Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 116251 - 116280 of 5153635

Full-Text Articles in Entire DC Network

The Level Of Teaching Performance Among Islamic Studies Female Teachers In Light Of The Principles Of Cognitive Apprenticeship Theory: A Perspective From The School Evaluation Team, Atared Hassan Mohammad Kaki Dec 2025

The Level Of Teaching Performance Among Islamic Studies Female Teachers In Light Of The Principles Of Cognitive Apprenticeship Theory: A Perspective From The School Evaluation Team, Atared Hassan Mohammad Kaki

University of Tabuk Journal for Humanities and Social Sciences

The present study aimed to assess the teaching performance of Islamic Studies female teachers in light of the principles of Cognitive Apprenticeship Theory, as viewed by school evaluators in Al-Ahsa, Saudi Arabia. It also sought to identify statistically significant differences in the participants' evaluations of teaching performance levels, attributed to the variables of educational stage, years of experience, and job grade. The study adopted a descriptive-analytical approach, employing an observation checklist as a tool for data collection from a random sample of 162 Islamic Studies teachers. The checklist comprised 11 indicators for evaluating teaching performance. The results revealed that the …


Beautiful Articulation In Confirming Ali's Commendation Of The Companions In Nahj Al-Balagha: An Inductive-Analytical Study, Ghazwa Suliman Awad Alanazi Dec 2025

Beautiful Articulation In Confirming Ali's Commendation Of The Companions In Nahj Al-Balagha: An Inductive-Analytical Study, Ghazwa Suliman Awad Alanazi

University of Tabuk Journal for Humanities and Social Sciences

This study investigates Ali ibn Abi Talib's (may Allah be pleased with him) perspective on the Companions, particularly the Muhajirun and Ansar, as presented in Nahj al-Balagha, aiming to clarify his relationship with them and address a central point of Sunni-Shi'a divergence. Employing inductive and analytical approaches, it scrutinizes narrations attributed to Ali. Key findings reveal: (1) Nahj al-Balagha, compiled by al-Sharif al-Radi, holds prominence among Shi'a, yet Sunnis question its authenticity due to the lack of verifiable chains of transmission; (2) Ali consistently praised the Companions as exemplars of devotion and asceticism; (3) He specifically extolled the Muhajirun for …


The Rhetoric Of Conceptual Metaphors In The Textbook Al-'Arabiyya Bayna Yadayk For Non-Native Speakers: A Cognitive Approach, Fawzi Ali Ali Soileh Dec 2025

The Rhetoric Of Conceptual Metaphors In The Textbook Al-'Arabiyya Bayna Yadayk For Non-Native Speakers: A Cognitive Approach, Fawzi Ali Ali Soileh

University of Tabuk Journal for Humanities and Social Sciences

This research, entitled The Rhetoric of Conceptual Metaphors in the Textbook Al-'Arabiyya Bayna Yadayk for Non-Native Speakers: A Cognitive Approach, aims to examine the textbook prescribed for non-native learners at King Khalid University. The study explores the communicative dimension and the cognitive power that contributed to the construction of the book, in an attempt to answer a fundamental composite question: How did the cognitive mind construct its own metaphorical world within Al-'Arabiyya Bayna Yadayk? And what conceptual metaphors extended their influence in shaping this textbook? The key finding is the experts' sound awareness in addressing the needs of this diverse …


The Effectiveness Of Supervisory Support In Enhancing School Evaluation Processes From The Perspective Of School Leaders., Mohammad Alromaih Dec 2025

The Effectiveness Of Supervisory Support In Enhancing School Evaluation Processes From The Perspective Of School Leaders., Mohammad Alromaih

University of Tabuk Journal for Humanities and Social Sciences

The study aimed to identify the degree of effectiveness of supervisory support in enhancing school evaluation processes from the perspective of school leaders. The quantitative descriptive analytical approach has been used as the study methodology. The study sample consisted of (57) school leaders from the West educational Office of Buraidah city in AlQassim region, Saudi Arabia. The structured questionnaire has been employed as the study instrument. The study results concluded that the effectiveness of supervisory support in enhancing school evaluation processes and empowering the school was varied; It has been "effective" in the area of "learning outcomes," "school leadership and …


