Saudi Cultural Missions Theses & Dissertations
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Item Restricted Improving Heart Failure Management in Saudi Arabia: A Quality and Safety Improvement Project Using Telemedicine(University of Nottingham, 2024) Alansari, Dareen; Stacy, JohnsonHeart failure is a common and complex healthcare problem in Saudi Arabia. Due to the lack of emphasis on primary and secondary prevention, the ageing population, and the increased prevalence of heart failure risk factors, especially among the younger population, the number of people with HF is expected to increase, leading to an increased burden on the national healthcare system in Saudi Arabia. This proposed quality improvement project will utilise telemedicine to monitor the progression of heart failure and heart failure risk factors, facilitate early identification of disease worsening and prompt referral to specialists, as well as educate people about the importance of managing their disease, in an effort to delay the development of heart failure and to improve the quality and safety of existing heart failure care in Saudi Arabia. Well-recognised quality improvement methodology and tools, including the Model for Improvement and Davidge’s Seven Steps to Measurement, supported by statistical process control charts as well as qualitative methods, will be used to guide the improvement process. A high emphasis will be placed on stakeholders involvement through an appropriate leadership style and engagement of stakeholders in the development of the design of this project at the early stages. This proposed quality improvement project provides a sustainable solution that is well-aligned with the vision of Saudi Arabia as well as the Institute of Medicine’s six domains of healthcare quality, taking advantage of a well-established technology infrastructure to tackle a persistent healthcare threat.36 0Item Restricted Prevalence and Risk Factors of Human Papilloma Virus (HPV) Infection in Saudi Arabia: An Extended Literature Review(SWANSEA UNIVERSITY, 2024-09-21) AlKhuraym, Nasser; Pockett, RhysAbstract The Human Papillomavirus (HPV) infection is a considerable public health risk worldwide, including in Saudi Arabia, where around 358 women are diagnosed each year, resulting in 179 fatalities due to HPV-related malignancies. More than 10.7 million women aged 15 and older are susceptible to HPV infection and its related malignancies. The prevalence of HPV among women in Saudi Arabia is estimated at 2.5%, with HPV-related malignancies constituting 72.4% of cases in the region. Sexual practices constitute a significant risk factor for HPV infections. Aim This comprehensive literature analysis seeks to evaluate the prevalence of HPV and its notable risk factors in women aged 12 to 40 years in Saudi Arabia. Methods The review methodology adhered to PRISMA recommendations, emphasising inclusion criteria for papers containing primary and secondary data for individuals at risk for HPV. The review utilised the POE framework for database searches, extracting data from 8 electronic databases, including Educational Research Information Centre (ERIC), Academic Search Complete, PubMed/Medline, Google Scholar, Directory of Open Access Journals (DOAJ), SCOPUS, Science Direct, and Web of Science. The CASP critical appraisal technique was employed to evaluate the risk of bias in the selected studies. Results Eleven papers fulfilled the inclusion criteria, with 90% being cross-sectional and one being a cohort study. The prevalence rates of HPV in Saudi Arabia varied between 5.9% and 31.6%. Principal risk factors encompassed insufficient understanding of HPV vaccination, the knowledge of healthcare providers, and sociodemographic variables. Identified effective strategies included educational programs, regular HPV screening, and focused public health initiatives. Conclusion The review finds that HPV is a complex concern with diverse risk factors shaped by regional and sociodemographic variables. Additional investigation is required to examine the influence of sexual behaviours and sociodemographic factors on HPV transmission. This will facilitate the formulation and execution of public health policies to enhance HPV prevention and health outcomes in Saudi Arabia.14 0Item Restricted Sleep Quality in Women with Breast Cancer: A Longitudinal Analysis of Predictors for One-Year Post-Diagnosis(University at Buffalo, 2024-06-01) Alanazi, Nouf; Lorenz, RebeccaBreast cancer (BC) remains a significant public health concern worldwide, posing considerable challenges to individuals' health and well-being. Among the myriad of issues faced by breast cancer survivors (BCS), sleep disturbances emerge as a prevalent and often debilitating problem. Understanding the complex interplay of factors influencing sleep quality in BCS is crucial for developing targeted interventions to mitigate these disturbances and improve overall quality of life. The purpose of this dissertation is to generate comprehensive knowledge regarding sleep quality in women with BC, while also characterizing associated factors contributing to these disturbances. By delving into the multifaceted nature of sleep disturbances in BCS, this research aims to expand upon the existing body of knowledge surrounding the causes of sleep disruptions in this population. This dissertation follows the three-manuscript style dissertation that provides knowledge regarding sleep disturbances, while also characterizing associated factors in women with breast cancer from pre-diagnosis to 1- year post diagnosis. The first manuscript used existing data from the prospective Women’s Health after Breast Cancer Study (N=606) to examine sleep quality, quantity, and self-reported causes of sleep disturbance among female breast cancer patients at the time of diagnosis and one year after treatment. The second manuscript is an integrative review of current literature to describe the risk factors of poor sleep quality among BCS based on Spielman's three-factor model of insomnia (3 P's model). This theoretical basis for the review examines cancer-related factors that predispose, precipitate, and perpetuate insomnia. The third manuscript utilizes a secondary data analysis approach to assess the association between different types of breast cancer treatments, breast cancer symptoms, cancer characteristics and sleep quality using longitudinal data from the Women’s Health after Breast Cancer Study (N=715). Findings add to the existing body of knowledge on the causes of sleep disturbances in BCSs by exploring the influence of factors that affect sleep quality. Results provide a better understanding of the myriad of contributing factors that increase the potential for short- or long-term sleep disruptions among BCSs and the resulting outcomes on individuals' health and health-related QoL. Further, the results contribute to the existing literature on salient factors and conditions that aggravate sleeping problems in BCSs at diagnosis prior to treatment and at one-year post-diagnosis. Specifically, results from this study have significantly advanced our understanding of the predisposing and precipitating factors associated with sleep disturbances among BCS.19 0Item Restricted ROTATOR CUFF INJURY RISK FACTORS IN OVERHEAD ATHLETES: A SYSTEMATIC REVIEW(Saudi Digital Library, 2023-12-17) Alshurayti, Rawan; Fong, DanielOverhead sport has high physical demand specially on the shoulder, rotator cuff injuries are one of the most common injuries in overhead sports. Although Though risk factors for shoulder injuries have been described, there’s still a need for investigating the risk factors for specific shoulder injuries in overhead athletes. The purpose of this is study is to systematically review studies investigating risk factors contributing to rotator cuff injury in overhead athletes. This systematic review followed PRISMA guidelines. Electronic databases PubMed, Scopus and SPORTSiscus were searched for relevant studies. Titles, abstracts, and full texts has been screened by the primary investigator. Five studies out of 1365 were used. The outcome measures were: shoulder external and internal rotation ROM assessment, Isokinetic assessment for shoulder IR and ER strength assessment and preseason questioner was used for following-up with the athletes. Narrative synthesis was used as Meta-analysis was not appropriate for the data. Muscular weakness in the shoulder external and internal rotators specifically external rotators, the low strength ratio between IR and ER. Limited shoulder ER and IR range of motion specially increased external rotation ROM. Previous shoulder injury. These are risk factors that have been associated with increased risk of rotator cuff injury in overhead athletes. By identifying some of the risk factors for rotator cuff injury in overhead athletes in this study, it should help in developing more effective injury prevention interventions.23 0