Volume 27, Issue 133, March 2023

About the Cover

Background: Burnout syndrome (BOS) has been associated with serious consequences on the healthcare providers as well as the healthcare system. ENT medical staff experience stressful work circumstances as this specialty is sometimes demanding. Aim: This systematic review and meta-analysis aims to identify and assess the burden of BOS among ENT medical staff in Saudi Arabia. Methods: The study was conducted following the guidelines and recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. Studies were retrieved by searching the PubMed, EBSCO, Scopus, Web of Science through Clarivate and Google Scholar using keywords and Mesh terms related to BOS and ENT medical staff. Rayyan – Intelligent Systematic Reviews was used for managing citations and duplicate removal. We used Review Manager 5.4 for quantitative data synthesis. Results: Primary search yielded 101 articles, of which only 3 were included in the quantitative meta-analysis. The pooled prevalence of high emotional exhaustion was 48.7% (95% CI: 34.9%-62.5%), whereas the pooled prevalence of high depersonalization was 44.5% (95% CI: 29.7%-59.2%) and low personal accomplishments was 48% (95% CI: 40.5%-55.6%). The pooled prevalence of the overall BOS was 47.8% (95% CI: -11.4%-106.9%).

Table of Contents

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ANALYSIS

Communication barriers in emergency departments perceived by Saudi population, KSA

Hadi Mohamed Hadi Alsharyah, Suheir AM Sayed

Introduction: One of the most important aspects of nursing care in the emergency room is effective communication. Communication obstacles at the emergency department in Saudi Arabia must be overcome with great effort.

Medical Science, 2023, 27, e121ms2876

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Awareness about Colorectal Cancer (CRC) among the primary health care attendees in Qassim province

Thamer Saleh Tofail Al Hassan, Chandra Sekhar Kalevaru

Background: As per the ministry of health statistics, among the non communicable diseases, cancers prevalence is increasing globally as well as in Saudi Arabia specially Colorectal Cancer (CRC).

Medical Science, 2023, 27, e122ms2922

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Correlation between premenstrual syndrome and body mass index among reproductive females

Heba El-Sayed Mostafa, Abdullah A Alkurdi, Mohammad Sanousi, Faisal Aljuhani, Muaz Abdullah, Badr S Aljohani, Waleed K Aljohani

Background: Premenstrual disorders are characterized by emotional and physical symptoms. Millions of women around the globe who are of reproductive age experience premenstrual symptoms.

Medical Science, 2023, 27, e123ms2926

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CASE REPORT

Post COVID-19 recurrent rhino ocular cerebral mucormycosis: A curse like no other

Chrisann Saldanha, Sachin Daigavane, Vadlamudi Nagendra

Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has been linked to a number of opportunistic bacterial and fungal infections. Aspergillus and Candida have been identified as the primary fungal pathogens.

Medical Science, 2023, 27, e124ms2678

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Continuous neuromuscular monitoring during scoliosis correction surgery in a case of idiopathic kyphoscoliosis: A case report and anaesthetic challenges

Sambit Dash, Roshan Nisal, Vivek Chakole, Aruna Chandak

Scoliosis is a rotational deformity that affects the column in a sagittal plane, a coronal plane and an axial plane. It is a complicated condition that occurs in three dimensions. There are several possible causes, including congenital.

Medical Science, 2023, 27, e125ms2831

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Intra-arterial migration of a transcutaneous patent ductus arteriosus occluder device: A case report

Amreesh Paul Francis, Nikhil Bhalerao, Anjali Modak, Dnyanshree Wanjari, Sambit Dash

Patent ductus arteriosus (PDA) is the inadequate closure of the ductus arteriosus within three days after birth. Patients with PDA may be treated pharmaceutically, surgically, or conservatively.

Medical Science, 2023, 27, e126ms2859

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ANALYSIS

Prevalence of frozen shoulder among diabetic patients in Western region of Saudi Arabia

Abdulmalik B Albaker, Obadah Suhail Mishiming, Daifallah Mohammed Alharbi, Manal Mazyad Alenazi, Saud Ali Alsuwat, Adel Omair Alqarni, Fahad Mohammed Albaqami, Sarah A Alsulaiman, Khames Alzahrani

Background: It has been proven that the prevalence of diabetes is increasing worldwide and is seen as a major public problem in the previous 3 decades. It is defined as a metabolic condition marked by high sugar levels.

