertension (OR=1.5; 95% CI= 1.06-2.23; p-value = 0.0024). Patients who present with NYHA class (II IV) tend to have higher odds of long DTB time relative to the patients with NYHA class I (OR=1.7; 95% CI=1.13-2.65; p-value = 0.012).

Conclusion

The overall in-hospital mortality of STEMI patients following PPCI found to be relatively low. Saudi, hypertensive and patients with NYHA class (IIIV) were associated with an increased risk of long DTB time. Future work on a larger database will help to evaluate short and long-term mortality differences.


Riyadh 2015 108 105

D-25 Abstract Title

Exploring The Concepts Of Sharing Sensitive Health Information in the Arab World.

Presenting Author Eman Ahmad Asiri.

Contact Information


City: Riyadh College: Health Informatics, King Saud Bin AbduAlaziz University for Health Sciences (KSAU-HS), Riyadh, KSA.

All other Authors

Dr Mowafa Househ

-Objectives:

The objective of this work is to explore how people in the Arab world share sensitive health information through Facebook.

-Methods:

A retrospective Quantitative Content Analysis was the methodological approach used in the study. A total of 110 facebook groups relating to HIV, Sickle Cell and Depression were screened between June 1, 2010 until December 1, 2014.

-Results :

From the 110 groups screened in the study, 44 Facebook groups met the inclusion for analysis. There were a total of 28.471 posts extracted from the 44 Facebook groups of which 649 met the study inclusion criteria. Approximately 42% of the health information exchanged related to HIV, 34% for depression and 24% for Sickle Cell. The majority of posting were from Egypt with (N = 137, 21.1%), Saudi Arabia (N = 130, 20%), Algeria (N = 65, 10%), and Libya (N = 60, 9.2%). The gender proportions of the posts were by males (N = 352, 54.2 %), while (N = 297, 45.8%) were posted by females. In general, individuals utilized the Facebook groups to relation personal experiences on their disease (N = 402, 31%), although it was used to seek query (N = 176, 13.6%), offer explicit advice (N = 107, 8.3%), reporting signs and symptoms of the disease (N = 94, 7.3%) and posting their communication with the health care provider (N = 85, 6.6 %).

-Conclusion:

Facebook users in the Arab world use Facebook to exchange sensitive health information, which could have serious implications regarding the privacy of the information shared with other members of the group. Therefore, more work is needed to ensure that Facebook users in the Arab world are aware of the potential repercussions of sharing sensitive health information through Facebook.


Riyadh 2015109 106

D-26 Abstract Title The Significance of Data Governance in Healthcare: A Case Study in a

Tertiary Care Hospital

Presenting Author Sarah Alofaysan and Rana Alseghayyir

Contact Information


City: Riyadh College: Public Health and Health Informatics

All other Authors Sarah Alofaysan, Bandar Alhaqbani, Rana Alseghayyir, and Maryam Omar

Objectives

To investigate the importance of data governance in healthcare sector. To identify the root causes of data discrepancies in clinical care. To establish a specialized framework to govern healthcare data. To test the new proposed framework for healthcare data governance.

Methods

We collected both manual and electronic data in the period between January 2011 and December 2012 for the three clinics where each clinic assigned a representative to collect their data manually. At the same time, we obtained a copy of clinics electronic data from the hospital main system.. Both data sets were analysed by SPSS in different timeframes in order to validate that the observed discrepancies in the clinical data was a phenomenon and not a coincidence.

Results

This study helped the chosen healthcare organization to identify the root causes of their patients’ data quality issues. The study reveals how the different business processes implemented in each clinic affect the data outcomes. The EHC physician-clinics, for example, had a robust walk-in business process in place. As a result, the measures of walk-in patients in this clinic were precise, even though the number of walk-in patients dropping by the clinic fluctuated over the year (due to seasonal changes). On the other hand, 95% of the Ophthalmology clinic’s walk-in patients were omitted from the Electronic Medical Record system. This is due to the absence of a well-defined walk-in business process, and the weak enforcement of the hospital’s policies, as well as the lack of education and training on the Electronic Medical Record system. The study also provides evidence on how data outcomes were affected by nurses and physicians misconduct. 70% of patients seen by EHC nurse clinics were not entered into the Electronic Medical Record system as a result of nurses’ negligence. This misbehavior of not entering data into the electronic system is a breach of the hospital policy.

Conclusion

We believe that applying data governance in healthcare will provide a solid start for data-driven projects such as data quality improvement, data warehousing, healthcare analytics, and business intelligence. The analytical measures of data alerts, data quality improvement, policy violation provenance, rules monitoring, and authority monitoring will increase the reliability and transparency of data governance for all users and regulatory bodies. Studying and comparing the outcomes of different data governance framework is an essential piece of future work. This research is a starting point that directly impacts many interesting research disciplines pertaining to healthcare data governance such as business governance, strategic decisions effectiveness, data error tracking and assessments of improvements to data quality.


Riyadh 2015 110 107

D-27 Abstract Title

Patient Privacy Awareness Level and its Impact on Health Information Exchange (in King Khalid Eye Specialist Hospital)

Presenting Author Eman Al Rugebh

Contact Information


City: Riyadh College: College of Public Health and Health Informatics

All other Authors Supervisor: Dr. Bandar Al Haqbani

Objectives

Electronic Health Records (EHRs) System is considered a core system within any healthcare organization. It has introduced many improvements such as patients' quality of care, patient safety and reduction in healthcare cost. However, EHR adoption is facing several challenges that include technical, social, ethical, and legal issues. The privacy is one of the main patients concerns when it comes to the transformation from paper-based medical records to EHRs. This study is conducted to measure the patients’ privacy awareness level and how could this impact the health information exchange.

Methods:

The study has used a cross sectional structured survey where 349 responses have been received. Also, the survey responses were analyzed with stander descriptive statistics and Chi-square and Fisher exact test were carried out to identify the statistic significant result.

Results

The study analyzed 349 patients’ responses and has shown that the participants are either supporters or opponents of medical data exchange within EHR. In this study we found that acceptances of medical data exchange within EHR depend on many factors such as patient experience (or working field), patients’ privacy awareness rights, and the privacy concern level.

Conclusion

EHR implantation creates an opportunity to formalize regulations to protect patients’ medical data privacy, and control access to medical data with need to know principle. The regulations will keep the care providers commitment to patient advocacy and the trust that is essential to provide a high quality of care and increase acceptances to exchange medical data within EHR.


Riyadh 2015111 108

D-28 Abstract Title VITAMIN D KNOWLEDGE, ATTITUDE AND PRACTICE AMONG

SAUDI ADULT

Presenting Author STUDENT: NADA ALAMRI

Contact Information


City: RIYADH College: CPHHI

All other Authors DR. MUSTAFA ALZOUGOL; DR. AMEN BAWAZEER

Objectives

1. DETERMINE THE KNOWLEDGE LEVEL. 2. DETERMINE THE SUNSHINE EXPOSURE AND VITAMIN D DIET CONSUMING. 3. COMPARE THE KNWOLEDGE BETWEEN FENALE AND MALE. 4. TEST DEMOGRAPHIC DATA.

Methods

1. RECRUIT COORDINATORS IN BIGGEST MALLS IN RIYADH CITY, FOR 3 MONTHS.

2. CHOOSE MALR AND FEMALE EQUALLY TO FILL ARABIC VERSION VALIDATED QUESTIONNAIRE.

3. SERVE INCENTIVES. 4. CHOOSE 642 SUBJECTS ACCORDING TO COCHRANE EQUATION. 5. USE CROSTABULATION AND DESCRIBTIVE ANALYSIS , SPSS. 6. STUDY APPROVED BY KAIMRC.

Results

1. 95% THE HEARD ABOUT VITAMIN d. 2. 36% TRUSTED DIETICIAN TO CONSUME MORE VITAMIN D RICH FOOD. 3. 90% REPLIED SUNSHINE IS MAJOR SOURCE OF VITAMIN d. 4. 70% REPLIED COD LIVER OIL HAS NO VITAMIN D CONTENT. 5. 54% DON’T EAT EGGS. 6. 44% DID NOT DRINK MILK. 7. KNOWLEDGE AMONG FEMALE AND MALE IS EQUAL. 8. MEDIA IS EFFECTING FACTOR FOR KNOWLEDGE BY P VALUE= 0.002 ,

DIETICIAN BY P VALEU=0.001

Conclusion

1. MORE PROGRAMS IN MEDIA, SCHOOLS AND HOSPITALS ARE NEEDED. 2. PUBLIC CAMPAIGNS IS IMPORTANT. 3. MARATHON OR WALK LINES ARE NEEDED.


Riyadh 2015 112 109

D-29 Abstract Title

TURF+ : A Context-aware Usability Framework

Presenting Author Wafa Al-Bhlal

Contact Information


City: Riyadh College: College of Public Health and Health Informatics

All other Authors Dr. Bandar Al-Haqbani

Abstract Template

Objectives

To highlight the impact of contextual diversities in overall EHR system’s usability. To propose a new EHR usability framework that reflects contextual diversities in healthcare settings. To test the soundness of the proposed framework.

Methods

A literature review of EHR usability issues is presented with a special focus on the impact of context of use on usability measurement and how this was addressed in previous models. A new extended usability framework was proposed thereafter. Lastly, a study was conducted using TURF functional analysis method to empirically test the soundness of the proposed framework.

Results

The detailed TURF functional analysis has highlighted considerable variations in functional needs and priorites among different contexts in a healthcare setting. The reported variations in functional needs affect the usefulness and the overall usability of the system. This study has highlighted the need for EHR systems to adapt to healthcare’s contextual diversities. Our proposed EHR usability framework “TURF+” acknowledges and accommodates to contextual diversities in healthcare by considering contextual interface “adaptability” as another dimension of EHR usability.

Conclusion

EHR usability issues are among the barriers that hinder achieving the potential benefits of EHR systems. Many of enterprise systems have failed due to their poor usability. In this paper, we propose an extended framework “TURF+” to define, evaluate and measure EHR usability with respect to contextual diversity. TURF+ considers contextual interface “adaptability” as another dimension of usability. The usability enhancement is achieved by extending TURF framework to reflect the ability of EHRs to adapt to healthcare’s contextual diversities as an indicator of a context-sensitive representation which concentrates on maximizing effectiveness, efficiency, safety and satisfaction. The study results supports the validity of the new framework TURF+. This study brings designers’ attention to consider the adaptability of EHR systems with regards to different contexts in healthcare organizations.


Riyadh 2015113

E. College of Nursing,Riyadh


Riyadh 2015 114111

E-01 Abstract Title Attitude of Nursing students towards learning communication skills in

CON-R

Presenting Author MiaadAuoad Al Horaim

Contact Information


City:Riyadh College: CON

All other Authors

Mariam Wadi Al anazi

Ghada Mohammad Alateeg

Dr. Eman Miligi

Objectives

The aim of this study was to assess the attitudes of nursing students toward learning communication among the students from the first year to fourth year. Also to identify the demographic variables may influence the attitudes toward learning communication skills, such as age, level of study, GPA.

Methods

A descriptive cross- sectional design is utilized to assess the attitudes of nursing students towards learning communication skills.All the students enrolled are in the undergraduate bachelor from the pre-professional (N 66) and professional program (N 120) .

The communication skills attitude scale , consists of 25 items each item is accompanied by a 5-point Likert scale , ranging from 1( strongly disagree )to 5( strongly agree) and it includes negative and positive statements ,all negative items were reverse coded for analysis so that higher scores on all items indicated more positive attitudes toward learning communication skills .

Results

The study findings indicated that the mean age of the participants was 21+1.507 and the mean scores of their GPA was 3.280+.5587. The study revealed that the students enrolled in the professional program got high scores (86.91+ 1.13) than the students enrolled in pre- professional program had (84.6+ 1.13). Also there was a strong significant positive correlation between level of study and their attitude toward learning communication skills (r=.795 p = .000) .Moreover there was a moderate significant positive correlation between GPA and their attitude (r =.472 p=.000) finally mild correlation between their age and their attitude toward learning (r.196 p= .015) communication skills.

Conclusion

The students in professional program perceived the importance of learning communication skills in relation to be a good nurse than the students in the pre professional program.


