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Annals of Saudi Medicine

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https://www.readbyqxmd.com/read/28988256/primary-leiomyosarcoma-of-the-atrium-with-heterologous-differentiation
#1
Shaesta Zaidi, Sufia Husain, Dona Barakah
We report a case of a 47-year-old female who presented with breathlessness and palpitations for two weeks. On clinical evaluation, bilateral pedal edema was noticed. A CT pulmonary angiogram showed a mass in the left atrium causing significant obstruction to cardiovascular outflow. After extensive work-up, the mass was surgically resected. Histopathological findings from the acquired specimen revealed a high-grade leiomyosarcoma with extensive necrosis and heterologous (cartilaginous) differentiation. The early postoperative period was complicated by cardiac tamponade and the patient died on the second postoperative day due to ventricular arrhythmia, shock and multiorgan failure...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988255/cardiac-rhythm-recorded-by-implanted-loop-recorder-during-lightning-strike
#2
Ali Altalhi, Waleed Al-Manea, Naif Alqweai, Mohammed Alothman
Lightning strikes cause severe injuries and fatalities. Injuries vary from self-limiting skin manifestations to cardiac arrest and death. Because the event is sudden and unpredictable, assessment of the direct effects of the lightning on the human heart is usually impossible. In this case, a 16-year old boy who had an implanted loop recorder subcutaneous cardiac monitor was hit by lightning during a picnic and survived. A cardiac rhythm strip was recorded live during the strike. SIMILAR CASES PUBLISHED: 0...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988254/preoperative-thrombocytosis-as-a-prognostic-factor-in-endometrioid-type-endometrial-carcinoma
#3
Ahmed Abu-Zaid, Mohannad Alsabban, Mohammed Abuzaid, Osama AlOmar, Hany Salem, Ismail A Al-Badawi
BACKGROUND: The impact of preoperative thrombocytosis as a prognostic factor in endometrial carcinoma (EC) remains uncertain and has never been examined in Saudi Arabia. OBJECTIVES: To determine the prevalence of preoperative thrombocytosis (platelet count > 400 000/ μL), and its prognostic significance for clinicopathological factors and survival in Saudi patients with endometrioid-type EC. DESIGN: A retrospective cross-sectional study from January 2010 to December 2013...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988253/prevalence-of-congenital-heart-diseases-in-children-with-down-syndrome-in-mansoura-egypt-a-retrospective-descriptive-study
#4
Abdel-Hady El-Gilany, Sohier Yahia, Yahya Wahba
BACKGROUND: The pattern and risk factors for congenital heart diseases (CHD) in children with Down syndrome (DS) vary over time. OBJECTIVES: To update knowledge of the prevalence, types, trends and associated factors for CHD in children with DS in the Egyptian Delta. DESIGN: A retrospective hospital record-based descriptive study. SETTING: A tertiary care center in Mansoura, Egypt during a period of 14 years from 2003 up to 2016...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988252/drug-shortages-in-large-hospitals-in-riyadh-a-cross-sectional-study
#5
Yazed Sulaiman AlRuthia, Hadeel AlKofide, Refaa'h AlAjmi, Bander Balkhi, Ahmed Alghamdi, Albandari AlNasser, Areej Alayed, Maali Alshammari, Danah Alsuhaibani, Asma Alathbah
BACKGROUND: Drug shortages are a serious and complex issue in any healthcare system. We conducted this study because the prevalence of drug shortages in Saudi Arabia is largely unknown, while there have been reports of shortages. OBJECTIVE: To explore the prevalence and characteristics of drug shortages as well as identify strategies to minimize their impact on patient care and safety in large hospitals. DESIGN: Questionnaire-based cross-sectional study...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988251/efficacy-and-safety-of-a-generic-rosuvastatin-in-a-real-world-setting-prospective-observational-clinical-study-in-lebanese-patients
