Since human recombinant insulin preparations has been introduced in medicine, allergies to insulin have rarely been reported, especially in pregnant women, who experience immune system alterations that are due to physiologic changes that occur during pregnancy. We describe a 41-year old woman who developed gestational diabetes during the second trimester and was initially treated with insulin aspart and detemir. She complained of itching, redness and a burning sensation at insulin injection sites a few weeks after administration of both insulin types. This warranted cessation of her current insulin regimen and switching to Humulin R and Humulin N due to the unavailability of insulin lispro in the hospital. In addition, patient couldn’t afford buying it from outside the hospital. Her serum glucose was well controlled on this insulin regimen, and no allergic reaction was reported by the patient. Insulin allergy is an unusual finding in pregnancy, which can be managed by switching treatment regimens.
{"title":"Allergy to Insulin Analogs in Gestational Diabetes","authors":"K. Ghamri","doi":"10.4197/MED.24-2.6","DOIUrl":"https://doi.org/10.4197/MED.24-2.6","url":null,"abstract":"Since human recombinant insulin preparations has been introduced in medicine, allergies to insulin have rarely been reported, especially in pregnant women, who experience immune system alterations that are due to physiologic changes that occur during pregnancy. We describe a 41-year old woman who developed gestational diabetes during the second trimester and was initially treated with insulin aspart and detemir. She complained of itching, redness and a burning sensation at insulin injection sites a few weeks after administration of both insulin types. This warranted cessation of her current insulin regimen and switching to Humulin R and Humulin N due to the unavailability of insulin lispro in the hospital. In addition, patient couldn’t afford buying it from outside the hospital. Her serum glucose was well controlled on this insulin regimen, and no allergic reaction was reported by the patient. Insulin allergy is an unusual finding in pregnancy, which can be managed by switching treatment regimens.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"6 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":"126070155","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}
Talal A. Alkhatib, Y. Jamal, Abdulaziz Alghamdi, B. Simbawa, Yahya H. Ghunaim, L. Bukhari
Citation AlKhatib TA, Jamal YS, Alghamdi AH, Simbawa BM, Ghunaim YH, Bukhari LA. Middle ear ventilation tube in patients with cleft palate at King Abdulaziz University Hospital. JKAU Med Sci 2017; 24 (2): 29-32 DOI: 10.4197/Med. 24.2.4 Abstract This study aims to determine the number of patients with cleft palate requiring treatment for otitis media with eff usion. Speech and hearing assessments were also considered. We conducted a retrospective study from January, 2005 through December, 2012 at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, on otitis media with eff usion in patients with cleft palate. We reviewed patients’ medical records to determine the number requiring treatment for otitis media with eff usion, the timing of middle ear ventilation tube insertion, the number of tubes to be inserted, and the type of tube to be used. Data were collected from the patients’ medical records. Ethical approval was obtained by the university’s ethical committee. A total of 101 patients were diagnosed with cleft palate spectrum. Among them, we found that only 12 patients had a hearing assessment and tympanograms performed followed by middle ear ventilation tube insertion. This may indicate the need for more involvement of the otolaryngologists in the multidisciplinary clinical teams for evaluating cleft palate patients .
