Volume 27, Issue 134, April 2023

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Background: The most prevalent valvular heart condition linked to pregnancy is mitral stenosis. Pregnancy-related increases in cardiac output lead to a worsening of the patient's condition and an increase in New York Heart Association class (NYHA). Purpose & Methods: Regional anaesthesia has recently grown in acceptance as a secure alternative for caesarean delivery in all expectant mothers, even those with heart condition. Results: General anaesthesia is linked to an increase in pulmonary pressure in regard to laryngoscope and endotracheal intubation in addition to anesthesia-induced cardiac depression. The neuraxial blockade may reduce systemic vascular resistance and cardiac output. Conclusion: The outstanding anaesthetic care provided to a pregnant woman with rheumatic heart disease, multivalvular lesions, during epidural anaesthesia is described in this article, along with the positive outcomes for both the mother and the baby. (Ref: Movva H, Taksande K. Pregnancy and mitral stenosis, the anaesthetic management: A case report. Medical Science 2023; 27: e179ms2840).

Table of Contents

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ANALYSIS

Awareness, knowledge and attitude toward venous thromboembolism among Tabuk, Saudi Arabia: A cross-sectional study

Hyder Osman Mirghani, Abdulaziz Abdulkhaliq A Alwakeel, Sarah Ali H Abu Sabir, Sarah Majed A Alquayr, Ibrahim Ahmed J Albalawi, Omniyyah Mohammed S Alatawi, Raghad Faraih A Albalawi, Sultan Abdulrahman S Alamrani, Muruj Mohammed Hassan Bahar

Introduction: Although DVT is a significant source of morbidity and mortality, it can be avoided by avoiding risk factors and putting an emphasis on primary prevention. Aims: Our objective is to assess knowledge of VTE.

Medical Science, 2023, 27, e171ms2928

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The association between GERD patients’ knowledge and development of complications in Makkah

Afnan Mousa Alhawsawi, Ola Abdullah Altwyjri, Ghaida Raja Allah Alsubhi, Linah Jamal Shaikh Omar, Abeer Shaker Elmoursy Ali, Talal Mohamed Karima, Wesam A. Nasif

Background: Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal condition. GERD patients report heartburn, regurgitation, chest pain, dysphasia, globus sensation.

Medical Science, 2023, 27, e172ms2962

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Knowledge, attitude and practice toward organ and blood donation among military population of Tabuk city, KSA

Waleed Turki Mobarek Alanazi, Bader Abdulrahman Husayyan Alanazi, Ahmed Hussain Ali Alshaikhi, Ahmed Yassin Alrefaei, Abdulaziz Nasser Saleh Albalawi, Omar Sabah Ayed Alzamhari, Qayed Fuhaiman Muslem Al-Balawi, Muteb Muflih Mohammed Alshahrani

Background: Organ donation is lifesaving procedure inpatients with end-stage organ failure. Objective: To evaluate the knowledge, attitudes and practice of the Military population in Tabuk, Saudi Arabia.

Medical Science, 2023, 27, e173ms2965

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Parental knowledge of children’s developmental milestones in Al-Ahsa, Saudi Arabia

Khalid Al Noaim, Laila Alalawi, Hussain Al Ghadeer, Abdulrahman Al Naim, Maryam Aljumah, Muneera Alabdulqader, Zainab Al Alawi, Sawsan Alherz

Background: Milestones refer to a child’s typical development by a certain age. Children’s development varies considerably in different countries; therefore, milestones are not fixed by specific ages.

Medical Science, 2023, 27, e174ms2622

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CASE REPORT

A case report of sporadic (tetra) phocomelia and unilateral isolated upper limb phocomelia: An antenatal ultrasonography of an extremely rare congenital anomaly

Asokan Aradhana Shanmughan, Abhi Amit Shah, Baskar A, Murugan G

Phocomelia is a severe and a rare form of limb defect in which the limbs are not formed completely. It affects the growth and development of musculoskeletal system leading to grossly underdeveloped or absent limb.

