The introduction of proton pump inhibitors has revolutionized the management of acid-related gastrointestinal disorders. Physicians use different regimen when prescribing proton pump inhibitors. In this study we aim to determine the prevalence and pattern of proton pump inhibitors prescription among practicing physicians at King Abdulaziz University Hospital in Jeddah, Saudi Arabia. A cross-sectional study was performed at different levels of doctors ranging from consultants to house officers from March-May 2014. The study included 85 doctors. The prevalence of proton pump inhibitors prescription was 57.65%. Most of the respondents are internal medicine physicians with 58.62% (29 physicians) of them prescribing proton pump inhibitors. As well, half of the surgeons (24) were prescribing proton pump inhibitors. 54.17% of house officers who participated were prescribing proton pump inhibitors. Omeprazole at a dose of 20 mg is the most commonly prescribed by 49.41%, followed by the dose 40 mg prescribed by 41.18%. The rate of prescription for proton pump inhibitors at King Abdulaziz University Hospital with different specialties and levels is comparable to the practice worldwide. It’s noted that house officers are prescribing proton pump inhibitors; they will need to be educated about the use, dosage, and side effects of proton pump inhibitors.
{"title":"The Use of Proton Pump Inhibitors and Prescription Pattern by Practicing Physicians at an Academic Hospital","authors":"M. Basheikh","doi":"10.4197/med.24-4.2","DOIUrl":"https://doi.org/10.4197/med.24-4.2","url":null,"abstract":"The introduction of proton pump inhibitors has revolutionized the management of acid-related gastrointestinal disorders. Physicians use different regimen when prescribing proton pump inhibitors. In this study we aim to determine the prevalence and pattern of proton pump inhibitors prescription among practicing physicians at King Abdulaziz University Hospital in Jeddah, Saudi Arabia. A cross-sectional study was performed at different levels of doctors ranging from consultants to house officers from March-May 2014. The study included 85 doctors. The prevalence of proton pump inhibitors prescription was 57.65%. Most of the respondents are internal medicine physicians with 58.62% (29 physicians) of them prescribing proton pump inhibitors. As well, half of the surgeons (24) were prescribing proton pump inhibitors. 54.17% of house officers who participated were prescribing proton pump inhibitors. Omeprazole at a dose of 20 mg is the most commonly prescribed by 49.41%, followed by the dose 40 mg prescribed by 41.18%. The rate of prescription for proton pump inhibitors at King Abdulaziz University Hospital with different specialties and levels is comparable to the practice worldwide. It’s noted that house officers are prescribing proton pump inhibitors; they will need to be educated about the use, dosage, and side effects of proton pump inhibitors.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114149101","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}
Citation Shaikhomer M. Staphylococcus aureus masking tuberculous joint infection. JKAU Med Sci 2017; 24 (4): 41-45. DOI: 10.4197/Med. 24.4.6 Abstract Skeletal tuberculosis accounts for around 10 percent of cases of extrapulmonary tuberculosis. Hip and knee involvement are the most commonly aff ected sites after spine. Clinical manifestations include swelling, pain, and loss of joint function that progress over weeks to months. In the setting of tuberculous arthritis, local soft tissue swelling, osteopenia, and bone destruction (with relative preservation of cartilage space) occur early in the disease. Subsequent fi ndings include structural collapse, sclerotic changes, and soft tissue calcifi cation. Delay in diagnosing tuberculous arthritis can lead to functional disability and poor outcome. Superimposed infection with another organism occurs very rarely and can lead to delay in diagnosing the condition. We present a case of tuberculous knee arthritis that was superimposed with Staphylococcus aureus infection. The low index of suspicion at the initial presentation together with the superimposed infection led to a delayed diagnosis. Our patient’s risk factor was immigration from a country endemic with tuberculosis. The case was diagnosed 32 months from initial presentation. In the presence of clinical and epidemiological risk for tuberculous arthritis, requesting the appropriate tests is crucial to avoid any diagnostic delay.
