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October 2022 -
Volume 20, Issue 10

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From the Editor



Original Contribution

Evaluation of physical performance and quality of life among patients with previous kidney transplantation: A Cross-sectional study
Shami, Mohammed Adel M, Abdulrahman Mohammed Ali, Saud Mohammed Saud Aleisa, Meshari Ghali Alnefaie
DOI: 10.5742/MEWFM.2022.9525174

Investigating the awareness of breast cancer among female pharmacy students in the Makkah region, Saudi Arabia
Jumana Sako, Ghdi Almsaoudi, Rasha AL-Malki, Raghidah Alilyyani,
Rawan Almatrafi, Raghad Almatrafi, Nouf Alwafi, Shuruq Alamer,
Rehab Almehmadi, Reem Alotaibi, Safaa Alsanosi, Alaa Falemban,
Deena Bukhary, Yosra Al-Hindi
DOI: 10.5742/MEWFM.2022.9525175

Assessing Medical Student Basic Otolaryngology Knowledge:
A questionnaire-based Study

Yahya A. Fageeh, Mohammed A. Basurrah, Abdulaziz S. Aljuaid, Abdulmohsen H. Alghamdi, Rayan D. Alamri, Hamoud A. Alobaylan, Mujahid A. Alzahrani
DOI: 10.5742/MEWFM.2022.952596

Outcome of Antenatal Renal Pelvic Dilatation - Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia
Khalil Mahmoud, Abdullah Mohammed, Basim Qusayri, Bayan Hanif, Mohamed Ayed, Ahmad M. Elabed, Ahmed Kandeel Elhaddad
DOI: 10.5742/MEWFM.2022.9525187

Regional Covid

COVID-19 Effect on Dietary Supplements' Consumption, Prophetic Medicine Practices and Herbs Use in Saudi Arabia
Elham Abbas Aljaaly, Reem Alhijri, Lujain Al Nasser
DOI: 10.5742/MEWFM.2022.952597

Self-Reported Adverse Events of COVID-19 Vaccines on Menstrual Cycles
Afaf Farouq Alzahrani, Nada Abdulfattah Abdulaal
DOI: 10.5742/MEWFM.2022.9525188

Willingness and attitudes of parents of children under the age of 12 about the COVID- 19 vaccine in Taif city
Ayman A. Atalla, Jamal Faydh, Saad Althuwaybi, Ethar Alharthi, Amani Alrumaym
DOI: 10.5742/MEWFM.2022.9525161

Population and Community Studies

Type III Supracondylar humeral fracture in children treated by 3 lateral versus 2 cross K-wire fixation, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen, Nazih Ali Abdulrahman Omer, Mustafa Kamal Mustafa, Ahmed Mohamed Albushtra
DOI: 10.5742/MEWFM.2022.9525164

Assessment of Premarital Screening for Prospective Couples in Aseer Region, Saudi Arabia, 2021
Ayman Mohammad Aboalam, Ali A. Al-Mousa, Saad Alamri, Ossama A. Mostafa
DOI: 10.5742/MEWFM.2022.9525190

Review Articles

High sensitivity C-reactive protein and dyslipidemia as a marker for the risk for cardiovascular disease
Arun Pandeya, Naveen Kumar Shreevastva, Lal Chandra, Vishwajeet Rohil, Prahlad Karki, Madhab Lamsal

DOI: 10.5742/MEWFM.2022.9525180

Role of Ipratropium bromide in management of Thunderstorm asthma
Numan Ahmad, Kaleem Murtaza Buttar
DOI: 10.5742/MEWFM.2022.9525181

Subcutaneous Migration of Distal Ventriculoperitoneal Shunt Catheter in Morbidly Obese Patients: Two Case reports
Sara Aljohani, Khalid Mahrous, Ahmed AlJohani, Luma Qutub,
Layan Kutub, Raghad Alhajrasi, Hussam Kutub, Abdulrahman Mohammed AlAhmadi
DOI: 10.5742/MEWFM.2022.9525183

