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Mujahid Aldakhil, Mamdouh Alharbi, Abdulrahman Alomair
International Journal of Advanced Community Medicine, Volume 5, pp 06-12; https://doi.org/10.33545/comed.2022.v5.i1a.219

Abstract:
Background: Patients’ and physicians’ satisfaction toward the healthcare system could be considered as a good indicator for measuring the quality of the health services itself. The level of satisfaction of general population toward any aspect related to medical practice could be obtained throughout using surveys. One of the factors that increase the need for telemedicine is the occurrence of COVID-19 pandemic however, telemedicine did not be tested before during disaster settings. Therefore, the aim of this study is to assess the satisfaction level of patients and physicians toward using of telemedicine in Al Riyadh region, Saudi Arabia. Methodology: This is cross-sectional study that was conducted among general population and physicians in Al-Riyadh region, Saudi Arabia. The study depended on online self-reported questionnaire which include parts of previous studies. The questionnaire includes three parts: demographic factors of participants, assessment of patients’ satisfaction toward telemedicine and assessment of physician’s satisfaction toward telemedicine. Data analysis will be performed using SPSS version 26. Results: In this study, we were able to collect 408 responses for our questionnaire, where 218 of them were patients (53.5%) and 190 were physicians (46.5%). Among physicians, 75.3% of them were aged between 26-35 years old while 70.5% of patients were in the same age interval. Among physicians, 43.9% of the physicians were satisfied with experience with telemedicine while 22.4% were dissatisfied and 4.9% were very dissatisfied with experience. Moreover, 50.8% of patients were satisfied with their experience with telemedicine and 28.1% were very satisfied. Furthermore, 72.9% of the patients were very satisfied with the fact that telemedicine made healthcare easier in the time of COVID-19 pandemic. Conclusion: We found the patients and physicians in Saudi Arabia had good satisfaction toward using of telemedicine however, some issues were found and those could be used for further development of the telemedicine in Saudi Arabia.
Karali Hf, Farhad Es
International Journal of Advanced Community Medicine, Volume 5, pp 50-54; https://doi.org/10.33545/comed.2022.v5.i1a.226

Abstract:
Background of the study: Lecturers are driven by a passion for transferring knowledge to students. However, the teaching and learning process is often carried out in a tight schedule, causing lecturers to overpack lectures to cover the necessary learning outcomes. Due to the extensive medical curriculum and time constraints, students must endure long, boring, and demotivating lectures, affecting their ability to acquire and retain knowledge.Problem Statement: Medical Students’ failure to engage in long crammed lectures affected their ability to acquire, recall and retain new knowledge. Therefore, it is imperative to find new teaching strategies to create a meaningful learning experience and improve student engagement, knowledge acquisition and retention.Aim: Explore new teaching and lecture preparation skills to help students acquire and retain knowledge when learning complex concepts.Objective: To adopt suitable teaching strategies and improve lecture preparation skills to help students acquire and retain knowledge.Study questions:1.Why the change in teaching strategies and lecture preparation can help students acquire and retain knowledge?2.How did the change in teaching strategies and lecture preparation help improving students’ knowledge acquisition and retention?Literature Review and Underlying Theories: Two theories underlying this action research are Cognitive Load Theory and Knowles’ adult learning theory.Methodology: Mixed-method action research was adopted, and third-year medical students were recruited for this study.Results and Analysis: The findings revealed that apart from the students’ increased levels of satisfaction and engagement with the learning process, there was a significant improvement in their ability to acquire and retain knowledge.Conclusion: Changing how complex concepts are taught using different teaching strategies and lecture preparation could improve students’ learning experience and help improve knowledge acquisition and retention.
Rita Patil, Supriya Khedkar
International Journal of Advanced Community Medicine, Volume 5, pp 01-05; https://doi.org/10.33545/comed.2022.v5.i1a.218

