Pub Date : 2020-03-01DOI: 10.5742/mejim.2020.93779
R. M. Haddad, Jafar A. Al-Momani, Adnan S. Al Suleihat
{"title":"Poor Inhaler Technique in Patients with Bronchial Asthma Treated in King Hussein Medical Center (KHMC) : Rates and Effects","authors":"R. M. Haddad, Jafar A. Al-Momani, Adnan S. Al Suleihat","doi":"10.5742/mejim.2020.93779","DOIUrl":"https://doi.org/10.5742/mejim.2020.93779","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133009392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Alzahrani, M. Alshehri, A. Alzahrani, A. N. Shablahah, H. Almozher, Nada Alqahtani, Sara Ali Hussain Magrafi, A. Alshahrani, A. Alsamghan
{"title":"Awareness of Colorectal Cancer and Attitude Toward Screening Among the Public in the Aseer region, Saudi Arabia","authors":"M. Alzahrani, M. Alshehri, A. Alzahrani, A. N. Shablahah, H. Almozher, Nada Alqahtani, Sara Ali Hussain Magrafi, A. Alshahrani, A. Alsamghan","doi":"10.5742/mejim2020.93786","DOIUrl":"https://doi.org/10.5742/mejim2020.93786","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125215748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Alzahrani, M. A. Alshahrani, Ayman Ali Ahmed Alshahrani, Abduallah Mohammed Abdullah Shahrani, H. Alhumaidi, Huda Saleh Alsharbi, M. Hammad, Khalid Yousef Nebrawi, A. AlShehri, Shehata F Shehata, Suliman Alhumayed, M. Ahmed
{"title":"Clinical pattern of inflammatory bowel disease in Southern Saudi Arabia: a retrospective cohort study","authors":"M. Alzahrani, M. A. Alshahrani, Ayman Ali Ahmed Alshahrani, Abduallah Mohammed Abdullah Shahrani, H. Alhumaidi, Huda Saleh Alsharbi, M. Hammad, Khalid Yousef Nebrawi, A. AlShehri, Shehata F Shehata, Suliman Alhumayed, M. Ahmed","doi":"10.5742/mejim2020.93784","DOIUrl":"https://doi.org/10.5742/mejim2020.93784","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131506130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Coronavirus infection is currently responsible for considerable morbidity and mortality in Saudi Arabia and across the globe The aim of this study was to determine the level of compliance to infection control practices among healthcare practitioners in the Kingdom of Saudi Arabia Materials and Methods: This cross-sectional study was conducted with 180 healthcare practitioners working in military, university, government and private hospitals in four (4) regions in Saudi Arabia, namely, Riyadh, Najran, Abha and Al Baha Samples were selected using convenience sampling The study utilized the following statistical formula: percentage distribution, mean, standard deviation and analysis of variance (ANOVA) Results: Most of the healthcare practitioners were young adults, male, licensed physicians, Saudi citizens, doctoral degree holders, have 1 to 5 years of hospital experience, work in university hospitals, and lastly were assigned to a medical ward Healthcare practitioners in Saudi Arabia have high compliance with infection control (x=3 45, SD±0 28) and very high compliance with contact precaution practices (x=3 45, SD±0 82) during the time of coronavirus pandemic There is no significant difference in compliance with infection control (F=0 3404, p=0 7963) and contact precaution practices (F=0 3404, p=0 7963) among healthcare practitioners working in the different regions of Saudi Arabia Conclusion: Healthcare practitioners in Saudi Arabia usually comply to infection control practices and always comply with contact precaution Also, health workers' infection control and contact precaution practices across Najran, Al Baha, Riyadh and Abha are the same and standardized [ABSTRACT FROM AUTHOR] Copyright of Middle East Journal of Internal Medicine is the property of Medi+WORLD International Pty Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
{"title":"Compliance with Infection Control Practices among Healthcare Practitioners in Saudi Arabia during Coronavirus Pandemic: Cross-Sectional Study","authors":"Saeed Alqahtani","doi":"10.5742/mejim2020.93790","DOIUrl":"https://doi.org/10.5742/mejim2020.93790","url":null,"abstract":"Objective: Coronavirus infection is currently responsible for considerable morbidity and mortality in Saudi Arabia and across the globe The aim of this study was to determine the level of compliance to infection control practices among healthcare practitioners in the Kingdom of Saudi Arabia Materials and Methods: This cross-sectional study was conducted with 180 healthcare practitioners working in military, university, government and private hospitals in four (4) regions in Saudi Arabia, namely, Riyadh, Najran, Abha and Al Baha Samples were selected using convenience sampling The study utilized the following