Medical Science, 2023, 27, e175ms2693

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Giant dumbbell shaped malignant peripheral nerve sheath tumour arising from sciatic nerve: A case report

Rahul Rajendran, Bhushan Jajoo, Raju Shinde, Tejashree Telkhade, Sameeksha Dubey

Malignant peripheral nerve sheath tumours in the sciatic nerve are sporadic and are often misdiagnosed. We herein report a case of a 22-year-old woman presenting with low back pain.

Medical Science, 2023, 27, e176ms2810

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A rare case of unusually large pseudocyst of pancreas treated unconventionally

Mrunmayee Sangamnerkar, Yuganshu Bisen, Raju K Shinde, Shubham Gupta, Ashna Mohanan, Taanvi Bhasin

The pancreatic pseudocyst is a collection of amylase-rich pancreatic secretions. It is the most prevalent pancreatic cystic lesion. Given that granulation tissue, not epithelium, lines the cyst, it is called a false cyst.

Medical Science, 2023, 27, e177ms2860

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Tuberculosis of spine: A rare presentation case report and treatment protocol

Gunjan Pandey, Ashna Mohanan, Sohael M Khan, Venkatesh Dasari, Ratnakar Ambade, Rameez Bukhari

Tuberculosis is endemic to India, still spinal tuberculosis accounts for less than 1% of total TB cases and less than 10% of extrapulmonary TB. This disease is rare and therefore can be easily misdiagnosed.

Medical Science, 2023, 27, e178ms2833

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Pregnancy and mitral stenosis, the anaesthetic management: A case report

Haneesha Movva, Karuna Taksande

Background: The most prevalent valvular heart condition linked to pregnancy is mitral stenosis. Pregnancy-related increases in cardiac output lead to a worsening of the patient's condition.

Medical Science, 2023, 27, e179ms2840

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An unusual case of cerebellar herniation in a neonate secondary to communicating hydrocephalus

Iyer Lavanya Ramakrishnan, Mahaveer Lakra, Bhavana Lakhkar, Nishant Raj, Shikha Kakkat, Anirudh Komareddy

The incidence of sepsis causing meningitis is a common finding seen in neonates. Meningitis, if not diagnosed early and intervened on time with adequate amount and duration of antibiotics can lead to catastrophic complications.

Medical Science, 2023, 27, e180ms2866

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Rare case of Budd-Chiari Syndrome with recurrent thrombosis requiring stenting

Sushma Myadam, Revat Meshram, Amar Taksande

Budd-Chiari syndrome is a very rare disorder in paediatric age group, which is characterised by narrowing or obstruction of hepatic venous outflow. The obstruction might be thrombotic or non-thrombotic.

Medical Science, 2023, 27, e181ms2838

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REPORT

The effect of breast cancer awareness on young females, their knowledge and self-examination skills

Saad Ali S Aljohani, Rania Ezzat Mufti, Jori Osama Kareem Bakhsh, Faris Merghani A Elmahdi

Background: The most prevalent cancer in the world is breast cancer form of cancer in women and its incidence is rising in a number of nations. Breast self-examination is a basic and straightforward method for women.

Medical Science, 2023, 27, e182ms2964

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ANALYSIS

The role of PRP as biological stimulator for cartilage regeneration: An experimental prospective study

Kuldeep Chhatbar, Sanjay Deshpande, Salahuddin Ahmed, Parth Shah, Shrut Vasavada

Introduction: Platelet-rich plasma (PRP) an autologous platelet concentration that contains a large quantity of growth factors is being used to treat an increasing number of articular cartilage injuries.

Medical Science, 2023, 27, e183ms2847

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Perception of poor prognosis and psychological impact on the infertile couples who stop IVF therapy: Cross sectional scientific perspective

Rawan Ahmad Alhazmi, Mahdya Bukhari

The goal of this study is to examine the mental health of infertile men and women who’s in-vitro-fertilization-(IVF) treatment halted or delayed due to the perception of poor prognosis.