#6
Mohamad Betto, Jocelyne Fares, Nada Saliba, Hajar Ballout
BACKGROUND: No published studies have assessed the efficacy and safety of rosuvastatin generics. OBJECTIVES: Primary objective to assess the safety and efficacy of a generic rosuvastatin in reducing plasma low-density-lipoprotein cholesterol (LDL-C) in Lebanese dyslipidemic patients. Changes in high-density lipoprotein cholesterol, triglycerides and adverse effects were secondary objectives. DESIGN: Prospective, observational, non-comparative...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988250/prevalence-of-glucose-6-phosphate-dehydrogenase-deficiency-in-neonates-in-egypt
#7
Soheir Abo Elella, Mahaa Tawfik, Naglaa Barseem, Wafaa Moustafa
BACKGROUND: Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an X-linked disorder which causes neonatal jaundice in most cases, and under certain conditions, can cause a spectrum of hemolytic manifestations. OBJECTIVE: To determine the local prevalence of G6PD deficiency in newborns. DESIGN: Cross-sectional. SETTING: University hospital. METHODS: Infants born during 2015 were prospectively screened for G6PD deficiency...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988249/validation-of-the-arabic-version-of-the-score-for-allergic-rhinitis-tool
#8
Sami Alharethy, Mawaheb Al Wedami, Falah Syouri, Almaha A Alqabbani, Abdulsalam Baqays, Tamer Mesallam, Turki Aldrees
BACKGROUND: Allergic rhinitis (AR) is a common inflammation of the nasal mucosa in response to allergen exposure. We translated and validated the Score for Allergic Rhinitis (SFAR) into an Arabic version so that the disease can be studied in an Arabic population. OBJECTIVES: SFAR is a non-invasive self-administered tool that evaluates eight items related to AR. This study aimed to translate and culturally adapt the SFAR questionnaire into Arabic, and assess the validity, consistency, and reliability of the translated version in an Arabic-speaking population of patients with suspected AR...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28988248/risk-of-pneumonia-among-patients-with-splenectomy-a-retrospective-population-based-cohort-study
#9
Shih-Wei Lai, Cheng-Li Lin, Kuan-Fu Liao
BACKGROUND: People without a spleen are particularly susceptible to various overwhelming infections including pneumonia. Although the association between splenectomy and pneumonia has been previously studied, there has been no study using the national claims data. OBJECTIVES: The aim of the study was to investigate the association between splenectomy and pneumonia. DESIGN: A retrospective population-based cohort analysis. SETTINGS: Database of the Taiwan National Health Insurance Program...
September 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761038/erratum
#10
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761037/reply
#11
COMMENT
Abdullah Alrogy, Abdullah S Dirar, Waleed Alrogy, Hana Fakhoury, Ali H Hajeer
No abstract text is available yet for this article.
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761036/re-association-of-human-leukocyte-antigen-drb1-with-anti-cyclic-citrullinated-peptide-autoantibodies-in-saudi-patients-with-rheumatoid-arthritis
#12
COMMENT
Marwan Hmoud Adwan
No abstract text is available yet for this article.
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761035/accessory-ulna-a-rare-case-in-an-asian-female
#13
Shahzad Javed, Ashfaq Ahmed, Rizwan Akram, Atiq Uz Zaman, Naeem Ahmad, Amer Aziz
No abstract text is available yet for this article.
