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A comprehensive review of the prevalence of beta globin gene variations and the co-inheritance of related gene variants in Saudi Arabians with beta-thalassemia.
Authors: Alaithan MA, AbdulAzeez S, Borgio JF Abstract Beta-thalassemia is a genetic disorder that is caused by variations in the beta-hemoglobin (HBB) gene. Saudi Arabia is among the countries most affected bybeta-thalassemia, and this is particularly problematic in the Eastern regions. This review article is an attempt to compile all the reported mutations to facilitate further national-level studies to prepare a Saudi repository of HBB gene variations. In Saudi Arabians, IVSI-5 (G greater than C) and Cd 39 (C greater than T) are the most prevalent HBB gene variations out of 42 variations. The coinheritance of HB...
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Pediatric brucellosis. An update review for the new millennium.
Authors: Bukhari EE Abstract Brucellosis remains the most common bacterial zoonotic infection in many countries worldwide. Despite being long recognized and controllable, the disease still causes substantial morbidity, affecting especially the young population. The aim of this review is to provide insight to the epidemiology, etiology, clinical features, diagnosis, and management of childhood brucellosis. PMID: 29619483 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

A simple technique to strengthen the initial and mid-term to long-term stability of the cup during total hip arthroplasty in developmental dysplasia of the hip.
CONCLUSION: The technique of cup blocking screws combined with impaction particulate bone grafting is simple and reliable, and it not only simplifies the attainment of initial stability, but also strengthens the mid-term to long-term stability during THA in DDH. PMID: 29619484 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

How often do children receive their vaccinations late, and why?
CONCLUSION: Adherence to vaccination is fairly common in this part of the country. However, vaccination delays are still present and should be addressed to improve health care. PMID: 29619485 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Assessment of the etiologies and renal outcomes of rapidly progressive glomerulonephritis in pediatric patients at King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
CONCLUSION: Post-infectious glomerulonephritis was the most common etiology of RPGN, with these patients achieving a good clinical prognosis overall. Early identification and treatment of RPGN is important to preserve renal function, which is a key factor for achieving a good prognosis. PMID: 29619486 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Etiology, ethics, and outcomes of chronic kidney disease in neonates.
CONCLUSION: Congenital anomalies of the kidneys and urinary tract is the most common etiology in neonates with CKD. Chronic kidney disease in neonates is associated with high morbidity and mortality rates. PMID: 29619487 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Long-term cognitive outcome of very low birth-weight Saudi preterm infants at the corrected age of 24-36 months.
Conclusion: The majority of VLBW infants in our center have  normal cognitive function at the corrected age of 24-36 months. Male gender, lower birth weight, and cerebral palsy are major predictors of poor outcome. The BINS scores were correlated with GSCD as a valid predictor for future developmental outcome. PMID: 29619488 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Causes and management of urogenital fistulas. A retrospective cohort study from a tertiary referral center in Saudi Arabia.
Conclusion: Unlike the etiology of urogenital fistulas in other countries, most fistulas referred to our unit followed repeat cesarean delivery: none were caused by obstructed labor, and only a few occurred after hysterectomy. Most patients were cured after the primary surgical repair. PMID: 29619489 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Nurses' perception and attitudes towards oral care practices for mechanically ventilated patients.
CONCLUSION: The poor perception and attitudes of ICU nurses regarding oral care for MV patients require the urgent attention of clinical administrators. In-hospital training regarding oral care protocol could improve nurses' perception and attitudes. PMID: 29619490 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Diabetes and driving recommendations among healthcare providers in Saudi Arabia. A significant gap that requires action.
Conclusions: Most healthcare providers identified the importance of evaluating their patients for ability to drive safely, but we found some important areas of knowledge deficit. Professional intervention to improve healthcare providers' awareness and knowledge regarding diabetes and driving is the first step in improving detection and reporting high-risk drivers with diabetes to prevent future driving mishaps. PMID: 29619491 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Effects of Ramadan fasting on the symptoms of chronic heart failure.
CONCLUSION: In most patients with chronic HFrEF, Ramadan fasting is considered safe. Non-adherence to medication and diet are significantly associated with decompensated heart failure during Ramadan. PMID: 29619492 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Prevalence and determinants of physical activity in a mixed sample of psychiatric patients in Saudi Arabia.