Case Reports

A diagnostic surprise of Hodgkin's Lymphoma in a 29-year-old long distance runner
Kaleem Murtaza Buttar, Numan Ahmad
DOI: 10.5742/MEWFM.2022.9525185

Middle age man with Gastroparesis
Babur Qayyum Khan
DOI: 10.5742/MEWFM.2022.9525186

Middle East Quality Improvement Program

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE


Publisher -
Lesley Pocock
medi+WORLD International

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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

October 2022 - Volume 20, Issue 10

In this issue, there is still major interest in the Covid issue in the region and a number of papers deal with topics of importance to the health care professional, in addition to a number of interesting cases.

Alzahrani, et al., followed a cross-sectional research design, to investigate the possible adverse effects of COVID-19 vaccinations on menstrual abnormalities in women in their reproductive period. Almost half of participants (48%) reported the incidence of menstrual abnormalities after receiving COVID-19 vaccinations, manifested as changes in frequency, length or quantity of menstruation. Participants received one, two or three doses of either Pfizer-BioNTech or Oxford-AstraZeneca vaccines. Adverse effects of COVID-19 vaccines occurred mainly after the third doses of Pfizer and AstraZeneca (12.5% for both). The authors concluded that Women who receive COVID-19 vaccinations may have menstrual abnormalities. This change mainly occurs after the third dose, regardless of the brand of received vaccine. It is recommended that women be clearly informed after vaccination of the possibility of short-term menstrual abnormality and to seek proper medical advice in such conditions. Further studies are required to investigate the possible mechanisms behind these COVID-19 vaccines' adverse effects.

Atallah et al., looked at the willingness and attitudes of parents of childrens under the age of 12 about the COVID- 19 vaccine in Taif city. The goal of this study is to assess parents' attitudes towards COVID-19 vaccines, determine the prevalence of vaccine rejection among parents, and explain the reasons for vaccine rejection and the factors that influence it as there is insignificant number of studies related to our topic especially in Saudi Arabia. The authors concluded that the study showed poor acceptance of COVID-19 vaccine for children among parents. The choice of whether or not to vaccinate a child should be made by the child's parents. Individual benefits of protection against COVID-19 must be weighed against the population merits of pandemic control. Administering vaccines in children and analyzing their efficacy and advantages in terms of minimizing the risk of severe COVID-19 and subsequent consequences is a critical issue that has to be monitored on a regular basis. Whereas Aljaaly, et al., did a cross-sectional study aimed to compare dietary supplements, Prophetic medicine (PM) and herbal/plants (H/P) use among adults in Saudi Arabia before and during the COVID-19 pandemic. 1351 individuals participated in the study via an online survey shared on social media platforms between December 11th, 2021, and March 1st, 2022. The authors concluded that there was a significant increase in consumption of most dietary supplements and Prophetic medicine practices. The government should launch public awareness campaigns and employ regulations to educate about the risks and benefits of self-medicated Prophetic medicine practices and self-prescribed dietary supplements.

Aljohani, et al., reported two cases of morbidly obese patients who presented with recurrent distal catheter migration and pseudocyst formation in the subcutaneous space less than a month following VP shunt placement for the management of hydrocephalus. The authors concluded that special attention must be given when placing a VP shunt in morbidly obese patients. There are various methods to prevent tube migration in such patients, like using a longer catheter tube, tight closure of the peritoneum while placing the catheter between the fat and abdominal muscles, using a hernia patch, and using laparoscopic techniques. We advocate for using different surgical procedures in obese patients prophylactically to avoid VP shunt failure and distal tube migration in patients with associated risk factors.

