An Assessment of Knowledge towards Complications of Sickle Cell Disease among General Population in Jeddah City
Adilah Hamoud
Alturaifi
Ibn Sina National College for Medical Studies, Jeddah
author
Nada Mohammed
Alsharif
Ibn Sina National College for Medical Studies, Jeddah
author
Walaa Khalid
Abulola
Ibn Sina National College for Medical Studies, Jeddah
author
Yasmen Taha
Maimani
Ibn Sina National College for Medical Studies, Jeddah
author
Rahaf Salah Osman
Ahmad
Ibn Sina National College for Medical Studies, Jeddah
author
Ebtehag Faham
Alsulami
King Abdelaziz University, Jeddah
author
Abdulmajeed Aboud
Alotaibi
Umm Al-Qura University, Makkah, KSA
author
text
article
2018
eng
Background: Sickle cell disease (SCD) is an autosomal recessive disorder characterized by production of abnormal hemoglobin S, and it is associated with high morbidity and mortality. The highest prevalence of SCD in Saudi Arabia is in the Eastern province.
Objectives: To assess perceptions and the level of knowledge about SCD and to study factors that may affect them among general population in Jeddah city, Saudi Arabia.
Methods: A self-administered questionnaire was distributed among general population residing in Jeddah city, Saudi Arabia. The questionnaire consisted of two sections: (1) socio-demographic information and previous experience with SCD and (2) knowledge about SCD and its complications, which was measured by 20 closed-ended questions. Results: A total of 424 subjectscompleted the questionnaires and participated in the study. More than half (51.4%) of the participants showed good level of knowledge about SCD and its complications. Sex, education level, and previous experience with SCD child had significant association with the level of knowledge (p<0.05). The majority of participants with good level of knowledge were females (86.2%) and at the level of university education (84.4%). Furthermore, all subjects (100%) who had previous experience with SCD child showed good level of knowledge.
Conclusion: A moderate level of awareness regarding SCD and its complications was found in our study sample. Educational programs should target the male population and emphasize the nature of inheritance of the common blood diseases and their complications.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1880
1886
https://ejhm.journals.ekb.eg/article_9384_5af51181758656c1be20d932fe42ede5.pdf
Hair loss among Saudi Females, Taif University, Taif, Saudi Arabia
Alaa Daif Allah
Althobaiti
Collage of Medicine, Taif University, Taif
author
Ali Hassan Jaber
Alzahrani
King Abdulaziz University Rabigh Branch
author
Rawan Nasser
Alhunaki
Almaarefa Colleges, Riyadh
author
Haidar Mohammed
Alshamrani
Umm Al Qura University, Makkah, Saudi Arabia
author
Ibtihal Abdulrahman
Malawi
Umm Al Qura University, Makkah, Saudi Arabia
author
text
article
2018
eng
Background: the female pattern hair loss is the most common cause of hair loss in female, which is androgenic pattern, medical treatment such as anti-androgenic therapy and topical preparation may simply arrest progression of female pattern hair loss or in some women stimulate partial growth of hair, but the response is slow. This study aimed to determine the most common causes of hair loss among female with regard to the age, the effect of some drugs, balanced diet, average amount of hair loss per day.
Objectives: this study aimed to determine the most common causes of hair loss among Saudi females.
Materials and method: this was a cross sectional study of the women aged 20-50 years designed in a questionnaire form involved series of questions with multiple choices answers. It was conducted in Saudi Arabia in October 2017. The data entry was done by using Microsoft Excel, while the analysis was done by using SPSS version 23 and we used it in test correlation coefficient Spearman with measuring the mean value for all questions. Results: data were analyzed via using SPSS program, version 23 and we used it in test correlation Coefficient Spearman between Q1 AND Q9=0.146 week positive and p-value=.087 >0.05 we didn’t reject the null hypothesis. Correlation Coefficient Spearman Q23 and Q29=.008 no relation and p-value=0.927>0.05 we didn’t reject the null hypothesis. In Q3 the mean was =6.83 and Q7; the mean was =2.50. Conclusion: in KSA we found the unbalanced diet to be the most effective factor that leads to hair loss among out sample size. In the present study we need to educate the population about the importance of balanced diet for maintaining of healthy hair and skin.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1887
1890
https://ejhm.journals.ekb.eg/article_9385_eea80f46e870bf632481a8f067ca377a.pdf
Public Awareness of Systemic Lupus Erythematosus in Al-Dammam City in Saudi Arabia
Mohammed Difallah
Alharbi
Al-imam Mohammed Ibn Saud University
author
Bander Owaidh
Aljohani
Kaakya Health Center
author
Zahra Naji
Alaithan
Imam Abdulrahman bin Faisal University
author
Saud Khaild
Alsamadani
Sultan Abdullah Alnefaie
author
Abdulaziz Ibrahim
Alshabibi
King Saud University
author
Bayan S
Alqahtany
King Saud University
author
Abdulmalik Abdulaziz
Aldeheem
King Saud University
author
Yasser A
Alrumih
King Saud University
author
Abdullah Tawfiq
Aldoaje
Ibn Sina National Collage
author
Mohammed Muthyib
Almuawi
Ibn Sina National Collage
author
Faisal Ali
Alqahtani
Aljiser Primary Health Care Center
author
Faisal Ali
Almesned
Qassim University
author
Mohammed Ali
Alzubaidi
Security Forces Specialists Jeddah
author
Mohammed Saad
Alotaibi
Umm Alquraa University
author
Marwan Saleh
Al solmi
Umm Alquraa University
author
Mutlag Jaual
Alqahtani
Jubail Hospital
author
Hussain Ali
Busaleh
University of Science and Technology
author
Abdullah Abdulkareem
Alsubaie
Prince Saud bin Jalloway Hospital
author
text
article
2018
eng
Background: Systemic lupus erythematosus (SLE) is an autoimmune disease where the body's immune system attacks its own healthy tissue. It can affect many organs such as skin, joints, brain, kidneys and other organs.
Objectives: to evaluate the knowledge toward Systemic Lupus Erythematosus (SLE) among citizens in Al-Dammam city.
Methods: a questionnaire-based quantitative cross-sectional study which focuses on determining the knowledge of Systemic lupus erythematosus in Al-Dammam city.
Results: 240 participants filled the surveys, 130 participants (54%) have no idea about SLE. The majority of respondents had no clear idea regarding treatment and complications of the disease. 32% respondents had idea that SLE is more prevalent among females. In fact, this disorder is reported more prevalent in women.