{"title":"Staphylococcus aureus Masking Tuberculous Joint Infection","authors":"Mohammed Shaikhomer","doi":"10.4197/med.24-4.6","DOIUrl":"https://doi.org/10.4197/med.24-4.6","url":null,"abstract":"Citation Shaikhomer M. Staphylococcus aureus masking tuberculous joint infection. JKAU Med Sci 2017; 24 (4): 41-45. DOI: 10.4197/Med. 24.4.6 Abstract Skeletal tuberculosis accounts for around 10 percent of cases of extrapulmonary tuberculosis. Hip and knee involvement are the most commonly aff ected sites after spine. Clinical manifestations include swelling, pain, and loss of joint function that progress over weeks to months. In the setting of tuberculous arthritis, local soft tissue swelling, osteopenia, and bone destruction (with relative preservation of cartilage space) occur early in the disease. Subsequent fi ndings include structural collapse, sclerotic changes, and soft tissue calcifi cation. Delay in diagnosing tuberculous arthritis can lead to functional disability and poor outcome. Superimposed infection with another organism occurs very rarely and can lead to delay in diagnosing the condition. We present a case of tuberculous knee arthritis that was superimposed with Staphylococcus aureus infection. The low index of suspicion at the initial presentation together with the superimposed infection led to a delayed diagnosis. Our patient’s risk factor was immigration from a country endemic with tuberculosis. The case was diagnosed 32 months from initial presentation. In the presence of clinical and epidemiological risk for tuberculous arthritis, requesting the appropriate tests is crucial to avoid any diagnostic delay.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114361710","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}
Citation Ashkar LK. Improved wait times from abnormal diagnostic imaging to biopsy of suspicious breast lesions at King Abdulaziz University Hospital. JKAU Med Sci 2017; 24 (4): 15-20. DOI: 10.4197/Med. 24.4.3 Abstract Timely coordinated breast biopsies following abnormal diagnostic breast imaging reduces patient anxiety and may optimize breast cancer prognosis. Two diff erent pathways have been used in the breast unit at the Radiology Department of King Abdulaziz University Hospital. Before September 2009, all patients who had abnormal breast imaging were sent back to their referring physician, who would then request the necessary biopsy. In September 2009, we proposed the shortened pathway; and coordinated the necessary biopsy directly at our unit, instead of sending the patients back to their physician. This has saved them many weeks of agony and confusion navigating through the medical system to arrange appointments for surgical consultation and radiological biopsy. This study aimed to assess the wait time from abnormal breast imaging to the time of the biopsy. A retrospective study included an analysis of 51 consecutive breast biopsies performed before 2009, compared to 51 biopsy patients after implementing the improved pathway in 2009. It concluded that the expedited pathway reduced the wait time from 42 to 14 days until fi nal diagnosis. To ensure that targets for timeliness are realized, this improved and effi cient pathway of care was adapted permanently and has been ongoing since then.
{"title":"Improved Wait Times from Abnormal Diagnostic Imaging to Biopsy of Suspicious Breast Lesions at King Abdulaziz University Hospital","authors":"L. Ashkar","doi":"10.4197/med.24-4.3","DOIUrl":"https://doi.org/10.4197/med.24-4.3","url":null,"abstract":"Citation Ashkar LK. Improved wait times from abnormal diagnostic imaging to biopsy of suspicious breast lesions at King Abdulaziz University Hospital. JKAU Med Sci 2017; 24 (4): 15-20. DOI: 10.4197/Med. 24.4.3 Abstract Timely coordinated breast biopsies following abnormal diagnostic breast imaging reduces patient anxiety and may optimize breast cancer prognosis. Two diff erent pathways have been used in the breast unit at the Radiology Department of King Abdulaziz University Hospital. Before September 2009, all patients who had abnormal breast imaging were sent back to their referring physician, who would then request the necessary biopsy. In September 2009, we proposed the shortened pathway; and coordinated the necessary biopsy directly at our unit, instead of sending the patients back to their physician. This has saved them many weeks of agony and confusion navigating through the medical system to arrange appointments for surgical consultation and radiological biopsy. This study aimed to assess the wait time from abnormal breast imaging to the time of the biopsy. A retrospective study included an analysis of 51 consecutive breast biopsies performed before 2009, compared to 51 biopsy patients after implementing the improved pathway in 2009. It concluded that the expedited pathway reduced the wait time from 42 to 14 days until fi nal diagnosis. To ensure that targets for timeliness are realized, this improved and effi cient pathway of care was adapted permanently and has been ongoing since then.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133647221","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}
Sabah S. Moshref, Y. Jamal, M. Fakiha, B. Awan, Fayza Alsiny, Fatma S. Alzhrani, H. Ammar, Abdullah Bamashmos, A. Baamer
This retrospective, hospital based study aims to investigate demographic and clinical characteristics of pediatric patients with orofacial cleft in Jeddah, Saudi Arabia from 2005 to 2015. Hospital surgical records from three main sources, King Abdulaziz University Hospital, Bagedo and Dr. Erfan Hospital and Dr. Soliman Fakeeh Hospital were used to identify all consecutive surgical cases with orofacial cleft referred to these hospitals. Information about age, sex, cleft types, site, maternal risk factors, associated pediatrics problems and treatment were recorded. The most common type was cleft lip and palate (40.15%), then isolated cleft palate (35.61%) and isolated cleft lip (24.24%). Maternal risk factor was mostly smoking (4.55%); pediatrics complication was mostly speech abnormalities and dental problems (75.00%); post-operative complication was mostly speech abnormalities (72.54%). Our study reveals that epidemiologic aspects of orofacial cleft in Jeddah are very similar to other Caucasian populations with a predominance of cleft lip, unilateral left side. Routine screening such as chest x-ray and ruling out hearing and speech problems as well as genetic counseling and karyotyping may be necessary in these patients. Better understanding of demographic and clinical characteristics may help guide clinical care as well as contribute to an improved understanding of pathogenesis.
