مجلات جامعة الإمام عبدالرحمن بن فيصل | IAU Journals

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7TH GCC Medical Colleges Conference, 17-19 November 2009, Dammam, Saudi Arabia
(2010) 7TH GCC Medical Colleges Conference
The 7 th GCC Medical Colleges Conference was held at the Dammam Campus of King Faisal University, Saudi Arabia from 17 th to 19 th November 2009. The theme of the conference was "Medical Education: Research and Applications" and it was organized by the Medical Education Unit, College of Medicine, King Faisal University-Dammam (KFH-D), Saudi Arabia. The Medical Education Unit at KFU-D is committed to promote faculty development activities that support the mission of KFU-D. It also strives to provide facilities and services of highest order to improve assessment in particular and quality of medical and health professional's education in general. The Journal of Family and Community Medicine has allotted a section for Medical Education. Considering the importance of the conference, our commitment towards medical education, and to the interest of our readers, we have included the abstracts of the scientific presentations of the 7 th GCC Medical Colleges Conference in this issue.
A bibliometric analysis of global research performance on tuberculosis (2011–2020): Time for a global approach to support high-burden countries
(2022) Abdullah, Muhammad; Humayun, Ayesha; Imran, Muhammad; Bashir, Muhammad A; Malik, Ahmad A
BACKGROUND: Tuberculosis (TB) is a persistent public health issue requiring consistent global effort for its eradication and control. Research on the subject plays a vital role in combatting the disease, giving future directions, and meeting the sustainable development goals (SDGs). This study aimed to evaluate the global TB research trends and performance from 2011 to 2020. MATERIALS AND METHODS: All the data for TB-related research publications from 2011 to 2020 were extracted from the Web of Science database and a comprehensive analysis was performed on the R-bibliometrix package. RESULTS: An increasing number of publications with an annual growth rate of 6.32% and a plateau in production from 2015 to 2018 was observed. Of 145 countries, the United States of America (USA), China, India, the United Kingdom, and South Africa led and made up half of the global contribution. Out of 91,862 authors, Zhang Y was the most productive with 205 articles and Barry CE had the highest H-index of 45. Only seven of the top 20 authors were from high-burden countries. The University of Cape Town was the leading institutional affiliation, followed by Stellenbosch University and the London School of Hygiene and Tropical Medicine. The most frequent international collaboration was between the USA and South Africa, occurring on 1203 instances. Only five of the top 30 high-burden countries were present in the top 30 collaborations. PLOS ONE, disseminating 2271 articles, was the most productive out of 3500 sources. CONCLUSION: The past decade has seen a steady increase in global TB research. Prominent authors, affiliations, and countries showed collaborative trends, but publications were found to be mostly from developed, low-burden countries except China, India, and South Africa. To meet the goals set by the SDGs and the WHO End TB Strategy, high-burden countries need to explore feasible opportunities and global support to enhance their expected TB-related research contributions.
A case of digital autoamputation with concurrent Sjogren's syndrome, antiphospholipid syndrome, and ovarian cancer
(2022) Keles, Esra; Kabaca, Canan; Akis, Serkan; Celik, Zeynep
Sjogren's syndrome (SS) is a chronic autoimmune disease that is characterized by focal lymphocytic infiltration of the exocrine glands. SS mostly affects middle-aged women, and results in an increased risk of developing malignant neoplasm, particularly hematologic malignancies. The concurrent occurrence of SS, ovarian cancer, and autoimmune disease is very rare. Here, we present a case with postoperative digital autoamputation in a young Sjogren's patient diagnosed with high-grade serous ovarian cancer. The patient was later also diagnosed with antiphospholipid syndrome. Clinicians should note that female genital tract malignancies might occur in autoimmune diseases. In addition, when planning for surgery, they should also be aware of the possibility of another autoimmune disease and different patterns of postoperative complications such as venous thromboembolism and thrombophlebitis. A multidisciplinary approach is required to achieve successful management. To the best of the authors' knowledge, this is the second case with concurrent SS and ovarian cancer and the first case with concurrent SS, antiphospholipid syndrome, and ovarian cancer.
