scholarly journals Adequacy of the Endometrial Samples Obtained by the Uterine Explora Device and Conventional Dilatation and Curettage: A Comparative Study

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Maria Abdulrahim Arafah ◽  
Ammar Cherkess Al-Rikabi ◽  
Rakia Aljasser ◽  
Yaser Adi
Keyword(s):  
Saudi Arabia ◽  
Retrospective Study ◽  
Comparative Study ◽  
Outpatient Clinic ◽  
Diagnostic Yield ◽  
Age Groups ◽  
University Hospital ◽  
Dilatation And Curettage ◽  
Clinical Indications ◽  
The Difference

Aims. Our aim is to compare the adequacy and diagnostic yield of samples obtained by the endometrial Explora Sampler I-MX120 with endometrial specimens obtained by conventional dilatation and curettage (D&C).Methods. A total of 1270 endometrial samples were received in the histopathology laboratories at the King Khalid University Hospital, Riyadh, Saudi Arabia, between 2007 and 2010. In the outpatient clinic, the Uterine Explora Model I was used to obtain 996 samples. The remaining 274 samples were obtained by conventional D&C. Sample adequacy and the clustering of inadequate specimens according to age groups by the two different techniques were compared and statistically analyzed.Results. Out of 1270 endometrial samples, 253 (19.9%) were inadequate. The Uterine Explora was used in 88.5% of these inadequate samples (253 samples), and the remaining 11.5% were obtained by D&C. The insufficient tissue incidence was higher with the Explora (17.6%) than with the D&C (2.2%) and the difference was statistically significant(P<0.0001). The ages of the patients, as well as the clinical indications for the procedures, were recorded.Conclusion. This retrospective study demonstrated better specimen adequacy when D&C was used compared to the higher rate of sample insufficiency obtained with the Explora.

scholarly journals IDIOPATHIC INTRACRANIAL HYPERTENSION IN UNIVERSITY HOSPITAL IN SAUDI ARABIA, RETROSPECTIVE STUDY

2021 ◽  
Vol 9 (08) ◽  
pp. 300-305
Author(s):  
Faisal Al-Abass ◽  
◽  
Kawther Hadhiah ◽  
Abdullah Al-Fajri ◽  
Hanan AlHabib. ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Retrospective Study ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
University Hospital ◽  
Hormonal Contraceptives ◽  
Common Symptom ◽  
Blurred Vision ◽  
High Index Of Suspicion ◽  
The University

Background: Idiopathic intracranial hypertension (IIH) is one of headache syndromes that is female predominate and associated with increase intracranial pressure without obvious etiology, it has variable clinical presentation, and it needs high index of suspicion to reach diagnosis even with presence of well-established diagnostic criteria. Visual symptoms, which range from visual obscuration to blindness significantly,affect the outcome of this disease. Unfortunately, there is limited literature about IHH in Middle East and in Saudi Arabia in particular. In this retrospective study, we try to shed the light on pseudo-tumor cerebri in university hospital in Saudi Arabia. Methodology: This is a retrospective study conducted among 105 patients with IIH admitted to the university hospital in Saudi Arabia. Data on age, gender, as well as about symptoms, obesity, medication and surgeries, and CT/MRI results was collected. Results: The mean age of patients was 37.72 years old with standard deviation of 13.48 where 96.2 % of patients were females. Headache is the more common symptom presented by 96.2 % of patients followed with blurred vision and papilledema (85.7 %) and over weight (77.1 %). Considering medications taken by patients because of IIH, we found that main medications was Diamox which prescribed to 96.2 % with mean dose of 942.3 mg. Regarding surgical intervention, 4.8 % had a surgery of VP-shunt and 1.9 % had optic nerve fenestration Conclusion: We concluded that IIH incidence is higher among young women with higher body weight and associated with the use of hormonal contraceptives. The main symptoms of IIH are headache with papilledema and visual disturbances. Acetazolamide is the most common prescribed medication for IIH patients while 6.6 % of patients need surgical procedures.

scholarly journals A Clinical and Pathological Study of Kikuchi–Fujimoto Disease in A University Hospital in Saudi Arabia