Abstract:
Objective: The prevalence of obesity and hypertension is increasing in Indian adolescents and young adults. This increase is attributed to factors like changed dietary habits (consumption of processed food) and a sedentary lifestyle. Hypertension which develops in childhood/ adolescence persists in adulthood. This study was conducted to determine obesity and hypertension in girls between 18-20 years of age. Method: The study included 120 girls from different colleges in Mumbai. Anthropometric measurements-height and weight were measured, BMI was calculated. Blood pressure was measured using a digital sphygmomanometer. Results: Seventy-nine girls had normal blood pressure whereas 41 girls were hypertensive. In the hypertensive group 11 girls had elevated BP, 18 girls had stage I hypertension and 12 girls had stage II hypertension. There was a significant correlation between BMI and hypertension. Among the participants, 6.7% girls were underweight and 23.3% girls were overweight 4.5% girls were obese. The highest percentage of underweight girls was observed in stage II hypertension (41.7%). Sedentary activity was reported by 92% subjects.Conclusion: The present study suggests that maintaining healthy weight with a balanced diet and physical activity are important to reduce the risk obesity and hypertension in young girls.
Turki Alahaideb, Mazin Swarelzaheb, Abdullah Aedh AlOtaibi
International Journal of Advanced Community Medicine, Volume 4, pp 28-37; https://doi.org/10.33545/comed.2021.v4.i3a.202

Abstract:
Background: Patient experience and satisfaction are essential and widely used metrics for assessing health-care quality, and they can provide valuable and unique insights into daily hospital care and are accepted as independent dimension of quality of care, they have effect on treatment results, the loyalty of patients towards the organization, and malpractice accusations. The aim of this article is to evaluate the patients’ experience toward the Obstetrics and Gynecology (OBGYN) renewed outpatient department services, using the Generic Short Patient Experiences Questionnaire (GS-PEQ), as an indicator, reflective of health care service quality and for improvement of quality.Materials and Methods: The study was conducted among patients (N = 483), of legal age, or patients’ guardians, of both genders, attending the OBGYN outpatient department clinics, of the women’s hospital, at King Saud Medical City (KSMC), in Riyadh, Saudi Arabia, during the period of October 2020 to January 2021. The Generic Short Patient Experiences Questionnaire (GS-PEQ) was randomly distributed to patients, immediately after attending the Outpatient clinical services, which is a self-administered questionnaire of multiple items that measures the most significant elements of patient perceived experience from an outpatient perspective. Results: The analysis showed that the majority of participants had positively responded to the questionnaire items, and 89.3% of participants were overall satisfied toward the OPD services provided. The socio-demographic data showed the majority of participants were females and in the age group of 31-40 years old, married, with a bachelor’s degree. The responses for every question were found to be significant, at P
Abdullah Khalid Alyahya, Husam Khalid Algayed, Nessreen Muhammad Algushiry, Thamer Fahad Sallum, Abdulrahman Mohammed Elnasieh
International Journal of Advanced Community Medicine, Volume 4, pp 51-57; https://doi.org/10.33545/comed.2021.v4.i3a.205

Abstract:
Background: Patient safety is a global concern among healthcare providers. However, the challenges to and the future of patient safety have not been explored in details at primary health care centers in recent literature in the Kingdom of Saudi Arabia. The World Health Organization (WHO) defines patient safety as “the prevention of errors and adverse effects to patients associated with health care” and “to do no harm to patients”. The study aims to identify and analyze factors that influence patient safety culture in the primary health care setting.Methodology: A cross-sectional study was conducted on primary health care physicians working in 12 primary health care training centers, cluster one, ministry of health, Riyadh city, Kingdom of Saudi Arabia, over a period of two months from the beginning of January, 2021 to the end of February, 2021 using a survey inspired from Hospital Survey on Patient Safety Culture (HSOPS). The HSOPS was developed by the Agency for Healthcare Research and Quality (AHRQ) in 2004 and has been translated into around 20 different languages. The questionnaire was answered by all primary health care physicians who accepted to be included in this study. The data was analyzed by Statistical Package for the Social Sciences (SPSS) latest version program. Results: In this study, the response rate was 94.55% and we were able to collect 208 responses of our questionnaire among primary health care physicians with 75% of the physicians were Saudis. 53.4% of the responders were males. The overall average positive response rate for the patient safety culture dimensions was 76.13%. Moreover, we found that 48.1% of the participants rated the procedures to achieve patients’ safety is very good while 32.2% of them reported excellent patients’ safety. Moreover, we found that almost half of the physicians (46.2%) reported no event reports in the last 12 months while 28.8% reported 1 -2 events, 20.2% reported 3-5 events and only 1% reported 11-20 event in the last 12 months. Conclusion: The patient safety culture in primary health care facilities in Riyadh city, Kingdom of Saudi Arabia is good and gives better results than previous studies.
Sheetal Sharma, Sharat Kumar, Eshani, Sumit Singh Chauhan
International Journal of Advanced Community Medicine, Volume 4, pp 01-06; https://doi.org/10.33545/comed.2021.v4.i3a.197

