Pulmonary edema post-adenotonsillectomy in children.
Authors: Ahmed E, Almutairi NK Abstract Post-adenotonsillectomy pulmonary edema (pATPE) is a life-threatening condition that necessitates immediate clinical intervention. The early diagnosis and detection of the signs of this condition is vital to its treatment and patient outcome. The purpose of this review article is to present epidemiological data on the prevalence of pATPE, and address the mechanisms of development, types, etiology, pathophysiology, and management of pATPE. In order to minimize postoperative intensive care unit admission rates of pATPE, utilization of preoperative clinical assessment, operative...
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Regulation of Lipocalin-2 oncogene and its impact on gene polymorphisms on breast cancer patients in Jeddah, Saudi Arabia.
Conclusion: There is no significant relationship between breast cancer patients and LCN2 gene polymorphisms   (rs11556770). PMID: 29915849 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

A descriptive study of vitamin D and other nutritional factors in breast cancer patients in Saudi Arabia.
CONCLUSION: Due to prevalence of vitamin D deficiency in Saudi Arabia, it is difficult to determine the relationship to breast cancer. The incidence of it is associated with old age and high cholesterol intake, and paresthesia may be a symptom of breast cancer. PMID: 29915850 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Genotype patterns and prevalence of human papilloma virus in non-vaccinated women in Zunyi, China.
Conclusions: Human papilloma virus-16 and HPV-68 are the 2 most prevalent and high-risk HPV genotypes in non-vaccinated women in Zunyi, which may serve as a guide for HPV management in Zunyi, China. PMID: 29915851 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Effect of magnesium sulfate on anesthesia depth, awareness incidence, and postoperative pain scores in obstetric patients. A double-blind randomized controlled trial.
Conclusion: Magnesium infusion provided significantly lower intraoperative BIS values and lower postoperative VAS scores. We believe that magnesium can be useful as an adjuvant to general anesthesia. PMID: 29915852 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Vascular endothelial growth factor and soluble vascular endothelial growth factor receptor-1 in patients with end-stage renal disease. Associations with laboratory findings, comorbidities, and medications.
CONCLUSION: Our study is the first showing the significance of sVEGFR-1 in ESRD patients, and associations with comorbidities, medications. Especially our finding of rhEPO and VEGF may illuminate a reasonable positive effect of rhEPO on angiogenesis. Soluble vascular endothelial growth factor receptor-1 and VEGF may be important markers in the pathophysiology of ESRD. PMID: 29915853 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Perinatal and neonatal morbidity among infants of diabetic mothers at a university hospital in Central Saudi Arabia.
CONCLUSION: Infants of diabetic mothers in this cohort developed a variety of neonatal events that  largely correlates with poor metabolic control during pregnancy. PMID: 29915854 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Diagnostic accuracy of Focused Assessment with Sonography for Trauma for blunt abdominal trauma in the Eastern Region of Saudi Arabia.
CONCLUSION: Focused assessment with sonography for trauma is an important tool in initial assessment of suspected blunt abdominal injury patients with high sensitivity and specificity. A negative FAST does not exclude low grade solid visceral or other injuries. PMID: 29915855 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Knowledge, attitude and practice of health care practitioners in Saudi Arabia, with regard to prevention of vitamin D deficiency in infancy.
CONCLUSION: This study highlights the need for distribution of the recommendations for vitamin D supplementation in KSA, as widely as possible.  This study suggests that healthcare practitioners understand the importance of correction of vitamin D deficiency.  Deficiencies in knowledge with regard to sun exposure were identified.  Dissemination of this information is, therefore, likely to impact significantly on the practice of a receptive clinical population. PMID: 29915856 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The development of an anxiety assessment scale for pregnant women in labor.
Conclusion: The AASPWL is a reliable and valid scale that can be used to assess the anxiety level of women in labor. PMID: 29915857 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Emotional intelligence of Saudi children in the basic education program.
Conclusions. Basic education teachers and families face challenges in incorporating strategies to enhance children's emotional and social functioning. PMID: 29915858 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Neonatal subcutaneous fat necrosis with hypercalcemia treatment using calcitonin.
Authors: Alsofyani KA Abstract Subcutaneous fat necrosis of newborn is a form of noninfectious panniculitis. It is an uncommon condition and mostly occurs in full-term infants within first weeks of life that have had a significant condition such as hypoxic-ischemic encephalopathy at the time of birth. Subcutaneous fat necrosis of newborn is usually a self-limiting condition but may be associated with hypercalcemia, which may lead to life threatening levels. Hypercalcemia is a significant reason of subcutaneous fat necrosis and needs an intervention involving hyperhydration, calcitonin, diuretics, steroids and somet...
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Pediatric systemic lupus erythematosus. Retrospective analysis of clinico-laboratory parameters and their association with Systemic Lupus Erythematosus Disease Activity Index score.
CONCLUSION: Pediatric systemic lupus erythematosus patients with higher SLEDAI score were most significantly associated with pyuria, high ANA titers, and elevated ESR. PMID: 29915860 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Effects of Ramadan fasting on the symptoms of chronic heart failure.
Authors: Al Fagih A Abstract [No Abstract Available]. PMID: 29915861 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Assessment of pediatric residents burnout in a tertiary academic center.
Authors: Yoo HH, Lee SY Abstract [No Abstract Available]. PMID: 29915862 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Evaluation of effectiveness of peer education on smoking behavior among high school students.
Authors: Yoo HH, Lee SY Abstract [No Abstract Available]. PMID: 29915863 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - June 20, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Evidence based synthesis for prevention of noninvasive ventilation related facial pressure ulcers.
Authors: Alqahtani JS, AlAhmari MD Abstract The last 2 decades have seen a growing trend towards the use of noninvasive ventilation (NIV) therapy in the management of many conditions that cause acute respiratory failure. However, there is a serious side effect that results in using these devices; the development of facial skin pressure damage, specifically pressure ulcers. This skin damage has a considerable effect on patients' quality of life, treatment adherence and patients' comfort in addition to the therapy challenges of wound care. The aim of this clinical review is to discuss the different characteristics of...
