Factors associated with perceptions of child sexual abuse and lack of parental knowledge: a community-based cross-sectional study from the Eastern Province of Saudi Arabia
BACKGROUND:Child sexual abuse (CSA) has serious consequences that can affect the physical, social and mental health of a child. In the last two decades, concern about CSA has increased around the world including Saudi Arabia. OBJECTIVE:Evaluate factors associated with parental perceptions and knowledge of CSA. DESIGN:Cross-sectional survey. SETTINGS:Primary health care clinic. SUBJECTS AND METHODS: Simple random sampling was used to select participants. The main tool for data collection was a self-administered questionnaire. MAIN OUTCOME MEASURES:Factors associated with knowledge and perceptions of...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

The Arabic version of the Kogan Attitudes toward Older People Scale among Saudi nursing students: a psychometric analysis
CONCLUSION: The tool can be used to accurately assess student attitudes towards older people, which can inform the creation of educational policies and interventions geared towards creating a more positive outlook on older adult care among nursing students in Saudi Arabia. LIMITATIONS: We did not perform test and re-test reliability analysis. CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Seroprevalence of Zika virus among asymptomatic pregnant mothers and their newborns in the Najran region of southwest Saudi Arabia
CONCLUSION:Although previous (resolved) ZIKV infection and cross-reactivity of the ELISA method with other flaviviruses cannot be ex.cluded, the study found no confirmed cases of acute ZIKV infection. However, given the presence of the vector in Saudi Arabia, the presence of presumptive positive serology and the ongoing risk of ZIKV entry via a regular influx of travelers from endemic areas, we propose that continuous surveillance be conducted for ZIKV as well for other flaviviruses. Larger-scale nationwide studies are strongly recommended to gain a broader view of the potential threat from ZIKV in the country. LIMITA...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Persistence of hepatitis B surface antibody and immune memory to hepatitis B vaccine among medical college students in Madinah
BACKGROUND:Globally, about 300 million people are infected with hepatitis B virus (HBV). Among the effective approaches to fight HBV infection is immunization. In 1989, an obligatory hepatitis B vaccine program was launched in Saudi Arabia.  OBJECTIVE:Assess hepatitis B surface antibody (anti-HBs) levels among the medical students before and after receiving booster doses of HBV vaccine. DESIGN: Cross-sectional. SETTING: Taibah University. SUBJECTS AND METHODS:Students born between 1993 and 1995 were recruited in this study from the Occupational Health Clinic. Students were screened for anti-HBs lev...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

A short-term follow-up of glycemic and body weight changes in diabetic patients who replaced dipeptidyl peptidase-4 inhibitors with the sodium-glucose cotransporter 2
BACKGROUND:Sodium-glucose cotransporter 2 inhibitors (SGLT2is, gliflozins) are associated with lower all-cause mortality than other anti-diabetic agents in patients with type 2 diabetes. In patients who may benefit from SGLT2is, but cannot add them to a dipeptidyl peptidase-4 inhibitor (DPP4i, gliptin) treatment for various reasons, replacement of the DPP4i with a SGLT2i may be considered.  OBJECTIVES:Evaluate changes in metabolic parameters in patients with diabetes after replacing a DPP4i with the SGLT2i empagliflozin. DESIGN: Panel study (cross-sectional and cohort hybrid). SETTING:The diabetes outpa...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Demographic features of patients with colorectal carcinoma based on 14 years of experience at Jordan University Hospital
CONCLUSION:CRC is increasing and is expected to increase further. Better health care planning that includes education and screening is needed to reverse these rising trends and to improve early detection. LIMITATIONS: Single institution study. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Association between breast arterial calcifications found on mammography and coronary artery calcifications in asymptomatic Saudi women
BACKGROUND:Currently, there are no data on the prevalence of breast arterial calcification (BAC) in Saudi women. Furthermore, there are no data on the relationship between BAC and coronary artery calcium score (CACS) as a coronary artery disease (CAD) risk factor in Saudi women who undergo mammography.  OBJECTIVE: Examine the role of BAC as a potential female-specific risk factor for CAD in Saudi women in order to investigate the relationship between BAC and CACS in women who undergo a screening mammography, and study the relationship between BAC and CAD risk factors, including age, diabetes mellitus, hypertensio...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Anti-IgE therapy for asthma: an audit at atertiary care centre in Saudi Arabia
BACKGROUND:Although anti-IgE therapy has been shown to offer numerous benefits, we suspect it is underutilized locally. To date, there are no studies on any aspect of its use in the Arab region. There is also no information on whether physicians follow current guidelines nor on patient response to this form of therapy.  OBJECTIVE: Assess the use of omalizumab for patients with difficult asthma at a tertiary care center. DESIGN:Retrospective, descriptive. SETTING: Tertiary care hospital. PATIENTS AND METHODS:Information was collected from medical records and interviews of all patients who received a...
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Placental steroid sulphatase deficiency: an approach to antenatal care and delivery
We present two cases of congenital ichthyosis. Thorough counselling of women with a previously affected pregnancy during the antenatal period should include discussion about mode of delivery and a critical review of the complexities of prenatal diagnosis in this condition. We propose a clinical management pathway to offer women with a previous pregnancy affected by this rare condition. SIMILAR CASES PUBLISHED: Less than 50 cases reported.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

