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Annals of Saudi Medicine

Abdullah Saleh Alsultan, Hakeam Abdulaziz Hakeam
No abstract text is available yet for this article.
May 2018: Annals of Saudi Medicine
Emrah Duman, Ahmet Aslan, Nesrin Gunduz, Ibrahim Inan
Sclerosing encapsulated peritonitis (SEP) is a rare disease characterized by intestinal encasement within a fibrocollagenous membrane. Diagnosis of SEP may be challenging due to a lack of specific symptoms. Demonstration of clustered intestinal segments surrounded by a membranous sac by various imaging modalities is crucial to reveal the presence of SEP. Radiologic examinations play an important role in the management of the disease. This case is not unusual. Our intention is to emphasize the role of the imaging findings of a patient with primary SEP that presented with recurrent intestinal obstruction...
May 2018: Annals of Saudi Medicine
Banan Abdullah AlSowailmi, Maha Heshaam AlAkeely, Hayat Ibrahim AlJutaily, Mohammad Abdulaziz Alhasoon, Amir Omair, Hamad Abdullah AlKhalaf
BACKGROUND: Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children's falls during hospitalization. OBJECTIVES: Identify the prevalence of fall injuries among hospital.ized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall...
May 2018: Annals of Saudi Medicine
Fahad Dakheel Alosaimi, Hossam Saleh Alawad, Ayedh Khalaf Alamri, Abdullah Ibrahim Saeed, Khalid Ayidh Aljuaydi, Alwaleed Sami Alotaibi, Khalid Munawir Alotaibi, Eiad Abdelmohsen Alfaris
BACKGROUND: Exposure to stressful working conditions without adequate stress-coping strategies may lead to stress and even psychiatric morbidity. There are a dearth of studies on stress-coping strategies among consultant physicians in the Arabian Gulf. OBJECTIVES: Determine stress-coping strategies among consultants in Saudi Arabia and the relationship of strategies to level of stress. DESIGN: Analytical cross-sectional study. SETTINGS: Conducted between November 2014 and March 2015 among physician consultants registered at the Saudi Commission for Health Specialties...
May 2018: Annals of Saudi Medicine
Serhat Uysal, Anil Murat Ozturk, Meltem Tasbakan, Ilgin Yildirim Simsir, Aysegul Unver, Nevin Turgay, Husnu Pullukcu
BACKGROUND: Myiasis complication of diabetic foot ulcer has only been presented in a few case reports. Therefore, there is a need for additional data on this infestation. OBJECTIVE: Evaluate clinical characteristics of human myiasis in patients with diabetic foot. DESIGN: Case series. SETTINGS: A tertiary referral healthcare institution and a diabetic foot center. PATIENTS AND METHODS: Patients with diabetic foot infection com...
May 2018: Annals of Saudi Medicine
Hani Adnan Ozbak
BACKGROUND: Vancomycin-resistant enterococci (VRE) are resistant to most classes of antibiotics. Diagnosis of VRE using standard methods takes 2 to 5 days. Development of a rapid PCR-assay that detects and identifies resistant genes in bacteria would provide time-critical information on the presence of VRE in clinical samples allowing early treatment and management of infected patients. OBJECTIVES: Investigate the use of high resolution melting analysis (HRMA) and 16S-rRNA-PCR approach for rapid and cost-effective identification of VRE...
May 2018: Annals of Saudi Medicine
Ali Mohammed Somily, Hanan Ahmed Habib, Armen Albert Torchyan, Samina B Sayyed, Muhammed Absar, Rima Al-Aqeel, A Khalifa Binkhamis
BACKGROUND: Bloodstream infections are associated with high rates of morbidity and mortality. Rapid detection of bloodstream infections is important in achieving better patient outcomes. OBJECTIVE: Compare the time-to-detection (TTD) of the new BacT/Alert Virtuo and the BACTEC FX automated blood culture systems. DESIGN: Prospective simulated comparison of two instruments using seeded samples. SETTING: Medical microbiology laboratory...
