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Pattern Of Thyroid, Celiac, And Anti-Cyclic Citrullinated Peptide Autoantibodies Coexistence With Type 1 Diabetes Mellitus In Patients From Southwestern Saudi Arabia, Ahmed M. Al-Hakami
Pattern Of Thyroid, Celiac, And Anti-Cyclic Citrullinated Peptide Autoantibodies Coexistence With Type 1 Diabetes Mellitus In Patients From Southwestern Saudi Arabia, Ahmed M. Al-Hakami
Saudi Medical Journal
Objectives: To investigate the seroprevalence of coexisting autoantibodies among type 1 diabetes mellitus (T1DM) patients, and to look for possible correlations with age at diagnosis, diabetes duration, and glycemic control. Methods: This is a cross-sectional study conducted at Aseer Central Hospital, Abha, Kingdom of Saudi Arabia from March 2013 to June 2014. A total of 202 T1DM patients were screened for serum anti-thyroglobulin (TG), anti-thyroid peroxidase (TPO), anti-tissue transglutaminase (aTTG), anti-endomysial (EMA), and anti-cyclic citrullinated peptide (anti-CCP) antibodies along with glycated hemoglobin, and biometric data. Results: From the 202 T1DM patients (96 males, and 106 females) (mean age: 11.3 years), …
The Impact Of Congenital Heart Diseases On The Quality Of Life Of Patients And Their Families In Saudi Arabia: Biological, Psychological, And Social Dimensions, Ahmad S. Azhar, Zahra H. Alshammasi, Rawan E. Higgi
The Impact Of Congenital Heart Diseases On The Quality Of Life Of Patients And Their Families In Saudi Arabia: Biological, Psychological, And Social Dimensions, Ahmad S. Azhar, Zahra H. Alshammasi, Rawan E. Higgi
Saudi Medical Journal
Objectives: To assess the impact of congenital heart diseases (CHDs) on bio-psychosocial aspects of the quality of life (QOL) of patients and their families. Methods: A cross-sectional study was carried out between May 2014 and August 2015, including children aged <16 years, and followed-up at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia for CHD. A broad questionnaire was administered to investigate biological, psychological, and social dimensions of afflicted children, their parents, and siblings. Outcomes were computed as impact scores (0-100%) for each dimension and family member. Results: A total of 180 children (104 [57.8%] males; mean age ± standard deviation [SD] = 5.65 ± 4.8 years) were included. There were 25% children complaining of recurrent respiratory infections, 35% of frequent hospitalizations, 38.9% had milestone delay, and 12 (6.7%) only had a social security registration. Mothers declared difficulty coping with their children’s disease in 20% of cases and 22.2% reported being depressed. Mean ± SD impact scores in afflicted children were: 26.1 ± 26.2 (biological), 28.7 ± 28.8 (psychological), and (20.2 ± 25.7) social dimensions. Mothers’ impact scores were higher than fathers’. Complex CHDs had an additional impact, and children from families with less knowledge on CHD had relatively greater impact scores. Conclusion: Congenital heart diseases impact all aspects of QOL of patients and their families, and are associated with high comorbidity. Social and psychological support and education for patients and their parents are crucial factors for improving QOL.
