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9 Out Of 10 People Worldwide Breathe Polluted Air, But More Countries Are Taking Action Jun 2018

9 Out Of 10 People Worldwide Breathe Polluted Air, But More Countries Are Taking Action

Saudi Medical Journal

No abstract provided.


Prostate Cancer In The Arab Population: An Overview, Osman Z. Al-Abdin, Ibrahim Z. Al-Beeshi May 2018

Prostate Cancer In The Arab Population: An Overview, Osman Z. Al-Abdin, Ibrahim Z. Al-Beeshi

Saudi Medical Journal

This review evaluated prostate cancer studies from around the world and investigated the causes of differences among them. Prostate cancer incidence and mortality rates showed significant discrepancies between countries and ethnicities. In North America as well as in other western countries, the most common cancer was found to be prostate cancer; however, it appears to be not as prevalent among men in the Middle East and North Africa. Statistics show that screening of prostate-specific antigen levels should be applied depending on ethnicity and age. Other environmental aspects such as dietary and androgenic factors are believed to have caused these differences.


Burden Of Influenza-Related Severe Acute Respiratory Infections During Hajj Season 1438 (2017). Lessons And Future Directions, Abdullah M. Assiri, Sari I. Asiri, Talib Banassir, Mustafa J. Baljoon, Hani Jokhdar May 2018

Burden Of Influenza-Related Severe Acute Respiratory Infections During Hajj Season 1438 (2017). Lessons And Future Directions, Abdullah M. Assiri, Sari I. Asiri, Talib Banassir, Mustafa J. Baljoon, Hani Jokhdar

Saudi Medical Journal

No abstract provided.


Study Examines How Social Support Affects Mental Health After A Natural Disaster May 2018

Study Examines How Social Support Affects Mental Health After A Natural Disaster

Saudi Medical Journal

No abstract provided.


Histopathological Pattern Of Testicular Diseases In Western Saudi Arabia, Abdulkader M. Albasri, Akbar S. Hussainy May 2018

Histopathological Pattern Of Testicular Diseases In Western Saudi Arabia, Abdulkader M. Albasri, Akbar S. Hussainy

Saudi Medical Journal

Objectives To determine the histopathological pattern of testicular diseases among Saudi patients in Madinah, Saudi Arabia. Methods This retrospective histopathology-based study was conducted in a tertiary care hospital in Madinah, Saudi Arabia, from January 2006 to December 2017. The data collected were entered into MS-Excel and analyzed using the Statistical Packages for Social Sciences Version 19. Results Of the 199 testicular specimens received, 108 (54.3%) of the biopsies were taken for diagnostic test, while 91 (45.7%) were for therapeutic test. The male infertility was the only indication in the diagnostic group, accounting for 108 (54.3%) with a mean age of …


Level Of Diabetes Knowledge Among Adult Patients With Diabetes Using Diabetes Knowledge Test May 2018

Level Of Diabetes Knowledge Among Adult Patients With Diabetes Using Diabetes Knowledge Test

Saudi Medical Journal

No abstract provided.


World Leaders Join New Drive To Beat Noncommunicable Diseases May 2018

World Leaders Join New Drive To Beat Noncommunicable Diseases

Saudi Medical Journal

No abstract provided.


Atypical Posterior Scleritis Mimicking Choroidal Melanoma, Heba M. Alsharif, Saad A. Al-Dahmash May 2018

Atypical Posterior Scleritis Mimicking Choroidal Melanoma, Heba M. Alsharif, Saad A. Al-Dahmash

Saudi Medical Journal

We report a case of atypical posterior scleritis mimicking amelanotic choroidal melanoma. A 30-year-old healthy Filipino man, with a history of painless subacute loss of vision in his left eye over 5 months, was referred to our institute for further workup and management. On examination, visual acuity of the left eye was 20/200. Anterior segment examination yielded unremarkable results, with injected conjunctiva and quiet episcleral blood vessels, while fundus examination revealed non-pigmented nasal choroidal mass, with significant subretinal fluid resembling amelanotic choroidal melanoma. Right eye examination yielded unremarkable results. The patient was diagnosed with atypical posterior scleritis, and treated with …


Post-Traumatic Chronic Seronegative Monarthritis Responding To Antitumor Necrosis Factor-Alpha Therapy, Jamie Fairweather, Ali S. Jawad May 2018

Post-Traumatic Chronic Seronegative Monarthritis Responding To Antitumor Necrosis Factor-Alpha Therapy, Jamie Fairweather, Ali S. Jawad

Saudi Medical Journal

No abstract provided.


