JOURNAL
Current Issue
Journal Archive
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September 2022 -
Volume 20, Issue 9


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From the Editor

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Prevalence of depressive symptoms in hypertensive patients in Taif city
[Abstract]
[pdf]

Ayman A. Atalla, Rana S. AlQarni, Reema S. Althubaiti, Kholoud A. Alhasani, Bushra S. Alghamdi, Hadeel S. Alghamdi
DOI: 10.5742/MEWFM.2022.9525131

Patient Awareness about the indications for and complications of sleeve gastrectomy in the western region of Saudi Arabia
[Abstract]
[pdf]

Khalid M. Alzahrani, Jamal Amin Faydh, Saad Eidhah Althuwaybi, Saud Saeed Alzahrani, Fayez Dakhil Allah Althobaiti, Bader Abed Althagafi
DOI: 10.5742/MEWFM.2022.9525132

Prevalence of Obstructive Sleep Apnea among Patients with Cardiovascular Diseases
[Abstract]
[pdf]

Reda Abdelmoaty Goweda, Mahmoud Elshahat Elsayed, Asmhan Saadeldin Rady, Faisal Saleh Alnahdi, Anas Mohammad Alqurashi,
Turki Talal Alessa, Bassam Musleh Bin Laswad, Azzam Musleh Bin Laswad, Omar Abdulaziz Althobity, Ammar Safran Alhothali, Abdullah Khafagy,
Ahmed Metwally, Wael Zeid
DOI: 10.5742/MEWFM.2022.9525133

Efficacy of oral isotretinoin in the treatment of acne vulgaris
[Abstract]
[pdf]

Amer Bin Al-Zou, Asia Hassan Abdulla Saleh, Mohamed Saeed Bafadhl, Fathi Elkasah
DOI: 10.5742/MEWFM.2022.9525134

Leakage Management after Laparoscopic Sleeve Gastrectomy: A Tertiary Center Experience in Saudi Arabia
[Abstract]
[pdf]

Khalid M. Alzahrani, Tamer M. Abdelrahman, (Sumayyah A. Jafri, Mohammed Abdo, Khalid A. Alsharif
DOI: 10.5742/MEWFM.2022.9525135

Population and Community Studies

The monitoring of DOACs in primary care, a quality improvement project
[Abstract]
[pdf]
Abdul Muhid, Javed Khan
DOI: 10.5742/MEWFM.2022.9525136

The level of knowledge and awareness about diabetes and diabetic foot among the Taif general population
[Abstract]
[pdf]

Haifa Alotaibi, Areej M. Abdullah, Rawan I. Alqurashi, Kholood S. Althobaiti, Sarah A. Khan, Shumukh G. Althobaiti
DOI: 10.5742/MEWFM.2022.9525137

Hypertensive and Diabetic Patients' Knowledge of Myocardial Ischemia and Stroke Symptoms in Al-Ahsa, Saudi Arabia
[Abstract]
[pdf]
Abdullah AI Ali, Fatimah Aledili, Fatimah Albahrani, Heba Albisher, Fatimah Bomouzah, Fatimah Aleliwi, Ghadeer Alghasham, Laila Alalawi
DOI: 10.5742/MEWFM.2022.9525138

Health-related behaviors of undergraduate medical students of public sector university, Karachi 2022
[Abstract]
[pdf]

Sahar Aijaz, ,Ali Jawwad Karim, ,Fatima Abid, ,Aarfa Azhar, Maha Noor,
Summaiya Ali Muhammad
DOI: 10.5742/MEWFM.2022.9525139

Awareness of benign paroxysmal positional vertigo among the population of Taif city
[Abstract]
[pdf]

Mohammed A. Basurrah, Yahya A.Fageeh, Sultan H. Alziyadi, Abdulsalam M. Alshehri, Waleed Khalid Alrabie, Meshari M. Alruways, Ahmad S. Alosaimi, Faisal M. Alfadli
DOI: 10.5742/MEWFM.2022.9525140

Knowledge, Attitude, and Practice of Pregnant Women Regarding the Possible Effects of Obesity on Maternal and Fetal Health
[Abstract]
[pdf]

Sahar Ali Sari, Yahia Mater Al-Khaldi, Amal Mohammed Surrati, Ajaeb Meshal Alharbi
DOI: 10.5742/MEWFM.2022.9525144

Assessment of satisfaction level among patients toward services provided by dental clinics: A cross-sectional study
[Abstract]
[pdf]

Nada Fahad Saleh Al Ateeq, Budur Abdullah Mohammad Aljalban, Nawal Fahad Saleh Alazmi, Ashwaq Abdullah Mohammad Aljalban, Talal Awad A Alharbi, Mona Rubayyi R Alanazi
DOI: 10.5742/MEWFM.2022.9525156

