“Saudi Journal of Medicine” ISSN 2518-3397 (Online) & ISSN 2518-3389 (Print) is a Monthly, peer reviewed, open access, Journal published by “Scholars Middle East Publishers”, Dubai, UAE. This Journal publishes Original Research Articles, Review, Case Studies , Short Communications, Editorial comments and within the whole field of medicine.
Scope of Journal
The scopes of “Saudi Journal of Medicine” includes all the areas of research activities in all fields medicine like Accident and emergency medicine, Aerospace medicine, Addiction medicine, Medical ethics, Biomedical Engineering, Clinical pharmacology, Conservation medicine, Disaster medicine, Evolutionary medicine, Forensic medicine, Gender-based medicine, Hospice and Palliative Medicine, Hospital medicine, Laser medicine, Nosology, Pharmacogenomics, Podiatric medicine, Sexual medicine, Sports medicine, Therapeutics, Veterinary medicine, Allergology, General Practice, Internal medicine, Laboratory medicine, Nuclear medicine, Occupational medicine, Ophthalmology, Pharmacology, Physical medicine and rehabilitation, Public health and Preventive Medicine, Respiratory medicine, Tropical medicine and alternative medicines.
Nasir Al Jurayyan
Professor Of Paediatrics & Consultant Paediatric Endocrinologist, Dept. Of Paediatrics, College Of Medicine & King Saud University, King Khalid University Hospital, P.O. Box 2925, Riyadh 11461, Kingdom Of Saudi Arabia
Dr. Hamid Osman Hamid
Associate Professor of Medical physics, Radiologic Science Department, College of Applied Medical Science, Taif University, Taif, KSA
Prof. Steven D. Waldman
Chairman & Professor, School of Medicine, University of Missouri, Kansas, MO 64108, USA
Amin Ahmed Elbadawi Elzaki
Associated Professor of Radiography & Nuclear Medicine Technology, Taif University, Taif, KSA
Dr. Attapon Cheepsattayakorn
10th Zonal Tuberculosis And Chest Disease Center, Chiang Mai, Thailand
Dr Theodoros Aslanidis
Mobile Intensive Care Units, National Center of Emergency Care, Thessaloniki Dep. Thessaloniki , Greece
Dr Rajinder PS Bajwa
Adjunct Clinical Assistant Professor, Lake Erie College Of Osteopathic Medicine (LECOM), Erie, PA 16509, USA
Dr. Rachad Alnamer
Faculty of Medicine and Pharmacy, University of Thamar, Yemen Faculty of Medicine and Pharmacy of Rabat, Morocco BP 6203, Rabat Institutes
Assist Prof. Dr. Asuman ÖZGÖZ
Kastamonu University, Kastamonu School of Medicine, Department of Medical Genetics, Kastamonu, TURKEY
Dr Namani Satyanarayana
Anatomy Unit, Faculty Of Medicine, Aimst University Semeling, Bedong 08100 Kedah, Malaysia.
Dr Pramendra Prasad Gupta
Associate Professor, Department of General Practice and Emergency Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Khadiga Ahmed Ismail
Associate Professor, Medical Parasitology Faculty of Medicine , Ain Shams University and Taif University, UAE
Dr. Rajendra Prasad Takhar
Assistant Professor, Department of Respiratory Medicine, Government Medical College, Kota, Rajasthan, India
Dr Saif Quaiser
Assistant professor, Dept of Medicine, JNMC, AMU, Aligarh, U.P, India
Prof. Dilip Kumar Pal
Department Of Urology, Institute Of Post Graduate Medical Education & Research, 244, Ajc Bose Road, Kolkata, India
Dr. B. Madhavulu
Associate Professor, Department Of Pharmacology & Therapeutics, Narayana Medical College & Hospital , Nellore, Andhra Pradesh , India
Dr. Wagih M Ghnnam
Ass.Professor Of General Surgery, Faculty of Medicine, Mansoura University, Egypt
Dr Saurabh Srivastava
ost-Doctoral Research Fellow, Dept of Cellular & Molecular Medicine ,University of California, San DiegoCA-92093, USA
Dr. Bernard M. Ndungu
Senior Lecturer, School Of Medicine, University Of Nairobi & Consultant General, Laparoscopic (Gi/Hernia) and Bariatric/Metabolic Surgeon, Nairobi, Kenya
Dr Wani Mena
Ophthalmologist Juba Teaching Hospital, Juba South Sudan
Dr Laxmi Kant Goyal
Assistant Professor, Department Of Medicine, SMS Medical College & Attached Hospitals, Jaipur, Rajasthan, India
Dr. Mohammad Arif
Asst. Professor, Government Unani Medical College, Bhopal, Madhya Pradesh, India
Serial Estimation of Neutrophil-to-Lymphocyte Ratio Predicts Progress of Critical Illness in Patients with COVID-19 Disease
Abdullah Al Jadidi, Mohammad Azharuddin Malik, Naresh Kumar Kaul, Rashid M Khan
Page Numbers : 300-304
DOI : 10.36348/sjm.2020.v05i09.003