Riyadh 2015115 112

E-02

Abstract Title Health needs assessment of deaf adolescent females at Saudi Arabia: call for action

Presenting Author Lamia Khalid Albugami

Contact Information


City: Riyadh College: CON-R

All other Authors Tahani Abdulaziz, Samiah hassan Alfifi, Dr. Naqwa Abdel Fadeel Afefy

Objectives

The aim of this study was to assess deaf and dumb adolescent basic health problems/ needs

Methods

Design: Descriptive, cross sectional analytical design. Sample: one hundred female deaf and dumb adolescent students were recruited from Riyadh deaf and dumb academy. Data were collected utilizing a structured self administered questionnaire which developed by the researchers in the presence of facilitator to translate the items of questionnaire using sign language.

Results

The participant age range was 14–19 years old. The majority were from high school (70%) and 75% were deaf by birth. About one third were underweight (33%) and near half of them had diet supplementation (47%) and 72% not practicing exercise. Also, most of the participant received good quality care by their family (85%). However, 47% had health insurance, the majority had difficulty to communicate with the health care providers (72%) and more than half of them faced difficulty to convey their health needs (58%). Regarding menstrual knowledge, only 24% had adequate knowledge about menstruation and 29% know the hygienic measures during menstruation. More than half (60%) had a negative self esteem.

Conclusion

The deaf and dumb adolescent often suffer from being separated from the outside world and confined to their houses because they are not able to interact with others.

There is a need of propersurvey to find out the exact number of the deaf and dumb adolescent in KSA, so that, educational and medical facilities could be provided to them according to their number and requirements.This Call of Action represents a first step in addressing the need of this group.


Riyadh 2015 116 113

E-03 Abstract Title

Beliefs and Practices Related to Umbilical Cord Care among Saudi Mothers in Riyadh.

Presenting Author Nadyah Al Anizy

Contact Information


City: Riyadh College: College of Nursing

All other Authors Dr. Hala Saied (supervisor)

Objectives

Umbilical cord infections are one of the leading factors to high morbidity and mortality rates among children in developing countries (WHO, 2012). Despite all the recommendations for cord care from WHO and from research studies, methods of cord care vary widely across nations and driven by culture. Most of the published studies about cord care practices come from Asian cultures and no study was done in Saudi Arabia. The aim of this study was to assess cord care beliefs and practices among mothers resident in Riyadh, Saudi Arabia.

Methods

A descriptive correlational cross-sectional design was used to collect data from a convenience sample of 300 women Resident in Riyadh city. Two tools were developed to collect the data: Demographic characteristics questionnaire and mother’s beliefs and practice questionnaire. The tool was developed by the investigator using the literature. The validity and reliability of the tools were ensured. Women were interviewed face to face after agreeing to participate in the study and they ensured that their participation is voluntary. Data was coded for entry and analysis using SPSS statistical software package version 18.

Results

The mean age of the subjects in the sample was 33.1+8.9 years old. 42.6 % had bachelor degree. Among the survey respondents 57.4 % delivered at a public hospital and 57% were housewives. The average of cord separation ranged between 3-7 days (70.4%). Numerous substances were reported as cord applications such as alcohol swaps Mora, olive oil, alcohol swaps, Kohl, water, powder and Vaseline respectively (63.9%, 40%, 35%,9%, 8%,8%, 5%). Grandmothers and mothers in law were the principle source of information and also the provider of cord care (80.4%). When the cord drops, a large number of participants (92%) reported associated beliefs regarding cord disposal such as throw the cord in schools or hospitals if they want their child to be a school teacher or a physician in the future and keep the cord in a golden box or inside the Quran.

Conclusion

Umbilical cord beliefs and practices were varied. Future research is needed to investigate whether the identified practices do increase morbidity and mortality.


Riyadh 2015117 114

E-04

Abstract Title

Psychological alarm and coping strategies among Saudi Community suffering from Irritable Bowel Syndrome (IBS) in Riyadh

Presenting Author Noura Mohammed Albasher

Contact Information


City: Riyadh College: College of Nursing - Riyadh

All other Authors Ghadah Bakrmom, Samar Alanzi, Dr. Abeer Selim

Objectives

The aim of the study was to assess psychological alarm and coping strategies among individuals suffering from Irritable Bowel Syndrome (IBS).

Methods

A descriptive correlational research design was used to conduct the current study. A convenience sample of 504 participants was included in the present study. Data were collected using a self report questionnaire. The questionnaire included socio-demographic data, ROME III (Drossman, 2006) to identify Irritable Bowel Syndrome (IBS), Psychological Alarm Questionnaire, The stressors precipitating IBS symptoms, and the Coping Strategies Questionnaire 24 items (CSQ) (Harland & Georgieff, 2003).

Results

Out of 504 participants who reported abdominal discomfort, 297 (58.9 %) participants met the diagnostic criteria of IBS. The mean age of the IBS participants was 30.16 years, females composed 75.1% of the IBS participants, 40.7% had bachelor degree, 46.0% were employed, 55.2% did not seek medical help, 63.6% drink coffee, 55.9% drink tea, 35.4% smoke cigarettes and 5.1% consumed alcohol. Psychological alarms such as feeling anxious, feeling depressed, having suicidal ideations, bodily pain, having impaired functioning due to pain and feeling unable to cope with pain were significantly high among IBS individuals when compared to individuals not suffering from IBS.

Conclusion

IBS is highly associated with significant psychological alarms, burden and maladaptive coping behaviors.


Riyadh 2015 118 115

E-05

Abstract Title

Promoting Nursing as a Profession for Saudi High School Female Students

Presenting Author Ibtisam M. Al enizy

Contact Information



All other Authors Dr. Hala Saied (supervisor)

Objectives

The critical shortage of nursing is a universal concern. In Saudi Arabia, there is a shortage of Saudi nurses which makes it one of the most nurse importing countries in the world. Encouraging the high school students to choose nursing as a future career is a crucial factor that can help in decreasing this shortage. The college of nursing at KSAU-HS developed a program entitled “Promoting Nursing as a Profession”. The objectives of the program were to promote positive image of nursing and to recruit high school students to the nursing program in the college. Theoretical framework: this program was based on the theory of Planned Behavior (Ajzen & Fishbein, 1980) and the self concept theory by Donald Super (1957).These two theories indicate that young people from the age of 14 to 18 are in an important stage of their career decision process.

Methods

The program was implemented in March 2013, at the College of Nursing Riyadh (CON-R). 180 students were recruited from four high schools (three governmental and one public). The schools were randomly chosen from a list of schools in Riyadh. The program consisted of several presentations, videos, interactive sessions and a college tour. Using a pre and post-test questionnaires, researchers explored the students’ perception regarding nursing and factors that influence their choice of nursing as a career. Data was coded for entry and analysis using SPSS statistical software package version 18.

Results

The mean age of the students was 17.9 (±0.56) years. Before the program, the most frequently reported reasons for not choosing nursing as a career were: long working hours, high work load, want to be a physician and bad image in the media. After the program 68.2% indicated that the program was effective in changing their perception about nursing and 48% reported that they will consider nursing as a career. The results of the paired t tests were significant at 0.05.

Conclusion

The findings of this program provide support that high school student’s perception toward nursing as a carrier can be influenced positively by a program directed toward them.


Riyadh 2015119 116

E-06 Abstract Title

Public Believes about Alcohol and Substance Abuse in Saudi Arabia: A Cross Sectional Study

Presenting Author Dalal Hattan

Contact Information


City: Riyadh College: Nursing

All other Authors Khadija Al Otibi, Tahani Al Harbi, Dr. Eman Dawood

Objectives

Abuse of alcohol and other substances became a substantial and escalating health and social problem worldwide. The objective of the current study was to assess the Saudi public believes about alcohol and substance abuse in central region of Saudi Arabia

Methods

A descriptive correlation cross section research design was utilized on a convenience sample of 316 Saudi adults who were recruited from public areas. Survey questionnaire included participant’s demographic background, sources of information about alcohol and substance abuse and the 30 statements translated version of the Addiction Belief Inventory (ABI) Luke, Ribisl, Walton & Davidson (2002). An official approval to conduct the study was obtained from the ethical committee along with an informed written consent from the participants. Data were collected over a two month period and coded, entered and analyzed using (SPSS) version 18.0

Results

22 (7%) of the participants had tried alcohol or any other substance at least once in their life. Nineteen participants (6%) had an addicted family member while 71 (22.5%) knew somebody who has addiction problem. Sources of information about addiction varied among the participants with the internet as a source of information ranked first followed by television shows, movies and series. There was statistically significant difference between male and female participants in relation to personal substance trial or use(X2 = 4.974, p = 0.02). The highly ranked believes were: A recovering addict should rely on other experts for help and guidance (M = 4.23, SD = 0.863), to be healed addicted persons have to stop using all substances (M = 4.03, SD = 1.111), relapse is a personal failure (M = 4.03, SD = 1.121)

Conclusion

Developing and implementing culturally sensitive public awareness campaigns about the hazards of alcohol and other substances and the services available to help persons with such problems within the Saudi community is highly recommended


Riyadh 2015 120 117

E-07 Abstract Title Relationship between Body Mass Index, Self-esteem and Quality of Life

among Adolescent Saudi Female

Presenting Author Amal Hamdan Al Anizy

Contact Information



All other Authors Asma Slfaiq Al Anizy, Amani Mehaimeed Al Unaizi,

Mashael Hamad Al Anazi

Objectives

To examine the relationship between BMI, self-esteem and quality of life among Saudi Adolescent females.

Methods

A descriptive correlational design was used. A convenience sample of 416 participants was included. An explanation about the purpose and the nature of the study was offered for each participant. Qualified subjects were asked to complete the survey questionnaire and get their weight and height measured. Voluntary participation was assured. The inclusion criteria were Saudi nationality, age range between 14 to 21, and no history of chronic diseases, Three tools were used to collect data: the sociodemographic part, Rosenberg’s (1965) Self-Esteem Scale (RSE), and Quality of Life Scale (QOLS). The validity and reliability of the measurements were ensured. Data was collected from public places.

Results

The mean age was 19.19+ 1.92. The mean BMI was 25.04+ 5.45. The mean total self esteem score was 29.23+4.29 and the mean total score of the quality of life was 82.83+ 17.08. Persons correlation showed that there was a significant negative correlation between Body Mass Index (BMI) and total self esteem score (r = -0.421, p = 0.000). Also there was a significant negative correlation between BMI and total Quality of life score (r = -0.325, p = 0.000). There were no statistical relationship between age, self esteem and quality of life, However there was a significant positive correlation between self esteem and quality of life (r = 0.276, P = 0. 000)

Conclusion

The self esteem as well as the quality of life decrease with the increase in body mass index among adolescence female.


Riyadh 2015121 118

E-08 Abstract Title

Saudi Community Attitude Toward Nursing Profession

Presenting Author Elham Salman Al Anazi

Contact Information



All other Authors Jawaher Anofeai, Haya Al Beshi, Dr. Hala Saied (supervisor)

Objectives

The image of both nurses and nursing as a profession are vital in the successful recruitment and retention of staff in the health care industry. The objective of this study was to determine the attitude of the Saudi Community Toward Nursing as Profession.

Methods

A descriptive cross-sectional design was used to collect data from a convenience sample of 500 male and female participants. Two tools were developed by the investigator to collect the data: Demographic characteristics questionnaire and attitude toward nursing questionnaire. T he validity and reliability of the tools were ensured. Data were collected from Riyadh malls and other public places. Data was coded for entry and analysis using SPSS statistical software package version 18.

Results

The mean age of the participants was 25.1(8.6) years old. Eighty-one (81.4%) were females and 50.2% had bachelor degree. 60.4% of the subjects had a family member or a friend in nursing profession.55% indicated that they consider nursing as a respectful profession. While 77% agreed that nursing is a humanistic profession. 66% think that nursing is a profession that could be practiced by both genders. 77.6 % indicated that Saudi nurses are much better than foreigners. Most of the participants (93.8% ) stated that they are willing to marry a nurse. Only 33.3% of female participants and 35.6% of male participants think that they might consider nursing as future carrier for themselves or for their offspring.

Conclusion

The participants have a positive attitude toward nursing as a profession..Further studies are needed to investigate factors that lead to community refusal to peruse a carrier in nursing in spite of this positive attitude.


Riyadh 2015 122 119

E-09 Abstract Title

Nursing Students’ Perceptions On Nursing As a Profession: A Descriptive Study Of Four Cohorts

Presenting Author Raoud Ahmed Al Zahrani

Contact Information



All other Authors Nouf Hassan Hairisi, Fatimah Sultan Al Ghamdi, Samah Mohamed

Objectives: The aim of this study was to identify the nursing students’ perception of nursing as a profession and factors influencing this perception.