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761034/successful-desensitization-to-radiocontrast-media-in-two-high-risk-cardiac-patients
#14
Mona Al-Ahmad, Tito Rodriguez Bouza
Hypersensitivity reactions to radiocontrast media (RCM) are common and in severe cases may present a challenge for treating physician in cases when premedication fails or the patient presents with severe comorbidities. We describe two cases in need of radiocontrast media after a severe reaction on previous exposure to iohexol. One presented anaphylactic reaction to RCM despite premedication and another presented with angina. Both cases were treated with a desensitization protocol to iodixanol. In conclusion, desensitization to radiocontrast media may be considered in patients with previously unsuccessful premedication and/or severe acute comorbidities...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761033/perception-of-hospital-accreditation-among-health-professionals-in-saudi-arabia
#15
Hussein Algahtani, Ahmad Aldarmahi, Juan Manlangit Jr, Bader Shirah
BACKGROUND: Hospital accreditation assesses hospital performance against explicit standards. Studies of the efficacy of accreditation are limited, but suggest that Joint Commission International (JCI) accreditation is efficient in improving the safety and quality of care in accredited hospitals. OBJECTIVES: This study aimed to assess the perceptions of health professionals on the impact of JCI accreditation and implementation of change towards the delivery of quality patient care...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761032/influence-of-knowledge-and-beliefs-on-consumption-of-performance-enhancing-agents-in-north-western-saudi-arabia
#16
Omar Mansour Al, Rami Azmi Elshatarat
BACKGROUND: Consumption of performance enhancing agents (PEAs) has a wide range of negative health consequences, but knowledge of these consequences among gym users of PEAs in Saudi Arabia is not well understood. OBJECTIVES: Identify the knowledge, awareness, beliefs and attitudes of gym users about negative health consequences of using PEAs, and the relationship between these factors and use of these agents. DESIGN: Cross-sectional study...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761031/indications-for-enucleation-and-evisceration-in-a-tertiary-eye-hospital-in-riyadh-over-a-10-year-period
#17
Saad A Al-Dahmash, Sawsan Saad Bakry, Nada H Almadhi, Lolwah M Alashgar
BACKGROUND: Enucleation and evisceration are eye removal procedures considered as palliative treatment when all other therapeutic options are exhausted. OBJECTIVE: Describe the causes and histopathological findings leading to enucleation/evisceration, and correlate the clinical findings with the histopathological findings. DESIGN: Retrospective, descriptive study. SETTINGS: Tertiary care hospital, Riyadh, Saudi Arabia...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761030/comparison-of-the-trendelenburg-position-versus-upper-limb-tourniquet-on-internal-jugular-vein-diameter
#18
Pelin Karaaslan, Banu Vural Gokay, Muhammet Ahmet Karakaya, Kamil Darcin, Afak Durur Karakaya, Tugrul Ormeci, Emine Arzu Kose
BACKGROUND: Central venous cannulation is a necessary invasive procedure for fluid management, haemodynamic monitoring and vasoactive drug therapy. The right internal jugular vein (RIJV) is the preferred site. Enlargement of the jugular vein area facilitates catheterization and reduces complication rates. Common methods to enlarge the RIJV cross-sectional area are the Trendelenburg position and the Valsalva maneuver. OBJECTIVE: Compare the Trendelenburg position with upper-extremity venous return blockage using the tourniquet technique...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761029/isometric-muscle-fatigue-of-the-paravertebral-and-upper-extremity-muscles-after-whiplash-injury
#19
Pejana Rastovic, Marija Definis Gojanovic, Marina Berberovic, Marko Pavlovic, Josip Lesko, Gordan Galic, Maja Pandza
BACKGROUND: Whiplash-associated disorders (WAD) result from injury of neck structures that most often occur during traffic accidents as a result of rapid acceleration-deceleration. The dominant symptoms manifest in the musculoskeletal system and include increased fatigue. Because of the frequency of whiplash injuries, a simple, cheap and useful diagnostic tool is needed to differentiate whiplash injury from healthy patients or those faking symptoms. OBJECTIVES: To determine muscle fatigue in patients with whiplash injury in six body positions...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28761028/variation-in-access-to-pediatric-surgical-care-among-coexisting-public-and-private-providers-inguinal-hernia-as-a-model
#20
Ayman Al-Jazaeri, Lama Alshwairikh, Manar A Aljebreen, Nourah AlSwaidan, Tarfah Al-Obaidan, Abdulrahman Alzahem
BACKGROUND: Faced with growing healthcare demand, the Saudi government is increasingly relying on privatization as a tool to improve patient access to care. Variation in children's access to surgical care between public (PB) and private providers (PV) has not been previously analyzed. OBJECTIVES: To compare access to pediatric surgical services between two coexisting PB and PV. DESIGN: Retrospective comparative study. SETTINGS: A major teaching hospital and the largest PV group in Saudi Arabia...
July 2017: Annals of Saudi Medicine
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