CONCLUSION: We report a variable but generally low prevalence of physical activity among a large, mixed sample of psychiatric patients in Saudi Arabia. These findings may highlight the importance of assessing physical activity status of psychiatric patients and the critical need for physical activity promotion programs among this group of disadvantaged patients. PMID: 29619493 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

A giant tonsillolith.
We present the case of a 45-year-old man with a history of recurrent sore throat and tonsillitis for a long period, and snoring with other unremarkable ears, nose and throat findings. A large-sized tonsillar stone detected in the left tonsil measured 3.1 × 2.3 cm. The patient underwent elective stone removal and tonsillectomy. PMID: 29619494 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Fournier's gangrene in an obese female in third trimester of pregnancy.
Authors: Althunayyan S, Karamitosos E Abstract Fournier gangrene is a rapidly progressive necrotizing fasciitis of the perianal and genitourinary area. Although typically affects men, we present here a rare disease founding in a pregnant woman. An obese 36-year-old female patient in her third trimester of pregnancy presented with a history of perianal pain and swelling. She was subsequently diagnosed with Fournier gangrene and underwent emergency cesarean section with a surgical debridement. The key to successful outcomes in such a complicated presentation of Fournier gangrene includes a high index of suspicion, fl...
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Barriers to special care patients with mental illness receiving oral healthcare. A cross sectional study in the Holy City of Makkah, Saudi Arabia.
Conclusions: This study suggested that dental anxiety is considered the major barrier to dental care, followed by the cost of dental treatments and accessibility. Most belonged to the group of psychological development disorder and reported having the most barriers to oral healthcare. PMID: 29619496 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Laryngeal carcinoma in a father and son. Possible familial risk?
Authors: Al-Otaibi SS, Al Zaher YN, Al Zaher NN, Khoja HA Abstract [No Abstract Available]. PMID: 29619497 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Impact of body mass index on high blood pressure among obese children in the western region of Saudi Arabia.
Authors: Al-Mendalawi MD Abstract [No Abstract Available]. PMID: 29619498 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Wound infiltration with bupivacaine 0.5% with or without adrenaline does not decrease pain after thyroidectomy. A randomized controlled study.
Authors: Contini S Abstract [No Abstract Available]. PMID: 29619499 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 7, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

General Prof. Dr. Khalaf Al-Moutaery (July 1948- January 2018).
Authors: Baeesa S, Ammar A Abstract [No Abstract Available]. PMID: 29543298 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Clinical impact of bisphosphonates in root canal therapy.
Authors: AlRahabi MK, Ghabbani HM Abstract Bisphosphonates are stable structural analogs of pyrophosphate, which suppress the activity of osteoclasts, leading to decreased bone resorption. They are essential medications in the treatment of osteoporosis. Osteonecrosis of the jaw is a serious adverse effect of bisphosphonate therapy. The prevalence of bisphosphonate-related osteonecrosis of the jaw varies from 0% to 28%, and it can be triggered by dental extraction and trauma. Root canal therapy can delay, or even eliminate, the need for tooth extraction, and therefore, may reduce the risk of bisphosphonate-related o...
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Description of cytogenetic abnormalities and the pregnancy outcomes of couples with recurrent pregnancy loss in a tertiary-care center in Saudi Arabia.
CONCLUSION: This study's findings provide an insight into the prevalence of chromosomal abnormalities in couples with RPL in our region and the factors that may be associated with RPL. This information will help to ensure the required resources are provided to care for these patients. PMID: 29543300 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Hysteroscopy as an investigation tool in recurrent implantation failure in vitro fertilization.
CONCLUSION: A hysteroscopy was able to detect intrauterine pathologies which were missed by other investigative modalities. We believe patients with a history of RIF should undergo hysteroscopic examination before any further cycles are considered. PMID: 29543301 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Neonatal hypocalcemia and its relation to vitamin D and calcium supplementation.
Conclusion: Neonatal hypocalcemia is widely prevalent in Fayoum governorate with significant association with a history of neonatal jaundice on phototherapy, not receiving maternal calcium or neonatal vitamin D supplementation. PMID: 29543302 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Prevalence of subclinical hypothyroidism in pregnancy in Saudi Arabia.
Conclusion: Random screening for SCH in pregnant women showed a higher prevalence in comparison to women who were screened as a result of physician referrals. The results highlight the urgent need for larger studies to investigate the prevalence of SCH as well as the need for an SCH screening program. PMID: 29543303 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Communicating resuscitation. The importance of documentation in cardiac arrest.