The Role Of Administrative Leadership And Strategic Management In Improving The Responsiveness Of Health Systems To Pandemics: An Analysis Of The Covid-19 Pandemic Experience, Naseem Abdulghaffar Saeed Bazuhair Dec 2025

The Role Of Administrative Leadership And Strategic Management In Improving The Responsiveness Of Health Systems To Pandemics: An Analysis Of The Covid-19 Pandemic Experience, Naseem Abdulghaffar Saeed Bazuhair

University of Tabuk Journal for Humanities and Social Sciences

This study aims to understand the role of strategic administrative leadership in responding to the COVID-19 pandemic, focusing on the health policies and strategic planning adopted by health systems to ensure the continuity of medical services and adapt to the rapid changes of the pandemic. The research addresses key strategies such as establishing emergency centres, coordinating between hospitals, developing standardized care and isolation protocols, and ensuring the availability of medical supplies and vaccines. It also emphasizes practices for maintaining the continuity of health services, including separating COVID-19 departments from other services, enhancing the use of digital solutions and telemedicine, and …


A Message Related To The Interpretation Of Verse 21 Of Surat Al-Jathiya, By The Linguistic Scholar And Commentator Shihab Al-Din Ahmad Ibn Umar Al-Khafaji (D. 1069 Ah) - Study And Investigation-, Nawaf Bin Ghadir Bin Nuwayran Al-Tumi Al-Shammari Dec 2025

A Message Related To The Interpretation Of Verse 21 Of Surat Al-Jathiya, By The Linguistic Scholar And Commentator Shihab Al-Din Ahmad Ibn Umar Al-Khafaji (D. 1069 Ah) - Study And Investigation-, Nawaf Bin Ghadir Bin Nuwayran Al-Tumi Al-Shammari

University of Tabuk Journal for Humanities and Social Sciences

In this research, I studied one of the letters of the scholar Shihab al-Din al-Khafaji (1069 AH), related to the interpretation of verse 21 of Surat al-Jathiya. In it, he - may God have mercy on him - took care to explain the readings and ways of parsing in the verse upon which the meaning depends, and he conveyed the statements of scholars on that, and he was concerned with highlighting the rhetorical aspect of the verse. In my study, I followed the scientific method followed in investigation, and I came out with a number of results, the most important …


The Reality Of The Partnership Between The Family And The School And Its Impact On The Academic Performance Of Students With Learning Disabilities At The Primary Stage From The Perspective Of Their Families, Saleh Abdulrahman Ali Alalyani Dec 2025

The Reality Of The Partnership Between The Family And The School And Its Impact On The Academic Performance Of Students With Learning Disabilities At The Primary Stage From The Perspective Of Their Families, Saleh Abdulrahman Ali Alalyani

University of Tabuk Journal for Humanities and Social Sciences

The current study aimed to assess the reality of the partnership between the family and the school and its impact on the academic performance of students with learning disabilities at the primary stage from the perspective of their families. The study adopted the descriptive-analytical method. The study population consisted of families of students with learning disabilities enrolled in public schools in Al-Madinah Al-Munawwara region (1,430 families), and a simple random sample of 303 families was selected. To collect data, the study used a questionnaire composed of two main axes; the reality of the partnership and then its impact on the …


The Impact Of An Art Therapy Training Program On Changing The Perceptions Of Interior Design Students, Abdulaziz Abdulrahman Al-Duqail Dec 2025

The Impact Of An Art Therapy Training Program On Changing The Perceptions Of Interior Design Students, Abdulaziz Abdulrahman Al-Duqail

University of Tabuk Journal for Humanities and Social Sciences

This study aimed to investigate the perceptions of design students at the College of Design and Applied Arts at Taif University of Saudi Arabia using an experimental art therapy program. The experimental user used pre- and post-tests on the creations of (30) students. A scale for students' perceptions of art therapy was administered before and after the study. There were statistically significant results and application trends across all scale axes (general knowledge, innovation and attitude, and perception of social benefits). The results also included positive correlations among all of them. These results confirm the effectiveness of the training program in …


Strategies For Dealing With The Overuse Of Artificial Intelligence Applications Among Postgraduate Students At Some Saudi Universities: An Analytical Study Of Academic Impacts And Proposed Solutions, Naimah Nasser Abdulaziz Alhumaidhi Dec 2025

