Saudi Medical Journal最新文献_第10页

Serum levels of zinc, folate, and vitamin B12 in healthy children aged 3-12 months: Is routine screening necessary? 3-12 个月健康儿童血清中的锌、叶酸和维生素 B12 含量：是否有必要进行常规筛查？

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240248

Furkan Kalayci, Metin Yigit

{"title":"Serum levels of zinc, folate, and vitamin B12 in healthy children aged 3-12 months: Is routine screening necessary?","authors":"Furkan Kalayci, Metin Yigit","doi":"10.15537/smj.2024.45.8.20240248","DOIUrl":"10.15537/smj.2024.45.8.20240248","url":null,"abstract":"Objectives: To retrospectively assess the serum levels of zinc, folate, and vitamin B12 in healthy children aged between 3-12 months.Methods: This study includes healthy children aged between 3-12 months who presented to the pediatric outpatient clinics of Ankara Bilkent City Hospital, Ankara, Turkey, between January 2020 and July 2022. The levels of serum zinc, folate, and vitamin B12 were evaluated retrospectively.Results: Of the 495 patients enrolled in our study, 248 (50.1%) were female. The median age of the patients was 10 (range: 7-12) months. Zinc deficiency was detected in 24 (4.8%) patients, and vitamin B12 deficiency was found in 49 (9.8%) patients. No folate deficiency was observed in any patient. There was no significant correlation between the patients' height and weight percentiles and their serum levels of zinc, folate, and vitamin B12 (p>0.05 for each).Conclusion: In conclusion, we do not recommend routine screening for zinc, folate, and vitamin B12 levels in children under 12 months of age without active issues or chronic diseases due to the associated costs. We propose that evaluating serum levels of zinc, folate, and vitamin B12 is a more appropriate clinical approach in children at risk for micronutrient deficiencies and in selected patient groups.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 8","pages":"821-825"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The protagonist of contemporary and emerging nanotechnology-based theranostics and therapeutic approaches in reshaping intensive care unit. 以纳米技术为基础的当代和新兴疗法和治疗方法是重塑重症监护室的主角。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240069

Ling Xie, Yun Chen

{"title":"The protagonist of contemporary and emerging nanotechnology-based theranostics and therapeutic approaches in reshaping intensive care unit.","authors":"Ling Xie, Yun Chen","doi":"10.15537/smj.2024.45.8.20240069","DOIUrl":"10.15537/smj.2024.45.8.20240069","url":null,"abstract":"To maintain a clean and hygienic environment in the intensive care unit (ICU) is crucial for ensuring patient safety, preventing infections, and reducing healthcare-associated complications. With the increasing prevalence of infections and the emergence of viral and bacterial resistance to standard antiseptics, there is a pressing need for innovative antiseptic solutions. Nanotechnology is increasingly being employed in medicine, particularly focusing on mitigating the activities of various pathogens, including those associated with hospital-acquired infections. This paper explores the current impact of nanotechnology, with a particular focus on bacterial infections and SARS-CoV-2, which significantly strain healthcare systems, and then discusses how nanotechnology can enhance existing treatment methodologies. We highlight the effectiveness of the nanotechnology-based bactericide Bio-Kil in reducing bacterial counts in an ICU. The aim is to educate healthcare professionals on the existing role and prospects of nanotechnology in addressing prevalent infectious diseases.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 8","pages":"759-770"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does air pollution affect lupus risk? 空气污染会影响狼疮风险吗？

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01

引用次数: 0

Could Botox make walking easier in children with cerebral palsy? 肉毒杆菌素能让脑瘫儿童更容易行走吗？

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01

引用次数: 0

Effect of the prone position on mechanical power in elective surgical patients under general anesthesia: A prospective observational study. 俯卧位对全身麻醉下择期手术患者机械力的影响：前瞻性观察研究。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240242

