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May 2022 -
Volume 20, Issue 5

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From the Editor



Somatic Symptom Disorder among medical students in Umm Al-Qura University, Makkah Al-Mukarramah, Kingdom of Saudi Arabia
Reda Goweda, Marwan Adel Alshinawi, Basim Mazin Janbi, Umar Yousuf Muhammad Idrees, Raed Mohammed Babukur, Hassan Ali Alhazmi, Hani Aiash
DOI: 10.5742/MEWFM.2022.9525030

Evaluation of knowledge and practice of primary health care physicians regarding medication prescribing during pregnancy in Jeddah, Saudi Arabia 2021
Reham O. Alzahrani, Reem M. Alqahtani, Shada M. Alharbi
DOI: 10.5742/MEWFM.2022.9525031

The prevalence of unplanned pregnancy among women attending antenatal primary care clinics in Qatar
Muhammad Tanveer Alam, Shajitha Thekke Veettil, Hanan Khudhadad, Nazmul Islam
DOI: 10.5742/MEWFM.2022.9525033

Covid-19 in the Region

Postgraduate Hybrid E-Learning during COVID-19 Pandemic: A Real Experience for Replication
Eman I. Elmeshmeshy, Marwa Mostafa, Rehab M. Sabry, Radwa M. Elsayed
DOI: 10.5742/MEWFM.2022.9525034

Resilience and Coping Self-Efficacy among Family Medicine Residents in times of COVID-19 pandemic: Interplay and contribution of sociodemographic, professional, lifestyle and health-related factors
Najwa F. Aljehani, Sara Kayal, Abdulrahman M. Albeshry, Majdy M. Qutub
DOI: 10.5742/MEWFM.2022.9525036

Population and Community Studies

Knowledge, attitude and practice among mothers toward home head trauma management in Riyadh, 2020-2021: A cross sectional study
Deema Ibrahim Altamimi, Afnan Saleh Bamajboor, Ashwaq Ali Asiri, Yasmeen Majid Almustafa
DOI: 10.5742/MEWFM.2022.9525041

Total hip replacement in active elderly patients with femur neck fracture, Aden, Yemen
Abdul Fatah Abbas Mansoor Haidarah
DOI: 10.5742/MEWFM.2022.9525041

Assessment of Patient Safety Culture in Abu Arish General Hospital, Jazan, Saudi Arabia
Ali Essa Tawhari, Maged El-Setouhy, Abdullah Ibrahim Sabai, Ahmed Yahia Abdaly, Abdullah Abdo Holal, Abdulaziz Mohamed Humedi, Ahmad Alhassan Mokli, Abdulmajeed Ahmed Dayili, Abdulrahman Beshi Hakami
DOI: 10.5742/MEWFM.2022.9525043

Case Report

A case of ectopic pregnancy
Ban Alobaidi, Russal Waseem Mohamad, Mohammed Al-Allak
DOI: 10.5742/MEWFM.2022.9525044


Evaluation and assessment of male infertility in Primary care; A review
Russal Waseem Mohamad, Ban Alobaidi, Sinan Jabbar
DOI: 10.5742/MEWFM.2022.9525048

Middle East Quality Improvement Program

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE


Publisher -
Lesley Pocock
medi+WORLD International

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May 2022 - Volume 20, Issue 5

This is the fifth issue this year with a variety of papers from the Region of great interest to primary care and family medicine.

Goweda, et al., did a cross sectional to screen for somatic symptom disorder among medical students. A self administered questionnaire was used to collect the data including two sections; socio-demographic information and Somatic Symptom Scale-8 (SSS-8) questions. Out of 374 students, 206 (55.1%) were males, 292 (78.1%) were from the clinical years (Years 4-6), 353(94.4%) were singles, 71(19.0%) were smokers, 83(22.2%) had social stressors and 88(23.5%) had educational problems. On considering only the high SSS-8 total risk scores, the prevalence of SSD is estimated to be 39% (20.3% had very high and 18.7% had high risk). Feeling tired or having low energy was the most prevalent symptom. Female students and students having social stressors and educational problems more vulnerable to have SSD. The authors concluded that there is high prevalence of SSD among our medical students. Accordingly, health education programs and frequent mentoring of the students are highly recommended.

Alam et al., looked at unplanned pregnancies. They followed a cross sectional study. This study aims to ascertain the prevalence of unintended pregnancies among antenatal women attending antenatal clinics in Primary Care in Qatar and to establish any demographic differences among antenatal women around the choice of pregnancy. A validated questionnaire (the London Measure of Unplanned Pregnancy (LMUP)) was used to look at the prevalence and hence the size of the problem. Among 107 participants, scores on the LMUP ranged from 0-12 with a median of 10. Most pregnancies 79.4%, (n=85) were categorized as planned, 17.8% (n=19) as ambivalent, and 2.8% (n=3) as unplanned. The authors stressed that unplanned pregnancies in this population are rare among women attending antenatal clinics. Less planned pregnancies are tended to be more prevalent among Qatari women compared to expatriates. Unplanned pregnancy prevention services need to be included within pregnancy care services in primary care settings to offer preferred contraception on time to effectively maintain the low rate of unplanned pregnancies in the country.