statistical formula: percentage distribution, mean, standard deviation and analysis of variance (ANOVA) Results: Most of the healthcare practitioners were young adults, male, licensed physicians, Saudi citizens, doctoral degree holders, have 1 to 5 years of hospital experience, work in university hospitals, and lastly were assigned to a medical ward Healthcare practitioners in Saudi Arabia have high compliance with infection control (x=3 45, SD±0 28) and very high compliance with contact precaution practices (x=3 45, SD±0 82) during the time of coronavirus pandemic There is no significant difference in compliance with infection control (F=0 3404, p=0 7963) and contact precaution practices (F=0 3404, p=0 7963) among healthcare practitioners working in the different regions of Saudi Arabia Conclusion: Healthcare practitioners in Saudi Arabia usually comply to infection control practices and always comply with contact precaution Also, health workers' infection control and contact precaution practices across Najran, Al Baha, Riyadh and Abha are the same and standardized [ABSTRACT FROM AUTHOR] Copyright of Middle East Journal of Internal Medicine is the property of Medi+WORLD International Pty Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133163050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Comparative Retrospective Study of Lipid Profile in Obese Type 2 Diabetics and Obese Non Diabetics in Aseer Region, K.S.A.","authors":"A. Alsamghan","doi":"10.5742/mejim2020.93783","DOIUrl":"https://doi.org/10.5742/mejim2020.93783","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123653328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-01DOI: 10.5742/mejim.2020.93785
M. Helvaci, I. Sari, A. Abyad, Lesley Pocock
{"title":"Systemic disorders in the pathophysiology of rheumatic heart disease","authors":"M. Helvaci, I. Sari, A. Abyad, Lesley Pocock","doi":"10.5742/mejim.2020.93785","DOIUrl":"https://doi.org/10.5742/mejim.2020.93785","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127437646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of thalassemia minor plus iron deficiency anemia on weight, height, and body mass index","authors":"M. Helvaci, Yusuf Aydin, A. Abyad, Lesley Pocock","doi":"10.5742/mejim2020.93787","DOIUrl":"https://doi.org/10.5742/mejim2020.93787","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"206 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134032796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.5742/mejim.2020.93780
F. A. Obeid
{"title":"Is There a Relation between Left Ventricular Ejection Fraction by Conventional Simpson’s Method and Systolic Myocardial Velocity by Tissue Doppler in Heart Failure Patients ?","authors":"F. A. Obeid","doi":"10.5742/mejim.2020.93780","DOIUrl":"https://doi.org/10.5742/mejim.2020.93780","url":null,"abstract":"","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127133989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: We tried to understand whether or not there is a relationship between umbilical hernia and metabolic syndrome. Methods: Consecutive patients with an umbilical hernia and/or a surgical operation history for umbilical hernia were studied. Results: There were 46 patients with umbilical hernia with a mean age of 62.0 years, and 73.9% of them were females. The hernia patients were heavier than the controls (85.1 versus 73.1 kg, p= 0.001). Body mass index of them was also higher (33.6 versus 29.1 kg/m2, p= 0.000). Although the prevalence of hypertension (HT) was higher in the hernia group (50.0% versus 27.3%, p<0.01), mean values of triglyceride and low density lipoproteins and prevalence of white coat hypertension (WCH) were lower in them (p<0.05 for all). Although the prevalence of diabetes mellitus and coronary artery disease were also higher in the hernia group, the differences were non-significant probably due to the small size of the study group. Conclusion: There are significant relationships between umbilical hernia and terminal consequences of metabolic syndrome including obesity and HT, probably on the bases of prolonged inflammatory and atherosclerotic effects beside pressure effect of excessive fat tissue on abdominal muscles. The inverse relationships between obesity and hypertriglyceridemia and hyperbetalipoproteinemia may be explained by the hepatic fat accumulation, inflammation, and fibrosis induced relatively lost hepatic functions in obese individuals. Similarly, the inverse relationship between obesity and WCH may be explained by progression of WCH into HT in obese individuals. So obesity may actually be a precirrhotic condition for the human body.