Strategies For Dealing With The Overuse Of Artificial Intelligence Applications Among Postgraduate Students At Some Saudi Universities: An Analytical Study Of Academic Impacts And Proposed Solutions, Naimah Nasser Abdulaziz Alhumaidhi

University of Tabuk Journal for Humanities and Social Sciences

Study aims to identify strategies for dealing with overuse of artificial intelligence applications among postgraduate students in Saudi universities: an analytical of its academic impacts and proposed solutions, adopted a descriptive-analytical approach by administering a questionnaire to a sample of (327) male, female postgraduate students from (Al-Jouf, Taibah, Najran, Shaqra) universities. The results showed that level of prevalence of the overuse of artificial intelligence applications among postgraduate students was moderate. The motivations behind this excessive use were high, particularly concerning saving time and ease of access to information. Level of academic and behavioral impacts resulting from this overuse was generally …


Scoring Accuracy And Differential Rater Functioning Of Large Language Models (Llms) In Evaluating Short Student Essays Under Different Conditions: A Simulation Study, Majed Mahmoud Ajoudeh Dec 2025

Scoring Accuracy And Differential Rater Functioning Of Large Language Models (Llms) In Evaluating Short Student Essays Under Different Conditions: A Simulation Study, Majed Mahmoud Ajoudeh

University of Tabuk Journal for Humanities and Social Sciences

This study aimed to evaluate the accuracy and differential rater functioning (DRF) of LLMs in scoring short essays, based on synthetically generated data of 270 essays with varying quality. The LLMs scored the essays under three prompting conditions: without a rubric, with a brief rubric, and with a detailed rubric. Human benchmark ratings were also generated in comparison with the automated scores. The results showed that using detailed rubric improved accuracy and consistency with human raters. Regression analysis further revealed differential rater functioning: the LLMs were more likely to award higher scores to longer essays, favored indirect writing styles, and …


Impact Of The Use Of Chabot On The Development Of Digital Skills - Female Students At Hail University College Of Education, Wadha Shabib Ali Alotaibi Dec 2025

Impact Of The Use Of Chabot On The Development Of Digital Skills - Female Students At Hail University College Of Education, Wadha Shabib Ali Alotaibi

University of Tabuk Journal for Humanities and Social Sciences

The present study aims to identify the impact of using Chatbot on the development of digital skills among female education students at Hail University. The study used the quasi-experimental approach. The sample consisted of (50) female students who were divided into two equivalent groups: control and experimental, and the research tool was the achievement test to measure the cognitive aspect, and an observation card to measure the performance aspect. The results showed that there were statistically significant differences at the significance level (a <= 0.05) between the mean scores of the experimental and control group in the post-test application of both the achievement test to measure the cognitive aspect of digital skills, and the observation card for the performance aspect of digital skills, all differences were in favor of the students in the experimental group. The results also showed no statistically significant differences at the significance level (a <= 0.05) in the evaluation of the students of the College of Education at the University of Hail of the observation card for using the chatbot robot in developing the performance aspect of digital skills attributed to the variables: (academic level and training courses). The study recommended conducting research related to interactive chats.


Comparative Value Of Echocardiography Vs. Right Heart Catheterization In Heart Failure With Preserved Ejection Fraction, Nathanael Tran, Mohammad Shaar, Hussein Al-Sudani, Ramy Sedhom, Hamza Akhtar, Kevin Bryan Lo, Gregg S. Pressman Dec 2025

Comparative Value Of Echocardiography Vs. Right Heart Catheterization In Heart Failure With Preserved Ejection Fraction, Nathanael Tran, Mohammad Shaar, Hussein Al-Sudani, Ramy Sedhom, Hamza Akhtar, Kevin Bryan Lo, Gregg S. Pressman

Einstein Health Papers

BACKGROUND: Echocardiography and right heart catheterization (RHC) are useful in the evaluation of heart failure with preserved ejection fraction (HFpEF). We compared the two among decompensated HFpEF patients to determine their relative value in predicting all-cause mortality and a composite of cardiovascular (CV) death and heart failure (HF) readmission at 1 year.

