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   Table of Contents - Current issue
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October-December 2017
Volume 5 | Issue 4
Page Nos. 181-227

Online since Thursday, October 26, 2017

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ORIGINAL ARTICLES  

The practice and attitude towards plagiarism among postgraduate trainees in Saudi Arabia p. 181
Abdullah E Kattan, Feras Alshomer, Abdullaziz K Alhujayri, Faisal Alfaqeeh, Yasser Alaska, Khwlaa Alshakrah
DOI:10.4103/jhs.JHS_64_17  
Introduction: Plagiarism is 'The wrongful appropriation or purloining and publication as one's own, of the ideas, or the expression of the ideas'. It is the most commonly committed research misconduct with the prevalence of 2%. Its effect can be devastating and damaging to science, indicating the need to recognise and curb such an act. Methodology: A cross-sectional survey was distributed to in-training residents from all specialities in one academic hospital using the attitude towards plagiarism questionnaire. Results: A total of 221 physicians in-training participated in this study. 52.2% were males and 47.5% were females. About half of the respondents (48.9%) had attended a medical writing course, 45.2% published manuscripts and 67% had attended courses in medical research ethics. Respondents had a mean positive attitude towards plagiarism score of 29.56 ± 6.81, indicating an inclination towards plagiarism. Moreover, the mean negative attitude towards plagiarism score was 26.26 ± 3.78, indicating the tendency towards diminished tolerance of plagiarism. Furthermore, subjective norms score showed a mean value of 24.84 ± 5.47, representing an inclination towards personal approval of plagiarism practice in society. No strong correlation was found between attending research ethics course and plagiarism. However, we found that having a previous publication or attending medical writing courses was significantly associated with positive leaning towards plagiarism. Conclusions: Despite having had courses in medical writing, research ethics and/or published a scientific manuscript before; we still found a positive lean towards plagiarism. This emphasises the importance of tackling such behaviour by increasing the level of awareness among trainees to avoid such misconduct.
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A cross-sectional survey on nursing students' attitude towards research p. 185
Samia Saud Al Furaikh, Badriyah Erbaie Al Omairi, Thilagavathy Ganapathy
DOI:10.4103/jhs.JHS_36_17  
Background: Nursing research promotes optimum care for patients through evidence-based nursing practice. Students' attitude towards research motivates them to engage in research, develop research skills and apply research findings in clinical settings to promote positive patient outcome. Aim: The aim of this study is to analyse the attitudes of undergraduate nursing students towards research component in order to discover implications for the best practices in teaching/learning process. Materials and Methods: A descriptive, cross-sectional investigation was carried out with purposively selected n = 186, level 5–8 students at the College of Nursing-A, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa from 2016 to 2107. With informed, voluntary consent, data on students' attitudes towards research were collected using a self-administered questionnaire. The questionnaire consisted of 32 items on a Likert scale of strongly agree (4) to strongly disagree (1) with the scores ranging from 32 to 128. Analyses were performed using SPSS version 20. Results: The overall attitude towards research was positive with a mean score (68.4 ± 6.580). Most of the students (78%) regarded that research is useful for the nursing profession. Positive attitude towards research was demonstrated by 68% of the nursing students, 61% reported that research plays an important role in professional and personal life, whereas the highest proportion of students (71%) perceived research as a difficult, complicated, stressful subject and 64% reported statistical difficulty. Conclusion: Although many of the students have a favourable attitude towards the research process and acknowledge its usefulness and benefit to the nursing profession, many of them perceived their research course as stressful. Most of them reported having negative feelings and anxiety towards the research process. Incorporating research course(s) into the curriculum at the pre-university level and having a statistical expert from the research centre teach learning strategies, would yield more positive experiences for students.