Methods: A descriptive cross-sectional design was used to achieve the study aim. A convenient sample of 120 nursing students enrolled in the nursing program at the college of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh participated in this study and classified equally to Pre-professional program years and professional program years. Self Administered Questionnaire used for data collection. It consists of two parts: Part I include questions related to sociodemographic characteristics of the study subjects and Part II used to explore nursing students’ perceptions of nursing as a profession with total scores ranging from 18 to 36, the greatest the score the more positive the perception.

Results: The mean age of study subjects were 20.33+ 1.3 S.D. and the majority of them were single. The majority of students’ families allowed them to join nursing college (72.5%). Around half of the participants were self motivated to join nursing (40.8%). Regarding the perception of nursing as a profession there was a difference in mean score between the Pre-professional and professional program years (29.3 + 1.87 S.D. and 30.22 + 2.1 S.D. respectively). The study results revealed a positive significance correlation between the level of education and perception (r = 0.212*, p = 0.02).

Conclusion: The nursing students’ perceptions of nursing as a profession are positive among the majority of the study group and higher in professional program years than Pre-professional program years.


Riyadh 2015123

F. College of Science and Health Professions,Riyadh


Riyadh 2015 124121

F-01 Abstract Title Pregnant Women’s Awareness of Cord Blood Banking in Saudi Arabia

Presenting Author Sulaiman Mohammed Altwijri

Contact Information


City: Riyadh College: COSHP

All other Authors Dunia Jawdat, Suha Arab, Hadeel AlSemari and Nouf AlSaleem

Objectives

1. To estimate the pregnant women's awareness of cord blood banking in Riyadh. 2. To identify the main sources of knowledge. 3. To determine the pregnant women's attitude toward cord blood banking.

Methods

This is a descriptive cross-sectional study conducted on pregnant Saudi women attending NGHA maternity clinics. An anonymous, self-administered, multiple-choice questionnaire was conveniently distributed. The questionnaire consisted of demographics section, awareness measure section, and attitude determinant section. Data from completed questionnaires analyzed using SPSS. Descriptive statistical techniques were used to analyze the data with 95% confidence interval.

Results

All subjects that agreed to participate completed the questionnaire, however, few of the responses had some unanswered questions. The majority of the participants were 26-30 years old (38.2%), college graduates (48.4%), and middle class (88.37%). More than half of the population surveyed was not exposed to cord blood storage and its uses. In addition to those who are aware have only basic understanding. The main source of knowledge of cord blood banking and its uses is cord blood bank personnel. After receiving information about cord blood, most women are willing to store their cord blood, and mainly for public bank donation.

Conclusion

This study is the first of its kind in the Middle East and Arabia Region. It shows the need for improving the educational strategies to increase people awareness about cord blood storing and uses. Moreover, the data demonstrated that physicians and nurses were the least contributory source of knowledge. Therefore, it is recommended that health care professionals should be more involved in educating their patients of the subject matter.


Riyadh 2015125 122

F-02 Abstract Title Nursing graduates’ experience of the transition from graduate to internship

Presenting Author Muna Awaad Al Anizy

Contact Information


City: Riyadh College: King Saud bin Abdulaziz University. College for Health science.

All other Authors Muna Awaad Al Anizy, Sara Agla Aroaily, Dr Corrien Van Belkum

Objectives

The objectives of the study was to explore how the nursing graduates experience the transition from nursing graduate to intern and to determine which situations have influenced this experience.

Methods

An exploratory qualitative research design was used. The target population in this study was female graduates of the College of Nursing, Riyadh at the King Saud bin Abdulaziz University who were enrolled in the internship up to 6 months completion of the internship. Self-report data were gathered from each participant through written reflections. Data was gathered during October to December 2014. Teshc’s open-coded data approach was used for data analysis. Participants’ written reflections were coded as verbatim and organized into sub-categories, categories and themes. The sample size was determined by data saturation. Data analysis was done concurrently with data gathering to be able to determine data saturation. Saturation of data occurred after 10 participants. An additional 4 participants were included to ensure no further sampling provided any new information.

Results

Three themes emerged from the data. The themes were a) Stressful experience b) assistance with role transition and c) lifelong learning.

Conclusion

Most graduate nurses experience the transition from a student to a new gradated nurse in the internship program as a shock. Several stressors are experienced during this time; however this is also a period where lifelong learning skills are obtained to ensure lifelong learning. The value of an effective orientation programme, and supporting preceptors and clinical resource nurses (CRNs) could not be enough emphasized.


Riyadh 2015 126


Riyadh 2015127

G. College of Dentistry,Riyadh


Riyadh 2015 128 124

G-01

Abstract Title Dental esthetics and attitudes among King Saud Bin Abdulaziz University For Health Sciences(KSAU-HS) first pre-professional year students: a cross-sectional study

Presenting Author Ziyad Al-Hammad

Contact Information


City: Riyadh College: College of Dentistry

All other Authors

Ziyad Al-Hammad

Abdulaziz Alrumaih

Mohammad Al-Malki

Ahmad Al-faqih

Objectives

To investigate attitudesand needs of KSAU-HS university first pre-professional year students.

Methods

A cross sectional study was designed to obtain information from a sample of 294 first pre-professional year students. Data were collected through distributing questionnaires. Positive attitudes were considered if the students are concern about their teeth appearance.

Results

Only about 21% of the students had positive attitude about teeth appearance. No significant relationship between parents’ occupations, regions, gender, and type of school on attitude were found. About 70% of students reported esthetic dental problem caused by having protruded teeth (19%), having fractures (16%) and caries (10%) in the anterior teethand having non-esthetic restoration(9%).Esthetic dental needs were felt by 80% of students. The most common esthetic dental needs were whitening of teeth (62%), orthodontic treatment (32%), restorative treatment (18%), and prosthetic treatment (8%).

Conclusion

Most of the students have negative attitudes toward the appearance of their teeth coupled with having high esthetic dental problems and high felt treatment need. Factors affecting their attitude and felt need warrant further investigation.


Riyadh 2015129 125

G-02

Abstract Title Factors that influence career choice in students admitted to medical, dental, and nursing colleges at King Saud bin Abdulaziz University for Health Sciences.

Presenting Author Anas Ibrahim Andijani

Contact Information



All other Authors

Mohammed Ali Altuwaijry Saeed Mohammed Algarni Tariq Saad Alduhaimi Yazeed Mohammed Alotaibi

Objectives

Attributable to lack of studies addressing the factors influencing students' choice of their future careers in Saudi Arabia, This study come to address this area by investigating the factors that influence career choice in students admitted to medical, dental, and nursing colleges at King Saud bin Abdulaziz University for Health Sciences

Methods

A cross-sectional study was designed to obtain information from students admitted to the colleges of medicine, dentistry and nursing. Of the 150 self-reported questionnaires distributed, 119 were filled and returned. The questionnaire comprised three parts: demographic questions, admission exam grades, and 23 motivating factors classified in six dimensions. The statistical analysis in this study comprised frequency distribution, analysis of variance tests (ANOVA) and Bonferroni post-hoc tests.

Results

The most influencing motivating factors that influence the student choice of their future careers were identified. Demographic variables related to the choice of professional careers were also explored. Students in the disciplines of medicine and dentistry chose their careers significantly because of the high status of their profession compared to nursing students. Dental students, when compared to both medical and nursing students, were more likely to be motivated by factors relating to the nature of their profession. On the other hand, medical students were least motivated by factors affecting their personal background including their families and friends in comparison with both of dental and nursing students.

Conclusion

The present study presents valuable information in the policy making prospective about factors that affect students’ choice of their future professional career among Saudi Arabian students.


Riyadh 2015 130 126

G-03

Abstract Title Levels of dental satisfaction among patients attending dental clinics at King Abdulaziz Medical city.

Presenting Author Abdulelah Aldahash

Contact Information



All other Authors Omar Alsammahi, Mohammed Aleesa, Saleh Alkashan, Mohammed Alsalem, Waleed Alfayez.

Objectives

To assess the dental satisfaction among patients attending King Abdulaziz Medical.

Methods

A cross sectional study was designed to obtain information from a sample of 129 dental patients. Data were collected through distributed questionnaires while patients were seated in the waiting areas of the dental clinics. Patients included were males and females aged eighteen years and above. The questionnaire contains 15 questions about demographics, patient’s satisfaction, and the quality of treatment provided.

Results

About 42% of participants were males, 43% were highly educated, and 21% come from high income families. Approximately 60% reported that the dentists were ready to see them on time, and 74% agreed that the dentist was welcoming and respectful to the patients. The majorities (75%) of patients were satisfied with their dental treatment and 78% were satisfied with the type of services provided in general. Three-quarters of patients preferred a dentist from the same gender. In general 75% of the participants were satisfied with their overall treatment while 15% were not satisfied.

Conclusion

The level of satisfaction of patients attending the dental clinical of King Abdulaziz Medical City was moderately high.


Riyadh 2015131 127

G-04 Abstract Title Knowledge, Attitudes, and Practices Related to Oral Health among Second-

year Pre-professional Students at King Saud bin Abdulaziz University for the Health Sciences (KSAU-HS)

Presenting Author Abdulrahman Alshebel

Contact Information



All other Authors Abdullah Alehaideb, Faris Alraddadi , Abdulwahab Alqahtani , Dr Amritha Geevarghese

Objectives

The aim of this study is to evaluate the level of knowledge, attitude, and practice related to oral health among second-year pre-professional students as King Saud bin Abdulaziz University for the Health Sciences (KSAU-HS).

Methods

In this cross-sectional survey a total of 202 students were randomly selected out of 381 second-year pre-professional students. The questionnaires prepared for this study covered questions representing demographics, practice, attitude and knowledge toward oral health. Data analysis was done using SPSS software, Chi-square, T-test, ANOVA and Benferroni tests were performed.

Results

Females had significantly better knowledge, attitude, and practice compared to males. Dental students had better knowledge when compared to the other groups. Dental students had better knowledge about plaque (43.3%) compared with medical (29.1%) and nursing (25.0%) students (P value=0.006). Almost two-third of the students were using fluoride containing toothpaste (58.4%) with medical students (61.6%) being more than both nursing (56.2%) and dental (53.3%) students (P value= 0.029).

Conclusion

The total knowledge, attitude and practice about oral health among students at KSAU-HS need to be improved specially among non-dental student.


Riyadh 2015 132


Riyadh 2015133

H. College of Pharmacy,Riyadh


Riyadh 2015 134 129

H-01

Abstract Title

lyophilized solid dispersion as a tool for dissolution enhancement of indomethacin

Presenting Author Abdulrahman Debais M. Alotaibi

Contact Information


City: Riyadh College: Pharmacy

All other Authors

Rakesh Kumar Sharma, Alaa Eldeen B Yassin

Objectives

Formulation of indomethacin solid dispersions with hydrophilic carrier(S) by freeze drying in order to enhance solubility and dissolution of indomethacin in aqueous environment.

Methods

Fifteen formulations of indomethacin (IMC) with hydrophilic polymers including hydroxypropylmethyl cellulose 4000cps (HPMC), polyvinylpyrolidone K30 (PVP) and carbomer 940P (CBR) alone or in combinations with pluronic F127 (PLF 127) as surfactant were prepared by lyophilization. Each of the prepared lyophilized solid dispersions (LSDs) formula was evaluated for drug content, solubility in distilled water and in vitro dissolution in USP-NF media.

Results

The percentage drug content in all the LSD formulations were found in the range of 98.4 to 99.3%. F1-F3, containing various IMC:HPMC ratios, showed 10 times increase in solubility in distilled water while F4-F6, containing various IMC:PVP ratios, showed five times increase only compared with CBR containing formulations (F7-F9). Increasing the polymer ratio did not show any increase in solubility. The incorporation of PLF 127 together with both HPMC and PVP resulted in additional 33% and 50% increase in solubility, respectively. Formulations containing HPMC and CBR alone failed to comply with the USP IMC dissolution criteria for acceptance while F5 (PVP alone), F12 (HPMC+PLF127), and F14 (PVP+PLF127) showed compliance.