2018 ◽  
Vol 25 (1) ◽  
pp. 23-29
Author(s):  
Fahad A. Alghamdi ◽  
Mohammed S. Abdelwahed ◽  
Abdulaziz Alghamdi ◽  
Hani z. Marzouki ◽  
Ghadeer A. Mokhtar ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Retrospective Study ◽  
Histopathological Examination ◽  
Complete Recovery ◽  
Benign Disease ◽  
University Hospital ◽  
Pathological Features ◽  
Pathological Study ◽  
King Abdulaziz University ◽  
Clinical And Pathological Features

Kikuchi–Fujimoto disease is a benign disease of self-limiting course characterized by lymphadenopathy that is often mistaken clinically as lymphoma or infectious lymphadenitis. To prevent such a mistake, a clinical and pathological correlation is recommended. In this retrospective study, we are documenting the clinical and pathological features of this disease through the last 15 years (2001-2016) in King Abdulaziz University Hospital; and comparing results with that of international findings. From a total number of 1805 lymph nodes sent for histopathological examination during that period, only 9 cases had been diagnosed as Kikuchi–Fujimoto disease. Three (33%) cases were 20 years old and under; five (56%) cases were in the ages between 20 to 40 years old and only one (11%) was above 40 years old. Eight (89%) cases were females. Regarding the outcome, all cases showed complete recovery and there was no recurrence. Only two histological phases were seen, namely proliferative and necrotizing phases.  

scholarly journals Predictors of Length of Hospital Stay in Children Presenting to the Emergency Department of Saudi Arabia

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 3111-3116
Author(s):  
Nesreen Suliman Alwallan ◽  
Majid Alsalamah ◽  
Badr F Al-Khateeb ◽  
Saeed Mastour Alshahrani ◽  
Ahmad Mohammed Ishaque Al Ibrahim ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Multivariable Analysis ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Policy Changes ◽  
Cross Sectional ◽  
Important Quality ◽  
The Difference ◽  
Future Policy

Length-of-stay is an important quality measure for emergency departments. The study aimed to find predictors for prolonged LOS in children. A cross sectional study was conducted from Jan 2017 to Mar 2018. Data were extracted from medical records of 5609 pediatric patients admitted to the King Abdullah Bin Abdulaziz University Hospital-ED, Riyadh, Saudi Arabia. Median LOS of the children was 74 mins. Multivariable analysis showed the difference in the expected LOS between patients DAMA and their non-DAMA counterparts was 72 mins. Difference in the expected LOS between patients at emergent and non-urgent triage was 89 mins, between urgent and non-urgent triage was 51 mins and difference between less urgent and non-urgent triage was 16 mins. Future studies should explore the contributing managerial and clinical factors that can explain such associations and might be the focus for future policy changes to reduce LOS in ED pediatric settings in Saudi Arabia.

scholarly journals Epidemiology and Clinical Features of Methicillin-ResistantStaphylococcus aureusin the University Hospital, Jeddah, Saudi Arabia

2002 ◽  
Vol 13 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Tariq A Madani
Keyword(s):  
Saudi Arabia ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Total Mortality ◽  
Control Measures ◽  
University Hospital ◽  
Surgical Ward ◽  
Hospital Infection Control ◽  
King Abdulaziz University ◽  
Mrsa Infection

OBJECTIVE: To describe the prevalence, demography and clinical characteristics of patients who were colonized or infected with methicillin-resistantStaphylococcus aureus(MRSA) in 1998 at King Abdulaziz University Hospital, Jeddah, Saudi Arabia.PATIENTS AND METHODS: Results of MRSA-positive cultures of clinical specimens obtained as part of investigations for suspected infections were retrieved from the King Abdulaziz University Hospital Infection Control Department's records. Charts of patients were reviewed.RESULTS: Of 292S aureusisolates identified, 111 (38%) were MRSA, or 6.0 MRSA isolates/1000 admissions, which represented a marked increase over MRSA prevalence in 1988 (less than 2%). Nosocomial acquisition occurred in 74.8% of isolates. All age groups were affected, but 45.9% of patients were in the 'extremes of age' group (younger than one or older than 60 years of age). The prevalence was highest in the medical ward (27%), followed by the paediatrics combined medical and surgical ward (20.7%), the outpatient department (18%), the adult surgical ward (17.1%) and the intensive care units (17.1%). Two-thirds (66.7%) of cases represented infection and the remainder represented colonization. Surgical wounds (31.1%), the chest (27%) and endovascular catheters (20.3%) were the most common sites of infection. Bacteremia occurred in 27% of patients. Local signs (68.9%) and fever (60.8%) were the most common clinical manifestations. Respiratory distress and septic shock occurred in 28.4% and 6.8% of cases, respectively. Of 74 patients with MRSA infection and 37 patients with MRSA colonization, 91.9% and 56.8% received antibiotics in the preceding six weeks, respectively (P<0.0001). The total mortality of patients with MRSA infection was 60.8%; 37.8% of deaths were the result of MRSA infection and 23% were the result of other diseases.CONCLUSIONS: The prevalence of MRSA is high and rapidly increasing at King Abdulaziz University Hospital, as it is worldwide. Control measures to prevent the spread of MRSA in hospitals should continue with reinforcement of hygienic precautions and development of policies to restrict the use of antibiotics.

