Volume 25, Issue 115, September 2021

About the Cover

Introduction: After the recent outbreak of SARS COV2 worldwide, the governments decided to implement a lockdown to restrict or contain the spread of the contagion. Telemedicine has evolved as an adjunct/ supportive service to patients from far-off places in these troubled times. Methodology: A dedicated number was provided to the orthopedics department. On regular OPD, a telemedicine facility was provided from 9 am to 5 pm. On other days, the concerned duty team number was used. Patients were allowed to interact from 9 am to 11 am and 6 pm to 8 pm. Observation and Results: The study was conducted from March 2020 to May 2020. A total of 57 patients were given consultations through the telemedicine department out of which 41 were males, and 16 were females. Nearly 33 patients had grade 1, 16 patients had grade 2, and eight patients had grade 3 satisfaction levels. Conclusion: It is difficult to replace traditional consultation methods. However, telemedicine facilities may serve as useful supportive services to the existing facilities for outpatients and triage. (Ref: Yadav S, Jha AA, Dhakshanamoorthy R, Prasai A, Verma R, Agrawal NK. Analysis of telemedicine as a healthcare service adjunct during extended lockdown at a tertiary health care center of eastern India. Medical Science, 2021, 25(115), 2109-2113).

Table of Contents

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ANALYSIS

Analysis of telemedicine as a healthcare service adjunct during extended lockdown at a tertiary health care center of eastern India

Sanjay Yadav, Abhinav Anand Jha, Raghul Dhakshanamoorthy, Anukritika Prasai, Rahul Verma, Neeraj Kumar Agrawal

Introduction: After the recent outbreak of SARS COV2 worldwide, the governments decided to implement a lockdown to restrict or contain the spread of the contagion. Telemedicine has evolved as an adjunct/ supportive service to patients from far-off places in these troubled times.

Medical Science, 2021, 25(115), 2109-2113

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Saudi population preferences towards receiving medical bad news in Buraidah city 2020

Fahad Mohammed A Alkhuzayyim, Chandra Sekhar Kalevaru

Background: Breaking bad news from health care providers to patient attendees, need skills to the professionals to deliver the bad news. Same time positive attitude change also required from the population in relation to receiving medical bad news

Medical Science, 2021, 25(115), 2114-2125

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Prognostic value of Prehospital Index (PHI) versus GAP scale measured in hospital emergency room

Hadi Jalilvand, Homayoun Sadeghi-Bazargani, Ehsan Sarbazi, Mohammad Meshkini, Mohammad Asghari Jafarabadi, Hassan Nouri Sari, Pir-Hossein Kolivand, Kavous Shahsavarinia, Mina Golestani, Faramarz Pourasghar

Introduction: Trauma is one of the major health problems worldwide. There are several indicators for predicting trauma mortality in the world, some of them are physiological, some anatomical, and some others are both psychological and anatomical

Medical Science, 2021,25(115), 2126-2137

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Evaluation the efficacy and complications of uphold system for total organ pelvic prolapse repair

Farzaneh Sharifiaghdas, Zohreh Bartani, Rasoul Esmaeili

Objective: The aim of present study was to use an uphold system (Boston Scientific) for restoration of total organ pelvic prolapse.

Medical Science, 2021,25(115), 2138-2144

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Dynamics of respiratory ventilation function indices in patients with chronic obstructive pulmonary disease and bronchial asthma with comorbid irritable bowel syndrome

Svitlana Novychenko, Svitlana Kovalenko, Natalia Lytvyniuk, Elvira Yasynska, Olga Skrynchuk, Stanislav Roborchuk, Tetiana Shchudrova, Tetiana Unguryan

The article presents the study of the respiratory function in patients with chronic obstructive pulmonary disease (COPD) and bronchial asthma (BA) with comorbid irritable bowel syndrome (IBS).

