Journal of Health Specialties最新文献

{"title":"Middle East respiratory syndrome and precautions to be taken by dental surgeons","authors":"M. Mirza, T. Bhagat, M Inderjit, Zaid A Aljeaidi","doi":"10.4103/1658-600X.179821","DOIUrl":"https://doi.org/10.4103/1658-600X.179821","url":null,"abstract":"Aim of Study: The aim of this review was to determine the precautions to be taken by dental surgeons and auxiliaries. Methodology: Literature review was conducted from 1966 to 2015 about Middle East respiratory syndrome coronavirus (MERS-CoV). Information on the transmission, laboratory findings, treatment options and precautionary measures were analysed. Results: No evidence suggested that animal livestock were a direct or intermediate source of MERS-CoV. Contrasting reports showed infection in a hospital with history of contact with camels. During community outbreaks, spread of the virus among close family members have been reported. Of greater concern was the outbreak in 2013 where a number of healthcare professionals were infected. Conclusion: Preventing the spread of MERS-CoV through strict infection control procedures is crucial due to the high mortality rate and lack of available vaccination or treatment.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75565829","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}

{"title":"Item Writing Software: Another step towards excellence","authors":"Imran Siddiqui, Mohammed Al-Sultan","doi":"10.4103/1658-600X.179822","DOIUrl":"https://doi.org/10.4103/1658-600X.179822","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85009870","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}

{"title":"Extensive intracranial calcification presenting with neurological symptoms due to primary hypoparathyroidism and secondary hyperparathyroidism: Two case reports","authors":"S. Bokhari, Patan Murthuza Khan, E. Bokhari","doi":"10.4103/1658-600X.179823","DOIUrl":"https://doi.org/10.4103/1658-600X.179823","url":null,"abstract":"Metastatic calcification involving basal ganglion in idiopathic hypoparathyroidism (IHPT) and intracranial vascular calcification in secondary hyperparathtyroidism (SHPT) in end-stage renal disease (ESRD) on hemodialysis are not uncommon. Extensive bilateral symmetrical intracranial calcification involving basal ganglion, cerebellum and white matter presenting with neurological symptoms has been rarely reported in literature. We report 2 such cases. The first case belongs to a 56 year-old lady with IHPT with extensive intracranial calcification who presented with choreoathetotic movements. The second case is concerning a 14 year-old boy with SHPT with ESRD on hemodialysis with extensive intracranial calcification who presented with seizures. The possible pathogenesis of extensive metastatic calcification and treatment was discussed with review of literature.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82464255","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}

{"title":"Cataract surgery outcomes in a Tertiary Hospital, Riyadh","authors":"Bader S Al-Qahtani, F. Ahmad, Mohammed D. Alotaibi, M. Alzughaibi, A. Omair, Khalid Al-Jobair","doi":"10.4103/1658-600X.179827","DOIUrl":"https://doi.org/10.4103/1658-600X.179827","url":null,"abstract":"Background: Cataract surgery is one of the safest and most effective surgeries, but irreversible blindness may occur as a complication. Also, the visual outcome of cataract surgery can be affected by preoperative patients' comorbidities. The aim of this study was to assess the visual outcome and identify the complications of cataract surgery. Patients and Methods: This was a retrospective cross-sectional study. It included all patients who had undergone cataract surgery at King Abdulaziz Medical City, Riyadh, from January 2014 to June 2014. All data variables were managed and analysed using SPSS software. Data security and confidentiality were ensured throughout all stages of the study process. Results: A total number of 421 cataract surgeries were reviewed. There were 219 (52%) males and 198 (48%) females. The patients' age ranged between 34 to 94 years with an average age of 66 ± 11 years. Among 421 eyes, 187 (46%) gained a visual acuity of 20/40 or better and another 119 (29%) had 20/50 - 20/80 after the surgery. Intraoperative or postoperative complications were presented in 20 (5%) patients. The main causes for rendering the eyes from achieving the visual acuity of 20/40 or better were diabetic retinopathy, age-related macular degeneration and glaucoma. Conclusion: Cataract removal is a safe and effective surgery which can improve the quality of life. It has some complications that can be minimised with good pre-operative evaluation and post-operative rehabilitation.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75458362","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}

