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In This Issueclinical Practice Guidelinesreview Articleoriginal Articles

Saudi Medical Journal

No abstract provided.

Navigating Challenges In Management Of Difficult-To-Treat Chronic Rhinosinusitis With Nasal Polyps In The Greater Gulf, Osama A. Marglani, Abdul Razzak Juratli, Athari Maatouq Alwael, Ghassan Hussain Alokby

Saudi Medical Journal

ABSTRACT Chronic rhinosinusitis with nasal polyps (CRSwNP) poses significant management challenges, particularly in treatment-resistant cases, greatly affecting patients’ quality of life. This paper provides consensus-based recommendations to guide clinicians in managing difficult-to-treat CRSwNP in the Gulf Cooperation Council (GCC) region. A modified Delphi method was used to gather expert opinions from GCC specialists through surveys and discussions, achieving consensus on 14 key statements for CRSwNP management. Key criteria identified for difficult-to-treat CRSwNP included early recurrence after surgery, comorbid atopic diseases, and frequent need for oral steroids. The importance of structured histopathology reporting and understanding inflammatory characteristics to differentiate patients with …

Interventional Study Of The Iselfie Heart Health Tool For Assessment Of Vital Signs (Heart Rate, Blood Pressure, And Oxygen Saturation) In The Kingdom Of Saudi Arabia, Abdulaziz S. Alhomod, Demah Abdulaziz Almowanes, Robert Scooter Plowman, Azhar Quddus, Hassan Mohamed, Mahmut Karakaya, Ahmed Elgebaly, Jamilah Alrahimi, Raed Alkutshan, Adel Tash

Saudi Medical Journal

ABSTRACT Objectives: To validate the diagnostic performance of the iSelfie Heart Health tool compared to standard-of-care devices, focusing on accuracy, reliability, and classification capabilities. Methods: Vital sign measurements from 579 participants were analyzed using the iSelfie tool in calibrated and non-calibrated modes. Further analyses applied the Association for the Advancement of Medical Instrumentation (AAMI) standards and criteria for cuff-based blood pressure (BP) devices. Primary endpoints included mean absolute error (MAE) and cumulative error percentages for all vital parameters. Binary and multi-class classification analyses evaluated the device’s performance to categorize hypertension grades. Results: In calibrated mode, the iSelfie tool demonstrated high …

Prevalence Of Respiratory Distress Syndrome Among Late Preterm Infants Admitted To A Neonatal Intensive Care Unit In Saudi Arabia: A Retrospective Study, Abdulmohsen K. Alswayed, Kamal Ali, Amjad O. Alharbi, Ghadah K. Alnami, Haifa M. Bindokhi

Saudi Medical Journal

ABSTRACT Objectives: The objective of this research was to identify how common Respiratory distress syndrome (RDS) is and explore related factors in late preterm infants admitted to the neonatal intensive care unit (NICU) at King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. Methods: A retrospective cross-sectional study was conducted over 1 year (2021). Infants with a gestational age of 34 to 36 weeks were selected using a consecutive, non-probability sampling method. Clinical, neonatal, and maternal factors were analyzed to assess their impact on the prevalence of RDS in this gestational age group. Results: The majority of infants in the …

Satisfaction With The Saudi Healthcare System: Findings From The 2019 Kingdom Of Saudi Arabia World Health Survey, Ali M. Alzahrani, Holly C. Felix

Saudi Medical Journal

ABSTRACT Objectives: To provide details on patient satisfaction with the Saudi healthcare system and patient characteristics associated with satisfaction levels using nationally representative survey data. Methods: A cross-sectional secondary analysis was conducted using the Kingdom of Saudi Arabia World Health Survey (KSAWHS 2019) data, which collected information on demographics, health status, chronic conditions, and access to and use of healthcare services among Saudi adults aged ≥15 years. Descriptive statistics and logistics regression analyses were performed to identify significant predictors of satisfaction with Saudi healthcare services. Results: Between April and July 2019, 8,912 individuals completed the KSAWHS 2019 individual questionnaire. Out …

Discharge Against Medical Advice Among Pediatric Patients: A Retrospective Study From A Saudi Tertiary Emergency Department, Elaf A. Alshammari, Atheer M. Aljeraibah, Haya M. Aldabas, Saad M. Alqahtani, Raseel S. Alghamdi, Abdulrahman M. Alsharif, Yahya K. Alyahya, Abdullah I. Almojali

