Journal of King Abdulaziz University-medical Sciences最新文献_第10页

Head and Neck Cancer a Single Institution Experience: King Abdulaziz University 头颈部癌症的单一机构经验:阿卜杜勒阿齐兹国王大学

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-07-01 DOI: 10.4197/med.22-3.2

R. Al-Wassia, Nisreen Awad, Rahaf A. Al Odaini, S. Alkhayyat, Atlal M. Abusanad, Hani Almarzouki, M. Attar, Talal A. Al Khatib, C. Constantinescu

{"title":"Head and Neck Cancer a Single Institution Experience: King Abdulaziz University","authors":"R. Al-Wassia, Nisreen Awad, Rahaf A. Al Odaini, S. Alkhayyat, Atlal M. Abusanad, Hani Almarzouki, M. Attar, Talal A. Al Khatib, C. Constantinescu","doi":"10.4197/med.22-3.2","DOIUrl":"https://doi.org/10.4197/med.22-3.2","url":null,"abstract":"The purpose of this study is to assess the loco-regional control and overall survival in head and neck cancer patients, as well as evaluate the clinical benefit of intensity-modulated radiotherapy implemented in 2011 at our Hospital. Data of 117 patients between 2007 and 2014 was reviewed retrospectively. Cumulative survival and disease control rates were calculated by Kaplan-Meier product-limit actuarial method. Loco-regional control and survival rates for intensity modulated and three-dimensional conformal radiotherapy were compared by a logistic regression test. After a median follow-up of 12 months, 53 (51%) patients who underwent radical radiotherapy were free of disease, 43 (42%) with disease, and seven (7%) unknown. During this time, 31 (26%) patients died from the disease. Using actuarial estimates for the two-year follow-up, this study found that significant gains in survival were obtained by switching treatment modalities. The benchmarking gives reassurance that our results are comparable to the best clinical practices internationally.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129718516","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}

引用次数: 0

Maternal and Fetal Outcome in a Patient with Buccal Embryonal Rhabdomyosarcoma 颊部胚胎性横纹肌肉瘤患者的母胎结局

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-07-01 DOI: 10.4197/MED.22-3.7

W. Fageeh, Ossama H. Raffa

引用次数: 0

Red Blood Cell Alloimmunization in Sickle Cell Disease Patients in Jeddah, Saudi Arabia: A Pilot Study. 沙特阿拉伯吉达镰状细胞病患者的红细胞同种免疫:一项试点研究。

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-07-01 DOI: 10.4197/MED.22-3.5

Abdulrahman S. Alboog, T. Tayeb, Mohammed O. Alsager, Salwa A. Alnajjar, G. Damanhouri, J. Jarullah, S. Hindawi

{"title":"Red Blood Cell Alloimmunization in Sickle Cell Disease Patients in Jeddah, Saudi Arabia: A Pilot Study.","authors":"Abdulrahman S. Alboog, T. Tayeb, Mohammed O. Alsager, Salwa A. Alnajjar, G. Damanhouri, J. Jarullah, S. Hindawi","doi":"10.4197/MED.22-3.5","DOIUrl":"https://doi.org/10.4197/MED.22-3.5","url":null,"abstract":"The treatment of patients with sickle cell disease frequently requires transfusion of red blood cells. Complications due to alloimmunization of red blood cells antigen remain a major risk as a post transfusion effect. The objective of this study is to determine the frequency of red cell alloimmunization in Jeddah, Saudi Arabia. A retrospective cross-section study of sickle cell disease patients at King Abdulaziz University Hospital between 2012 and 2013 was performed. Demographic characteristics and transfusion history was recorded. Blood samples were analyzed for alloimmunization using immunohematological technique. A total of 234 sickle cell patients were analyzed, of which 30 (12.8%) showed alloantibodies. A total of 43 alloantibodies were found out of which 28 belonged to Rh group, eight belonged to Kell while three belonged to MNS group. Demographic and transfusion characteristics were analyzed between alloimmunized and nonalloimmunized sickle cell disease patients. The rate of alloimmunization in Jeddah, Saudi Arabia was 12.8%. There was significant difference observed between alloantibodies detection between transfused patients compared to non-transfused patients. The consequences of red blood cell alloimmunization are highly significant and therefore immune hematological testing is highly recommended.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126716355","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}

引用次数: 5

Relationship Between Clinical and Radiographic Findings in Osteoarthritis Knee: A Cross-Sectional Study 膝关节骨关节炎临床与影像学表现的关系:一项横断面研究

