Saudi experts' recommendation for RSV prophylaxis in the era of COVID-19: Consensus from the Saudi Pediatric Pulmonology Association
Saudi Med J. 2021 Apr;42(4):355-362. doi: 10.15537/smj.2021.42.4.20200769.ABSTRACTRespiratory syncytial virus (RSV) is the most common cause of bronchiolitis and viral pneumonia in pediatrics worldwide. In the Kingdom of Saudi Arabia (KSA), the prevalence of RSV is 23.5% in pediatric patients with acute lower respiratory tract illness. Coronavirus disease (COVID-19) poses critical public health and socioeconomic challenges in KSA. The Saudi Pediatric Pulmonology Association (SPPA), a subsidiary of the Saudi Thoracic Society (STS), developed a task force to determine the potential challenges and barriers to the RSV immunopr...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Mohamed Alzahrani Abdulrahman N Alodayani Mohamed Y Alhindi Saleh Alharbi Abdulrahman Alnemri Source Type: research

The use of neutrophil-to-lymphocyte ratio (NLR) as a marker for COVID-19 infection in Saudi Arabia: A case-control retrospective multicenter study
CONCLUSION: Neutrophil-to-lymphocyte ratio is an important tool in determining the COVID-19 clinical status. This study further confirms the prognostic value of NLR in detecting severe infection, and those patients with high NLR should be closely monitored and managed.PMID:33795491 | DOI:10.15537/smj.2021.42.4.20200818 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Anwar A Sayed Assem A Allam Ayman I Sayed Mohammed A Alraey Mercy V Joseph Source Type: research

Evaluation of COVID-19 myths in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):377-383. doi: 10.15537/smj.2021.42.4.20200706.ABSTRACTOBJECTIVES: To examine the awareness level of COVID-19 and to highlight the frequency of myths and misconceptions among Saudi Arabia's population.METHODS: We conducted a cross-sectional study from June 13 to 20, 2020 by distributing a 16-item online Google forms questionnaire among adults (18-65 years old) living in Saudi Arabia. We utilized the convenience sampling. Data analysis was performed using Chi-square and multiple regression analysis on Jamovi.RESULTS: A total of 1436 responses were analyzed with 43.5% males and 56.5% females. Most ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Noara K Alhusseini Muhammad R Sajid Haifa A Alsheikh Tala H Sriwi Nour B Odeh Rawan E Elshaer Rawand E Altamimi Peter M B Cahusac Source Type: research

Sleep quality and insomnia during the COVID-19 lockdown among the Saudi public: A cross-sectional study
CONCLUSION: Our findings showed that during the COVID-19 pandemic, the Saudi population had a high prevalence of insomnia and poor sleep quality. Routine monitoring of the psychological impact of life-threatening outbreaks and the adoption of effective early mental health actions should be considered.PMID:33795493 | DOI:10.15537/smj.2021.42.4.20200735 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Sultan M Alshahrani Muslim M Alsaadi Hamdan H Al-Jahdali Siraj O Wali Ahmed S BaHammam Source Type: research

Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):391-398. doi: 10.15537/smj.2021.42.4.20210011.ABSTRACTOBJECTIVES: To determine the demographic and clinical characteristics, underlying comorbidities, and outcomes of children with coronavirus disease 2019 (COVID-19) infection.METHODS: In this retrospective study, we reported 62 pediatric patients (age
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abeer A Alnajjar Ahmed M Dohain Gaser A Abdelmohsen Turki S Alahmadi Zaher F Zaher Abobakr A Abdelgalil Source Type: research

Temporomandibular joint involvement in children with juvenile idiopathic arthritis: A single tertiary-center experience
CONCLUSION: TMJ involvement in JIA is not uncommon. Females with polyarticular disease were more frequently affected with TMJ arthritis. Positive ANA could be a risk factor for TMJ involvement, while positive HLAB27 might have some protective effects. Early treatment for TMJ arthritis is essential to avoid possible complications.PMID:33795495 | DOI:10.15537/smj.2021.42.4.20200470 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Jubran T Alqanatish Banan S Alrewaithi Wafaa M Alsewairi Altaf H Khan Mohammed J Alsalman Abdulrhman A Alrasheed Source Type: research

