The State of Cardiac Rehabilitation in Saudi Arabia: Barriers, Facilitators, and Policy Implications.

Cardiovascular disease (CVD) is a critical public health issue in Saudi Arabia, where it is the leading cause of death. The economic burden of CVD in the country is expected to triple by 2035, reaching $9.8 billion. This paper provides an overview of CVD in Saudi Arabia and its risk factors, impact on healthcare, and effects on patients' quality of life. The review emphasizes the potential of cardiac rehabilitation (CR) programs in addressing the CVD epidemic. CR programs have been shown to reduce morbidity, mortality, and hospital readmissions while improving patients' cardiovascular health and overall well-being. However, these programs are underutilized and inaccessible in Saudi Arabia. The paper highlights the urgent need for CR programs in the country and suggests key strategies for implementation. These include increasing patient referrals, tailoring programs to individual needs, enhancing patient education, and making CR accessible through home-based options. Fostering multidisciplinary collaboration and developing tailored guidelines for Arab countries can further enhance the impact of CR programs. In conclusion, this review underscores the vital importance of comprehensive CR programs in Saudi Arabia to combat the rising CVD burden, improve patient quality of life, and align with the goals of the Saudi 2030 Vision for a healthier society.

A first-principles investigation of the linear thermal expansion coefficients of BeF2: giant thermal expansion.

We present the results of a theoretical investigation of the linear thermal expansion coefficients (TECs) of BeF2, within a direct Grüneisen formalism where symmetry-preserving deformations are employed. The required physical quantities such as the optimized crystal structures, elastic constants, mode Grüneisen parameters, and phonon density of states are calculated from first-principles. BeF2 shows an extensive polymorphism at low pressures, and the lowest energy phases [α-cristobalite with space group (SG) P41212 and its similar phase with SG P43212] are considered in addition to the experimentally observed α-quartz phase. For benchmarking purposes, similar calculations are performed for the rutile phase of ZnF2, where the volumetric TEC (α v), derived from the calculated linear TECs along the a (α a ) and c (α c ) directions, is in very good agreement with experimental data and previous theoretical results. For the considered phases of BeF2, we do not find any negative thermal expansion (NTE). However we observe diverse thermal properties for the distinct phases. The linear TECs are very large, especially α c of the α-cristobalite phase and its similar phase, leading to giant α v (∼175 × 10-6 K-1 at 300 K). The giant α v arises from large Grüneisen parameters of low-frequency phonon modes, and the C 13 elastic constant that is negatively signed and large in magnitude for the α-cristobalite phase. The elastic constants, high-frequency dielectric constants, Born effective charge tensors, and thermal properties of the above phases of BeF2 are reported for the first time and hence serve as predictions.

Prevalence of Caries among School Children in Saudi Arabia: A Meta-Analysis.

Introduction: Children's dental health has become the primary concern, because of the increase in the prevalence of caries amongst school children in Saudi Arabia. Therefore, a meta-analysis was conducted to assess the prevalence and severity of dental caries among school children in Saudi Arabia. Method: A systematic search of Scopus, ISI Web of Science, EMBASE, Saudi digital library, Google Scholar, and MEDLINE via Ovid for cross-sectional studies with healthy participants between 5and -15 years. Two authors independently extracted the prevalence of caries. With 95% confidence intervals (CIs) using a random-effects model, we calculated caries prevalence. Results: Dental caries prevalence data were extracted from 18 cross-sectional studies (n = 56,327 children). The pooled estimate for the caries prevalence among 5-7 years' children was 84% (95% CI: 0.81-0.87%; I2 = 91%) while among 12-15 years' children was 72% (95% CI: 0.63-0.79; I 2 = 96.2%). Discussion. In this systematic review, the summary estimate of the prevalence of dental caries among children of 5-7 years and 12-15 years were 84% and 72%, respectively. Further research is required to identify approaches for preventing and treating dental caries in schoolchildren.

Health education resources availability for diabetes and hypertension at primary care settings, aseer region, saudi arabia.

OBJECTIVE: The aim of this study was to evaluate the availability of health materials and means on diabetes and hypertension at PHCCs in Aseer region, Saudi Arabia. MATERIALS AND METHODS: This study was carried out in PHCCs in Aseer region. A questionnaire was distributed to all PHCCs in the region. The questionnaire elicited information on the total population served, the number of diabetic and hypertensive patients, and the availability of health materials for diabetes and hypertension. Data were entered and analyzed by using SPSS. RESULTS: A total of 242 PHCCs out of 245 responded to this questionnaire. There were 20 health educators (8%).Availability of health education materials ranged between 10 to 50%. Health education programs for Diabetes and hypertension were available in more than 90% of PHCCs. CONCLUSION: This study revealed that most of PHCCs in Aseer region lacked essential health education materials and means for diabetes and hypertension and, therefore were in urgent need of these materials from the Health Education Department, private health sectors and drug companies.

Resource availability for care of hypertensives at primary health settings in Southwestern Saudi Arabia.