May 2018: Annals of Saudi Medicine
Salih Budak, Cem Yucel, Erdem Kisa, Zafer Kozacioglu
BACKGROUND: Two primary methods used to create appropriate percutaneous renal access under fluoroscopic guidance are the triangulation technique (TT) and the "eye of the needle" (EN) technique. To the best of our knowledge, no study has yet compared the EN versus TT renal access methods that precede one-stage dilatation during percutaneous nephrolithotomy (PCNL). OBJECTIVES: Compare effects of renal access techniques on the stone-free rate of one-stage PCNL, and the influence on outcomes...
May 2018: Annals of Saudi Medicine
Amany Sholkamy, Ahmed Salman, Nouman El-Garem, Karim Hosny, Omar Abdelaziz
BACKGROUND: Several studies have defined the optimal portal pressure suitable for adequate graft renewal in liver transplantation (LT) but none have studied an Egyptian population to our knowledge. OBJECTIVES: Determine the level of portal venous pressure (PVP) for adequate graft function, and study the effect of PVP modulation on the outcome of LT in an Egyptian population. DESIGN: Cross-sectional, prospectively collected data. SETTING: Liver transplantation unit...
May 2018: Annals of Saudi Medicine
Donggyu Moon, Su Nam Lee, Ki-Dong Yoo, Min Seop Jo
BACKGROUND: Current guidelines for massive pulmonary embolism (PE) treatment recommend primary reperfusion therapy and the option of extracorporeal membrane oxygenation (ECMO). However, these recommendations might not be optimal for patients with poor prognoses who are in cardiogenic shock (CS) or require cardiopulmonary resuscitation (CPR). OBJECTIVE: Evaluate the impact of ECMO support on the clinical outcome of patients with massive PE complicated by CPR or CS...
May 2018: Annals of Saudi Medicine
Faisal Owdah Alatawi, Reda A Abuelatta, Ahmed B AlAhmedi, Ibraheem H Alharbi, Saleh S Alghamdi, Amal A Sakrana, Osama A Alamodi, Hesham A Naeim
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has been recognized as a valid alternative to surgery for severe aortic valve stenosis (AS) in high-risk surgical patients. OBJECTIVE: Determine first-year clinical outcomes for TAVI at Madinah Cardiac Center (MMC) in Saudi Arabia. DESIGN: Retrospective, analytical cross-sectional. SETTING: Tertiary cardiac care center. PATIENTS AND METHODS: All patients who underwent TAVI for severe AS between February 2013 and December 2016 were included...
May 2018: Annals of Saudi Medicine
Turki Aldrees, Zaid Almubarak, Basil Hassouneh, Ahamed Albosaily, Mohammad Aloulah, Mai Almasoud, Saad Alsaleh
BACKGROUND: Disease-specific quality of life instruments assess the impact of chronic rhinosinusitis on patients' quality of life (QoL). To the extent of our knowledge, there are no Arabic versions of two instruments-the Rhinosinusitis Disability Index (RSDI) and the Chronic Sinusitis Survey (CSS). OBJECTIVE: Develop an Arabic-validated version of both instruments, thus allowing its use among the Arabic population. DESIGN: Prospective cross-sectional study for instrument validation...
May 2018: Annals of Saudi Medicine
Abdulaziz H Abobotain, Abdulrazag Ajlan, Saad Alsaleh
Submucosal diathermy of the inferior turbinate (SMDIT) is a generally safe procedure to control inferior turbinate hypertrophy. We present a case of a cerebrospinal fluid (CSF) leak at the craniocervical junction after SMDIT done in another institution. A 27-year-old man presented 3 weeks after undergoing SMDIT with signs and symptoms of meningitis and postnasal rhinorrhea. Nasal endoscopy and imaging revealed a nasopharyngeal CSF fistula at the craniocervical junction. Transnasal endoscopic repair and reconstruction was performed with no recurrence on repeat imaging and clinical follow up...
March 2018: Annals of Saudi Medicine
Khalid Abdullah Aljohani, Omar Alomari
BACKGROUND: Nurse turnover is a critical challenge for healthcare organizations as it results in a decreasing nurse/patient ratio and increasing costs. AIM: Identify factors influencing the termination of Filipino nurses in Ministry of Health (MOH) hospitals and record nurse recommendations to improve retention. DESIGN: Cross-sectional. METHODS: Data was gathered from a convenience sample of Filipino nurses with previous experience in MOH hospitals in Saudi Arabia who attended recruitment interviews at the Saudi employment office in Manila...