Medical Science, 2021,25(115), 2145-2151

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Use of atypical antipsychotics in the treatment of patients with schizophrenia and drug addiction: A randomized control trial

Mohammed A Alotaibi, Ahmed M Elmalky

Objectives: Aim is to study of the therapeutic efficacy of atypical antipsychotics (aripiprazole and quetiapine) in comparison with haloperidol in cases of comorbidity of low-grade forms of schizophrenia and addiction

Medical Science, 2021,25(115), 2152-2162

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Antibiotic use and misuse: A cross-sectional study assessing the understanding of Saudi medical students

Abdullah Almutairi, Khalid Almahmoud, Ibrahim Alrumaih, Yazeed Alsaadi, Bandar Alamrai, Jihad Alrehaili, Javed Khan, Razique Anwer

Background: Antibiotic resistance (AMR) has emerged as a global public health concern, posing a significant economic and clinical impact on both individual and population health

Medical Science, 2021,25(115), 2163-2172

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Knowledge, attitude and practice of cervical cancer among female staff in outpatient department at Prince Mansour Military Hospital in Taif city, Saudi Arabia

Eyman Omar Halabi, Sultan Abdullah Almalki

Background: Cervical cancer (CC) is one of the serious diseases that affect women’s lives. Fortunately, cervical cancer is a preventable and treatable disease; early detection has reduced its mortality and morbidity worldwide

Medical Science, 2021,25(115), 2173-2180

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Predicting self-harming behaviors based on attachment styles and early maladaptive schemas among adolescents; mediating roles of trauma, emotion dysregulation, impulsivity and self-criticism

Hesam Shahmoradi, Abbas Masjedi-Arani, Maryam Bakhtiari, Imaneh Abasi

Introduction: Self-harming behavior is a major clinical issue in adolescence. In this study, we aimed to clarify the pathway from attachment styles and early maladaptive schemas to self-harming behavior through the mediating roles of trauma, emotion dysregulation, impulsivity, and self-criticism among adolescents in Iran

Medical Science, 2021,25(115), 2181-2190

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Artificial Intelligence in Patient Care in Riyadh, Saudi Arabia 2019-2020

Mona A Al Fadeel, Nouf A Khalifah, Hotoon S Alshammari, Fatema S Smaisem, Haya A Al Qahtani, Asmaa K Al Otaibi, Reham M Al Shehri, Farah A Qari, Rayan M Seedahmed, Hanaa M Abutaima, Raghad A Al Ameer

Background: Artificial intelligence is a field of computer science that is capable of analyzing complex medical data. Objectives: To describe the awareness and Perception of uses of artificial intelligence among providers in Medical health care settings

Medical Science, 2021,25(115), 2191-2197

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CASE REPORT

Cutaneous sinus tract of dental origin in pediatric patient: A case report

Sneha Khekade, Shweta Chandak, Suryakant Kumar, Arun Sajjanar, Niharika Gahlod, Miranda George, Milind Wasnik

Cutaneous sinus tract develop due to misdiagnosis of persistent dental infections as it may look similar to other cutaneous lesions and misdiagnosis may lead to cutaneous scar formation, psychological trauma to the patient so the correct identification of etiology and diagnosis is important.

Medical Science, 2021, 25(115), 2198-2202

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ANALYSIS

The misuse of topical creams among females in Saudi Arabia 2020

Walid A Alghamdi, Nouf A Khalifah, Hotoon S Alshammari, Fatimah A Althamin, Batool A Althamin, Haneen H Alsultan

Background: Topical creams (TC) are agents used for the skin to treat many problems such as; wrinkles, acne, blemishes and much more. They are used commonly worldwide mostly among females but there are a few studies that concentrated on the severity of overusing or misusing these agents

Medical Science, 2021, 25(115), 2203-2212

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Prevalence and associated factors of suicidal ideation and attempts among undergraduate medical students of Umm Al-Qura University, Saudi Arabia: A cross sectional study

Omar S Alhothali, Abdullah K Bahakim, Sanad M Alharthi, Abdullah K Alsaede, Saad M Alharthi, Imad A Aljahdali, Mokhtar M Shatla

Introduction: Suicide is the second major cause of mortality amongst young adults, and medical studentsare vulnerable to suicidal ideation due to overwhelming distress resulting from academic and non-academic issues.