Disease phenotype and diagnostic delay in Saudi patients with primary Sj ögren's syndrome: An exploratory cross-sectional study
CONCLUSION: Saudi primary Sjogren's syndrome patients have a high prevalence of EGM predominantly arthritis and ILD. The diagnostic delay is variable in our cohort.PMID:33795496 | DOI:10.15537/smj.2021.42.4.20200767 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Mohammed A Omair Bashaer S AlQahtani Esam H AlHamad Yusra A Tashkandy Nashwa S Othman Khalid A AlShahrani Muthurajan P Paramasivam Fahidah AlEnzi Rabih Halwani Maha H Daghestani Source Type: research

The correlation between fear of falling and upper extremity muscle strength
Saudi Med J. 2021 Apr;42(4):411-418. doi: 10.15537/smj.2021.42.4.20200674.ABSTRACTOBJECTIVES: To determine the relationship between fear of falling (FOF) and upper extremity muscle strength.METHODS: This cross-sectional study included 112 hospitalized, mobile patients. Forty-seven (42%) were males and 65 (58%) were females, and the mean age was 72.3. The study was carried out between September 2018 and September 2019 at Balikli Rum Hospital Nursing Homes, Istanbul, Turkey. Patients were tested using geriatric tools (such as Mini-Mental State Examination) and physical tests such as handgrip, key pinch and 6-meter up and go ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Bulent Yardimci Melahat Akdeniz Tarik Demir Source Type: research

Prevalence and characteristics of autistic children attending autism centres in 2 major cities in Saudi Arabia: A cross-sectional study
CONCLUSIONS: The prevalence of ASD in Makkah and Jeddah was lower than the global prevalence of ASD. Individuals with a family history of ASD were more likely to have more severe ASD.PMID:33795498 | DOI:10.15537/smj.2021.42.4.20200630 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Heba J Sabbagh Basma A Al-Jabri Malek A Alsulami Lutfi A Hashem Ala A Aljubour Rana A Alamoudi Source Type: research

Yield of whole-body computed tomography at a low-volume emergency department: A 5-year experience
CONCLUSION: Whole-body computed tomography is a useful tool to detect significant traumatic injuries in patients presenting to the emergency department. Moreover, it may assist physicians in determining the disposition of these patients. A clear set of criteria should be established to determine which trauma patients require WBCT imaging during initial resuscitation.PMID:33795499 | DOI:10.15537/smj.2021.42.4.20200722 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Hamidh A Almusayliem Layan A Kommosani Raghdaa M Malebary Miral A Althagafi Reem A Alghanmi Qusai S Nematallah Amal Bakhsh Abdullah A Bakhsh Source Type: research

Determinants of tobacco cessation among patients with chronic diseases (diabetes/hypertension) enrolled in Ministry of Health Tobacco Cessation Clinics, Kingdom of Saudi Arabia from 2012-2017: A case control study
CONCLUSION: To increase abstention rates, chronic disease counseling with regular follow-ups, providing toll-free telephone services should be considered. More effort is needed to reduce non-cigarette tobacco consumption.PMID:33795500 | DOI:10.15537/smj.2021.42.4.20200354 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Nariman A Alshakhis Mahmoud A Mahmoud Ali M Alwadey Source Type: research

A pediatric case of double gallbladder with gallstone
Saudi Med J. 2021 Apr;42(4):441-444. doi: 10.15537/smj.2021.42.4.20200534.ABSTRACTDouble gallbladder is a rare anomaly and an asymptomatic condition. However, it can sometimes present with abdominal pain. Gallbladder pathology requires precise diagnosis and a surgical procedure to relieve its symptoms. Here, we discuss a case of a child suffered from a congenital heart disease who presented with double gallbladder having gallstones. The case was resolved via surgical intervention without postoperative complications.PMID:33795501 | DOI:10.15537/smj.2021.42.4.20200534 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abdullah O Bawazir Osama A Bawazir Razan O Bawazir Source Type: research