Molecular Epidemiology Of Pneumococcal Isolates From Children In China, Li-Hua Kang, Meng-Juan Liu, Wen-Chun Xu, Jing-Jing Cui, Xue-Mei Zhang, Kai-Feng Wu, Qun Zhang
Molecular Epidemiology Of Pneumococcal Isolates From Children In China, Li-Hua Kang, Meng-Juan Liu, Wen-Chun Xu, Jing-Jing Cui, Xue-Mei Zhang, Kai-Feng Wu, Qun Zhang
Saudi Medical Journal
Objectives: To investigate the molecular epidemiology of pneumococcal isolates in Chongqing, China. Methods: In this cross-sectional study, 51 invasive Streptococcus pneumoniae (S. pneumoniae) strains were from children with invasive pneumococcal disease (IPD) and 32 carriage strains from healthy children from January 2010 to December 2013 at the Children’s Hospital of Chongqing Medical University, Chongqing, China. Multilocus sequence typing was used to identify the sequence types (STs). Capsular serotypes were determined by multiplex polymerase chain reaction. Drug susceptibility and resistance was determined by minimum inhibitory concentrations. Results: In this study, 11 serotypes were identified among the 83 S. pneumoniae clinical isolates …
Evaluation Of Outpatient Service Quality In Eastern Saudi Arabia: Patient’S Expectations And Perceptions, Shahid A. Latif
Evaluation Of Outpatient Service Quality In Eastern Saudi Arabia: Patient’S Expectations And Perceptions, Shahid A. Latif
Saudi Medical Journal
Objectives: To investigate perceptions and expectations of patients regarding hospital outpatient services by using a service quality gap model and factors influencing such gaps. Methods: In this cross-sectional descriptive study conducted between October and November 2014 in the outpatient waiting areas of a hospital in the Eastern Province of Saudi Arabia, a sample of 306 patients was selected by convenience sampling technique. The data was collected through an Arabic version of the service quality (SERVQUAL) questionnaire consisting of 2 parts: patients’ demographic characteristics, and 22 items scales of patients’ expectations and perceptions of SERVQUAL. The data was analyzed by confirmatory …
Evaluation Of The Origin And Branching Patterns Of The Iliolumbar Artery And Its Implications On Pelvic And Vertebral Surgery, Turan Koç, İsmail Y. Gilan, Mustafa Aktekin, Zeliha Kurtoğlu, Ahmet Dağtekin, Güneş Aytaç, Erdal Coşgun
Evaluation Of The Origin And Branching Patterns Of The Iliolumbar Artery And Its Implications On Pelvic And Vertebral Surgery, Turan Koç, İsmail Y. Gilan, Mustafa Aktekin, Zeliha Kurtoğlu, Ahmet Dağtekin, Güneş Aytaç, Erdal Coşgun
Saudi Medical Journal
Objectives: To evaluate the origin, distribution pattern, branches, and neighboring structures of the iliolumbar artery (ILA) concerning the anterolateral surgical approaches to the spine. Methods: This study was performed in the Anatomy Department of Medical School, Mersin University, Mersin, Turkey between 2014 and 2015. Pelvises of 11 male formalin-fixed human cadavers were dissected by anterior and posterior approaches under surgical microscope. The origins, distribution patterns, calibers, and distances to certain structures were measured. Results: The ILA was found as a single trunk on 17 sides arising either from the IIA (12 sides, 70.6%) or the PT (5 sides, 29.4%). The …
Susceptibility Of Influenza Viruses Circulating In Western Saudi Arabia To Neuraminidase Inhibitors, Ahmed M. Tolah, Esam I. Azhar, Anwar M. Hashem
Susceptibility Of Influenza Viruses Circulating In Western Saudi Arabia To Neuraminidase Inhibitors, Ahmed M. Tolah, Esam I. Azhar, Anwar M. Hashem
Saudi Medical Journal
Objectives: To investigate the sensitivity of circulating influenza viruses in Western Saudi Arabia to neuraminidase inhibitors (NAIs); mainly, zanamivir and oseltamivir. Methods: Respiratory samples were collected from patients presenting with respiratory symptoms to King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia (KSA) between September 2013 and October 2014. All samples were tested prospectively by real-time reverse-transcription polymerase chain reaction for influenza A and B viruses. Positive samples were then inoculated on Madin-Darby Canine Kidney (MDCK) cells and isolated viruses were examined for their sensitivity to NAIs using fluorescent neuraminidase inhibition assay. Results: Out of 406 tested samples, 25 samples …
Osteoporosis In Saudi Arabia, Ali S. Jawad
Osteoporosis In Saudi Arabia, Ali S. Jawad
Saudi Medical Journal
No abstract provided.
Have National Smoking Bans Worked In Reducing Harms In Passive Smoking?
Have National Smoking Bans Worked In Reducing Harms In Passive Smoking?