Abstract:
Background: Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit resulting from several interacting pathophysiologic factors. The present study was conducted to assess Acne vulgaris and its association with ocular dryness. Materials & Methods: 86 patients with acne vulgaris underwent assessment of Schirmer's test, tear film breakup time (TBUT), tear film height, presence of conjunctival injection, punctate epithelial erosions (PEE), and meibomian gland dysfunction (MGD). Results: Out of 86 patients, males were 56 and females were 30. Common complaints were watering & burning eyes in 42, foreign body sensation in 14, itching in 20, redness in 6 and on off vision blurring in 4 patients. The corneal findings were lustureless in 64, clear cornea in 12 and punctate lesions & lustureless cornea in 10 patients. The difference was significant (P
Sharat Kumar, Sheetal Sharma, Eshani, Sumit Singh Chauhan
International Journal of Advanced Community Medicine, Volume 4, pp 39-40; https://doi.org/10.33545/comed.2021.v4.i2a.196

Abstract:
Background: Pregnancy Induced Hypertension (PIH) is a challenging stigma in the field of obstetrics and one of the major contributors to maternal and perinatal mortality. Hence; the present study was undertaken for assessing ocular manifestations in patients with pregnancy induced hypertension. Materials & Methods: A total of 100 patients with pregnancy induced hypertension were enrolled. Patients with the chronic hypertension, preexisting renal diseases, diabetes mellitus, hematological disorders, infectious diseases and any prior ocular diseases were excluded. Anterior segment examination was carried out with torch light. Pupils were dilated with tropicamide and fundus examination was carried out with indirect ophthalmoscope. All the results were recorded and analysed by SPSS software. Results: Defective vision was seen in 19 percent of the patients. Macular oedema was seen in 11 percent of the patients. Lid oedema and choroidal infarcts were seen in 2 percent and 3 percent of the patients respectively. Arteriolar narrowing was seen in 14 percent of the patients. Conclusion: Ocular symptoms were seen in 32% of preeclampsia. Frequent and prompt screening of retina in PIH patients is indicated.
Ali Alqahtani, Norah Aljaseer, Mustafa Kofi
International Journal of Advanced Community Medicine, Volume 4, pp 44-53; https://doi.org/10.33545/comed.2021.v4.i1a.185

Abstract:
Background: Poisoning represents a major health problem among children. It is among the top leading causes of death and disability among children. Despite the critical role of parents in implementation of any preventive measures of poisoning, data assessing the awareness of parents about childhood poisoning are very limited. is good solution for bed occupancy in hospitals. Objective: To determine the prevalence and risk factors of childhood poisoning among families attending Alwazarat family
medicine
center in Riyadh, Saudi Arabia. Additionally, to determine awareness of the parents about the causes and risk factors of childhood poisoning. Methods: Observational cross-sectional design has been conducted between October and December 2020 among parents attending Alwazarat healthcare center. The target was fathers and mothers with at least one child under 6 years. The data were collected using a self-completed questionnaire. It included data on socio-demographic characteristics of parents, information about the child who had poisoning, information about the child poisoning incident, and parents’ opinions about the causes and risk factors of child poisoning in general. Results: A total 236 parents were included in this analysis. The mean age was 36.0±8.1 years and 69.1% of the parents were fathers. Approximately 92.3% of the parents were married and only 7.7% were divorced or separated. A total 10 (4.2%) parents reported having one of their children had poisoning. Approximately 70% of the children who had poisoning required care at emergency department and 10% required hospitalization. None of the incidents was fatal. The poisoning incidents were caused by medications (40%), pesticide/insecticides (40%), and house-cleaning product (20%). Potential causes of poisoning included lack of child supervision in 50% of the incidents and lack of child-resistant cover of the storage container in 20%. The mean awareness score among parents was 69.6%. The highly acknowledged causes and risk factors of childhood poisoning included unsafe storage of household chemicals (97.4%), unsafe storage of
medicines
(96.2%), presence of poisons in the neighborhood/home garden (95.8%), and inadequate space in the house (90.7%). The least acknowledged causes and risk factors of childhood poisoning included lack of social support from
community
(29.8%), poor education of mother (30.6%), lack of family support (30.6%), poor behavior of mother (31.6%), and single-parent living status (33.9%). In multivariate logistic regression analysis, living in houses with larger number of rooms and smaller number of family members were significantly associated with higher awareness level. Conclusions: The prevalence of childhood poisoning was 4.2% among families seeking primary care services in Riyadh, Saudi Arabia. The finding indicate inadequate knowledge level of parents about childhood poisoning. There is urgent need for increasing public awareness on home safety measures to reduce the risk of childhood poisoning.
Salman Dhaher Alenezi, Osama Samir Almansouri, Mustafa Kofi
International Journal of Advanced Community Medicine, Volume 4, pp 11-18; https://doi.org/10.33545/comed.2021.v4.i1a.179