A case of Kartagener's syndrome with combined aplasia of frontal and sphenoid sinuses and hypoplasia of maxillary and ethmoid sinuses
(2021) Sharma, Sonica; Durgaprasad, BhamidipatyVijayalakshmi, Payala
Kartagener's syndrome (KS), characterized by a triad of bronchiectasis, chronic sinusitis, and situs inversus, is a subset of an autosomal recessive hereditary disorder of primary ciliary dyskinesia. We report the case of a 35-year-old male who presented with a history of intermittent episodes of productive cough, breathlessness, and cold since childhood. High resolution computed tomography of chest revealed bronchiectatic changes, dextrocardia, and right-sided aortic arch. Computed tomography (CT) scan of the abdomen revealed situs inversus. CT of the paranasal sinuses revealed combined aplasia of bilateral frontal and sphenoid sinus with sinusitis. Based on these findings, a diagnosis of KS was made. There was no complaint of infertility, which usually accompanies KS, even though an analysis of his seminal fluid revealed reduced count and reduced motility of sperms. The uniqueness of our case is that our patient was a male aged 35 years; besides, the third decade is an unusual age for presentation of combined aplasia/agenesis of bilateral frontal and sphenoid sinuses with hypoplasia of maxillary and ethmoid sinuses. Even though these findings have been reported in children and young adults, there are very few case reports of such a presentation in adults in literature.
A Case of Panic Disorder Misdiagnosed as Epilepsy for 9 Years in a Young Male
(2023) Alyami, Hussain
Panic disorder can be misdiagnosed as epilepsy and vice versa, which, in turn, can impact the patient, their family, and the healthcare system. Here, we describe a rare case of a 22-year-old male with a 9-year history of misdiagnosed drug-resistant epilepsy. On presentation to our hospital, the patient’s physical examination and other investigations were unremarkable. The attacks were reported to last for about 5–10 minutes and were related to interfamilial distress. He reported feeling anxious about having an attack, experiencing palpitations and sweating before and during episodes, feeling chest tightness, derealization, and fearing loss of control, based on which a diagnosis of panic disorder was made. The patient was treated with 12 sessions of cognitive behavioral therapy, following which all his antiepileptic medications were stopped over 8 weeks. The dose of sertraline was increased and maintained at 200 mg once daily and was gradually stopped after 6 months of remission. This case highlights that panic disorder should be considered as a differential diagnosis of epilepsy. This can be done through a cross-specialty referral, especially given that the clinical manifestations of hyperventilation syndrome can be diagnosed differently by neurologists, psychiatrists, and other specialists.
A rare case of xanthomatous meningioma
(2022) Altindag, Sultan; Cakalagaoglu, Fulya; Karaca, Gokay; Yuceer, Nurullah
Xanthomatous meningioma is an extremely rare subtype of metaplastic meningiomas with few cases reported in the literature. Histopathologically, it is composed of oval-shaped cells that have central nuclei and cytoplasm with lipid-filled vacuoles, resembling macrophages. Here, the authors present a case of xanthomatous meningioma and discuss the hypotheses related to its origin and the differential diagnosis. A 40-year-old woman presented with an increased headache complaint over the past month. A computed tomography scan revealed a heterogeneous mass on the right parietal lobe, following which a right craniotomy was done. Microscopic examination showed neoplastic meningothelial cells with whorl formation and areas of xanthomatous changes. Both meningothelial and xanthomatous cells were positive with vimentin, progesterone, and epithelial membrane antigen. CD68 and lysozyme were expressed only in the xanthomatous component, and there was no expression with periodic acid-Schiff (PAS) stain and PAS–diastase. As the diagnostic criteria of atypical meningioma were not observed, a diagnosis of xanthomatous meningioma, WHO grade I, was made. Owing to the characteristic xanthomatous changes, its differential diagnosis includes grade II clear cell meningioma, Rosai–Dorfman disease, and hemangioblastoma. To avoid misidentifying these cells as macrophages, a high degree of awareness of this unique subtype of meningioma is required.