Saudi Medical Journal
No abstract provided.
Who Supports Cabo Verde In Managing Zika Virus
Who Supports Cabo Verde In Managing Zika Virus
Saudi Medical Journal
No abstract provided.
Prevalence And Risk Factors Of Early Fecal Carriage Of Enterococcus Faecalis And Staphylococcus Spp And Their Antimicrobial Resistant Patterns Among Healthy Neonates Born In A Hospital Setting In Central Saudi Arabia, Talat A. El-Kersh, Mohammed A. Marie, Yazeed A. Al-Sheikh, Mohamed H. Al-Agamy, Ahmad A. Al-Bloushy
Prevalence And Risk Factors Of Early Fecal Carriage Of Enterococcus Faecalis And Staphylococcus Spp And Their Antimicrobial Resistant Patterns Among Healthy Neonates Born In A Hospital Setting In Central Saudi Arabia, Talat A. El-Kersh, Mohammed A. Marie, Yazeed A. Al-Sheikh, Mohamed H. Al-Agamy, Ahmad A. Al-Bloushy
Saudi Medical Journal
Objectives: To investigate the prevalence, antibiotic resistant profiles, and risk factors of early fecal carriage of Enterococcus faecalis (E. faecalis) and staphylococci among 150 healthy Saudi neonates born in a hospital setting in central Saudi Arabia. Methods: This prospective study was conducted in Al-Bukayriyah General Hospital, Qassim, Saudi Arabia, between June 2012 and January 2013. The E. faecalis and Staphylococcus spp. isolates were identified manually, and Vitek2 system was used for identity confirmation at the species level and minimum inhibitory concentration-susceptibility testing. Results: Enterococcus faecalis (n=73) and Staphylococcus spp. (n=18) were recovered. Unlike staphylococci, E. faecalis colonization did not significantly …
Nigella Sativa And Its Active Constituent Thymoquinone In Oral Health, Safia A. Alattas, Fat’Heya M. Zahran, Shereen A. Turkistany
Nigella Sativa And Its Active Constituent Thymoquinone In Oral Health, Safia A. Alattas, Fat’Heya M. Zahran, Shereen A. Turkistany
Saudi Medical Journal
In this review, we summarized published reports that investigated the role of Nigella sativa (NS) and its active constituent, thymoquinone (TQ) in oral health and disease management. The literature studies were preliminary and scanty, but the results revealed that black seed plants have a potential therapeutic effect for oral and dental diseases. Such results are encouraging for the incorporation of these plants in dental therapeutics and hygiene products. However, further detailed preclinical and clinical studies at the cellular and molecular levels are required to investigate the mechanisms of action of NS and its constituents, particularly TQ.
Occurrence And Antibacterial Susceptibility Pattern Of Bacterial Pathogens Isolated From Diarrheal Patients In Pakistan, Muhammad H. Rasool, Abu B. Siddique, Muhammad Saqalein, Muhammad J. Asghar, Muhammad A. Zahoor, Bilal Aslam, Humerah B. Shafiq, Muhammad A. Nisar
Occurrence And Antibacterial Susceptibility Pattern Of Bacterial Pathogens Isolated From Diarrheal Patients In Pakistan, Muhammad H. Rasool, Abu B. Siddique, Muhammad Saqalein, Muhammad J. Asghar, Muhammad A. Zahoor, Bilal Aslam, Humerah B. Shafiq, Muhammad A. Nisar
Saudi Medical Journal
Objective: To determine the occurrence of bacterial pathogens responsible for diarrhea and to engender information regarding the effectiveness of commonly used antibiotic against diarrhea. Methods: This cross-sectional study was conducted between April and July 2014. Samples were collected from the Divisional Headquarter and Allied Hospital, Faisalabad, Pakistan. The differential and selective media were used to isolate bacterial pathogens, which were identified through cultural characteristics, microscopy, and biochemical tests. Disc diffusion assay was carried out using Muller Hinton agar medium, and minimum inhibitory concentration was determined using broth dilution method against isolated pathogens. Results: One hundred and forty-one (100%) samples were …
Laparoscopic Repair Of Diaphragm Perforation With Heart Patch After Microwave Ablation, Qing-Chen Liang, Yan-Jie Tian, Ting Xiao-Jiang