Medical Science, 2021, 25(115), 2213-2221

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A cross-sectional study of effect of stress and anxiety on neck pain among undergraduate physiotherapy and nursing students of a rural health sciences University from Maharashtra, India

Shrutika H Wankhade, Ashish Wasudeorao Bele, Divya Jain, Ajinkya Sureshrao Ghogare, Mohd Irshad Qureshi, Pratik Phansopkar, Nivedita Chandrapal Singh

Introduction: Neck Pain is one of the common public health problems all over the world. It has negative effect on health and quality of life. Neck Pain can be a leading cause of disability

Medical Science, 2021, 25(115), 2222-2232

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RESEARCH

The effect of aerobic training versus cognitive behavioral therapy in management of anxiety, depression and stress related to COVID 19 pandemic among university students: A randomized controlled trial

Nashwa S Hamed, Amr A Abdel-aziem, Alsufiany Muhsen B, Marwa M Eid, Hatem A Allam, Amira M El-Gendy, Lamiaa K El Sayyad

Background: The prevalence of anxiety, depression, and stress increased due to COVID 19 crises. Anxiety and depression are the most common psychiatric disorders.

Medical Science, 2021, 25(115), 2233-2246

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ANALYSIS

Prevalence of food allergy and associated risk factors among children in eastern region, Saudi Arabia

Hussain A Al Ghadeer, Jaber A Al Habeeb, Amal S Alsultan, Ghofran M Almosailem, Fatimah M Al Musallam, Maryam A Alramadhan, Wejdan H Al Musallam, Fadi N Busaleh, Ahmed Y Alghadeer, Ahmed M Al Qassimi, Muntaher S Al Hejji, Ahmed M Alhamrani

Background: Food allergy is an adverse immune-mediated reaction after exposure to certain types of food. Food allergy is considered a major public health issue worldwide

Medical Science, 2021, 25(115), 2247-2258

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Comparative evaluation of the levels of fibroblast growth factor-2 prepared from Advanced Platelet Rich Fibrin (A-PRF) in diabetic patients and healthy subjects in Saudi Arabia

Hanan Abdullah Mohammed Al Mozher, Hesham Abdulatif Al-Mashat, Osamah Mohammed Al Mugeiren

Background: Recently, attempts have been made to alter the centrifugation time in platelet-rich fibrin (PRF) preparation protocols; it was believed that low-speed centrifugation (LSCC) improves growth factor release via PRF scaffolds

Medical Science, 2021, 25(115), 2259-2267

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Anticardiolipin antibody level in hypertensive disorders of pregnancy and its association with pregnancy outcome

Eman Kamal Abdulwahhab, Ghada Al-Sakkal

Objective: Find out the association of anticardiolipin antibodies between normotensive hypertensive disorders of pregnancy and pregnancy outcome, and investigate the possibility of making anticardiolipin antibodies as a biomarker for hypertensive disorders of pregnancy involving preeclampsia.

Medical Science, 2021, 25(115), 2268-2274

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Evaluation of cyclic fatigue resistance of four heat-treated nickel-titanium single file systems in canals with single curvature - An in-vitro study

Mohammad Daher Altufayli, Basem Salem, Imad Katbeh, Pierre Georges, Roua Kamel Moualla

The anatomy of root canal system has a complex variation, so it is important to have a flexible system that would require minimal preparation of the canal

Medical Science, 2021, 25(115), 2275-2280

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Knowledge and education level of dental sleep medicine among undergraduate dental students in Riyadh, Saudi Arabia: A cross-sectional study

Sanjeev Khanagar, Abdulsalam Thekkiniyakath Ali, Arwa Alhassoun, Hala Alshalawi, Linah Yassin Alali, Maram Ali Alqahtani, Rahaf Alahmadi, Reem Bin Zaid

Objective: Knowledge assessment of Dental Sleep Medicine DSM between undergraduate dental students in Riyadh, Saudi Arabia. Moreover, to improve the student's recognition and treatment of sleep disorders

Medical Science, 2021, 25(115), 2281-2291

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Dietary patterns in adult patients with Non-Alcoholic Fatty Liver Disease in Iraq

Nawal Mehdi Al Khalidi, Zainab Ghanim Kadhim, Hayat Yahya Almousawi

Objectives: The aim of this study was to assess the dietary patterns of Iraqi patients with non- alcoholic fatty liver disease (NAFLD) and compare it with controls.