Conclusion: this study indicated that the public have low awareness with some misconception regarding the SLE. The awareness campaigns are needed to increase the awareness about SLE which will be helpful to educate the public about its symptoms and methods of treatments.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1891
1893
https://ejhm.journals.ekb.eg/article_9386_14f193c42e3e89ad84d749310c0b933f.pdf
Anterior Cruciate Ligament Injury and Management
Zainab Redaa
Alghanim
Imam Abdulrahaman Bin Faisal University
author
Abdulrahman Muslim
Allogmani
Taibah University
author
Mohammad Ali
Karbouji
Taibah University
author
Abdulrahman Mohammed Abdulrahman
Albouk
King Fahad Hospital-Almadinah
Almonawra
author
Khaled Mahmoud
Ghabban
Taibah University
author
Mohammed Moaed
Alghamdi
Ibn Sina National College
author
Eyaad T
Ghallab
King Abdullah Medical Complex Jeddah
author
Rashed Ibrahim
Alqunaian
imam abdulrahman alfaisal hospital
author
text
article
2018
eng
Background: Anterior cruciate ligament is the most common knee ligament injury, and they are associated with several long term clinical consequences such as chondral lesions, meniscal tears, and early onset osteoarthritis. The injury can occur with direct contact or without as well. The diagnosis is made with history, special physical examination tests, and using imaging with MRI.
Aim of the work: this study was aimed to understand the mechanism behind anterior cruciate ligament injury, its diagnosis, and methods of management. Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE from January 1971 to March 2017. The following search terms were used: Anterior cruciate ligament anatomy, knee ligament injury mechanism, diagnosis of knee ligament injury, management of anterior cruciate ligament injury. Conclusion: Anterior cruciate ligament injury is a very common injury and requires quick diagnosis to control pain, further deterioration, and avoid long term morbidity. Management includes from conservative to surgical repair and reconstruction.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1894
1897
https://ejhm.journals.ekb.eg/article_9387_629225b54b6a30fcc19dfb8231fd0aa9.pdf
Rheumatoid Arthritis, Pathophysiology and Management
Ghofran Noor Mohammad
Qorban
King Abdulaziz University Hospital
author
Mohannad Mobarak Omar
Badghaish
King Abdulaziz University
author
Abdulmohsen Shawan
Albaqami
Imam Muhammad Ibn Saud Islamic University
author
Ameera Ahmad
Nemer
Immam Abdulrahman Faisal University
author
Aisha Jamal
Alali
Arabian Gulf University
author
Rawan Fouad Hassan
Al Yaqoub
Ibn Sina National College
author
Homoud Abdulaziz
Alshamrani
Primary Health Care Center – Riyadh
author
Omar Hasan
Badahman
King Abdulaziz University
author
Rahma Abdulkarim
Ansaif
Alexandria University
author
Metab Ali
Alasmari
Gizan Militarily Hospital
author
Arwa Yahya
Alghamdi
Immam Abdulrahman Faisal University
author
Hussain Ahmad Saud
Alshareef
King Fahad Hospital, Madinah
author
Alanoud Mohammed
Aljadeed
Ibn Sina National College
author
Ayman Ahmed
Almohammed
King Faisal University
author
Doaa Mohammad
Filmban
Al Noor Specialist Hospital
author
Abdulrahman Saleh
Alaql
Al Adeel Primary Health Care Center
author
text
article
2018
eng
Introduction: Rheumatoid arthritis is considered one of the most common, and particularly attacks the joint causing significant individual and community burden, and present with articular as well as extra articular manifestation. Treatment modalities of rheumatoid arthritis have dramatically improved in recent years, significantly decreasing long-term auricular and extra-auricular complications.
Aim of the work: this review was aimedto study the pathophysiology, clinical picture, and management of rheumatoid arthritis, with focus on the newer modalities. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: rheumatoid arthritis, chronic inflammatory disorders, genetic of rheumatoid arthritis, management of rheumatoid arthritis, DMARD, biological agents Conclusion: The newer modality of treatment must include disease-modifying antirheumatic drug (DMARDs) which must be started as early as possible. Combining DMARDs with corticosteroids will result in significantly better outcomes than monotherapy with any DMARD and decrease long term morbidity associated with this condition.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1898
1903
https://ejhm.journals.ekb.eg/article_9388_8a0cdc8a54e4c379c0cdc31431d342cf.pdf
Unusual Presentation of Nasal Myiasis
Moad B
Basfar
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
author
Mohammed A
Aljuaid
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
author
Jehad A
Alzahrani
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
author
Hisham A
Essa
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
author
text
article
2018
eng
This is a 25 years old male who have been diagnosed with asthma recently, presented to the ER with a clinical picture of acute respiratory distress. Mechanical ventilation was required due to severe hypoxia along with full asthma management. Patient status remain static despite treatment. Initial workup did not show any evidence pointing towards a specific underlying etiology of this refractory asthma. On second day of admission, worms were noted emerging from his nose, parasitology report confirm the diagnosis of myiasis. Patient respond dramatically to ivermectin and metronidazole and was discharged without any complication.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1904
1906
https://ejhm.journals.ekb.eg/article_9389_3108e48c582cc850754d226fbf538960.pdf
Knowledge, Attitude and Practice Related to Health Impact of Performance-Enhancing Drugs among the Male Students in Qassim University
Noha Dekhail M.
Aldekhail
Faculty of Medicine, Qassim University, Saudi Arabia
author
Abeer Ali
Alkredes
Faculty of Medicine, Qassim University, Saudi Arabia
author
Arwa Sulaiman
Alkabas
Faculty of Medicine, Qassim University, Saudi Arabia
author
Aseel Ali
Al-Saeed
Faculty of Medicine, Qassim University, Saudi Arabia
author
Mashael Abdullah
Alghaidani
Faculty of Medicine, Qassim University, Saudi Arabia
author
Renad Ali
AL-Sohaibani
Faculty of Medicine, Qassim University, Saudi Arabia
author
Sahar Mohammed
Aljomaiah
Faculty of Medicine, Qassim University, Saudi Arabia
author
text
article
2018
eng
Background: Performance-Enhancing Drugs ( PEDs ) are used by young adults to enhance physical performance and appearance. There are many medical problems associated with Performance-Enhancing Drugs . Aim of the work: this study aimed to estimate knowledge, attitudes and practices about the hazards of PEDs among young adults (18-28 years old) in Qassim University. Method: this was a descriptive cross-sectional analytical study carried out among male students at Qassim University, Kingdom of Saudi Arabia during 2014- 2015. A self-administered questionnaire was completed from 134 male students in three colleges, one medical and two non-medicals. Results: prevalence of use in the medical students were 66.7 who were previously used AS and the half (33.3%) in non-medical students, but the current use among medical student was 16.7%, less than non-medical (83.3%). Regarding the source of using PEDs , the highest percentage in the medical students from friends, and the doctors in non-medical students. The prevalence of knowledge of medical students who know about side effect of using PEDs was 62,1 % more than non-medical (37,9 %). The majority of medical student recognized liver disease (61,9%), infertility (60%), gynecomastia (65%), shrinking testicle (62.5%) and hormonal disturbance (37.1%) compared to non-medical who knew about liver disease (38.1%), infertility (40%), gynecomastia (35%), shrinking testicle (37,5%) and hormonal disturbance(26,9%). Medical students showed positive attitude towards the use of PEDs (31.8%) which showed less than non-medical students (68.2%). As (61.1%) of non-medical believed the PEDs were responsible for improvement their performance conversely, 38.9% of medical students believed in that improvement. Conclusion, the non-medical students knew about the benefits of using PEDs for performance enhancement (47%) more than medical students (24%), thus non-medical students believed of enhancing their performance by PEDs more than the medical students. The medical and non- medical students who used PEDs had exposed to their side effects therefore, we should pay more attention to educate those about them more.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1907
1917
https://ejhm.journals.ekb.eg/article_9390_b662ea299c4309f1b9bcb86073d3fa20.pdf
Contact Lens-related Complications
Ashwaq Y.