A painful, swelling and discharging sinus in the right foot
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

RE: Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study The use of nonparametric statistical tests
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Reply
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - December 6, 2018 Category: General Medicine Tags: ISSUE 6 Source Type: research

Patterns and sociodemographic characteristics of substance abuse in Al Qassim, Saudi Arabia: a retrospective study at a psychiatric rehabilitation center
CONCLUSION:There was an increased use of polysubstances and amphetamine with a decreased abuse of prescription drugs when compared to previous studies reported in Saudi Arabia. There was a decreasing prevalence for heroin and alcohol. Substance abusers have certain epidemiological, social and drug patterns and we recommend that authorities and planners integrate their efforts to look for the reasons for substance abuse. LIMITATIONS: Females not included and prevalence of tobacco smoking not studied. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Expression of androgen receptor in invasive ductal breast carcinomas: a clinicopathological study from Jordan
CONCLUSIONS: These results were consistent with international reports showing a significant relationship of AR expression with ER status. In addition, AR expression was significantly associated with smaller tumor size. Although AR status was not independently associated with survival, our data suggest AR is a good prognostic factor.  LIMITATIONS: Some clinical data were missing. CONFLICT OF INTEREST: None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

An 18-year study of thyroid carcinoma in the western region of Saudi Arabia: a retrospective single-center study in a community hospital
CONCLUSION:Our findings are consistent with similar studies worldwide. Etiological factors promoting the rise in TC must be investigated and may provide insight in developing suitable management strategies for the Saudi population. LIMITATION:Small sample size and retrospective over a long period. CONFLICT OF INTEREST: None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Outcomes and hospital admission patterns in patients with diabetes during Ramadan versus a non-fasting period
BACKGROUND: Fasting during Ramadan is a challenge for Muslim patients with diabetes and for their healthcare providers. However, data on the effects of Ramadan fasting on hospital admissions and outcomes in patients with diabetes are scarce. OBJECTIVES:Evaluate the characteristics of patients with diabetes admitted during the fasting month of Ramadan compared with the non-fasting month of Dhu al-Qidah.  DESIGN:A retrospective cohort study medical record review. SETTING: A university teaching hospital. PATIENTS AND METHODS:We reviewed the records of all patients with diabetes admitted to the medical...
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Implementation of total laboratory automation at a tertiary care hospital in Saudi Arabia: effect on turnaround time and cost efficiency
CONCLUSION:By moving from stat to routine assays, the TAT was reduced, which is counter-intuitive. The use of stat assays slowed down the performance of the TLA. A careful review of the mix of assays should be conducted to maximize performance and to ensure that the system delivers what is required. LIMITATIONS:Room for improvement by systematically analyzing and reviewing the impact of making minor changes that could have significant impact on TAT.  CONFLICT OF INTEREST: None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Clinicopathologic characteristics and outcomes of hepatocellular carcinoma associated with chronic hepatitis B versus hepatitis C infection
CONCLUSIONS:HBV- and HCV-associated HCC have distinct clinical and pathological characteristics, necessitating different screening policies to optimize HCC surveillance and management. However, viral etiology did not affect the treatment outcome and long-term survival. LIMITATIONS: Conducted in a single-center, retrospective and lacks information about the use of antiviral treatment. CONFLICT OF INTEREST:None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Clinicopathologic characteristics andoutcomes of hepatocellular carcinoma associated with chronic hepatitis B versus hepatitis C infection
CONCLUSIONS:HBV- and HCV-associated HCC have distinct clinical and pathological characteristics, necessitating different screening policies to optimize HCC surveillance and management. However, viral etiology did not affect the treatment outcome and long-term survival. LIMITATIONS: Conducted in a single-center, retrospective and lacks information about the use of antiviral treatment. CONFLICT OF INTEREST:None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Dapoxetine for the treatment of premature ejaculation: a meta-analysis of randomized controlled trials with trial sequential analysis
CONCLUSIONS: The evidence suggests that dapoxetine may be a safe and effective drug for patients with PE.  REGISTRATION:Not registered, no published protocol. CONFLICT OF INTEREST:No relationship with manufacturer of drug.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Outcome with topical sirolimus for port wine stain malformations after unsatisfactory results with pulse dye laser treatment alone
We report five PWS cases that were treated with PDL initially, followed by 0.5-1% topical sirolimus. With dual therapy there was significant improvement over a shorter duration. More published studies of topical sirolimus are needed to clarify the role of dual therapy in managing PWS associated with capillary malformations. We encourage further prospective and comparative studies with a larger sample size. SIMILAR CASES PUBLISHED: 1   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

Rare left-sided presentation of internal jugular vein ectasia in an adult
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - October 4, 2018 Category: General Medicine Tags: ISSUE 5 Source Type: research

From the Editor
: The issue of protection of human subjects is part of the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/), which the (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 27, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research