A high incidence of lymphopenia has been reported in Covid-19 patients. The initial neutrophil-to-lymphocyte ratio (NLR) of ≥ 3.13 in Covid-19 patients predicts a high propensity of these patients to progress to critical illness. However, it has not yet been established if NLR would start to lower towards a normal ratio of 1-3 during patient’s road to recovery. This study hypothesized that NLR would start to return towards normal as patients recovered from this illness. This study included 43 patients with Covid-19 infection treated in the ICU at Khoula Hospital, Muscat from 10th May to 5th August 2020. Seven readings of NLR (NLR1 to NLR7) from the time of going on ventilator (NLR1) to discharge of patient (NLR7) from the ICU were statistically analyzed using paired ‘t’ test for patients who recovered or those who died. NLR values demonstrated a progressive fall in patients who recovered when comparison was made between NLR1 with other readings (NLR2 to NLR7). On the contrary, insignificant changes in NLR values were observed when comparison was made between NLR1 with subsequent day’s readings in patients who died while in ICU. In conclusion, this study suggests that the NLR of patients who survived showed a downward trend from its initial high values. In contrast, patients who died while in the ICU, NLR values showed little change from their basal value.
Sept. 9, 2020
Malignant Transformation: Dreadful Complication of A Choledochal Cyst
Choledochal cysts are a rare congenital anomaly, the malignant degeneration is the most dreadful complication of this pathology with a very unfavorable prognosis, and we report an observation illustrating this complication and its prognostic in a young woman taken in charge in our unit.
Original Research Article
Sept. 9, 2020
The State of Disease-Related Awareness Regarding Cutaneous Leishmaniasis Cases in Sanliurfa, Delay Level in Treatment and Reasons for Delay
Ibrahim KORUK, Burcu BEYAZGUL, Sule ALLAHVERDI, Rüstem KUZAN
Page Numbers : 292-299
DOI : 10.36348/sjm.2020.v05i09.002
Purpose: The research was conducted to determine the knowledge level, awareness status, delay level in treatment and causes of delay of the cases of cutaneous leishmaniasis in Sanliurfa province. Method: The research is a cross-sectional study. It was conducted between November-December 2018. The patients who applied to Sanliurfa Cutaneous Leishmaniasis Diagnosis and Treatment Center (SCLDTC) constitute the study population. 375 people participated in the study. Findings: The median age of the participants was 17 years (mean 22.1 ± 17.9) and 50.9% were under 18 years of age. 53.3% of the patients were female and 46.7% were male. The education level of 51.7% of adult participants and the mothers of participants under the age of 18 was below the primary school. 54.9% of the participants or their families did not work in any job. 45.3% of the patients had facial lesions. A delay was found in 41.4 % of patients although they directly applied to SCLDTC and 58.6% of them who applied to SCLDTC after referral. 344 of CL patients experienced a total of 570 delays in different stages of access to treatment. 32.8% of those who had access to CLDTC after direct application or referral had patient delay. The most common patient delay causes are assuming that it is acne with 16.5% and neglecting with 14.6%. Delays due to health care centers are mostly in public hospitals at 13.2%. 91.6% of delays are due to dermatology clinics. The reason for the delay is that misdiagnosis and the wrong treatment in dermatology clinics. 49.6% of the delay cases were caused by the CLDTC and the most common reason for the delay was the absence of medication with 48.4%. In the logistic regression model, where independent variables affecting the patient delay are evaluated together, that the lesion is on the face increases early treatment application 2.4 times and that having only one lesion increases it 1.8 times. Result: Patients' level of basic education and knowledge of the disease is low. Although the patients knew that they should apply directly to the CLDTC, patient delay levels are high. The presence of lesions in regions other than the face decreases patients' behavior of seeking early treatment. Therefore, the information and awareness of the patients and the society about CL should be increased, the patients applying to CLDTC and their relatives should be informed, these training should be pursued and supported by posters and brochures in women's support centers, schools, etc. Compliance training should be performed with appropriate time intervals in CLDTC, with dermatologist physicians, who will work in Sanliurfa in order to reduce system delays. Pentavalent antimony required for the CLDTC and other centers should be provided on time.
