Causes of Admission to Intensive Care Units in the Hajj Period of the Islamic Year 1424 (2004)
CONCLUSION: This study revealed information on the pattern of diseases and the most common causes of admission of pilgrims to ICUs and the required medical services during Hajj. It is hoped that this information will be of help to health care planners and officials to provide optimal and cost effective health care services to pilgrims in Hajj.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

An Unusual Cause of Gastric Outlet Obstruction: A Pancreaticoduodenal Artery Aneurysm
We present a rare case of gastric outlet obstruction due to compression of the duodenum by a pancreaticoduodenal artery (PDA) aneurysm 2.5 cm in diameter, in a 43-year-old man from Saudi Arabia who presented with persistent vomiting and epigastric pain. The initial investigations and blood works were negative, and esophagogastroduodenoscopy (EGD) was unremarkable. A CT abdomen demonstrated a mass around the duodenum and dilatation of the stomach, and CT angiography showed the PDA aneurysm. The patient was stabilized and then referred to a tertiary center for embolization. Our case demonstrates a diagnostic challenge that p...
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Surgical Resident Satisfaction with the Current Surgical Training Program in the Riyadh Area
CONCLUSIONS: These results show that surgical residents are generally dissatisfied with current training programs. The study suggests that there are significant weaknesses in the current programs and the governing body may be ineffective in monitoring the programs. We feel that a national review of surgical training programs is warranted in view of these results. Ann Saudi Med 2009; 29(5): 388-392 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Hepaticocholecystoduodenostomy Compared with Roux-en-y Choledochojejunostomy for Decompression of the Biliary Tract
CONCLUSION: Based on this small series, HCD seems to be a better palliative surgical procedure than the routinely performed CDJ. Ann Saudi Med 2009; 29(5): 383-387 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Vitamin D Levels in Healthy Men in Eastern Saudi Arabia
CONCLUSIONS: The prevalence of vitamin D deficiency among healthy Saudi men is between 28% to 37%. Vitamin D deficiency among young and middle age Saudi Arabian males could lead to serious health consequences if the issue is not urgently addressed. Ann Saudi Med 2009; 29(5): 378-382 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Management of Ascites Due to Gastrointestinal Malignancy
Ascites is the pathological accumulation of fluid within the abdominal cavity. The most common cancers associated with ascites are adenocarcinomas of the ovary, breast, colon, stomach and pancreas. Symptoms include abdominal distension, nausea, vomiting, early satiety, dyspnea, lower extremity edema, weight gain and reduced mobility. There are many potential causes of ascites in cancer patients, including peritoneal carcinomatosis, malignant obstruction of draining lymphatics, portal vein thrombosis, elevated portal venous pressure from cirrhosis, congestive heart failure, constrictive pericarditis, nephrotic syndrome and ...
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Prevalence of Oral Lesions Among Saudi Dental Patients
CONCLUSION: The findings of this study provide information on the types and prevalence of oral lesions among Saudi dental patients. This provides baseline data for future studies about the prevalence of oral lesions in the general population. Ann Saudi Med 2009; 29(5): 365-368 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Pediatric Retinal Detachment in the Eastern Province of Saudi Arabia: Experience of a Tertiary Care Hospital
CONCLUSION: Pediatric RRD in the Eastern province is often associated with predisposing pathology. Surgery is successful in achieving anatomical reattachment of the retina in a majority of cases with improvement of visual acuity. Ann Saudi Med 2009; 29(5): 361-364 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

The Prevalence of Metabolic Syndrome and Cardiovascular Risk Factors in a Group of Obese Saudi Children and Adolescents: A Hospital-Based Study
CONCLUSIONS: Obese Saudi children and adolescents have multiple risk factors associated with metabolic syndrome. Ann Saudi Med 2009; 29(5): 357-360 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Regional Variations in the Growth of Saudi Children and Adolescents
CONCLUSION: Regional variations in growth need to be taken into consideration when assessing the growth of Saudi children and adolescents. Ann Saudi Med 2009; 29(5): 348-356 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Body Mass Index in Saudi Arabian Children and Adolescents: A National Reference and Comparison with International Standards
CONCLUSION: The BMI curves reflect statistically representative BMI values for Saudi Arabian children and adolescents. Ann Saudi Med 2009; 29(5): 342-347 (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

The Need for Hospital-Based Neonatal Palliative Care Programs in Saudi Arabia
The terms palliative care, supportive care, and comfort care are used to describe individualized care that can provide a dying person the best quality of life until the end. The term " end-of-life care " is also used in a general sense to refer to all aspects of care of a patient with a potentially fatal condition. While the concept of palliative care is not new, it has only recently been applied to the neonatal population. To the best of our knowledge, none of the neonatal intensive care units (NICUs) in Saudi Arabia have adopted a neonatal program for palliative care. We believe the main reason is lack of knowledge of su...
Source: Annals of Saudi Medicine - November 16, 2017 Category: General Medicine Tags: ISSUE 5 Source Type: research

Comparison of Six-Minute Walking Tests Conducted With and Without Supplemental Oxygen in Patients with Chronic Obstructive Pulmonary Disease and Exercise-Induced Oxygen Desaturation
CONCLUSION: The 06MWT, which produced less hemodynamic stress and was safer than the A6MWT, might provide more accurate information on exercise limitation for patients with COPD. These results suggest that the 06MWT can be used as a standard walking exercise test for patients with COPD and exercise-induced oxygen desaturation. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 15, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research

Comparison of Six-Minute Walking Tests Conducted With and Without Supplemental Oxygen in Patients with Chronic Obstructive Pulmonary Disease and Exercise-Induced Oxygen Desaturation
CONCLUSION: The 06MWT, which produced less hemodynamic stress and was safer than the A6MWT, might provide more accurate information on exercise limitation for patients with COPD. These results suggest that the 06MWT can be used as a standard walking exercise test for patients with COPD and exercise-induced oxygen desaturation. (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 15, 2017 Category: General Medicine Tags: VOLUME 37 Source Type: research

Rapid Detection of Clarithromycin-Resistant Helicobacter Pylori in Patients with Dyspepsia by Fluorescent in Situ Hybridization (FISH) Compared with the E-Test
CONCLUSION: FISH is a rapid technique for detection of H. pylori in clinical samples. Moreover, strains susceptible to clarithromycin can be detected quickly. Therefore, this method is suitable for determination of susceptibility of H. pylori to clarithromycin, especially when a quick decision is necessary for treating dyspeptic patients.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - November 15, 2017 Category: General Medicine Tags: ISSUE 2 Source Type: research