Perceptions of confidence among Saudi nursing interns during internship program: a cross-sectional study
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). DESIGN:Cross-sectional. SETTING:Four public tertiary training hospitals in Riyadh, Saudi Arabia. METHODS: A survey ...
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Perceptions of confidence among Saudi nursing interns during internship program: cross-sectional study
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). DESIGN:Cross-sectional. SETTING:Four public tertiary training hospitals in Riyadh, Saudi Arabia. METHODS: A survey ...
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Patterns of injury detected by pan-computed tomography after road traffic accidents: retrospective review from a trauma center in Saudi Arabia
CONCLUSION: When abnormalities were detected, most high-speed vehicular injuries affected the torso. Unrestrained young male drivers are most often involved in RTAs in Saudi Arabia. LIMITATIONS: Retrospective study with a small sample size. Types and severity of injuries on pan-CT were not documented.  CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Molecular characteristics of colorectal cancer in a Middle Eastern population in a single institution
CONCLUSION: The RAS mutation rate was similar to Western and East Asian countries, but not for the BRAF mutation and MMR deficiency. We also found a prognostic effect for sex in the RAS wild-type group, a finding worthy of further exploration.  LIMITATIONS:Retrospective, single center and small sample size. Expression of MSH6 and PMS2 not analyzed. CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Outcome of continuous renal replacement therapy in critically ill children: A retrospective cohort study
CONCLUSION: The overall mortality rate among critically ill children who un.derwent CRRT was 50% with significantly increased mortality among patients with hematological diseases, immunodeficiency, and in children who had undergone stem cell transplantation. Septic shock and use of inotropic support were associated with mortality. LIMITATIONS: Retrospective and single center data that is not generalizable. CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Predictive factors for contrast-induced acute kidney injury in high-risk patients given N-acetylcysteine prophylaxis
CONCLUSION:The risk predictors identified for CI-AKI were hypotension, high contrast volume and prior hydration therapy.  LIMITATION: May not have identified other confounding factors for development of CI-AKI. CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Aluminum phosphide poisoning in Saudi Arabia over a nine-year period
CONCLUSION:Mortality due to AlP poisoning was highest in children and most commonly occurred during fumigation of households. Delays in medical attention and diagnosis may have contributed to mortality. LIMITATIONS:Retrospective data collection and relatively small sample size. Data on exact amount and route of phosphide ingestion or exposure not available.  CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Timing of orchidopexy at a tertiary center in Saudi Arabia: reasons for late surgery
CONCLUSIONS:The age at the time of surgery at our center was far from ideal because of late referrals. A structured program offered by our National Health Service to educate referring physicians is necessary. Community health initiatives must emphasize prompt referral to reduce the impact of delayed surgery. LIMITATIONS:Lack of data on the type of referring physician (i.e., general practitioner, pediatrician, surgeon, urologist). CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Demand management and optimization of clinical laboratory services in a tertiary referral center in Saudi Arabia