Medical Science, 2023, 27, e127ms2903

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Estimating correlation of body mass index with Nottingham’s prognostic index in carcinoma breast

Ketki Wajpeyi, Sunita Vagha

Background: Carcinoma breast, with its rising prevalence, is the cause for high mortality all over the world. Obesity plays a vital part in spread and development of cells of the tumour. It is a modifiable risk factor.

Medical Science, 2023, 27, e128ms2871

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Assessment of the visual acuity among medical students who use the electronic devices during study 2022-2023

Saad Asiri, Amani Badawi, Rasheed AM, Majed Marshad Alanazi, Qusai Majed Alsulaiman, Sohaib Awadh Ashour, Ali Bader Almutairi, Bandar Abdulrahman Alomar, Mohammad Ahmad Al Boukai, Yousef Ahmed Aldobikhi, Bander Sultan Almehmadi

Refractive errors, especially myopia, have been more common in recent years and are continuing to rise internationally. Information on the causes of vision decline provide a solid foundation for recommendations.

Medical Science, 2023, 27, e129ms2915

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Symptomatology and clinical approach for suspected cases of nasopharyngeal carcinoma among Primary health care clinics in Riyadh, KSA, 2022-2023

Saad Asiri, Majed Marshad Alanazi, Mansour Mohammed Alalyani, Yousef Ahmed Aldobikhi, Bander Sultan Almehmadi, Mohammad Ahmad Amer Alboukai, Abdulrazaq Mohammed Alshammari, Qusai Alsulaiman

Nasopharyngeal carcinoma (NPC) account for 33% of all head and neck malignancies diagnosed in Saudi Arabia each year. Early recognition of the such serious medical illness by family physicians.

Medical Science, 2023, 27, e130ms2916

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Beneficial role of olive extract on cyclophosphamide-induced skin cellular injury

Salman Bin Dayel, Ali Hassan A Ali, Mansour M Alajmi, Turki Saad Alsubaie, Nasser Hassan Alswedan, Musab Alrezehi, Nawaf Saad Alarfaj, Maan Omar Alzuhairi, Emad M Al-Otaibi, Abdullah N Al-Khanfoor, Roaa Salem Alharbi

For centuries, countries in the Mediterranean and all of Europe have employed olive leaves in traditional medicine. This substance has antioxidative stress and anti-inflammatory properties.

Medical Science, 2023, 27, e131ms2934

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In World Diabetes Day, assessment of the chronic diseases among general population in Riyadh, KSA

Saad Asiri, Abdulrhman Mustafa Rasheed, Abdulaziz Albatati, Abdulrahman Bashir Ahmad Hussamuldin, Mohammed S Alsadun, Jana Sameer Sendy, Lina Fouad Serhan, Yara Majed Al Zahrani, Abdullah Moheeb Alabdullah, Abdulrahman Laith Alzuhair, Mahmoud Khaled Mahmoud Eliwi

Background: Every year World Diabetes Day (WDD) is celebrated on 14 November all across the globe to raise awareness about the diabetes and its prevention, complications and treatment.

Medical Science, 2023, 27, e132ms2834

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CASE REPORT

Anaesthetic challenges in a case of polytrauma with hypovolemic shock, pneumothorax and anticipated difficult airway

Deeksha Mishra, Vivek Chakole

Beginning at the site of the injury, the continuum of resuscitation extends through the operating room and onto the intensive care unit (ICU). The key to high success rates understands the importance of early resuscitation.

Medical Science, 2023, 27, e133ms2862

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Scrub typhus and dengue infected pregnancy: A rare encounter

Nidhi Avinash Patel, Kiran Borkar, Twisha Patel, Chinmay Patel

Pregnancy is associated with many physiological and biochemical adaptations in the body of the women. Many immunological changes occurring during various trimesters of pregnancy make pregnant women more vulnerable.

Medical Science, 2023, 27, e134ms2686

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A tailor-made rehabilitation for patients with talofibular and talocalcaneal ligament tear: A case report

Samruddhi Karanjkar, Pratik Phansopkar, Nikita Deshmukh, Roshni Nandanwar, Ritika Bhagwani

Ailments to the ankle contribute to 10% to 30% of all sports-related sprains and players who experience ankle ailments place a financial strain on Medicare systems each year irrespective of the individual characteristics.

Medical Science, 2023, 27, e135ms2872

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A variant of Jefferson like fracture at C7 vertebrae without any sensory deficit in a traumatic sub-axial cervical spondylolisthesis

Chava Aravind Kumar, Chandrashekhar Mahakalkar, Paresh Korde, Shivani Kshirsagar, Abhishek Chowdary, Ashwin Jain

The management of cervical sub axial spondylolisthesis is a challenging task for all spinal care specialists because there is a lack of literature on the disease's diverse clinical presentations.

