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Malignant Transformation Of Persistent Endometriosis After Hysterectomy, Naif A. Bawazeer, Hatim M. Al-Jifree, Abdulrahim M. Gari Nov 2014

Malignant Transformation Of Persistent Endometriosis After Hysterectomy, Naif A. Bawazeer, Hatim M. Al-Jifree, Abdulrahim M. Gari

Saudi Medical Journal

The malignant transformation of persistent endometriotic implants into endometrioid adenocarcinoma is rare, especially after remote hysterectomy and salpingo-oophorectomy (TAH-BSO), and there are few cases reported in the English language literature. Patients receiving estrogen replacement therapy are common among the reported cases. We present a case that demonstrates the possibility of malignant transformation in a 53-year-old female, known case of endometriosis, who underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with no evidence of malignancy in the final pathology report. After 9 years, she presented with lower abdominal mass, and histopathological studies confirmed the diagnosis of well-differentiated endometrioid adenocarcinoma. The possibility of …


Does Cesarean Section Have An Impact On The Successful Initiation Of Breastfeeding In Saudi Arabia?, Afnan A. Albokhary, Jennifer P. James Nov 2014

Does Cesarean Section Have An Impact On The Successful Initiation Of Breastfeeding In Saudi Arabia?, Afnan A. Albokhary, Jennifer P. James

Saudi Medical Journal

OBJECTIVES: To investigate whether the type of birth influenced breastfeeding outcomes. METHODS: This study used a quantitative descriptive correlation design study in a sample of 60 primigravida mothers. Participants were recruited over a 2-month period from June to July 2011 in the postnatal ward at King AbdulAziz University Hospital (KAUH) in Jeddah city, Kingdom of Saudi Arabia (KSA). RESULTS: The results of the study indicated that women who gave birth vaginally were more likely to breastfeed within the first hour, and at 24 hours after birth than those who had a cesarean section. The mothers who had cesarean section stated …


Exenatide’S Effect In Reducing Weight And Glycosylated Hemoglobin Level In An Arab Population With Type 2 Diabetes, Alaaeldin M. Bashier, Elamin I. Abdelgadir, Azza A. Khalifa, Fouzia Rashid, Sona M. Abuelkeir, Fawzi E. Bachet Nov 2014

Exenatide’S Effect In Reducing Weight And Glycosylated Hemoglobin Level In An Arab Population With Type 2 Diabetes, Alaaeldin M. Bashier, Elamin I. Abdelgadir, Azza A. Khalifa, Fouzia Rashid, Sona M. Abuelkeir, Fawzi E. Bachet

Saudi Medical Journal

OBJECTIVES: To determine whether exenatide is effective in reducing weight and glycosylated hemoglobin level (HbA1c), and to investigate its efficacy in improving lipid profile, blood pressure, and creatinine levels in the Arab population. METHODS: This study was conducted at the Endocrine Unit, Dubai Hospital, Dubai, United Arab Emirates. We retrospectively collected data from patients with type 2 diabetes started on exenatide between November 2011 and February 2012. Data included demographics, clinical, laboratory results, and medications used. A general linear model adjusted by baseline characteristics (weight, HbA1C, age, use of statins, and duration of diabetes) was used to assess changes between …


Prevalence Of Helicobacter Pylori And Parasites In Symptomatic Children Examined For Helicobacter Pylori Antibodies, Antigens, And Parasites In Yemen, Lutf M. Al-Zubairi, Abdul K. Sallam Nov 2014

Prevalence Of Helicobacter Pylori And Parasites In Symptomatic Children Examined For Helicobacter Pylori Antibodies, Antigens, And Parasites In Yemen, Lutf M. Al-Zubairi, Abdul K. Sallam

Saudi Medical Journal

OBJECTIVES: To estimate the prevalence of Helicobacter pylori (H. pylori) and parasites in symptomatic children examined for H. pylori antibodies, antigens, and parasites in Yemen. METHODS: A record-based study was carried out at Specialized Sam Pediatric Center in Sana’a, Yemen for 3 years between 2011-2013. Out of the 43,200 patients seen for different causes through that period, 1008 (2.3%) (females: 675 [67%]; males: 333 [33%]) had gastric complaints, and were subjected to an examination of blood and stool for H. pylori and parasites. Data regarding age and gender was also collected. RESULTS: The age of the patients ranged from 3-15 …