Incidence of delirium in the critical care unit and risk factors in the Central Region, Saudi Arabia
Saudi Med J. 2021 Apr;42(4):445-448. doi: 10.15537/smj.2021.42.4.20200754.ABSTRACTOBJECTIVES: To determine the incidence and risk factors of delirium in the cardiac care unit (CCU) and intensive care unit (ICU).METHODS: This multicenter prospective observational study was conducted between July 2019 and November 2019 in the central region of Saudi Arabia. All patients admitted to the critical care units were enrolled, and their demographic data and risk factors of delirium were reported.RESULTS: A total of 165 patients were included: 76 (46.1%) admitted to the CCU and 89 (53.9%) admitted to the ICU. The mean age was 55.1&p...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Rami M Abazid Shaima A Al-Harbi Abdulaziz S Allihimy Dawood A Aldrewesh Sarah A Alkuraydis Ibtihal M Alhammad Ahmed Y Elbashir Adel M Widyan Samah I Abohamr Source Type: research

Pattern of cancers in adolescent and young adults.: A 15-year retrospective study at King Fahad Hospital, Al-Madinah Al-Munawwarah, Saudi Arabia
CONCLUSION: Our findings are in concordance with studies in national and international literature and we believe that our study provides a baseline tool for future population-targeted studies.PMID:33795503 | DOI:10.15537/smj.2021.42.4.20210028 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abdulkader M Albasri Irfan A Ansari Source Type: research

Scalp roof tiles.: A new diagnostic sign in neonates with Netherton Syndrome
Saudi Med J. 2021 Apr;42(4):454-456. doi: 10.15537/smj.2021.42.4.20200757.ABSTRACTA 2-month-old baby boy, of full-term spontaneous vaginal delivery, presented to the dermatology outpatient clinic with generalized erythroderma, which had been noted since birth. Family history was positive for similar disease in his eldest sister, who died at 6 months of age without a diagnosis. On examination, the patient looked ill with generalized erythroderma, yet there were no signs of ectropion, eclabium, or deformed ears. Diffuse scalp scaling was observed with interlocking tessellation scales over the scalp (Figure 1). Hair microscop...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Sultan Al-Khenaizan Luluah Al-Mubarak Source Type: research

Comment on: Safety and cost-effectiveness of outpatient thyroidectomy: A retrospective observational study
Saudi Med J. 2021 Apr;42(4):457. doi: 10.15537/smj.2021.42.4.457.NO ABSTRACTPMID:33795505 | DOI:10.15537/smj.2021.42.4.457 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Sandro Contini Samiah S Alangari Source Type: research

Erratum
Saudi Med J. 2021 Apr;42(4):458.NO ABSTRACTPMID:33795506 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Cochrane review finds stopping smoking is linked to improved mental health
Saudi Med J. 2021 Apr;42(4):459-460.NO ABSTRACTPMID:33795507 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Globalization of cancer clinical trials linked to lower enrollment of black patients
Saudi Med J. 2021 Apr;42(4):461.NO ABSTRACTPMID:33795508 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

New research highlights risks of separating newborns from mothers during COVID-19 pandemic. Keeping mothers and babies together could save more than 125 000 lives: WHO
Saudi Med J. 2021 Apr;42(4):462-463.NO ABSTRACTPMID:33795509 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

WHO adds Janssen vaccine to list of safe and effective emergency tools against COVID-19
Saudi Med J. 2021 Apr;42(4):463-464.NO ABSTRACTPMID:33795510 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Saudi experts' recommendation for RSV prophylaxis in the era of COVID-19: Consensus from the Saudi Pediatric Pulmonology Association
Saudi Med J. 2021 Apr;42(4):355-362. doi: 10.15537/smj.2021.42.4.20200769.ABSTRACTRespiratory syncytial virus (RSV) is the most common cause of bronchiolitis and viral pneumonia in pediatrics worldwide. In the Kingdom of Saudi Arabia (KSA), the prevalence of RSV is 23.5% in pediatric patients with acute lower respiratory tract illness. Coronavirus disease (COVID-19) poses critical public health and socioeconomic challenges in KSA. The Saudi Pediatric Pulmonology Association (SPPA), a subsidiary of the Saudi Thoracic Society (STS), developed a task force to determine the potential challenges and barriers to the RSV immunopr...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Mohamed Alzahrani Abdulrahman N Alodayani Mohamed Y Alhindi Saleh Alharbi Abdulrahman Alnemri Source Type: research