Asiri
Medical students - King Khalid University
author
Atheer Eed
Alotaibi
Medical students - King Khalid University
author
Yara Mofarih
Assiri
Medical students - King Khalid University
author
Bayan Sultan
Aljobran
Medical students - King Khalid University
author
Wafa Daifallah
Alshehri
Medical students - King Khalid University
author
text
article
2018
eng
Aim of the work: the contact lenses are widely used for management of refractive errors and cosmetic purposes as well. Their complications are rare and usually caused by in appropriate maintenance of the lens and bad habits for wearing too long. Methodology: all the English data related to the subjects were collected after reviewing Pubmed, SCOPUS, ScienceDirect and other search engines. Results: this review showed the most common complications, risk factors and management of diseases related to contact lens wearing. Eachproblemwas described by its symptoms, risk factors and management as well as prognosis. Conclusion: the selection of proper lens and education about the lens care system is efficient for reducing the complications related to contact lens.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1918
1920
https://ejhm.journals.ekb.eg/article_9391_a5c74616395604b7abfd53e86b7ac015.pdf
Relationship between Helicobacter Pylori, Chronic Idiopathic Urticaria and Atopic Dermatitis
Areej Misfer
Albisher
Alfaisal University
author
Manal Hassan
Alharbi
Alfaisal University
author
Mohammed Misfer
Albisher
King Saud University
author
text
article
2018
eng
Background: Helicobacter pylori (H. pylori) is the microorganism responsible for the most frequent and persistent bacterial infection worldwide. H.pylori infection affects nearly half of the world’s population. In the developing countries, the prevalence of infection is as high as 90%, whereas in the developed countries, excluding Japan, the prevalence is below 40% (1). An association between H. pylori infection and skin diseases such as chronic idiopathic urticaria and atopic dermatitis has been suggested (2).
Aim of the work: this review aimed to focus on the relationship between Helicobacter pylori, chronic idiopathic urticaria and atopic dermatitis. This association was reviewed in the following lines. Methodology: we used scientific websites such as PubMed, Google Scholar and Research Gate to get related articles about this subject. Results: several studies have reported the presence of H. pylori DNA in environmental water sources. Diagnostic tests are usually divided into invasive (endoscopic-based) and noninvasive methods. Using proton-pump inhibitors (PPIs) in combination with several antibiotics such as amoxicillin plus clarithromycin or metronidazole have been considered as the first-line treatment. Conclusion: H. pylori has a great prevalence among world’s population. H. pylori infection could play a role in the pathogenesis of a variety of skin diseases.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1921
1924
https://ejhm.journals.ekb.eg/article_9392_ded80e2ac372983dcb9485c5a8910969.pdf
Consanguinity between Parents and Risk of Epilepsy among Children in Northern Saudi Arabia
Yasir Wadi Alanazi1, Nagah Mohamed Abo El-fetoh2, Ibrahim Meqbel Alanazi1, Ahmad Mohammed Masarit3, Njood Waleed Nazer4,
Sulafa Taher Sindi4,
1 Faculty of Medicine, Northern Border University, 2 Community Medicine Department,
Faculty of Medicine, Sohag University, Sohag, Egypt And Northern Border University, Arar,
author
Muneera Abdulkarim Aldaham1, Manal Nashi Alshammari1, Nouf Saad Alanazi1,
Asrar Ali Jabrah3, Mohammed Mahmoud Alkhayr5, Hisham Hamad Alameer6
3Primary Health Care Center, Jeddah, 4 King Abdulaziz University (KAU), Jeddah,
5 King Khaled University, Riyadh, 6 University of Debrecen, Hungary
author
text
article
2018
eng
Background: Epilepsy is one of the most common neurological disorders in childhood. There are various risk factors that could lead to epilepsy. However, a few studies have shown that there is a strong link between epilepsy and consanguinity. Further, population studies revealed an increased familial clustering of epilepsy among first degree and to a lesser extent second degree relative. Aim of the work: This study was conducted to determine the prevalence of epilepsy among school children and adolescents (6-18 years) in Northern Saudi Arabia and consanguinity between parents. Methods: A cross-sectional study was conducted among a sample of students aged 6–18 years in all primary, preparatory, and secondary schools in Northern Saudi Arabia, KSA during the academic year 2016-2017. Parents of the studied cases were given a predesigned and pretested questionnaire to collect the relevant data on presence of physicians diagnosed epilepsy, consanguinity between parents and family history of epilepsy. Results: Consanguinity between parents was significantly associated with the development of epilepsy where 59.1% of epilepsy patients who participated in the current study had parents who were cousins and 13.6% were non-relatives of the same family and only 22.7% of cases had no relation between their parents (p=0.000). Family history of epilepsy was significantly associated with the development of it where 68.2% of epilepsy patients who participated in the current study had positive family history, while about half of them (31.8%) had negative family history (p=0.000). Conclusion: Consanguinity between parents was significantly associated with the development of epilepsy in Northern Saudi Arabia. Decision makers must regulate effective health education sessions to aware the public about consanguinity between parents as a significant risk factor of the epilepsy.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1925
1928
https://ejhm.journals.ekb.eg/article_9393_d563f39a99a0510314b5b85a4903a644.pdf
dx.doi.org/10.21608/ejhm.2018.9393
Histone Deacetylase Inhibitors in Cancer
Alsubhi
Abdulrahman
Medical and Health Science Center, University of Debrecen, Debrecen, Hungary
author
Al Sultan Ahmed
Yousef
Medical and Health Science Center, University of Debrecen, Debrecen, Hungary
author
text
article
2018
eng
The epigenetic modifications can change the state of a part of the DNA by different enzymes such as the histone deacetylases. Dysregulation of the epigenetic mechanisms is associated with the initiation and progression of cancer. The reversibility of this dysregulation in epigenetic modifications makes it an attractive target for cancer therapy and drug discovery scientists. We conducted a computerized Literature search involving human subjects, published in English until December 2017, and indexed through Medical Databases; MEDLINE/PubMed, EMBASE, and Web of Science. We reviewed articles performed for prospective and other types of studies related to histone deacetylases inhibitors which can help cancer patient’s status during the therapy. Several investigational drugs for cancer therapy are in clinical trials. Interestingly, US Food and Drug Administration has already approved four histone deacetylases inhibitors drugs for hematological malignancies but not for solid tumors. Currently, different histone deacetylases inhibitors are under study for both hematological and solid tumors as single agents or in combinations. In this review, we will discuss some the approved histone deacetylases inhibitors, and the one in clinical trials.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1929
1935
https://ejhm.journals.ekb.eg/article_9394_70942a48ea22c6edad556d1387ce0e3b.pdf
Awareness of Otitis Media Risk Factors in Children among Saudi Population in Al-Ahsa
Amnah E.