Site-Specific Mouth Rinsing Can Improve Oral Odor By Altering Bacterial Counts. Blind Crossover Clinical Study, Mohammed A. Alqumber, Khaled A. Arafa Nov 2014

Site-Specific Mouth Rinsing Can Improve Oral Odor By Altering Bacterial Counts. Blind Crossover Clinical Study, Mohammed A. Alqumber, Khaled A. Arafa

Saudi Medical Journal

OBJECTIVES: To determine whether site-specific mouth rinsing with oral disinfectants can improve oral odor beyond the traditional panoral mouth disinfection with mouth rinses by targeting specifically oral malodor implicated anaerobic bacteria. METHODS: Twenty healthy fasting subjects volunteered for a blinded prospective, descriptive correlational crossover cross-section clinical trial conducted during the month of Ramadan between July and August 2013 in Albaha province in Saudi Arabia involving the application of Listerine® Cool Mint® mouth rinse by either the traditional panoral rinsing method, or a site-specific disinfection method targeting the subgingival and supragingival plaque and the posterior third of the tongue dorsum, while …


Acute Hemiplegia As A Rare Presentation Of Infantile Guillain-Barre Syndrome, Mahmood D. Al-Mendalawi, Osama Muthaffar Nov 2014

Acute Hemiplegia As A Rare Presentation Of Infantile Guillain-Barre Syndrome, Mahmood D. Al-Mendalawi, Osama Muthaffar

Saudi Medical Journal

No abstract provided.


Pertussis. A Reemerging And An Underreported Infectious Disease, Muhammad A. Syed, Noureen F. Bana Oct 2014

Pertussis. A Reemerging And An Underreported Infectious Disease, Muhammad A. Syed, Noureen F. Bana

Saudi Medical Journal

Pertussis or whooping cough is a highly infectious, vaccine preventable disease. The incidence of the disease has greatly been reduced since the introduction of the diphtheria, tetanus, pertussis vaccine. Pertussis resurgence has been observed in highly vaccinated populations of Western countries since 1990s. Poor vaccine quality, waning vaccine induced immunity, pathogen adaptation, and enhanced surveillance as well as advancements in diagnostic facilities are some of the reasons considered responsible for the increased reporting of pertussis cases. Pertussis may have been ignored and unnoticed due to its atypical manifestations in partially immunized population or people with waning immunity. We review the …


Knowledge Of Saudi Female University Students Regarding Cervical Cancer And Acceptance Of The Human Papilloma Virus Vaccine, Ghadeer K. Al-Shaikh, Eman M. Almussaed, Amel A. Fayed, Farida H. Khan, Sadiqa B. Syed, Tahani N. Al-Tamimi, Hala N. Elmorshedy Oct 2014

Knowledge Of Saudi Female University Students Regarding Cervical Cancer And Acceptance Of The Human Papilloma Virus Vaccine, Ghadeer K. Al-Shaikh, Eman M. Almussaed, Amel A. Fayed, Farida H. Khan, Sadiqa B. Syed, Tahani N. Al-Tamimi, Hala N. Elmorshedy

Saudi Medical Journal

OBJECTIVES: To assess the level of knowledge regarding cervical cancer and the acceptance of the human papilloma virus (HPV) vaccine among Saudi female students in health colleges. METHODS: This cross-sectional study of a convenient sample encompassed 1400 students in Health Colleges at Princess Nora Bint Abdul Rahman University, Riyadh, Saudi Arabia was conducted between December 2013 and February 2014. A self-administrated questionnaire was distributed to all participants. Data collected included socio-demographic data, knowledge of cervical cancer risk factors and clinical presentation, Pap smear, and HPV vaccine acceptance. The questionnaire reliability as tested by Cronbach’s alpha was 0.82. RESULTS: The response …


The Use Of Ozone In The Prevention Of Osteoradionecrosis Of The Jaw, Goran Batinjan, Irina Filipovic Zore, Marko Vuletic, Ivana Rupic Oct 2014