A rare invasive male breast cancer of nonspecific type presenting at a primary care clinic: Importance of early diagnosis and management
(2023) Mansoor, Nurulhana S.; Arifin, Farnaza; Kornain, Noor K.M.; Razalli, Mazuin M.
Abstract: Male breast cancer is a rare disease with an incidence rate of <1% of all breast cancer cases, and only 1% of all male malignancies. Men tend to present at an older age and with more advanced stages compared to women. We report a case of a 74-year-old man who presented at a primary care clinic with a right subareolar painless breast mass. A mammogram and core biopsy were performed. A diagnosis of right invasive breast carcinoma was rendered. The patient underwent a right total mastectomy with ipsilateral axillary lymph node dissection, which revealed an invasive ductal carcinoma of no special type (NST). Chemotherapy, radiotherapy, and hormonal therapy were included in the adjuvant treatment plan. In this report, we discuss the important role of the primary care physician (PCP) in early diagnosis and referral for definitive management. The PCP also plays an essential role in the holistic care of male breast cancer patients, including the management of physical, psychological, social, and underlying chronic diseases.
Ability of adult patients to predict absence or presence of fever in an emergency department triage clinic
(1999) Al-Almaie, Sameeh
ntroduction: Fever is the most appreciated manifestation of disease which usually raises high therapeutic expectations. Patients seek medical advice because they think they are sick and feverish. If they feel that they are sick but not feverish, they may not seek medical advice. Subjective fever may also be an important clue to further evaluation of the patient. Objective: The aim of this study was to assess the reliability of adult patients to predict absence or presence of fever in Emergency Department triage clinic. Methods: A prospective study of 1241 ambulatory adult patients (above 12 years of age) was carried out over a three-week period. All patients were asked whether or not they had fever or felt they had fever or were running a temperature before oral temperature was taken with an IVAC digital machine. Two sets of temperature readings were taken to define fever as 37.8 o C or greater, and 38.0 o C or greater. Results: The sensitivity and specificity of detecting fever by subjective means was 89.6% and 94.5% for male and 90.0% and 94.8% for female. The accuracy rates were 93.9% and 94.6% respectively. The prevalence of objective fever was 8.7% yielding general positive and negative predictive values of 80.9% and 98.9% with an accuracy rate of 94.2%. Conclusion: The reliability of adult patients attending triage clinic in assessing subjective fever was found to be good. Four out of five of our patients who believed they had a fever were actually found to have an objective temperature increase (38.0 o C or greater). This means that medical staff should take a complaint of subjective fever in our population more seriously.
About patients and doctors
(2004) Elzubier, Ahmed
Abstract Not Available(Editorial)
Abstracts of "Institute for Research and Medical Consultations (IRMC) - Summer Research Program for Undergraduate Students – 2019" presented at Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, on October 6, 2019
(2020)
Background: Doxorubicin is an antineoplastic commonly used in chemotherapy. Its major side effect is the cumulative resultant cardiomyopathy. Polycaprolactone (PCL) is a compatible, degradable, core-shell polymer. PCL nanoparticles <600 nm have shown the ability to accumulate in solid tumors in comparison to healthy tissues, possibly because of their defective vasculature. Objectives: The aim of this study is to prepare PCL nanoparticles loaded with doxorubicin and study the effect of encapsulation on the drug’s efficacy, solubility and anticancer activity against MCF-7 cells. Materials and methods: The single emulsion method was used to prepare PCL nanoparticles; doxorubicin was incorporated during the synthesis. Nanoparticles were characterized by SEM to determine the size and morphology and by FTIR to confirm encapsulation. UV spectrophotometer was used for study the drug release. ELISA microplate reader was used to study the anticancer activity against MCF-7 (American Type Culture Collection, USA) cell line at different concentrations. Results: SEM showed uniform microspheres with a size 3 µm. FTIR showed defined bands for PCL and doxorubicin at 3400, 3000, 1650, 1450 and 1100 cm−1. Drug release was slow because of the insolubility of PCL in PBS. MTT assay showed a 49% decrease in cell viability at 100 µM. Conclusion: Polycaprolactone nanoparticles are potentially useful carriers for doxorubicin. The single emulsion method was not effective for nano-size particle preparation and different methods could be used to obtain a smaller particle size. PCL may be copolymerized with a hydrophilic polymer to increase the drug release rate.