Laparoscopic Repair Of Diaphragm Perforation With Heart Patch After Microwave Ablation, Qing-Chen Liang, Yan-Jie Tian, Ting Xiao-Jiang
Saudi Medical Journal
Microwave ablation (MWA) is a new technology developed in recent years, which is widely used in various disciplines. Microwave ablation is an alternative to surgery in the management of various tumors, and it has been demonstrated to be effective in the management of primary tumors and metastatic tumors. Microwave ablation is widely used in the treatment of hepatocellular carcinoma with an obvious effect and less side effects, and only 2.7% had serious complications. Many studies have confirmed the complications are thermal damage, hemorrhage, pleural effusion, bile leak, tumor seeding, hepatic abscess, cholangitis, and so forth. But diaphragm perforation is rare, …
Epidemiology Of Oral Cancer In Arab Countries, Abeer Al-Jaber, Lubna Al-Nasser, Ashraf El-Metwally
Epidemiology Of Oral Cancer In Arab Countries, Abeer Al-Jaber, Lubna Al-Nasser, Ashraf El-Metwally
Saudi Medical Journal
Objectives: To review the oral cancer (OC) studies that were conducted in Arab countries with regard to epidemiology, risk factors, and prognosis. Methods: A computer-based PubMed literature search was performed to retrieve studies conducted in the Arab world on epidemiology of OC. After screening for exclusion criteria, cross-referencing, and searching local journals, a total of 19 articles were included. Results: Eight prevalence studies found an OC prevalence ranging from 1.8 to 2.13 per 100,000 persons. Oral cancer patients were mostly in their fifth to sixth decade of life, and the incidence in younger age was reported in some Arab countries. …
Effects Of Acetic Acid On The Viability Of Ascaris Lumbricoides Eggs: Is Vinegar Reliable Enough To Clean The Vegetables?, Yunus E. Beyhan, Hasan Yilmaz, Murat Hokelek
Effects Of Acetic Acid On The Viability Of Ascaris Lumbricoides Eggs: Is Vinegar Reliable Enough To Clean The Vegetables?, Yunus E. Beyhan, Hasan Yilmaz, Murat Hokelek
Saudi Medical Journal
Objectives: To investigate the effects of acetic acid on durable Ascaris lumbricoides ( A. lumbricoides ) eggs to determine the effective concentration of vinegar and the implementation period to render the consumption of raw vegetables more reliable. Methods: This experimental study was performed in May 2015 in the Parasitology Laboratory, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey. The A. lumbricoides eggs were divided into 2 groups. Eggs in the study group were treated with 1, 3, 5, and 10% acetic acid concentrations, and eggs in the control group were treated with Eosin. The eggs’ viability was observed at the …
Portfolios In Saudi Medical Colleges: Why And How?, Nadia M. Fida, Muhammad S. Shamim
Portfolios In Saudi Medical Colleges: Why And How?, Nadia M. Fida, Muhammad S. Shamim
Saudi Medical Journal
Over recent decades, the use of portfolios in medical education has evolved, and is being applied in undergraduate and postgraduate programs worldwide. Portfolios, as a learning process and method of documenting and assessing learning, is supported as a valuable tool by adult learning theories that stress the need for learners to be self-directed and to engage in experiential learning. Thoughtfully implemented, a portfolio provides learning experiences unequaled by any single learning tool. The credibility (validity) and dependability (reliability) of assessment through portfolios have been questioned owing to its subjective nature; however, methods to safeguard these features have been described in …
Imaging Of Non-Traumatic Acute Abdominal Pain In Adults Presenting To The Emergency Department, Badr M. Almutairi, Sami J. Alsolamy
Imaging Of Non-Traumatic Acute Abdominal Pain In Adults Presenting To The Emergency Department, Badr M. Almutairi, Sami J. Alsolamy
Saudi Medical Journal
No abstract provided.