The Use Of Ozone In The Prevention Of Osteoradionecrosis Of The Jaw, Goran Batinjan, Irina Filipovic Zore, Marko Vuletic, Ivana Rupic

Saudi Medical Journal

Radiation therapy of the head and neck area has resulted in numerous and undesired effects on the oral cavity tissue. The most frequent and most dangerous complications of radiotherapy of the head and neck area is osteoradionecrosis (ORN). The purpose of this study is to demonstrate the possibility of using ozone in the prevention of ORN of the jaw, and show the recent therapeutic protocols for treatment in patients receiving radiation therapy for the head and neck. We used an ElektroMagneTron device during the therapy. The patient underwent postoperative follow-up examination when bio-oxygenation therapy and clinical evaluation of wound healing …


Selenium In Rice And Esophageal Cancer, Sora Yasril, Viroj Wiwanitkit, Hadi Rahimzadeh-Barzoki, Hamidreza Joshaghani, Gholamreza Roshandel Oct 2014

Selenium In Rice And Esophageal Cancer, Sora Yasril, Viroj Wiwanitkit, Hadi Rahimzadeh-Barzoki, Hamidreza Joshaghani, Gholamreza Roshandel

Saudi Medical Journal

No abstract provided.


A Meta-Analysis Of The Efficacy And Safety Of Managing Parotid And Submandibular Sialoliths Using Sialendoscopy Assisted Surgery, Fatima M. Jadu, Ahmed M. Jan Oct 2014

A Meta-Analysis Of The Efficacy And Safety Of Managing Parotid And Submandibular Sialoliths Using Sialendoscopy Assisted Surgery, Fatima M. Jadu, Ahmed M. Jan

Saudi Medical Journal

OBJECTIVES: To review the available techniques and procedures for management of parotid and submandibular sialoliths with special emphasis on the efficacy and safety of the most commonly used combination of techniques; namely, sialendoscopy with conservative surgical removal of the stone. METHODS: A systematic search of the English literature using MEDLINE, EMBASE, and the Cochrane library databases were conducted at the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. Articles between the years 2004 and 2013 were selected on the basis of preset inclusion criteria. Then, they were reviewed against a checklist to assess the evidence of efficacy of therapy …


Masticatory Efficiency And Oral Health-Related Quality Of Life With Implant-Retained Mandibular Overdentures, Xu Sun, Jun-Jiang Zhai, Jian Liao, Min-Hua Teng, Ai Tian, Xing Liang Oct 2014

Masticatory Efficiency And Oral Health-Related Quality Of Life With Implant-Retained Mandibular Overdentures, Xu Sun, Jun-Jiang Zhai, Jian Liao, Min-Hua Teng, Ai Tian, Xing Liang

Saudi Medical Journal

OBJECTIVES: To evaluate masticatory efficiency (ME) and oral health-related quality of life (OHRQoL) in patients rehabilitated with implant-retained mandibular overdentures. METHODS: In this randomized controlled clinical trial, 50 edentulous patients visiting the Implant Center and Department of Prosthodontics, West China College of Stomatology, Sichuan University, Chengdu, China between June 2010 and June 2012 were selected and received 2 implant-retained mandibular overdenture treatments. All patients were rehabilitated with maxillary complete dentures. The ME and OHRQoL were determined both one month before the mandibular complete denture was anchored to the osseointegrated implants, and 6 months after anchoring. Paired t-tests were used to …


Evaluation Of Adjunctive Systemic Doxycycline With Non-Surgical Periodontal Therapy Within Type 2 Diabetic Patients, Abeer M. Al-Nowaiser, Hamad Al-Zoman, Jagan K. Baskaradoss, Asirvatham A. Robert, Khalid H. Al-Zoman, Abdulaziz M. Al-Sohail, Abdulaziz S. Al-Suwyed, Sebastian G. Ciancio, Sultan A. Al-Mubarak Oct 2014