Evidence Based Synthesis For Prevention Of Noninvasive Ventilation Related Facial Pressure Ulcers, Jaber S. Alqahtani, Mohammed D. Alahmari May 2018

Evidence Based Synthesis For Prevention Of Noninvasive Ventilation Related Facial Pressure Ulcers, Jaber S. Alqahtani, Mohammed D. Alahmari

Saudi Medical Journal

The last 2 decades have seen a growing trend towards the use of noninvasive ventilation (NIV) therapy in the management of many conditions that cause acute respiratory failure. However, there is a serious side effect that results in using these devices; the development of facial skin pressure damage, specifically pressure ulcers. This skin damage has a considerable effect on patients’ quality of life, treatment adherence and patients’ comfort in addition to the therapy challenges of wound care. The aim of this clinical review is to discuss the different characteristics of NIV interfaces and to provide evidence based recommendations to facilitate …


Kidney Cancer In Saudi Arabia: A 25-Year Analysis Of Epidemiology And Risk Factors In A Tertiary Center, Sultan S. Alkhateeb, Ali S. Alothman, Abdulmalik M. Addar, Raed A. Alqahtani, Tarek M. Mansi, Emad M. Masuadi May 2018

Kidney Cancer In Saudi Arabia: A 25-Year Analysis Of Epidemiology And Risk Factors In A Tertiary Center, Sultan S. Alkhateeb, Ali S. Alothman, Abdulmalik M. Addar, Raed A. Alqahtani, Tarek M. Mansi, Emad M. Masuadi

Saudi Medical Journal

Objectives To evaluate available epidemiological data and risk factors for kidney cancer in a tertiary care center in Riyadh, Saudi Arabia, over a period of 25 years. Methods This retrospective study conducted in a tertiary care center included all adult patients with primary kidney cancer who presented and were managed between 1990 and 2015. Based on this information, we forecast the incidence of the disease in our center over the next 5 years (2016 to 2020). Results In total, 371 patients were included in the study. The mean age of the patients was 56.3 years and the majority were male …


Age Distribution And Outcomes In Patients Undergoing Breast Cancer Resection In Saudi Arabia: A Single-Institute Study, Balqis Alabdulkarim, Mazen Hassanain, Areej Bokhari, Abdulaziz Alsaif, Hana Alkarji May 2018

Age Distribution And Outcomes In Patients Undergoing Breast Cancer Resection In Saudi Arabia: A Single-Institute Study, Balqis Alabdulkarim, Mazen Hassanain, Areej Bokhari, Abdulaziz Alsaif, Hana Alkarji

Saudi Medical Journal

Objectives In response to rising incidence and mortality we aimed to investigate the demographic characteristics of patients with operative breast cancer in our region. Methods We performed a retrospective study of 224 patients who underwent surgery for breast cancer at King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia between 2005 and 2012. Results We identified a young population overall with a mean age of 48.8±12.2 years (range: 26-93 years). Survival rate were however similar across all age groups with a 10-year overall survival of 87%. Conclusion Patients in our study were generally younger than those with breast cancer …


Does Fasting In Ramadan Increase The Risk Of Developing Urinary Stones?, Sultan S. Alkhateeb, Ibrahim H. Abusaq, Muath I. Jaafari, Amen A. Bawazir May 2018

Does Fasting In Ramadan Increase The Risk Of Developing Urinary Stones?, Sultan S. Alkhateeb, Ibrahim H. Abusaq, Muath I. Jaafari, Amen A. Bawazir

Saudi Medical Journal

Objectives To explore the frequency of renal colic (RC) secondary to urinary stones in Ramadan compared to other months and seasons of the year. Methods Retrospective cross-sectional study using medical records of 237 patients admitted through the emergency room (ER) with a diagnosis of RC secondary to urinary stones over a 10-year period at King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. Results Patients fasting in Ramadan are 2 times more likely to present with a calculus of ureter as opposed to calculus in another location in the urinary tract, particularly when the holy month of Ramadan falls in …


Serotonin And Serotonin Transporter Levels In Autistic Children, Haidar A. Abdulamir, Omar F. Abdul-Rasheed, Emad A. Abdulghani May 2018