In This Issuereview Articleoriginal Articlescase Report
In This Issuereview Articleoriginal Articlescase Report
Saudi Medical Journal
No abstract provided.
Comparison Of Different Methods For Measurement Of Electrolytes In Patients Admitted To The Intensive Care Unit, Sinan Yılmaz, Hilal B. Uysal, Mücahit Avcil, Mustafa Yılmaz, Bekir Dağlı, Murat Bakış, Imran K. Ömürlü
Comparison Of Different Methods For Measurement Of Electrolytes In Patients Admitted To The Intensive Care Unit, Sinan Yılmaz, Hilal B. Uysal, Mücahit Avcil, Mustafa Yılmaz, Bekir Dağlı, Murat Bakış, Imran K. Ömürlü
Saudi Medical Journal
Objectives: To investigate whether electrolyte levels measured by using blood gas analyzers (ABG) and auto-analyzers (AA) are equivalent and can be used interchangeably. Methods: This observational prospective study was conducted in 100 patients admitted to the Intensive Care Unit, Adnan Menderes University School of Medicine, Aydin, Turkey, between March and August 2014. Samples for both AA and ABG analyzers were collected simultaneously from invasive arterial catheters of patients. The electrolyte levels were measured by using 2 methods. Results: The mean sodium level measured by ABG was 136.1±6.3 mmol/L and 137.8±5.4 mmol/L for AA ( p =0.001). The Pearson’s correlation coefficient …
Diagnostic Efficacy Of Random Albumin Creatinine Ratio For Detection Of Micro And Macro-Albuminuria In Type 2 Diabetes Mellitus, Rana M. Hasanato
Diagnostic Efficacy Of Random Albumin Creatinine Ratio For Detection Of Micro And Macro-Albuminuria In Type 2 Diabetes Mellitus, Rana M. Hasanato
Saudi Medical Journal
Objectives: To compare a less cumbersome random albumin creatinine ratio (RACR) with 24-hour urinary albumin excretion (UAE) for detection of renal damage in patients with type 2 diabetes mellitus (T2DM). Methods: This retrospective study performed between March 2013 and June 2014 at the Department of Pathology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia included 122 patients (mean age 54±15, 104 females and 18 males) with T2DM. Urine albumin levels of <30 mg/g was considered normal, from 30-300 mg/g considered as micro-albuminuria, and over 300 mg/g considered as macro-albuminuria. Results: Concordance between the 2 assays was observed in 114 (93.4%) samples. The sensitivity of RACR assay was 100%, specificity was 91.3% with a positive predictive value (PPV) of 95%, and a negative predictive value (NPV) of 100% in micro-albuminuria range. For macro-albuminuria, RACR had a sensitivity of 100%, specificity of 94.1% with PPV of 94% and NPV of 100%. Receiver operating characteristic (ROC) curves analysis cut-off values of 40 mg/g-300 mg/g for micro- and >300 mg/g for macro-albuminuria revealed 100% sensitivity, 97.5% specificity, 95% PPV, and 100% NPV for micro-albuminuria, and 100% sensitivity, 94% specificity, 76% PPV, and 100% NPP for macro-albuminuria. …30>
Growth Assessment And Risk Factors Of Malnutrition In Children With Cystic Fibrosis, Hasan M. Isa, Lina F. Al-Ali, Afaf M. Mohamed
Growth Assessment And Risk Factors Of Malnutrition In Children With Cystic Fibrosis, Hasan M. Isa, Lina F. Al-Ali, Afaf M. Mohamed
Saudi Medical Journal
Objectives: To evaluate the nutritional status, to screen for the presence of malnutrition, and to study the possible risk factors associated with malnutrition in patients with cystic fibrosis (CF). Methods: A retrospective cross-sectional review of medical records of all diagnosed CF patients in the Pediatric Department, Salmaniya Medical Complex, Manama, Kingdom of Bahrain, between January 1984 and May 2015 was conducted. Demographic and anthropometric data were collected from records of last visit to CF clinic. Nutritional status and risk factors of malnutrition were assessed. Results: All records of 109 CF patients were reviewed. Forty-seven pediatric patients were included in the …