Abstract:
Background: Most cardiovascular diseases (CVD) can be prevented by addressing their risk factors. The conventional clinical approach to primary prevention of cardiovascular disease relies on identification and treatment of individual risk factors. There are several guidelines that recommend CV risk assessment tools to support CV prevention strategies (ATP III, European guidelines that include Systematic Coronary Risk Evaluation SCORE 2003, ACC/AHA cardiovascular disease risk 2013 based on Framingham risk score. This study aimed to assess knowledge, attitude and practice of family physician regarding global cardiovascular risk assessment, aiming to improve cardiovascular prevention services.Method: A cross-sectional study conducted among family physicians working in family
medicine
clinics of Prince Sultan Military Medical City (Riyadh, Saudi Arabia) between November 2019 and June 2020. 188 physicians asked to fill a questionnaire that based on knowledge, attitude and practice questions regarding global CV risk assessment. Results: A total 188 physicians were included in this study. The majority (61.2%) of the physicians were between 25 and 30 years. ASCVD of AHA was the most frequent (75.5%) cardiovascular risk assessment tool used in practice. The majority of physicians often used the cardiovascular risk assessment tools regularly (62.8%). Less than half of physicians believed that assessment tools depend on investigations that patients can afford (46.8%). The majority (58.5%) of the physician had unsatisfactory self-assessment of own knowledge and skills. Unsatisfactory self-assessment of own knowledge and skills was significantly associated with lower knowledge and attitude (49.5% versus 68.1%, p=0.004). Satisfactory self-assessment of own knowledge and skills was significantly associated with higher knowledge and attitude (50.5% versus 29.7%, p=0.004). Conclusion: A high proportion of physicians reported using clinical guidelines for primary CVD prevention. However, laboratory investigations and time constrain were common reasons for not using global CV risk assessment tools. Unsatisfactory self-assessment of own knowledge and skills was significantly associated with lower knowledge and attitude of physicians.
Anupama P, Radha Y Aras, Jeram Parmar, Abhay Nirgude
International Journal of Advanced Community Medicine, Volume 4, pp 05-10; https://doi.org/10.33545/comed.2021.v4.i1a.178

Abstract:
The overall average prevalence of Hypertension in the world was estimated as 35% (37% in men and 31% in women). Hypertension has become a significant problem, being already established in high income courtiers and also emerging in low and middle income countries. (LMICs) experiencing epidemiological transition from communicable to non-communicable chronic diseases. The participants were interviewed and examined individually. At the end of the interview and examination, study participants were counselled regarding the importance of getting their blood pressure checked at frequent intervals and obtaining treatment if levels were higher than normal. Among hypertensives, 83.9% were those who did not consume smokeless form of tobacco. Majority of participants who are in hypertensive stage were unemployed. There is a statistically significant association between work status and blood pressure status (p< 0.001).
Lamees Alruwaili, Tariq Alsaid, Mostafa Kofi
International Journal of Advanced Community Medicine, Volume 4, pp 07-13; https://doi.org/10.33545/comed.2021.v4.i2a.188