Original Research Article
Aug. 6, 2020
To Assess the Clinical Features of Hyponatremia in Adult Subjects Admitted in SMS Hospital
Dr. Ajay Kumar, Dr. Vijaiendre Singh, Dr. Kamalesh Kumar Bajia, Dr. Chaina Ram, Dr. Rohit Ishran, Dr. S.Banerjee
Page Numbers : 284-287
DOI : 10.36348/sjm.2020.v05i08.001
Background: Hyponatremia, which is defined as plasma sodium concentration of less than 135meq/L, occurs primarily due to imbalance in water homeostasis, antidiuretic hormone (ADH) regulation and renal handling of filtered sodium. The two most common causes are effective circulating volume depletion causing non-osmotic release of ADH and the syndrome of inappropriate ADH secretion, disorders in which ADH secretion is not suppressed despite decrease in plasma osmolality. Methods: Observational Study conducted at Medicine wards and, Medicine OPD of SMS hospital, Jaipur. Patients were interviewed for demographic data such as age and sex. History of other comorbid conditions along with presenting complaints was noted. Further these patients were subjected to a physical examination for clinical signs. These findings were recorded on a predesigned and pretested proforma. Results: In our study, lethargy(50.4%), headache(42.3%) and anxiety(31.7%) were most common symptoms. Majority of the cases were admitted and treated in the ward i.e. 249(87.7%), while few patients were treated in ICU i.e.35 (12.3%). Conclusion: Based on the findings of this study it may be concluded that, hyponatremia can present with protean clinical manifestations. The presentation can vary from mild symptoms such as vomiting, lethargy, malaise to severe forms such as confusion, seizure and coma.
July 30, 2020
The Flow Error in Drug Delivery in Anesthesia: Prevention and Controle
El Kartouti Abdeslam, Sidi Mohamed Hannafi, My Ahmed Hachimi
Page Numbers : 276-279
DOI : 10.36348/sjm.2020.v05i07.001
Works on risk analysis focused on activity in the operating room or in intensive care is rare. In fact, the operating room remains one of the units where the patient's medication management process is complex, which tends to increase the risk of ME as well as the severity of its consequences. In anesthesia, attention should be paid more specifically to errors during the preparation and administration of drugs, because these are actions that are performed many times every day. The analysis of this adverse event in our patient made it possible to classify this adverse event in the category of administrative errors. The administration of vancomycin should be done by slow infusion when it has been administered to our patient by direct intravenous route, this type of error is part of the volume or flow errors. Medication administration error can be prevented by providing coaching and continuing education for practitioners. It is also necessary to label the medication storage compartments of the anesthesia cart; the correct identification of drug ampoules and to ensure that there is only one packaging of the same product.
July 30, 2020
Anomalous Origin of Bilateral Vertebral Arteries with Intracranial Aneurysm
Dr. Abhin Joseph, Dr. Daspin D, Dr. Francis Gnanaprakasam, Dr. Madan Ramachandran, Dr. Murali Krishnaswami
Page Numbers : 280-283
DOI : 10.36348/sjm.2020.v05i07.002
Vertebral arteries are usually paired major arteries of the neck. Typically, they originate from the subclavian arteries coursing superiorly along each side of neck, merging within the skull to form basilar arteries. Different variant anatomy including assymetry, complete or partial duplication, fenestration and variable origin have been explained in the literature. We have a case report of 54 year old gentle man who presented with acute headache and vomitting in our institute. CT angiogram revealed left posterior cerebral artery aneurysm causing subarachnoid hemorrhage. DSA further revealed bilateral vertebral arteries arising from the common carotid artery and left PCA aneurysm.
Original Research Article
June 30, 2020
Implementation and evaluation of an e-learning system - A Cross-Sectional Study in a Medical College, Pakistan
Saba Iqbal, Rabia Akram, Sameea Akram, Lamia Yusuf
Page Numbers : 272-275
DOI : 10.36348/sjm.2020.v05i06.005
The aim of this study was to investigate the current opinions of undergraduate Medical students at the Pak Red Crescent Medical College of Pakistan in respect to information communication technology (ICT), by implementing e-learning system by mixing different strategies, start the e learning program first time on regular bases and then assess the feedback by MBBS Medical students from the first, second, third, fourth, and fifth year and they were asked to complete a questionnaire presented in a e-docs at the end of the sixth week of the e-learning during the lock down due to covid-19 pandemic. Students give a mix response, they feel difficulty to understand medical education first time online but later on they enjoy the whole learning process especially non clinical subjects and e feedback results shows, and Students do not want e-learning as replacing traditional instructor-based training but as a additional component to it, forming part of a blended-learning strategy. Assessments are quickly assessed and quick respond and less chance of cheating. A major disadvantage of early e-learning system, it only covers the cognation process, skill and attitude component of medical teaching and training is not fully taught and hands on activities are impossible to assess through e-learning.