Berrak S Aydın, Eren Açıkgöz

{"title":"Effect of the prone position on mechanical power in elective surgical patients under general anesthesia: A prospective observational study.","authors":"Berrak S Aydın, Eren Açıkgöz","doi":"10.15537/smj.2024.45.8.20240242","DOIUrl":"10.15537/smj.2024.45.8.20240242","url":null,"abstract":"Objectives: To evaluate how the prone position influences mechanical power (MP) during elective surgical procedures.Methods: In this prospective study carried out at Karadeniz Ereğli Government Hospital, Zonguldak, Turkey, from January 2024 to February 2024, 76 patients under general anesthesia were evaluated at different time points during the surgical procedure. Hemodynamic, laboratory, and mechanical ventilation data were also recorded.Results: The MP increased in the prone position at the beginning of surgery. Transitioning to the supine position at the end of surgery led to a decrease in MP. At the end of surgery, the mean MP in supine and prone positions was found to be higher compared to those measured in the first hour of surgery. Mechanical power and body mass index (BMI) exhibited a significant positive correlation.Conclusion: Position changes influence MP. Returning to the prone position increases MP. An increase in BMI is associated with an increase in MP.ANZCTR Reg. No.: ACTRN12623001281684.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 8","pages":"814-820"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Client's satisfaction with healthcare services received at the hospital outpatients department and the primary healthcare facilities in Al-Qassim, Saudi Arabia: A review of service users' satisfaction. 客户对沙特阿拉伯 Al-Qassim 的医院门诊部和基层医疗机构提供的医疗服务的满意度：服务用户满意度回顾。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240249

Ahmad S Almutairi, Emmanuel F Osagiede, Sultan K Alenazi, Abdulaziz A Almutairi, Yasir S Alnawmasi, Ahmed A Aljunaydili, Majed S Alharbi, Abdulaziz S Alshahrani

{"title":"Client's satisfaction with healthcare services received at the hospital outpatients department and the primary healthcare facilities in Al-Qassim, Saudi Arabia: A review of service users' satisfaction.","authors":"Ahmad S Almutairi, Emmanuel F Osagiede, Sultan K Alenazi, Abdulaziz A Almutairi, Yasir S Alnawmasi, Ahmed A Aljunaydili, Majed S Alharbi, Abdulaziz S Alshahrani","doi":"10.15537/smj.2024.45.8.20240249","DOIUrl":"10.15537/smj.2024.45.8.20240249","url":null,"abstract":"Objectives: To assess the level of satisfaction expressed for services rendered in the public health sector to clients who were seen at outpatient departments (OPDs) and primary healthcare (PHC) facilities in Al-Qassim Health Cluster in Saudi Arabia.Methods: This study used a comparative cross-sectional study design, and data were obtained as secondary data from The Patient's Experience Platform. Data analysis was carried out using Stata (version 16), and the significance level was 5%.Results: In comparing the mean satisfaction in 9 domains, statistically significantly higher means for the PHC facilities than the OPDs were seen across 7 domains: patients navigating health facilities (p=0.008), nursing services (p<0.001), physicians' services (p=0.004), radiological services (p<0.001), personal issues (p=0.003), the pharmacy (p=0.005), and general experience (p=0.036).Conclusion: This study's findings are significant. They indicate that client satisfaction with services at PHC facilities was significantly higher than with services at hospital OPDs in Al-Qassim region. This underscores the need to improve the quality of services provided at OPDs to bring them to the same level as those provided by PHC facilities. Policymakers and implementers should, therefore, sustain efforts to make OPDs and PHC facilities more desirable for clients.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 8","pages":"826-833"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physician practices in referring rheumatoid hand and thumb carpometacarpal arthritis cases to hand surgeons. 医生将类风湿手和拇指腕掌关节炎病例转诊给手外科医生的做法。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.9.20240187

Zahir T Fadel, Zainalabden E Jefri, Hussain A Alkhalifah, Hanin M Y Ahmad, Raghad A Alzahrani, Mohammed B Ashi, Osama A Samargandi