{"title":"Non-Syndromic Orofacial Cleft Malformations in Jeddah, Saudi Arabia","authors":"Sabah S. Moshref, Y. Jamal, M. Fakiha, B. Awan, Fayza Alsiny, Fatma S. Alzhrani, H. Ammar, Abdullah Bamashmos, A. Baamer","doi":"10.4197/med.24-3.1","DOIUrl":"https://doi.org/10.4197/med.24-3.1","url":null,"abstract":"This retrospective, hospital based study aims to investigate demographic and clinical characteristics of pediatric patients with orofacial cleft in Jeddah, Saudi Arabia from 2005 to 2015. Hospital surgical records from three main sources, King Abdulaziz University Hospital, Bagedo and Dr. Erfan Hospital and Dr. Soliman Fakeeh Hospital were used to identify all consecutive surgical cases with orofacial cleft referred to these hospitals. Information about age, sex, cleft types, site, maternal risk factors, associated pediatrics problems and treatment were recorded. The most common type was cleft lip and palate (40.15%), then isolated cleft palate (35.61%) and isolated cleft lip (24.24%). Maternal risk factor was mostly smoking (4.55%); pediatrics complication was mostly speech abnormalities and dental problems (75.00%); post-operative complication was mostly speech abnormalities (72.54%). Our study reveals that epidemiologic aspects of orofacial cleft in Jeddah are very similar to other Caucasian populations with a predominance of cleft lip, unilateral left side. Routine screening such as chest x-ray and ruling out hearing and speech problems as well as genetic counseling and karyotyping may be necessary in these patients. Better understanding of demographic and clinical characteristics may help guide clinical care as well as contribute to an improved understanding of pathogenesis.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115256081","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}
Citation Elkhodary HM, Farsi DJ. The association between physical activity and obesity among school children and adolescents in Jeddah, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 13-27. DOI: 10.4197/Med. 24.3.2 Abstract Obesity aff ects children’s physical and psychological well-being. In this study we investigated the associations of obesity with physical activity, socioeconomic factors, and lifestyle among Saudi children and adolescents. A stratifi ed sample of 729 school children and 794 adolescent students was recruited. Waist circumference and body mass index were used to categorize the participants as obese and non-obese, and a structured mixed questionnaire was used to collect socioeconomic, physical activity, and lifestyle data. The results revealed that obese adolescent males (33.5%) were signifi cantly more common than obese adolescent females (13.6%, P < 0.001). Body mass index-based and waist circumference-based obesity was signifi cantly more common in private schools compared to public schools among school children and adolescents (P = 0.013 and P = 0.002, respectively). Student obesity was associated with higher parental education, especially among the school children (P = 0.006). Among adolescents, obesity was strongly associated with family income (P = 0.002) and time spent watching television (P = 0.004). Non-obese children and adolescents were considered subjectively more active than their obese counterparts (P < 0.001 and P = 0.011, respectively). In conclusion, obesity was common among school children and adolescents, and was associated with private schooling, adolescent male sex, parental education, and family income. Physical inactivity and time spent watching television were important risk factors for obesity among Saudi school children and adolescents.