{"title":"Middle Ear Ventilation Tube in Patients with Cleft Palate at King Abdulaziz University Hospital","authors":"Talal A. Alkhatib, Y. Jamal, Abdulaziz Alghamdi, B. Simbawa, Yahya H. Ghunaim, L. Bukhari","doi":"10.4197/med.24-2.4","DOIUrl":"https://doi.org/10.4197/med.24-2.4","url":null,"abstract":"Citation AlKhatib TA, Jamal YS, Alghamdi AH, Simbawa BM, Ghunaim YH, Bukhari LA. Middle ear ventilation tube in patients with cleft palate at King Abdulaziz University Hospital. JKAU Med Sci 2017; 24 (2): 29-32 DOI: 10.4197/Med. 24.2.4 Abstract This study aims to determine the number of patients with cleft palate requiring treatment for otitis media with eff usion. Speech and hearing assessments were also considered. We conducted a retrospective study from January, 2005 through December, 2012 at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, on otitis media with eff usion in patients with cleft palate. We reviewed patients’ medical records to determine the number requiring treatment for otitis media with eff usion, the timing of middle ear ventilation tube insertion, the number of tubes to be inserted, and the type of tube to be used. Data were collected from the patients’ medical records. Ethical approval was obtained by the university’s ethical committee. A total of 101 patients were diagnosed with cleft palate spectrum. Among them, we found that only 12 patients had a hearing assessment and tympanograms performed followed by middle ear ventilation tube insertion. This may indicate the need for more involvement of the otolaryngologists in the multidisciplinary clinical teams for evaluating cleft palate patients .","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"8 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":"133394947","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}
A retrospective review was conducted using the database at King Abdulaziz University Hospital, to determine the most common cause of chronic gastritis among obese individuals. One hundred and thirty-one specimens were examined, obtained from patients who had laparoscopic sleeve gastrectomy and diagnosed with chronic gastritis. Helicobacter pylori was detected in 15 cases only. The most common diagnosis was “Chronic inactive gastritis without Helicobacter pylori infection” in 57 (43.50%) cases, then “Chronic gastritis with lymphoid follicular hyperplasia” in 54 (41.20%) cases, and lastly “Chronic active gastritis” in the remaining 20 (15.20%) Cases. The low incidence of Helicobacter pylori infection even in cases of gastritis with lymphoid follicular hyperplasia support the existence of the new proposed entity (i.e., obesity-related gastritis). Biopsy specimens for cases diagnosed as chronic gastritis were used as control group to confirm the appropriate rate of detecting Helicobacter pylori organisms by morphological examination in the same laboratory. In these biopsies, Helicobacter pylori was present in (50.70%), and reactive follicular hyperplasia was detected in (6%) of total controls.
{"title":"Gastric Histopathology of Chronic Gastritis in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Local Experience","authors":"M. Alturkustani","doi":"10.4197/MED.24-2.2","DOIUrl":"https://doi.org/10.4197/MED.24-2.2","url":null,"abstract":"A retrospective review was conducted using the database at King Abdulaziz University Hospital, to determine the most common cause of chronic gastritis among obese individuals. One hundred and thirty-one specimens were examined, obtained from patients who had laparoscopic sleeve gastrectomy and diagnosed with chronic gastritis. Helicobacter pylori was detected in 15 cases only. The most common diagnosis was “Chronic inactive gastritis without Helicobacter pylori infection” in 57 (43.50%) cases, then “Chronic gastritis with lymphoid follicular hyperplasia” in 54 (41.20%) cases, and lastly “Chronic active gastritis” in the remaining 20 (15.20%) Cases. The low incidence of Helicobacter pylori infection even in cases of gastritis with lymphoid follicular hyperplasia support the existence of the new proposed entity (i.e., obesity-related gastritis). Biopsy specimens for cases diagnosed as chronic gastritis were used as control group to confirm the appropriate rate of detecting Helicobacter pylori organisms by morphological examination in the same laboratory. In these biopsies, Helicobacter pylori was present in (50.70%), and reactive follicular hyperplasia was detected in (6%) of total controls.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"10 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":"126806734","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}
Venous thromboembolism is a serious but potentially preventable condition. However, morbidity and mortality occur due to lack of thrombo-prophylaxis. Obstetrics and gynecology patients are at risk for developing venous thromboembolism. To improve adherence to thromboprophylaxis in this patient population, we developed a smart phone clinical decision support system designed to assess risk score and recommend thromboprophylaxis. Clinical data were collected by review of electronic medical charts. The risk score and thromboprophylaxis recommendations were calculated for each patient by clinical decision support system and by an expert hematologist and results were compared for correlation. We hypothesize that the system is a valid tool for risk assessment in obstetrics and gynecology patients. A total of 188 female patients admitted at King Abdulaziz University Hospital between December 2015 and March 2016 were included. One hundred and sixteen were gynecology, and 72 were obstetric patients with a mean age of 40.7 (± 12.8). The risk score obtained by the system showed a strong correlation with that of the expert hematologist’s opinion (r = 83%). The clinical decision support system showed a good correlation for thromboprophylaxis decision as well. Accessibility and ease of use of clinical decision support system can improve the clinical outcome of hospitalized patients.