Serotonin And Serotonin Transporter Levels In Autistic Children, Haidar A. Abdulamir, Omar F. Abdul-Rasheed, Emad A. Abdulghani

Saudi Medical Journal

Objectives To assess the possible correlation between serotonin and serotonin transporter (SERT) with the autism severity and investigate the association between these parameters in autistic children to assess their possible role for diagnosis of autism severity. Methods A comparative cross-sectional study was carried out in the Chemistry and Biochemistry Department, College of Medicine, Al-Nahrain University, Baghdad, Iraq while the samples were taken from 60 male autistic children recruited to the Department of Pediatrics at Al-Sader Hospital, Baghdad, Iraq between November 2014 amd April 2015. Levels of serotonin and serotonin transporters (SERT) were determined in 60 male autistic Iraqi patients classified …


Prevalence Of Hepatitis B, C, And Hiv Among Patients Attending A Teaching Dental Hospital: A 7-Year Retrospective Study From The United Arab Emirates, Suhail H. Al-Amad May 2018

Prevalence Of Hepatitis B, C, And Hiv Among Patients Attending A Teaching Dental Hospital: A 7-Year Retrospective Study From The United Arab Emirates, Suhail H. Al-Amad

Saudi Medical Journal

Objectives To determine the seroprevalence and case characteristics of hepatitis B, C and human immunodeficiency virus (HIV), and their transmissibility from patients to dental personnel following percutaneous and mucocutaneous injuries. Methods All incidents of sharp and splash injuries reported between January 2010 and January 2017 were retrospectively reviewed and analyzed. Descriptive statistics were calculated using the Statistical Package for the Social Science (SPSS). Prevalence was calculated as percentages, and chi-square test was used to assess categorical variables where a p -value of ≤0.05 was considered significant. Results Among the 436 reported incidents, 372 patients underwent serological screening. Fourteen patients (3.8%) …


Walking-Based Activity And Sedentary Behavior In Saudi Males With Chronic Obstructive Pulmonary Disease, Mohammed M. Alyami, Sue C. Jenkins, Kylie Hill May 2018

Walking-Based Activity And Sedentary Behavior In Saudi Males With Chronic Obstructive Pulmonary Disease, Mohammed M. Alyami, Sue C. Jenkins, Kylie Hill

Saudi Medical Journal

Objectives To compare walking-based activity and sedentary behavior between males with chronic obstructive pulmonary disease (COPD) and healthy controls and to examine the association between dyspnea with time spent in walking-based activity and sedentary behavior in males with COPD. Methods This cross-sectional study of 30 males with COPD (age 62.0±5.0 years; forced expiratory volume in one second [FEV1] 46±15% predicted) and 29 healthy controls (age 63.0±4.3 years; FEV1 91±5% predicted) was conducted at the outpatient pulmonary clinics at King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia between February 2013 and March 2014. Walking-based activity and sedentary behavior were evaluated …


Assessment Of Pediatric Residents Burnout In A Tertiary Academic Centre, Mahmood D. Al-Mendalawi May 2018

Assessment Of Pediatric Residents Burnout In A Tertiary Academic Centre, Mahmood D. Al-Mendalawi

Saudi Medical Journal

No abstract provided.


Ultrasound-Guided Subcostal-Posterior Transversus Abdominis Plane Block For Pain Control Following Laparoscopic Sleeve Gastrectomy, Abdulla Alabassi May 2018

Ultrasound-Guided Subcostal-Posterior Transversus Abdominis Plane Block For Pain Control Following Laparoscopic Sleeve Gastrectomy, Abdulla Alabassi

Saudi Medical Journal

No abstract provided.


Who And Unicef Issue New Guidance To Promote Breastfeeding In Health Facilities Globally May 2018

Who And Unicef Issue New Guidance To Promote Breastfeeding In Health Facilities Globally

Saudi Medical Journal

No abstract provided.