Academia and accountability: The importance of role modeling
(2004) Al-Sulaiman, Abdulsalam
Abstract Not Available(Editorial)
Academic job satisfaction questionnaire: Construction and validation in Saudi Arabia
(2011) Al-Rubaish, Abdullah; Rahim, Sheikh Idris; Abumadini, Mahdi; Wosornu, Lade
Background: Colleges and universities are becoming increasingly accountable for teaching outcomes in order to meet rigorous accreditation standards. Job satisfaction (JS) seems more difficult to measure in the academic field in view of the complexity of roles, duties and responsibilities. Objectives: To compile and determine the psychometric properties of a proposed Academic Job Satisfaction Questionnaire (AJSQ) suitable for university faculty, and amenable to future upgrading. Materials and Methods: A 46-item five-option Likert-type draft questionnaire on JS was distributed for anonymous self-reporting by all the academic staff of five colleges in University of Dammam (n=340). The outcome measures were (1) factor analysis of the questionnaire items, (2) intra-factor α-Coefficient of Internal Consistency Reliability, (3) inter-factor correlations, (4) comparison of psychometric properties in separately analyzed main faculty subgroups. Results: The response rate was 72.9 percent. Factor analysis extracted eight factors which conjointly explained 60.3 percent of the variance in JS. These factors, in descending order of eigenvalue, were labeled "Authority", "Supervision", "Policies and Facilities", "My Work Itself", "Interpersonal Relationships", "Commitment", "Salary" and "Workload". Cronbach's-α ranged from 0.90 in "Supervision" to 0.63 in "Salary" and "Workload". All inter-factor correlations were positive and significant, ranging from 0.65 to 0.23. The psychometric properties of the instrument in separately analyzed subgroups divided by sex, nationality, college and clinical duties produced fairly comparable findings. Conclusion: The AJSQ demonstrated good overall psychometric properties in terms of construct validity and internal consistency reliability in both the overall sample and its separately analyzed subgroups. Recommendation: To replicate these findings in larger multicenter samples of academic staff.
Acceptance of premarital health counseling in Riyadh city, 1417H
(2000) Al-Kahtani, Nabil
Background: Health counseling before marriage can be a most worthwhile and satisfying aspect of preventive medicine. It is important in genetic diagnosis and the prevention of hereditary, sexually transmitted and other infectious diseases. Objectives: To determine the acceptance of the concept of Premarital Health Counseling (PMHC), and to identify some factors, which may efect this acceptance among Saudis who attend Primary Health Care Center in Riyadh, Kingdom of Saudi Arabia (KSA), 1417H. Methods: The present study is a cross-sectional one with a selected sample of Saudis who attended the Primary Health Care Centers in Riyadh during the year 1417H. A multistage sampling and equal allocation stratified sampling within was used to select 484 persons comprising an equal number of males and females, married and single above the age of 18 years. A pre-designed pre-tested questionnaire sheet was used to collect the required data, which were then tabulated and statistically analyzed. Results: The study indicated that 364 (75.2%) of the study population accepted the concept of Premarital Health Counseling. PMHC was positively affected by the advancing age, experience of marriage, educational level and well-understood Islamic-health related issues. Out f those who accepted the concept, 273 (75%) agreed on the exchange of PMHC certificates between couples to be married and 152 (42%) agreed on the implementation of legislation on PMHC. Also, 298 (82%) of them wanted PMHC to be confidential and 168 (46%) agreed to the concept despite its cost. As regards the location of PMHC, most of participants who agreed to PMHC would prefer it to be given at governmental establishments. Recommendations: The study recommended the implementation of PMHC in Saudi Arabia, since it was accepted by the study population. However, further studies should be carried out to determine the details to be incorporated in the PMHC, their implementation and legislation on demographic basis of the Saudi community. Also, a community health education program for PMHC has to be devised in collaboration with Islamic leaders.