Conclusion

Lyophilization method is a useful tool in enhancing the solubility of IMC. HPMC showed more enhancement effect on IMC solubility followed by PVP compared with CBR. The incorporation of PLF 127 resulted in significant increase in solubility. PVP was found to best among the three polymers in enhancing drug dissolution. The combination with PLF 127 was found to be beneficial in enhancing the dissolution rate of IMC. In spite that HPMC showed the highest solubility enhancement magnitude, it failed to meet the USP criteria of dissolution acceptance.


Riyadh 2015135 130

H-02

Abstract Title In vitro Evaluation of Generic Products of Atenolol Commonly Sold in the Saudi Market

Presenting Author Mohammed Abdulaziz Alnuhait

Contact Information



All other Authors

Abdullah Sameer Al Shammari, Mustafa Elsayed Ahmed, Aiman A. Obaidat

Objectives

The specific aim of this study was to evaluate the quality of 6 atenolol generic tablet products available in the Saudi market and to compare them with the originator or innovator product that is also available in the Saudi market which is TENORMIN®. This approach will be used to establish a pharmaceutical and chemical equivalence between the generic products and the originator which can serve as an indicator of pharmacokinetic and therapeutic bioequivalence.

Methods

Six different generic brands of atenolol were purchased from the retail pharmacy outlets in the city of Riyadh, KSA. These brands were investigated according to the in vitro compendial requirements which include weight variation, content uniformity, tablet thickness, tablet hardness, friability and tablet disintegration and dissolution test. These tests were performed according to the procedures and methods described by the British Pharmacopoeia (BP).

Results

All the investigated 6 generic brands of atenolol passed the standards of the BP regarding hardness, friability, weight variability, and content uniformity. In comparison to the originator product (Tenormin®), all the generic brands passed the pharmacopoeial standards for the disintegration and dissolution tests. There were no significant differences in the percent released of the active ingredient among the different brands as indicated by the results of the dissolution test. All the investigated generic products released more than 80% of the drug within 30 minutes.

Conclusion

Based on the obtained results and in comparison with the originator product, all the tested brands are assumed to be chemically and pharmaceutically equivalent. All these products can be used as generic substitutes for the originator product.


Riyadh 2015 136 131

H-03

Abstract Title Exploring the Effect of Recombinant human erythropoietin (Eprex and Darbepoietin) on Different Hematological Changes in Chronic Kidney Disease Adult Patients

Presenting Author Khalifa Ahmed Alkhamees

Contact Information


City: Al-Riyadh College: Pharmacy

All other Authors Abdulmalik Al-Katheri, Yousef Al-Rajhi and Mahmoud Mansour

Objectives:

Anemia in chronic kidney disease (CKD) patients is mainly due to decrease in renal erythropoietin secretion. The aim of the present study is to compare the efficacy and to explore the efficiency of equal doses of erythrocyte stimulating agents: short acting (Eprex) and long acting (Darbepoietin: DA) in the initial 8 weeks of starting treatment of anemia in CKD adult patients.

Methods

The effects of different equal doses of Eprex and DA in the treatment of anemia were explored in fifty CKD adult patients. The different blood indices were assessed in the initial 8 weeks. 25 patients have been treated with Eprex (initial dose100-150 IU/kg/dose 3 times /week. Another 25 patients were treated with DA (initial dose 0.45 µg/kg/week). The equality of the doses was based on the conversion index (weekly Eprex/300= weekly DA dose).

Results

Treatment with lower dose of DA (40 µg) induced a marked elevation in red blood corpuscles (RBCs) and hematocrit (Hct) in the week 8 while a significant rise in RBCs, hemoglobin (HB) and Hct from week 2 to week 8 have been observed after treatment with DA (60µg). A remarkable elevation of HB and Hct were noticed after treatment with DA (80µg) from week 3 to week 7. Administration of DA (100 µg) leads to a significant rise of RBCs from week 3 to week 7 and HB and Hct in week 6 and 7. Treatment with equal doses of Eprex ( 4000 and 6000 and 10.000 IU) induced only a mild increase in RBCs in last three weeks 7, 6 and 8 respectively

Conclusion

We could conclude that administration of DA QW is more effective than Eprex QTIW in the elevation the targeting anemia parameters: RBCs, HB and Hct in the first 8 weeks of administration.


Riyadh 2015137 132

H-04

Abstract Title

Investigating Perceived stress among Doctor of Pharmacy students at King Saud bin Abdulaziz University for Health Sciences: A Pilot study.

Presenting Author Faisal Homoud Alanzi

Contact Information



All other Authors Faisal Homoud Alanzi, Mohammed Abdulrahman Alrashed, Dr. Abdulmalik M. Alkatheri and Prof. Amjad M. Qandil*

Objectives

This is a pilot study that aims to investigate the perceived stress and identify some of the risk factors for stress among Doctor of Pharmacy (PharmD) students in the College of Pharmacy at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS).

Methods

This is a cross-sectional study that was conducted at King Saud bin Abdulaziz University of Health Sciences. Pre-professional year 2 and professional years 1 and 2 PharmD students were invited to participate. The participants were asked to complete demographic data-sheet in addition to the Perceived Stress Scale-14 (PSS-14). Statistical analyses (Pearson Correlations and Chi-square tests) were performed using SPSS v20.

Results

Out of 79 eligible students, 91.13% (N = 72) completed the questionnaire. The average age of the participants was 19.76 ± 2.67 years, 31.94% (N = 23) of which were females and 54.17% (N = 39) were in their second pre-professional year. Average stress score was 27.76 ± 7.48. A score of 28 was considered the operational cut-off point between low and high-perceived stress. Accordingly, Slightly more than 50% of the participants (N = 39) reported low perceived stress. Students who perform physical exercise reported lower perceived stress, while female students, students who enrolled in the PharmD program by choice and students in the pre-professional year have reported higher perceived stress. Interestingly, GPA, family income, daily commute to university, smoking and family size were not associated with the perceived level of stress.

Conclusion

Almost half of the PharmD students in KSAU-HS have reported high perceived stress. Promoting exercise might reduce the levels of perceived stress. In addition, suitable counseling program for pre-professional students especially females is recommended to reduce the levels of perceived stress among PharmD students.


Riyadh 2015 138 133

H-05

Abstract Title

The prevalence of Phlebitis Among Internal Medicine Patients in a Large Teaching Institution

Presenting Author Nasser AlManei

Contact Information



All other Authors

Dr. Bassam Atallah

Dr. Razan ElMelik

Dr. Nabil Khalidi

Dr. Rami Al Boustami

Objectives

To estimate the rate of phlebitis in a 1200 bed teaching hospital

Methods

One hundred and twenty medical records were retrospectively screened for documented phlebitis in hospitalized adult patients 4-30days who had PIV catheters in internal medicine units (NGHA wards 19-25). Data collection included demographics, body mass index (BMI), oral and intravenous medications during hospitalization.

Results

Average age was 67.2 years (SD = 18.9), with 59% males. Average BMI was 26.4 (kg/m2) (SD = 6.8); 23% were overweight, 27% obese and 50% had normal BMI. Overall, 11 patients developed Phlebitis (9%). A total of 5 patients with grade 1, and 2 Phlebitis had available data on time to developing phlebitis, with 80% developing it within 1-3 days of admission and one patient developing post infusion phlebitis. A logistic regression model was utilized to identify factors associated with the risk of developing Phlebitis. The results showed that higher risk of developing Phlebitis was significantly associated with increased BMI [Odds Ratio (OR) = 1.10, 95% CI= (1.02, 1.19), p = 0.016) and marginally related to younger age [OR = 1.33, per 10 years, 95% CI = (0.96, 1.85), p = 0.085]. Gender was not significantly related to the risk of developing Phlebitis (p>0.05).

Conclusion

Phlebitis rate of 9% exceeds the 5% standard set by Infusion Nursing Society. Study limitations include undocumented cases by nursing, and low sample size.


Riyadh 2015139 134

H-06

Abstract Title

Exploring the Effect of Recombinant human erythropoietin (Eprex and Darbepoietin) on Different Hematological Changes in Chronic Kidney Disease Adult Patients

Presenting Author Khalifa Ahmed Alkhamees

Contact Information


City: Al-Riyadh College: Pharmacy

All other Authors Abdulmalik Al-Katheri, Yousef Al-Rajhi and Mahmoud Mansour

Objectives:

Anemia in chronic kidney disease (CKD) patients is mainly due to decrease in renal erythropoietin secretion. The aim of the present study is to compare the efficacy and to explore the efficiency of equal doses of erythrocyte stimulating agents: short acting (Eprex) and long acting (Darbepoietin: DA) in the initial 8 weeks of starting treatment of anemia in CKD adult patients.

Methods

The effects of different equal doses of Eprex and DA in the treatment of anemia were explored in fifty CKD adult patients. The different blood indices were assessed in the initial 8 weeks. 25 patients have been treated with Eprex (initial dose100-150 IU/kg/dose 3 times /week. Another 25 patients were treated with DA (initial dose 0.45 µg/kg/week). The equality of the doses was based on the conversion index (weekly Eprex/300= weekly DA dose).

Results

Treatment with lower dose of DA (40 µg) induced a marked elevation in red blood corpuscles (RBCs) and hematocrit (Hct) in the week 8 while a significant rise in RBCs, hemoglobin (HB) and Hct from week 2 to week 8 have been observed after treatment with DA (60µg). A remarkable elevation of HB and Hct were noticed after treatment with DA (80µg) from week 3 to week 7. Administration of DA (100 µg) leads to a significant rise of RBCs from week 3 to week 7 and HB and Hct in week 6 and 7. Treatment with equal doses of Eprex ( 4000 and 6000 and 10.000 IU) induced only a mild increase in RBCs in last three weeks 7, 6 and 8 respectively

Conclusion

We could conclude that administration of DA QW is more effective than Eprex QTIW in the elevation the targeting anemia parameters: RBCs, HB and Hct in the first 8 weeks of administration.


Riyadh 2015 140 135

H-07 Abstract Title

Clinical Outcomes Associated With Use of Subcutaneous Sliding Scale Insulin Compared to Other Insulin Regimens in Hospitalized Patients

Presenting Author Abdulmalik Saad Alotaibi

Contact Information



All other Authors

Razan El Melik

Lama Al Fehaid

Rami Bustami

Objectives

To evaluate the clinical outcomes associated with the use of sliding scale insulin (SSI) compared to other insulin treatment regimens.

Methods

Medical charts for adult patients admitted from October-December 2014 with type 2 diabetes or uncontrolled hyperglycemia with insulin treatment were reviewed. Data on capillary blood glucose (BG) measured during each of the first 5 days of hospitalization were recorded. Patients were divided into 3 insulin regimen groups: (1) SSI, (2) basal bolus insulin (BBI) and (3) BBI correctional dose. Demographics and blood glucose Levels (BG) were compared by group using One-Way ANOVA or the Chi-square test. The number of hyperglycemic/hypoglycemic episodes was analyzed using the Kruskal-Wallis test.

Results

A total of 95 patients were included. Average capillary BG levels were not statistically different in the 3 groups (p>0.05). Number of days with hyperglycemia was also not different with a median ranging from 3-4 for fasting BG, 3.5-4 for random BG and from 4-5 for prandial BG (p>0.05). However, the number of hypoglycemic days was marginally increased in the SSI group (range: 0-2) vs. others (range: 0-1); p= 0.066.

Conclusion

Our study showed no significant difference in clinical outcomes for SSI vs. other insulin regimens. There was a trend toward increased number of days with hypoglycemia for SSI patients compared to others. Further studies with a larger sample size are needed to confirm these findings.


Riyadh 2015141

I. College of Medicine,Jeddah


Riyadh 2015 142 137

I-01 Abstract Title

High- and Low grade Astroblastoma in The Same Patient: A Case Report and Review of Literature

Presenting Author Mohammed Ahmed Hmoud

Contact Information


City: Jeddah College: College of Medicine

All other Authors

Alaa Samkari, Abeer Al-Mehdar, Shaker Abdullah

Objectives:

1- present a rare case with high- and low- grade astroblastoma 2- review the whole literature about astroblastoma

Introduction:

Astroblastoma is a rare brain tumor occurring in older children and adults. It constitutes 0.45-2.8% of all brain tumors and recently a female predominance was reported. It is classified as either low-or high grade (well-differentiated or anaplastic/malignant)

Case summary:

A 14-year-old girl was initially diagnosed with left fronto-parital brain tumor referred to Princess Nora Oncology Center for further management after subtotal resection (STR) of the tumor. Her initial presentation was recurrent seizures and minimal right hemiparesis. Later the same tumor recurred with small nodules and the patient was started on 60 GY plus Temozolomide during and after radiation. Later she underwent near-total resection and was diagnosed as well-differentiated astroblastoma based on the neuropathology report. Upon follow-up the same tumor recurred again as a nodule, however, this time another tumor emerged in Sylvian fissure. The other tumor was notably growing in an aggressive manner. Later it was resected and found to have anaplastic features and a diagnosis of anaplastic astroblastoma was made.