The use of neutrophil-to-lymphocyte ratio (NLR) as a marker for COVID-19 infection in Saudi Arabia: A case-control retrospective multicenter study
CONCLUSION: Neutrophil-to-lymphocyte ratio is an important tool in determining the COVID-19 clinical status. This study further confirms the prognostic value of NLR in detecting severe infection, and those patients with high NLR should be closely monitored and managed.PMID:33795491 | DOI:10.15537/smj.2021.42.4.20200818 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Anwar A Sayed Assem A Allam Ayman I Sayed Mohammed A Alraey Mercy V Joseph Source Type: research

Evaluation of COVID-19 myths in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):377-383. doi: 10.15537/smj.2021.42.4.20200706.ABSTRACTOBJECTIVES: To examine the awareness level of COVID-19 and to highlight the frequency of myths and misconceptions among Saudi Arabia's population.METHODS: We conducted a cross-sectional study from June 13 to 20, 2020 by distributing a 16-item online Google forms questionnaire among adults (18-65 years old) living in Saudi Arabia. We utilized the convenience sampling. Data analysis was performed using Chi-square and multiple regression analysis on Jamovi.RESULTS: A total of 1436 responses were analyzed with 43.5% males and 56.5% females. Most ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Noara K Alhusseini Muhammad R Sajid Haifa A Alsheikh Tala H Sriwi Nour B Odeh Rawan E Elshaer Rawand E Altamimi Peter M B Cahusac Source Type: research

Sleep quality and insomnia during the COVID-19 lockdown among the Saudi public: A cross-sectional study
CONCLUSION: Our findings showed that during the COVID-19 pandemic, the Saudi population had a high prevalence of insomnia and poor sleep quality. Routine monitoring of the psychological impact of life-threatening outbreaks and the adoption of effective early mental health actions should be considered.PMID:33795493 | DOI:10.15537/smj.2021.42.4.20200735 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Sultan M Alshahrani Muslim M Alsaadi Hamdan H Al-Jahdali Siraj O Wali Ahmed S BaHammam Source Type: research

Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):391-398. doi: 10.15537/smj.2021.42.4.20210011.ABSTRACTOBJECTIVES: To determine the demographic and clinical characteristics, underlying comorbidities, and outcomes of children with coronavirus disease 2019 (COVID-19) infection.METHODS: In this retrospective study, we reported 62 pediatric patients (age
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abeer A Alnajjar Ahmed M Dohain Gaser A Abdelmohsen Turki S Alahmadi Zaher F Zaher Abobakr A Abdelgalil Source Type: research

Temporomandibular joint involvement in children with juvenile idiopathic arthritis: A single tertiary-center experience
CONCLUSION: TMJ involvement in JIA is not uncommon. Females with polyarticular disease were more frequently affected with TMJ arthritis. Positive ANA could be a risk factor for TMJ involvement, while positive HLAB27 might have some protective effects. Early treatment for TMJ arthritis is essential to avoid possible complications.PMID:33795495 | DOI:10.15537/smj.2021.42.4.20200470 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Jubran T Alqanatish Banan S Alrewaithi Wafaa M Alsewairi Altaf H Khan Mohammed J Alsalman Abdulrhman A Alrasheed Source Type: research

Disease phenotype and diagnostic delay in Saudi patients with primary Sj ögren's syndrome: An exploratory cross-sectional study
CONCLUSION: Saudi primary Sjogren's syndrome patients have a high prevalence of EGM predominantly arthritis and ILD. The diagnostic delay is variable in our cohort.PMID:33795496 | DOI:10.15537/smj.2021.42.4.20200767 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Mohammed A Omair Bashaer S AlQahtani Esam H AlHamad Yusra A Tashkandy Nashwa S Othman Khalid A AlShahrani Muthurajan P Paramasivam Fahidah AlEnzi Rabih Halwani Maha H Daghestani Source Type: research