{"title":"Incidence of trigeminocardiac reflex in maxillofacial surgery: A retrospective study","authors":"H. Shanab, Hamed Hassan Albargi","doi":"10.4103/1658-600X.179818","DOIUrl":"https://doi.org/10.4103/1658-600X.179818","url":null,"abstract":"Introduction: The trigeminocardiac reflex (TCR) is a brainstem reflex that has attracted the attention of many clinical researchers, including neurosurgeons, anaesthetists, ophthalmologists, and general, plastic, and craniomaxillofacial surgeons. However, more maxillofacial surgery studies related to TCR need to be conducted in order to better understand this phenomenon. Aim: The aim of this study was to evaluate the occurrence of TCR during maxillofacial procedures performed between 2008 and 2012 including trauma, orthognathic, and reconstructive surgeries. Additionally, with a literature review provide information regarding its incidence, predisposing factors and management. Subjects and Methods: A five-year retrospective study was conducted to evaluate the charts of 56 healthy patients (classified as American Society of Anaesthesiologists class I) admitted in the Department of Oral and Maxillofacial Surgery from 2008 through 2012 at King Abdulaziz Medical City (formerly known as King Khalid National Guard Hospital), Jeddah. Information regarding the different types of procedures and occurrence of TCR in each case was collected. SPSS (V 11.5) was used to analyse the data collected. Results: The overall incidence of TCR was 20% of all the cases, with the highest percentage occurring during mid face trauma repair followed by upper face reconstructive surgeries. Conclusions: TCR can be fatal and must be taken in consideration. All craniomaxillofacial surgeons are advised to follow guidelines for the management of TCR illustrated by Arasho et al. in 2009.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81325761","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}

{"title":"Diabetes management patterns in a palliative care unit in Saudi Arabia","authors":"S. Alshammary, B. Duraisamy, A. Alsuhail, Mohammad Mhafzah, Lobna Saleem, Nadir Mohamed, S. Ratnapalan","doi":"10.4103/1658-600X.179819","DOIUrl":"https://doi.org/10.4103/1658-600X.179819","url":null,"abstract":"Background: The terminally ill diabetic inpatients who had blood glucose monitoring continued until the day of death ranged from 32% to 76% according to previous studies. Researches regarding the management of diabetes in palliative care services in Saudi Arabia are insufficient, although it is of high prevalence. Balancing the goals of avoiding symptoms of hyperglycaemia and hypoglycaemia as well as minimising the burden of blood glucose monitoring and treatment have become a struggle to palliative care physicians due to limited evidence-based resources. This intensifies the complexity of managing diabetes during a terminal illness. Objective: The purpose of this study was to describe the management of diabetes among patients who were admitted to hospital-based palliative care unit (PCU) at King Fahad Medical City, Riyadh, Saudi Arabia. Methods: A retrospective chart review, cohort study for all PCU inpatients was done. The study was conducted on the charts of 12 months from January to December 2013. Measures included diabetes prevalence, monitoring of blood glucose by laboratory and/or bedside testing and diabetes treatment with the use of oral hypoglycaemic agents and insulin. Prevalence of diabetes associated comorbidities, hypertension and dyslipedemia were also measured along with their treatment. A descriptive analysis of collected data was carried out. Results: Eighteen adult diabetic patients (15.25%) out of the whole 118 patients admitted to PCU over the 12 months' study period were reported. Ten (55.6%) were males, and 8 (44.4%) were females, with a mean age of 59.26 years. Blood glucose monitoring in the diabetic patients was done for ten patients; bedside glucometer utilized for 9 patients (50%), glucometer + serum glucose measurement done in one patient (5.6%), and no glucose monitoring was done in eight patients (44.4%). The majority of the patients 11/18 (61%) stayed at the hospital until death while 7/18 (39%) did well and were discharged. The monitoring of blood sugar was continued for six patients until the last week of life. Blood glucose management dropped to 33% at the end of life. Initially, half of the patients (50%) had their blood glucose managed with hypoglycaemic medications with or without insulin. This dropped during the last week of life to 33%. In the comorbidity group, 72% were using antihypertensive or lipid lowering agents, as a result of which it dropped to 50% during the last week of life. Conclusion: Diabetes management varied among PCU patients. There is a real need for evidence-based guidelines for diabetes management among patients at the end of life. These guidelines should be tailored to patients' individual preferences in goals of care. Advance care planning should include discussion about patient preferences for management of diabetes at the end of life.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86278601","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}