{"title":"The Association Between Physical Activity and Obesity among School Children and Adolescents in Jeddah, Saudi Arabia","authors":"H. Elkhodary, D. Farsi","doi":"10.4197/med.24-3.2","DOIUrl":"https://doi.org/10.4197/med.24-3.2","url":null,"abstract":"Citation Elkhodary HM, Farsi DJ. The association between physical activity and obesity among school children and adolescents in Jeddah, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 13-27. DOI: 10.4197/Med. 24.3.2 Abstract Obesity aff ects children’s physical and psychological well-being. In this study we investigated the associations of obesity with physical activity, socioeconomic factors, and lifestyle among Saudi children and adolescents. A stratifi ed sample of 729 school children and 794 adolescent students was recruited. Waist circumference and body mass index were used to categorize the participants as obese and non-obese, and a structured mixed questionnaire was used to collect socioeconomic, physical activity, and lifestyle data. The results revealed that obese adolescent males (33.5%) were signifi cantly more common than obese adolescent females (13.6%, P < 0.001). Body mass index-based and waist circumference-based obesity was signifi cantly more common in private schools compared to public schools among school children and adolescents (P = 0.013 and P = 0.002, respectively). Student obesity was associated with higher parental education, especially among the school children (P = 0.006). Among adolescents, obesity was strongly associated with family income (P = 0.002) and time spent watching television (P = 0.004). Non-obese children and adolescents were considered subjectively more active than their obese counterparts (P < 0.001 and P = 0.011, respectively). In conclusion, obesity was common among school children and adolescents, and was associated with private schooling, adolescent male sex, parental education, and family income. Physical inactivity and time spent watching television were important risk factors for obesity among Saudi school children and adolescents.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115379518","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}
Citation Aljabr QM. Findings in an elderly patient after a fall. JKAU Med Sci 2017; 24 (3): 51-54. DOI: 10.4197/Med. 24.3.5 Abstract A 76-year-old male presented with neck pain beginning a month earlier, when he tripped over a ledge while exiting his truck. The patient landed on his face and lost consciousness. In the emergency room, the initial work up, including a head computed tomography scan, came back negative, but the fall work-up was incomplete. He was discharged with a physical therapy appointment to manage his neck pain but did not go. The patient’s pain continued for another four weeks before he went to the clinic. The pain was located at the midline of his posterior cervical spine with limited range of motion. He was otherwise asymptomatic. A more comprehensive fall assessment and work-up was completed. An immediate neck computed tomography scan was ordered and revealed subacute Stage 2 odontoid fractures. The patient was placed in a neck collar. An urgent appointment with the neurosurgery clinic was requested. The neurosurgeon reviewed the neck computed tomography scan; a follow up by magnetic resonance imaging confi rmed the fi ndings. After discussing treatment options, the patient agreed to proceed with fusion surgery. This case demonstrates the importance of performing a complete fall assessment and workup to ensure early detection and prevention of serious or life-threatening injuries.
{"title":"Findings in an Elderly Patient after a Fall","authors":"Q. AlJabr","doi":"10.4197/med.24-3.5","DOIUrl":"https://doi.org/10.4197/med.24-3.5","url":null,"abstract":"Citation Aljabr QM. Findings in an elderly patient after a fall. JKAU Med Sci 2017; 24 (3): 51-54. DOI: 10.4197/Med. 24.3.5 Abstract A 76-year-old male presented with neck pain beginning a month earlier, when he tripped over a ledge while exiting his truck. The patient landed on his face and lost consciousness. In the emergency room, the initial work up, including a head computed tomography scan, came back negative, but the fall work-up was incomplete. He was discharged with a physical therapy appointment to manage his neck pain but did not go. The patient’s pain continued for another four weeks before he went to the clinic. The pain was located at the midline of his posterior cervical spine with limited range of motion. He was otherwise asymptomatic. A more comprehensive fall assessment and work-up was completed. An immediate neck computed tomography scan was ordered and revealed subacute Stage 2 odontoid fractures. The patient was placed in a neck collar. An urgent appointment with the neurosurgery clinic was requested. The neurosurgeon reviewed the neck computed tomography scan; a follow up by magnetic resonance imaging confi rmed the fi ndings. After discussing treatment options, the patient agreed to proceed with fusion surgery. This case demonstrates the importance of performing a complete fall assessment and workup to ensure early detection and prevention of serious or life-threatening injuries.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133094510","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}
Maram A. Enani, W. O. Baamer, A. Aljohani, Shahad A. Aljohani, Noor A. Aljohani, Yousef M. Qazli, Ettedal A. Aljahdali
Citation Enani MA, Ba-Amer WO, Aljohani AS, Aljohani SA, Aljohani NA, Qazli YM, Aljahdali EA. Neonatally diagnosed imperforate hymen: hymen saving surgery. JKAU Med Sci 2017; 24 (3): 55-59. DOI: 10.4197/Med. 24.3.6 Abstract Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.