{"title":"Validation of a Smartphone Application for Assessment of Risk of Venous Thromboembolism in Obstetrics and Gynecology","authors":"Galila F. Zaher, S. Adam","doi":"10.4197/med.24-2.5","DOIUrl":"https://doi.org/10.4197/med.24-2.5","url":null,"abstract":"Venous thromboembolism is a serious but potentially preventable condition. However, morbidity and mortality occur due to lack of thrombo-prophylaxis. Obstetrics and gynecology patients are at risk for developing venous thromboembolism. To improve adherence to thromboprophylaxis in this patient population, we developed a smart phone clinical decision support system designed to assess risk score and recommend thromboprophylaxis. Clinical data were collected by review of electronic medical charts. The risk score and thromboprophylaxis recommendations were calculated for each patient by clinical decision support system and by an expert hematologist and results were compared for correlation. We hypothesize that the system is a valid tool for risk assessment in obstetrics and gynecology patients. A total of 188 female patients admitted at King Abdulaziz University Hospital between December 2015 and March 2016 were included. One hundred and sixteen were gynecology, and 72 were obstetric patients with a mean age of 40.7 (± 12.8). The risk score obtained by the system showed a strong correlation with that of the expert hematologist’s opinion (r = 83%). The clinical decision support system showed a good correlation for thromboprophylaxis decision as well. Accessibility and ease of use of clinical decision support system can improve the clinical outcome of hospitalized patients.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"152 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":"126062447","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 Sami RA, Khojah EY, Elgarni EA, Benajiba N. Evaluation of nutritional status for some sensitive sets and its relationship to natural antioxidants. JKAU Med Sci 2017; 24 (1): 1-9. DOI: 10.4197/Med. 24.1.1 Abstract There exists a need to get the knowledge of natural antioxidants’ sources as a result of several factors; perhaps most notably is the change in our lifestyle. Although modern life has become easier and more comfortable, it harms us in diff erent ways. So, we should look for the best ways to support our health. Although our body manufactures antioxidants, we need additional quantities for protecting the body. Natural antioxidants are found in fresh vegetables, fruits, seafood and some nuts. Sport is essential for our health. The short period sports could increase the antioxidant production quickly too. Groups of children, adolescents, adults and elderly have been tested. A selfadministered questionnaire asking about socio-demographic data, various forms of activities, dietary intakes and habits was used for data collection. The elementary schoolchildren were interviewed by structured interview to gather information. Therefore, there is a necessity to develop a nutrition education program in order to change lifestyle habits and avoid the negative health consequences.
{"title":"Evaluation of Nutritional Status for Some Sensitive Sets and its Relationship to Natural Antioxidants","authors":"R. Sami, E. Khojah, E. Elgarni, N. Benajiba","doi":"10.4197/med.24-1.1","DOIUrl":"https://doi.org/10.4197/med.24-1.1","url":null,"abstract":"Citation Sami RA, Khojah EY, Elgarni EA, Benajiba N. Evaluation of nutritional status for some sensitive sets and its relationship to natural antioxidants. JKAU Med Sci 2017; 24 (1): 1-9. DOI: 10.4197/Med. 24.1.1 Abstract There exists a need to get the knowledge of natural antioxidants’ sources as a result of several factors; perhaps most notably is the change in our lifestyle. Although modern life has become easier and more comfortable, it harms us in diff erent ways. So, we should look for the best ways to support our health. Although our body manufactures antioxidants, we need additional quantities for protecting the body. Natural antioxidants are found in fresh vegetables, fruits, seafood and some nuts. Sport is essential for our health. The short period sports could increase the antioxidant production quickly too. Groups of children, adolescents, adults and elderly have been tested. A selfadministered questionnaire asking about socio-demographic data, various forms of activities, dietary intakes and habits was used for data collection. The elementary schoolchildren were interviewed by structured interview to gather information. Therefore, there is a necessity to develop a nutrition education program in order to change lifestyle habits and avoid the negative health consequences.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115904765","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}
Acquired tracheoesophageal fi stula in infancy and childhood is a very rare condition with no epidemiological data available in the literature for it. There is a huge similarity of the condition to the congenital acquired tracheoesophageal fi stula. Management of children with this condition can be diffi cult with a high risk of complication. To provide a successful management of the condition, there are some points that need to be addressed about acquired tracheoesophageal fi stula. In this report, the author presents fourteen different cases of acquired TEF with diff erent etiologies over 11 years (2006 - January 2017) who were referred for management to tertiary care hospital in Jeddah, KSA; all patients had removal of the foreign body followed bysurgical repair of the fi stula. This report describes the detailed steps of our surgical repair, including the approach to the fi stula and the type of repair pointing out the importance of removal of the scar tissue anduse of interposition vascular grafts with suture lines separation. This study presents our experience in management and surgical repair of the acquired tracheoesophageal fistula.