Fournier’S Gangrene In An Obese Female In Third Trimester Of Pregnancy, Saqer Althunayyan, Evangelos Karamitosos Apr 2018

Fournier’S Gangrene In An Obese Female In Third Trimester Of Pregnancy, Saqer Althunayyan, Evangelos Karamitosos

Saudi Medical Journal

Fournier gangrene is a rapidly progressive necrotizing fasciitis of the perianal and genitourinary area. Although typically affects men, we present here a rare disease founding in a pregnant woman. An obese 36-year-old female patient in her third trimester of pregnancy presented with a history of perianal pain and swelling. She was subsequently diagnosed with Fournier gangrene and underwent emergency cesarean section with a surgical debridement. The key to successful outcomes in such a complicated presentation of Fournier gangrene includes a high index of suspicion, fluid resuscitation, rapid administration of broad-spectrum antibiotics, and an early interdisciplinary approach by multiple teams. This …


High Levels Of Antibiotic Resistance Found Worldwide, New Data Shows Apr 2018

High Levels Of Antibiotic Resistance Found Worldwide, New Data Shows

Saudi Medical Journal

No abstract provided.


Causes And Management Of Urogenital Fistulas: A Retrospective Cohort Study From A Tertiary Referral Center In Saudi Arabia, Somaia A. Osman, Ahmed H. Al-Badr, Ola T. Malabarey, Ashraf M. Dawood, Badr N. Almosaieed, Diaa E.E. Rizk Apr 2018

Causes And Management Of Urogenital Fistulas: A Retrospective Cohort Study From A Tertiary Referral Center In Saudi Arabia, Somaia A. Osman, Ahmed H. Al-Badr, Ola T. Malabarey, Ashraf M. Dawood, Badr N. Almosaieed, Diaa E.E. Rizk

Saudi Medical Journal

Objectives: To review the etiology and management of urogenital fistulas at a tertiary care referral center. Methods: We retrospectively identified all patients with urogenital fistula referred to the King Fahad Medical City, Riyadh, Saudi Arabia, between January 2005 and July 2016 from electronic records. We collected data on age, parity, etiology and type of fistula, radiologic findings, management, and outcome. Results: Of the 32 patients with urogenital fistula identified, 17 (53.1%) had vesicovaginal fistula. The mean parity was 5.9 (0-15). Obstetric surgery was the most common etiology, accounting for 22 fistulas (68.8%). Twenty of these (90.9%) were complications of cesarean …


Etiology, Ethics, And Outcomes Of Chronic Kidney Disease In Neonates, Jameela A. Kari, Sara N. Sharief, Sherif M. El-Desoky, Khalid A. Alhasan, Amr S. Albanna Apr 2018

Etiology, Ethics, And Outcomes Of Chronic Kidney Disease In Neonates, Jameela A. Kari, Sara N. Sharief, Sherif M. El-Desoky, Khalid A. Alhasan, Amr S. Albanna

Saudi Medical Journal

Objectives: To report the epidemiology of chronic kidney disease (CKD) in neonates at a single tertiary center and the outcomes of renal replacement therapy (RRT) in these patients and discuss ethical considerations regarding RRT in this population. Methods: In this retrospective study, we reviewed clinical data from all neonates with evidence of CKD who were followed up at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia between 2005 and 2015. Follow-up serum creatinine levels were recorded every 6 months. Results: A total of 181 neonates presented with CKD. Their mean age at the time of presentation was 11.1 days (95% …


Individualized, Supportive Care Key To Positive Childbirth Experience, Says Who Apr 2018

Individualized, Supportive Care Key To Positive Childbirth Experience, Says Who

Saudi Medical Journal

No abstract provided.


In This Issuereview Articleoriginal Articlescase Report Apr 2018

In This Issuereview Articleoriginal Articlescase Report

Saudi Medical Journal

No abstract provided.


Assessment Of The Etiologies And Renal Outcomes Of Rapidly Progressive Glomerulonephritis In Pediatric Patients At King Abdulaziz University Hospital, Jeddah, Saudi Arabia, Faisal G. Mosaad, Omar M. Saggaf, Khaled T. Aletwady, Khalid A. Al-Qarni, Rakan S. Al-Harbi, Osama Y. Safdar Apr 2018

Assessment Of The Etiologies And Renal Outcomes Of Rapidly Progressive Glomerulonephritis In Pediatric Patients At King Abdulaziz University Hospital, Jeddah, Saudi Arabia, Faisal G. Mosaad, Omar M. Saggaf, Khaled T. Aletwady, Khalid A. Al-Qarni, Rakan S. Al-Harbi, Osama Y. Safdar