scholarly journals Edentulism in Saudi Arabia and associated factors

2021 ◽  
Vol 8 (11) ◽  
pp. 5614
Author(s):  
Anas Omar Haroub ◽  
Abdullah Abdu Khormi ◽  
Rawan Ahmad Yankesar ◽  
Shaden Abdullah Alhumaid ◽  
Mohammad Ibrahim Aleissa ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Associated Factors ◽  
Age Groups ◽  
Incidence Rates ◽  
Vulnerable Groups ◽  
Early Interventions ◽  
Prevalence Rates ◽  
Educational Levels ◽  
The Difference

The epidemiology of edentulism is different across the different communities and the prevalence rates are also significantly different and it can be affected by various factors. There have been many investigations that reported the prevalence rates of edentulism across the different countries globally. However, not many investigations were published in Saudi Arabia and the published ones also report different findings. In the present study, we have reviewed the current studies in the literature to investigate the prevalence of edentulism and associated factors in Saudi Arabia. Our results indicated that the reported rates were conflicting among the different reports across the Kingdom and some of these rates are lower than other rates that were reported in some countries but higher than others also. Therefore, further nationwide research was still needed to formulate better evidence and help draw adequate interventions for the most vulnerable groups. Age, gender, educational levels, regional residency, socioeconomic status, depression and diabetes have all been reported to be correlated with edentulism. The prevalence of the condition has been reported to be highest among older age groups, while evidence is contradicting about the difference between both genders. Therefore, targeting vulnerable populations with early interventions can reduce the incidence rates and enhance the quality of life among these populations.

scholarly journals Malpresentation of the Fetus in Singleton Pregnancies after In Vitro Fertilization

2021 ◽  
Vol 9 (B) ◽  
pp. 573-576
Author(s):  
Sergei Svetoslavov Slavov
Keyword(s):  
Retrospective Study ◽  
In Vitro Fertilization ◽  
Primary Outcome ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
University Hospital ◽  
Vitro Fertilization ◽  
The Difference ◽  
Singleton Pregnancies

BACKGROUND: There are some data in the literature that show an increased incidence of breech presentation and other non-cephalic presentations in vitro fertilization (IVF) singleton pregnancies compared to spontaneous ones. AIM: The purpose of our study was to compare IVF and spontaneous singleton pregnancies in terms of frequency of breech presentation and its impact on the mode of delivery. Furthermore, we wanted to study the rate of transverse and oblique lie in both groups. MATERIALS AND METHODS: We conducted a prospective and retrospective study at “Maichin Dom” University Hospital in Sofia, Bulgaria for the period from January 2013 to December 2017 and analyzed 402 singleton IVF pregnancies and compared them with 523 spontaneous singleton pregnancies. The primary outcome was a breech presentation of the fetus. RESULTS: We found a significantly higher rate of breech presentation in IVF compared to spontaneous pregnancies (p < 0.001). According to gestational age, the difference between the groups persisted when the pregnancy was at least the 32nd week of gestation. We found no difference in the frequency of vaginal birth in the two groups when the fetus was in breech presentation CONCLUSION: IVF singleton pregnancies are associated with a higher risk of breech presentation. Further research is needed to determine the factors contributing to the higher incidence of breech presentation among patients undergoing IVF.

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