Al-Hammar
College of Medicine, King Faisal University
author
Nadiah M.
Albrahim
College of Medicine, King Faisal University
author
Fatimah B.
AlAli
College of Medicine, King Faisal University
author
Zainab A.
AlHabeeb
College of Medicine, King Faisal University
author
LolowahE.
Al-Hammar
College of Medicine, King Faisal University
author
Khalid A.
AlYahya
Head & Neck Surgery Department,
King Faisal University
author
Saleh H.
AlJarudi
Dhahran Eye Specialist Hospital
author
text
article
2018
eng
Background: Otitis media (OM) is a common childhood disease where 75% of all children have had one episode of OM by the age of five and for some it may continue throughout school life. Several risk factors for AOM have been identified such as anatomic abnormality, infant feeding methods, passive smoke exposure, group daycare attendance…etc. The persistence of the disease and its long-term effects is due partly to lack of awareness of the disease among parents.
Objective: This study was designed to assess the knowledge of risk factor of otitis media among Saudi population who live in AlAhsa province.
Subjects and Methods: After ethical approval, data information was collected through a cross-sectional survey which performed among Saudi population. Statistical analysis computed using (SPSS).
Result: The study comprised 924 participants, females were the majority 639 (69.2%), age groups 18 and older. Inadequate level knowledge was 85.39%. Winter and young babies are the most frequent risk factors 50% and 73.1% respectively.
There were no statistical significant associated of demographic characteristics (age, job, number of children, and income) and knowledge and awareness of otitis media. But there is with educational level p=0.006.
Conclusion: Knowledge and awareness of OM risk factors are inadequate, extensive health education, encouraging and training of parents are recommended.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1936
1942
https://ejhm.journals.ekb.eg/article_9395_83e90ffaafe6b8f942a88291e0364149.pdf
Phototherapy Induced Hypocalcemia, a Jordanian and Saudi Experience
Mohammed Abdulrahman
Al-ali
Al-Qurayat General Hospital
author
Abdullah Ismail
Sawma
Al-Qurayat General Hospital
author
Naif Mutkhan
Alshrari
Al-Qurayat General Hospital
author
Mostafa Moheb
Rizk
Al-Qurayat General Hospital
author
Ghassan Saleh
Salama
Al-Qurayat General Hospital
author
Hind Jaza
Alotaibi
Al-Qurayat General Hospital
author
text
article
2018
eng
Background: neonatal hyperbilirubinemia is a common condition in the first few days of life (1) and it can be divided into: pathological and physiological and indirect (unconjugated) and direct (conjugated) hyperbilirubinemia. Objective: This paper aimed to evaluate the effect of different types of phototherapy on serum calcium of both preterm and full-term infants with indirect hyperbilirubinemia, in either supine or prone position. Methods: data were taken from 100 newborns candidate by divided them into two groups. Blue and white light phototherapy were equally used for different infants of both groups. Results: the results showed that 31% developed hypocalcemia, 20% preterm and 11% full term infants. 38% developed hypocalcemia, where among infants who received prophylactic phototherapy 24% developed hypocalcemia. 60% of infants who received extensive phototherapy developed hypocalcemia, where 27.7% of infants who managed with single phototherapy developed hypocalcemia. Seventeen of the infants who managed in prone position and 14 infants of those who received phototherapy in supine position developed hypocalcemia. Conclusion: all in all, 19 infants developed hypocalcemia under blue light and 12 received white light phototherapy. Phototherapy induced hypocalcemia in both full term and premature infants. In addition to the common practice of monitoring the total serum bilirubin and PCV in all newborns on phototherapy, it is important to monitor the total serum calcium on daily base.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1943
1946
https://ejhm.journals.ekb.eg/article_9396_5bcbfd566a53e3387ec0b73d1a498cf7.pdf
Accuracy of Breast Cancer Screening Using Film Mammography in Comparison to Digital Mammography
Lama Abed Abdullah
Alorabi
College of Medicine, Umm Al-Qura University
author
Eman M.
Algorashi
College of Medical Radiological Sciences, Sudan University of Science and Technology
author
text
article
2018
eng
Aim of the work: digital mammography may achieve better images than does film mammography in young women, especially those who are less than 50 years old, where breast is characterized by dense breast tissue. This review aimed to compare the accuracy of screening using film mammography versus digital mammography in detection of breast cancer. Methods: an electronic search was conducted in MEDLINE and EMBASE by using PubMed search engine. The search resulted in 48 relevant studies, then after exclusion of duplicated and studies with different outcomes only 4 studies found eligible to be included in this review. The data were extracted using data extraction tables.
Results: the search resulted in four potentially relevant studies that reported clinical trials on a comparison between breast cancer screenings using film mammography versus digital mammography. Conclusions: the digital mammography offers advantages over film mammography namely, easier access to images and computer assisted diagnosis, improved means of transmission, retrieval and storage of images; and the use of a lower average dose of radiation without a compromise in diagnostic accuracy
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1947
1951
https://ejhm.journals.ekb.eg/article_9397_8df2ddaf1c1df8f785fba1ca1a2604c8.pdf
Surgical Management of Patients with Infective Endocarditis: A Systematic Review
Nouf Saleh
Sadun
College of Medicine, Umm Al-Qura University
author
Thamer Hassan
Mobarki
Faculty of Medicine, Jazan University
author
text
article
2018
eng
Introduction: Replacement of the heart valves has been spread recently with wide variety of types and surgical techniques. There is, however, no consensus regarding the best type and/or techniques of the surgical treatment of infective endocarditis. Objective: The aim of the systematic review was to evaluate the evidence-based published articles dealt with different types of valve replacement in the management of infective endocarditis. Methods: An electronic search was conducted on the electronic search engine PubMed including Medline. Keywords used for this research included; infective endocarditis, bacterial endocarditis, surgery, valve replacement, outcomes, timing, mortality, relapse and death. Results: Among the screened articles there were a total of 11 articles included for this systematic review. Out of which, there were 6 prospective randomized clinical trials and the remaining 5 studies were prospective clinical trials without randomization. Conclusion: From the findings of this review it can be concluded that the infective endocarditis is still a life-threatening disease requires more efforts for prevention and management. Surgical treatment of infective endocarditis with prosthetic or biologic valves does not differ significantly in outcomes or complications with a little bit higher in complications when using biologic valves.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1952
1958
https://ejhm.journals.ekb.eg/article_9398_ada4e957e00bd311880fbcda9b7e7f71.pdf
The Frequency of Palmaris Longus Absence among Female Students in King Faisal University in Al-Ahsa, Saudi Arabia
Aqilah
Alabbad
College of Medicine, King Faisal University
author
Marwah
Alkhamis
College of Medicine, King Faisal University
author
Marwah
Alsultan
College of Medicine, King Faisal University
author
Sarah
Alahmad
College of Medicine, King Faisal University
author
text
article
2018
eng
Background: Palmaris longus (PL) is one of the forearm muscles that lie between the flexor carpi ulnaris and the flexor carpi radialis muscles. PL action is flexion of the hand at the wrist and making the palmar aponerurosis tense. Plastic surgeons utilize the Palmaris longus in restoration of lip and chin defects.