Regional Covid

Concomitant COVID 19 Infection And NTDS: 68 Patient Case Series
[Abstract]
[pdf]

Sarab K. Abedalrahman, Fatima K. Khalid, Mahabad. S. Ali, Sheelan MS. Hasan
DOI: 10.5742/MEWFM.2022.9525142

Psychoneurotic symptoms among COVID infected patients; case series study
[Abstract]
[pdf]

Mohammed Khalil Ibraheem, Sarab K. Abedalrahman, Ashoor R Sarhat
DOI: 10.5742/MEWFM.2022.9525143

Review

Clinical Aspects of Breast Cancer
[Abstract]
[pdf]

Hani Raka Karrar, Mahmoud Ismail Nouh, Badriah Mohammed Alanazi,
Amro Othman Ahmed Hakami, Wejdan Jamaan S Alzahrani,
Waleed Khalid Aldoweirah, Waleed Salman Alanazi, Nasser Emad Alshammari, Bassam Mohammed Alanazi, Rahaf abed Alharbi, Njood Hamad Alshammari, Hadeel Saleh Alzahrani, Abdullah Salem A Alghamdi, Fahad Wadi Alanazi
DOI: 10.5742/MEWFM.2022.9525148

Over time prevalence of illicit substance use in Saudi Arabia
[Abstract]
[pdf]

Abdulrahman Alfaifi, Maged El-Setouhy
DOI: 10.5742/MEWFM.2022.9525150

Case Report

Osteoid osteoma of the proximal femur: A case report
[Abstract]
[pdf]

Ameena Khalid Bughamar, Noora Hamad Alaazmi, Fahad Alkhalifa
DOI: 10.5742/MEWFM.2022.9525152

HEADACHE - Common symptom with Rare Diagnosis in UK Primary Care - A Case report
[Abstract]
[pdf]

Syed Mohsin Raza, Syed Shahinul Haque
DOI: 10.5742/MEWFM.2022.9525153

Original Clinical Research

Necrotizing Fasciitis of Spine: The knowledge of physicians in Saudi Arabia toward this rare condition
[Abstract]
[pdf]

Alshehri A. Mohammed
DOI: 10.5742/MEWFM.2022.9525156

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


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

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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September 2022 - Volume 20, Issue 9

This issue is rich with papers from the region and worldwide. Al Zahrani et al., did an observational cross-sectional study in the west part of Saudi Arabia. The study's population include all patients of sleeve gastrectomy from the Western Region of Saudi Arabia.

The instrument used was an electronic questionnaire, which included questions about knowledge of sleeve gastrectomy indications and complications. The questionnaire was sent to 451 patients who underwent sleeve gastrectomy, and about 444 patients gave consent to participate. According to the findings of our study, knowledge regarding the indications for and complications associated with sleeve gastrectomy is not satisfactory.

Goweda et al., did a cross-sectional study was carried out in Makkah city and 451 patients were recruited. The aim is to screen for the Prevalence of Obstructive Sleep Apnea among Patients with Cardiovascular Diseases. The majority of studied patients were males 315(69.8%), Saudis 370(82%), married 353(78.3%), diabetic 291(64.5%), and their age between 40 to 59 years. The authors concluded that OSA is highly prevalent among cardiovascular disease patients. physicians' awareness regarding screening, diagnosis, and treatment of OSA is essential to prevent cardiovascular disease risks.

Muhid & Khan, did a quality improvement project looking at The monitoring of DOACs in primary care, a quality improvement project. They stressed that direct acting oral anticoagulation play a key role in preventing thrombotic stoke and thromboembolism. DOACs require careful drug monitoring to prevent unnecessary strokes and hemorrhage. Quality improvement projects/Audits are necessary to highlight, how robust DOAC monitoring is in Primary care.

Alqifari, et al., did a A retrospective survey among patients with history of HZ throughout KSA between June and December 2021. 68 patients were included and data were collected by online questionnaire and telephone interviews. Females were predominantly affected by HZ. Overall Mean age at diagnosis was 39.43±16.50 years. Among all the symptoms; painful blisters were frequently re-ported in 81% of participants. The authors concluded that HZ is a prevalent condition affecting a wide range of patients including geriatrics. Available vaccine products help in reducing both the incidence of HZ and its complications. With the given efficacy of the vaccine prod-cuts, vaccine access should be widened across KSA.

