Mohammad Amin K Mirza
Assistant Professor of Surgery
Consultant general Surgeon & Emergency
Minimally invasive Surgery
Deputy Head of Department of Accident & Emergency
Al-Noor Specialist hospital
State Faculty, Course Director of ATLS
ATOM, ACLS, BLS instructor
Founder of many educational courses for medical staff
(Basic surgery, Triage, Interns program)
Faculty of medicine
UQU
Makkah, KSA
Consultant general Surgeon & Emergency
Minimally invasive Surgery
Deputy Head of Department of Accident & Emergency
Al-Noor Specialist hospital
State Faculty, Course Director of ATLS
ATOM, ACLS, BLS instructor
Founder of many educational courses for medical staff
(Basic surgery, Triage, Interns program)
Faculty of medicine
UQU
Makkah, KSA
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avoidable however proper education is essential as it leads the patient
to be aware of the problem and its prevention which can save the
patient’s feet from amputations.
Objectives: To assess knowledge of diabetic patients regarding foot
care and its determinants.
Subjects and methods: A retrospective study has been carried out to
compare diabetic patients without foot problems to those who had
them. It included all diabetic patients from four major hospitals in
Makkahwith and without Diabetic foot from Makkah city. A studyspecific
questionnaire was designed included general information, level
of education, and added questions at the end to measure the knowledge.
Results: The study included 392 patients. Their age ranged between 13
and 90 years (53.6±13.3 years). Almost two-thirds of the patients were
males (62%). Majority were Saudis (86.1%). Type II diabetes was
reported by 52.1% of the patients. Regular compliance with diabetic
clinic/center was mentioned by 65% of them. Adherence to antidiabetics
was reported by majorities (87%). History of feet wound
lasted 3-4 weeks was reported among 42.9% of diabetic patients.
Where is a history of amputation was reported among 20.9% of them.
The mean knowledge score was 5.6 out of 10 (56%). Good knowledge
regarding foot care was higher among younger patients (≤30 years)
compared to older patients (>50 years (68% versus 41.4%, p<0.001).
Majority of postgraduate patients (87%) compared to 34.7% of illiterate
patients had good knowledge regarding foot care knowledge, p<0.001.
The highest level of good knowledge regarding foot care was reported
among patients with onset of diabetes between 11 and 20 years (70%)
whereas the lowest level was reported among those with onset after 20
years (46.2%), p=0.011. Good foot care knowledge was more reported
among type 1 than type 2 patients (73.3% versus 51.7%, p<0.001).
Regular compliance with diabetic
Conclusion: FNAC is safe & cost-effective diagnostic modality in the investigation of thyroid pathology pre-operatively & plays a useful role in planning the surgical management of thyroid nodules & still not decisive for suspicious / undetermined cases. However results must be interpreted with the clinical picture of patient. The suspicious & indeterminate results prove to be an area of uncertainty often resolved by diagnostic surgical resection & tissue cytology.
Conclusion: FNAC is safe & cost-effective diagnostic modality in the investigation of thyroid pathology pre-operatively and plays a useful role in planning surgical management of thyroid nodule & still not decisive for suspicious / undetermined cases. However, results must be interpreted with the clinical picture of patient. The suspicious & indeterminate results prove to be an area of uncertainty often resolved by diagnostic surgical resection & tissue cytology.
avoidable however proper education is essential as it leads the patient
to be aware of the problem and its prevention which can save the
patient’s feet from amputations.
Objectives: To assess knowledge of diabetic patients regarding foot
care and its determinants.
Subjects and methods: A retrospective study has been carried out to
compare diabetic patients without foot problems to those who had
them. It included all diabetic patients from four major hospitals in
Makkahwith and without Diabetic foot from Makkah city. A studyspecific
questionnaire was designed included general information, level
of education, and added questions at the end to measure the knowledge.
Results: The study included 392 patients. Their age ranged between 13
and 90 years (53.6±13.3 years). Almost two-thirds of the patients were
males (62%). Majority were Saudis (86.1%). Type II diabetes was
reported by 52.1% of the patients. Regular compliance with diabetic
clinic/center was mentioned by 65% of them. Adherence to antidiabetics
was reported by majorities (87%). History of feet wound
lasted 3-4 weeks was reported among 42.9% of diabetic patients.
Where is a history of amputation was reported among 20.9% of them.
The mean knowledge score was 5.6 out of 10 (56%). Good knowledge
regarding foot care was higher among younger patients (≤30 years)
compared to older patients (>50 years (68% versus 41.4%, p<0.001).
Majority of postgraduate patients (87%) compared to 34.7% of illiterate
patients had good knowledge regarding foot care knowledge, p<0.001.
The highest level of good knowledge regarding foot care was reported
among patients with onset of diabetes between 11 and 20 years (70%)
whereas the lowest level was reported among those with onset after 20
years (46.2%), p=0.011. Good foot care knowledge was more reported
among type 1 than type 2 patients (73.3% versus 51.7%, p<0.001).
Regular compliance with diabetic
Conclusion: FNAC is safe & cost-effective diagnostic modality in the investigation of thyroid pathology pre-operatively & plays a useful role in planning the surgical management of thyroid nodules & still not decisive for suspicious / undetermined cases. However results must be interpreted with the clinical picture of patient. The suspicious & indeterminate results prove to be an area of uncertainty often resolved by diagnostic surgical resection & tissue cytology.
Conclusion: FNAC is safe & cost-effective diagnostic modality in the investigation of thyroid pathology pre-operatively and plays a useful role in planning surgical management of thyroid nodule & still not decisive for suspicious / undetermined cases. However, results must be interpreted with the clinical picture of patient. The suspicious & indeterminate results prove to be an area of uncertainty often resolved by diagnostic surgical resection & tissue cytology.