CONCLUSION:Minimum retest intervals using computer-based rules are effective in supporting strategies to manage demand. LIMITATIONS:This approach may not be applicable to all laboratory tests; however, the success of this pilot study would encourage more widespread use of this approach. CONFLICT OF INTEREST:None. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Follicular thyroid carcinoma within a thyroglossal duct cyst in adult
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. NO. OF SIMILAR CASES:10  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - August 2, 2018 Category: General Medicine Tags: ISSUE 4 Source Type: research

Translation, validation, and cultural adaptation of the Rhinosinusitis Disability Index and the Chronic Sinusitis Survey into Arabic
This study was conducted between September 2015 and October 2016. We followed the international comprehensive guidelines for translation and cross-cultural adaptation of QoL instruments. MAIN OUTCOME MEASURES:Test-retest reliability, discriminant validity, and responsiveness ability of both the RSDI and CSS Arabic versions.  SAMPLE SIZE:124.  RESULTS: The sample comprised 75 patients diagnosed with chronic rhinosinusitis and 49 healthy control subjects. The Arabic version of both instruments showed high internal consistency (Cronbach’s alpha: RSDI=0.97, CSS=.88) and the ability to differentiate be...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Translation, validation, and cultural adaptation of the Rhinosinusitis DisabilityIndex and the Chronic Sinusitis Survey into Arabic
This study was conducted between September 2015 and October 2016. We followed the international comprehensive guidelines for translation and cross-cultural adaptation of QoL instruments. MAIN OUTCOME MEASURES:Test-retest reliability, discriminant validity, and responsiveness ability of both the RSDI and CSS Arabic versions.  SAMPLE SIZE:124.  RESULTS: The sample comprised 75 patients diagnosed with chronic rhinosinusitis and 49 healthy control subjects. The Arabic version of both instruments showed high internal consistency (Cronbach’s alpha: RSDI=0.97, CSS=.88) and the ability to differentiate be...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Clinical outcomes with transcatheter aortic valve implantation at a single cardiac center in Saudi Arabia
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. Clinical, imaging, and laboratory information at baseline and at one year follow-up were analyzed. MAIN...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Extracorporeal membrane oxygenation improved survival in patients with massive pulmonary embolism
CONCLUSIONS: Anticoagulation with ECMO support is associated with good survival rate outcomes compared with medical therapy alone.  LIMITATIONS:Relatively small number of patients and retrospective design. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Portal venous pressure and proper graft function in living donor liver transplants in 69 patients from an Egyptian center
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. PATIENTS AND METHODS:The study included adult cirrhotic pa.tients who underwent right lobe liver donor living transplantation (LDLT) at ...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Comparison of two different renal access techniques in one-stage percutaneous nephrolithotomy: triangulation versus “eye of the needle”
CONCLUSION: According to our study, renal access for one-stage PCNL can be achieved using either the EN or TT technique. The renal access technique used does not independently affect the complication rate. LIMITATIONS:Retrospective, small sample size, and no comparison of body mass index. CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Time-to-detection of bacteria and yeast with the BACTEC FX versus BacT/Alert Virtuo blood culture systems
CONCLUSION:TTD was significantly shorter for most of the microorganisms tested on the new BacT/Alert Virtuo system compared to the BACTEC FX system. LIMITATIONS: Use of simulated cultures to assess TTD may not precisely represent clinical blood cultures. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