{"title":"Physician practices in referring rheumatoid hand and thumb carpometacarpal arthritis cases to hand surgeons.","authors":"Zahir T Fadel, Zainalabden E Jefri, Hussain A Alkhalifah, Hanin M Y Ahmad, Raghad A Alzahrani, Mohammed B Ashi, Osama A Samargandi","doi":"10.15537/smj.2024.45.9.20240187","DOIUrl":"10.15537/smj.2024.45.9.20240187","url":null,"abstract":"Objectives: To investigate the referral practices across different medical specialties and identify possible barriers to hand surgery referral. Rheumatoid hand deformities (RHDs) and thumb carpometacarpal (CMC) arthritis may require surgery once deformities occur. However, in Saudi Arabia, the rate of referrals to hand surgeons remains low.Methods: This was a cross-sectional study that included 102 consultants of family medicine, rheumatology, and orthopedics across various regions of Saudi Arabia. A total of 30 institutions were contacted and requested to distribute a survey questionnaire to their physicians; these institutions included 8 private hospitals, 16 government hospitals, and 6 primary healthcare centers. The survey included questions on the incidence, rate, management, knowledge, and referral of patients with RHD and CMC arthritis using a 5-point Likert scale. The Kruskal-Wallis H test was utilized in our analysis to evaluate the differences in responses among the 3 specialties.Results: For RHD and thumb CMC arthritis, the referral rate was higher among orthopedic surgeons compared to rheumatologists and family medicine physicians. The main barriers to referral were patient refusal, medical treatment alone being deemed adequate, and a lack of awareness of surgical options for management.Conclusion: Our findings highlight discrepancies in patterns of physician referral of RHD and thumb CMC arthritis cases to hand surgeons, indicating the need for targeted interventions to improve referral rates and enhance patient outcomes.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 9","pages":"919-928"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What do you do with a normal appearing appendix? A national study of Pediatric Surgeons. 如何处理外观正常的阑尾？儿科外科医生全国调查。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.9.20240207

Yasser S AlFraih, Renad AlMutawa

{"title":"What do you do with a normal appearing appendix? A national study of Pediatric Surgeons.","authors":"Yasser S AlFraih, Renad AlMutawa","doi":"10.15537/smj.2024.45.9.20240207","DOIUrl":"10.15537/smj.2024.45.9.20240207","url":null,"abstract":"Objectives: Surgeons may encounter a grossly normal appearing appendix in a patient with clinically suspected appendicitis. The purpose of this study is to determine the practice of pediatric surgeons in Saudi Arabia when this is encountered, and determine the reasons behind their decision making.Methods: An electronic survey was sent to all pediatric surgeons in Saudi Arabia. Data points collected included demographics, peri-operative imaging preference, and personal practice when managing an intra-operative grossly normal appendix in symptomatic children.Results: A total of 105 responses were obtained yielding a response rate of 33.8% The majority of respondents, 88 (87.1%) would remove the appendix while 13 (12.9%) would leave it in situ. The most common reason for removing the appendix was the possibility of microscopic/Endo appendicitis 71 (34.8%) while the most common reason for leaving the appendix in situ was the possible usage of the appendix for reconstructive benefits in the future 11 (50%). The overwhelming majority 87 (86.1%) felt that there were no sufficient guidelines on removal of the normal appearing appendix at the time of surgery for suspected acute appendicitis.Conclusion: The majority of pediatric surgeons in Saudi Arabia would proceed with an appendectomy when an intra-operative grossly normal appendix is seen in patients suspected to have acute appendicitis. There is a clear lack of published pediatric guidelines and large studies to guide the correct course of action.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"45 9","pages":"929-934"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can omega-3 fatty acid intake affect acne severity? 欧米伽-3 脂肪酸的摄入量会影响痤疮的严重程度吗？

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01

引用次数: 0

Geriatric nutritional risk index predicts postoperative delirium in elderly: A meta-analysis. 老年营养风险指数可预测老年人术后谵妄：荟萃分析

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.9.20240216

Siye Xie, Qi Wu

引用次数: 0