Evaluation Of Adjunctive Systemic Doxycycline With Non-Surgical Periodontal Therapy Within Type 2 Diabetic Patients, Abeer M. Al-Nowaiser, Hamad Al-Zoman, Jagan K. Baskaradoss, Asirvatham A. Robert, Khalid H. Al-Zoman, Abdulaziz M. Al-Sohail, Abdulaziz S. Al-Suwyed, Sebastian G. Ciancio, Sultan A. Al-Mubarak

Saudi Medical Journal

OBJECTIVES: To evaluate the effects of systemic doxycycline on clinical and microbiological parameters of diabetic subjects with chronic periodontitis. METHODS: This 9-month multi-center, randomized, parallel, single-blinded study was conducted from different hospitals in Riyadh, Saudi Arabia between April 2010 and December 2010. A total of 76 diabetic subjects with chronic periodontitis were randomized into 2 groups: control group (CG) received only scaling and root planing (SRP), and the treatment group (TG) receiving systemic doxycycline during the reevaluation visit 45 days after the completion of SRP. Probing pocket depth, clinical attachment level, gingival index, plaque index, and bleeding on probing were …


Candida And Other Yeasts Of Clinical Importance In Aseer Region, Southern Saudi Arabia. Presentation Of Isolates From The Routine Laboratory Setting, Mohamed E. Hamid, Mohammed M. Assiry, Martin R. Joseph, Waleed O. Haimour, Ihab M. Abdelrahim, Fatin Al-Abed, Abdalla N. Fadul, Ahmed M. Al-Hakami Oct 2014

Candida And Other Yeasts Of Clinical Importance In Aseer Region, Southern Saudi Arabia. Presentation Of Isolates From The Routine Laboratory Setting, Mohamed E. Hamid, Mohammed M. Assiry, Martin R. Joseph, Waleed O. Haimour, Ihab M. Abdelrahim, Fatin Al-Abed, Abdalla N. Fadul, Ahmed M. Al-Hakami

Saudi Medical Journal

OBJECTIVES: To isolate, identify, and determine the prevalence of Candida and other yeasts of clinical importance in Aseer region, Saudi Arabia. METHODS: This is a cross-sectional study involving retrospective analysis of 6100 samples submitted to the Microbiology Laboratory, Aseer Central Hospital, Abha, Saudi Arabia between 2011 and 2012, and prospective isolation and identification of 84 isolates recovered from various clinical specimens presented to the Microbiology Laboratory between 2012 and 2013 using the classic morphological schemes and the Vitek 2 automated system. RESULTS: The results of the retrospective analysis (2011-2012) indicated that of the 6100 various clinical specimens submitted to the …


Uterine Sarcoma. Clinico-Pathological Characteristics And Outcome, Hesham K. Sait, Nisreen M. Anfinan, Shadi S. Alkhayyat, Ahmed T. Ghanem, Reem M. Abayazid, Khalid H. Sait Oct 2014

Uterine Sarcoma. Clinico-Pathological Characteristics And Outcome, Hesham K. Sait, Nisreen M. Anfinan, Shadi S. Alkhayyat, Ahmed T. Ghanem, Reem M. Abayazid, Khalid H. Sait

Saudi Medical Journal

OBJECTIVES: To investigate the clinical and histopathological characteristics, with the prognostic factors, treatment outcome, pattern of relapse, and survival analysis of uterine sarcoma patients. METHODS: All patients with histologically proven uterine sarcoma were identified using the database at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2000 and December 2012. RESULTS: A total of 36 patients with uterine sarcoma were reviewed. The median age of all patients was 57 years, and the mean age was 57.72+/-13.17 years. Carcinosarcoma was reported in 21 patients (58%), leiomyosarcoma in 7 (19%), undifferentiated endometrial sarcoma in 6 (17%), and rhabdomyosarcoma in 2 (6%). …


Regular Intermittent Bolus Provides Similar Incidence Of Maternal Fever Compared With Continuous Infusion During Epidural Labor Analgesia, Shan-Wu Feng, Shi-Qin Xu, Li Ma, Cai-Juan Li, Xian Wang, Hong-Mei Yuan, Fu-Zhou Wang, Xiao-Feng Shen, Zheng-Nian Ding Oct 2014