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.1

S. Mahran, A. Y. Elias, Fadwa S. Janbi, B. Eldeek

{"title":"Relationship Between Clinical and Radiographic Findings in Osteoarthritis Knee: A Cross-Sectional Study","authors":"S. Mahran, A. Y. Elias, Fadwa S. Janbi, B. Eldeek","doi":"10.4197/med.22-2.1","DOIUrl":"https://doi.org/10.4197/med.22-2.1","url":null,"abstract":"Citation Mahran SA, Elias AY, Janbi FS, El-Deek BS. Relationship between clinical and radiographic fi ndings in osteoarthritis knee: a cross-sectional study. JKAU Med Sci 2015; 22 (2): 1-9. DOI: 10.4197/Med. 22.2.1 Abstract Several studies have suggested that there is a high discrepancy between clinical and radiographic knee osteoarthritis. The objectives of this study were to examine association between radiographic classifi cation and clinical manifestations of knee osteoarthritis, and to determine if the assessment of individual radiographic features was superior to the general radiographic scale in establishing such a relationship. A total of 125 patients with knee osteoarthritis were enrolled in this study. Radiographic features were assessed with the Kellgren-Lawrence grade scale for general radiographic grading, and a line-drawing atlas for detailed radiographic analysis. The severity of knee pain, stiff ness, and disability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index. Patients' age and pain duration were found to correlate signifi cantly with knee pain, stiff ness, and disability. No association between general radiographic grading scale and clinical manifestations was found. However in detailed radiographic analysis, osteophyte site at the patellofemoral joint was found to correlate with knee stiff ness. In conclusion, radiographic scores were not found to be closely associated with the clinical features of knee osteoarthritis. The results of knee X-rays should not be used in isolation when a management decision is to be taken for patients with knee osteoarthritis.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121088825","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}

引用次数: 1

Robotic Surgery for Large Renal Stones: Prospective Three Years Single-Institution Experience 大肾结石的机器人手术:前瞻性三年单机构经验

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.5

Ahmed J. Al Sayyad

{"title":"Robotic Surgery for Large Renal Stones: Prospective Three Years Single-Institution Experience","authors":"Ahmed J. Al Sayyad","doi":"10.4197/med.22-2.5","DOIUrl":"https://doi.org/10.4197/med.22-2.5","url":null,"abstract":"Citation Al Sayyad AJ. Robotic surgery for large renal stones: prospective three years singleinstitution experience. JKAU Med Sci 2015; 22 (2): 31-37. DOI: 10.4197/Med. 22.2.5 Abstract This prospective study evaluates the role of robotic surgery in the management of large renal stones. Robotic renal stone surgery is safe and eff ective, and may be considered among the treatment options for large renal calculi in adults, especially for patients with concomitant ureteropelvic junction obstruction. The benefi ts brought by robotic systems include improved 3-D visualization, greater dexterity, precision, and increased range of motion. Thus, robotic pyelolithotomy has been recommended for the treatment of renal calculi with concurrent upper tract abnormalities. The effi cacy and safety of robotic pyelolithotomy as a treatment of large renal pelvic stones and partial staghorn stones is evident in our study, with a substantially high stone clearance rate. We were able to complete the robotic procedures safely and successfully in all but one of our 38 patients, who was converted to open surgery due to bleeding and severe adhesions. Overall, we found this procedure feasible, safe, effi cacious, and high yielding in the management of large renal stones, especially when the procedure is accompanied by renal pelvis reconstructive surgery.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131258404","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}

引用次数: 0

Clinical Characteristics of Atrial Fibrillation in Saudi Women Cohort and Its Clinical Impact in a Tertiary University Hospital 沙特妇女心房颤动的临床特点及其对某大学附属医院的临床影响

