“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
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.
June 24, 2020
Bilateral Wyburn–Mason Syndrome Presenting with Macular Edema
Omer Othman Abdullah
Page Numbers : 268-271
DOI : 10.36348/sjm.2020.v05i06.004
The Wyburn-Mason or Bonnet-Dechaume-Blanc syndrome is a sporadic illness which is a type of phakomatosis, usually present as unilateral arteriovenous malformations (AVM), for the first defined by Magnus in 1874 as retinal AVM later in 1932 another description gave by Yates and Payne; as an AVMs of the retina and cerebral vasculature, while in 1937 Bonnet, Dechaume and Blanc defined as AVM involving facial, retinal and brain blood vessels, then in 1943 all literature revised by Wyburn-Mason to put together to his case reports, therefore, the name of Bonnet-Dechaume-Blanc syndrome given in France, but in English articles entitled as Wyburn-Mason syndrome . At that time, due to a deficiency in diagnostic imaging techniques, all the diagnosis were performed by clinical findings, operation, or autopsy . Usually, it is a unilateral disorder comprising of three distinct components: orbit, brain (ipsilateral to the retina) and face, in the face; the sensory region of the trigeminal nerve distribution involved, that takes the shape of naevi which might be wholly formed and illness, is complete, or the naevi might be faint or absent, the latter regarded as an incomplete disease [1, 3] but rarely a bilateral involvement encountered with an asymmetrical grade of malformation . The pathology starts in the early embryonic period, and if vascular dysgenesis encountered can lead to a wide range of neurocutaneous vascular defects in the cerebrum or ocular or both . When the disorder reaches the last stage, the AVM can compress the optic nerve causing impaired perfusion, ischemia eventually optic atrophy . Another explanation for visual loss is glaucoma as a result of elevated vascular pressure, neovascularization resulting from ischemia, which might lead to vitreous hemorrhage . Archer et al., staged the disease into three groups [6-8]: Group 1 (AVM cannot be detected clinically). Group 2 (Clinically seen as edema and hemorrhage due to direct AVM, i.e., no capillary network between them). Group 3 (Clinically, it is impossible to distinguish arteries from veins due to severely dilated blood vessels all over retina). We present a 41-year-old male presented with a gradual decrease in his visual acuity in both eyes.
Original Research Article
June 18, 2020
Risk Factors Associated With Acute Coronary Syndrome among Patients Admitted to the Coronary Care Unit in the Military Cardiac Center - Sana’a-Yemen
Dr. Ahmed Kaid Salem, Dr. Nouradden Aljaber, Dr. Akram Al-Haj, Dr. Khairallah Abdulah Al-Matari, Prof Amin Ablrub, Dr. Ali Ahmed Al-Zaazaai
Page Numbers : 262-267
DOI : 10.36348/sjm.2020.v05i06.003
Background: Acute coronary syndrome (ACS) refers to a spectrum of symptoms compatible with acute myocardial ischemia. Worldwide acute coronary syndrome (ACS) is one of the main reasons for hospital admission and the leading cause of death. Several risk factors have been identified. However high blood pressure and hypercholesterolemia remain the most important risk factors in (ACS). Objective: To determine the risk factors associated with ACS among patients admitted to the coronary care unit (CCU) in the Military Hospital-Sana’a. Methodology: Study design according to a case-control study. Two groups of patients were included in this study, the first group was cases who have (ACS), and the second group was control cases admitted to CCU for other causes. All data were recorded in a special sheet including demographic, clinical presentation, investigation, and treatment plan. The data was entered into PC and analyzed statistically. Results: There were 124 patients with ACS versus 91 control patients without ACS. The majority of participants in the two groups were males (80 %). Their age ranged from 18 to 95 years old with a mean age of 53.9 ±13.6 years. (86.5 %) of them were 40 years old or above. The significant risk factors associated with ACS were hypertension, Khat chewing found in 71.6 %, 64.4%, of the patients, respectively. Another significant risk factor was dyslipidemia which was higher among ACS patients than the control group with a P-value of < 0.05. Conclusion: Preventing the program from avoiding risk factors that were associated with ACS may decrease the occurring of ACS and reduce the morbidity and mortality in Yemeni patients.