背景:我们试图了解是否有脐疝和代谢综合征之间的关系。方法:对连续发生过脐疝和/或有过脐疝手术史的患者进行研究。结果:46例脐疝患者，平均年龄62.0岁，女性占73.9%。疝患者比对照组重(85.1对73.1 kg, p= 0.001)。他们的身体质量指数也更高(33.6 vs 29.1 kg/m2, p= 0.000)。虽然疝组高血压(HT)患病率较高(50.0% vs 27.3%， p<0.01)，但三酸甘油酯和低密度脂蛋白的平均值以及白外套高血压(WCH)的患病率均较低(p<0.05)。虽然疝组糖尿病和冠状动脉疾病的患病率也较高，但可能由于研究组规模小，差异不显著。结论:脐疝与肥胖、HT等代谢综合征的终末后果有显著关系，可能是由于过量脂肪组织对腹肌的压力作用之外，还存在长期的炎症和动脉粥样硬化作用。肥胖与高甘油三酯血症和高脂血蛋白血症之间的负相关关系可能是由肥胖个体的肝脏脂肪堆积、炎症和纤维化引起的肝功能相对丧失来解释的。同样，肥胖与WCH之间的负相关关系可以通过肥胖个体中WCH向HT的进展来解释。因此，肥胖实际上可能是人体肝硬化的前兆。
{"title":"Umbilical Hernia May Also Be a Sequel of Metabolic Syndrome","authors":"M. Helvaci, O. Ayyıldız, O. Ozkan","doi":"10.5742/MEIM.2018.93398","DOIUrl":"https://doi.org/10.5742/MEIM.2018.93398","url":null,"abstract":"Background: We tried to understand whether or not there is a relationship between umbilical hernia and metabolic syndrome. Methods: Consecutive patients with an umbilical hernia and/or a surgical operation history for umbilical hernia were studied. Results: There were 46 patients with umbilical hernia with a mean age of 62.0 years, and 73.9% of them were females. The hernia patients were heavier than the controls (85.1 versus 73.1 kg, p= 0.001). Body mass index of them was also higher (33.6 versus 29.1 kg/m2, p= 0.000). Although the prevalence of hypertension (HT) was higher in the hernia group (50.0% versus 27.3%, p<0.01), mean values of triglyceride and low density lipoproteins and prevalence of white coat hypertension (WCH) were lower in them (p<0.05 for all). Although the prevalence of diabetes mellitus and coronary artery disease were also higher in the hernia group, the differences were non-significant probably due to the small size of the study group. Conclusion: There are significant relationships between umbilical hernia and terminal consequences of metabolic syndrome including obesity and HT, probably on the bases of prolonged inflammatory and atherosclerotic effects beside pressure effect of excessive fat tissue on abdominal muscles. The inverse relationships between obesity and hypertriglyceridemia and hyperbetalipoproteinemia may be explained by the hepatic fat accumulation, inflammation, and fibrosis induced relatively lost hepatic functions in obese individuals. Similarly, the inverse relationship between obesity and WCH may be explained by progression of WCH into HT in obese individuals. So obesity may actually be a precirrhotic condition for the human body.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128326970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: In this study our aim is to compare sample adequacy obtained using two of the least invasive techniques; blind-TBNA and EBUS-TBNA that are routinely used for obtaining tissue samples for diagnosing mediastinal and hilar masses at King Hussain Medical Center (KHMC). Method: 73 patients underwent diagnostic interventional bronchoscopy for mediastinal and hilar mass in the period between January 2015 and March 2017; the p value was calculated using the two-sample proportion test to identify difference in the Population Proportions. Results and Conclusion: EBUS-TBNA technique is shown to have a higher diagnostic yield (79%) compared to blind-TBNA technique (65%) although statically P value shows no significant difference between the two techniques. Still EBUS-TBNA has an advantage over the blind-TBNA especially for small and deep station lymph node or masses because its real-time visualization during sampling, helps to avoid any vascular injuries, and also decreases the need for another attempt of sampling. Despite our short experience in this field, we have excellent results; both methods of interventional bronchoscopy techniques that are carried at KHMC are efficient and effective. Accordingly, we recommend using both interventional bronchoscopy techniques as standard procedure, where it will help to minimize the number of open surgeries, complications and longtime hospital staying.
{"title":"Interventional Bronchoscopy in King Hussain Medical Center (KHMC), Jordan : Methods Evaluation and Comparison","authors":"Raja Alkhasawneh, Laith Obidat, A. Abdelkarem","doi":"10.5742/MEIM.2018.93396","DOIUrl":"https://doi.org/10.5742/MEIM.2018.93396","url":null,"abstract":"Objectives: In this study our aim is to compare sample adequacy obtained using two of the least invasive techniques; blind-TBNA and EBUS-TBNA that are routinely used for obtaining tissue samples for diagnosing mediastinal and hilar masses at King Hussain Medical Center (KHMC). Method: 73 patients underwent diagnostic interventional bronchoscopy for mediastinal and hilar mass in the period between January 2015 and March 2017; the p value was calculated using the two-sample proportion test to identify difference in the Population Proportions. Results and Conclusion: EBUS-TBNA technique is shown to have a higher diagnostic yield (79%) compared to blind-TBNA technique (65%) although statically P value shows no significant difference between the two techniques. Still EBUS-TBNA has an advantage over the blind-TBNA especially for small and deep station lymph node or masses because its real-time visualization during sampling, helps to avoid any vascular injuries, and also decreases the need for another attempt of sampling. Despite our short experience in this field, we have excellent results; both methods of interventional bronchoscopy techniques that are carried at KHMC are efficient and effective. Accordingly, we recommend using both interventional bronchoscopy techniques as standard procedure, where it will help to minimize the number of open surgeries, complications and longtime hospital staying.","PeriodicalId":243742,"journal":{"name":"Middle East Journal of Internal Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114346652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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