Medical Science, 2023, 27, e136ms2893

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Transient hip synovitis in an early adolescent: A rare case report

Sahil Dhaka, Onkar Dighe, Priyanka Yadav, Harshith Gowda KB, Parihar PH

Transient hip synovitis (THS) is a sudden and self-limiting inflammation targeting the synovial lining of the hip. It is the commonest cause of nontraumatic hip pain and limping in kids in the age group of 3-8 years.

Medical Science, 2023, 27, e137ms2894

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REPORT

Role of IL-6 and IL-8 polymorphisms in Type I Diabetes mellitus

Eman K Rashwan

Background: Type I Diabetes mellitus (DM type-I) is the second most frequent chronic disease. Inflammation has a critical role in DM and its complications. Genetic discrepancies of pro-inflammatory cytokines (as IL-6, IL-8).

Medical Science, 2023, 27, e138ms2658

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RESEARCH

Rate and pattern of prescription for osteoporosis and non-alcoholic fatty liver disease among patients with diabetes mellitus in Tabuk City, Saudi Arabia

Waleed Badoghaish, Hyder Mirghani, Lafia Djeradi, Hanan Aljammaz

Background: Diabetes mellitus, non-alcoholic fatty liver disease (NAFLD) and osteoporosis are common serious diseases with high morbidity and mortality. When co-exist they increase each other deleterious consequences.

Medical Science, 2023, 27, e139ms2935

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ANALYSIS

Do university students have enough knowledge of epistaxis management? A cross sectional study at Hail region in Saudi Arabia

Abdullah D Alotaibi, Khaled Fraih Alshammari, Ghadah Fayad Alrwaili, Atheer Mohammed Alanizy, Meshari Fahhad Alshammari, Mohammed Ahmed Altufaif, Abdulaziz S Al Qahtani, Abdullah N Alrasheedi, Ali I Swaid

Objective: Epistaxis is a common condition encountered in primary health clinics and emergency departments. The present study aimed to assess awareness and knowledge of epistaxis management among students.

Medical Science, 2023, 27, e140ms2878

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Does a two-stage approach to treat tibia pilon fractures have a favorable consequence?

Sager Holyl Alruwaili, Fares Almarek, Mohammed Saeed Alharbi, Mohammed Alharbi, Ahmed Onayzan Alshammari, Saadeldin Ahmed Idris, Moaath Abdulaziz Alamir

Background: Tibial pilon fractures are generally challenging to manage. The pattern of trauma and skin status all contribute to greater management outcomes. Despite the existence of numerous treatment techniques, no one has yet evolved the perfect method.

Medical Science, 2023, 27, e141ms2882

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Sciatica pain in Saudi population: Knowledge and attitude towards sciatica pain and treatment methods among the population of Hail in Saudi Arabia

Fatimah Fahad Alreshidi, Reem Falah Alshammari, Shroog Hashim Alenazi, Tahani Eid Alshammry, Tahani Nasser Altamimi, Ebtehaj Saud Almughais, Zahid FK Balouch, Rana Aboras, Rasha Alarfaj

Background: Pain that exudes and radiate to lower back side and towards the back of leg is defined as sciatica. Aim of this study is to assess the level of knowledge and attitude towards sciatica pain and treatment.

Medical Science, 2023, 27, e142ms2906

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Diagnostic accuracy of realtime shear wave elastography in the evaluation of prostatic lesion

Avinash Dhok, Sandeep Chude, Aisha Lakhani, Prashant Onkar, Priyanka Mane, Yash Jakotia

This research aims to compare the diagnostic accuracy of ultrasound elastography to histology in evaluating prostate masses and assess its ability to distinguish malignant from benign diseases.

Medical Science, 2023, 27, e143ms2094

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Burden of burnout syndrome among ENT physicians in Saudi Arabia: A systematic review and meta-analysis

Abdullah M Assiri

Background: Burnout syndrome (BOS) has been associated with serious consequences on the healthcare providers as well as the healthcare system. ENT medical staff experience stressful work circumstances as this specialty.

Medical Science, 2023, 27, e144ms2919

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Gender difference in pain presentation among patients with acute coronary syndrome: A systematic review and meta-analysis

Hamdan M Al Shehri

Background: Acute coronary syndrome is the leading cause of death worldwide. Chest pain is vital for immediate diagnosis and intervention. Few studies evaluated the effect of gender on chest pain.

