Translation, validation, and cultural adaptation of the Rhinosinusitis DisabilityIndex and the Chronic Sinusitis Survey into Arabic
CONCLUSION:These Arabic validated versions of the RSDI and CSS can be used for both clinical and research purposes. LIMITATIONS:This study was performed in only one tertiary hospital. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Clinical outcomes with transcatheter aortic valve implantation at a single cardiac center in Saudi Arabia
CONCLUSION: The TAVI experience at MCC is encouraging and comparable to international outcomes in terms of success, morbidity, and mortality rate. LIMITATIONS: Retrospective, relatively small sample size. Rate of minor bleeding was overestimated. CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Extracorporeal membrane oxygenation improved survival in patients with massive pulmonary embolism
CONCLUSIONS: Anticoagulation with ECMO support is associated with good survival rate outcomes compared with medical therapy alone.  LIMITATIONS:Relatively small number of patients and retrospective design. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Portal venous pressure and proper graft function in living donor liver transplants in 69 patients from an Egyptian center
CONCLUSION: PVP is a significant hemodynamic factor that influences the functional status of the transplanted liver, including the development of SFSS, in the Egyptian population. PVP modulation may improve the outcome of LDLT. LIMITATIONS:Further study with a larger sample is needed to confirm these results.  CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Comparison of two different renal access techniques in one-stage percutaneous nephrolithotomy: triangulation versus “eye of the needle”
CONCLUSION: According to our study, renal access for one-stage PCNL can be achieved using either the EN or TT technique. The renal access technique used does not independently affect the complication rate. LIMITATIONS:Retrospective, small sample size, and no comparison of body mass index. CONFLICT OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Time-to-detection of bacteria and yeast with the BACTEC FX versus BacT/Alert Virtuo blood culture systems
CONCLUSION:TTD was significantly shorter for most of the microorganisms tested on the new BacT/Alert Virtuo system compared to the BACTEC FX system. LIMITATIONS: Use of simulated cultures to assess TTD may not precisely represent clinical blood cultures. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

A novel high-resolution melting analysis approach for rapid detection of vancomycin-resistant enterococci
CONCLUSION: The 16S-PCR-HRMA approach has the potential for detecting vancomycin-resistantE faeciumandE faecalis. Data with VRE provide the basis for combining VRE identification with pathogens speciation in a rapid, cheap assay able to identify a pathogen as an Enterococcus and whether it is vancomycin-sensitive or -resistantE faecium orE faecalis in a single PCR and HRMA run. LIMITATIONS: Tested on specific, but not all, referenceEnterococcus species and clinical isolates.  CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Human myiasis in patients with diabetic foot: 18 cases
CONCLUSION: To our knowledge, this is the largest reported series of cases of diabetic foot with myiasis. The most common parasitic agent wasLucilia sericata. Bacterial soft tissue infections were observed in all cases. Poor hygienic conditions were noteworthy and all patients were in need of radical surgery. Myiasis complication of diabetic foot is more frequently seen in the spring and summer.  LIMITATIONS:Insufficient follow-up time for analysis of possible confounding factors. CONFLICT OF INTEREST: None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Stress and coping among consultant physicians working in Saudi Arabia
CONCLUSIONS: Physician consultants generally cope well with work stressors. Nevertheless, there is still a critical need for stress management programs targeting consultants in order to further improve coping strategies.  LIMITATIONS:The low response rate may negatively impact the validity and the generalizability of the current findings. The cross-sectional study design precluded the finding of any causal association.  CONFLICT OF INTEREST:None.  (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized children ’s hospital in Saudi Arabia
CONCLUSION: Risk factor identification is required to prevent falls and their severe outcomes. LIMITATIONS:Underreporting and single-centered study. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Sclerosing encapsulated peritonitis: typical imaging findings for easy diagnosis
Sclerosing encapsulated peritonitis (SEP) is a rare disease characterized by intestinal encasement within a fibrocollagenous membrane. Diagnosis of SEP may be challenging due to a lack of specific symptoms. Demonstration of clustered intestinal segments surrounded by a membranous sac by various imaging modalities is crucial to reveal the presence of SEP. Radiologic examinations play an important role in the management of the disease. This case is not unusual. Our intention is to emphasize the role of the imaging findings of a patient with primary SEP that presented with recurrent intestinal obstruction. SIMILAR CASES ...
Source: Annals of Saudi Medicine - May 31, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Withdrawal of two generic clopidogrel products in Saudi Arabia for non-bio-equivalence
To the Editor: Clopidogrel, a P2Y12 platelet inhibitor, is indicated for the treatment of cardiovascular and cerebrovascular events.1-3 In February 2018, the Saudi Food and (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 30, 2018 Category: General Medicine Tags: ISSUE 3 Source Type: research

Reproductive health profile and circumcision of females in the Hali semi-urban region, Saudi Arabia: A community-based cross-sectional survey
CONCLUSION: The pattern of early female marriage, high consanguinity, GMP, low contraceptive use, and a high frequency of circumcision in girls was apparent in Hali. Public health education and legislative policies are needed. LIMITATIONS:Recall bias may affect the reported frequency of circumcision, and related complications. CONFLICTS OF INTEREST:None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 5, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research

Screening of latent tuberculosis infection among health care workers working in Hajj pilgrimage area in Saudi Arabia, using interferon gamma release assay and tuberculin skin test
CONCLUSION: Agreement between the tests was poor. QFT-GIT detected LTBI when TST was negative in HCWs who had a history of close contact with TB patients.  LIMITATIONS: A second step TST was not feasible within 2-3 weeks. CONFLICT OF INTEREST: None.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - April 5, 2018 Category: General Medicine Tags: ISSUE 2 Source Type: research