Riyadh 2015 144 139

I-03

Abstract Title Pediatric Gastrointestinal Basidiobolomycosis: Case Series

Presenting Author Mohammed Haneef

Contact Information


City: Jeddah College: Medicine

All other Authors

Dr. Alaa Al Juaid (primary author), Moyasser Karami, Abdulaziz Aldakhil, Dr. Walaa Al Mansory, Dr. Abduqader Al Rezqi, Dr. Hatim Maghrabi, Professor Mohammed Satti.

Objectives

Basidiobolus ranarum is an environmental saprophyte found worldwide, and it is known to cause cutaneous disease in immunocompetent individuals. In this series we reviewed five cases of gastrointestinal basidiobolomycosis presented in our hospital between Jan 2012 and March 2014.

Methods

Health records of five patients with basidiobolomycosis were retrospectively reviewed. These patients were diagnosed between January 2012 and March 2014 at King Khalid National Guard Hospital in Jeddah, Saudi Arabia.

Results

Only one patient had recent travel history to the southern region. All of our five cases had leukocytosis, thrombocytosis, and low hemoglobin. Eosinophilia was significant in 4/5 patients. All cases were managed medically with voriconazole and one case with itraconazole. None of our cases were managed surgically unless complications occurred (2/5). No relapses have been noted to date and 3/5 cases have shown complete resolution of their symptoms. A single patient that required multiple surgeries died later due to hypernatremia after he lost follow up.

Conclusion

Basidiobolomycosis seems to occur outside of the southern region of Saudi Arabia. A wide variety of clinical manifestations range from abdominal mass and prolonged fever to sever intestinal obstruction and ischemic bowel. A second generation of azoles (voriconazole) is a promising agent in the treatment of gastrointestinal Basidiobolomycosis. Previously, the main focus was surgical based with additional medical management. In our series however, surgical intervention did not play a major role in managing pediatrics patients with basidiobolomycosis unless there were complications that mandated surgical resections. Antifungal therapy appears to be necessary for a favorable outcome.


Riyadh 2015145 140

I-04 Abstract Title How Having an Unhealthy Diet in Seniors over Forty Affects the Likelihood

of Contracting Hyperlipidemia

Presenting Author Bassel A. Almehman

Contact Information


City: Jeddah College: Basic Sciences

All other Authors Oday S. Qurashi - Abdulrahman S. Al-Amri - Bassel A. Almehman

Objectives

In this narrative review, we aimed for highlighting the fact that hyperlipidemia is a condition where there is an abnormal concentration of lipids in the blood, and can be affected by one's diet and age.

Methods

Forming an inclusion and exclusion criteria based on relevance, authenticity, and date of publication, we found eleven published research papers and articles that we later analyzed and assessed.

Results

Hyperlipidemia, age, and one's diet have a very strong correlation to one another. Diet is the most effective factor in causing people to acquire hyperlipidemia, and with a high-lipid diet, the chances of acquiring hyperlipidemia increase. Age also is a factor since a large percent of people who have hyperlipidemia are 45 or older for men and 55 or older for women, and with this we can deduce that with aging one's chances of acquiring hyperlipidemia increase.

Conclusion

The chances of contracting hyperlipidemia dramatically increase with aging and unhealthy diets. Lifestyle and dietary changes can astronomically reduce the chances of acquiring hyperlipidemia, although in some cases the implementation of medicinal drugs might be necessary to help manage hyperlipidemia.


Riyadh 2015 146 141

I-05

Abstract Title

Moral Reasoning among Dental Students in Makkah Region, Saudi Arabia

Presenting Author Dr. Suad Al-Subiahi

Contact Information


City: Jeddah College: COM

All other Authors

Dr. Hatim Mohammed Al-Jifree

Dr. Wesam Talal Abuznadah

Objectives

Moral reasoning is a cognitive process occurs to judge about right and wrong when facing moral situations. Understanding this process and its influencing factors is very important for educators because one of their major roles is to prepare students for taking the right ethical decisions during their academic and clinical life. This study aimed to assess the level of moral reasoning of dental students in Makkah Region.

Methods

Cross sectional study was conducted in three dental schools at Makkah region. using the Socio-moral Reflection Objective Measure (Gibbs & et.al), a self-administered, paper and pencil questionnaire which composed of hypothetical moral dilemmas that have a specific correction scale matched with Kohlberg’s six-stages moral development system.

Results

Survey was completed by 188 6th year dental students; with mean age 23yrs +1.1. Only 35% (N=44) of the student reached stage four of Kohlberg’s moral development system, which is the dominant stage of most adults globally. In this stage, individuals show rigid respect to rules. The majority of the students i.e. 64% (N=81) were in stage three, the dominant stage among adolescents, in which right is what will secure good relationships. Two percent of the students were registered in stage two, the stage of individualism. No individuals reached stage five or six, the stages of personally held principles.

Conclusion

The students’ lower level of moral reasoning indicates that further longitudinal and interventional studies are needed to investigate the factors affecting students’ moral reasoning abilities and the effect of dental education on moral development.


Riyadh 2015147 142

I-06

Abstract Title The graduate entry program to medical college at KSAU-HS, Does the type of the undergraduate study predict the academic performance?

Presenting Author Dakheelallah Al-Mutairi

Contact Information


City: Jeddah College: COM-J

All other Authors Dr. Wesam Abuznadah, Dr. Tarig Awad, Dr. Ahmed Al Rumayyan

Objectives

This study aims to determine if the undergraduate study can affect the performance of graduate entry student in the College of Medicine at King Saud bin Abdulaziz University for Health Sciences (COM-R) .The secondary objective was to identify whether there is an association between the students’ undergraduate GPA and the performance in the medical college

Methods

All the graduate entry program students at COM-R were included in this study from 2004 to 2011 . Data was collected from student records. Independent variables included the type of prior degree and GPA of undergraduate degree. Dependent variables included GPA at the end of phase II and the GPA at the graduation. The difference between groups was tested using ANOVA; the Correlation coefficient was used for the undergraduate GPA and GPA in the medical college.

Results

A total of 165 students were included in this study and most of them were from the college of applied medical science. The mean age at admission was 24.17 ( Sd= 1.4 years). An analysis of variance showed that the effect of type of undergraduate study on academic performance was not significant (p>0.05) . Undergraduate GPA and GPA at the end of Phase II were positively correlated (r = 0.39). This correlation remained significant and positive at graduation (r = o.32).

Conclusion

The type of undergraduate study is not associated with the academic performance of graduate entry program students. GPA at entry predicts outcome of a graduate-entry medical program throughout the course. There was no significant correlation between Age at admission and the academic performance.


Riyadh 2015 148 143

I-07

Abstract Title Desmoplastic Infantile Astrocytoma: A Case Report and Review of the Literature

Presenting Author Faris Attieh Alzahrani

Contact Information


City: Jeddah College: College of Medicine

All other Authors Dr. Alaa Samkrai, Dr. Hussein Algahtani, Dr. Abeer Almehdar

Objectives

1. Reporting a case of a rare brain tumor (desmoplastic infantile astrocytoma)

2. Recent review the literature regarding desmoplastic infantile astrocytoma & desmoplastic infantile ganglioglioma (2004-2014).

Case report

We report a case of an 18 month-old boy who presented with progressive head enlargement and discovered to have a large left frontal predominantly cystic tumor. He underwent subtotal resection (STR) and was diagnosed as DIA on histopathology examination.

Conclusion

Desmoplastic infantile astrocytoma (DIA) is rare, supratentorial, dural-based, large cystic tumor that usually arises in the first 24 months of life, although non-infantile cases were also reported with the oldest case being a 59 year-old woman. Desmoplastic infantile astrocytoma & desmoplastic infantile ganglioglioma (DIG) are both classified as grade I by World Health Organization (WHO). Grossly, DIA/DIG are large tumors composed of two portions, solid part and a cyst. Although large in nature, they are slow-growing tumors, with good prognosis after complete surgical removal, and rarely require a chemotherapy or radiotherapy intervention. However, there has been few cases of DIA that demonstrated malignant features and/or spontaneous recurrence or metastases which necessitate close-up monitoring after the surgery.


Riyadh 2015149 144

I-08 Abstract Title "Study habits of health science students at King Saud bin Abdul-Aziz

University for Health Sciences, Jeddah”

Presenting Author Abdullah Baothman MD

Contact Information


City: Jeddah College: COM-J

All other Authors Dr. Sajida Agha, Dr. Hatim Jifree

Objectives:

1. To determine the preferences of (KSAU-HS) health science students about various study habits. 2. To evaluate the relationship of study habits and academic performance.

Methods :

A descriptive, questionnaire based cross-sectional survey were distributed among all students in college of medicine and health science of KSAU-HS (Jeddah) in academic year of 2014-2015. 121 undergraduate, medical and health science male students randomly selected. Data were collected by using the validated Chisholm and colleagues' questionnaire consisted of two parts of demographic questions and 67 specific areas of study habits in seven domains of time management, concentration, motivation, test taking anxiety, metacognition, self-regulation information processing and discrimination. Cronbach’s Alpha reliability test was 0.90. The data were analyzed with SPSS software version 20 and using analytical statistic tests.

Results :

The total completed questionnaires were 121(80%). Thirty three (27%) “Pre-Professional Program", 61 (50%) “Basic Medical Science”, 27 (22%) “Clinical science” students. All were male students, their age ranged from 18 to 23 years with a mean age of 20.2 years and standard deviation (SD) of +1.73 years. The Average GPA of students was 4.62 and SD of + 0.39 years. The major mean scores of students for different components of study habits were: meta-cognition out of five, 4 + 0.7 (median 3.9) and concentration 4 + 0.6 (median 3.75). The least mean scores of students for different components of study habits were: information discrimination 3 + 0.6 (median 3.0) and time management 3 + 0.6 (median 3.2). Only “information discrimination” (P = <0.01, r= 0.311) and “motivation” (P = <0.05, r= -0.201) and to lesser extent “metacognition” were associated significantly with GPA. Our results also showed that only time management (P <0.04) was significantly associated with rising age. There was an inverse correlation between the student average GPA and their age, as older age leads to less average GPA ( P = <0.01, r= -0.439).

Conclusion

Positive study habits will surely improve the academic achievement of medical students. Designing workshop special courses in one package on entrance to the university can help the students in better learning during their educational period.


Riyadh 2015 150 145

I-09 Abstract Title

The Association between Caffeinated Drinks and Sleep Disorders: Pilot study

Presenting Author Faisal Boker

Contact Information


City: Jeddah College: medicine, Jeddah

All other Authors Rayan Hejazi, Abdulhameed Bokhari.

Objectives

This study assessed the extent of caffeine consumption among KSAU-HS batch 3 students. In addition, this study also examined whether increased caffeine consumption is associated with a decrease in hours slept at night.

Methods

This is a cross-sectional pilot study, where Batch 3 medical students at King Saud Bin Abdul-Aziz University, Jeddah, invited to participate in a one-page questionnaire, which was repeated for 5 consecutive days. The questionnaire was validated by two expert physicians. The outcome factor was number of hours of sleep and the main study factor was caffeine consumption. Student-t-test and correlation analysis were calculated.

Results

The study included 25 medical students with 125 events. Students on average consumed about one caffeinated drink every day. Overall, 75% of students reported sleeping less than 6 hours at night. The students who consumed caffeinated beverages have significant less hours of sleep, mean 4.5 hours (SD 1.24), then students who did not consume caffeinated drinks, mean 5.7 hours (SD 1.33), with a two tailed P value = 0.019. (t=2.48)

From the figure 1, it showed that 20% of sleep disturbance were attributed to using caffeinated beverages (r2 = 0.20).

Conclusion

There is a significant correlation between caffeine consumption and sleep. Furthermore, the next study will assess the impact of such behavior on academic performance on a larger scale.