CONCLUSION: We strongly recommend the use of standardized cardiopulmonary arrest sheets among all hospitals and follow up of neurological outcomes and survival to discharge as outcome variables. PMID: 29543304 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Mortality of patients hospitalized for active tuberculosis in King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Conclusions: The inpatient TB mortality rate was lower than mortality rates described previously. Nevertheless, early recognition, appropriate treatments, and education for patients and caregivers concerning treatment, efficient medical management, and effective preventive measures can further reduce mortality. PMID: 29543305 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Nurses' compliance with central line associated blood stream infection prevention guidelines.
CONCLUSION: Further improvement in compliance and patients' outcomes could be achieved by lowering the nurse-patient ratio. PMID: 29543306 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

A study to assess the awareness of risk factors of cystic echinococcosis in Turkey.
Conclusion: The participants of this survey were found to be with insufficient knowledge regarding risk factors of CE. We advocate the implementation of training programs to improve public awareness on this important disease. PMID: 29543307 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Follicular aspiration versus coasting for ovarian hyper-stimulation syndrome prevention.
CONCLUSION: There was no difference between follicular reduction prior to HCG and coasting, in terms of OHSS reduction, pregnancy, and cancellation rates in both the IVF and ICSI cycles. PMID: 29543308 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Assessment of pediatric residents burnout in a tertiary academic centre.
CONCLUSION: Burnout syndrome appear to be a serious threat to resident well-being in our program. Moreover, pediatric residents in our institute experienced higher levels of depersonalization than their peers nationally and internationally. PMID: 29543309 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Bladder perforation secondary to rectus sheath hematoma after enoxaparin injection.
We report a 60-year-old lady who received enoxaparin injection on the lower abdomen. Subsequently, she developed bladder perforation secondary to rectus sheath hematoma and was diagnosed using CT angiography scan. Exploratory laparotomy was performed and bleeding was controlled with bladder wall repair. Patient developed multi-organ failure. Three days later, the patient died. Rectus sheath hematoma is a rare condition and it is often associated with the use of anticoagulant injection. Healthcare providers should be aware of such complication for prevention and early diagnosis. PMID: 29543310 [PubMed - in process] (Sou...
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Unusual case of central alveolar hypoventilation.
Authors: AlOtair HA, Alzeer AH, Abdou MA, Qasrawi SO Abstract Central alveolar hypoventilation is rarely encountered. This case report describes a young woman who was recently diagnosed with hypertension and ischemic heart disease. She presented to the emergency room with hypercapnic respiratory failure, for which she was mechanically ventilated. This was preceded by an acute upper respiratory tract infection. She was initially suspected to have Guillain-Barré syndrome, but further investigations ruled out neuromuscular or autoimmune disorders. Sleep-related hypoventilation was suspected after she experience...
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Screening for thyroid diseases among students of applied medical sciences at King Abdulaziz University, Saudi Arabia.
CONCLUSION: Ultrasonography is a useful and effective technique for screening thyroid related diseases, and can be utilized as a routine practice for general population screening. PMID: 29543312 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Splenic lymphangioma in an adult.
Authors: Al-Mendalawi MD, Al-Shaikh SA Abstract [No Abstract Available]. PMID: 29543313 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - March 17, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The Royal College of Physicians of London 500th Anniversary.
Authors: Jawad AS Abstract [No Abstract Available ]. PMID: 29436558 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Natural products in endodontics.
Authors: Almadi EM, Almohaimede AA Abstract Herbal remedies are used throughout the world, either in earlier or in recent times. The number of studies on this alternative therapeutic system increased in the last decades. In this paper, the relevant literature on the use of natural products in root canal therapy is revised from a MEDLINE database search. The uses of medicinal plants in endodontics include cleaning and disinfection of root canals, intracanal medicaments between appointments, sealer cements, and for removal of obturation material. Other studies showed the effect of natural products in pulpal and denti...
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The role of non-invasive ventilation used immediately after planned extubation for adults with chronic respiratory disorders.
CONCLUSION:  Non-invasive ventilation used immediately after planned extubation seems to be advantageous for decreasing the reintubation rate, VAP incidence, and ICU death rate in patients with chronic respiratory disease. PMID: 29436560 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Legionella confirmation in cooling tower water. Comparison of culture, real-time PCR and next generation sequencing.
CONCLUSION: Our findings indicate that monitoring of Legionella in cooling tower water would be enhanced by use of both conventional culturing and molecular methods. PMID: 29436561 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Comparison of 3-dimensional and 2-dimensional endoscopic thyroid lobectomy via the trans-thoracoareolar approach.