Objectives: We sought to determine the frequency of the absence of the palmaris longus in Saudi Arabia among female students in King Faisal University, AL-Ahsa. Materials and Methods:Two hundred normal subjects were chosen randomly from King Faisal University female students. Subjects who had gone through a surgical procedure or have any deformities in the forearm were excluded. We have examined the presence or absence of palmaris longus using three tests. Subjects were asked to do standard test for the assessment of PL tendon. If PL cannot be detected by the standard test, two more tests were performed to confirm the absence. Results: The overall prevalence of absence both unilaterally and bilaterally is 40.5 %. Unilateral absence was 20.5%. The bilateral absence was 20%. The distribution on the right and left was 29% and 31.5% respectively.
Conclusions: The present study found palmaris longus to be absent equally bilateral and unilateral in more than one third of the sample and significantly more common in the left side.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1959
1962
https://ejhm.journals.ekb.eg/article_9399_0ccd4b95fe5232c308d973e76bfe1b35.pdf
dx.doi.org/10.21608/ejhm.2018.9399
Recent Dynamic Ovarian Reserve Modalities
Mai I.
Abd El-hamed
Department of Obstetrics and Gynecology,
Faculty of Medicine, Al-Azhar University (Assuit)
author
Mohammed A.
Mohamed
Department of Obstetrics and Gynecology,
Faculty of Medicine, Al-Azhar University (Assuit)
author
Hossam H.
El-Ktatny
Department of Obstetrics and Gynecology,
Faculty of Medicine, Al-Azhar University (Assuit)
author
text
article
2018
eng
Background: the pool of primordial follicles in the ovary or ovarian reserve is a major factor in the human fertility potential. The ageing ovary is characterized by reduction of the number of primordial follicles and this loss accelerates in the late 30's and precedes the menopause by 10-12 years. Woman's age alone or with combination of biochemical markers, dynamic tests and ultrasound measurement fail to predict this loss accurately. Aim of the Work: this study aimed to assess the recent dynamic ovarian reserve tests including antral follicle count, ovarian volume and ovarian blood flow (OBF) as a predictive value and less cheap method for evaluation of ovarian reserve. Patients and Methods: this randomized controlled trial was conducted on 200 women having unexplained infertility in outpatient clinic at Sohag General Hospital and private clinics during the period from 2016 to 2017 after taking a verbal consent from each case after explanation of the purpose of the study was taken. Results: mean baseline ovarian volume in cycle day 3 of infertility group was 15.28±12.1, while it was 12.6±4.8 in the control group. It also showed that the mean baseline total antral follicle count in cycle day 3 of infertility group was 5.98±1.74. While, it was 10.1±2.5 in the control group. The mean baseline resistance index of ovarian arteries of infertility group was 0.56±0.12. While, it was 0.47±0.058 in the control group. It also showed that the mean baseline pulsatility index of ovarian artery of infertility group was 0.75±0.15, while it was 0.9±0.26 in the control group. The differences between the two groups were significant regarding baseline total AFC, baseline OV and the rest of variables. It was even found that AFC compared to other predictors was considered the strongest predictor. Conclusion: antral follicular count and the mean ovarian volume measured through the transvaginal ultrasonography is a non-invasive method and easy to perform and can be considered as an accurate method for assessment of the ovarian reserve. Ovarian stromal blood flow may also become one of the parameters. Recommendations: perform transvaginal ultrasound at third day of the cycle in women undergoing infertility treatment is a good predictor for ovarian reserve. Early evaluation of ovarian reserve is very important step in the infertility work up especially in infertile women above the age of 35 years, women with unexplained infertility and women with poor response to ovulation induction.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1963
1969
https://ejhm.journals.ekb.eg/article_9400_cc2b9d03786fcd07a32f9446ed6db2e7.pdf
Role of Radiofrequency in the Management of Chronic Low Back Pain
Mohamed H.
El Boghdady
Department of Neurosurgery, Faculty of Medicine, Ain Shams University
author
Mohamed W.
Samir
Department of Neurosurgery, Faculty of Medicine, Ain Shams University
author
Hatem A.
Sabry
Department of Neurosurgery, Faculty of Medicine, Ain Shams University
author
Mohamed M.
Kotb
Department of Neurosurgery, Faculty of Medicine, Ain Shams University
author
text
article
2018
eng
Background: low back pain (LBP) is related to disability and work absence and accounts for high economical costs. The management of LBP comprises a range of different intervention strategies including surgery, drug therapy, and non-medical interventions. Failed back surgery syndrome is a common problem with enormous costs to patients, insurers, and society, defined as persistent back and/ or leg pain after spine surgery. The etiology of failed back surgery can be poor patient selection, incorrect diagnosis, suboptimal selection of surgery, poor technique, failure to achieve surgical goals, and/or recurrent pathology. Aim of the Work: to evaluate the efficacy, safety and outcome of radiofrequency as a method for management of patients with chronic low back pain. Subjects and Methods: thisprospective study was conducted at El Galaa Military Hospital starting from January 2017. Twenty-five patients with chronic low back pain with mal-response to medical treatment justified for receiving interventional pain management as a conservative method of treatment of low back pain. They were subjected to radiofrequency neurotomy as a method for managing low back pain. Results: there was highly statistically significant decrease in pain score immediately, 1 week, 1 month and 3 months than pain score before RF with p-value < 0.01and there was highly statistically significant difference between daily living activities before RF and daily living activities at different times of measurement with p-value < 0.01. Conclusion: low back pain is a medical, social and economical problem. Radiofrequency neurotomy had advantage regarding the long term follow up but the costs and equipment-wised problem still make it less prevailed. Recommendations: longer follow up and randomized study if could be conducted the results may indicate much clues.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1970
1978
https://ejhm.journals.ekb.eg/article_9401_f338ce67eca7ca89f633c877b6f5d467.pdf
Associated Factors of Post Renal Transplant Failure
Yara Saleh
Bayunus
Umm Al-Qura University
author
Linah Khalid
Qasim
Umm Al-Qura University
author
Lama Saleh
Bayunuos
Umm Al-Qura University
author
text
article
2018
eng
Renal transplantation is the best management for patients suffering from end-stage renal disease (ESRD). It has many benefits which overcome the complications of dialysis, it has some acute and long term complications that could result in failure. Failure of transplant is the fourth cause of death among patients with end stage kidney disease. The causes of failure is still a debate but rejection, drug toxicity and fibrosis as well as chronic allograft nephropathy and patient’s immunity related factors. This review will provide important information regarding the causes associated with post-renal transplant failure.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1979
1982
https://ejhm.journals.ekb.eg/article_9402_93979389cf55637a10a5be9ea871b32d.pdf
Evaluation of Awareness and Attitudes towards Common Eye Diseases among the General Population of Northwestern Saudi Arabia
Wareef A.