Regular Intermittent Bolus Provides Similar Incidence Of Maternal Fever Compared With Continuous Infusion During Epidural Labor Analgesia, Shan-Wu Feng, Shi-Qin Xu, Li Ma, Cai-Juan Li, Xian Wang, Hong-Mei Yuan, Fu-Zhou Wang, Xiao-Feng Shen, Zheng-Nian Ding

Saudi Medical Journal

OBJECTIVES: To compare the effects of regular intermittent bolus versus continuous infusion for epidural labor analgesia on maternal temperature and serum interleukin-6 (IL-6) level. METHODS: This randomized trial was performed in Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu Province, China between October 2012 and February 2014. Either regular intermittent bolus (RIB, n=66) or continuous infusion (CI, n=66) was used for epidural labor analgesia. A bolus dose (10 ml of 0.08% ropivacaine + 0.4 µg·ml-1 sufentanil) was manually administrated once an hour in the RIB group, whereas the same solution was continuously infused at a constant rate of 10 …


Assessment Of Low Vitamin D Among Saudi Arabians. Did We Overshoot The Runway?, Mir Sadat-Ali, Abdulmohsen H. Al-Elq, Iman H. Al-Shaikh, Haifa A. Al-Turki, Amein K. Al-Ali, Abdallah A. Al-Othman Oct 2014

Assessment Of Low Vitamin D Among Saudi Arabians. Did We Overshoot The Runway?, Mir Sadat-Ali, Abdulmohsen H. Al-Elq, Iman H. Al-Shaikh, Haifa A. Al-Turki, Amein K. Al-Ali, Abdallah A. Al-Othman

Saudi Medical Journal

OBJECTIVES: To compare the performance of 3 commonly used 25-hydroxyvitamin D (25-OHD) assays among a sample of the Saudi population. METHODS: This cross-sectional study was carried out between January 2011 and December 2012 at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. After informed consent, blood samples for measurement of 25-OHD level was extracted from 200 adults. The vitamin D level of each individual were determined using chemiluminescence immunoassay (CLIA), radio-immuno assay (RIA), and liquid chromatography-tandem mass spectrometry (LC-MS/MS) assay. Assays were also compared through commonly used cut-points for classification of vitamin D deficiency. Bias between assays was evaluated …


Knowledge, Attitude, And Barriers Towards The Use Of Evidence Based Practice Among Senior Dental And Medical Students In Western Saudi Arabia, Maha A. Bahammam, Amal I. Linjawi Oct 2014

Knowledge, Attitude, And Barriers Towards The Use Of Evidence Based Practice Among Senior Dental And Medical Students In Western Saudi Arabia, Maha A. Bahammam, Amal I. Linjawi

Saudi Medical Journal

OBJECTIVES: To investigate the knowledge, attitude, and barriers using evidence based practice (EBP) by future Saudi dentists and physicians. METHODS: A questionnaire adapted from an EBP questionnaire was distributed to dental and medical final year students and new graduates at King Abdulaziz University, Jeddah, Saudi Arabia during the 2012 to 2013 academic year. The questionnaire consisted of 14 multiple-choice questions, and 2 open ended questions and was divided into 5 sections assessing different categories. Data were grouped as dental (DS) and medical (MS) students. Descriptive and group comparison statistics were conducted. RESULTS: Out of 400, 297 students responded (DS=207, MS=90) …


Effects Of Nutritional Management Intervention On Gestational Weight Gain And Perinatal Outcome, Xiao-Dong Luo, Xiaojing Dong, Jin Zhou Oct 2014

Effects Of Nutritional Management Intervention On Gestational Weight Gain And Perinatal Outcome, Xiao-Dong Luo, Xiaojing Dong, Jin Zhou

Saudi Medical Journal

OBJECTIVES: To evaluate whether nutritional management intervention can prevent excessive weight gain during pregnancy and improve perinatal outcomes. METHODS: This cross-sectional study included 276 pregnant women undergoing prenatal care between June 2010 and December 2011 at the Obstetrics and Gynecology Department of the Second Affiliate Hospital of the ChongQing University of Medical Sciences, Chongqing, China. Of them, 131 women received individualized nutritional management in addition to routine prenatal care (intervention group), and 145 women received only routine prenatal care (control group). The primary study outcome was gestational weight gain (GWG). Secondary outcomes included birth weight, Apgar score, and incidence of …