METHODS: One hundred seventy-eight decompensated HFpEF patients who underwent both procedures and survived to hospital discharge were retrospectively identified. Hospital records and the National Death Index were queried to determine outcomes. Echocardiographic and invasive parameters were tested for significant associations with each outcome. Additionally, three predictive models were …


A Learning‑Augmented Dynamic Programming Approach For Orienteering Problem With Time Windows, Guansheng Peng, Lining Xing, Fuyan Song Ma, Aldy Gunawan, Aldy Gunawan Dec 2025

A Learning‑Augmented Dynamic Programming Approach For Orienteering Problem With Time Windows, Guansheng Peng, Lining Xing, Fuyan Song Ma, Aldy Gunawan, Aldy Gunawan

Research Collection School Of Computing and Information Systems

Recent years have witnessed a surge of interest in solving combinatorial optimization problems (COPs) using machine learning techniques. Motivated by this trend, we propose a learning-augmented exact approach for tackling an NP-hard COP, the Orienteering Problem with Time Windows, which aims to maximize the total score collected by visiting a subset of vertices in a graph within their time windows. Traditional exact algorithms rely heavily on domain expertise and meticulous design, making it hard to achieve further improvements. By leveraging deep learning models to learn effective relaxations of problem restrictions from data, our approach enables significant performance gains in an …


Large Language Models As End-To-End Combinatorial Optimization Solvers, Xia Jiang, Yaoxin Wu, Minshuo Li, Zhiguang Cao, Yingqian Zhang Dec 2025

Large Language Models As End-To-End Combinatorial Optimization Solvers, Xia Jiang, Yaoxin Wu, Minshuo Li, Zhiguang Cao, Yingqian Zhang

Research Collection School Of Computing and Information Systems

Combinatorial optimization (CO) problems, central to decision-making scenarios like logistics and manufacturing, are traditionally solved using problem-specific algorithms requiring significant domain expertise. While large language models (LLMs) have shown promise in automating CO problem solving, existing approaches rely on intermediate steps such as code generation or solver invocation, limiting their generality and accessibility. This paper introduces a novel framework that empowers LLMs to serve as end-to-end CO solvers by directly mapping natural language problem descriptions to solutions. We propose a two-stage training strategy: supervised fine-tuning (SFT) imparts LLMs with solution generation patterns from domain-specific solvers, while a feasibility-and-optimality-aware reinforcement learning …


Agentguard: An Active Threat Discovery System For Package Confusion Using Multi-Agent Collaboration, Wei Ma, Yu Li, Zhi Chen, Ye Liu, Lingxiao Jiang, Qiang Hu, Junyi Tao Dec 2025

Agentguard: An Active Threat Discovery System For Package Confusion Using Multi-Agent Collaboration, Wei Ma, Yu Li, Zhi Chen, Ye Liu, Lingxiao Jiang, Qiang Hu, Junyi Tao

Research Collection School Of Computing and Information Systems

The proliferation of open-source software (OSS) has made software supply chains prime targets for attacks like Package Confusion, where adversaries publish malicious packages with names deceptively similar to legitimate ones. Existing detection methods often rely on simple lexical similarity or passive analysis of known package pairs, struggle with high false positive rates (FPR), fail to proactively identify emerging threats, and are vulnerable to adversarial evasion. To overcome these limitations, we introduce AgentGuard, a novel framework for proactive, single-input package confusion detection. AgentGuard employs a multi-agent architecture that autonomously discovers potential confusion targets using fine-tuned word embedding model to hybird semantic …


Semi‑Supervised Graph Anomaly Detection Via Robust Homophily Learning, Guoguo Ai, Hezhe Qiao, Hui Yan, Guansong Pang Dec 2025

Semi‑Supervised Graph Anomaly Detection Via Robust Homophily Learning, Guoguo Ai, Hezhe Qiao, Hui Yan, Guansong Pang

Research Collection School Of Computing and Information Systems

Current semi-supervised graph anomaly detection (GAD) methods utilizes a small set of labeled normal nodes to identify abnormal nodes from a large set of unlabeled nodes in a graph. These methods posit that 1) normal nodes share a similar level of homophily and 2) the labeled normal nodes can well represent the homophily patterns in the entire normal class. However, this assumption often does not hold well since normal nodes in a graph can exhibit diverse homophily in real-world GAD datasets. In this paper, we propose RHO, namely Robust Homophily Learning, to adaptively learn such homophily patterns. RHO consists of …


Fl-Cdf: Collaborative Defense Framework For Backdoor Mitigation In Federated Learning, Haiyan Zhang, Xinghua Li, Yinbin Miao, Shunjie Yuan, Mengyao Zhu, Ximeng Liu, Robert H. Deng Dec 2025