Saudi Medical Journal

Objectives: To investigate the etiologies and outcomes of rapidly progressive glomerulonephritis (RPGN) in pediatric patients at King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia. Methods: A retrospective study was conducted in 19 pediatric patients who were diagnosed with RPGN between 2006 and 2016 at the Department of Pediatric Medicine at KAUH. Associations between variables were evaluated using independent t-test, one-way analysis of variance (ANOVA) and Chi-squared tests. Results: Majority of patients were male, (68.4%), with a mean±SD age at diagnosis of 8.52±3.15 years. The most common underlying etiologies were post-infectious glomerulonephritis (PIGN) (63.2%) and lupus nephritis (21.1%). Thirteen patients …


A Giant Tonsillolith, Abdulrhman Alfayez, Meshal B. Albesher, Mohammed A. Alqabasani Apr 2018

A Giant Tonsillolith, Abdulrhman Alfayez, Meshal B. Albesher, Mohammed A. Alqabasani

Saudi Medical Journal

Tonsillar stones are the products of calcified accumulates of cellular debris and microorganisms, in the crypts of palatine tonsils. Tonsillar stones are common findings and the known cause of bad breath (halitosis). Development of large tonsillar stones, however, is rare with only a few cases reported in the literature. We present the case of a 45-year-old man with a history of recurrent sore throat and tonsillitis for a long period, and snoring with other unremarkable ears, nose and throat findings. A large-sized tonsillar stone detected in the left tonsil measured 3.1 × 2.3 cm. The patient underwent elective stone removal …


Barriers To Special Care Patients With Mental Illness Receiving Oral Healthcare.: A Cross Sectional Study In The Holy City Of Makkah, Saudi Arabia, Mohsen K. Aljabri, Ibrahim Z. Gadibalban, Aboelezz M. Kalboush, Hesham S. Sadek, Hassan H. Abed Apr 2018

Barriers To Special Care Patients With Mental Illness Receiving Oral Healthcare.: A Cross Sectional Study In The Holy City Of Makkah, Saudi Arabia, Mohsen K. Aljabri, Ibrahim Z. Gadibalban, Aboelezz M. Kalboush, Hesham S. Sadek, Hassan H. Abed

Saudi Medical Journal

Objectives: To assess barriers to patients with mental illness receiving oral healthcare in Makkah city, Saudi Arabia. Methods: This was a 3-month cross-sectional study from the Department of Psychiatry at Al-Noor, Specialist Hospital in Makkah city, Saudi Arabia, between January 2017 and April 2017. A structured questionnaire with closed-ended questions was considered. A total of 161 psychiatric patients were recruited, made up of 81 male (50.3%) and 80 female (49.7%) participants. Simple descriptive statistics were used to define the characteristics of the study variables, through a form of counts and percentages. The chi-square test was also used to evaluate the …


A Comprehensive Review Of The Prevalence Of Beta Globin Gene Variations And The Co-Inheritance Of Related Gene Variants In Saudi Arabians With Beta-Thalassemia, Mousa A. Alaithan, Sayed Abdulazeez, J. Francis Borgio Apr 2018

A Comprehensive Review Of The Prevalence Of Beta Globin Gene Variations And The Co-Inheritance Of Related Gene Variants In Saudi Arabians With Beta-Thalassemia, Mousa A. Alaithan, Sayed Abdulazeez, J. Francis Borgio

Saudi Medical Journal

Beta-thalassemia is a genetic disorder that is caused by variations in the beta-hemoglobin ( HBB ) gene. Saudi Arabia is among the countries most affected by beta-thalassemia, and this is particularly problematic in the Eastern regions. This review article is an attempt to compile all the reported mutations to facilitate further national-level studies to prepare a Saudi repository of HBB gene variations. In Saudi Arabians, IVSI-5 (G>C) and Cd 39 (C>T) are the most prevalent HBB gene variations out of 42 variations. The coinheritance of HBB gene variations with ATRX , HBA1 , HBA2 , HBA12 , AHSP …


Pediatric Brucellosis: An Update Review For The New Millennium, Elham E. Bukhari Apr 2018

Pediatric Brucellosis: An Update Review For The New Millennium, Elham E. Bukhari

Saudi Medical Journal

Brucellosis remains the most common bacterial zoonotic infection in many countries worldwide. Despite being long recognized and controllable, the disease still causes substantial morbidity, affecting especially the young population. The aim of this review is to provide insight to the epidemiology, etiology, clinical features, diagnosis, and management of childhood brucellosis.