Five-year epidemiological trends for chemical poisoning in Jeddah, Saudi Arabia
CONCLUSION: Most of chemical poisoning cases were accidental, occurred during summer, were caused by detergents, affected children<5 years of age, and occurred via ingestion. Educational programs are needed to raise public awareness about poisoning, and to minimize the access of children to poisonous agents, especially detergents. Such measures could contribute toward a further reduction of the chemical poisoning burden. LIMITATIONS: Some key statistics not reported. Information bias may have affected results.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Variation in access to pediatric surgical care among coexisting public and private providers: inguinal hernia as a model
CONCLUSION:When coexisting, PV offers significantly better access to pediatric surgical services compared to PB. Diverting public funds to expand children’s access to PV can be a valid choice to improve access to care in case when outcomes with the two providers are similar.  LIMITATIONS: Although it is the first and largest comparison in the pediatric population, the sample may not represent the whole population since it is confined to a single selected surgical condition.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Isometric muscle fatigue of the paravertebral and upper extremity muscles after whiplash injury
CONCLUSION: Under clinical conditions, muscle endurance and the appearance of isometric muscle fatigue during testing can be a useful indicator of whiplash injury and grade. LIMITATIONS:The size of the sample was small. An objective parameter such as electromyography is needed to confirm isometric muscle fatigue.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Comparison of the Trendelenburg position versus upper-limb tourniquet on internal jugular vein diameter
CONCLUSION: Channelling of the upper-extremity venous return to the jugular vein was significantly superior when compared with the Trendelenburg position and the supine position. LIMITATIONS: No catheterization and study limited to healthy volunteers.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Indications for enucleation and evisceration in a tertiary eye hospital in Riyadh over a 10-year period
CONCLUSIONS: The majority of the eye enucleation/evisceration surgeries were due to nontraumatic causes, especially postoperative infections. However, severe eye trauma was still a main indication for this destructive procedure. Guidelines are needed to decrease the incidence/severity of work-related eye injuries and to detect and manage eye infections earlier and more promptly. LIMITATIONS: Retrospective study, in one hospital in one area; therefore, results cannot be generalized.    (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Influence of knowledge and beliefs on consumption of performance enhancing agents in north-western Saudi Arabia
CONCLUSION:Misuse of PEAs is widespread among gym users in Saudi Arabia. Improving the level of knowledge and awareness of possible serious health consequences would hopefully lead to reduced PEA consumption. LIMITATIONS: The temporal sequence of cause and effect could not be determined in a cross sectional study. Convenience sampling in a single city limited the generalizability of the findings to all regions of Saudi Arabia.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Perception of hospital accreditation among health professionals in Saudi Arabia
CONCLUSION:As perceived by health professionals in our survey, accrediation had a positive impact on the process and implementation of change in the hospital that resulted in improvement in the delivery of patient care and other health services.  LIMITATIONS:Single institution study with no comparison made to other small, medium, or large-sized JCI-accredited hospitals in Saudi Arabia. Patient satisfaction before and after accreditation was not included.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Successful desensitization to radiocontrast media in two high-risk cardiac patients
In conclusion, desensitization to radiocontrast media may be considered in patients with previously unsuccessful premedication and/or severe acute comorbidities.  SIMILAR CASES PUBLISHED: 14  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Accessory ulna: a rare case in an Asian female
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

RE: Association of human leukocyte antigen-DRB1 with anti-cyclic citrullinated peptide autoantibodies in Saudi patients with rheumatoid arthritis
(Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Purine nucleoside phosphorylase deficiency in two unrelated Saudi patients
We report on two Saudi girls with PNP deficiency. Both showed severe lymphopenia and neurological involvement. Sequencing of the PNP gene of one girl revealed a novel missense mutation Pro146>Leu in exon 4 due to a change in the codon from CCT>CTT. Expression of PNP (146L) cDNA in E coli indicated that the mutation greatly reduced, but did not completely eliminate PNP activity. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

The validity and reliability of the Arabic version of the EQ-5D: a study from Jordan
CONCLUSION:The Arabic translation of EQ-5D appears to be valid and reliable in measuring quality of life in Jordanian people. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Prevalence of exercise-induced bronchoconstriction in teenage football players in Tunisia
CONCLUSION:EIB is prevalent among amateur teenage football players in Tunisia. The prevalence differs between regions and seems to be dependent on air humidity levels. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

A screening tool for attention deficit hyperactivity disorder in children in Saudi Arabia
CONCLUSION:The ADHD Rating Scale (Arabic version), in terms of either the grand total score or the total score of each of its two subscales, demonstrated concurrent and discriminant validity by discriminating children with ADHD from other clinical and non-clinical children groups. The study obtained cutoff points for both sexes based only on the grand total score of the scale because of the relatively small sample size. Replication of the study, utilizing a larger sample and eliciting ratings from both parents and teachers, is recommended. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research

Clinicopathological study of male breast carcinoma: 24 years of experience
CONCLUSION:An incidence of 4.1% for male breast cancer indicates that this disease is not as uncommon as presumed in this part of the world. Breast cancer in men seems more frequently to be hormone receptor positive and the BRCA2 mutation confers a significant risk to men. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - July 31, 2017 Category: General Medicine Tags: ISSUE 4 Source Type: research