The Impact Of Service Quality Perception On Patient Satisfaction In Government Hospitals In Southern Saudi Arabia, Faris S. Alghamdi Oct 2014

The Impact Of Service Quality Perception On Patient Satisfaction In Government Hospitals In Southern Saudi Arabia, Faris S. Alghamdi

Saudi Medical Journal

OBJECTIVES: To examine the impact of service quality perception on patient satisfaction and determine which dimension from 5 dimensions (tangible, reliability, responsive, assurance, and empathy) has the greatest impact on patient satisfaction. METHODS: A total of 183 eligible patients participated in this study. This study was conducted in Al-Baha province, Saudi Arabia from June 2013 to August 2013. We utilized the cross-sectional method, using a modified Assessment of Service Quality questionnaire to collect the data. RESULTS: To test the study hypothesis, multiple regression analysis was carried out. Analysis of variance revealed that the overall result showed a statistically significant impact …


Assessment Of Fluoride Concentrations In Commercially Available Mouthrinses In Central Saudi Arabia, Abdullah M. Aldrees, Sultan S. Albeshri, Ibrahim S. Alsanie, Ibrahim A. Alsarra Oct 2014

Assessment Of Fluoride Concentrations In Commercially Available Mouthrinses In Central Saudi Arabia, Abdullah M. Aldrees, Sultan S. Albeshri, Ibrahim S. Alsanie, Ibrahim A. Alsarra

Saudi Medical Journal

OBJECTIVES: To assess the fluoride concentration of different commercially available mouthrinses in central Saudi Arabia, and compare the obtained measurements with label values. METHODS: This cross-sectional study identified 25 brands of mouthrinses in the markets of Riyadh city between August and September 2013. Nineteen brands of mouthrinses whose labels indicate the percentage of sodium fluoride (NaF) and 6 brands not indicating the fluoride percentage were included in the study. Three bottles of 2 manufacturing batches of each brand were acquired, coded, and analyzed after dilution using specific electrodes for fluoride and an ion analyzer at the College of Science, King …


Anal Fistula. Past And Present, Ahmad M. Zubaidi Sep 2014

Anal Fistula. Past And Present, Ahmad M. Zubaidi

Saudi Medical Journal

Anal fistula is a common benign condition that typically describes a miscommunication between the anorectum and the perianal skin, which may present de novo, or develop after acute anorectal abscess. Athough anal fistulae are benign, the condition can still negatively influence a patient’s quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. Despite its long history and prevalence, anal fistula management remains one of the most challenging and controversial topics in colorectal surgery today. The end goals of treatment include draining the local infection, eradicating the fistulous tract, and minimizing recurrence and incontinence …


Prevalence Of Vitamin D Deficiency In Saudi Newborns At A Tertiary Care Center, Subhash C. Arya, Nirmala Agarwal Sep 2014

Prevalence Of Vitamin D Deficiency In Saudi Newborns At A Tertiary Care Center, Subhash C. Arya, Nirmala Agarwal

Saudi Medical Journal

[No abstract available]


Effect Of Infliximab Against Cisplatin-Induced Nephrotoxicity, Erkan Cure, Aynur Kirbas, Levent Tumkaya, Medine C. Cure, Osman Z. Şahin, Yildiray Kalkan, Suleyman Yuce, Durdu Altuner Sep 2014

Effect Of Infliximab Against Cisplatin-Induced Nephrotoxicity, Erkan Cure, Aynur Kirbas, Levent Tumkaya, Medine C. Cure, Osman Z. Şahin, Yildiray Kalkan, Suleyman Yuce, Durdu Altuner

Saudi Medical Journal

OBJECTIVES: To investigate whether infliximab (Ib), an inhibitor of tumor necrosis factor alpha (TNF-±), prevents cisplatin (Cis)-induced nephrotoxicity. METHODS: The study was performed in the Department of Internal Medicine, Recep Tayyip Erdogan University, Rize, Turkey, between November 2012 and May 2013. Thirty male Wistar albino rats were divided into 3 groups, a control group, a Cis group, and a Cis+Ib group. The animals of the Cis group were injected with a single dose (7 mg/kg) of Cis intraperitoneally. The animals of the Cis+Ib group were injected with a single dose (7 mg/kg) of Ib 72 hours prior to Cis injection. …


