Saudi Medical Journal最新文献_第5页

Monoexponential and advanced diffusion-weighted imaging for hepatic fibrosis staging based on high inter-examiner reliability. 基于检查者间高度可靠性的肝纤维化分期单指数和高级弥散加权成像。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.9.20240057

Lesheng Huang, Qian Wei, Hui Peng, Wanchun Zhang, Jiahui Tang, Tianzhu Liu

{"title":"Monoexponential and advanced diffusion-weighted imaging for hepatic fibrosis staging based on high inter-examiner reliability.","authors":"Lesheng Huang, Qian Wei, Hui Peng, Wanchun Zhang, Jiahui Tang, Tianzhu Liu","doi":"10.15537/smj.2024.45.9.20240057","DOIUrl":"10.15537/smj.2024.45.9.20240057","url":null,"abstract":"Objectives: To determine the diagnostic efficiencies of multiple diffusion-weighted imaging (DWI) techniques for hepatic fibrosis (HF) staging under the premise of high inter-examiner reliability.Methods: Participants with biopsy-confirmed HF were recruited and divided into the early HF (EHF) and advanced HF (AHF) groups; healthy volunteers (HVs) served as controls. Two examiners analyzed intravoxel incoherent motion (IVIM) using the IVIM-DWI and diffusion kurtosis imaging (DKI) models. Intravoxel incoherent motion-DWI, DKI, and diffusion tensor imaging parameters with intraclass correlation coefficients (ICCs) of ≥0.6 were used to create regression models: HVs vs. EHF and EHF vs. AHF.Results: We enrolled 48 HVs, 59 EHF patients, and 38 AHF patients. Mean, radial, and axial kurtosis; fractional anisotropy; mean, radial, and axial diffusivity; and α exhibited excellent reliability (ICCs: 0.80-0.98). Fractional anisotropy of kurtosis, f, and apparent diffusion coefficient showed good reliability (ICCs: 0.69-0.92). The real (0.58-0.67), pseudo- (0.27-0.76), and distributed diffusion coefficients (0.58-0.67) showed low reliability. In the HVs versus (vs.) EHF model, α (p=0.008) and ADC (p=0.011) presented statistical differences (area under curve [AUC]: 0.710). In the EHF vs. AHF model, α (p=0.04) and distributed diffusion coefficient (p=0.02) presented significant differences (AUC: 0.758).Conclusion: Under the premise of high inter-examiner reliability, DWI and IVIM-derived stretched-exponential model parameters may help stage HF.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111536","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

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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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

Inflammatory markers in systemic immune-inflammatory index and inflammatory response index to predict early pregnancy loss. 系统免疫炎症指数和炎症反应指数中的炎症标志物可预测早期妊娠失败。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240404

Nihal Çallıoğlu, Derya K Gül, İlke Ö Arslan, İpek Geyikoğlu, Ergül Demirçivi

{"title":"Inflammatory markers in systemic immune-inflammatory index and inflammatory response index to predict early pregnancy loss.","authors":"Nihal Çallıoğlu, Derya K Gül, İlke Ö Arslan, İpek Geyikoğlu, Ergül Demirçivi","doi":"10.15537/smj.2024.45.8.20240404","DOIUrl":"10.15537/smj.2024.45.8.20240404","url":null,"abstract":"Objectives: To uncover the predictive value of systemic immune-inflammatory index (SII) and systemic inflammatory response index (SIRI) on early pregnancy loss.Methods: A total of 535 individuals were enrolled in this retrospective analysis. The early pregnancy losses (EPL) group included patients between 18-35 years old who experienced EPL. The control group comprised healthy pregnant women who gave birth at ≥37 weeks.Results: The EPL group had significantly lower plateletcrit (p=0.04), platelet distribution width (PDW, p<0.0001), and RDW (p<0.0001) and higher monocyte (p<0.0001) and SIRI (p<0.0001) values than the control group. The hemoglobin, white blood cells, platelet count, neutrophil count, lymphocyte count, mean platelet volume, neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), and SII values were not significantly different between the EPL and control groups (p>0.05). The cut-off value for the SIRI that offers the best sensitivity/specificity balance was 1.48 (sensitivity of 63%; specificity of 63%) in the receiver operating characteristics curve. Among the inflammatory parameters for predicting EPL, PDW had highest specificity (84%), and RDW had the highest sensitivity (80%).Conclusion: This study provides compelling evidence that various inflammatory pathways may significantly contribute to EPL pathogenesis. Moreover, our findings suggest that SIRI could be a more effective marker than NLR, PLR, MLR, and SII in predicting EPL in an ongoing pregnancy, thereby potentially revolutionizing early pregnancy loss diagnostics.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793296","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