{"title":"Better than before and yet no quick fix: Zika virus outbreak and its containment efforts","authors":"Habida Elachola, S. Sow, J. Al-Tawfiq, Z. Memish","doi":"10.4103/1658-600X.179824","DOIUrl":"https://doi.org/10.4103/1658-600X.179824","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89569808","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}

{"title":"Requirements of the endodontic board certifications and master′s degrees inSaudi Arabia and the United States","authors":"Mohammed A. Alshehri, H. Alamri, Bader Alshammari, S. Al-Nazhan","doi":"10.4103/1658-600X.179826","DOIUrl":"https://doi.org/10.4103/1658-600X.179826","url":null,"abstract":"Objective: The objective of this study was to compare the regulations and clinical requirements of the endodontic board certifications and master's degrees in the Kingdom of Saudi Arabia (KSA) and United States of America (USA). Materials and Methods: This study was performed in the year 2012. Documents from the American Board of Endodontics (ABE) and the Saudi Specialty Certificate in Endodontics (SSC-Dent [Endo]) were collected from their official websites. Fifty-two American and 3 Saudi endodontics programme directors were requested to submit their institutional requirements for obtaining board certification. Results: The response rates of directors from the KSA and USA were 100% (n = 3) and 32.7% (n = 17), respectively. In KSA, dentists with a bachelor's degree in dental surgery are eligible to join the 4-year SSC-Dent (Endo) programme or a 3-year master's degree programme. In the USA, dentists who graduate from a specialty accredited by the American postgraduate programme in endodontics are qualified to become board-certified through the ABE voluntary examination process. Both the SSC-Dent (Endo) and the ABE offer a variety of modules that equip the candidate with greater knowledge regarding endodontics. The two programmes consist of written and oral examinations and vary in terms of the number of clinical procedures involved. The didactics and clinical requirements of master's degree programmes in the KSA and USA are comparable. Conclusion: The regulations and clinical requirements of master's degree programmes in the KSA and USA are comparable, and both the SSC-Dent (Endo) and ABE have a variety of modules that can be completed.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87963247","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}

{"title":"Saudi simulation in the Kingdom of Saudi Arabia","authors":"M. Seraj","doi":"10.4103/1658-600X.173840","DOIUrl":"https://doi.org/10.4103/1658-600X.173840","url":null,"abstract":"","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74805240","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}

{"title":"Integrating scientific research into undergraduate curriculum: A new direction in dental education","authors":"Fahad Saleh Al Sweleh","doi":"10.4103/1658-600X.173845","DOIUrl":"https://doi.org/10.4103/1658-600X.173845","url":null,"abstract":"Background: The advantages of involving students in scientific research have been well-documented. Many educational organisations and universities have placed emphasis on integrating scientific research into the undergraduate curriculum. Aims: The objective of this paper is to elaborate on the importance of integrating scientific research into the undergraduate curriculum and to propose a model on how to integrate it into the current curriculums. Methods: In this proposed model, students would be exposed to research in each academic year from the 1st year up to the 5th year. In the 1st year, students would attend lectures introducing them to scientific research. In the 2nd year, students would be distributed among the faculty members and would be exposed to a more detailed research science by having lectures that explain research problems, and the objectives of the study. In the 3rd year, students would have detailed lectures about study designs and how to write one. In the 4th year, students would have lectures about biostatistics, in addition to, lectures that explain how to write the 'Results' section of their study in a manuscript format; then they would be trained to conduct the study and collect pertaining data. In the 5th year, students would have lectures on the components of the 'Discussion' and 'Conclusion' sections as well as how to write them appropriately in a manuscript format. Finally, they would be taught on how to finalize editing of their research manuscript in preparation for publication. In the internship programme, they would be obligated to conduct another study independently, in order to evaluate their understanding. Conclusion: The undergraduate research is a cumulative learning experience which requires the support of the institute and faculty. Establishing a dental student research journal would encourage students to conduct and publish their research.","PeriodicalId":31033,"journal":{"name":"Journal of Health Specialties","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80281404","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}