Riyadh 2015151 146

I-10

Abstract Title

Facilitators and Barriers to Medical Education Research Utilization among Faculty Members at King Saud Bin Abdulaziz University for Health Sciences

Presenting Author Rajaa Mohammad Al-Raddadi Al-Harbi

Contact Information



All other Authors

Hatim Al-Jifree

Wesam Abuznadah

Abstract

Research utilization refers to the application of evidence to education to improve the outcomes. It is vital to know factors encourage and discourage the use of research.

Objectives

• To assess the utilization of medical education research. • To identify the barriers, facilitators and predictors.

Methods

This cross sectional study targeted all faculty staff at the Colleges of Medicine in Jeddah city (n=200).The data was collected using structured questionnaire. PSS version 21 was used for data analysis and egression analysis was used to identify the associations

Results

Research utilization was reported by 67% of the participants. Among the 29 barriers, ‘Researches are not distributed fast enough’ was the most reported as moderate to great extent barrier. All of the seven facilitators to research utilization were reported by more than 80%, the highest reported facilitator was ‘conducting more focused and relevant Medical Education research’.

Multiple logistic regression analysis shows that the significant predictors for research utilization were ‘medical education degree’ and ‘research publication’.

Conclusion

Researches are not distributed fast enough was reported as the major barrier. The major facilitator was conducting more relevant Medical Education research.


Riyadh 2015 152 147

I-11

Abstract Title

Classroom Distractions and Their Effects on Students Performance at King Saud bin Abdulaziz University for Health Sciences /Jeddah

Presenting Author Najya Attia

Contact Information


City: Jeddah College: King Saud bin Abdulaziz University for Health Sciences (KSAU-HS)/Jeddah

All other Authors Dr. Wesam Abuznadah, Prof .Lubna Baig

Objectives

To describe the nature of laptop use in classroom To determine the frequency of cell-phone and laptop use in class To identify the classroom distractions To determine the main distractors in different groups of students (gender ,academic level)

Methods

This study includes 265 students from medical and basic classes (66 and 199 students respectively), 97 females and 168 males, aged 17-23 years for academic year 2010 to 2014. Study is cross section, used structured questionnaire to assess the nature, frequency of laptop and cell phone use in classroom and student perceptions of the degree of the classroom distraction produced by seventeen self-produced and twenty-four externally produced classroom situations.

Results

The results revealed that class materials Presentation was the main reason of have laptop in the class. While 29% of students self-reported using laptops for non-class activities. A 25% and 15% of students used cell phone and laptop (respectively) more than 5 times per class period. Ringing cell phones in class was the most electronic external distractor while the instructor who is difficult to understand was the most external behavior distractor. Students talking in class were the most self-produced distractor to student concentration. Clothing worn by the students was among the leas distracting. Overall, upper classes students were significantly more distracted than lower classes

Conclusion

Conclusions- the majority of students are not using laptops in class for class-related materials. Laptops, cell-phones and distracters in class disturb the educational process.


Riyadh 2015153 148

I-12

Abstract Title

The Use of Social Media in Education among Medical Students, Saudi Arabia

Presenting Author Anas Khaleel Alsuraihi

Contact Information


City: Jeddah College: COM

All other Authors

Sultan Adnan Abu Ganim

Ahmed Saeed Almaqati

Dr. Nisreen Jastaniah

Objectives

1- Explore the usage of SM by medical students in Saudi Arabia. 2- Find out the most common resource used in medical education. 3- Illustrate the impact of SM on students’ learning.

Methods

This is a cross-sectional study where validated questionnaire was distributed to medical students from different universities in Saudi Arabia, during the period June – August 2013, via emails, Twitter, Facebook and SMS. Statistical analysis was done using SPSS V21. We used Chi-square, t test, and Mann-Whitney U when appropriate.

Results

The total respondents were 657 students, from 23 different medical schools in Saudi Arabia, females represented 60.5% (n=397). The most common site used by both gender was YouTube 42.3% (n=185), however males preferred using Twitter and Wikis (P=.001). There were 36.8% (n=161) participants rated that they received excellent benefit from using SM, while 26.5% believed it might be a distraction. Females stated that SM helps them linking basic with clinical science (P=.003). Surprisingly, data showed that as students advance in level, premedical, medical, and clinical years, their awareness of ethical guidance for proper use of SM decline (P=.0001).

Conclusion

Medical schools need to improve the utilization of SM, by faculty and students to develop activities and encourage the usage of SM in education. Therefore, it is essential to establish an ethical guidance to ensure the appropriate use.


Riyadh 2015 154 149

I-13

Abstract Title PERFORMANCE INDICATORS FOR LEARNING & TEACHING at COM KSAU-HS JEDDAH

Presenting Author Mona A Kholeif

Contact Information


City: Jeddah College: COMJ

All other Authors SUPERVISOR: DR WESAM ABUZNADAH

CO-SUPERVISOR: DR HATIM AL JIFREE

OBJECTIVES

A project to identify, develop and implement key performance indicators (KPI) best suited to evaluate learning & teaching at College of Medicine, Jeddah (COMJ).

METHODS

Six KPI were selected:

1. Students’ rating of courses 2. Students completing first year 3. Post-graduate students completing programs on time 4. Proportion of teaching staff with doctoral qualifications 5. Ratio of teaching staff to students 6. Faculty’s rating of courses

The project was conducted at COMJ in 2013-2014. All students in 3rd & 4th years were included as well as all postgraduate students enrolled in two Masters programs, Medical Education & Health Informatics.

RESULTS

KPI 1 & 6: 80% of students rated their courses highly in six of ten blocks while 80% of faculty rated them highly in seven. KPI 2: 90% of fourth & 91% of third-year students passed their first year. KPI 3: 100% of Masters students completed courses on time. KPI 4 & 5: Of 216 Faculty members, there were six PhD holders. All clinical faculty hold a PhD equivalent. Eight faculty members were full time. Calculation of full-time-equivalent faculty yielded a ratio of teachers to students ranging between 1:6 and 1:15 in different blocks.

CONCLUSION

Six KPI for learning & teaching have been defined & implemented. Their information sources have been established. Strengths & weaknesses have been identified & are guiding development and a process has been established which may guide implementation of other KPI. Areas where validation studies are needed have been identified and may guide future research.


Riyadh 2015155

J. College of Nursing,Jeddah


Riyadh 2015 156

151

J-01

Abstract Title

EFFECTIVENESS OF EDUCATIONAL PROGRAM ABOUT PREVENTION OF ONLINE SEXUAL SOLICITATION AMONG FEMALES STUDENTS

Presenting Author Amal Mesfer Al-Fahmi

Contact Information


City: Jeddah College: King Saud Bin Abdulaziz university –Health Since

All other Authors

Noura Al-Qasmi

Sahar Rasheed Alsmairi

Sarah Hmdan Albikairy

Objectives :

Aim of the study is to assess the effect of educational program on increase awareness about online sexual solicitation among female students.

Methods: The study was conducted on female secondary school in Jeddah. Fifty female students were participated in the study using non probability “convenience” sampling technique. The educational program about on line sexual solicitation was developed by the researchers and implemented in the school. Quasi experimental design was used specifically a pre-post testing without control group was used. Reliability was 0.908 using Cronbach’s Alpha test.

Results: fifty female students participated in this study. After receiving the educational program the majority of them agreed that acceptance of an invitation from unknown account (98%), hide the internet page when someone around (94%), Share personal information with online friends (94%), and log in the social media like chatting rooms (90%) are risk factors for online sexual solicitation. The participants’ responses in pretest is compared with their responses in posttest using McNemar test and revealed significant improvement in the participants’ awareness about online sexual solicitation.

Conclusion: The educational program about online sexual solicitation has great impact on female students’ awareness and reflects the need of continuous education program to protect children from the dangers of using the internet. Female students should be provided with enough knowledge about how to use internet safely.


Riyadh 2015157 152

J-02

Abstract Title

Nurses’ Knowledge, attitude and practices toward physical restraint and seclusion in inpatient psychiatric ward

Presenting Author Manal Ali Mohammad AlGhamdi

Contact Information


City: Jeddah

College: Nursing college

All other Authors

Sarah Al-Malki

Amnah Al-Harthi

The Objective was to assess the psychiatric nurses’ knowledge, attitude and practices regarding the use of physical restraints and seclusion in inpatient psychiatric ward at Jeddah Psychiatric Hospital affiliated to Ministry of Health.

Methods: Participants of this descriptive correlation expletory design was 37 nurses selected conveniently from in inpatient psychiatric ward at Jeddah Psychiatric Hospital affiliated to Ministry of Health. A self-administered structured questionnaire developed by Janelli et al. (1992) was used to determine the nurses’ knowledge, attitude and practice regarding the use of physical restraint and seclusion.

Results. The respondents in the current study were 37 nurses, of whom 52.8% were male .The total mean of knowledge, attitude and practices was 9.4±2.14, 28.3±7.1 and 36.6±7.5 respectively. There was no significant correlation between nurses' practice, knowledge and attitude scores. 33.3% of respondents preferred using both of restraints and seclusion .Frequency of using physical restraints showed positive correlation with the nurses gender r = -.341, while use of seclusion has positive significant correlation with nurses level of education r =.465 ,and negative correlation with other demographic background.

Conclusion: Nurses knowledge level was inadequate .Most of them underestimated the physical and psychological effect of restraints and seclusion related to their lower performance and less favorable attitudes. Therefore, conducting an in-service training program on the procedure, indications, and the negative consequences so as to limit the frequency with which it is used.


Riyadh 2015 158 153

J-03

Abstract Title Child Neglect.

Presenting Author Lujain.Z .Mo’menah


City: Makkah Al-Mukarramah - Jeddah

College: King Saud bin Abdulaziz University for Health Science – Nursing College -Jeddah

All other Authors

Musleha Al-Motiri Maram Al-Mutiri. Fatimah Al Amri Amal Al harthy Shorooq Al nemary.

Objectives; • To identify mothers’ awareness about forms of child neglect. • To correlate the relationship between mothers’ awareness and their education, occupation and

number of children

Methods: The study was conducted in 3 day care centers. Descriptive correlation design was used. One hundred mothers were recruited for the study using non probability “convenience” sampling of mothers who have children less than 6 years old. A self-administered structured questionnaire was used.

Results: One hundred mothers were participated in the study. Majority of mothers (95%) reported that they have information about child neglect; T.V. show and internet were the sources of information for about one third of them. Participants are aware about mast forms of child neglect except in child dental care which reported by only 29% of participants. Statistical significant level was found between mothers’ education and their awareness of supervisional neglect. On the other hand, no statistical significant found between mothers’ awareness of child neglect and their occupation, having house maid and number of children.

Conclusion: In conclusion, the current study highlights the awareness of child neglect among Saudi mothers. It was found that Saudi mothers have good knowledge about forms of child neglect but they still need more encouragement regard reporting maltreatment. Further studies with involvement of fathers are needed.


Riyadh 2015159 154

J-04

Abstract Title

Exploring the relationship between perceived stress and academic achievement among critical care nursing students in King Saud Ben

Abdulaziz University for Health Sciences

Presenting Author Sara Mahdi Swaid AlDilh

Contact Information


City: Jeddah College: Nursing college

All other Authors

Sara Mahdi Swaid AlDilh

The objective was to explore the stress level and stressors as perceived by critical care nursing students in King Saud Ben Abdulaziz University for Health Sciences, and to pinpoint the relationship between stress and academic achievement.

Methods: Participants of this descriptive correlation exploratory study was 60 nursing students selected conveniently from the students enrolled in Critical Care Nursing course in the academic year 2013-2014 in King Saud Ben Abdulaziz University for Health Sciences. A self-reported questionnaire namely; “Critical Care Nursing Students’ Stress” developed by the researchers after reviewing related literatures was used to explore the relationship between perceived stress and academic achievement among critical care nursing students.

Results. Sixty five percent of the respondents had low stress level compared to only 6.7% had high stress level. Also 68.3% of the studied sample had multiple health problems during the critical care nursing course. The total mean of stress level was 20.40±3.98, while the mean of perceived stressors was 61.23±17.84. Finally there was statistical significant difference between the stress level and perceived stressors where p = 0.000 and there was no significant correlation between students’ perceived stressors and their academic achievement.

Conclusion: Critical care nurses students experienced low to moderate stress level with no impact on their academic achievement. Therefore replication of the current study using qualitative design on a longitudinal base to identify their specific stressors and coping strategies related to critical care nursing course.