Buttar & Ahmad, reported a diagnostic surprise of Hodgkin's Lymphoma in a 29-year-old long distance runner. In this case study, an uncommon presentation of classical Hodgkin's Lymphoma, involving bone, in a 29-year-old long distance female runner was reported. Patient initially presented with bony pain without classic type B symptoms and lymphadenopathy. A final diagnosis of classical Hodgkin's lymphoma stage IV was confirmed and PET scan evaluation was also done. Patient started on Escalated BEACOPP regimen and four cycles of chemotherapy were completed in 12 weeks and showed good response post treatment. Albeit, it's rare, primary osseous Hodgkin's Lymphoma should be considered in the diagnosis of bony pain. The absence of classic type B symptoms and any local lymphadenopathy in this case did make the diagnosis challenging.

Fageeh, et al., did a cross-sectional survey was conducted among medical students in clinical years in the Saudi Arabia who studied ENT module. Participating students completed an online questionnaire that included questions related to ENT module. The purpose of this study is to assess medical students' basic otolaryngology knowledge. The authors concluded that Saudi medical students have appropriate knowledge of basic otolaryngology. With a significant proportion of ENT complaints in general practice, it is critical that all graduating medical students, not just those entering ENT, are adequately trained in basic ENT to perform competently and be confident enough to manage or refer these patients.

Pandeya., et al., did a case-control study among the patients visiting the outpatient department (OPD) of BP Koirala Institute of Health Sciences, Dharan Nepal in which forty seven newly diagnosed hypertensives as cases and fifty age and sex matched healthy normotensives as controls were enrolled in the study with the prior informed consent. hs-CRP, nitric oxide (NO) and lipid profile were estimated in both the cases and controls. The authors concluded that the levels of hs-CRP which is thought to be a marker of inflammation is significantly raised in hypertensives. Moreover, majority of hypertensives are dyslipidemic suggesting hypertensives to be at an increased risk for the development of cardiovascular disease (CVD).

Dr Khan, report a case of middle age man with gastroparesis. Dyspepsia and complaints related to upper gastro intestinal disorders are very common in primary care. Different disorders can present with similar symptoms with only subtle differences. Full evaluation of such patients is essential for the optimal management of disease. This case is about a middle age man with delayed gastric emptying or gastroparesis with chief complain of nausea and bloating. Although the incidence of gastroparesis is small but many patients could be misdiagnosed due to lack of awareness amongst physician and limited investigations. Gastroparesis should be kept in mind in patients presenting with upper gastrointestinal symptoms and disease specific management should be given.

Adel M et al., did a cross sectional study that was conducted among patients with CKD who underwent kidney transplantation in the last 10 years Jeddah region, Saudi Arabia using self-reported questionnaire which was distributed online among the patients. The questionnaire included the instrument of the World Health Organization, World Health Organization Quality of Life (WHOQOL-Bref), composed of 26 questions, of these two questions assess the overall perception of QOL and general health, and the others are divided into four domains: physical, psychological, social relationships and environment. The authors concluded that patients who underwent kidney transplantation showed good QoL and physical health when compared to the literature review of patients on hemodialysis. Higher educational level, living with family, having higher income and not need for hemodialysis after the surgery were associated significantly with better QoL

Ahmad & Buttar, looked at the role of Ipratropium bromide in management of Thunderstorm asthma. Epidemic thunderstorm asthma has been reported to have occurred around twenty times over the past three decades in locations around the world. Thunderstorm asthma (TA) typically presents during an aeroallergen season in individuals, sensitized to perennial rye grass pollen (RGP) in Australia, in combination with meteorological factors such as thunderstorms and lightning activity. Short acting beta agonist (SABA) only treatment is sub-optimal therapy for prevention of asthma exacerbations. The combined treatment includes inhaled corticosteroids (ICS) and SABA but found to be contentious. So the present review focuses on suitable alternative, short acting muscarinic antagonist (SAMA), Ipratropium bromide and its efficacy on the management of allergic asthma. Salbutamol induces bronchodilation rapidly but it elicits profound cardiovascular event as