{"title":"Neonatally Diagnosed Imperforate Hymen: Hymen Saving Surgery","authors":"Maram A. Enani, W. O. Baamer, A. Aljohani, Shahad A. Aljohani, Noor A. Aljohani, Yousef M. Qazli, Ettedal A. Aljahdali","doi":"10.4197/med.24-3.6","DOIUrl":"https://doi.org/10.4197/med.24-3.6","url":null,"abstract":"Citation Enani MA, Ba-Amer WO, Aljohani AS, Aljohani SA, Aljohani NA, Qazli YM, Aljahdali EA. Neonatally diagnosed imperforate hymen: hymen saving surgery. JKAU Med Sci 2017; 24 (3): 55-59. DOI: 10.4197/Med. 24.3.6 Abstract Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"30 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131389279","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}
L. Banjar, H. Faruqui, A. Ghunaim, Amal Almalki, H. Alshaikh, M. Alsamti, H. Mosli
Citation Banjar LA, Faruqui HM, Ghunaim AH, Almalki AF, Alshaikh HM, Alsamti M, Mosli HH. Maternal outcomes of breastfeeding in King Abdulaziz University Hospital, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 29-38. DOI: 10.4197/Med. 24.3.3 Abstract Breastfeeding has a great effi cacy on the growing infant, as well as the mother. It has been suggested that breastfeeding promotes postpartum weight loss. Furthermore, it may alter the risk of developing postpartum depression. The aim of this study is to further understand the adherence and the eff ect of breast milk feeding on developing a postpartum depression and calculating the postpartum weight reduction percentage in comparison to pre-pregnancy weight. A cross-sectional study was conducted in King Abdulaziz University Hospital among 153 mothers, whose infants are less than two years of age. Data were collected by interviewing the mothers using a standard questionnaire designed for the study and the HAMD depression scale with anthropometric measures. 85.62% of the study sample had breastfed, 43.38% breastfed for 1 to 2 months, and 24.18% for 6 months or more. However, the relationship of postpartum depression and breastfeeding was not signifi cant with a P-value > 0.05. 84.97% of the included mothers had the same or greater weight than before pregnancy. In conclusion, mothers in King Abdulaziz University Hospital are well adherent to breast milk feeding. The association of breastfeeding to weight loss was not observed as suggested. Mothers with postpartum depression were less adherent to the practice of breastfeeding.
引用Banjar LA, Faruqui HM, Ghunaim AH, Almalki AF, Alshaikh HM, Alsamti M, Mosli HH。沙特阿拉伯阿卜杜勒阿齐兹国王大学医院母乳喂养的产妇结局。中华医学会医学杂志2017;24(3): 29-38。DOI: 10.4197 /地中海。24.3.3摘要母乳喂养对生长中的婴儿和母亲都有很大的功效。有人建议母乳喂养可以促进产后体重减轻。此外，它可能会改变患产后抑郁症的风险。本研究的目的是进一步了解母乳喂养的依从性和对产后抑郁症的影响，并计算产后体重与孕前体重的下降百分比。在阿卜杜勒阿齐兹国王大学医院对153名婴儿不满两岁的母亲进行了横断面研究。数据是通过使用为研究设计的标准问卷和HAMD抑郁量表与人体测量法对母亲进行访谈来收集的。85.62%的研究样本母乳喂养，43.38%母乳喂养1 ~ 2个月，24.18%母乳喂养6个月及以上。而产后抑郁与母乳喂养的关系不显著，p值> 0.05。84.97%的孕妇体重与孕前相同或增加。总之，阿卜杜勒阿齐兹国王大学医院的母亲很好地坚持母乳喂养。母乳喂养与体重减轻之间的联系并没有被观察到。患有产后抑郁症的母亲很少坚持母乳喂养。