Al-Lahim
Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia
author
Reema S.
Al-Ghofaili
Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia
author
Hyder
Mirghani
Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia
author
Hani
ALBalawi
Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia
author
text
article
2018
eng
Background: Assessing of the population’s awareness concerning eye diseases would provide a fundamental basis and acts as a future reference to execute health promotion initiatives. Objective: This study aimed to evaluate the public awareness and attitudes towards common eye diseases in Tabuk, Saudi Arabia.
Materials and Methods: This cross-sectional study was conducted in Tabuk, Saudi Arabia during the period from June 2017 to December 2017. A convenient sample of 397 participants of adults aged above 18 years old was chosen by a stratified method. A self-administered online survey included multiple choice and true-false questions was used to obtain information about respondent’s awareness regarding common eye diseases including cataract, refractive errors, glaucoma and diabetic retinopathy.
Results: 77.6% of participants were females, 41.4% were between 18 and 25 years, 52% of the respondents had sufficient knowledge regarding common eye problems. The most frequent sources of information were the internet (46.7%), relatives (38.5%) and mass media (35.4%). The participant's knowledge ranged from 66.3% for the cataract to 36.3% for refractive errors. Only educational level and job were significantly associated with knowledge about refractive errors. The majority of the respondents (75%) reported visiting ophthalmologists only when they have complaints and just 10% of them visited ophthalmologists regularly. When they had eye problems, almost two-thirds visited the ophthalmologist directly whereas 9% and 7.4% of them did nothing or depended on home therapy, respectively. Conclusion: Awareness and knowledge of adult population in Tabuk, Saudi Arabia is suboptimal. Health education campaigns are needed to improve their knowledge and protect them from adverse complications of these diseases.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1983
1989
https://ejhm.journals.ekb.eg/article_9403_782ce4f928fcde573d412d8ab82dd340.pdf
dx.doi.org/10.21608/ejhm.2018.9403
PUVA-Induced Skin Cancer in Dark-Skin Patient: A Case Report
Yousef
Binamer
Department of Dermatology, King Faisal Specialist Hospital &Research Centre, Riyadh 11211, Saudi Arabia
author
Ahmed
Aljaber
Medical intern, King Saud bin Abdulaziz university for health sciences,
Riyadh, Saudi Arabia
author
text
article
2018
eng
Non-melanoma skin cancer is reported to be a cancer with highest prevalence in the world. Different risk factors have been identified, e.g., Genetic factors, skin-type, ethnicity, and iatrogenic. The main iatrogenic factors are radiation and drugs, mainly immunosuppressive medications, and oral psoralen and ultraviolet-A (PUVA). It is known in the literature that exposure to more than 250 sessions of PUVA could be a risk for developing skin cancer. However, it was reported in fair skin patients.
Herein, we report for the first time, a PUVA-induced basal cell cancer in a type-4 skin patient after receiving 400 sessions.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1990
1991
https://ejhm.journals.ekb.eg/article_9404_227599f012313f0fe44b5f8ff8dfa760.pdf
The Prevalence of Neck Pain and The Relationship Between Prolonged Use of Electronic Devices and Neck Pain IN: A Saudi Arabia, Cross- Sectional Study in Saudi Arabia
Abdulrahman Nasser
Alzaid
Imam Mohammed bin Saud Islamic University
author
Omar Abdulmohsen
Alshadokhi
Imam Mohammed bin Saud Islamic University
author
Abdulrahman Yousef
Alnasyan
Imam Mohammed bin Saud Islamic University
author
Meshal Yahya
AlTowairqi
Imam Mohammed bin Saud Islamic University
author
Tariq Majed
Alotaibi
Imam Mohammed bin Saud Islamic University
author
Faisal Hammad
Aldossary
Imam Mohammed bin Saud Islamic University
author
text
article
2018
eng
Background: Since the use of smartphones has increased recently, their impact on people individual's health is not well established.It is important and critical to examine and discover the presence, absence or the magnitude of this impact, especially among young people, because the pediatrics in certain communities constitutes >25%. Aim of the work: determination of the prevalence of neck pain among children/adolescents and its relationship with time spent using electronic devices (e-devices).
Material and methods: This cross-sectional study was conducted in Saudi Arabia using an online google survey form, which was distributed through social media to 2435 participants to find out the prevalence of neck pain among pediatric population and its relationship with e-devices use . Results:Our study showed that roughly a quarter of the participants in Saudi Arabia have pediatric population having neck pain, and mostpediatric sufferers are between 15-18 years. More time spent using e-devices was associated with increased complaints of neck pain, specifically, children at the age of 7-11 years spending 5-8 hours/day on e-devices. Around 70% had an aching pain that required them to ask for Doctor's.
Conclusion: The research sample reported that children's use of electronic devices showed a close association with neck pain and the more the child spends time using an electronic device the greater is the complaint of neck pain. We found that there is a positive correlation between long time smart devices use and neck pain.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
1992
1999
https://ejhm.journals.ekb.eg/article_9405_2f755a9cf6409839ae2a412336d72da3.pdf
dx.doi.org/10.21608/ejhm.2018.9405
Pediatric Pharyngitis: Etiology and Management Approaches
Taghreed Abdualaziz
Almarshad
Ibn Sina National College
author
Alanoud Saleh
Alsaiari
King Saud Bin Abdulaziz University for Health Sciences
author
Waseem Morshed
Qaq
Bayan Clinic
author
Maria Mohammed
Alshehab
Primary Health Care
author
Waleed Abdulaziz
Almosfer
Majma'ah University
author
Mohammad Ridha
Al Eid
King Fahad University Hospital
author
Salha Ali
Asery
King Khalid University
author
Marwa Khalifa
Bindayna
King Hamad University Hospital (KHUH)
author
text
article
2018
eng
Background: Acute pharyngitis is infection of the tonsils and the pharynx and is very common among children and adolescents. They can be viral or bacterial in origin. The causative organism varies from geography, age, and season of infection. Although viral pharyngitis is more common, the complications of bacterial pharyngitis can be severe, and thus proper identification of the cause and management is very important. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: acute pharyngitis, pediatric pharyngitis, bacterial infection, streptococcus pharyngitis, viral pharyngitis, rapid strept test, throat culture Aim: In this review, we aim to study the common causative organisms of acute pharyngitis among pediatric population and study the best course of management that must be followed. Conclusion: Acute pharyngitis is a relatively common disease, with a viral cause most likely. An etiology due to a streptococcal infection is a major concern and should always be ruled out due to its association with significant morbidity and mortality. Long-term sequelae of streptococcal pharyngitis include rheumatic fever, rheumatic heart disease, and acute post-streptococcal glomerulonephritis
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2000
2003
https://ejhm.journals.ekb.eg/article_9406_eb673b3374276606f9234f3737f37ddf.pdf
Crohn’s Disease: Pathophysiology, and Management
Dima Ammar
Fatahi
Tishreen University
author
Abdullah Saad
Al Asmari
Taif University
author
Ghadah Abdulrahman
Bukhari
Ibn Sina National College
author
Homoud Abdulaziz
Alshamrani
Primary Health Care Center,
Riyadh
author
Khalid Abdullah
Hunaydi
Aseer Central Hospital
author
Ahmad Mufarreh
Sharahili
Aseer Central Hospital
author
Tahani Khalid
Alharshan
King Faisal University
author
Anhar Ali
Alherz
King Faisal General Hospital
author
text
article
2018
eng
Background: The incidence of crohn’s disease reaches up to 20 per 100,000 people per year, with a median age of 30 years, and is higher in the developed world. Although the exact cause and pathophysiology is unknown, several environmental and genetic factors have been linked with higher risk or severity of the disease. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: crohn’s disease, inflammatory bowel disease, genetics of crohn’s disease, diagnosis of IBD, management crohn’s disease Aim of the study: In this review, we aim to study the pathophysiology, diagnosis and management of crohn’s disease. We will pay special attention to the newer biological drugs used in management. Conclusion: Crohn’s disease is usually managed with medical treatment, although many patients will need to undergo surgery at least once. Treatment usually aims at the induction and maintenance of a remission without the excessive use and dependence of steroids. Achieving higher quality of life is the main goal of any modality of treatment.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2004
2007
https://ejhm.journals.ekb.eg/article_9407_791cc5404ace2cbd9b6b047f1e3aed93.pdf
dx.doi.org/10.21608/ejhm.2018.9407
Approach in Diagnosis and Management and Common Mistakes in Diagnosis of Multiple Sclerosis
1Anas Rafik Mohamed
Elshaer
King Fahad Hospital
author
Shurouq H. S.
