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Annals of Saudi Medicine

Ibtihaj Nasseraldeen Bifari, Ameen Alherabi, Haddad Alkaff, Hamzeh Al-Arqen, Raid Abdulrahman Jastania
Thyroglossal duct cyst carcinoma is a rare malignancy, with an incidence of 0.7% to 1.6%. Most cases of thyroglossal duct cyst carcinoma are papillary carcinoma, with follicular carcinoma having been rarely reported. In this study, a 33-year-old man presented with a typical thyroglossal duct cyst and underwent surgical resection of the cyst, which was determined to be follicular carcinoma. We have reported this rare case to increase the awareness of such entities within the general otolaryngology and the community of head and neck surgeons, as well as among endocrine surgeons...
July 2018: Annals of Saudi Medicine
Thomas F Morris, Tracy Louise Ellison, Maysoon Mutabagani, Sahar Isa Althawadi, Martin Heppenheimer
BACKGROUND: Demand for clinical laboratory services in our insti.tution has increased by 7% each year in the past 5 years, while the amount budgeted for services has remained fixed. To address the issue, we conducted a pilot study to curb inappropriate demand by implementing a minimum retest interval (time-based restrictions on the ordering certain tests) and thus reduce costs. OBJECTIVE: Explore the impact (financial and work volume) of restricting overuse of laboratory tests that add to costs but provide no additional clinical value...
July 2018: Annals of Saudi Medicine
Ahmad E Aboshaiqah, Regie B Tumala, Joel G Patalagsa, Ahmed A Al-Khaibary, Haya Al Fozan, John Paul Ben
BACKGROUND: Saudi nursing students are trained in theoretical and clinical nursing competencies for four years before transition to newly graduated nurses through a one-year internship program. The transition period is crucial as nursing students have low confidence without adequate clinical experience. OBJECTIVES: Validate and culturally adapt the Arabic version of the Self-Efficacy for Clinical Evaluation Scale (SECS) and explore nursing interns perceived confidence (self-efficacy)...
July 2018: Annals of Saudi Medicine
Hamdan Alhazmi, Noor Nabi Junejo, Mohammed Albeaiti, Ahmad Alshammari, Hossam Aljallad, Ahmed Almathami, Santiago Vallasciani
BACKGROUND: Orchidopexy should be performed during the first 18 months of life to decrease the risk of infertility and tumor formation. In our center, the timing of surgical correction varies depending on the availability of an operating room. OBJECTIVES: Evaluate whether orchidopexy performed for patients referred to our center is done within the recommended time period and to determine causes for delay. DESIGN: Retrospective descriptive study...
July 2018: Annals of Saudi Medicine
Sulaiman Alnasser, Shalam M Hussain, Tamader Saeed Kirdi, Ali Ahmed
BACKGROUND: Aluminum phosphide (AlP) is an insecticide and rodenticide used to protect stored grains from rodents and other household pests. This substance is highly toxic to humans and has been the cause of many accidental and intentional deaths due in part to poor regulation of sales and distribution in many countries. OBJECTIVES: Describe poisonings reported to the Ministry of Health in Saudi Arabia in terms of demographic variables and by time and geographic distribution...
July 2018: Annals of Saudi Medicine
Wei-Yoon Poh, Marhanis Salihah Omar, Hwee-Pheng Tan
BACKGROUND: Contrast-induced acute kidney injury (CI-AKI) is rec.ognized as a common complication of radiographic contrast-enhanced procedures. N-acetylcysteine (NAC) is commonly prescribed, but CI-AKI can still develop despite NAC administration as prophylaxis. OBJECTIVE: Identify the predictive factors for development of CI-AKI in patients prescribed NAC. DESIGN: Prospective, cross-sectional. SETTING: A tertiary hospital in Malaysia...
July 2018: Annals of Saudi Medicine
Tareq Al-Ayed, Naveed Ur Rahman, Abdullah Alturki, Fahad Aljofan
BACKGROUND: Continuous renal replacement therapy (CRRT) has become the preferred mode of dialysis to support critically ill children with acute kidney injury. However, there are limited pediatric data on CRRT use, especially in our region. OBJECTIVE: Determine the outcome of CRRT among critically ill children. DESIGN: Retrospective cohort study. SETTING: Pediatric intensive care unit. PATIENTS AND METHODS: The study included critically ill children 1-14 years of age who underwent CRRT from July 2009 to June 2015...
July 2018: Annals of Saudi Medicine
Tony Ibrahim, Claude Saer-Ghorra, Vivane Trak-Smayra, Samah Nadiri, Charbel Yazbeck, Maria Baz, Joseph G Kattan
BACKGROUND: The few studies of the molecular biology of colorectal cancer (CRC) in Middle Eastern populations have included only small samples of patients. OBJECTIVE: Evaluate the frequency and prognostic effect of RAS, BRAF, PIK3CA, PTEN, and EGFR somatic mutations as well as mismatch repair (MMR) deficiency in Lebanese Middle Eastern patients. DESIGN: Retrospective single-center descriptive study. SETTING: Lebanese Middle Eastern patients in a tertiary medical cen...
July 2018: Annals of Saudi Medicine
Ali Al Orf, Khawaja Bilal Waheed, Aftab Ahmed Baig, Khaled Saleh Mohammad, Mohamed Nasr El Sirafy, Muhammad Sohail Amin, Zechriah Jebakumar Arulanatham
BACKGROUND: Pan-scan (whole-body) computed tomography (CT) has a paramount role in the diagnosis of injuries in road traffic accidents (RTA). OBJECTIVE: Identify patterns of injuries on pan-CT scans. DESIGN: Retrospective medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: The records of all RTA patients who presented to the radiology department at King Fahad Military Medical Complex (KFMMC) in Dhahran for the 3-year period from July 2014 to July 2017 and underwent pan-CT were retrospectively reviewed...
July 2018: 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
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