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

WHO Director-General declares mpox outbreak a public health emergency of international concern. 世卫组织总干事宣布麻疹疫情为国际关注的突发公共卫生事件。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01

引用次数: 0

Magnetic resonance imaging of the breast: Could it be used as a screening test? 乳腺磁共振成像：能否用作筛查？

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20230748

Deema A Nagadi, Naglaa M Elsayed

{"title":"Magnetic resonance imaging of the breast: Could it be used as a screening test?","authors":"Deema A Nagadi, Naglaa M Elsayed","doi":"10.15537/smj.2024.45.8.20230748","DOIUrl":"10.15537/smj.2024.45.8.20230748","url":null,"abstract":"Objectives: To investigate whether magnetic resonance imaging (MRI) best detects early malignancy in high-risk women.Methods: A retrospective, cross-sectional study, carried out at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, included 419 female breast cancer patients aged 16-84 years (mean age of 49). Data were collected from the radiological department's database to compare the MRI, ultrasound (US), and mammography results, with or without tissue biopsy.Results: In diagnosing benign versus malignant lesions, MRI showed significant agreement with tissue biopsy, with high sensitivity (70%) and specificity (87%); its positive predictive value (PPV) was 92% and negative predictive value (NPV) was 56%. While US has a PPV of 84% and NPV of 63%; with a sensitivity (79%) and specificity (71%). In patients without tissue biopsy, there was little difference between mammography and US compared with MRI results.Conclusion: Magnetic resonance imaging is more effective than US and mammography for early detection of BC. It showed high sensitivity in detecting breast lesions and high specificity in characterizing their nature when correlated with pathological results. Ultrasound screening followed by MRI is suggested for undetected or suspected lesions. This will increase the breast lesion detection rate, reduce unneeded tissue biopsies, and enhance the disease's survival rate.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793369","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

Prevalence, perception, and attitude regarding electronic cigarettes usage among young adults in Riyadh, Saudi Arabia. A cross-sectional study. 沙特阿拉伯利雅得年轻人使用电子香烟的流行率、认知和态度。一项横断面研究。

IF 1.7 4区医学

Saudi Medical Journal Pub Date : 2024-08-01 DOI: 10.15537/smj.2024.45.8.20240359

Norah I AlHumaidan, Lama A AlZelfawi, Zeena A AlHindawi, Lena M AlDosari, Aljoharah M AlTowaijri, Njoud F AlFaisal

{"title":"Prevalence, perception, and attitude regarding electronic cigarettes usage among young adults in Riyadh, Saudi Arabia. A cross-sectional study.","authors":"Norah I AlHumaidan, Lama A AlZelfawi, Zeena A AlHindawi, Lena M AlDosari, Aljoharah M AlTowaijri, Njoud F AlFaisal","doi":"10.15537/smj.2024.45.8.20240359","DOIUrl":"10.15537/smj.2024.45.8.20240359","url":null,"abstract":"Objectives: To determine the prevalence of electronic cigarette (e-cigarette) usage among young adults in Riyadh, Saudi Arabia; their perceptions of its harm and legal age, and the reasons and factors influencing their use.Methods: This cross-sectional study was carried out within the general community of Riyadh, Saudi Arabia, between December 2023 and April 2024. Participants aged 18-25 years were included. A self-administered online questionnaire was used to gather demographic data, perceptions, and attitudes toward e-cigarettes and reasons for their use.Results: The majority of the 476 participants were female (n=378, 79.4%) and Saudi nationals (n=451, 94.7%). Current e-cigarette usage was 10.5% (n=50), being more prevalent among males (n=46, 46.9%) and non-Saudis (n=12, 48%). Respondents living alone (n=11, 34.4%) or with friends (n=4, 80%), those who perceived e-cigarettes as safer than cigarettes (n=38, 42.2%), or were unsure of age restrictions demonstrated high usage. Key motivators included flavors available, stress relief, and curiosity.Conclusion: Eelectronic cigarette use among Riyadh's youth was remarkable, especially among males. Reducing the e-cigarette usage prevalence in Saudi Arabia should be prioritized.","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793372","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