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Physicians' perceptions of breaking bad news to cancer patients and family p. 192
Sami Ayed Alshammary, Abdullah Bany Hamdan, Lobna M A. Saleem, Savithiri Ratnapalan, Balaji Duraisamy
DOI:10.4103/jhs.JHS_57_17  
Background: Breaking bad news to patients with a cancer diagnosis is not an easy task for physicians. The diagnosis must be explicitly stated and understood, and the prognosis must be well-discussed in the most gentle and comfortable manner. It is important that the disclosure is performed in a way that patients will not lose all hope and get very depressed and undergo an abrupt change in their outlook on life. Objective: The aim of this study was to explore physicians' perceptions and perspectives of breaking the bad news to cancer patients before and after attending training workshops. Methods and Settings: A quasi-experimental design was performed among physicians working in a comprehensive cancer centre. It compared the performance of the respondents in breaking bad news before and after attending a communication skill workshop. It was conducted from March to April 2017. Results: Pre-intervention survey result showed 68% responded to the survey. Eighty-four percent were comfortable with breaking bad news, and 70% had training in breaking bad news. Eighty-six percent of the responders (86.3%) stated that patients should be told about their cancer. Almost 30% of the respondents stated that they would still disclose the diagnosis to patients even if it would be against the preference of the relatives. Nearly 61% said that they would only tell the details to the patients if asked. Nearly 67% of them disagreed that patients should be told about the diagnoses only if the relatives consent. About 51% of physicians wanted to discuss the bad news with the family and patient together, whereas 24% stated that the patient alone should be involved in the discussion. Conclusion: Physicians face a dilemma when families do not wish the patient to know about the cancer diagnosis, and this highlights the necessity of taking into consideration the social circumstances in healthcare. When taking these into consideration, curriculum in the medical school must, therefore, be updated and must integrate the acquisition of skills in breaking bad news early in training.
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Publication output of Riyadh government hospitals: A bibliometric analysis 2006–2016 p. 199
Ali Howaidi, Jude Howaidi, Nora Howaidi
DOI:10.4103/jhs.JHS_77_17  
Objective: The objective of this study was to perform and showcase a bibliometric analysis that demonstrates a quantitative research publication output in government hospitals in Riyadh, Saudi Arabia between 2006 and 2016. Methods: Scopus database was used for this bibliometric analysis in order to gather information relative to research publication output and types of publications. Data analysis was conducted using Microsoft Excel. Results: A total of 8420 publications were retrieved between 2006 and 2016. King Faisal Specialist Hospital and Research Centre contributed 3710 (44.06%) of the total publications followed by King Khalid University Hospital with 1293 (15.35%), while King Saud Medical City had 56 (0.66%) publications and King Salman Hospital had only 17 (0.20%). Articles were the most utilised form of publication adding up to 6631 (78%), followed by 779 (9.25%) reviews and 410 (4.86%) letters. The least used forms of publication were short surveys with 19 (0.22%) publications and books at 5 (0.05%). Conclusion: Saudi Arabia is growing and improving in terms of research publication output from government hospitals in Riyadh.
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Incidence and predictors of adverse events and outcomes for adult critically ill patients transferred by paramedics to a tertiary care medical facility p. 206
Abdullah Alabdali, Chetan Trivedy, Nawfal Aljerian, Peter K Kimani, Richard Lilford
DOI:10.4103/jhs.JHS_19_17  
Objective: The aim of this study was to determine the incidence of adverse events and patients' outcomes in inter-facility critical care transfers by paramedics. Methods: We conducted a retrospective cohort study of adults undergoing inter-facility transfer to a tertiary medical facility by paramedics. We included all patients transferred between 1st June, 2011 and 31st December, 2014. The primary outcome is in-transit adverse event and the secondary outcome is in-hospital mortality. Multiple logistic regression models were fitted to assess predictor variables for adverse events and in-hospital mortality. Results: The incidence of adverse events was 13.7% (31/227 patients had in-transit adverse event); the most common adverse events reported were desaturation and hypotension. A unit increase in risk score for transported patients (RSTP) significantly increased the occurrence of adverse events (adjusted odds ratio [OR]: 1.36, 95% confidence interval [CI]: 1.07–1.72 and adjusted P = 0.01). Compared to medical patients, cardiac patients were less likely to develop adverse events (adjusted OR: 0.117, 95% CI: 0.02–0.52 and adjusted P < 0.01). The in-hospital mortality was 30.4% and 30-day survival was 68.1%. For two patients whose age differed by 1 year, the older patient was more likely to die (adjusted OR: 1.03, 95% CI: 1.01–1.05 and P < 0.01) and a unit increase in RSTP significantly increased occurrence of in-hospital mortality (adjusted OR: 1.30, 95% CI: 1.0–1.60 and P = 0.01). Conclusion: The incidence of adverse events was 13.7%. The most common observed adverse events were desaturation and hypotension. In-hospital mortality was 30.4% and 30-day survival was 68.1%.