Alqrinawi
Dammam Medical Complex
author
2Mohamed Ahmed Hassan
Kallab
Dammam Medical Complex
author
Osama Ahmed
Abdelsalam
Neurology Department, Mansoura University
author
text
article
2018
eng
Background- Augustus d'Este, the grandson of England’s King George III, is now thought to have MS based on a diary he kept until his death in 1848, in which he described symptoms that sound much like MS, including blurred vision, weakness and numbness in his limbs, tremors and nocturnal spasms. Twenty years after d’Este’s death, the Parisian neurologist Jean-Martin Charcot was the first to identify and name MS. A female patient of Charcot’s was suffered from tremors, slurred speech and abnormal eye movements. He attempted to treat her, but with no avail. After her death, Charcot examined the patient’s brain and discovered the telltale plaques of MS the hardened scar tissue around nerve fibers. He was concerned with the discovery of MS. Aim of the work: multiple sclerosis is considered as one of the great imitators as it features various nonspecific symptoms such as sensory loss, spinal cord symptoms (Motor and autonomic), cerebellar symptoms, eye symptoms, optic neuritis, trigeminal neuralgia, psychiatric as well as constitutional symptoms and may be confused with a number of other diseases. In this project we aimed to identify problems and mistakes for diagnosis of MS in order to achieve early diagnosis and prevention of misdiagnosis and advancement of the disease. Patients and Methods: we have collected data about cases of multiple sclerosis disease from two major hospitals in Saudi Arabia (Saudi German Hospital, Madinah, Dammam Medical Complex, Dammam) during the year 2017. Among these cases we found 4 cases misdiagnosed as multiple sclerosis. The first case 48 years old female diagnosed with multiple sclerosis and treated with Imuran for 8 month with no benefit then patient came again with the same symptoms and MRI done for him with no change in MRI findings, thus the patient condition was not fit for the diagnostic criteria of multiple sclerosis and diagnosed as primary lateral sclerosis. Second case 37 years old patient came with acute onset paraplegia and diagnosed as transverse myelitis then came after 4 months; the patient developed symptoms of optic neuritis. The third case 42 years old female came with left sided hemiplegia and diagnosed as ischemic stroke and treated with vascular therapy without benefit then came again after 6 months with right sided hemiplegia and incoordination then diagnosed as multiple sclerosis. Fourth case 30 years old female came with acute diminution of vision and diagnosed as optic neuritis and treated without benefit then patient came again with the same presentation and diagnosed as clinically isolated syndrome. Results: MRI findings are not enough in diagnosis of multiple sclerosis and should be accompanied by good clinical expertise; lab tests as well as exclusion of any other condition could be misdiagnosed as multiple sclerosis. Conclusion: multiple sclerosis (MS) is an immune-mediated inflammatory disease that attacks myelinated axons in the central nervous system, destroying the myelin and the axon in variable degrees and producing significant physical disability within 20-25 years in more than 30% of patients. The hallmark of MS is symptomatic episodes that occur months or years apart and affect different anatomic locations.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2008
2015
https://ejhm.journals.ekb.eg/article_9408_18d75f39d9ed1936e2cedb9b58de7edc.pdf
Case of Idiopathic Peripapillary Subretinal Neovascular Membrane in an otherwise Healthy Young Male: A Case report
Raed Awadh
Alharthi
Department of Ophthalmology, King Abdul-Aziz Specialist Hospital, Taif, Saudi Arabia.
author
Ashwaq Mohammed
Almalki
Department of Ophthalmology, King Abdul-Aziz Specialist Hospital, Taif, Saudi Arabia.
author
Hatim Fozi
Jabr
Department of Ophthalmology, King Abdul-Aziz Specialist Hospital, Taif, Saudi Arabia.
author
Faisal Ali
Alotibi
Department of Ophthalmology, King Abdul-Aziz Specialist Hospital, Taif, Saudi Arabia.
author
text
article
2018
eng
Aim of work: this study aimed to report a rare case of idiopathic peripapillary subretinal neovascular membrane (PCRNVM) in an otherwise healthy young male
Patient and method: this was a case report study of 31-years old healthy male came to ophthalmology clinic complaining of blurred vision.
Result: fundus examination revealed left idiopathic peripapillary subretinal neovascular membrane (PCRNVM) and its presence was confirmed by optical coherence tomography (OCT) and fundus fluorescein angiography (FFA).
Conclusion: idiopathic peripapillary subretinal neovascular membrane(PSRNVM)is rare condition in healthy young with no predisposing factors and our case was responded well to single dose of Anti-VEGF (ranibizumab).