Abstract:
Background: Worldwide the home health care (HHC) has many benefits. It improves countries health systems and clinical outcomes of patients, it is good solution for bed occupancy in hospitals. Home Health care (HHC) provides nursing services supported with Medicare for patients with chronic medical issues that prevent them from leaving the home. Objectives: This study aimed to describe frequency and rate of readmission to hospital by HHC patients according to diagnoses, and identify the factors associated with non-elective, readmission of HHC patients, at PSMMC, Riyadh, Kingdom of Saudi Arabia, 2019. Methods: Cross-sectional study with a total number of participants 213 done by using self-administered chart review. Result: A total of 213 Saudi health care patients participated, and most of them were in the age group of 75-85 years. The overall prevalence of readmission was 43.66%, and it was significantly higher among males at 55.81%. Poly-pharmacy and diabetes mellitus were the highest frequent causes of readmission at 75.27% and 65.59%, respectively. A significantly higher percentage of readmitted subjects have urinary tract infection and on NGT at 8.60% and 13.89% vs. 1.67% and 5% on the not readmitted group, respectively. On the other hand, the functional disability severity frequency and hypothyroidism were higher in the not readmitted groups compared to the readmitted one at 46.67%, and 27.5% vs. 32.26 and 12.9%, respectively. There was a significant difference between the two groups in the distance 25Km from central Riyadh. Male gender is associated with more than two folds risk of non-elective readmission of HHC compared to females, with OR =2.30, and a P-value of 0.004. Patients with urinary tract infections were more than five folds (OR= 5.55, P= 0.033) at risk of readmission, and those with surgical interventions have 6.91 folds increased risk of readmission. Besides, patients on NGT and those treated with a multidisciplinary team have OR of 3.09, and 3.41to be readmitted with a significant P-value (
Aljoharah Alshehri, Ghada Alarfaj, Mostafa Kofi
International Journal of Advanced Community Medicine, Volume 3, pp 33-41; https://doi.org/10.33545/comed.2020.v3.i4a.175

Abstract:
Background: Pediatric ocular trauma is common, and can affect their development. Primary care physicians should be knowledgeable about eye trauma, able to recognize eye conditions that can lead to visual loss, thus requiring urgent referral to the ophthalmologist. Therefore, the current study aimed to assess primary care physician's knowledge regarding eye trauma among children in Saudi Arabia.Methods: A cross-sectional survey has been conducted among primary health care physicians in a primary healthcare center in Riyadh, Saudi Arabia. Data was collected using a questionnaire that was developed and validated by the study authors. The questionnaire was then sent to the targeted physicians through WhatsApp and email.Results: A total of 200 family physician participated, 51% of them were females. The mean (±SD) of the overall knowledge score was 15.03(±4.39) out of 22. The highest percentage (44%) of the respondents showed a good knowledge level (scored 50-75% correct answers), followed by 40% have excellent knowledge level (scored >75%), and 14.50% have poor knowledge level (score
Chetana Singode, Ramesh K, Gangadhara Goud T
International Journal of Advanced Community Medicine, Volume 3, pp 116-119; https://doi.org/10.33545/comed.2020.v3.i1b.139

Abstract:
The majority of maternal deaths are preventable: About three quarters of all maternal deaths are caused by postpartum hemorrhage, hypertensive disorders such as pre-eclampsia/eclampsia, infections, unsafe abortion and other delivery-related complications. In theory, all of the major causes of maternal death can be treated with effective and timely clinical interventions. In practice, however, even if a woman manages to access prenatal care and deliver in a health facility with a skilled birth attendant, poor quality of care can be life-threatening. A study to assess the pregnancy outcome was conducted in the rural field practice area, PHC Kudutini of VIMS Ballari, Karnataka, India. This study period was of one and half year, wherein interpersonal interview was conducted with the help of predesigned and pre tested questionnaire. All those pregnant women who registered themselves in the PHC during the first trimester were interviewed during the first visit. It includes various variables like socio demographic, obstetric, various health service utilization. Educational status among the Antenatal Mothers it is found that 22.3% of pregnant mothers and 4.8% of their husbands are illiterate. Total literates among the antenatal mothers and their husbands are 77.5% and 94.9% respectively. Among those who are literate, maximum attended till secondary schooling i.e, 41.9% among antenatal mothers and 41.2% among their husbands followed by primary schooling which was 23.4% and 25.1% among the antenatal mothers and their husbands respectively. Socio economic status of the Antenatal Mothers it was found out that maximum i.e, 40.5% belonged to class III, followed by 34.1% in class II, and then 16.4%, 8.1% and 0.1% belonged to class I, class IV and class V
Norah Abdullah Al-Rowais, Fatema A Mater, Fatema Al Watani, Safa Mohamed, Sumaiya Mohamed, Zainab S Al Watani, Hadeel A Albaqqali, Joud G AL Darsoni
International Journal of Advanced Community Medicine, Volume 3, pp 04-08; https://doi.org/10.33545/comed.2020.v3.i4a.168