March 2018: Annals of Saudi Medicine
Ossamah S Alsowayan, Jumanah H Basalelah, Abdullah M Alzahrani, Abdulaziz M Alshaibani, Nasser S Alalyani, Turki A Alsubiani, Maha Khalid AlMadi
BACKGROUND: The undescended testis (UDT) is the most common genital anomaly encountered in pediatrics with an estimated incidence of 1% to 4% in full-term and 1% to 45% in preterm newborn boys. Over the years, studies on progressive histological deterioration and cancer risk has led to a change in recommendations for when orchidopexy should be done. OBJECTIVES: Determine age at presentation of patients for UDT to a specialist in Saudi Arabia, age of operation and whether the recommended targeted time frame has been met...
March 2018: Annals of Saudi Medicine
Ali AlJama, Mohammed AlKhalifah, Ibrahim Abdulla Al-Dabbous, Ghada Alqudaihi
BACKGROUND: Vitamin D deficiency (VDD) is a major global health problem. In sickle cell disease (SCD), VDD is highly prevalent, reaching up to 96% of populations. VDD may contribute to many of the complications of SCD. OBJECTIVE: Estimate the 25-hydroxyvitamin D [25(OH)D] level and the frequency of VDD and insufficiency among among SCD patients by age group and disease status. DESIGN: Analytical cross-sectional. SETTING: Ministry of Health (MOH) secondary care hospital...
March 2018: Annals of Saudi Medicine
Alaa Alanazi, Farid Alzhrani
BACKGROUND: There are no data on cochlear duct lengths (CDL) among Middle East populations. OBJECTIVES: The main aims of this study were to estimate the average CDL in the Saudi population and to compare it with the reported CDL in other regions/ethnic groups outside the Middle East. DESIGN: Retrospective study. SETTING: Tertiary otolaryngology head and neck surgery center. SUBJECTS AND METHODS: Temporal bone CT scans were reviewed to determine CDL...
March 2018: Annals of Saudi Medicine
Maria Abdulrahim Arafah, Emad Raddaoui, Faisal Al Kassimi, Esam H Alhamad, Ahmed Amer Alboukai, Ahlam Abdullah Alshedoukhy, Abderrahman Ouban
BACKGROUND: Asthma and chronic obstructive pulmonary disease (COPD) are chronic conditions with an increasing prevalence in developing countries. The evaluation of endobronchial biopsies has emerged as a tool to differentiate between both conditions via the measurement of the reticular basement membrane (RBM) thickness with various conclusions drawn from different studies. OBJECTIVES: Compare the thickness of the RBM between asthma and COPD and evaluate other histomorphological features in both groups...
March 2018: Annals of Saudi Medicine
Abdel-Ellah Al-Shudifat, Mohammed Azab, Asgeir Johannessen, Amjad Al-Shdaifat, Lana M Agraib, Reema F Tayyem
BACKGROUND: Obesity and its metabolic complications are endemic in the Middle East, but the cardiovascular consequences are not well defined in local studies. OBJECTIVE: To assess the association between fasting blood glucose (FBG), obesity and coronary artery disease (CAD) in Jordan. DESIGN: A cross-sectional, hospital-based study. SETTING: A referral hospital in Amman, Jordan. PATIENTS AND METHODS: Patients with complete anthropomorphic data who were referred for elective coronary angiography were included in the analysis...
March 2018: Annals of Saudi Medicine
Ibrahim T Albabtain, Roaa S Alsuhaibani, Sami A Almalki, Hassan A Arishi, Hatim A Alsulaim
BACKGROUND: Hospitals usually reduce staffing levels and services over weekends. This raises the question of whether patients discharged over a weekend may be inadequately prepared and possibly at higher risk of adverse events post-discharge. OBJECTIVES: To assess the outcomes of common general surgery procedures for patients discharged over weekends, and to identify the key predictors of early readmission. DESIGN: Retrospective cohort study...
March 2018: Annals of Saudi Medicine
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