The correlation between fear of falling and upper extremity muscle strength
Saudi Med J. 2021 Apr;42(4):411-418. doi: 10.15537/smj.2021.42.4.20200674.ABSTRACTOBJECTIVES: To determine the relationship between fear of falling (FOF) and upper extremity muscle strength.METHODS: This cross-sectional study included 112 hospitalized, mobile patients. Forty-seven (42%) were males and 65 (58%) were females, and the mean age was 72.3. The study was carried out between September 2018 and September 2019 at Balikli Rum Hospital Nursing Homes, Istanbul, Turkey. Patients were tested using geriatric tools (such as Mini-Mental State Examination) and physical tests such as handgrip, key pinch and 6-meter up and go ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Bulent Yardimci Melahat Akdeniz Tarik Demir Source Type: research

Prevalence and characteristics of autistic children attending autism centres in 2 major cities in Saudi Arabia: A cross-sectional study
CONCLUSIONS: The prevalence of ASD in Makkah and Jeddah was lower than the global prevalence of ASD. Individuals with a family history of ASD were more likely to have more severe ASD.PMID:33795498 | DOI:10.15537/smj.2021.42.4.20200630 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Heba J Sabbagh Basma A Al-Jabri Malek A Alsulami Lutfi A Hashem Ala A Aljubour Rana A Alamoudi Source Type: research

Yield of whole-body computed tomography at a low-volume emergency department: A 5-year experience
CONCLUSION: Whole-body computed tomography is a useful tool to detect significant traumatic injuries in patients presenting to the emergency department. Moreover, it may assist physicians in determining the disposition of these patients. A clear set of criteria should be established to determine which trauma patients require WBCT imaging during initial resuscitation.PMID:33795499 | DOI:10.15537/smj.2021.42.4.20200722 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Hamidh A Almusayliem Layan A Kommosani Raghdaa M Malebary Miral A Althagafi Reem A Alghanmi Qusai S Nematallah Amal Bakhsh Abdullah A Bakhsh Source Type: research

Determinants of tobacco cessation among patients with chronic diseases (diabetes/hypertension) enrolled in Ministry of Health Tobacco Cessation Clinics, Kingdom of Saudi Arabia from 2012-2017: A case control study
CONCLUSION: To increase abstention rates, chronic disease counseling with regular follow-ups, providing toll-free telephone services should be considered. More effort is needed to reduce non-cigarette tobacco consumption.PMID:33795500 | DOI:10.15537/smj.2021.42.4.20200354 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Nariman A Alshakhis Mahmoud A Mahmoud Ali M Alwadey Source Type: research

A pediatric case of double gallbladder with gallstone
Saudi Med J. 2021 Apr;42(4):441-444. doi: 10.15537/smj.2021.42.4.20200534.ABSTRACTDouble gallbladder is a rare anomaly and an asymptomatic condition. However, it can sometimes present with abdominal pain. Gallbladder pathology requires precise diagnosis and a surgical procedure to relieve its symptoms. Here, we discuss a case of a child suffered from a congenital heart disease who presented with double gallbladder having gallstones. The case was resolved via surgical intervention without postoperative complications.PMID:33795501 | DOI:10.15537/smj.2021.42.4.20200534 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abdullah O Bawazir Osama A Bawazir Razan O Bawazir Source Type: research

Incidence of delirium in the critical care unit and risk factors in the Central Region, Saudi Arabia
Saudi Med J. 2021 Apr;42(4):445-448. doi: 10.15537/smj.2021.42.4.20200754.ABSTRACTOBJECTIVES: To determine the incidence and risk factors of delirium in the cardiac care unit (CCU) and intensive care unit (ICU).METHODS: This multicenter prospective observational study was conducted between July 2019 and November 2019 in the central region of Saudi Arabia. All patients admitted to the critical care units were enrolled, and their demographic data and risk factors of delirium were reported.RESULTS: A total of 165 patients were included: 76 (46.1%) admitted to the CCU and 89 (53.9%) admitted to the ICU. The mean age was 55.1&p...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Rami M Abazid Shaima A Al-Harbi Abdulaziz S Allihimy Dawood A Aldrewesh Sarah A Alkuraydis Ibtihal M Alhammad Ahmed Y Elbashir Adel M Widyan Samah I Abohamr Source Type: research