Geetanjali V Kendre, Rupesh D Shinde
International Journal of Advanced Community Medicine, Volume 3, pp 01-03; https://doi.org/10.33545/comed.2020.v3.i4a.167

Abstract:
Background: The National Family Health Survey-4 (NFHS-4) data suggests that anemia is widely prevalent among all age groups, and is particularly high among the most Vulnerable – nearly 50 per cent among pregnant woman. Though government has provided free of cost treatment of anemia to all pregnant ladies, due to low adherance and compliance anemia is still prevalent among them. An operational study was done on 24 yr old anemic pregnant lady to study the potentiality of improvement to the adherance and compliance to anemia treatment during pregnancy using mobile social media technology.Methods: We have used in depth interview method and observation by using mobile phone.Results: Before tele-follow up patient’s Hemoglobin level was 8.3 gm/dl which improved after 5th tele-follow up to 10 gm/dl and her adherance score was 3 out of 8 i.e. low level compliance that also had been increased to 6 i.e. medium level complianceConclusions: Tele-follow up method used during pregnancy motivated to improve her compliance, but also empowered her to act on external barriers such as improper prescriptions.
Satya Prakash Dixit, Amit Pratap Singh
International Journal of Advanced Community Medicine, Volume 3, pp 49-51; https://doi.org/10.33545/comed.2020.v3.i3a.164

Abstract:
Background: Incidence and frequency of snake bite vary in different geographic regions, depending on several factors like climate, ecology, biodiversity, distribution of snakes & human density. Hence; the present study was undertaken for assessing the Snake Bite Victims in a Tertiary Care Centre.Materials and Methods: A total of 200 patients were enrolled in the present study. Data of only those patients were included who reported with snake bites. Complete data record files of all these 200 patients was analyzed. Demographic and clinical data was tabulated and assessed. Details of the treatment therapy received along with the final outcome of treatment were also recorded. On the basis of autopsy findings in non-survivors, in which patients died because of necropsy, was regarded as mortality.Results: In 84.5 percent of the patients, the place of bite was field area while in 19.5 percent of the patients, place of bite was house region. In 72.5 percent of the cases, leg region was bitten while in 11.5 percent of the cases, foot region was bitten. In 51 percent of the cases, the admission time from the point of snake bite was 1 to 4 hours. Mortality among snake bite patients was 4.5 percent.Conclusion: A reduction in time of approaching medical emergency facility reduced in past few years due to awareness about snake bite treatment and better transport facility.
Jana S Aldwagiry, Manar A Assiri, Rahaf M Almutairi, Sara M Aljitha, Lamiaa Fiala
International Journal of Advanced Community Medicine, Volume 3, pp 23-29; https://doi.org/10.33545/comed.2020.v3.i3a.159

Abstract:
Background: Smokers destroy their health and the health of people around them through spread the most prevalent indoor environmental exposures which is called secondhand smoking. The objective of this study is the assessment of knowledge, attitude and exposure among students of Princess Nourah Bint Abdulrahman University. Methods: A cross-sectional study started in September 2019 to April 2020 among 553 female students. Multistage technique was used to recruit students from health and non-health colleges. Data designed to assess knowledge, attitude, and exposure among female students using the health belief model.Results: The results showed that students were sometimes exposed to secondhand smoking in public places (66.5%), and the higher exposure in all places was among those who live with their parents (52.94%), as for the level of knowledge and attitude, less than half of the students showed a good level.Conclusion: The study revealed that the prevalence of exposure among university students was slightly low. Moreover, the students’ knowledge and attitude is consider to be in the acceptable level.
Bharani P Jada, Meghana Kankanla, Ravi Kumar J
International Journal of Advanced Community Medicine, Volume 3, pp 10-13; https://doi.org/10.33545/comed.2020.v3.i2a.144

