Saudi Med J
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Although bottle feeding is the main infant feeding mode in most societies, human milk is considered the most appropriate food for human infants. The aim of this study is to gather statistics regarding breast feeding prevalence, influencing factors for engaging in, and demographic characteristics of breast feeding in general population. ⋯ Partial breast feeding is the dominant mode of feeding in our community, although the influencing factors and behavioral factors are similar in breast feeding and partial breast feeding groups. The most significant factors affecting the outcome of breast feeding are modifiable by health education.
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Comparative Study
Knowledge of and attitudes towards tobacco control among smoking and non-smoking physicians in 2 Gulf Arab states.
The global health professional survey is a project organized by the World Health Organization, to determine the smoking habits, knowledge and attitude towards tobacco control of health professionals in several countries around the world. This paper presents data from Kuwait and Bahrain. ⋯ Smoking physicians have less knowledge and less favorable attitude towards tobacco control compared to non-smokers. There was no difference in the prevalence of cigarette smoking between Kuwait and Bahrain, but the prevalence of shisha smoking was higher in Kuwait.
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We report a patient with pulmonary alveolar microlithiasis who was admitted to King Abdul-Aziz Hospital, Makkah, Kingdom of Saudi Arabia with chest pain, shortness of breath, dry cough and swelling of lower limbs. The patient underwent chest radiographs and CT scan showing multiple diffuse, almost symmetrical bilateral micronodular opacities of calcific density. The diagnosis was confirmed after percutaneous lung biopsy from the patient. Cardiokinetics, diuretics and oxygen were administered with slight improvement.
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To determine the prevalence of antimicrobial resistance among gram-negative aerobic bacteria isolated from infected patients on the intensive care unit (ICU) and the outcome of infected patients. ⋯ In general, the isolates were relatively antimicrobial susceptible. Imipenem, ciprofloxacin and piperacillin-tazobactam were found good empiric choices for treatment of most GNB infection in the ICU. The study showed that resistance among ICU pathogens depended on the site of infection and that increased drug consumption of any antimicrobial agent may lead to increase resistance to those drugs. The need for policies governing the prudent use of antimicrobial agents cannot be overemphasized. Many endeavors aimed at introducing an antibiotic policy have encountered repeated failure and attempts at rational prescribing through educational programs have met with limited success. Hope is seen however, in proper implementation of infection control procedures aimed specifically to curtail lateral transmission of resistant organisms.
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Considerable progress has been made over the last 2 decades in diagnosing and treating sepsis. Although the mortality rate is beginning to decline with the development of new therapeutic interventions, it still remains unacceptably high. ⋯ Each new intervention has a role in the management of sepsis, however they are not mutually exclusive. This article provides guidelines on optimal patient selection and timing for each intervention and provides advice on how to integrate new therapies in intensive care practice so that mortality rates can be reduced.