Using The Theory Of Planned Behavior To Predict Infant Restraint Use In Saudi Arabia, Anna Nelson, Naomi N. Modeste, Helen H. Marshak, Joyce W. Hopp Sep 2014

Using The Theory Of Planned Behavior To Predict Infant Restraint Use In Saudi Arabia, Anna Nelson, Naomi N. Modeste, Helen H. Marshak, Joyce W. Hopp

Saudi Medical Journal

OBJECTIVES: To determine whether the theory of planned behavior (TPB) predicted intent of child restraint system (CRS) use among pregnant women in the Kingdom of Saudi Arabia (KSA). METHODS: In this cross-sectional study conducted in Dallah Hospital, Riyadh, KSA during June-July 2013, 196 pregnant women completed surveys assessing their beliefs regarding CRS. Simultaneous observations were conducted among a different sample of 150 women to determine CRS usage at hospital discharge following maternity stay. RESULTS: Logistic regression model with TPB constructs and covariates as predictors of CRS usage intent was significant (χ2=64.986, p<0.0001) and predicted 38% of intent. There was an increase in odds of intent for attitudes (31.5%, p<0.05), subjective norm (55.3%, p<0.001), and perceived behavioral control (76.9%, p<0.001). The 3 logistic regression models testing the association of the relevant set of composite belief scores were also significant for attitudes (χ2=16.803, p<0.05), subjective norm (χ2=29.681, p<0.0001), and perceived behavioral control (χ2=20.516, p<0.05). The behavioral observation showed that none of the 150 women observed used CRS for their newborn at discharge. CONCLUSION: The TPB constructs were significantly and independently associated with higher intent for CRS usage. While TPB appears to be a useful tool to identify beliefs related to CRS usage intentions in KSA, the results of the separate behavioral observation indicate that intentions may not be related to the actual usage of CRS in the Kingdom. Further studies are recommended to examine this association.


Association Of Dietary Patterns With Body Mass Index, Waist Circumference, And Blood Pressure In An Adult Population In Ahvaz, Iran, Fatemeh Haidari, Esmat Shirbeigi, Makan Cheraghpour, Majid Mohammadshahi Sep 2014

Association Of Dietary Patterns With Body Mass Index, Waist Circumference, And Blood Pressure In An Adult Population In Ahvaz, Iran, Fatemeh Haidari, Esmat Shirbeigi, Makan Cheraghpour, Majid Mohammadshahi

Saudi Medical Journal

OBJECTIVES: To assess the association between dietary patterns, central obesity, and blood pressure (BP). METHODS: In this cross-sectional study, we evaluated anthropometric measurements, BP, and usual dietary intakes of 243 men, aged 30-50 years old, working at the Education and Culture Systems in Ahvaz, Iran, between October 2011 and March 2012 using the Food Frequency Questionnaire (FFQ). RESULTS: Using the factor analysis, we extracted 3 major dietary patterns: “prudent”, “high protein” and “high fat”. After controlling for confounders (energy and physical activity), “prudent” pattern scores were negatively associated with body mass index, waist circumference, waist-to-hip ratio, systolic and diastolic BP …


Measuring Adherence Rate To Quality Indicators For Diabetes Care Identified By Primary Health Care In Bahrain, Basem A. Al-Ubaidi, Mohammed A. Al-Khadraji, Badriya Al-Hermi Sep 2014

Measuring Adherence Rate To Quality Indicators For Diabetes Care Identified By Primary Health Care In Bahrain, Basem A. Al-Ubaidi, Mohammed A. Al-Khadraji, Badriya Al-Hermi

Saudi Medical Journal

OBJECTIVES: To measure the quality of care for patients with diabetes mellitus at the outpatient clinics from 12 general practitioners clinics (GPC) and one diabetes care clinic (DCC). METHODS: A cross-sectional study was conducted at the Al-Razi Health Center, Manama, Bahrain, and health records from January to December 2012 were reviewed. The study consisted of 120 patients from GPC, and 80 patients from DCC. Information regarding quality indicators on the management of diabetic care was gathered, which consisted of data on the adherence rate for each of the 8 processes and 4 intermediate outcomes indicators, and was then compared to …


