Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh
CONCLUSION:Thirty percent of dentists working in Riyadh had experienced severe or mild symptoms related to CTS. Several risk fac.tors for CTS have been identified. Future research could explore the reasons behind these risk factors to identify and implement prevention measures. LIMITATIONS:Cannot be generalized to the whole of Saudi Arabia, or the region. Larger controlled studies are needed to further identify the risk factors associated with CTS among dentists. In addition, since the BCTQ was used, the self-reporting nature of the study might be affected by external bias.  CONFLICT OF INTEREST: None. ...
Source: Annals of Saudi Medicine - March 7, 2019 Category: General Medicine Tags: AHEAD OF PRINT Source Type: research

Survival after cardiopulmonary arrest in a tertiary care hospital in Turkey
CONCLUSION:Assessing patients at risk in the hospital for comorbid conditions by CCI would be beneficial to prevent deaths related to IHCA. Close monitoring of patients with high CCI scores is advisable, as is making IHCA calls on time.  LIMITATIONS:Retrospective, small sample size, and no evaluation of the neurological condition of the discharged patients.  CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - March 7, 2019 Category: General Medicine Tags: AHEAD OF PRINT Source Type: research

Quality of life among elderly residents in the Gaza Strip: a community-based study
CONCLUSION: More years of education and higher satisfaction with health were associated with a better perception of QoL. Interventions should be focused more on physical and environmental aspects in the life of elderly persons.  LIMITATIONS: Cross-sectional design, use of convenience sample and some possibly important factors not studied. CONFLICT OF INTEREST:None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Neurological disability among adults following traumatic spinal fractures in Saudi Arabia: a retrospective single-center medical record review
CONCLUSION:A high proportion of neurological disability following TSF was found. Further studies should attempt to improve the docu.mentation rate of seatbelt status in all traumatic cases including mild injuries. This data will increase our understanding of adult TSF and possibly facilitate injury prevention strategies. LIMITATIONS:Single hospital and may not be generalizable. CONFLICT OF INTEREST:None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Influence of individual and family factors on physical activity among Saudi girls: a cross-sectional study
CONCLUSIONS:The findings reiterate the significance of improving the PA of school girls and the critical role of the family in improving chil.dren’s PA. Multisectoral coordination between schools, health agencies, families, and other concerned agencies to plan and implement interventions should help increase the PA of school girls. LIMITATIONS: The use of self-report may have introduced some levels of social desirability bias. The study was only conducted in a single city. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Pattern of skin diseases in a university hospital in Jeddah, Saudi Arabia: age and sex distribution
BACKGROUND: Previous studies have investigated the pattern of dermatological diseases in some regions of Saudi Arabia, but studies on the prevalence of skin diseases in Jeddah are lacking. OBJECTIVES:Assess the pattern of skin diseases in Jeddah based on age and sex differences and compare the results with those of previous studies conducted in other regions of Saudi Arabia and the Middle East. DESIGN:A cross-sectional prevalence study, retrospective. SETTING:Dermatology clinic of King Abdulaziz University hospital. PATIENTS AND METHODS:Data obtained from electronic medical records were summarized and a...
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

The prevalence of complications of pneumonia among adults admitted to a tertiary care center in Riyadh from 2010-2017
BACKGROUND: Pneumonia, the commonest lower respiratory tract infection, can result in respiratory and non-respiratory complications. Few studies have reported on the prevalence of many complications. OBJECTIVES:Identify the prevalence of 18 complications of pneumonia and compare complication rates by age group and type of pneu.monia. Identify most prevalent comorbidities, the effect of the number of comorbidities on the presence of complications, and the association between specific comorbidities and specific complications. DESIGN:Retrospective, cross-sectional prevalence study. SETTING:Tertiary care center ...
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Hepatitis A immunity in Yozgat, Turkey
BACKGROUND: Since routine immunization could change the epidemiological profile of hepatitis A virus (HAV) infection in the future, it is important to determine the baseline immunity to HAV across Turkey. OBJECTIVE: The aim of this study was to determine the seroprevalence of hepatitis A among individuals 6 years of age and older in Yozgat, Turkey. DESIGN: Cross-sectional. SETTING:Community in central region of Turkey. PATIENTS AND METHODS:Questionnaires and blood specimens were collected and the presence of hepatitis A IgG antibodies against hepatitis A virus was determined quantitatively by ELISA.&nbs...
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Survival and metastasis in muscle-invasive bladder cancer patients who present with indeterminate pulmonary nodules before treatment
CONCLUSION:The presence of IPNs, especially nodules>1 cm had a negative effect on disease-free survival. Tailored postoperative follow-up of these patients may impact disease outcomes. LIMITATIONS:The retrospective nature, the lack of standardized preoperative imaging protocols, the lack of a central radiology review and the small number of patients. CONFLICT OF INTEREST: None.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia: a cross-sectional study
BACKGROUND: No study has examined the stress level and coping strategies among critical care nurses in Saudi Arabia. OBJECTIVES:Examine perceived stress and coping behaviors among nurses in intensive care units in Saudi Arabia, and the influence of cop.ing mechanisms on stress. DESIGN: Descriptive cross-sectional. SETTING:Two tertiary training hospitals in Riyadh, Saudi Arabia. SUBJECTS AND METHODS:Nurses from cardiac, surgery and pediatric intensive care units responded to an online survey. Perceived Stress Scale-10 (PSS-10) and the Brief COPE Inventory were used as primary research tools. Multivariate...
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

D-penicillamine-induced pseudo-pseudoxanthoma elasticum and extensive elastosis perforans serpiginosa with excellent response to acitretin
We report a case of DPA-induced pseudo-PXE with extensive EPS who had an excellent rapid response to acitretin. To the best of our knowledge no such report has been published in the past, even though there is a single report of effectiveness of isotretinoin in elastosis perforans serpiginosa. SIMILAR CASES PUBLISHED: One similar case but with a different medication (reference 13).   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - January 31, 2019 Category: General Medicine Tags: ISSUE 1 Source Type: research

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