Objective:To estimate the incident rate of the hypoglycemic patients transported by EMS and to evaluate EMS primary impression for these patients.
Methods and Design: Retrospective, observational study was based on data for 150,563 SAUDI RED CRESENT AUTHORITY Transported Patients during 2017. Subjects were defined as having Hypoglycemia if EMS personnel recorded a primary impression of hypoglycemia or low blood glucose (<60 mg/dL Or "unspecified low"). The outcome of interest was patient transport or non-transport to an emergency department or other care settings.
Results:Among 150,563 eligible encounters, 1984(1.29%) were diagnosed with hypoglycemia, of which 536 (27%) were not transported. Non-transported was more likely among male adult patients age (40-59), initial blood glucose <60 mg/dl or EMS arrival time midnight â€“ 6 A.M.
Conclusion: A low rate of the non-transported patient to ED, Imperfect agreement between a primary impression of hypoglycemia and documented low blood glucose.
Background:Good performance is very important to the patient because if the workers are happy and satisfied with their work they will be highly motivated to perform the best of their ability to provide the healthcare.
Objective: To Identify the most factor s affecting the emergency medical service providers in Makkah region during 2018.
Methods: 100 emergency medical service providers (EMS) were randomly selected from Saudi Red Crescent Authority and hospitals in Makkah, who filled questionnaires about the factors affecting their performance that was analyzed by using manual analysis.
Results: The most factor affecting EMS providers in Makkah is stress which was 46%, then the salary which was 44%, then motivation which was 41%, then job satisfaction which was 39%, then the communication which was 38%, then the time of work which was 37%, and the lowest factor affecting EMS provider is physical security which was 35%.
Conclusion:The findings from this research conclude that stress, motivation, communication, time of work, salary, job satisfaction, and physical security can affecting the performance of EMS providers in Makkah, and the most factor can affect EMS providers is stress.
This study aimed to investigate parturient women's self- reported measures compared with nurses compliance with supportive measures during labour. Setting: This study was conducted at labour and delivery units in the Mansoura University Hospitals, Egypt. Design: A comparative descriptive study. Subjects: Two sampling were used (18 nurses) that had direct worked with parturient women in labor and delivery unit, sample type was convenient sample and a ninety parturient woman who had given birth in Mansoura university hospital, sample type was purposive sample. Tools: For parturient women, an interviewing questionnaire schedule, labor supportive measures questionnaire, and woman's satisfaction questionnaire, for nurses, observational checklist of labor support measures and barriers questionnaire sheet. Results: The study findings showed that based on the parturient women's self report,the most supportive measures received were physical followed by emotional supportive measures during second, third and fourth stage of labour (64.6 Â± 25.21, 60.3 Â± 25.67, respectively) and received less emotional and physical support during first stage (38.1 Â± 27.92, 32.5 Â± 14.16, respectively). The overall total score of labor supportive measures were (46.4 Â± 11.16) based on a self report by parturient women. Also, the majorty of nurses did not comply with providing labor supportive measures and the overall total score of labor supportive measures were low (31.1 Â± 10.30). Else, there was a highly a statistically significant relation between women's self-reported supportive measures and nurses compliance with supportive measures in all domains (P<0.001) except physical supportive measures during first stage of labor (P = 0.247). Too much emergency situation and administrative work were the main barrier that prevents nurses to comply with providing supportive measures. Most of parturient women were unsatisfied with the perceived supportive measures. Conclusion: The results of the study concluded that there was a highly statistically significant relationship between parturient women's self- reported measures and nurses, compliance with supportive measures in all domains except physical supportive measures during first stage of labor. Recommendation: Designed and implemented program for enhancing nurses, compliance with supportive measures during labour by woman health and midwifery nursing department staff.
Background: Social competence is essential for social, cognitive, and emotional development and for encompasses skills and behaviors of a child that lead to positive social outcomes. Although overweight or underweight may lead to lower social competence, it is also possible that low social competence increases the chances of becoming overweight or underweight.The current study aimed to examine the relationship between pupilsâ€™ body mass index and social competence in primary schools at Assiut City. This study was conducted in 25% of the primary schools (13 schools) at Assiut City. A descriptive cross-sectional study and multistage, stratifiedsampling were used. In the first stage, schools were selected randomly from a sampling frame that included all Assiut City governmental primary schools ordered according to the region, seven schools were chosen from the west region and six schools from the east region of the city. Also,one class from each of the 5th and 6th grades in the selected schools was randomly chosen.The total sample of this study was 1119 pupils. Two tools were used:The first toolincludes socioeconomic data, measuring weight and height for calculating body mass index. The second tool includesthe social competence questioners. The mean results show that 31.4% of the studied pupils had overweightand 41.6% of them had low social competence. Also, there is a significant difference between body mass index and total mean score of social competence with P=0.018. Also, shows significantdifference between socio economiccharacteristics and social competence at age, academic years, mother and father education and father occupation. The present study concluded thatlow social competence in elementary schools is associated with increased risk of overweight or underweight and shows a strong positive correlation between social competence and body mass index. The study recommendedthat providing social training skills programs for pupils to increase social competenceand an educational program for public to improve social competence among underweight, normal weight, overweight and obese pupils.