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Factors influencing the choice of ophthalmology as a career among medical students of king saud bin abdulaziz university Riyadh, Saudi Arabia p. 212
Sarah Abdullah AlSalman, Ghadah Mohammed S. AlQahtani, Bader Mohammed AlAsmari, Salwa R Alrashed Alhumaid, Emad Masuadi
DOI:10.4103/jhs.JHS_61_17  
Context: Choosing a future speciality for medical students can be frightening as well as confusing. Identifying factors that influence medical students' future career choice is critical and can play an important role in shaping the future workforce. Aims: The study aims to determine factors associated with medical students' preference of Ophthalmology as a future career choice at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS). Settings and Design: A cross-sectional study was carried out among Saudi students of both genders who were enrolled in KSAU-HS (clinical phase) during the study. Subjects and Methods: A validated questionnaire was sent through E-mail to 302 eligible students, of which 275 participated, with a response rate of (91%). Statistical Analysis Used: Descriptive analysis was carried out for all categorical variables. In addition, data were compared using Chi-square test; all tests were two-sided and P < 0.05 was considered statistically significant. Results: A total of 28 students (10.2%) considered Ophthalmology as their first choice, while it was the second choice for four students (1.5%). Among all the participants, factors that attracted medical students to consider Ophthalmology as a career choice included the high income (54%), private sector opportunities (40%), part-time opportunities (40%) and leisure (34%). Whereas, the difficulty of getting into the Ophthalmology Residency Programme (53%) was the most important factor that pushed students away from choosing Ophthalmology. Conclusions: Multiple factors influenced the KSAU-HS medical students' choice of when choosing a future speciality. Knowing these factors can help in directing work-force to choose specialities that are currently limited in Saudi Arabia.
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Knowledge, attitude and practice of breast self-examination among females in medical and non-medical colleges in Qassim University p. 219
Safiya K Ibnawadh, Mashael A Alawad, Shorouq S Alharbi, Nada A Alduawihi, Feda S Alkowiter, Anfal E Alsalhy, Ameerah A Alzahrani, Lamia A Alenizy
DOI:10.4103/jhs.JHS_137_16  
Aims: The objective of this study was to investigate any difference between females in medical and non-medical colleges for (1) knowledge and attitude of breast self-examination (BSE) and (2) practice of BSE. Subjects and Methods: A cross-sectional study was conducted in Qassim University during 2014-2015. Cluster random sample method was used. The sample size consisted of 365 females. A confidential and self-administered questionnaire was used to collect data. Results: Age range of the study participants was from 18 to 55 years, with a mean of 20.3 years. Moreover, 11% of the subjects had positive family history of breast cancer. Regarding their knowledge levels about BSE, 95.8% of medical students had heard of BSE in comparison to 93.3% of non-medical students. Social media was the most commonly reported source of BSE information (50.14%). We found that 49.7% of medical students had carried out BSE previously in comparison to 35.71% of the non-medical students. Conclusions: Both medical and non-medical students showed lack of knowledge in BSE and even though their attitude towards it was positive, medical students had a better attitude towards it. Moreover, regarding the practice, the percentage of medical students who perform BSE was higher than that of non-medical students.
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CASE REPORT Top

Schistosomal appendicitis presenting as acute peritonitis: A case report and literature review p. 225
Mohammed Yousef Aldossary, Fatimah Almabyouq, Miral Mashhour, Khairi Hassan
DOI:10.4103/jhs.JHS_35_17  
Schistosomiasis is the third most devastating tropical disease in the world. According to a literature review, there have been a few reports of peritonitis due to schistosomiasis. Here, we report a rare case of schistosomal appendicitis presenting as acute peritonitis.
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