Pattern of cancers in adolescent and young adults.: A 15-year retrospective study at King Fahad Hospital, Al-Madinah Al-Munawwarah, Saudi Arabia
CONCLUSION: Our findings are in concordance with studies in national and international literature and we believe that our study provides a baseline tool for future population-targeted studies.PMID:33795503 | DOI:10.15537/smj.2021.42.4.20210028 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abdulkader M Albasri Irfan A Ansari Source Type: research

Scalp roof tiles.: A new diagnostic sign in neonates with Netherton Syndrome
Saudi Med J. 2021 Apr;42(4):454-456. doi: 10.15537/smj.2021.42.4.20200757.ABSTRACTA 2-month-old baby boy, of full-term spontaneous vaginal delivery, presented to the dermatology outpatient clinic with generalized erythroderma, which had been noted since birth. Family history was positive for similar disease in his eldest sister, who died at 6 months of age without a diagnosis. On examination, the patient looked ill with generalized erythroderma, yet there were no signs of ectropion, eclabium, or deformed ears. Diffuse scalp scaling was observed with interlocking tessellation scales over the scalp (Figure 1). Hair microscop...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Sultan Al-Khenaizan Luluah Al-Mubarak Source Type: research

Comment on: Safety and cost-effectiveness of outpatient thyroidectomy: A retrospective observational study
Saudi Med J. 2021 Apr;42(4):457. doi: 10.15537/smj.2021.42.4.457.NO ABSTRACTPMID:33795505 | DOI:10.15537/smj.2021.42.4.457 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Sandro Contini Samiah S Alangari Source Type: research

Erratum
Saudi Med J. 2021 Apr;42(4):458.NO ABSTRACTPMID:33795506 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Cochrane review finds stopping smoking is linked to improved mental health
Saudi Med J. 2021 Apr;42(4):459-460.NO ABSTRACTPMID:33795507 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Globalization of cancer clinical trials linked to lower enrollment of black patients
Saudi Med J. 2021 Apr;42(4):461.NO ABSTRACTPMID:33795508 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

New research highlights risks of separating newborns from mothers during COVID-19 pandemic. Keeping mothers and babies together could save more than 125 000 lives: WHO
Saudi Med J. 2021 Apr;42(4):462-463.NO ABSTRACTPMID:33795509 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

WHO adds Janssen vaccine to list of safe and effective emergency tools against COVID-19
Saudi Med J. 2021 Apr;42(4):463-464.NO ABSTRACTPMID:33795510 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Source Type: research

Saudi experts' recommendation for RSV prophylaxis in the era of COVID-19: Consensus from the Saudi Pediatric Pulmonology Association
Saudi Med J. 2021 Apr;42(4):355-362. doi: 10.15537/smj.2021.42.4.20200769.ABSTRACTRespiratory syncytial virus (RSV) is the most common cause of bronchiolitis and viral pneumonia in pediatrics worldwide. In the Kingdom of Saudi Arabia (KSA), the prevalence of RSV is 23.5% in pediatric patients with acute lower respiratory tract illness. Coronavirus disease (COVID-19) poses critical public health and socioeconomic challenges in KSA. The Saudi Pediatric Pulmonology Association (SPPA), a subsidiary of the Saudi Thoracic Society (STS), developed a task force to determine the potential challenges and barriers to the RSV immunopr...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Mohamed Alzahrani Abdulrahman N Alodayani Mohamed Y Alhindi Saleh Alharbi Abdulrahman Alnemri Source Type: research

The use of neutrophil-to-lymphocyte ratio (NLR) as a marker for COVID-19 infection in Saudi Arabia: A case-control retrospective multicenter study
CONCLUSION: Neutrophil-to-lymphocyte ratio is an important tool in determining the COVID-19 clinical status. This study further confirms the prognostic value of NLR in detecting severe infection, and those patients with high NLR should be closely monitored and managed.PMID:33795491 | DOI:10.15537/smj.2021.42.4.20200818 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Anwar A Sayed Assem A Allam Ayman I Sayed Mohammed A Alraey Mercy V Joseph Source Type: research