{"title":"Acquired Tracheoesophageal Fistula in Infancy and Childhood","authors":"O. Bawazir","doi":"10.4197/MED.24-2.1","DOIUrl":"https://doi.org/10.4197/MED.24-2.1","url":null,"abstract":"Acquired tracheoesophageal fi stula in infancy and childhood is a very rare condition with no epidemiological data available in the literature for it. There is a huge similarity of the condition to the congenital acquired tracheoesophageal fi stula. Management of children with this condition can be diffi cult with a high risk of complication. To provide a successful management of the condition, there are some points that need to be addressed about acquired tracheoesophageal fi stula. In this report, the author presents fourteen different cases of acquired TEF with diff erent etiologies over 11 years (2006 - January 2017) who were referred for management to tertiary care hospital in Jeddah, KSA; all patients had removal of the foreign body followed bysurgical repair of the fi stula. This report describes the detailed steps of our surgical repair, including the approach to the fi stula and the type of repair pointing out the importance of removal of the scar tissue anduse of interposition vascular grafts with suture lines separation. This study presents our experience in management and surgical repair of the acquired tracheoesophageal fistula.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124899984","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 Khojah YA. Successful non-surgical intervention for massive gastric distention due to malignant duodenal obstruction. JKAU Med Sci 2017; 24 (1): 49-52. DOI: 10.4197/Med. 24.1.6 Abstract Gastroduodenal obstruction in pancreatic cancer is common and sometimes challenging to treat. A 35-year-old man with advanced pancreatic cancer receiving palliative chemotherapy presented with worsening abdominal pain, nausea, vomiting and increased abdominal girth. Computed tomography scan of the abdomen revealed signifi cant malignant duodenal obstruction with massive gastric distention. A non-surgical endoscopic intervention with placement of a self-expanding metallic duodenal stent successfully relieved the obstruction and ameliorated symptoms. The patient was able to resume eating normally again. Gastrointestinal stenting is a less invasive and eff ective alternative to surgical gastrojejunostomy. Stent placement as a palliative treatment for patients with malignant duodenal obstruction and massive gastric distention may be considered as a fi rst line treatment for such patients.