Abstract:
A study on Patients' approach towards the presence of medical student during consultation in outpatient department (OPD) in a medical college
Anju D Ade, Chandrasekhar Vallepalli, K Nagaraj, G Visweswara Rao
International Journal of Advanced Community Medicine, Volume 3, pp 218-222; https://doi.org/10.33545/comed.2020.v3.i1d.137

Noura M Elsherbiny, Sobhy A Sobhy, Lamiaa Fiala, Mostafa Abbas Kofi
International Journal of Advanced Community Medicine, Volume 3, pp 172-176; https://doi.org/10.33545/comed.2020.v3.i1c.133

Manoj Kumar Yadav, Mohit Raghav, Ss Chaudhary
International Journal of Advanced Community Medicine, Volume 3, pp 144-147; https://doi.org/10.33545/comed.2020.v3.i1c.127

Abstract:
The main problem of chemotherapy today is not the need to introduce new regimens or more potent drugs, but to apply the existing ones successfully
Swati Deshpande, Ashwini Sapkal
International Journal of Advanced Community Medicine, Volume 3, pp 140-143; https://doi.org/10.33545/comed.2020.v3.i1b.126

Abstract:
The Global Alliance for Vaccines and Immunisations (GAVI) and World Health Organization (WHO) recommended the use of pentavalent vaccine in developing countries to replace
S Arun Murugan
International Journal of Advanced Community Medicine, Volume 3, pp 112-115; https://doi.org/10.33545/comed.2020.v3.i1b.125

Abstract:
A cross sectional study on factors influencing the quality of primary health care services provided by multi-purpose health workers in Tiruvallur district, Tamil Nadu
Ee Enwereji, Mc Ezeama, Ko Enwereji
International Journal of Advanced Community Medicine, Volume 3, pp 15-21; https://doi.org/10.33545/comed.2020.v3.i1a.109

Abstract:
Sexual violence is now increasingly practiced in many tertiary institutions in both developing and developed countries.
Bharat Meharda, Mahendra Khanna, Govind Singhal, Renu Bedi, Mahesh Keswani
International Journal of Advanced Community Medicine, Volume 3, pp 22-25; https://doi.org/10.33545/comed.2020.v3.i1a.110

Varthi Mahendra K, Domple Vijay K, Chavan Bharat B, Doibale Mohan K, Pandhare Pallavi H
International Journal of Advanced Community Medicine, Volume 2, pp 117-122; https://doi.org/10.33545/comed.2019.v2.i3b.92

Abstract:
Nutrition of the pre-schoolers is of prime importance as they are most vulnerable to under-nutrition.
Athmar Ali Mousa Fridawi, Rafida Nasif Jasim, Maha Ismaeel Khudhuer
International Journal of Advanced Community Medicine, Volume 2, pp 85-89; https://doi.org/10.33545/comed.2019.v2.i3b.85

Shivam Dixit, Abhishek Singh, Nancy Mengi, Lalit Kumar Singh
International Journal of Advanced Community Medicine, Volume 2, pp 17-20; https://doi.org/10.33545/comed.2019.v2.i3a.77

Zornitsa Mihaylova, Evgeniy Aleksiev, Pavel Stanimirov
International Journal of Advanced Community Medicine, Volume 2, pp 01-02; https://doi.org/10.33545/comed.2019.v2.i3a.73

Abstract:
We report a case of a 69-year-old patient with a history of breast carcinoma diagnosed 2 years ago.
Hanan Hassan Mohamed Soliman, Lamiaa Elsayed Fiala, Azza Abdelhamid Gad, Ehab Hasanin, Ayman Ekram Fahim, Amaal A. Tawfik
International Journal of Advanced Community Medicine, Volume 2, pp 28-33; https://doi.org/10.33545/comed.2019.v2.i2a.06

Dharaneesh Prasad S, Narayana Swamy Dm, Nirmala Cj, Jiby V Benny, Madhunisha
International Journal of Advanced Community Medicine, Volume 2, pp 112-120; https://doi.org/10.33545/comed.2019.v2.i2b.16

Abstract:
Standard precautions are meant to reduce the risk of transmission of blood-borne and other pathogens from both recognized and unrecognized sources.
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