Medical Science, 2023, 27, e145ms2920

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CASE REPORT

Rampant caries management using Silver Diamine Fluoride (SDF): A case report

Sara Kalagi, Azzam Almeshrafi, Kim Diefenderfer

The present study aims to demonstrate the efficacy of silver diamine fluoride (SDF) for the management of dental caries and to identify its potential drawbacks in a dental clinic setting.

Medical Science, 2023, 27, e146ms2939

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A rare case of VACTERL association in new born

Rasagnya M Reddy, Bhavana B Lakhkar, Mahaveer S Lakra, Sagar Karotkar, Kiran Khedkar, Amar Taksande, Revat J Meshram, Mayur B Wanjari

VACTERL Association is complex, non-random sporadic association of various birth defects. It includes vertebral, anal anomalies, cardiovascular, tracheoesophageal, renal anomalies, radial anomalies and limb abnormalities.

Medical Science, 2023, 27, e147ms2837

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Rehabilitation of lateral gaze palsy in a patient with ‘Choroid Plexus Papilloma’

Leksha Patel, Pallavi Harjpal, Ragini Dadgal, Kratika Dubey, Komal Mandhane

Choroid Plexus Papilloma (CPP) is infrequent, neuroectodermal originated, intraventricular tumour of central nervous system that develops from lining of choroid plexus lining.

Medical Science, 2023, 27, e148ms2880

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Atrial fibrillation patient with sleeve gastrectomy had pulmonary embolism even with the usage of apixaban

Osama Abdullah Abdulrahman, Mohammed Ibrahim Alshinkity, Fawaz Saeed Baalaraj, Raghad Majed Hariri, Abdulhalim S Serafi

Our patient is a 48-year-old male known case of atrial fibrillation for 15 years, adherent to his medications, which are apixaban and beta-blocker. He has a history of sleeve gastrectomy two years ago.

Medical Science, 2023, 27, e149ms2885

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A rare case of scrotal haematoma-unusual presentation of a classical testicular seminoma

Dhaval Patel, Yeshwant Lamture, Nidhi Pugalia

Testicular seminomas are one of the most common solid, extra-abdominal tumours in young males. The most common clinical symptom is a hard, painless mass in the scrotum that may or may not cause discomfort.

Medical Science, 2023, 27, e150ms2655

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Dyke-Davidoff-Masson in a pregnant woman: A rare case report

Sonali Chauhan, Deepti Shrivastava, Kamlesh Chaudhari, Rajasbala Dhande, Vivek Jadawala

Background: The first examples of this syndrome were identified and described by Dyke, Davidoff and Masson in 1933. The global incidence of the condition is still uncertain.

Medical Science, 2023, 27, e151ms2750

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Role of dual plate fixation for the distal femur fracture to avoid varus collapse in a patient having multiple ipsilateral compound long bone fractures: A case report

Vivek Jadawala, Aditya Kekatpure, Sanjay Deshpande, Shivshankar Jadhav, Parth Shah, Abhiram Awasthi

Open high velocity long bone fractures with bone loss and extensive soft tissue damage in poly-trauma patient presents unique challenges when the course of limb salvage procedure is recommended.

Medical Science, 2023, 27, e152ms2804

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A physiotherapy rehabilitation programme for patient with thermal burn injury: A case report

Shubhada Dhait, Chaitanya Kulkarni, Prasad Dhage, Shubhangi Patil

Burns is one of the most usual and deadly injuries to the human body. About 450000 people suffered from burn injuries in a year, out of which 86% of cases are thermal burn injuries.

Medical Science, 2023, 27, e153ms2890

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Mild epithelial dysplasia: A case report and review

Ismail Mahmoud Abdouh, Hattan Zaki, Hamzah Babkair, Basem Akily, Ahmad Othman, Shahad Almutairi, Rola Aljohani, Lamis Lmrabet Mohamado, Abdulrahman Alsani, Rahaf Almukhlifi

Background: Leukoplakia is an abnormal patch of white tissue that forms on mucous membranes in the mouth and other areas of the body. It may transform to dysplasia or cancer.