OBJECTIVE: To assess the availability of resources required for hypertension care at primary health care centers in Aseer region, Southwestern Saudi Arabia. METHODS: This study was carried out at primary health care settings in Aseer region, Kingdom of Saudi Arabia (KSA), during during September 2001 by distributing a questionnaire to all the technical directors of primary health care centers (PHCCs) in Aseer region, KSA. The questionnaire composed of 4 main parts that dealt with profile of these PHCCs and the degree of availability of the essential resources for care of hypertension. Data of the questionnaire was entered and analyzed by using statistical package for social sciences. RESULTS: Ninety-nine percent of PHCCs responded to the questionnaire. The total served population was more than 970,000. The total registered hypertensive patient was 13087 patients. Seventy-five percent of PHCCs have chronic diseases mini-clinics, 90% have appointment system and management protocol for hypertension. Availability of health education materials, diagnostic tools and antihypertensive drugs ranged from 10-81.4%. CONCLUSION: This study found that many essential resources for hypertension care were not adequately available. Urgent provision of these items is considered a priority in order to introduce good health care for hypertensive patients in Aseer region, KSA.

Attitudes to premarital counseling among students of Abha Health Sciences College.

OBJECTIVE: The aim of this study is to explore the attitudes of the students of Health Sciences College in Abha, Kingdom of Saudi Arabia (KSA) towards premarital counseling. METHODS: This study was conducted among the students of Health Sciences Colleges in Abha, KSA, during the 2nd semester of the academic year of 1999-2000. A self-administered questionnaire was distributed to all available students who answered it under the direct supervision of the Heads of Departments. The questionnaire consisted of 3 main parts; the first part was regarding socio-demographic and scientific characteristics, the 2nd part concerned with attitudes towards premarital counseling while the 3rd part explored the preferred items to be included in premarital counseling. Data of the questionnaire were entered and analyzed by statistical package for social sciences. Association between categorical variables were tested by Chi-square test and considered significant if (P-value less than 0.05). RESULTS: One hundred and eighty-six students responded, giving a response rate of 70%. Seventy percent of students showed acceptance of premarital counseling while 13% rejected it. Legalization of premarital counseling was agreed on by 19% compared to 41% who refused it. Family history and blood tests for hemoglobinopathies were the most common 2 items preferred to be included in premarital counseling by the respondents. CONCLUSION: This study showed that most of the students at Health Sciences College in Abha, KSA have good attitudes towards premarital counseling in spite of a few students who justify their refusal by the misunderstanding of Islamic rules. This misunderstanding needs intensification of health education in which religious leaders are involved to clarify and correct this misconception.

Difficulties faced when conducting primary health care programs in rural areas.

OBJECTIVE: The aim of this study is to explore the difficulties that face primary health care teams who work in rural areas in Aseer region, Kingdom of Saudi Arabia. METHODS: This study was carried out in 1999 by distributing a multi-purposes questionnaire to all members of health teams who work in the primary health care centers located in the rural areas of Aseer region, Kingdom of Saudi Arabia. This questionnaire consisted of 3 parts that were concerned with the characteristics of primary health care centers teams and difficulties faced by them while conducting primary health care programs during their daily activities at primary health care centers. Data was entered and analyzed by personal computer which was provided with statistical package for social sciences. RESULTS: A total of 68 primary health care centers were located in the rural areas of Aseer region, Kingdom of Saudi Arabia. Those primary health care centers serve 127,880 individuals who live in 657 villages. Three hundred and four members of the primary health care centers teams answered our questionnaire, 23% were physicians, 45% were nurses and 17% were Saudis. Thirty percent reported that they face some difficulties during conducting primary health care programs and 24% reported difficulties during dealing with clients. Most of the difficulties were the lack of medical facilities, rough roads and languages barriers. CONCLUSION: This study revealed that approximately one 3rd of primary health care teams who work in the rural areas of Aseer region, Kingdom of Saudi Arabia face significant difficulties that will affect the introducing of essential primary health care programs. A multi-sectoral integrated approach is mandatory to overcome these difficulties and introduce good quality care.

Availability of resources of diabetic care in primary health care settings in Aseer region, Saudi Arabia.

OBJECTIVE: The objective of this study is to evaluate the availability of resources of diabetes care in primary health care settings in Aseer region, Southwest, Kingdom of Saudi Arabia. METHODS: This study was conducted during September 2001 by distributing a questionnaire to all technical directors of primary health care centers (PHCCs) in Aseer region. The questionnaire, designed by the authors, contained 6 sections that dealt with the necessary structures of diabetic care in the region in addition to the data base of PHCC such as served population, distance from the hospital, and total working physicians and nurses at the PHCC. The data from the questionnaire was entered and analyzed using Statistical Package for Social Sciences. RESULTS: Two hundred and forty-two PHCC technical directors responded to the questionnaire. Total served population by PHCC was 970,306 individuals. Total working physicians were 391 and nurses were 902. Diabetics represented 2.7% of the total served population. More than 90% of PHCCs have diabetic files, registers, appointment system and protocol for diagnosis and treatment of diabetes. Oral hypoglycemic agents were always available at 55% of PHCCs while metformin was not available at 52% of PHCCs. Diabetic identification cards were available in 80.4% of PHCCs while the health education means were less available, except for health education programs was available at 97.5% of PHCCs. At least, 40% of PHCCs were provided financially or by different means of health education through community health committees. CONCLUSION: This study revealed that resource items for diabetic care are inadequate in particular drugs and laboratory facilities. Establishment of a diabetes committee in Aseer region is a priority in order to manage such shortages and to plan, supervise and coordinate the diabetic care in the region.