Saudi Medical Journal

ABSTRACT Objectives: To investigate the incidence, parental reasons, and predictors of emergency room (ER) revisits following discharge against medical advice (DAMA) in a pediatric center in Saudi Arabia. Methods: This retrospective cohort study was conducted between January 2020 and December 2024 at a tertiary care hospital. Pediatric patients aged 0-14 years who signed the DAMA during ER visits were included. Medical records of patients with DAMA were reviewed to collect demographic data, diagnoses, reasons for DAMA, and outcomes. Results: Among 446,251 ER visits, 2,336 (0.52%, 95% CI: 0.50%–0.55%) involved caregiver-signed DAMA. These rates ranged from 0.45% (2020) to 0.69% (2023). …

Real-World Evidence Of Nusinersen Treatment For Patients With Spinal Muscular Atrophy In The Kingdom Of Saudi Arabia: Initial Insights From The Saudi National Spinal Muscular Atrophy Program, Ahmed H. Al-Jedai, Hajer Yousef Almudaiheem, Tareef Y. Alaama, Fahad Abdo Bashiri, Mohammed Abdelrahman Almuhaizae, Fouad Abdullah Alghamdi, Aljohara A. Alsakran, Fahad Zuriqan Ibrahim

Saudi Medical Journal

ABSTRACT Objectives: To assess the clinical and functional outcomes of 110 patients with spinal muscular atrophy (SMA) program who received nusinersen treatment in the Kingdom of Saudi Arabia (KSA). Methods: Motor assessments were performed using the Children’s Hospital of Philadelphia infant test of neuromuscular disorder (CHOP-INTEND) and Hammersmith infant neurological examination (HINE) for type 1 SMA, the Hammersmith Functional Motor Scale–Expanded (HFMSE) for types 2 and 3 SMA; the 6-minute walk test (6MWT) for ambulant type 3 SMA, and the revised upper limb module (RULM) for types 2 and 3 SMA. Results: Data included all SMA types (type 1, 2.72%; …

Correlation Of Clinical And Laboratory Findings Of Dehydration With Ultrasonographic Measurements, Yusuf Yilmazturk, Abdullah Sadik Girisgin, Mustafa Alpaslan, Necmi Baykan

Saudi Medical Journal

ABSTRACT Objectives: To assess bedside ultrasonographic readings in conjunction with laboratory and clinical results, as well as to look into the efficacy of these measurements while evaluating patients who are being monitored for dehydration and managing their therapy. Methods: We assessed 300 patients, 150 of whom were in the case group and 150 in the control group. Laboratory results throughout therapy, clinical dehydration, vital signs, and bedside ultrasonography results were all documented. A vena cava inferior collapsibility index of 50% or higher, dry oral mucosa, decreased skin turgor, and a fresh onset of altered consciousness were all considered clinical indicators …

Respiratory Distress Syndrome In Late Preterm Infants: Are We Doing Enough To Prevent It?, Adeeb Khawaji

Saudi Medical Journal

No abstract provided.

Prevention: Bend It Like Bekham, Mirvat Alasnag, Adel Tash

Saudi Medical Journal

No abstract provided.

Launch Of Online Learning Course On Using The Iarc Atlas Of Breast Cancer Early Detection

Saudi Medical Journal

No abstract provided.

Stronger Infection Prevention And Management, Better Maternal Outcomes

Saudi Medical Journal

No abstract provided.

Borderplex Business Barometer, Volume 9, Number 12, Thomas M. Fullerton Jr., Steven L. Fullerton

Border Region Modeling Project

No abstract provided.

Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice project was conducted to examine a quality improvement initiative that sought to address metabolic syndrome screening consistency for veterans on antipsychotic medications at a U.S. Department of Veterans Affairs health system located in the Midwest region of the United States. The project centered on whether the quality improvement program assessing compliance with the current metabolic syndrome screening process reflects increased early detection of metabolic syndrome to prevent cardiovascular complications. Data collection involved comprehensive chart reviews of 50 veterans’ records. The data collected were analyzed using a specially designed quality improvement initiative assessment form developed …

Executive Summary: Executive Leadership System Improvement Workplace Violence, Mercedes Ivette Tejada

Walden Dissertations and Doctoral Studies

Introduction This Doctor of Nursing Practice (DNP) Executive Leadership Project is focused on the reduction of workplace violence in a critical access hospital using an organized prevention program. Workplace violence in nursing is increasing, exposing the health of staff, patient safety, and quality of care in critical access hospitals. The question of the DNP project is: In nurses (P) in small critical access hospitals, how does implementing a structured workplace violence prevention program (I) compared to having no formal violence prevention strategy (C) impact the occurrence of workplace aggression and perceptions of safety among staff (O)? This practicum project used …

Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin

Walden Dissertations and Doctoral Studies

Pet ownership continues to be part of modern society in the United States. Researchers have explored pet ownership’s impact on chronic diseases and aging populations, but research on health-related quality of life is limited. Grounded in the socioecological model, this quantitative study analyzed data from the 2005-2006 National Health and Nutrition Examination Survey (N = 10,348) to investigate the impact of pet ownership on health-related quality of life among low-income adults aged 30-50 years. Chi-square tests were performed to analyze the associations between age, income, gender, and race with three health-related quality of life metrics. Results showed no statistically significant …

The Effect Of Gender, Race, And Age On 30-Day Readmission Rates Among Heart Failure Patients In Mississippi, Patricia Ann Mondy

Walden Dissertations and Doctoral Studies

A sizeable number of U.S. heart failure patients are readmitted within 30 days of hospital discharge. There was a need to explore ways to reduce this number and improve the care of heart failure patients when they are discharged home. The purpose of this quantitative correlational study was to determine if there is a relationship between age, gender, and race of heart failure patients and 30-day readmissions in the U.S. state of Mississippi in 2019. The dependent variable was heart failure 30-day readmissions, and the independent variables were age, gender, and race. Wagner’s chronic care model was the theoretical framework …

Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves

Walden Dissertations and Doctoral Studies

A scoliosis diagnosis can impact an individual’s work performance, particularly if there is a lack of proper ergonomics or workplace accommodations that might lead to increased pain and discomfort. Organizational leaders must understand this impact as an indicator of employee motivation and productivity. The purpose of this qualitative, interpretative phenomenological analysis was to explore the lived experience of female employees in China with scoliosis pain and its impact on their motivation and productivity. The theoretical foundations used in this study were the job demands-resources model and the self-determination theory. The participants consisted of eight female employees with scoliosis pain working …

A Cultural Staff Education Project To Improve Hypertension Management In African American Adults, Rosemary Nguatem Folefa Fonya

Walden Dissertations and Doctoral Studies

In this evidence-based educational project, I identified the gap in practice with the lack of nurses' knowledge in culturally tailored hypertension management among nurses caring for African American adults at a family nurse practitioner clinic. In this Doctor of Nursing Practice (DNP) project, I focused on a staff education initiative to improve nurses' knowledge to reduce disproportionately high rates of hypertension, complications, and mortality due to factors such as limited access to care, medication nonadherence, mistrust of providers, and improve on culturally competent interventions. The guiding practice-focused question was: Does educating nurses on hypertension in the African American population improve …

Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku

Walden Dissertations and Doctoral Studies

This project is an education-based initiative designed to address the persistent problem of psychotropic medication duplication in integrated care settings. Duplication occurs when patients receive multiple prescriptions of the same or similar psychotropic drugs. The practice gap exposes patients to adverse drug events, complications of polypharmacy, and reduced adherence, and subjects the providers to liability. The practice-focused question guiding this project is: For primary care and psychiatric providers, will an education program on structured communication and medication reconciliation, compared to current usual practices, increase provider confidence and awareness of the risks of duplication, communication strategies, and increased the use of …

A Study On The Influence Of Entity Internet Hospital Platforms And Health Literacy Facilitation On Postoperative Patients’ Platform Usage, Hong Ye

Dissertations and Theses Collection (Open Access)

Entity Internet Hospital (EIH) is emerging online medical service platforms in China. Currently, while EIHs in China are developing rapidly, their usage rates remain low. However, postoperative patients have substantial follow-up consultation needs. Consequently, incentivizing postoperative patients to use EIH from the demand side is a highly challenging proposition in the current era. Grounded in Technology Acceptance Model and Health Belief Model, this study examined the impacts of platform and health literacy facilitation on platform usage (including intention and frequency) among 631 postoperative patients with cardiovascular disease from four medical institutions in Wuhan, and explored the moderating role of literacy …

Research On The Impact Mechanism Of The Development Level Of Smart Agriculture On Farmers' Income, Baoping Liu

Dissertations and Theses Collection (Open Access)

Agriculture is a fundamental and strategic industry essential to national food security and farmers’ well-being. Faced with global population growth, climate change, and resource constraints, the traditional high-input agricultural model is unsustainable. Smart agriculture, empowered by IoT, big data, and AI, has become critical for agricultural transformation and sustainable development. However, existing research overemphasizes technical efficiency and neglects how smart agriculture systematically affects farmers’ income, especially its transmission mechanism and regional heterogeneity.