Medical Science, 2023, 27, e154ms2927

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ANALYSIS

Awareness of asthmatic patients to the association between the environmental risk factors and asthma exacerbation in Al-Qassim region, Saudi Arabia

Sami M Alrasheedi, Mousa N Alrashdi, Ahmad Alkhdairi, Hanee Mateg Alrashidi, Abdullah Alrasheedi, Emad Bani Alharbi, Faisal Abdulaziz Almutairi, Khalid Saad Alrashdi, Farah Saleh Allabun, Ghada Abdullah Aljutaily

Background: Asthma is the chronic airway inflammatory illness that exhibits substantial etiological, clinical and historical heterogeneity. Current knowledge of prevalence, aetiology and management is crucial for appropriately managing respiratory allergies.

Medical Science, 2023, 27, e155ms2711

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Comparing mortality outcomes of early versus late intubation in COVID-19 patients admitted in the ICU: A systematic review and meta-analysis

Abdullah I Aedh

The goal of this systematic review and meta-analysis was to assess whether there is a difference in mortality rates between COVID-19 patients in the ICU who receive early intubation versus those who receive it later.

Medical Science, 2023, 27, e156ms2918

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Prognostic factors of cardiac arrest in the emergency department

Mazi Mohammed Alanazi, Faheem Mohammed Alanazi, Ossamah Ata Abdulqader, Dawood Abdulrahman Alduraywish, Salal Bader Alotaibi, Saud Mohammad Y Alqahtani, Abdulrahman Mansour Aljarbou, Mujahid Nasser Almuhaydib, Maram Abdullah Ahmed, Lama Yousef Alharbi, Faridah Khalaf Awadh Alharbi

Background: Cardiac arrest is a problem that has gotten surprisingly little attention in the ER. ER Patients are more likely (29%) than patients in the intensive care unit (25%) or on telemetry (25%).

Medical Science, 2023, 27, e157ms2941

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Pervasiveness sunscreen use and knowledge among university students in Riyadh, KSA, 2022-2023

Sami Fathi Abdullah, Rasheed AM, Majed Marshad Alanazi, Yazan Jaber, Abdulrazaq Mohammed Alshammari, Khalid Issam Alhomsi, Rakan Abdullah Alzabadin, Mohammed Shar Alahmari

An essential tool for sun protection is sunscreen. Only a few studies on the usage of sunscreen were carried out in Saudi Arabia, despite widespread research on the topic. Our research aims to evaluate the prevalence.

Medical Science, 2023, 27, e158ms2942

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Topical corticosteroid phobia among high educational students in Al-Madinah region: A cross-sectional study

Mosab Tariq Mohanna, Rawabi Ahmed Albeladi, Esraa Khalaf Alshareef, Showq Abdullah Alsaedi, Afnan Fadhel Aljawi, Ahmed Adnan Ozbuk

Background: Topical corticosteroid (TCS) phobia refers to patients' negative beliefs and ideas related to TCS use. This phenomenon is mostly caused by misinformation rather than an irrational fear.

Medical Science, 2023, 27, e159ms2943

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Physician knowledge of radiation exposure and risk in medical imaging in Al-Qunfudha region

Alaa Jameel A Albarakati, Medhat Taha, Hassan Alsuhabi, Mohammed salah almoiedy, Fatmah Hussein Alshardy, Talal Alnaemi, Abdulaziz Zaid Mohammed Alhayli, Zahra Aqeel Ibrahim Alzubaidi, Amal Abdulmalik Zaid Alrizqi, Hatim abdulmalik zaid alrizqi, Raghad Saleh Abdullah Alqarni

Background: Radiation is a recognized and essential component of medical practice, X-rays and radiological procedures related to their use are becoming important diagnostic and therapeutic tools in medicine.

Medical Science, 2023, 27, e160ms2936

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Assessment of QTc interval changes in patients undergoing spinal anesthesia for elective surgery

Mohsen Sahebanmaleki, Mahdi Basirimoghadam, Reza Ghasemi, Mahdi Pirzadeh Aval Baghciahi, Sepideh Karkon Shayan

Background and Aim: A prolonged QT interval is one of the causes of sudden death and the occurrence of arrhythmias. It is needed to revision more the increasing frequency of spinal anesthesia.

Medical Science, 2023, 27, e161ms2708

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Health benefits of mixed recreational team games on untrained males in post COVID-19 scenario

Rakesh Tomar, Jhalukpreya Surujlal, John Ainsworth Allen

Objective of the study was to examine the effect of small-side mixed recreational games on physical characteristics of university youth. Methods: Twenty-six male chosen and divided randomly.