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2016
2018
https://ejhm.journals.ekb.eg/article_9409_2dca0d6bd95946871d1d8c94bfa9c105.pdf
Emergency Management of Subdural Hematoma
Abdulrahman Mubarak
Almutairi
Majmaah University
author
Hassan Mohammed
Barnawi
Taibah University
author
Ebtesam Mohammed
Alahmari
King Khalid University
author
Tahani Saeed
Almohayya
King Khalid University
author
Roaa Fahad
Alshabanah
King Khalid University
author
Huda Hussain Mohammad
Radwan
Ibn Sina National College
author
Muath Ahmad
Al-Gadouri
Umm Alqura University
author
text
article
2018
eng
Background: Subdural hematoma is extra-cerebral accumulation of blood between the dura matter and the subarachnoid layer. It is almost always caused by trauma or due to blood thinning therapies, and occurs due to rupture of bridging veins. Acute subdural hematoma is an emergency situation and requires prompt diagnosis using CT most of the time, and management requires surgery as well as reversal of anticoagulants. Materials and methods: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: subdural hematoma, emergency management of subdural hematoma, CT vs. MRI in diagnosis of subdural hematoma, treatment of subdural hematoma. Aim: In this review, we aim to study the etiology of subdural hematoma, explore how to diagnose and manage it in the emergency department Conclusion: Subdural hematoma is an important clinical presentation that needs proper and prompt surgical management and treatment. Treatment should be as less invasive as possible, with higher efficacy and lower recurrence rates. Non-surgical approaches are still being studied with no proven efficacy for them until now.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2019
2021
https://ejhm.journals.ekb.eg/article_9410_3ef5bae761f382b5e827b92b5bce59fa.pdf
Nasal Polyps and its Histo-pathological Evaluation
Bayan Sultan
Al Jobran
King Khalid University
author
Atheer Eed
Alotaibi
King Khalid University
author
Ashwaq Y.
Asiri
King Khalid University
author
Roqayya Mohammad
Alhayyani
King Khalid University
author
Norah Ibraheem
Almanie
King Khalid University
author
text
article
2018
eng
Background: Nasal polyposis are considered a sign or a physical finding rather than a disease resulting from a complex process that is found in some individuals, such as people suffering from chronic sinusitis, rhinitis, Kartagener’s syndrome, or cystic fibrosis. Sinonasal polyps can have four distinct histological subtypes, which include eosinophilic polyp, chronic inflammatory polyp, hyperplastic polyp, and polyp with stromal atypia.
Aim: In this review, we aim to study the presentation, classification and diagnosis of nasal polyps in the light of histopathological findings. Materials and methods: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 2001, through February 2017. The following search terms were used: nasal polyp, inflammation of nasal mucosa, chronic inflammation, histology of nasal mucosa, pathology of nasal polyps. Conclusion: Polyposis does not have histological problems and complications. However, they may be clinically disturbing. Polyps are not classified into allergic and non-allergic, and are rather stratified according to histological findings, making histological investigation crucial for diagnosis.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2022
2024
https://ejhm.journals.ekb.eg/article_9411_0c5f8ca8feec362defc67a2777babd41.pdf
Respiratory Aspects of Approach to Neonatal Resuscitation
Rayan Abdulbasit
Marzuqi
King Abdulaziz University
author
Waleed Abdulaziz
Almosfer
Majma'ah University
author
Yara Mofarih
Assiri
King Khalid University
author
Ali Adnan
Al Khamis
Al Jaber Hospital ENT & OPH
author
Trad Abdulaziz
Alasiri
Umm Alqura University,
author
Mayar Khalid
Shaffei
Umm Alqura University
author
Rahaf Emad
Hejazi
Umm Alqura University,
author
Zainab Habib
Almomen
Imam Abdulrhman Al Fisal University
author
Arwa Mohammed
Aldosari
Fatima Jinnah Medical College in Pakistan
author
text
article
2018
eng
Introduction: Around 10% of live births globally require immediate intervention, and 4 million neonatal deaths happen in a year, where one fourth of them are due to asphyxia. Regular respiration may fail to achieve spontaneously in about ten percent of live births, with one percent of cases needing resuscitation with chest compressions, and about 0.06% needing epinephrine. The target in neonatal resuscitation is to achieve sufficient functional residual capacity, while avoiding pulmonary damage, and to optimize the tissue delivery of oxygen without causing toxicity Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: neonatal asphyxia, neonatal resuscitation, neonatal intensive care, respiratory distress syndrome, complications of prematurity, oxygen therapy, neonatal ventilation Aim: In this review, we aim to study the various approach taken to provide immediate resuscitation to neonates with respect to respiratory distress. Conclusion: With advancing research, physicians should have more devices to decrease the mortality rates among infants. We also need more research to establish best recommendations and guidelines on the use of best interventions especially in clinical setting with limited resources.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2025
2028
https://ejhm.journals.ekb.eg/article_9412_25a1381cfc5b23aab11a1e3388ada5b9.pdf
Assessment of Customer Satisfaction with the Clinical Laboratory Services Provided in King Abdullah Medical City, Makkah
Daliah
Almatrafi
Faculty of Medicine, Umm Alqura University
author
Najwa
Altaweel
Laboratory and Blood Bank Department,
King Abdullah Medical City (KAMC)
author
Mona
Abdelfattah
Laboratory and Blood Bank Department,
King Abdullah Medical City (KAMC)
author
Moayad
Alqazlan
Faculty of Medicine, Alqassim University
author
Hussam
Darrar
Faculty of Pharmacy, Umm Alqura University
author
Abdulrahman
Alomari
Faculty of Medicine, Umm Alqura University
author
Waed
Yaseen
Faculty of Medicine, Umm Alqura University
author
Mohannad
Alsulami
Faculty of Medicine, Umm Alqura University
author
text
article
2018
eng
Background: Patients and physicians are considered primary customers of laboratory services. Therefore, assessing customer satisfaction with laboratory services is an essential indicator in improving the quality of laboratory services. Objectives: This study measures the level of satisfaction of physicians and patients who avail of the clinical laboratory and phlebotomy services, respectively, at the outpatient department (OPD) in King Abdullah Medical City (KAMC), to evaluate the possible issues and carry out corrective actions. Methods: A cross-sectional survey to evaluate the level of satisfaction using a modified patient and physician questionnaires, the patients were randomly selected and interviewed in phlebotomy areas at the outpatient and chemotherapy clinics. A paper-based questionnaire was distributed to all physicians all available physicians in KAMC who were regularly requiring laboratory investigations. The collected data were coded, entered, and checked for outliers or missing data and analyzed using the SPSS statistical package version 21. Results: A total of 435 patients were interviewed and their mean satisfaction was 4.51±0.32 out of 5. Respondents were satisfied with the Availability of laboratory tests. However, they were dissatisfied with Explanation of the phlebotomy cautions by the phlebotomist (75.4%). Twenty eight percent of physicians (132) participated, their mean satisfaction rate was 3.6±0.7 out of 5. The greatest satisfaction rate was related to critical results notification and the communication with laboratory personnel. Physicians were most dissatisfied with both specimen delivery process and incorrect test results. Conclusion: Both customers were satisfied with the laboratory service provided for them. Factors as "Explanation of the phlebotomy process by phlebotomist" and "specimen collection and delivery process" received lowest satisfaction score for patients and physicians respectively. Therefore, improving them is required to meet the needs of the customers and gain their satisfaction regarding the service.
The Egyptian Journal of Hospital Medicine
Pan Arab League of Continuous Medical Education
1687-2002
70
v.
11
no.
2018
2029
2037
https://ejhm.journals.ekb.eg/article_9413_8a3c9ec38ad50e07e8ccf29e6d0570e4.pdf