Publications
349 results found
Binmoammar T, Hassounah SOA, Rawaf S, et al., 2016, The Impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 Diabetes Mellitus: A Systematic Review., JRSM open, Vol: 7, ISSN: 2054-2704
BACKGROUND: The importance of poor glycaemic control as an indicator ofreduced erectile function in diabetic men is still unclear. Several studieshave demonstrated a significant correlation, however, some studies showonly a borderline or no correlation between the two. In our review, we aimto clearly determine the impact of poor glycaemic control on theprevalence of erectile dysfunction (ED) in men with type 2 diabetesmellitus (DM), as well as the impact of other possible risk factors on theprevalence of ED.METHODS: The databases Embase, Medline, Global health and PsychINFOwere systematically searched for relevant research to identify the studiesthat evaluated the association between poor glycaemic control and theprevalence of ED in men with type 2 DM.RESULTS: Five cross sectional studies involving 3299 patients wereincluded. The findings pointed to a positive association between ED andglycaemic control. Three studies showed a significant positive association,while one study showed only a weak correlation and one study showedborderline significance. Patients’ age, DM duration, peripheral neuropathyand body mass index had positive association with ED. However, smokingand hypertension was not associated with ED in most included studies.Physical activity had a protective effect against ED.CONCLUSION: We may conclude that the risk of ED is higher in type 2diabetic men with poor glycaemic control than those with good control.
Aljuaid MG, Mannan F, Chaudhry Z, et al., 2016, Quality of care in University Hospitals in Saudi Arabia: systematic review, BMJ Open, Vol: 6, ISSN: 2044-6055
Objectives To identify the key issues, problems, barriers and challenges particularly in relation to the quality of care in university hospitals in the Kingdom of Saudi Arabia (KSA), and to provide recommendations for improvement.Methods A systematic search was carried out using five electronic databases, for articles published between January 2004 and January 2015. We included studies conducted in university hospitals in KSA that focused on the quality of healthcare. Three independent reviewers verified that the studies met the inclusion criteria, assessed the quality of the studies and extracted their relevant characteristics. All studies were assessed using the Institute of Medicine indicators of quality of care.Results Of the 1430 references identified in the initial search, eight studies were identified that met the inclusion criteria. The included studies clearly highlight a need to improve the quality of healthcare delivery, specifically in areas of patient safety, clinical effectiveness and patient-centredness, at university hospitals in KSA. Problems with quality of care could be due to failures of leadership, a requirement for better management and a need to establish a culture of safety alongside leadership reform in university hospitals. Lack of instructions given to patients and language communication were key factors impeding optimum delivery of patient-centred care. Decision-makers in KSA university hospitals should consider programmes and assessment tools to reveal problems and issues related to language as a barrier to quality of care.Conclusions This review exemplifies the need for further improvement in the quality of healthcare in university hospitals in KSA. Many of the problems identified in this review could be addressed by establishing an independent body in KSA, which could monitor healthcare services and push for improvements in efficiency and quality of care.
Barnett-Vanes A, Hassounah S, Shawki M, et al., 2016, The impact of conflict on medical education: a cross-sectional survey of students and institutions in Iraq, BMJ Open, Vol: 6, ISSN: 2044-6055
Objective This study surveyed all Iraqi medical schools and a cross-section of Iraqi medical students regarding their institutional and student experiences of medical education amidst ongoing conflict. The objective was to better understand the current resources and challenges facing medical schools, and the impacts of conflict on the training landscape and student experience, to provide evidence for further research and policy development.Setting Deans of all Iraqi medical schools registered in the World Directory of Medical Schools were invited to participate in a survey electronically. Medical students from three Iraqi medical schools were invited to participate in a survey electronically.Outcomes Primary: Student enrolment and graduation statistics; human resources of medical schools; dean perspectives on impact of conflict. Secondary: Medical student perspectives on quality of teaching, welfare and future career intentions.Findings Of 24 medical schools listed in the World Directory of Medical Schools, 15 replied to an initial email sent to confirm their contact details, and 8 medical schools responded to our survey, giving a response rate from contactable medical schools of 53% and overall of 33%. Five (63%) medical schools reported medical student educational attainment being impaired or significantly impaired; 4 (50%) felt the quality of training medical schools could offer had been impaired or significantly impaired due to conflict. A total of 197 medical students responded, 62% of whom felt their safety had been threatened due to violent insecurity. The majority (56%) of medical students intended to leave Iraq after graduating.Conclusions Medical schools are facing challenges in staff recruitment and adequate resource provision; the majority believe quality of training has suffered as a result. Medical students are experiencing added psychological stress and lower quality of teaching; the majority intend to leave Iraq after graduation.
Khoja T, Kamel AA, Rawaf S, 2016, Glossary of Patient Safety and Risk Management, Publisher: Executive Board of Health Ministers Council, ISBN: 9786039066774
Appleyard J, Rawaf S, 2015, Person centred medicine, primary care, and public health, The International Journal of Person Centred Medicine, Vol: 5, Pages: 97-100, ISSN: 2043-7749
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