Al Ateeq et al., did a cross-sectional study that was conducted among patients who admitted to dental clinics in order to assess the satisfaction level toward health services using Patients Satisfaction Questionnaire (PSQ-18) that was distributed among the participants using online Google sheets. In this study, we were able to collect data from 300 patients who went to private and governmental dental clinics and agreed to participate in this study. This study showed slightly more than half of the patients of dental clinics were satisfied with health services provided by the clinics especially considering technical aspects. Older patients, non-Saudi patients, less educated patients, and those with lower income showed lower level of satisfaction

Albahrani et al., followed a questionnaire-based cross-sectional survey conducted in outpatient clinics in several hospitals and primary care centers. The aim was looking Hypertensive and Diabetic Patients Knowledge of Myocardial Ischemia and Stroke Symptoms. We enrolled 339 participants who has diabetes, hypertension or both. Poor knowledge score of IHD symptoms showed in 24.8% of participants and 26.3% had poor knowledge score of stroke symptoms. The authors concluded that knowledge of IHD and stroke symptoms was poor in a quarter of at-risk patients in Al Ahsa, Saudi Arabia. The history of IHD in the participants did not correlate with a better knowledge score. Our findings call for more efforts to establish and expand the awareness campaign.

Atalla , et al., included Hypertensive patients attending a single tertiary care hospital in Taif city were recruited for our study after taking informed consent and ethical approval from the institution. The objective is to assess the prevalence of depression symptoms among hypertensive patients in Taif city, Saudi Arabia, and also to analyze various determinants related to their co-existence. The prevalence of depression among these hypertensive patients was 27.5%, and 2.5% had a severe form of depression. The authors concluded that
considering the high prevalence of depression among hypertensive patients, it is critical to developing screening programs and community education campaigns.

Raza & Haque reported a case of headache with rare diagnosis. Headache is a common presenting symptom in Primary Care with a wide list of differential diagnoses and important red flag symptoms.It is also crucial to recognise when to get help from secondary care colleagues when faced with rare and complex cases that may need hospital admission for further investigations, management and monitoring. This case highlighted the importance of being aware of different, including rare, differentials when confronted with a common presenting symptom.

Bin Al-Zou, et al , did a retrospective chart review of patients presenting to the dermatology private clinic in Almansoora, Aden, over a 2-year period, complained of acne vulgaris and treated with oral isotretinoin. The total study patients were 86 (68.6% females and 31.4% males). The mean age of patients was 25.6 ± 7.9 years. The difference between means related to sex shows statistically significant (p = 0.006). The patients of the age group ? 20 years were predominant.

Alfaifi et al., reviewed overtime prevalence of substance use in Saudi Arabia
The authors stressed that substance use disorder is a chronic brain disease. Recently, Saudi Arabia's rank was among the top of the world in amphetamine seizures. Drug smuggling as well as conflicts and wars in the surrounding counties might play a role in that. The current review found a few articles talking about substance use prevalence in Saudi Arabia, much of that work was about Khat substance. In the end, we concluded that there is a considerable need for further research in this field.

Bughamar et al., report a case of Osteoid osteoma of the proximal femur. They presenting a case of a 12 years old male with Proximal femoral OO who was managed conservatively in the beginning and then treated using X-Ray Guided percutaneous Drilling of the lesion with good postoperative clinical outcome.In this Report we are discussing the surgical steps as well as the prognosis compared to other treatment options. The authors stressed that a delay of the diagnosis can occur due to the majorities of differential diagnosis and the difficult the interpretation of the diagnostic imaging , so a high clinical suspicion and early interventions using more advanced imaging modalities allows earlier diagnosis of ''OO'' and therefore quicker treatment and relief of patient symptoms .

There are two papers related to covid Abedalrahman et al., did a descriptive study of 68 patient case series. The aim of this study is to describe the clinical characteristics of simultaneous cases of COVID 19 in pregnant women with neural tube defects in their newborns. The series included cases of Neural Tube Defects which their mother were affected with COVID19 infection that reported in Zahko Maternity hospital- labour unit. The general and obstetrical history of the patients, the current study revealed that the affected age group of mothers are as follows; 28 (41.2%) of them (26-30 years), 15 (22.1) of them (> 35). Anemia and fever in the 1st trimester were found in 54 (79.4%) of them. The drugs received during pregnancy, as follows; antibiotic all patients 100%, antihypertensive drug received from 14 (20.6%), antipyretics 29 (42.6%), antacid 21 (30.9%), antifungal 16 (23.5%). Ibraheem et al., looked at case series of patient infected with Covid. The aim of this study is to describe the psychoneurotic symptoms among COVID infected patients. Case series study of 101 patient infected with COVID virus of different severity of the disease.in Tikrit city during 2020-2022. The auditory hallucinations reported among 4(40%), olfactory hallucinations reported among 5(50%), and visual hallucinations among 1(10%). The authors concluded that Neuropsychiatric symptoms was