Riyadh 2015 160 155

J-05

Abstract Title

Prevalence of Internet Addiction among College Students and Its Association With Their Mental Health and Academic Achievements

Presenting Author Najla Burayk Alharbi

Contact Information


City: Jeddah

College: Nursing college

All other Authors

Hadeel Yousef Alhawasawi 330402063

Amanl Baker Albander 330402059

The Objective was to investigate the prevalence of Internet Addiction (IA) and its association with the mental health and academic achievements among colleges’ students, at king Saud bin Abdul-Aziz University for health sciences. Jeddah.

Methods: A descriptive correlation expletory design was used with 142 female students selected conveniently from College of Nursing and Allied Medical Health Sciences, king Saud bin Abdul-Aziz University for health sciences. Jeddah. A self-administered Arabic version of Young, (1995) IA scale and depression scale developed by Radolof.(1977) were used to investigate the prevalence of IA and discover the association with the students mental health and academic achievements

Results. The respondents were 142 female students, equally selected from College of Nursing and Allied Medical Health Sciences. Almost 2 third of participants 59.6% are average on-line user compared with38.4% and 2.1% experiencing both occasional and significant problem in their life respectively. Majority 70.4 % were rarely experienced with depressive symptoms compared with 19.8% and only 9.8% were experienced sometimes and occasionally. A significant correlation was found between IA ,time spent on intranet ,and depressive symptoms (r =.335 and.205) respectively with no significant association on the academic achievements of the students

Conclusion: Majority of the participant students are addict to intranet with greater vulnerability for psychological morbidity of depressive symptoms. Therefore, conducting in-service training program of intranet use and promoting supportive environment of counseling and recreational activities will decrease the psychological morbidity of stress and depression among college students.


Riyadh 2015161 156

J-06

Abstract Title

Stress Among Nursing Students In King Saud Bin Abdul-Aziz University For Health Science. Collage of Nursing -Jeddah

Presenting Author Nouf Fahad Janbi

Contact Information


City: Jeddah College: College of Nursing

All other Authors

Muntaha Hussni Bugis

Objectives

The aim of this study is to assess stress among nursing students in relation to academic performance, bio-psycho-social symptoms and associated factors.

Methods

The study was conducted in college of nursing, king Saud bin Abdulaziz university for health sciences, Jeddah. Non-experimental correlational design was used. Ninety Students enrolled in the clinical nursing courses were recruited and the response rate was 85.5%. Simple random sampling technique was used in which 10 students were selected from each nursing course randomly. The following tools were used: The Perceived Stress Scale, PSS. It measures three subscales: clinical stressors, academic stressors, and external stressors. A higher score indicates a higher degree of stress. The Bio-psycho-social Response Scale for clinical training, a higher score indicates the presence of more symptoms and poorer bio-psycho-social status.

Results

The finding of the current study revealed that the mean of overall perceived stress was 76.65 + 22.17. The mean stress regarding clinical stressors, academic stressors, and external stressors were (52.14, 17.62, and 6.88) respectively. Although the students were not suffering from any health problem, there was a positive significant correlation between stress level and physiological symptoms.

Conclusion

The results of this study indicate that clinical training is the highest stressor among nursing students. So, there is a need to orient nursing students about possible stressors related to their profession. Also awareness of stress managements among students must be developed.


Riyadh 2015 162 157

J-07

Abstract Title

Explore importance of professional attributes of nurse students from the perspective of nursing faculties and clinical teaching assistants as

prior indicators of preparedness for successful clinical education

Presenting Author Wejdan Asiri Shaqiqi

Contact Information


City: Jeddah College: College of Nursing, King Saud bin Abdulaziz University for Health Sciences

All other Authors

Nourah Mohammed Al Bogami, Meaad Mouse Mohammad

Supervisor : Dr. Hala M. Bayoumy

Objective

To identify range of characteristics perceived by faculties’ and clinical teaching staffs as important indicators of nurse students’ preparedness for clinical education.

Methods

Study design: A cross-sectional approach was used to collecting data for current study. Setting: This study was conducted at King Saud bin Abdulaziz University for Health Sciences -College of Nursing- Jeddah. Study sample: Study participants consisted of fifty-four nursing faculties as well as clinical teaching assistants. Convenient sampling technique was used.

Results

The mean range for the different dimensions of students’ pre-clinical readiness was 5.92 to 5.65 on the scale of 1 to 7 (1= not important; 7= extremely important). Among which; willingness, professionalism, and personal attributes; had been highly reported as the most important pre-clinical readiness requirements for nursing students.

Results have shown a significant relation between each of years of experience in teaching nursing, academic position and perception of importance of students’ communication and interaction as a prior factor determining students’ clinical success. Faculties and staff members with experience exceeding 31 years showed the highest belief on the important quality of students’ communication and interaction exceeding that of others with lesser years of experience. Clinical teaching assistants hold the point of view as those among people with experience exceeding 31 years.

Perception of knowledge and understanding significantly differed among different nursing specialties. Both medical/surgical and critical care specialties showed the highest belief on the importance of prior knowledge base. A matter that could be attributed to the nature of both subjects.

Conclusion

Willingness, professionalism, and personal attributes; had been highly reported as the most important pre-clinical readiness requirements for nursing students. Consequently, it is recommended that curriculum developers should incorporate emphasize the development of such traits in students before embarking into their first clinical exposure, as well as to help in designing new educational curricula.


Riyadh 2015163 158

J-08

Abstract Title

Physical abuse against Saudi women: women’s perception

Presenting Author Ohud Shawqi Banjar

Contact Information


City: Jeddah College: King Saud Bin Abdulaziz University for Health Science College of Nursing- Jeddah

All other Authors

FATMA BASHMAIL ZAHRA ALSHRDE NAJWA HASHIM

Objectivities

To describe the prevalence and forms of physical abuse against women To describe the impact of physical abuse on women. To correlate between the prevalence and forms of physical abuse on women and their

demographic variables Methods

The study is a descriptive study using a non-probability ‘convenience’ sample totalling 150 participants over two selected sites (two shopping malls in Jeddah KSA). The data collection is by way of a validated questionnaire.

Results

Domestic violence is found to occur throughout the population. Key factors for this to occur are low educational levels both of the victim and the abusers. Participants were recruited across a wide age range although there were fewer in the older age groups. Nonetheless common issues were shown to be relevant throughout the age groups. There were a range of types of abuse recorded with a high proportion of the participants noting two or more types of abuse having been used against them. Proportionately few received severe injuries but throughout the participants there was reluctance to recognise what happened to them as abuse or to report the incidences to anyone else.

Conclusion

Domestic abuse is a serious problem that has long term consequences for those involved. The types of abuse and the prevalence is more frequently the focus of studies and it may now be helpful to consider ways in which preventative measures can be effectively used.


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J-09

Abstract Title Management of Blunt Renal Injury in Pediatric Population: Are We There Yet?

Presenting Author Primary Author: Basim Alsaywid,

Presenting Author: Mohammed Babgi

Contact Information



All other Authors Mahmoud Al Rimawi, Hussein Al Rimawi

Objectives

The study aimed to assess pediatric renal trauma cases, providing descriptive statistics about many aspects of renal injuries in children with particular emphasis on methods of diagnosis and management.

Methods

The trauma registry at King Khalid National Guard Hospital in Jeddah was retrospectively reviewed to identify all children (age < 18 years) treated for blunt renal injuries from the period of January 2000 through December 2012. Medical records were reviewed for demographics, mechanism of injury, length of hospital stay, grade of renal trauma, haematouria, renovascular injuries, associated non-renal injuries, Conservative vs. operative management, renal outcomes and complications.

Results

In 12 years reviewed, 15 children with a blunt renal injury were identified, of which 14 met data inclusion criteria. The renal injury population had a mean age of 12.7 years [SD 4.6] and was 85.7% male. The renal injuries categorized as follows: grade 1, n = 3 (21.4%); grade 2, n =3 (21.4%); grade 3, n = 3 (21.4%); grade 4, n = 3 (21.4%); and grade 5, n = 2 (14.2%). 11 Children (78.5%) had traumatic injuries in multiple organs. Overall, 10 children (71.4%) were managed conservatively. 4 children (28.5%) with high-grade trauma required operative intervention. Reno-vascular injuries were found in 4 cases (80%) of high-grade renal injuries.

Conclusion

Conservative management of kidney injuries was highly successful in children with low-grade renal trauma. Furthermore operative intervention in high-grade renal injuries proved to be successful with good renal outcomes. Renal preservation was achieved in (92.8%) of cases.


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K. College of Public Healthand Health Informatics,

Jeddah


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K-01 Abstract Title

What are the Obstacles that hinder Adoption of the ICD-10AM in KAMC-Jeddah?

Presenting Author Mr. Radwan M. Alsibai

Contact Information


City: Jeddah College: Health Informatics

All other Authors

Objectives

This study aims to investigate the obstacles that hinder the adoption of ICD-10AM among healthcare professionals and healthcare institutions at King Abdul Medial City-Jeddah; and to investigate factors that influence the use of ICD-10AM among physicians and coders in King Abdul Aziz Medical City-Jeddah (KAMC-J).

Methods

An exploratory cross-sectional study design was used. Data were collected from a convenience sample of 72 participants comprising physicians and coders using a questionnaires which was developed.

Results

The main obstacles that hinder adoption of ICD-10AM at KAMC-J include: the level of acquaintance (75%), frequency of use where only (11.1%) always uses ICD-10AM, training skills (87.5%) and awareness of policies and procedures (83.3%). Physicians lack the required training skills to handle and use ICD-10AM, are not well acquainted with ICD-10AM and do not use it frequently and are not aware of the policies and procedures of ICD-10AM.

Conclusion

Generally, there are various obstacles that hinder successful adoption of ICD-10AM at KAMC-J. The obstacles can be eliminated by training all healthcare professionals who handle data at KAMC-J on ICD-10AM, educating them on the system importance to familiarize them with it and setting up policies and procedures on the usage of ICD-10AM.


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L. College of Scienceand Health Professions,

Jeddah


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L-01 Abstract Title The Difference in the Level of Burnout between the First and Second Year

Male Medical Students at KSAU-HS in Jeddah

Presenting Author Fahad Okal

Contact Information


City: Jeddah College: College of Sciences and Health Professions.

All other Authors Khalid Alrefaei, Ahmad Alsulami, Abobaker Alshegifi

Objectives

- To define the burnout. - To know the difference in burnout levels among first and second year male medical students

at KSAU-HS. - To know what the major causes of burnout in those students are.

Our hypothesis: The first year male medical students have a higher burnout level than the second year male medical students.

Methods

A cross-sectional study has been used. MBI Questionnaire was distributed to over 200 students from our population.

Results

The results oppose our hypothesis and strongly support previous studies.

The study was significant with a P-Value less than 0.05.

Conclusion

We discovered that there is burnout, and it turned out to be more in those who are studying in the second year more than those who are in first year. This would lead to extend the awareness to lessen or prevent burnout in tomorrow’s doctors.


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M. College of Nursing,Al-Ahsa


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M-01 Abstract Title Nursing students’ attitudes toward learning communication

skills, perceived importance of nursing communication and

the caring efficacy Primary / Presenting Author

Maram Abdullah S Al Mutairi

All other Authors Fatimah Ali O Khormi Anhar Ali Al Herz Objectives

This study aimed to assess nursing students’ attitudes toward learning communication skills, the perceived importance of nursing communication, and caring efficacy among nursing students Methods A descriptive longitudinal design was utilized to collect data from students at the College of Nursing of the King Saud bin Abdulaziz University for Health sciences in Al-Ahsa. A convenient sampling technique was used to include undergraduate nursing students (n=29) and newly graduate interns (n=29). A self-administered questionnaire including sections on students’ attitudes towards communication skills; perceived importance of communication; caring efficacy and demographic information. Questionnaires were valid and reliable in previous studies and used a 5-point likert scale. Data was collected before the communication course was offered, after the course, and after one semester. Students at this level were starting to have their first clinical experience in the hospital and communicating with patients and their families. At the same time, data was collected from newly graduated interns that took the communication course one year ago. Results The results yielded that students’ average ages were 20.93 (SD = 0.52) at the onset of the study and that their GPA was an average of 3.63 (SD =. 96. In addition, the interns’ average ages were 22.52 (SD = 0.52) and their reported average GPA was 4.5 (SD = 0.65). A repeated measure ANOVA indicated that there were no significance differences over time regarding students’ attitudes toward learning communication skills (F (3, 75)= .97, P= .39), their perceived importance of medical communication (F (3, 75)= 1.94, P= .13), except for their caring efficacy (F (3, 75)= 5.50, P= .002) where newly graduate interns reported higher scores for their caring efficacy than students. Conclusion Interns had higher caring efficacy than students. It is recommended that nursing students need to be equipped for clinical practice to deal with patients’ needs, their anxiety and concerns. Students’ attitudes towards communication skills may lead to more accurate assessments and treatment processes, thereby increasing patient satisfaction and safety.