Original Research Article
June 16, 2020
Osteoarthritis Knee & Low Level Laser Therapy-Evidence from Northeast India
Dr. Sharat Agarwal
Page Numbers : 257-261
DOI : 10.36348/sjm.2020.v05i06.002
Although joint pain can be controlled with various modalities which includes the use of acetaminophen, NSAIDs and corticosteroid injections. It has been found that LLLT is an effective non invasive therapy to control inflammation and tissue degeneration and thus to relieve pain with subsequent quality of life improvement in various inflammatory & painful joint problems. Material & Methods: A retrospective analysis was done from the data on osteoarthritis knee patients (n=30) with chronic knee pain, treated with low level laser therapy applied at the knee joint line area over medial & lateral tibiofemoral condyles region. The various parameters like NRS; daily activities, work & leisure, anxiety & depression, social interaction (4 components of DALLAS pain questionnaire as found relevant for these patients to assess quality of life) were studied and analysed using appropriate statistical tools. Results: The majority patients were female (n=17) as against males (n=13). The paired t test revealed that there was significant difference in NRS score before and after laser therapy. The paired t test revealed that there was significant difference with positive improvement in daily activities, work & leisure, Anxiety & depression and social interaction scores before and after laser therapy. Conclusion: LLLT like Helium Neon (He-Le) laser has the potential to be used with efficacy in patients of chronic knee pain due to osteoarthritis irrespective of age and sex, especially in Kellgren lawrence OA grade 1, 2 & 3.
June 14, 2020
Unmasking a Glomerular Lesion
Page Numbers : 255-256
DOI : 10.36348/sjm.2020.v05i06.001
Membranous-like glomerulopathy with masked IgG-κ deposits (MGMID) is a new aspect in the renal pathology filed which required antigen retrieval on formalin-fixed paraffin- embedded tissue to detect the immunoglobulin by immunofluorescence. Few cases were reported, the etiology is unknown, but most of the affected patients were young and had autoimmune phenomena such as inflammatory arthritis or hemolytic anemia. I am reporting a case with MGMID.
May 30, 2020
Multifactorial Cause of the Importance by Country of the Covid19 Pandemic
Page Numbers : 253-254
DOI : 10.36348/sjm.2020.v05i05.007
The Covid-19 pandemic reveals the combined and potentiating effects of pollution, notably on rare earths and electromagnetic fields, all of which contribute to a deficiency in the immune system. We note that countries with technologies using pollutants such as rare earths, electromagnetic fields are the most affected by this pandemic. This could explain the low number of deaths in the so-called poor countries compared to industrialized countries like England, the USA, France.
Original Research Article
May 25, 2020
Knowledge of Parents about Multi-Level Influences on Oral Hygiene Practice’s in Pediatric Patients: A Qualitative Research
Dr. Malti Tuli, Dr. Alankrutha Gangasani, Dr. Anum Khurshid, Dr. Jyothsna Manchikalapudi, Dr. Parth Kadhiwala, Dr. Jignaben Patel, Dr. Rahul Vinay Chandra Tiwari
Page Numbers : 248-252
DOI : 10.36348/sjm.2020.v05i05.006
Aim of the Study: The purpose of the study was to assess the knowledge of parents in influencing as well as maintaining the oral hygiene practices of their children. Methodology: The parents were requested to complete a 25‑item questionnaire which was semi‑structured and self‑administered for obtaining the required data. The parents’ questionnaire, which included questions on habits and beliefs, and some of the questions concerning attitudes. Also, questions related to the knowledge about the primary dentition, functions, tooth shedding, effects on permanent teeth, and importance of fluoride were also included in the survey. To find out the association between categorical variables, the Chi‑square test was applied. P < 0.05 was considered statistically significant. Results: Of the parents, 42% of the respondents had the practice of changing the child’s tooth brush every 6 months, 27.3% once in a month, 19.9% when the bristles fray out, and 13.8% were not particular. It was noted that 64% of the parents visited a dentist while having oral problems, whereas 6.2% of them had the good practice of visiting the dentist at least once in a year. 85.6% of the parents agreed that they would opt for the treatment and 14.4% of the parents would deny the treatment due to the factors such as time constraint (2.9%), expenditure (58.8%), and both time and money (35.3%). Conclusion: Good practices for maintaining child’s oral health was less than satisfactory in some aspects. Education had a major role to play in their care of child’s teeth. Hence, improving awareness among parents/caregivers is crucial in the care of child’s oral health.