Accidental ingestion of hairpin in an adolescent girl
(2019) Almarhabi, Ahmed
Ingestion of headscarf pin is a particular type of foreign body ingestion sometimes experienced by adolescent girls and even older women while putting on their headscarf. We report on a 13-year-old girl who presented at the emergency unit at our hospital within 48 hr after accidentally swallowing a headscarf pin. The pin was successfully retrieved from the ascending colon through colonoscopy. Headscarf pin ingestion is a serious problem among women who wear headscarves for various reasons. However, the retrieval of such pins from the colon through colonoscopy has been infrequently reported.
Accuracy of body mass index compared to whole-body dual energy X-ray absorptiometry in diagnosing obesity in adults in the Eastern Province of Saudi Arabia: A cross-sectional study
(2023) Alqarni, Amani M.; Aljabr, Abdullah S.; Abdelwahab, Moataza M.; Alhallafi, Ahmed H.; Alessa, Mustafa T.; Alreedy, Abdullah H.; Elmaki, Sara A.; Alamer, Naheel A.; Darwish, Magdy A.
BACKGROUND: Obesity is a major health concern that requires accurate diagnosis and management. Body mass index (BMI) commonly used to diagnose obesity, has limitations in accurately assessing body fat. Body fat percentage (BF%) from whole-body dual energy X-ray absorptiometry (DEXA) scans is gaining popularity as a more accurate method in diagnosing obesity. MATERIALS AND METHODS: This cross-sectional study included 319 adult patients who underwent whole-body DEXA scans in the Eastern Province of Saudi Arabia from May 2016 to December 2021 were recruited from three medical centers, where data for whole-body DEXA were available. Body fat percent was obtained from the whole-body DEXA scan reports and were compared to BMI to evaluate prevalence of obesity. Data was extracted by reviewing patients’ records using a structured data collection tool. BMI was defined using WHO criteria, and diagnostic performance was assessed by estimating specificity, sensitivity, likelihood ratios, and predictive values, and by constructing receiver operating characteristic (ROC) curves for BMI to detect obesity by age group. RESULTS: The gender-specific BF% cutoff points revealed a higher prevalence of obesity than BMI cutoff points. BMI misclassified 40.6% of participants, and optimal cutoff points yielding highest area under the curve were 24 kg/m2 and 24.3 kg/m2 for males and females, respectively. CONCLUSION: The study underscores the importance of using accurate and comprehensive diagnostic tools such as whole-body DEXA scans to assess obesity.
Acetabular Remodeling after Closed Reduction of Developmental Dysplasia of the Hip
(2018) Al Shehri, Hayazi; Mahmoud, Asim; Ateeq, Saleh; Alamrani, Amal
Objectives: This study aims to assess the radiographic development of the acetabulum after closed reduction of developmental dysplasia of the hip in patients with different follow-up periods. Methods: The authors undertook a retrospective review of clinical records and radiographs of children who were diagnosed with developmental dysplasia of the hip and underwent closed reduction (mean age at closed reduction: 8.6 months) at King Khalid Civil Hospital, Tabuk, Saudi Arabia. Patients with a follow-up period <12 months were excluded from the study. Acetabular index angles for anteroposterior pelvic radiograph before treatment and at the final follow-up were used to assess acetabular development. Patients were divided into four groups according to the follow-up period and then the acetabular index was compared. Results: A total of 64 dislocated hips of 40 patients were included in the study. The average follow-up period was 33.9 months (range: 12–82 months). Mean acetabular index before closed reduction was 34.37° (range: 25–46°), whereas the mean acetabular index after closed reduction was 23.8° (range: 10–37°). All groups showed improvement in the acetabular coverage and the acetabular index was significantly higher in groups with a longer follow-up period. Conclusions: This study found that successful closed reduction of congenitally dislocated hips within the recommended age results in better acetabular development (coverage) and this improvement is more evident in patients with a longer follow-up period. Further studies can consolidate these results and help define the criteria for deciding early acetabuloplasty.