CONCLUSIONS: Three-dimensional endoscopic thyroid lobectomy required less operative time and entailed a low risk of injury to adjacent structures, without causing any increase in the rate of postoperative complications, indicating that the 3D endoscopic technique was superior to 2D endoscopy. PMID: 29436562 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The rising trend in papillary thyroid carcinoma. True increase or over diagnosis?
Conclusions: Our observed trend cannot be totally explained by over diagnosis and increased diagnostic scrutiny. This increase could be of true nature and cannot be explained by single cause. PMID: 29436563 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The effects of celery leaf (apium graveolens L.) treatment on blood glucose and insulin levels in elderly pre-diabetics.
Conclusion: Celery was effective at reducing blood glucose levels, but there was a lack of association between blood glucose levels and plasma insulin levels in elderly pre-diabetics. PMID: 29436564 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test.
CONCLUSION: Patients' knowledge regarding diabetes was found poor in this study. Hence healthcare providers should pay more attention to diabetes education, especially with respect to dietary concepts. We are strongly advising researchers and physicians in Saudi Arabia to do similar research to determine the level of diabetes knowledge in their fields to get a more comprehensive picture of their patients' knowledge of diabetes. PMID: 29436565 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Effectiveness of presurgical nasoalveolar molding therapy on unilateral cleft lip nasal deformity.
Conclusion: The use of PNAM is indispensable for pre-surgical orthodontic treatment at the early postnatal age. PMID: 29436566 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Asthma prevalence among adults in Saudi Arabia.
CONCLUSION: Asthma prevalence is high and much higher than the prevalence reported in most countries using the ECRHS questionnaire. PMID: 29436567 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Depression among the elderly population in Sohag governorate.
Conclusion: These findings highlight the need to introduce geriatric clinics into healthcare services and to provide counseling and psychiatric services, and to support high-risk groups and evaluate them regularly for early detection in order to positively impact their life quality. PMID: 29436568 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Knowledge, attitudes, practices and perceptions of clinicians towards conducting clinical trials in an Academic Tertiary Care Center.
Conclusions: Although the majority of participants had an unsatisfactory level of knowledge and misperceptions about CTs, they showed an interest in and positive attitudes about conducting CTs. PMID: 29436569 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The effects of irradiance and exposure time on the surface roughness of bulk-fill composite resin restorative materials.
Conclusion: High curing irradiance (1,200 mW/cm2) had no positive influence on the surface roughness of Filtek Bulk Fill and Tetric N-Ceram bulk-fill RBCs compared with lower curing irradiance (650 mW/cm2). However, the difference of curing irradiance significantly affected the surface roughness in SDR and sonic fill RBCs. PMID: 29436570 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

A novel method to accelerate orthodontic tooth movement.
Authors: Kutalmış Buyuk S, Yavuz MC, Genc E, Sunar O Abstract This clinical case report presents fixed orthodontic treatment of a patient with moderately crowded teeth. It was performed with a new technique called 'discision'. Discision method that was described for the first time by the present authors yielded predictable outcomes, and orthodontic treatment was completed in a short period of time. The total duration of orthodontic treatment was 4 months. Class I molar and canine relationships were established at the end of the treatment. Moreover, crowding in the mandible and maxilla was corrected, and optimal o...
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Recurrent venous thrombosis in a patient with Ebstein's anomaly.
Authors: Gashgarey DA, Alzahrani HA, Alfadl SS, Alsobayeg SA Abstract Herein, we report a case of a 27-year-old man with Ebstein's anomaly and a history of unexplained recurrent venous thrombosis despite adequate anticoagulation. After surgical correction of the Ebstein's anomaly, the venous thromboembolic events did not recur. This case demonstrates the possible etiopathogenesis of Ebstein's anomaly in causing recurrent venous thromboembolism, which is likely caused through impedance of venous blood flow.Our objective in presenting this particular case is to highlight the possible association between Ebstein's ano...
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Malignant tumor of outer root sheath epithelium, trichilemmal carcinoma. Clinical presentations, treatments and outcomes.
Conclusion: This tumor resembles basal or squamous cell carcinoma. The histopathological evaluation may lead to misdiagnosis. Regional or distant metastasis is very rare. There is no consensus about adjuvant therapy. Screening for metastasis and close follow up are mandatory. PMID: 29436573 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - February 15, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research