Protective Effect Of Seed Oil Of Herpetospermum Pedunculosum Against Carbon Tetrachloride-Induced Liver Injury In Rats, Gang Li, Xiao-Yan Wang, You-Rui Suo, Hong-Lun Wang Sep 2014

Protective Effect Of Seed Oil Of Herpetospermum Pedunculosum Against Carbon Tetrachloride-Induced Liver Injury In Rats, Gang Li, Xiao-Yan Wang, You-Rui Suo, Hong-Lun Wang

Saudi Medical Journal

OBJECTIVES: To investigate the protective effect of Herpetospermum pedunculosum (H. pedunculosum) seed oil against carbon tetrachloride (CCl4)-induced liver damage. METHODS: This experimental study was conducted at the Northwest Institute of Plateau Biology, Chinese Academy of Sciences, and Yantai University, China from November 2012 to May 2013. The H. pedunculosum seed oil was extracted using supercritical carbon dioxide. The antioxidant activities of H. pedunculosum seed oil were assayed in vitro by 2,2-diphenyl-1-picrylhydrazyl assay, lipid peroxidation assay, and antihemolytic assay. Adult Sprague Dawley rats were randomly divided into 6 groups (10 rats/group) including control, CCl4, CCl4+bifendate, and CCl4+H. pedunculosum seed oil (3 …


The Impact Of ‘Admit No Bed’ And Long Boarding Times In The Emergency Department On Stroke Outcome, Ali M. Al-Khathaami, Ahmad A. Abulaban, Gamal E. Mohamed, Ahmed M. Alamry, Suleiman M. Kojan, Mohammed A. Aljumah Sep 2014

The Impact Of ‘Admit No Bed’ And Long Boarding Times In The Emergency Department On Stroke Outcome, Ali M. Al-Khathaami, Ahmad A. Abulaban, Gamal E. Mohamed, Ahmed M. Alamry, Suleiman M. Kojan, Mohammed A. Aljumah

Saudi Medical Journal

OBJECTIVES: To examine and test the possible association between boarding time and stroke patients’ outcome. METHODS: This study is a retrospective review of stroke patients presenting to the Emergency Department (ED) of King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia from 2007-2010. We excluded thrombolysis cases and those deemed critically ill. We collected time of stroke onset, ED arrival, decision to admit, and arrival to ward. Boarding time (BT) was defined as time of arrival to ward minus time of decision to admit. Primary outcome (PO) was defined as a composite of mortality, and/or any of post-stroke complications. RESULTS: …


Efficacy Of Implementation Of A 5 Scale Pediatric Triage And Acuity Scale In Pediatric Emergency, Saudi Arabia, Adel A. Al-Hindi, Ali A. Al-Akhfash, Abdulbaset M. Fareed, Khalid S. Alhusainan, Salih F. Algasomy, Ibrahim R. Althowainy Sep 2014

Efficacy Of Implementation Of A 5 Scale Pediatric Triage And Acuity Scale In Pediatric Emergency, Saudi Arabia, Adel A. Al-Hindi, Ali A. Al-Akhfash, Abdulbaset M. Fareed, Khalid S. Alhusainan, Salih F. Algasomy, Ibrahim R. Althowainy

Saudi Medical Journal

OBJECTIVES: To evaluate the effectiveness of implementation of the pediatric Canadian Triage and Acuity Scale (Ped-CTAS) for children visiting the pediatric emergency department (ED). METHODS: This cross-sectional study evaluated all children presented to the ED during a 9-day period in March 2010. The Ped-CTAS triage system was used. Triage performance was analyzed on the basis of quality indicators, rate of admissions, rate of referral, observation duration, and relationship between investigations requested and CTAS level. RESULTS: During the study period, 3,337 patients were triaged. Overall, 4 patients (0.1%) were in triage level 1, 356 (12%) were level 2, 655 (22%) were …