Against China’s rural revitalization and digital village strategy, this study investigates how smart agriculture development influences farmers’ income, using a hybrid framework of macro empirics and micro analysis. …

Striking A Balance Between Personal Data Protection And Transactional Efficiency In The Context Of Data-Driven Mergers, Jun Hu

Dissertations and Theses Collection (Open Access)

The proliferation of data-driven mergers and acquisitions (M&A) has created a critical tension between the commercial value of integrated data assets and the fundamental privacy rights of users. This dissertation addresses the underexplored micro-foundations of user consent when personal data is transferred wholesale to an acquiring firm. It develops and empirically tests a sequential mediation model, anchored in Privacy Calculus and Signaling Theory, to explain how users' perceptions and intentions are shaped by different corporate data protection strategies.

A between-subjects experimental design was employed (N=532), exposing participants to one of three distinct protection mechanisms: procedural safeguards (emphasizing fairness and control), …

Investigating The Role Of Motivation On The Effectiveness Of Computerized Cognitive Training Among At-Risk Youth, Emely N. Lugo

Electronic Theses, Projects, and Dissertations

Student motivation plays a central role in academic success, influencing persistence, engagement, and performance across grade levels. Within situated expectancy-value theory (SEVT), motivation is shaped by students’ beliefs about their ability to succeed (expectancy), the importance or usefulness they assign to a task (value), the perceived effort or trade-offs involved (cost), and the situational context in which learning occurs. Although the link between motivation and academic performance is well known, there is limited research on how motivational factors, like those proposed by SEVT, influence the extent of cognitive gains from school-based cognitive interventions designed to improve abilities related to academic …

Untangling Familicide: A Comparison Of Three Definitions, Lesley M. Vega

Electronic Theses, Projects, and Dissertations

Familicide is generally defined as the killing of multiple family members by a relative. However, there is no single, universally accepted definition of familicide, and different studies use varying definitions with different inclusion criteria. Sometimes, very restrictive definitions are used that exclude many similar cases (e.g., father kills spouse and children). Conversely, broader definitions sometimes overlap with other phenomena, such as mass murder. Only a few studies have examined this phenomenon, primarily from an exploratory standpoint.

Case data was collected from the Gun Violence Archive, an online database that records shooting incidents in the United States, for familicidal events that …

The Spoon Theory & Autoimmune Diseases, Karen Davis Rdh, Bsdh

Metro Denver Dental Society Articulator Magazine

In this article, Karen Davis, RDH, BSDH, uses the Spoon Theory to illustrate how the hidden challenges of living with an autoimmune disease or chronic illness can impact oral health, treatment tolerance and daily hygiene routines. She offers practical strategies for dental teams to better support “Spoonie” patients with compassionate, customized care.

Oral Health Is Still The World’S #1 Disease. Here’S How We Fix That, Kami Hoss Dds

Metro Denver Dental Society Articulator Magazine

Dr. Kami Hoss explores how outdated products, one-size-fits-all routines and microbiome-disrupting ingredients are failing patients, and why a more personalized, science-driven approach is urgently needed. His message is clear: it’s time to reinvent oral care for the 21st century.

A Pan-Amazonian Dataset Integrating 20 Years Of Respiratory, Cardiovascular, Zoonotic And Vector-Borne Disease Cases And Landscape Changes, Julia Rodrigues Barreto, Florencia Sangermano, Ana Filipa Palmeirim, Farah Carrasco-Rueda, Benoit De Thoisy, Adrian González-Chaves, Maria Eugenia Grillet, Victoria Morpurgo-Dest, Catalina Zuluaga Rodríguez, Nerida Nadia H. Valero, Paula R. Prist

Geography

As anthropogenic pressures continue to impact the environment, human health is expected to be subsequently affected. This dataset provides a comprehensive view of the trends and burden of infectious diseases, along with environmental metrics, across the Amazon biome between 2000 and 2019. The dataset includes health indicators for respiratory, cardiovascular, and major zoonotic and vector-borne diseases (Chagas disease, hantavirus, cutaneous leishmaniasis, visceral Leishmaniasis, rickettsial diseases, and malaria), compiled as annual case counts at the municipal level. The innovation of this dataset lies in its unprecedented assembly of data for this transboundary biome—much of it requiring ground-level collection beyond available in …

Extension Of Mcgdm To New Type Of Complex Pythagorean Neutrosophic Set Applied To Soft Set Via Weighted Score Function, Murugan Palanikumar, Nasreen Kausar, Brikena Vrioni, Ervin Hoxha

Neutrosophic Sets and Systems

No abstract provided.

Enhancing Diagnostic Precision Through Neutrosophic Degrees: A Hypothetical Framework For Managing Medical Uncertainty, A.A. Salama, Abdelnasser Mohamed, Huda E. Khalid, Ahmed Essa, Doaa E. Mossa

Neutrosophic Sets and Systems

No abstract provided.