Medical Science, 2023, 27, e184ms2933

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The effects of terbinafine on the lipid profile in humans and rabbits

Sami Alsuwaidan, Abdulmajeed Alajlan, Huda Alkreathy

Objectives: To investigate the effects of the azole antifungal agent, allylamine terbinafine, on the lipid profile of patients attending the dermatology clinics and any changes in serum creatinine associated.

Medical Science, 2023, 27, e185ms2947

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Assessing women's knowledge of the effects of vitamin D on the menstrual cycle and its associated symptoms

Bayan Fawaz Alzahrani, Amani Omar Safdar, Roua Fahad Alghamdi, Waad Ibrahim Barnawi, Waad Salem Almatrafi, Abeer Shaker Elmoursy Ali, Wesam A Nasif

Background: Vitamin D has numerous important roles. Recent research has demonstrated that vitamin D also reduces menstrual cycle-related symptoms, however comparatively few studies have been conducted purely on this topic.

Medical Science, 2023, 27, e186ms2955

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Comparison of depression and its associated risk factors between medical and non-medical students

Haytham Mahmoud, Khalid Aloufi, Abdullah A Alkurdi, Abdelrahman S Ghonimy, Abdulilah F Hamdan, Abdullah A Alsharif, Abdullah M Al-Otaibi, Abdulaziz M Alsaif, Lujain A Aldarsi, Mohammad Sanousi

Background: Psychiatric illnesses have abnormal thoughts, feelings and behaviors. According to the 2019 Global Burden of Disease research, mental diseases remain one of the top ten leading sources.

Medical Science, 2023, 27, e187ms2963

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Protective effects of selenium nanoparticles against doxorubicin-induced testicular apoptosis in rats

Tourki A S Baokbah

The chemotherapeutic drug doxorubicin (Dox) is prescribed for cancer treatment. In addition to cancer cells, its cytotoxic effect affects healthy tissues with a high proliferation index, such as the testes.

Medical Science, 2023, 27, e188ms2975

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Assessment of Awareness and Knowledge of Parents about Child Developmental Milestones in Al-Kharj City, Saudi Arabia

Abbas Elbakry A Elsayed, Ismail Abdelfattah M Hassan, Mohammed Ibrahim Hajelbashir, Abdulrahman Mousa Almalki, Faisal SF Alharbi, Rasheed A Alhajri, Mohammed NM Al-Harbi, Arif Mohammed M Alanazi, Abdulaziz Munahi Alanazi, Abdullah NM Al-Harbi, Ali Hassan A Ali

Background: Child development is the process by which children's skill development is acquired over predictable times recognized as developmental milestones.

Medical Science, 2023, 27, e189ms2994

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REPORT

Effect of copper-doped phosphate glass on dental resin material: In vitro study

Ahmed B EI Okl, Samar H Abuzinadah, Mohamed Aboshama, Rayyan A Kayal, Abdulrahman J Alhaddad, Samah M Awad, Osamah Alsulimani, Salem K Aloubathani, Abdu M Abuhubayrah, Gehan A El Olimy

Background: This study aims to incorporate the oxide copper particles with phosphate-based glass fibers (PGF) into a poly methyl methacrylate (PMMA) resin material and investigate its antimicrobial effect.

Medical Science, 2023, 27, e190ms2987

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Endurance development using long running at school and its impact on children's memory

Georgiy Polevoy

The purpose of the study: In this study, we had to evaluate the impact of long-term running on the aerobic performance of school children and the impact of such indicators on children's memory.