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/MED.22-2.2

K. Alghalayini

{"title":"Clinical Characteristics of Atrial Fibrillation in Saudi Women Cohort and Its Clinical Impact in a Tertiary University Hospital","authors":"K. Alghalayini","doi":"10.4197/MED.22-2.2","DOIUrl":"https://doi.org/10.4197/MED.22-2.2","url":null,"abstract":"A retrospective study was conducted to evaluate the characteristics of atrial fibrillation in a cohort of Saudi women, and its impact on morbidity. A complete medical history was obtained and all participants underwent a complete review of clinical data including electrocardiogram, echocardiogram, blood pressure measurement, and thyroid examination. The following laboratory examinations were performed: international normalized ratio; thyroid stimulating hormone; triiodothyronine; thyroxine; total cholesterol; triglyceride; low-density and high-density lipoprotein. A history of hospitalizations, stroke and in-hospital mortality were recorded. We recruited 84 women; the mean age was 61.8 years and the mean body mass index was 28.45 kg/m2. The mean hemoglobin level of the patients was 12.2 g/dL and the mean thyroid stimulating hormone level was 3.75 mIU/L. The target international normalized ratio was achieved in 58% of treated patients; 70% of the under target International Normalized Ration patients had been hospitalized more than once and 19% had suffered a stroke. Overall, international normalized ratio demonstrates gaps in the management of women with atrial fibrillation, and the negative impact on patient outcome, indicating the need to tailor treatment plans to the goals and requirements of these patients.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125422534","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}

引用次数: 1

The Use of Omega-3 Fatty Acids as an Alternative Treatment for Attention Deficit Hyperactivity Disorder in Children 使用Omega-3脂肪酸作为儿童注意缺陷多动障碍的替代治疗

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.7

S. M. Suliman

引用次数: 0

Characteristic Brain Imaging Findings in a Patient with Joubert Syndrome and Segmental Glomerulosclerosis Joubert综合征合并节段性肾小球硬化患者的特征性脑影像学表现

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.8

A. Abduljabbar

引用次数: 0

Coronary Artery Bypass Graft for Left Main Coronary Artery Disease 冠状动脉旁路移植术治疗左主干冠状动脉病变

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.34

H. Jabbad

{"title":"Coronary Artery Bypass Graft for Left Main Coronary Artery Disease","authors":"H. Jabbad","doi":"10.4197/med.22-2.34","DOIUrl":"https://doi.org/10.4197/med.22-2.34","url":null,"abstract":"Because left main coronary artery disease carries a high risk of morbidity and mortality, this retrospective study will review the data and results of surgical management of left main coronary artery disease, in King Abdulaziz University Hospital. 448 patients underwent coronary bypass graft into two groups, left main group (50) patients and non-left main group (398) patients. Preoperative data, risk factors and cardiac catheterization findings were compared in between the two groups in addition to perioperative morbidity and mortality. Patients in the left main group were younger in age with significantly lower ejection fraction and more risk factors (hypertension, dyslipidemia, and smoking). In our study the left main group patients had higher mortality than non-left main patients [4 patients = 8%, 6 patients = 1.8%]; the most common cause of perioperative mortality in the left main group was low cardiac output state, and the most common complications were perioperative myocardial infarction and prolonged ventilation. The higher mortality and morbidity associated with surgery for left main coronary artery disease can be explained by the higher risk profi le, the need of urgent surgery and critical preoperative status.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127178686","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}

引用次数: 0

The Role of Laparoscopy in Management of Congenital Anomalies of the Müllerian System: Literature Review and Case Series 腹腔镜在处理先天性<s:1>勒氏系统异常中的作用:文献回顾和病例系列

Journal of King Abdulaziz University-medical Sciences Pub Date : 2015-04-01 DOI: 10.4197/med.22-2.6

Ettedal A. Aljahdali

{"title":"The Role of Laparoscopy in Management of Congenital Anomalies of the Müllerian System: Literature Review and Case Series","authors":"Ettedal A. Aljahdali","doi":"10.4197/med.22-2.6","DOIUrl":"https://doi.org/10.4197/med.22-2.6","url":null,"abstract":"Citation Aljahdali EA. The role of laparoscopy in management of congenital anomalies of the Müllerian system: Literature review and case series. JKAU Med Sci 2015; 22 (2): 39-46. DOI: 10.4197/Med. 22.2.6 Abstract Structural defects of the female reproductive tract become apparent at varying chronologic times during intrauterine life. The diagnosis of all female reproductive tract abnormalities has benefi ted from enhancements in imaging techniques and the surgical treatment thereof has improved due to advances in the techniques and instrumentation of both surgical and non-surgical procedures. In the last decade, laparoscopy has become increasingly popular and has successfully replaced several open surgical procedures. It has been applied to many aspects of gynecological surgery and has become the procedure of choice for gynecological surgery. A review of the recent literature continues to support the utilization of laparoscopy for the management of genital tract malformation. This review aims to appraise the recent literature to determine how laparoscopy may aid in the diagnosis of reproductive tract anomalies and their treatment, its success in replacing the open surgery in some cases, and the presentation of some cases that were successfully diagnosed and treated with laparoscopy.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129631201","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}

引用次数: 0