{"title":"Successful Non-Surgical Intervention for Massive Gastric Distention due to Malignant Duodenal Obstruction","authors":"Yazeed A. Khojah","doi":"10.4197/med.24-1.6","DOIUrl":"https://doi.org/10.4197/med.24-1.6","url":null,"abstract":"Citation Khojah YA. Successful non-surgical intervention for massive gastric distention due to malignant duodenal obstruction. JKAU Med Sci 2017; 24 (1): 49-52. DOI: 10.4197/Med. 24.1.6 Abstract Gastroduodenal obstruction in pancreatic cancer is common and sometimes challenging to treat. A 35-year-old man with advanced pancreatic cancer receiving palliative chemotherapy presented with worsening abdominal pain, nausea, vomiting and increased abdominal girth. Computed tomography scan of the abdomen revealed signifi cant malignant duodenal obstruction with massive gastric distention. A non-surgical endoscopic intervention with placement of a self-expanding metallic duodenal stent successfully relieved the obstruction and ameliorated symptoms. The patient was able to resume eating normally again. Gastrointestinal stenting is a less invasive and eff ective alternative to surgical gastrojejunostomy. Stent placement as a palliative treatment for patients with malignant duodenal obstruction and massive gastric distention may be considered as a fi rst line treatment for such patients.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114953845","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}
Bacterial vaginosis has turned into one of the most common medical condition among women here in Saudi Arabia. Several contributing factors, including the lack of knowledge have been affi liated with this infection and yet the cause remains uncertain. The aim of this study is to determine the level of population awareness regarding bacterial vaginosis both in pediatric and adolescent age groups. It also seeks to evaluate the relationship between the outlined causative factors and bacterial vaginosis. A cross sectional descriptive study was conducted using a self-developed questionnaire and was distributed among the participants (adolescent girls, mothers and non-mothers) over a period of four months from December 2013 until March 2014 at King Abdulaziz Hospital, Jeddah, Saudi Arabia. The study revealed that a remarkable number of the mother respondents demonstrated awareness on bacterial vaginosis in pre-pubertal and adolescent age group (289, 96.98%). The sample of population under the pre-pubertal age group (122, 40.94%) had higher incidence rates of bacterial vaginosis in comparison with the adolescents and non-mothers (17, 6.25%). Advanced research is required to better understand the pathological and physiological mechanisms of bacterial vaginosis. Continuing studies are necessary to enhance the accuracy of its diagnosis and modalities of treatment.
{"title":"Bacterial Vaginosis Awareness Among Pediatric and Adolescent Age Groups in Saudi Arabia","authors":"Ettedal A. Aljahdali","doi":"10.4197/MED.24-1.4","DOIUrl":"https://doi.org/10.4197/MED.24-1.4","url":null,"abstract":"Bacterial vaginosis has turned into one of the most common medical condition among women here in Saudi Arabia. Several contributing factors, including the lack of knowledge have been affi liated with this infection and yet the cause remains uncertain. The aim of this study is to determine the level of population awareness regarding bacterial vaginosis both in pediatric and adolescent age groups. It also seeks to evaluate the relationship between the outlined causative factors and bacterial vaginosis. A cross sectional descriptive study was conducted using a self-developed questionnaire and was distributed among the participants (adolescent girls, mothers and non-mothers) over a period of four months from December 2013 until March 2014 at King Abdulaziz Hospital, Jeddah, Saudi Arabia. The study revealed that a remarkable number of the mother respondents demonstrated awareness on bacterial vaginosis in pre-pubertal and adolescent age group (289, 96.98%). The sample of population under the pre-pubertal age group (122, 40.94%) had higher incidence rates of bacterial vaginosis in comparison with the adolescents and non-mothers (17, 6.25%). Advanced research is required to better understand the pathological and physiological mechanisms of bacterial vaginosis. Continuing studies are necessary to enhance the accuracy of its diagnosis and modalities of treatment.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129686170","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 Boker AM. Examiners' and candidates' perspectives on the fi rst performancebased assessment of the Saudi National Anesthesiology Board fi nal exam. JKAU Med Sci 2017; 24 (1): 11-21. DOI: 10.4197/Med. 24.1.2 Abstract The Saudi Board of Anesthesia introduced a performance-based, objective, structured, clinical examination to supplement key and missing components in the traditional fi nal board exam. This study aims to describe briefl y the development, implementation and evaluation of the fi rst high stake Saudi Board of Anesthesia exam after incorporation of objective, structured, clinical examination according to the participants’ perspectives. After implementation of performance-based exams for the fi rst time, a questionnaire was distributed to the candidates and examiners to explore their perception of the exam. Twenty-three candidates and 20 examiners participated in the Saudi Board exam for anesthesia residency held on November 2015. The candidates as well as the examiners were very satisfi ed with the explanation of the exam process before the exam taking, the time allotted for the active stations as well as the organization and fairness of the exam with no signifi cant diff erence between males and females. In conclusion, the objective, structured, clinical examination is well perceived by the examinees as a fair and acceptable assessment tool in the fi nal exam of the Saudi Board of Anesthesia. We conclude that objective, structured, clinical examination is recommended to be used by other Saudi high stake exams.