Medical Science, 2023, 27, e191ms2989

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CASE REPORT

An unusual presentation of epiphyseal chondroblastoma with posterior cruciate ligament tear: A case report

Ashna Mohanan, Yuganshu Bisen, Ratnakar Ambade, Mrunmayi Sangamnerkar, Aayushmann Singh, Gunjan Pandey, Taanvi Bhasin

Chondroblastoma is a sporadic, benign, locally aggressive, cartilaginous tumor that commonly affects the epi metaphyseal or epiphyses of the long bones. Chondroblastoma being extremely rare accounts.

Medical Science, 2023, 27, e192ms2821

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Systemic amyloidosis misdiagnosed for Crohn's disease: A case report

Salah Ahmd Elshafie, Khalid Alnemer, Mohammed A Omair, Tahany Faisal Alshammari, Tamam Zamil Alshammari, Hussain Abdullah Aljuwayd, Shayma Abduwasea Asrar, Fadi Alakeel, Hussain Gadelkarim Ahmed

Background: Systemic amyloidosis is characterized by the steady buildup of highly structured fibrils made of autologous proteins in the organs that are affected. Our patient was often told she had Crohn's disease.

Medical Science, 2023, 27, e193ms2986

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A rare case report of congenital pseudoarthrosis of tibia and fibula managed with dual modality of treatment: Ilizarov external fixator and plate osteosynthesis

Kuldeep Chhatbar, Sanjay Deshpande, Salahuddin Ahmed, Parth Shah, Shrut Vasavada

Congenital pseudoarthrosis is specific kind of non-union that is either present or developing at birth. Though its cause is unknown, it commonly affects people with neurofibromatosis.

Medical Science, 2023, 27, e194ms2843

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Pediatric Guillain-Barre Syndrome presenting with hyperreflexia and opsoclonus myoclonus

Shikha Muringathery Kakkat, Sham B Lohiya, Richa Chaudhary, Keta Vagha, Jayant Vagha

Guillain-Barre Syndrome is an acute inflammatory polyneuropathy most commonly characterized by rapidly progressive, essentially symmetrical weakness with hyporeflexia or areflexia.

Medical Science, 2023, 27, e195ms2846

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Hydatid cyst masquerading as empyema leading to benign pulmonary neoplasm: A diagnostic challenge

Saran K Chacko, Ulhas Jadhav, Babaji Ghewade, Pankaj Wagh, Reshma Babu, Gaurang Aurangabadkar, Roshan Prasad

Hydatid cyst (HC) is a disease that occurs due to the parasite Echinococcus (EC) and the most typical infection in humans with hydatid disease is caused by the species granulosus.

Medical Science, 2023, 27, e196ms2900

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Convalescence after physiotherapy intervention in a classic rare case of cerebellar bleed: A case report

Anjali Vikas Nawkhare, Snehal Shamal, Swadha P Udhoji, Nikita Seth

The cerebellum regulates posture, eye-hand coordination and limb movement. It may also have a role in non-motor functions including attention and cognition. The feedforward component of movement is impacted.

Medical Science, 2023, 27, e197ms2950

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RESEARCH

Lifestyle behaviours, dietary habits, physical activity and biochemical measurements in Saudi University students

Dina M Qahwaji

Introduction: Students worldwide are affected by lifestyle-related diseases. Hence, it was planned to study the association among dietary habits, physical activity, other lifestyle behaviours and biochemical measurements.

Medical Science, 2023, 27, e198ms2940

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ANALYSIS

The place of epiduroscopy in the management of low back pain after lumbar surgery

Emrullah Cem Kesılmez, Zafer Yüksel

Objective: The present study aims to evaluate the outcomes of epiduroscopy used in the diagnosis and treatment of low back pain in patients having previously undergone lumbar surgery.

Medical Science, 2023, 27, e199ms3015

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Improving the functional capabilities of the body of children with respiratory diseases

Georgiy Polevoy

Background: It is important to treat diseases of the respiratory system not only with medication, but also with the help of physical rehabilitation. The purpose of the study: Improving the functional efficiency of the body of primary school-age children.

Medical Science, 2023, 27, e200ms3017

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