Electrophysiologic Pattern And Prevalence Of Subclinical Peripheral Neuropathy In Children And Adolescents With Type I Diabetes Mellitus In Iran, Vahideh Toopchizadeh, Siamak Shiva, Nader-Yousefzadeh Khiabani, Robabeh Ghergherechi
Electrophysiologic Pattern And Prevalence Of Subclinical Peripheral Neuropathy In Children And Adolescents With Type I Diabetes Mellitus In Iran, Vahideh Toopchizadeh, Siamak Shiva, Nader-Yousefzadeh Khiabani, Robabeh Ghergherechi
Saudi Medical Journal
Objectives: To evaluate electrophysiologic pattern of subclinical diabetic peripheral neuropathy (DPN) in children and adolescents with type 1 diabetes mellitus (T1DM) based on nerve conduction study. Methods: In this cross sectional study, 40 children and adolescents (62.5% female with mean age of 12.73 ± 0.43 years) with T1DM for at least 5 years attending the Pediatrics Clinics. Tabriz University of Medical Sciences, Tabriz, Iran, between 2014 and 2015 were recruited. Demographic and laboratory findings were recorded and all patients underwent clinical neurological examination and electrophysiologic studies. Results: According to electrophysiologic studies, DPN was found in 57.5% of patients including early …
The Effect Of Air-Lock Technique On Pain At The Site Of Intramuscular Injection, Dilek K. Yilmaz, Yurdanur Dikmen, Furuzan Kokturk, Yasemin Dedeoglu
The Effect Of Air-Lock Technique On Pain At The Site Of Intramuscular Injection, Dilek K. Yilmaz, Yurdanur Dikmen, Furuzan Kokturk, Yasemin Dedeoglu
Saudi Medical Journal
Objectives: To investigate the effects of air-lock technique (ALT) on pain of intramuscular (IM) injection delivered to the ventrogluteal and dorsogluteal site (DS). Methods: A randomized controlled trial design was used to assess the pain intensity associated with IM injections administered using 2 different methods and injection sites. Recruitment of patients was carried out between April and August 2013 at the Department of Brain Surgery, Cekirge State Hospital, Bursa, Turkey. The sample comprised 60 patients who developed no complications at the IM site, and had no illness that could affect their perception of pain. The patients were randomly divided into …
Overcoming Language Barrier In Healthcare Settings Using Information And Communication Technologies, Ajit Kumar, Sanjeev Maskara
Overcoming Language Barrier In Healthcare Settings Using Information And Communication Technologies, Ajit Kumar, Sanjeev Maskara
Saudi Medical Journal
No abstract provided.
Frequency, Incidence, And Prevalence, Saeed Dastgiri
Frequency, Incidence, And Prevalence, Saeed Dastgiri
Saudi Medical Journal
No abstract provided.
Concepts And Methods In Infectious Diseases Surveillance, Ali Albarrak
Concepts And Methods In Infectious Diseases Surveillance, Ali Albarrak
Saudi Medical Journal
No abstract provided.
New Research Shows That Exercise To Improve Skill And Coordination Can Help Reduce Lower Back Pain
New Research Shows That Exercise To Improve Skill And Coordination Can Help Reduce Lower Back Pain
Saudi Medical Journal
No abstract provided.
Who Statement On The First Meeting Of The International Health Regulations (2005) (Ihr 2005) Emergency Committee On Zika Virus And Observed Increase In Neurological Disorders And Neonatal Malformations
Saudi Medical Journal
No abstract provided.
Who Director-General Summarizes The Outcome Of The Emergency Committee Regarding Clusters Of Microcephaly And Guillain-Barré Syndrome
Saudi Medical Journal
No abstract provided.
New Report Signals Country Progress In The Path To Malaria Elimination
New Report Signals Country Progress In The Path To Malaria Elimination
Saudi Medical Journal
No abstract provided.