Altamimi, et al., did a cross-sectional study using an online questionnaire has been developed locally in Cluster one in Riyadh, Saudi Arabia. The authors aims to assess the mother’s knowledge, reaction, and immediate action towered head trauma of children under five years in Riyadh city, 2020-2021.
The study included 390 mothers who had the inclusion criteria. In this study, we collected data from 390 mothers of children under five years old who responded to our distributed questionnaire. Most of the participants were between 31-40 years old (40 %), while 31.5 % were between 20-30 years old. The authors concluded that the level of knowledge among mothers in Al Riyadh region toward managing head trauma and preventing home injuries among children is sub adequate. Many factors affect this knowledge, including maternal education, monthly income and occupation, and attending first aid training.

Elmeshmeshy, et al., stressed that the current COVID 19 pandemic has led to abrupt changes in medical education with an imperative need to shift to e-learning for continuity of the education.
The study aimed to retrieve a hybrid e-learning experience and the participants’ early perception. This is an interventional study. A shortly planned hybrid e-learning was conducted in the family medicine department programs of MD and MSc. Then, the enrolled 30 postgraduates were invited to participate in a web-based anonymous survey to assess their perception of e-learning after a 2- month experience. Twenty-six participants were recruited in the survey. The most perceived e-learning advantages were feasibility, saving costs, and motivation to learn. While the perceived challenges were lack of technical skills and internet connection strength. The authors concluded that the implementation of hybrid e-learning is a significant step forwards and easy to be conducted, but it requires work to be improved.

Alzahrani, et al., conducted a cross-sectional study on of 168 PHC physicians in Jeddah to assess knowledge and practice of physicians towards medication prescription during pregnancy and to determine obstacles in prescribing medications. A questionnaire was distributed to physicians online including questions about their characters and knowledge about medication prescribing (categories), reading sources, and practice. 78.6% of PHC physicians faced obstacles on prescribing medication for pregnant women, where lack of time to read, limited information about patient and treatment and pregnant women education level were the most common obstacles found. Amoxicillin (86.9%), Levothyroxine (75.6%), Methyldopa (73.8%), Calcium carbonate (71.4%), Nasal fluticasone (57.1%), and Penicillin G were the most commonly reported medications as safe during pregnancy by participants (56.5%). The authors concluded that there is an insufficient awareness and practice of PHC physician regarding medication prescribing during pregnancy. It is necessary to raise their awareness about the FDA guidelines.

Mohamad, et al., reviewed the Evaluation and assessment of male infertility in Primary care. Infertility is a common condition seen in primary care practices. The World Health Organization estimates that 9% of couples worldwide struggle with fertility issues and that the malefactor contributes to 20-30% of all infertility cases. The diagnosis of infertility in men is primarily based on semen analysis. The main parameters of semen include concentration, appearance, and motility of sperm. Recently, the demand for infertility services has increased, and infertile couples are seen frequently by primary care physicians. A flexible, patient-centred approach is indicated. This article outlines the Family Physician`s evaluation of male infertility and indications for referral to a male infertility specialist.

Alobaidi et al., reported on a case of ectopic pregnancy. The authors stressed that Ectopic pregnancy is a condition where pregnancy occurs outside the uterine cavity. It is a life-threatening condition and needs to be acted on urgently when suspected. Ectopic pregnancy should be suspected in any woman in childbearing age presenting with irregular vaginal bleeding like this case presented in this issue.

Aljehani, et al., conducted a cross-sectional study to assess family medicine residents’ level of resilience coping self-efficacy during COVID-19 crisis. It was conducted among 208 family medicine residents in the Western region of Saudi Arabia. Resilience and coping self-efficacy were assessed using the Connor-Davidson Resilience Scale-25 items (CD-RISC-25) and coping self-efficacy scale (CSES), respectively. Professional stressors including work environment satisfaction (WES) was assessed. The mean (SD) CD-RISC-25 and CSEC score was 54.53 (19.69) out of 100 and 136.81 (63.67) out of 260, respectively. Suboptimal resilience was independently associated with shorter (<10 min.) consultation time (OR=3.83, p=0.023) and lower CSES score (OR=0.98, p<0.001), with 32.5% variance. The authors concluded that Family medicine residents are at high-risk for psychological distress during COVID-19 crisis, indicated by low resilience and coping self-efficacy levels. The model suggests high impact of WES and spiritual fulfillment in coping self-efficacy indicating relevance in resilience-promoting interventions.

Tawhari, et al., attempt to assess safety culture in “Abu Arish” General Hospital to provide a starting point from which action planning begins and patient safety changes emerge.The methodology of this study was based on the guidelines provided by the Agency for Healthcare Research and Quality (AHRQ). Data were collected using the Hospital Survey on Patient Safety Culture Form. Analysis of data was by Microsoft Excel and the Statistical Package for Social Sciences (SPSS) programs. A survey questionnaire was distributed in “Abu Arish” General Hospital to 207 health care providers, including nurses, technicians, managers and medical staff. The patient safety composites with the highest positive scores were teamwork within units (72%), organizational learning and continuous improvement (70%) and The composites with the lowest scores were non-punitive response to error (22%), staffing (32%), Handoffs & Transitions (38%), frequency of events reported (40%), communication openness (43%), hospital management support for patient safety (43%) and Teamwork Across Units (43%). This study provides an overall assessment of perceptions of safety among hospital staff in a general hospital. There are areas of strengths and weakness in the patient safety culture dimensions. There are