Fl-Cdf: Collaborative Defense Framework For Backdoor Mitigation In Federated Learning, Haiyan Zhang, Xinghua Li, Yinbin Miao, Shunjie Yuan, Mengyao Zhu, Ximeng Liu, Robert H. Deng

Research Collection School Of Computing and Information Systems

Federated learning (FL) is vulnerable to backdoor attacks due to its distributed nature. Existing unilateral defense mechanisms often fail against persistent attack strategies, primarily due to their limited perspectives. To address the challenge of model misclassification on the server side caused by overlooked model similarity drift, and gradient misjudgment on the client side caused by semantic learning imbalances across classes, this paper proposes a collaborative defense framework for federated learning, termed FL-CDF. FL-CDF establishes an end-to-end defense through a bidirectional client-server collaboration mechanism. Specifically: (1) On the client side, an adversarial perturbation-based malicious neuron detection module is introduced. This module …


Kpiroot+: An Efficient Integrated Framework For Anomaly Detection And Root Cause Analysis In Large-Scale Cloud Systems, Wenwei Gu, Renyi Zhong, Guangba Yu, Xinying Sun, Jinyang Liu, Yintong Huo, Zhuangbin Chen, Jianping Zhang, Jiazhen Gu, Yongqiang Yang, Michael R. Lyu Dec 2025

Kpiroot+: An Efficient Integrated Framework For Anomaly Detection And Root Cause Analysis In Large-Scale Cloud Systems, Wenwei Gu, Renyi Zhong, Guangba Yu, Xinying Sun, Jinyang Liu, Yintong Huo, Zhuangbin Chen, Jianping Zhang, Jiazhen Gu, Yongqiang Yang, Michael R. Lyu

Research Collection School Of Computing and Information Systems

To ensure the reliability of cloud systems, their runtime status reflecting the service quality is periodically monitored with monitoring metrics, i.e., KPIs (key performance indicators). When performance issues happen, root cause localization pinpoints the specific KPIs that are responsible for the degradation of overall service quality, facilitating prompt problem diagnosis and resolution. To this end, existing methods generally locate root-cause KPIs by identifying the KPIs that exhibit a similar anomalous trend to the overall service performance. While straightforward, solely relying on the similarity calculation may be ineffective when dealing with cloud systems with complicated interdependent services. Recent deep learning-based methods …


In This Issueclinical Practice Guidelinesreview Articleoriginal Articles Dec 2025

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 Dec 2025

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 Dec 2025

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 Dec 2025

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 Dec 2025

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 Dec 2025

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 Dec 2025

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%; …


Evaluation Of Simplified Arabic Matrix Test In Children With Normal Hearing, Medhat F. Yousef, Alia A. Asiri, Abdulmalik M. Marzuq, Abdulaziz A. Almalki, Mohammed N. Garrada, Manal A. Khoja, Ibrahim A. Busaad, Mahmoud M. Mahrous Dec 2025

Evaluation Of Simplified Arabic Matrix Test In Children With Normal Hearing, Medhat F. Yousef, Alia A. Asiri, Abdulmalik M. Marzuq, Abdulaziz A. Almalki, Mohammed N. Garrada, Manal A. Khoja, Ibrahim A. Busaad, Mahmoud M. Mahrous

Saudi Medical Journal

ABSTRACT Objectives: To evaluate the simplified version of the Arabic matrix test in individuals with normal hearing to derive reference ranges for future measurements with the test material. Methods The test was conducted in 80 native Arabic individuals (20 adults and 60 children across different age groups between 5-10 years) from November 2020 to Mar 2023. Evaluation measurements were conducted in adults and children to derive the reference psychometric functions and assess the training effect. The test list equivalence was verified only in the adults group. Results The reference ranges for speech-intelligibility in noise for 80% thresholds or speech-recognition threshold …


Correlation Of Clinical And Laboratory Findings Of Dehydration With Ultrasonographic Measurements, Yusuf Yilmazturk, Abdullah Sadik Girisgin, Mustafa Alpaslan, Necmi Baykan Dec 2025

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 Dec 2025

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 Dec 2025

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 Dec 2025

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

Saudi Medical Journal

No abstract provided.