Acne vulgaris: Perceptions and beliefs of Saudi adolescent males
(2017) Al-Natour, Sahar
Introduction: Although acne vulgaris is common in adolescents, information on their understanding of acne is minimal. Objectives: To evaluate the perceptions and beliefs of Saudi youth on acne. Materials And Methods: Three hundred twenty-nine male students (aged 13-22 years) from 6 secondary schools in the Eastern Saudi Arabia completed a self-reported questionnaire on knowledge, causation, exacerbating and relieving factors of acne. Data were analyzed by SPSS version 15.0. Results of subjects with acne, a family history of acne, and parents' educational levels were compared. Differences between the analyzed groups were assessed by a Chi-square test; p ≤ 0.05 was considered statistically significant. Results: Over half (58.9%) of the participants considered acne a transient condition not requiring therapy. Only 13.1% knew that the proper treatment of acne could take a long time, even several years. Over half (52%) thought acne can be treated from the first or after few visits to the doctor. Popular sources of information were television/radio (47.7%), friends (45.6%), and the internet (38%). Only 23.4% indicated school as a source of knowledge. Reported causal factors included scratching (88.5%) and squeezing (82.1%) of pimples, poor hygiene (83.9%), poor dietary habits (71.5%), and stress (54.1%). Ameliorating factors included frequent washing of the face (52.9%), exercise (41.1%), sunbathing (24.1%), and drinking of mineral water (21%). The correlations of these facts are discussed. Conclusion: Results of this study point out that misconceptions of acne are widespread among Saudi youth. A health education program is needed to improve the understanding of the condition.
Acquired Protein S Deficiency in a Patient with Lupus Nephritis
(2019) Meriam, Hajji; Soumaya, Beji; Lamia, Rais; Karim, Zouaghi
Abstract Not Available(Letter to the Editor)
Acute abdomen with Pneumoperitoneum
(2004) Matar, Zafer
Acute appendicitis is a common cause of acute abdomen. However, it is a rare cause of pneumoperitonium. In this report the surgical diagnoses and management will be discussed in detail.
Acute abdominal pain in women of child-bearing age remains a diagnostic dilemma
(2001) Abdelhadi, Maha
Abdominal pain is perhaps the most challenging of all the presenting complaints in the emergency department. It is estimated that it accounts for 5%-10% of all visits. Causes of abdominal pain range from the inconsequential to the life threatening. In addition, it nearly always poses a greater degree of diagnostic uncertainty in women of child-bearing age as compared to males. Such difficulties become more pronounced in pregnant women where the unwritten policy seems to be: If she is pregnant blame the pregnancy. This policy is justified by the favorable clinical outcomes. However, in a small but significant number of patients, this policy has the potential of creating delays and increasing the risk of unwarranted complications. Delays in management may lead to emotional trauma, loss to the society, and the potential for serious liability. This review was undertaken at King Fahd hospital of the University, Eastern Province of Saudi Arabia, with a literature search covering a period of over twenty years. It mainly highlights the diagnostic difficulties in young women presenting with acute onset abdominal pain, and possible solutions. It also suggests a policy which includes a careful clinical approach with liberal consults between the surgeon and the gynecologist reinforced by a judicious use of the available diagnostic aids leading to potentially favorable outcomes.

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