The use of radiation imaging techniques in operation theaters is essential for numerous surgical procedures and patients’ overall well-being. Radiation imaging techniques enable the surgeon to have a real-time visualization of the anatomy and to perform operations with a greater chance of success, decrease rates of patient morbidity, and enable surgeons to obtain imaging records before the patient leaves the theater room. However, with the increased use of imaging techniques in orthopedic surgical operations, orthopedic surgeons are being exposed to higher levels of radiation, and hence they can be classified as a high-risk group for occupational radiation exposure. This study aimed to assess orthopedic surgeons' awareness and knowledge regarding radiation exposure safety. A questionnaire-based descriptive cross-sectional study was conducted from January to March 2022 to assess the knowledge regarding ionizing radiation exposure safety among orthopedic surgeons, including consultants, specialists, and residents, at both private and governmental hospitals in Al-Madinah city, Saudi Arabia. Ethical approval was obtained from the Ministry of Health (MOH) of Al-Madinah (approval number: H-03-l.l-084). The applied statistical tests were frequency and MCT tests for univariate variables while Chi-square was applied for bivariate variables. With a 95% confidence interval (CI), a p-value of more than 0.05 was used as the cut-off value for the significance level. A total of 57 surgeons participated in the study, of which 57.9% were exposed to radiation two to three times per week. Additionally, more than half of the physicians (66.7%) were not trained to use fluoroscopy (C-arm machine). Of note, 78.9% of orthopedic surgeons reported that they used the protective apron as protective equipment, while 17.5% of them used both a protective apron and thyroid shield. However, only less than half of the orthopedic surgeons (43.9%) in our study practiced radiation safety in the operating room. Our study revealed a lack of knowledge and awareness related to ionizing radiation exposure safety among orthopedic surgeons in Al-Madinah city, Saudi Arabia.

Successful medical care depends on the trust developed between a physician and his patient. Professionally dressed doctors are likely to achieve a higher level of trust from their patients than those with a non-professional appearance. For many years, the physician’s famous white coat has been the standard professional wear around the world. Few studies in Saudi Arabia have been conducted to analyze what kind of physician outfits patients prefer and whether the choice of attire affects the patient’s level of trust. These studies were either done in a single health institute, or in few primary healthcare clinics in one city. This study aims to analyze whether the type of clothing worn by a physician improves the level of trust between a patient and a doctor. Participants were asked about different styles of clothing, including Western business attire, traditional Saudi outfits, and surgical scrubs, and whether wearing the white coat was preferred. Moreover, we sought to establish if differences in age, gender, nationality, or educational background affected the responses. This cross-sectional study was carried out in August and September 2018. Participants living in Saudi Arabia anonymously filled out an electronic questionnaire, distributed by social media, which measured the effect of male physicians’ outfits on the general population's perception in Saudi Arabia. Participants were shown photographs of possible dress styles for physicians. Data were collected on the participants’ demographics, their most and least preferred doctor’s outfits, and the effect of the physician’s attire on their level of trust. A total of 8231 participants were included in the survey: 53% males, 87.9% with university-level education or higher, and 93.5% of Saudi nationality; 76.1% of the participants responded “yes” saying that the outfit would have an effect on how a patient might receive medical advice and follow the doctor’s recommendations. The most preferred outfits chosen by the participants were surgical scrubs with a white coat (39.3%), followed by a Western shirt and tie with a white coat (30.3%). The least preferred outfit was the full (traditional) Saudi outfit with a white coat (25.4%), followed by a Western business suit without a white coat (23.2%). The choices of most and least preferred attire were found to be impacted by different demographic factors, such as age, gender, and nationality, but not the educational background. Physicians practicing in Saudi Arabia should note that their attire will earn the patient’s trust and encourage compliance with advice or treatment. The most preferred outfits were surgical scrubs with a white coat and a Western shirt and tie worn with a white coat, whereas the least preferred ones were the traditional Saudi thobe, with and without shemagh or ghutra, and the Western business suit without a white coat.

Introduction: Paracetamol is an effective antipyretic and analgesic medication also known as acetaminophen and it is over-the-counter medication although it is widely prescribed to treat mild to moderate pain and fever but at same time it could have minor side effects like lowering blood pressure or increasing heart rate or allergic reaction (rash and swelling). Previous studies confirmed that there is a lack of information among the general population about how to take paracetamol and deal with the dosage which includes what is the maximum dose and how many times to take it daily (frequency). Most previous studies were done out of Saudi Arabia and to the best of our knowledge there are a lack of studies on the topic in Saudi Arabia. For that reason, our aim in this study was to assess parents’ knowledge, awareness and practice regarding paracetamol use in children and to evaluate whether doctors and pharmacists in hospitals or pharmacies educate the parents about this medication or not. Methodology: A Descriptive Cross-sectional Study was done via a validated questionnaire on the general population in the Western Region of Saudi Arabia. This study was conducted in July-August 2021. The questionnaire has been used in previous studies and it is validated. The questionnaire is divided into four parts that comprises 32 questions; the first about socio-demographic data, the second part to assess parents’ awareness, the third part to assess parents’ knowledge and the fourth part assessing parents’ practises. Results: The study consisted of 502 participants, 52.4% females and 47.6% males. More than half of the participants (58.8%) do not use paracetamol without doctors’ consultation. Regarding Knowledge score among participants, the mean score was 2.089, out of 6. There is a significant relationship between Knowledge and Mother’s educational level (P= 0.016). On the other hand 48.6% used syrup as their most commonly used form of treatment. Conclusion: This study emphasises the need for increasing caregivers’ education on paracetamol use and its side effects. Overall the knowledge score was unsatisfactory. The study found a significant association between parents who had a university degree and their higher knowledge scores. Although most of the participants would consult their doctors before administering paracetamol, it showed no positive impact on their knowledge and practises towards antipyretics dose and side effects, which indicates a need for campaigns or educational programs on fever management. Keywords: Paracetamol, Acetaminophen, Parents, Children.