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M-02 Abstract Title Assessing the relationship between Saudi female nursing students

marital status their academic performance Primary / Presenting Author

Mai Ali Ali AL-Mukarb

All other Authors Fatima Ali AlMukrab Zahra Hassan Al Khamis

Objectives a) To assess the relationship between marital status on the GPA of female nursing students in College of nursing, King Saud bin Abdulaziz University, Al Ahsa. b) To assess the perception of married and unmarried female nursing students regarding to their academic performance. Methods A descriptive correlational study. A total number of N= 160 female nursing students (married n=54,{34%} and unmarried n = 106,{66%}) participated from King Saud bin Abdulaziz University, Al Ahsa, Saudi Arabia. A self-administered questionnaire was developed to collect data about student’s demography and their perception about marriage related to their academic performance. The data were analyzed by using SPSS version 20. A t-test and/or Chi-square analysis was done. Results The married students mean age was 22.03 (SD= 2.45) and about half of the married students have children (n= 25, {50%}). The unmarried students mean age was 20.52 (SD= 1.92). T-test indicated that there was no significant difference between married and unmarried average actual GPA (t= 0.51; p=0.60). The average score of the unmarried students was M= 3.93, SD=1.05 while the married average score was M=3.34 SD=1.21 regarding their perception about the effect of marriage on their GPA scores; supported by t-test that there was a significant difference between both groups (t=3.04, p=0.003). Conclusion Even though married and unmarried students did not have much difference in their actual GPA, they reported that marriage in general can affect their GPA. Married students mostly agree that marriage doesn’t affect their academic performance which was unexpected and contradiction to the previous studies published in different cultures.


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M-03 Abstract Title Knowledge, Attitude, and Practice of Female Secondary School

Students Regarding CORONA Virus Causes and its Determinants in Al Ahsa City, KSA

Primary / Presenting Author

Batool Abdullah A Alsalman

All other Authors Alhanouf A I Al Suwaigh Hajar Sulaiman Z Al Johani Fatimah Mohammed J Almatar Aims: To assess the knowledge, attitudes and practices of female secondary school students

regarding CORONA VIRUS and its determinants.

Methods A cross-sectional design was utilized in Al Ahsa City, KSA among female secondary school students at National Guard. The instruments to test the knowledge, attitudes and practices were adopted from three validated instruments used in previous studies assessing Upper Respiratory Tract Infections (URIs). The questionnaire which consisted of 62 items includes demographic such as age, educational level and sources of information(e.g. internet, magazines) with a response of (Yes or No), was distributed to students to assess knowledge, attitudes and practices regarding the transmission, prevention and treatment of the Corona- Virus and preventative practices such as hand hygiene and influenza vaccination against Corona Virus. The official approval was obtained. Results : A total of 192 female secondary school students participated in the current study. The mean age was 16.3±.82; with (49.0%) enrolled in first year, 42.7% in the second year and 8.3% in the third year. The majority of the sample (85%) reported that having their knowledge about corona Virus from Internet, Television and magazine. The average of the correct answers regarding nature of the virus was (3.25±1.41) out of 7; causes (2.58±1.26) out of 5; methods of transmission (5.04±2.18) out of 9; symptoms (4.12±2.02) out of 8 and prevention of the virus (5.65±1.93) out of 9. The total score of knowledge was (19.6±7.05) out of 38 items. The average of the correct answers of the 8 items Attitude was (3.3±1.9) and the average of the correct answers of 13 items measured the practice was (8.2±3.5). Conclusion The results indicated that Saudi Female students lacked knowledge about the nature of the virus, its causes, methods of transmission and prevention along with attitude and practice. Recommendation Improved health education may alter students' expectations concerning Corona Virus knowledge, attitude and ways of preventive practice of Corona Virus.


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M-04 Abstract Title The impact of applying teaching and learning strategies on students’

debating skills through changing opinion Primary / Presenting Author

Ghaidaa Al Muharif

All other Authors Ameerah Khaled Al Anizy

Objective: The objective of the research was to assess the impact of implemented teaching and learning strategies on students’ debating skills through changing opinion. Methods Quasi-experimental design was used to assess the impact of implemented teaching and learning strategies on the debating skills of nursing students who were registered in Clinical Nutrition class at the College of Nursing KSAU-HS. Instructors worked consistently over a period of 14 weeks with students to train them on the debating skills that focus on style, speed, tone, volume, clarity, eye contact, summarization and researching. These skills were incorporated in a very controversial topic on Genetically Modified Organisms and Monsanto. Assessing the students debate skill and its effect on changing attendees opinion The attendees who formed the audience comprised students; faculty and staff of both the Colleges of Nursing and Applied Medical Sciences at the KSAU-HS Al Ahsa. Attendees varied in age, academic level, gender and English language proficiency. A paper-based opinion poll was distributed to the attendees before the debate. The poll was divided into two sections. The first was to be completed immediately after the introduction by the Chairperson and the second to be completed at the end of the debate. The attendees had to indicate if they were in favor of genetically modified organisms and Monsanto or against it. Attendees could also choose if they were “undecided”. Statistical Analysis Descriptive statistics were used to describe the attendees’ opinion before and after the debate. Wilcoxon signed-rank test was used to evaluate whether the attendees opinion changed before and after the debate. Results One hundred and five attendees participated in the opinion poll. The mean of the ranks of the attendees changing their opinion from affirmative to negative was 35.63; while the mean ranks of the attendees changing their opinion from negative to affirmative were 28.64. There was significant change in attendees’ opinion before and after the debate (Z = -2.678, p = 0.007). Conclusion: The students debating skills improved irrespective of the attendees’ opinion about Genetically Modified Organisms and Monsanto being “affirmative” or “negative” it is clear that the debate made an impact, causing the attendees opinion to change.


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M-05 Abstract Title Assessment of Nursing Informatics and Patient Safety

competencies among nursing students and interns Primary / Presenting Author

Al Athraa Eissa Mohammed Al Suliman

All other Authors Hajjah Hajjan Mubarak Alanazi Batool Abdullah Hussin Al Mogarrib Objectives

This study aimed to assess nursing informatics and patient safety competencies among undergraduates nursing students and Interns.

Methods A descriptive and cross sectional correlational design were utilized to collect data from undergraduate students at the College of Nursing of the King Saud bin Abdulaziz University for Health sciences in -Al Ahsa. Convenient samplings of 154 respondents were used consisting of nursing students (n=99) and interns (n=55). A self-administered questionnaire consisting of three sections namely Self-Assessment of Nursing Informatics Competencies; Patient Safety Competencies; and a demographic data sheet were provided. Questionnaires were valid and reliable in previous studies and used 5-point Likert scale. Results The students’ average age was 22.46 (SD = 2.16); and years to use computer was 10.23 (SD = 2.53). Most of students reported that they were using computers several times per day (n=57, 58.8%). Fifty (52,6%) of the respondents, was enrolled for the nursing informatics course The interns’ average age was 23.85 (SD = 2.45), and years using computer were 10.43 (SD = 3.19). Most of them reported that they are using computers several times per day (n=47, 85.5%), and most of them took the nursing informatics course in their baccalaureate program (N= 37, 67.3%). T-tests indicated that there were no significant differences between students’ and interns’ competencies in nursing informatics and patient safety except for items related to clinical informatics role and applied informatics attitude. Students reported higher mean score namely 3.31 (SD =. 65) for the role of clinical informatics than interns (M = 2.89, SD = ±. 84), (t= 3.20, p = .002). Whereas interns reported higher mean scores of 3.46 (SD = 0. 90) for attitudes towards applied informatics than students (M = 3.12, SD = ±. 86), (t= 2.25, p = .03). Conclusion Both groups reported their competencies almost the same except that students reported that their role in clinical informatics were higher than those of interns. However, interns who were exposed to bedside nursing had a higher score for attitude towards applied informatics. These results could provide feedback to adjust and incorporate informatics competencies in the baccalaureate program.


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M-06 Abstract Title Groupwork – The Perception of Stream I Level 3 Students


Fatimah Ahmed Habib Alsab

All other Authors Kamilah Yahya Mohammed Alhawaj Objectives

a) Explore the perceptions of Stream I Level 3 student toward groupwork. b) Assess the use of basic principles of effective groupwork before and after using groupwork as a

teaching strategy.

Action Plan Groupwork as a teaching strategy This activity was carried out by students in Stream I Level 3 at the College of Nursing KSAU-HS Al Ahsa registered simultaneously for Advanced Grammar and Writing (ENGL 211) and Health Professions Education (EDUC 201). Both courses are taught over a 15 week period where 67% percent of groupwork as a teaching strategy is used in the EDU 201 course while in ENGL 211 it is used 40% of the time to further develop writing skills. The activity was implemented in stages: 1 –Groupwork in EDUC 201 In the EDUC 201 course, a large part of the course uses active learning strategies of which groupwork is but one. A learning outcome of the course is meeting objectives that include being able to identify effective group behaviors and utilizing strategies for effective groupwork. The course instructor gave a didactic lecture briefly outlining the above and introducing the concept of team leaders and their roles; setting ground rules for the group and managing consequences for breaking ground rules; how to communicate effectively in a group and identifying behaviors that could benefit the group and those that can be detrimental to the group. Students were instructed weekly to work in these groups on various learning outcomes. Two students in the class were selected to participate as facilitators of the groupwork process. They worked closely with the instructors to familiarize themselves with the basic principles of effective groupwork. 2 –Assessing perception of groupwork In the third week of the course, the facilitators administered a 13 question (Arabic) survey to their colleagues. The survey assessed these students’ perception of groupwork, followed by a two hour interactive lecture to students, reiterating principles of effective groupwork strategies. 3 –Groupwork in ENGL 211 The ENGL 211 course provides students with the fundamentals of scientific research, and as a part of that it gradually introduces students from individual tasks then later to peer tasks and eventually leading them to group work. A total of 14 groups were established consisting of 5 to 6 members each. The students were expected to divide the tasks fairly in the group, read, and research and review each other's information. Then add all the paragraphs together successfully and creating harmony amongst all written paragraphs. This assignment weighed 5% of the average of their continuous assessment, in which the students were assessed as a group. Outcome Assessing the use of groupwork strategies In week 13, the facilitators approached each group with 8 yes / no questions. These questions addressed their use of the basic principles of effective groupwork. The questions had to be answered as a group and therefore involved the students coming to an agreement as a group in answering the questions. Results clearly indicated that students are effectively using the principles of groupwork. Conclusion Students should be taught effective groupwork skills early on in their curriculum, allowing them more time to practice these skills. Being able to work effectively in a group, as a team player can help students become leaders, collaborators and nurses.


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M-07 Abstract Title Corona virus awareness among Al Hassa population : A community

based approach


Hanady Al Abood

All other Authors Kawthar Al Yousef

Objectives : The objective of the study is to examine knowledge and practice of corona virus infection and prevention among Al Hassa residences.

Methods : This study was quantitative and descriptive in nature. A questionnaire was developed where a sample 314 male and female adults who live in Al Aahssa were interviewed. Data was analyzed using SPSS Version 20. D. Descriptive statistics were used to describe the study variables.

Results The majority of the respondents 96.80 % are knowledgeable about the coronavirus infection, 92.1 % indicated that coronavirus is respiratory infection and 62.5 % thought it’s airborne infection and 88.3 % thought it’s droplet infection . Seventy- six point three percent and 95.3% respectively indicate that precautions can prevent coronavirus infection and general hygiene is important part for protection. However, 31.2% and 38.5% respectively were wearing mask in crowded areas and when visiting patients. Sixty-six point six washing hand after coughing as protective measures.

Conclusion This study found that there is a good knowledge background in the al ahssa population toward coronavirus infection but show significant deficit in the protective practice and measures.


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6th Conference 29012015002final.indd

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