{"title":"Maternal Outcomes of Breastfeeding in King Abdulaziz University Hospital, Saudi Arabia","authors":"L. Banjar, H. Faruqui, A. Ghunaim, Amal Almalki, H. Alshaikh, M. Alsamti, H. Mosli","doi":"10.4197/med.24-3.3","DOIUrl":"https://doi.org/10.4197/med.24-3.3","url":null,"abstract":"Citation Banjar LA, Faruqui HM, Ghunaim AH, Almalki AF, Alshaikh HM, Alsamti M, Mosli HH. Maternal outcomes of breastfeeding in King Abdulaziz University Hospital, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 29-38. DOI: 10.4197/Med. 24.3.3 Abstract Breastfeeding has a great effi cacy on the growing infant, as well as the mother. It has been suggested that breastfeeding promotes postpartum weight loss. Furthermore, it may alter the risk of developing postpartum depression. The aim of this study is to further understand the adherence and the eff ect of breast milk feeding on developing a postpartum depression and calculating the postpartum weight reduction percentage in comparison to pre-pregnancy weight. A cross-sectional study was conducted in King Abdulaziz University Hospital among 153 mothers, whose infants are less than two years of age. Data were collected by interviewing the mothers using a standard questionnaire designed for the study and the HAMD depression scale with anthropometric measures. 85.62% of the study sample had breastfed, 43.38% breastfed for 1 to 2 months, and 24.18% for 6 months or more. However, the relationship of postpartum depression and breastfeeding was not signifi cant with a P-value > 0.05. 84.97% of the included mothers had the same or greater weight than before pregnancy. In conclusion, mothers in King Abdulaziz University Hospital are well adherent to breast milk feeding. The association of breastfeeding to weight loss was not observed as suggested. Mothers with postpartum depression were less adherent to the practice of breastfeeding.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122137227","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}
Taghreed J. Jamal, H. Younus, H. Abduljabbar, A. Jiman-Fatani, Amal F. Makled
Citation Jamal TY, Younus HA, Abduljabbar HS, Fatani AA, Makled AF. Vaginal colonization by Escherichia coli in pregnant women at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 39-49. DOI: 10.4197/Med. 24.3.4 Abstract Maternal and neonatal infections by Escherichia coli remain a challenging problem for obstetricians and pediatricians. This study aims to determine the prevalence of vaginal colonization by Escherichia coli among pregnant women attending the Antenatal Clinics at King Abdulaziz University Hospital in JeddahSaudi Arabia, and to investigate the susceptibility of isolated Escherichia coli to the most commonly used antimicrobials. In this study, 100 pregnant women in the last trimester and 25 non-pregnant women were screened for vaginal colonization of Escherichia coli. The suspected colonies were identifi ed by conventional methods and were confi rmed by automated technology "Vitek 2 System". Also, antimicrobial susceptibility tests were done by the same methods". Escherichia coli isolates were serotyped to detect the presence of K1 antigen. Out of 100 pregnant women in the last trimester; twenty-one (21%) were Escherichia coli positive. Also, out of 25 non-pregnant women; four (16%) were Escherichia coli-positive. All of the isolated Escherichia coli were susceptible to most antimicrobial agents. The percentage of vaginal Escherichia coli resistance to trimethoprim/sulfamethoxazole, ampicillin and piperacillin ranged from 38.1% to 42.9%. The virulence factor K1 antigen was demonstrated in 42.9% of Escherichia coli -positive pregnant women.