Medical Science, 2023, 27, e162ms2842

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The relationship between sleep quality and dietary intake among pregnant women in Saudi Arabia

Rana Qanaq, Essra Noorwali

Objectives: Sleep quality deteriorate during pregnancy due to hormonal and physical changes. Studies reported that poor sleep quality during pregnancy is associated with an increased risk of adverse pregnancy outcomes.

Medical Science, 2023, 27, e163ms2899

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Knowledge, attitudes and practices of parents of children with sickle cell disease towards vaso occlusive crisis in Tabuk area, Saudi Arabia: A cross-sectional study

Sawsan Mohammed Al Blewi, Ziad Saleh D Albalwi, Abdullah I Altidlawi, Lena Defallah G Alzahrani, Rawan Defallah G Alzahrani, Laila Abdullah S Al-Anazi, Mohand Basher Gahesh Albalawi, Abdulrahman Arshed N Alharfy, Naif Mohammed Al-Balawi, Ehab Hanafy, Yassmeen Hmoud Suliman Alblowi, Khaled Abdullah S Alasmari, Amal Abdullah Ayed Albalwi

Our objective is to assess the knowledge, attitudes and practices of parents of children with sickle cell disease (SCD) towards vaso-occlusive crisis (VOC). Cross-sectional study, administered to patients following up.

Medical Science, 2023, 27, e164ms2914

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Robotic mastectomy versus open mastectomy in patients with or at high risk of breast cancer: A systematic review and meta-analysis

Ibrahim Altedlawi Albalawi, Ibtisam Shary J Hazazi, Nourah Eid A Alatwi, Nouf Ali S Alatawi, Mazen Hamoud A Alatawi, Saleh Sulieman N Alatawi, Nadia Abdualla Alomrani, Rawan Hamoud M Alatawi, Maha Faisal M Aljohani, Hadeel Abdullah D Alosaimi, Rafeef Fahad Aljuhani, Bandar Sulaiman Alatawi, Yasir Mousa Alhusayni, Raghad Dhafer E Alamri, Rahf Mohammed Alqarni

Objective: This study aimed to compare the efficacy and safety of robotic versus open technique in patients undergoing mastectomy for breast cancer treatment or risk-reduction.

Medical Science, 2023, 27, e165ms2951

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CASE REPORT

Pellagrous encephalopathy and alcohol withdrawal delirium: A case report

Aditya Mahindru, Ruthshee Suresh, Pradeep Shriram Patil

Chronic alcohol consumption is a common etiology, for pellagra is frequently under-diagnosed and thus not adequately treated. A 30-year-old gentleman presented with a history of consumption of alcohol in a dependence pattern.

Medical Science, 2023, 27, e166ms2742

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Acute onset psychosis in a patient of tuberous sclerosis: A rare entity

Vaishali Sehgal, Apoorva Yadav, Isha Ahluwalia, Pradeep S Patil

The Tuberous Sclerosis Complex (TSC) is a multisystem autosomal dominant condition occurring due to mutations in the TSC1 or TSC2 genes affecting around 1 in 20,000 people.

Medical Science, 2023, 27, e167ms2748

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A rare case of Guillain barre syndrome with overlapping cerebral sinus venous thrombosis masquerading as acute psychosis following COVID-19 vaccination

Apoorva Yadav, Vaishali Sehgal, Isha Ahluwalia, Pradeep S Patil, Ateeba Ahmed

Guillain barre syndrome (GBS) is a rare autoimmune condition that has a prevalence of 1-2 per 100,000 people each year. Cerebral sinus venous thrombosis (CSVT) occurs at a rate of three to four cases.

Medical Science, 2023, 27, e168ms2806

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Tackling infertility in a case of bicornuate bicollis uterus with longitudinal vaginal septum: An arduous clinical challenge

Nidhi Goyal, Manjusha Agrawal, Deepika Dewani, Manila Reddy, Dhruva Halani

Bicornuate bicollis uterus is a congenital Mullerian anomaly which is comparatively rare. It is associated with about 25% of women having early miscarriage and infertility.

Medical Science, 2023, 27, e169ms2816

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PNAM (Presurgical Nasoalveolar Molding) therapy-first step in preparation of infant for cleft lip and palate repair

Jeni Ann Mathew, Ranjit H Kamble, Pallavi S Daigavane, Ruchika Pandey

A month-old male infant along with parents had reported to Sharad Pawar Dental College. The infant’s parents had complained of lip and palate deformity in the child. On examination, it was found that the patient.

Medical Science, 2023, 27, e170ms2913

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