{"title":"Examiners' and Candidates' Perspectives on the First Performance-Based Assessment of the Saudi National Anesthesiology Board Final Exam","authors":"A. Boker","doi":"10.4197/med.24-1.2","DOIUrl":"https://doi.org/10.4197/med.24-1.2","url":null,"abstract":"Citation Boker AM. Examiners' and candidates' perspectives on the fi rst performancebased assessment of the Saudi National Anesthesiology Board fi nal exam. JKAU Med Sci 2017; 24 (1): 11-21. DOI: 10.4197/Med. 24.1.2 Abstract The Saudi Board of Anesthesia introduced a performance-based, objective, structured, clinical examination to supplement key and missing components in the traditional fi nal board exam. This study aims to describe briefl y the development, implementation and evaluation of the fi rst high stake Saudi Board of Anesthesia exam after incorporation of objective, structured, clinical examination according to the participants’ perspectives. After implementation of performance-based exams for the fi rst time, a questionnaire was distributed to the candidates and examiners to explore their perception of the exam. Twenty-three candidates and 20 examiners participated in the Saudi Board exam for anesthesia residency held on November 2015. The candidates as well as the examiners were very satisfi ed with the explanation of the exam process before the exam taking, the time allotted for the active stations as well as the organization and fairness of the exam with no signifi cant diff erence between males and females. In conclusion, the objective, structured, clinical examination is well perceived by the examinees as a fair and acceptable assessment tool in the fi nal exam of the Saudi Board of Anesthesia. We conclude that objective, structured, clinical examination is recommended to be used by other Saudi high stake exams.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124597205","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}
F. Nashawi, H. Abdullah, N. Khalifa, I. Al-Zahrani, A. Al-Ghamdi
To evaluate the antibacterial eff ects of three types of Saudi honey (Feghra, Sider and Natural honey) alone and mixed with ginger or lemon in comparison to Manuka honey as a potential natural antibacterial agent. Saudi honeys were evaluated against five types of bacterial strains; Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, Haemophilus influenzae and Streptococcus pneumoniae. Chocolate agars were prepared first with different concentrations of each type of honey, and then with specific concentrations either of ginger or lemon added to honey. Bacterial species were inoculated on each agar and incubated at 37oC in a CO2 incubator overnight. Significant differences were found between diff erent types of honey and different concentrations of the same honey on bacterial growth. There are no significant differences and synergistic effects when adding ginger to diff erent honey types. Addition of lemon show significant differences and good synergistic effects against all tested bacterial species except Klebsiella pneumoniae and Staphylococcus aureus at 15 and 20% honey concentration. In conclusion, antibacterial effects of different types of honey are type and concentration dependent. Adding lemon to the different types of honey changes the pH and acidity and increases the honey’s antibacterial effect.
{"title":"Effect of Different Saudi Honey Types Mixed with Natural Substances on Some Bacterial Strains","authors":"F. Nashawi, H. Abdullah, N. Khalifa, I. Al-Zahrani, A. Al-Ghamdi","doi":"10.4197/MED.24-1.3","DOIUrl":"https://doi.org/10.4197/MED.24-1.3","url":null,"abstract":"To evaluate the antibacterial eff ects of three types of Saudi honey (Feghra, Sider and Natural honey) alone and mixed with ginger or lemon in comparison to Manuka honey as a potential natural antibacterial agent. Saudi honeys were evaluated against five types of bacterial strains; Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, Haemophilus influenzae and Streptococcus pneumoniae. Chocolate agars were prepared first with different concentrations of each type of honey, and then with specific concentrations either of ginger or lemon added to honey. Bacterial species were inoculated on each agar and incubated at 37oC in a CO2 incubator overnight. Significant differences were found between diff erent types of honey and different concentrations of the same honey on bacterial growth. There are no significant differences and synergistic effects when adding ginger to diff erent honey types. Addition of lemon show significant differences and good synergistic effects against all tested bacterial species except Klebsiella pneumoniae and Staphylococcus aureus at 15 and 20% honey concentration. In conclusion, antibacterial effects of different types of honey are type and concentration dependent. Adding lemon to the different types of honey changes the pH and acidity and increases the honey’s antibacterial effect.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115471920","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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