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Prostate cancer in the Arab population. An overview.
Authors: Al-Abdin OZ, Al-Beeshi IZ Abstract This review evaluated prostate cancer studies from around the world and investigated the causes of differences among them. Prostate cancer incidence and mortality rates showed significant discrepancies between countries and ethnicities. In North America as well as in other western countries, the most common cancer was found to be prostate cancer; however, it appears to be not as prevalent among men in the Middle East and North Africa. Statistics show that screening of prostate-specific antigen levels should be applied depending on ethnicity and age. Other environmental as...
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Kidney cancer in Saudi Arabia. A 25-year analysis of epidemiology and risk factors in a tertiary center.
CONCLUSION: The incidence in kidney cancer is increasing and is associated with an alarming increase in the prevalence of associated risk factors. PMID: 29738004 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Age distribution and outcomes in patients undergoing breast cancer resection in Saudi Arabia. A single-institute study.
Conclusion: Patients in our study were generally younger than those with breast cancer in Western nations. However, unlike Western countries, young age was not associated with worse outcomes. PMID: 29738005 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The effect of varying cone beam computed tomography image resolution and field-of-view centralization on effective radiation dose.
Conclusion: Effective radiation doses are significantly affected by changes in VOX size settings and FOV centralization options. This reflects on the potential radiation risk to patients and highlights the importance of choosing exposure parameters carefully. PMID: 29738006 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Histopathological pattern of testicular diseases in western Saudi Arabia.
CONCLUSIONS: The pattern of testicular diseases on the basis of histopathology experience in the Madinah region appears to conform to world literature and KSA. PMID: 29738007 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Does fasting in Ramadan increase the risk of developing urinary stones?
CONCLUSION: Fasting in Ramadan does not increase the risk for developing urinary stones compared to non-fasting months. However, fasting in Ramadan during the summer may increase the risk of developing ureter stones compared to fasting in Ramadan during the winter. PMID: 29738008 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Serotonin and serotonin transporter levels in autistic children.
CONCLUSIONS: High serotonin and SERT levels may indicate that these biomarkers have a role in the autism pathogenesis and support the possibility of using serotonin and SERT to diagnose autism severity. PMID: 29738009 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Evaluation of dynamic thiol/disulfide redox state in community-acquired pneumonia.
Conclusions: This study showed that the oxidant/antioxidant ratio was shifted to the oxidative side in CAP patients. An abnormal thiol/disulfide state may be an important factor in the pathogenesis and monitoring the treatment response. The thiol resources may use for treatment in CAP and may positively affect the prognosis. PMID: 29738010 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Prevalence of hepatitis B, C, and HIV among patients attending a teaching dental hospital. A 7-year retrospective study from the United Arab Emirates.
CONCLUSION: The prevalence of hepatitis B and C is higher than that previously reported from the United Arab Emirates, but transmissibility of viral hepatitis seems to be negligible. PMID: 29738011 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Walking-based activity and sedentary behavior in Saudi males with chronic obstructive pulmonary disease.
CONCLUSION: Males with COPD were less active and more sedentary than healthy controls. The D-12 components were associated with walking-based activity and sedentary behavior in males with COPD. PMID: 29738012 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Atypical posterior scleritis mimicking choroidal melanoma.
We report a case of atypical posterior scleritis mimicking amelanotic choroidal melanoma. A 30-year-old healthy Filipino man, with a history of painless subacute loss of vision in his left eye over 5 months, was referred to our institute for further workup and management. On examination, visual acuity of the left eye was 20/200. Anterior segment examination yielded unremarkable results, with injected conjunctiva and quiet episcleral blood vessels, while fundus examination revealed non-pigmented nasal choroidal mass, with significant subretinal fluid resembling amelanotic choroidal melanoma. Right eye examination yielded un...
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Percutaneous bone biopsy using a flat-panel cone beam computed tomography virtual navigation system.
CONCLUSION: Percutaneous bone biopsy using CBCT is a safe and effective method that simplifies needle path planning and shortens procedure times. PMID: 29738014 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Burden of influenza-related severe acute respiratory infections during Hajj season 1438 (2017). Lessons and future directions.
Authors: Assiri AM, Asiri SI, Banassir T, Baljoon MJ, Jokhdar H Abstract [No Abstract Available]. PMID: 29738015 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Post-traumatic chronic seronegative monarthritis responding to antitumor necrosis factor-alpha therapy.
Authors: Fairweather J, Jawad AS Abstract [No Abstract Available]. PMID: 29738016 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Assessment of pediatric residents burnout in a tertiary academic centre.
Authors: Al-Mendalawi MD Abstract [No Abstract Available]. PMID: 29738017 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 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.
Authors: Al Saeed AH, Al Hayek AA Abstract [No Abstract Available]. PMID: 29738018 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

The rising trend in papillary thyroid carcinoma. True increase or over diagnosis?
Authors: Shaukat AA Abstract [No Abstract Available]. PMID: 29738019 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy.
Authors: Alabassi A Abstract [No Abstract Available]. PMID: 29738020 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

Unusual case of central alveolar hypoventilation. Lessons learned from ventilatory management of patients with alveolar hypoventilation in critical care conditions.
Authors: Briones Claudett KH Abstract [No Abstract Available]. PMID: 29738021 [PubMed - in process] (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 10, 2018 Category: Middle East Health Tags: Saudi Med J Source Type: research

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