A novel high-resolution melting analysis approach for rapid detection of vancomycin-resistant enterococci
CONCLUSION: The 16S-PCR-HRMA approach has the potential for detecting vancomycin-resistantE faeciumandE faecalis. Data with VRE provide the basis for combining VRE identification with pathogens speciation in a rapid, cheap assay able to identify a pathogen as an Enterococcus and whether it is vancomycin-sensitive or -resistantE faecium orE faecalis in a single PCR and HRMA run. LIMITATIONS: Tested on specific, but not all, referenceEnterococcus species and clinical isolates.  CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Human myiasis in patients with diabetic foot: 18 cases
CONCLUSION: To our knowledge, this is the largest reported series of cases of diabetic foot with myiasis. The most common parasitic agent wasLucilia sericata. Bacterial soft tissue infections were observed in all cases. Poor hygienic conditions were noteworthy and all patients were in need of radical surgery. Myiasis complication of diabetic foot is more frequently seen in the spring and summer.  LIMITATIONS:Insufficient follow-up time for analysis of possible confounding factors. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Stress and coping among consultant physicians working in Saudi Arabia
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.  SUBJECTS AND METHO...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children ’s hospital in Saudi Arabia
CONCLUSION: Risk factor identification is required to prevent falls and their severe outcomes. LIMITATIONS:Underreporting and single-centered study. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Sclerosing encapsulated peritonitis: typical imaging findings for easy diagnosis
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. SIMILAR CASES ...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Withdrawal of two generic clopidogrel products in Saudi Arabia for non-bio-equivalence
To the Editor: Clopidogrel, a P2Y12 platelet inhibitor, is indicated for the treatment of cardiovascular and cerebrovascular events.1-3 In February 2018, the Saudi Food and (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 30, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Reproductive health profile and circumcision of females in the Hali semi-urban region, Saudi Arabia: A community-based cross-sectional survey
CONCLUSION: The pattern of early female marriage, high consanguinity, GMP, low contraceptive use, and a high frequency of circumcision in girls was apparent in Hali. Public health education and legislative policies are needed. LIMITATIONS:Recall bias may affect the reported frequency of circumcision, and related complications. CONFLICTS OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 5, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research

Screening of latent tuberculosis infection among health care workers working in Hajj pilgrimage area in Saudi Arabia, using interferon gamma release assay and tuberculin skin test
CONCLUSION: Agreement between the tests was poor. QFT-GIT detected LTBI when TST was negative in HCWs who had a history of close contact with TB patients.  LIMITATIONS: A second step TST was not feasible within 2-3 weeks. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 5, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research

Donor-specific HLA-DQ antibodies may contribute to poor graft outcome after heart transplantation
BACKGROUND: HLA-DQ donor-specific antibodies (DSA) are implicated in allograft dysfunction after renal and lung transplantation. Limited data exists on the impact of HLA-DQ antibodies on heart transplant patients. OBJECTIVE: To investigate the impact of DSA formation on allograft function and outcomes in heart transplant patients. DESIGN:Retrospective cohort study. SETTING:Collating post-transplantation patient data from computerized database in a tertiary hospital in Riyadh, Saudi Arabia from January 2006 to October 2014.  PATIENTS AND METHODS:We excluded recipients with positive preoperative comp...
Source: Annals of Saudi Medicine - April 5, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research