{"title":"Vaginal Colonization by Escherichia coli in Pregnant Women at King Abdulaziz University Hospital, Jeddah, Saudi Arabia","authors":"Taghreed J. Jamal, H. Younus, H. Abduljabbar, A. Jiman-Fatani, Amal F. Makled","doi":"10.4197/med.24-3.4","DOIUrl":"https://doi.org/10.4197/med.24-3.4","url":null,"abstract":"Citation Jamal TY, Younus HA, Abduljabbar HS, Fatani AA, Makled AF. Vaginal colonization by Escherichia coli in pregnant women at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. JKAU Med Sci 2017; 24 (3): 39-49. DOI: 10.4197/Med. 24.3.4 Abstract Maternal and neonatal infections by Escherichia coli remain a challenging problem for obstetricians and pediatricians. This study aims to determine the prevalence of vaginal colonization by Escherichia coli among pregnant women attending the Antenatal Clinics at King Abdulaziz University Hospital in JeddahSaudi Arabia, and to investigate the susceptibility of isolated Escherichia coli to the most commonly used antimicrobials. In this study, 100 pregnant women in the last trimester and 25 non-pregnant women were screened for vaginal colonization of Escherichia coli. The suspected colonies were identifi ed by conventional methods and were confi rmed by automated technology \"Vitek 2 System\". Also, antimicrobial susceptibility tests were done by the same methods\". Escherichia coli isolates were serotyped to detect the presence of K1 antigen. Out of 100 pregnant women in the last trimester; twenty-one (21%) were Escherichia coli positive. Also, out of 25 non-pregnant women; four (16%) were Escherichia coli-positive. All of the isolated Escherichia coli were susceptible to most antimicrobial agents. The percentage of vaginal Escherichia coli resistance to trimethoprim/sulfamethoxazole, ampicillin and piperacillin ranged from 38.1% to 42.9%. The virulence factor K1 antigen was demonstrated in 42.9% of Escherichia coli -positive pregnant women.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114501220","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}
Sabah S. Moshref, Y. Jamal, Zuhoor K. Al Gaithy, S. Alkhayyat, B. Awan, M. Fakiha, H. Ammar, Abdullah Bamashmos, Mawaddah Alrajraji, Mohammad Abolhamayl
The purpose of this retrospective study was to investigate the frequency of breast cancer-related lymphedema at King Abdulaziz University Hospital and factors associated with it. Eighty-four breast cancer-related lymphedema patients were recruited from Plastic and Reconstruction Surgery Unit, King Abdulaziz University Hospital, Jeddah, Saudi Arabia after breast cancer treatment during the period from 2008 till 2015. According to the circumference difference between healthy and affected arm, lymphedema degree was categorized into mild (> 5-10%), moderate (> 10-15%) and severe (> 15%). From a total of 598 patients who underwent breast cancer resection, 84 (14.05%) patients developed breast cancer-related lymphedema. In out of the 84 patients who developed arm lymphedema, the treatment was mostly modified radical mastectomy and radiotherapy (n = 59, 70.24%); followed by lumpectomy plus axillary lymph node dissection and radiotherapy (n = 18, 21.43%), simple mastectomy (n = 5, 5.95%) and lumpectomy with sentinel lymph node dissection and radiotherapy (n = 2, 2.38%) with statistical significant difference between them (P = 0.0001). The frequency of lymphedema in our institution is 14.05%. It is mostly moderate, appears during the 1st year after surgery in patients who underwent modified radical mastectomy and radiotherapy, aged more than 60 years and obese.
{"title":"Frequency of Breast Cancer Surgery Related Arm Lymphedema at King Abdulaziz University Hospital 2008 – 2015, a Tertiary Center Experience, Jeddah, Saudi Arabia","authors":"Sabah S. Moshref, Y. Jamal, Zuhoor K. Al Gaithy, S. Alkhayyat, B. Awan, M. Fakiha, H. Ammar, Abdullah Bamashmos, Mawaddah Alrajraji, Mohammad Abolhamayl","doi":"10.4197/MED.24-2.3","DOIUrl":"https://doi.org/10.4197/MED.24-2.3","url":null,"abstract":"The purpose of this retrospective study was to investigate the frequency of breast cancer-related lymphedema at King Abdulaziz University Hospital and factors associated with it. Eighty-four breast cancer-related lymphedema patients were recruited from Plastic and Reconstruction Surgery Unit, King Abdulaziz University Hospital, Jeddah, Saudi Arabia after breast cancer treatment during the period from 2008 till 2015. According to the circumference difference between healthy and affected arm, lymphedema degree was categorized into mild (> 5-10%), moderate (> 10-15%) and severe (> 15%). From a total of 598 patients who underwent breast cancer resection, 84 (14.05%) patients developed breast cancer-related lymphedema. In out of the 84 patients who developed arm lymphedema, the treatment was mostly modified radical mastectomy and radiotherapy (n = 59, 70.24%); followed by lumpectomy plus axillary lymph node dissection and radiotherapy (n = 18, 21.43%), simple mastectomy (n = 5, 5.95%) and lumpectomy with sentinel lymph node dissection and radiotherapy (n = 2, 2.38%) with statistical significant difference between them (P = 0.0001). The frequency of lymphedema in our institution is 14.05%. It is mostly moderate, appears during the 1st year after surgery in patients who underwent modified radical mastectomy and radiotherapy, aged more than 60 years and obese.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122716331","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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