Evaluation of COVID-19 myths in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):377-383. doi: 10.15537/smj.2021.42.4.20200706.ABSTRACTOBJECTIVES: To examine the awareness level of COVID-19 and to highlight the frequency of myths and misconceptions among Saudi Arabia's population.METHODS: We conducted a cross-sectional study from June 13 to 20, 2020 by distributing a 16-item online Google forms questionnaire among adults (18-65 years old) living in Saudi Arabia. We utilized the convenience sampling. Data analysis was performed using Chi-square and multiple regression analysis on Jamovi.RESULTS: A total of 1436 responses were analyzed with 43.5% males and 56.5% females. Most ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Noara K Alhusseini Muhammad R Sajid Haifa A Alsheikh Tala H Sriwi Nour B Odeh Rawan E Elshaer Rawand E Altamimi Peter M B Cahusac Source Type: research

Sleep quality and insomnia during the COVID-19 lockdown among the Saudi public: A cross-sectional study
CONCLUSION: Our findings showed that during the COVID-19 pandemic, the Saudi population had a high prevalence of insomnia and poor sleep quality. Routine monitoring of the psychological impact of life-threatening outbreaks and the adoption of effective early mental health actions should be considered.PMID:33795493 | DOI:10.15537/smj.2021.42.4.20200735 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Adel S Alharbi Sultan M Alshahrani Muslim M Alsaadi Hamdan H Al-Jahdali Siraj O Wali Ahmed S BaHammam Source Type: research

Clinical characteristics and outcomes of children with COVID-19 in Saudi Arabia
Saudi Med J. 2021 Apr;42(4):391-398. doi: 10.15537/smj.2021.42.4.20210011.ABSTRACTOBJECTIVES: To determine the demographic and clinical characteristics, underlying comorbidities, and outcomes of children with coronavirus disease 2019 (COVID-19) infection.METHODS: In this retrospective study, we reported 62 pediatric patients (age
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Abeer A Alnajjar Ahmed M Dohain Gaser A Abdelmohsen Turki S Alahmadi Zaher F Zaher Abobakr A Abdelgalil Source Type: research

Temporomandibular joint involvement in children with juvenile idiopathic arthritis: A single tertiary-center experience
CONCLUSION: TMJ involvement in JIA is not uncommon. Females with polyarticular disease were more frequently affected with TMJ arthritis. Positive ANA could be a risk factor for TMJ involvement, while positive HLAB27 might have some protective effects. Early treatment for TMJ arthritis is essential to avoid possible complications.PMID:33795495 | DOI:10.15537/smj.2021.42.4.20200470 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Jubran T Alqanatish Banan S Alrewaithi Wafaa M Alsewairi Altaf H Khan Mohammed J Alsalman Abdulrhman A Alrasheed Source Type: research

Disease phenotype and diagnostic delay in Saudi patients with primary Sj ögren's syndrome: An exploratory cross-sectional study
CONCLUSION: Saudi primary Sjogren's syndrome patients have a high prevalence of EGM predominantly arthritis and ILD. The diagnostic delay is variable in our cohort.PMID:33795496 | DOI:10.15537/smj.2021.42.4.20200767 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Mohammed A Omair Bashaer S AlQahtani Esam H AlHamad Yusra A Tashkandy Nashwa S Othman Khalid A AlShahrani Muthurajan P Paramasivam Fahidah AlEnzi Rabih Halwani Maha H Daghestani Source Type: research

The correlation between fear of falling and upper extremity muscle strength
Saudi Med J. 2021 Apr;42(4):411-418. doi: 10.15537/smj.2021.42.4.20200674.ABSTRACTOBJECTIVES: To determine the relationship between fear of falling (FOF) and upper extremity muscle strength.METHODS: This cross-sectional study included 112 hospitalized, mobile patients. Forty-seven (42%) were males and 65 (58%) were females, and the mean age was 72.3. The study was carried out between September 2018 and September 2019 at Balikli Rum Hospital Nursing Homes, Istanbul, Turkey. Patients were tested using geriatric tools (such as Mini-Mental State Examination) and physical tests such as handgrip, key pinch and 6-meter up and go ...
Source: Saudi Medical Journal - April 2, 2021 Category: Middle East Health Authors: Bulent Yardimci Melahat Akdeniz Tarik Demir Source Type: research