Medical Science, 2021, 25(115), 2292-2301

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The association between physical activity and burnout among medical students in Riyadh, Saudi Arabia

Abdulrahman M Alothman, Ibrahim Ahmed, Mohammed A Alfadhel, Ahmad M Khalaf

Background: The prevalence of burnout among physicians is significantly high. Although the cause of burnout is unclear, many have reported that it originally begins during medical school

Medical Science, 2021, 25(115), 2302-2310

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Knowledge, attitude, and behavior of family medicine residents regarding low-dose computed-tomography lung cancer screening at primary care setting in Riyadh, Saudi Arabia in 2020

Bandar Khalid Alrabiah, Sulaiman Abdullah Alshammari, Omar Jamal Abdulkareem Alwatban

Objective: The present study aimed to assess the knowledge, attitudes, behaviors and encountered obstacles of Low-Dose Computed Tomography (LDCT) lung screening among family medicine residents in Riyadh city, Saudi Arabia

Medical Science, 2021, 25(115), 2311-2321

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Evaluation of response to treatment in iron deficiency anemia after coronary artery bypasses graft surgery

Kourosh Tirgarfakheri, Minou Jolousi, Evaz Heydarpour, Masoomeh Saberian, Maryam Ghanbari Garekani, Elmira Sakhaeyan, Ziae Totonchi

Introduction: Anemia is a decrease in hemoglobin and red blood cells that decreases oxygen-carrying capacity. There are different types of anemia, the most common of which is iron deficiency anemia. Anemia is common in patients undergoing surgery, especially cardiac surgery

Medical Science, 2021, 25(115), 2322-2331

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Socio-economic impact on families with diabetic foot ulcer and amputation patients

Abdelrahman Mohamed Ahmed Abukanna, Noof Saud J Alenezi, Amal Muteb S Alshalan, Hajar Salah Khulayf Alenzi, Raghad Khalid R Alruwaili

Background: The price of a one admission to treat acute diabetic foot infection is approximately 7717.39US Dollar per year. Objective: To detect the social and financial influence of diabetic foot ulcer and amputation patients on their families, in Arar city, KSA

Medical Science, 2021, 25(115), 2332-2343

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RESEARCH

A cognitive behavioral perspective about awareness and quality of management of knee osteoarthritis: A cross-sectional survey

Abdulrahman Ali M Khormi, Abdulsalam Saud Alharbi, Abdulaziz Abdullah Basalem, Faisal Taher Hijazi, Farraj Mohammed Alshalwi, Abdulrahman Khulaif Alenezi

Background: Osteoarthritis is a prevalent and costly condition. The aim of this study was to investigate the quality of care being offered to people with osteoarthritis and common pathways of care using a validated patient-reported outcome measure.

Medical Science, 2021, 25(115), 2344-2356

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ANALYSIS

Awareness and attitude toward the usage of fake braces as an intermaxillary fixation for diet control purposes in Saudi Arabia

Reuof Alessa, Norah Alghurairi, Rahaf Alalwan, Huda Alaqail, Nasir Alhamlan, Omar Aldibasi

The increased demands towards the usage of fake braces are relatively high. One possible reason behind its usage is to lose weight. The use of Intermaxillary fixation for diet control (IMFDC) is ethically questionable since it causes more harm than good for the patients

Medical Science, 2021, 25(115), 2357-2363

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Knowledge, attitude, and diagnostic ability of oral cancer among dental students in Riyadh, Saudi Arabia

Fahad Amer Almutairi, Abdulelah Abdulrahman Alanazi, Moath Mansour Almansour, Ibraheem Mansour Almansour, Saleem Faiz Shaikh, Hisham Al Rashaid, Baseer MA

Aim: To assess the awareness, knowledge, attitude, and diagnostic ability of oral cancer and its early signs and risk factors among undergraduate dental students in Riyadh, Saudi Arabia

Medical Science, 2021, 25(115), 2364-2372

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Comparative characteristics of the clinical picture of COVID-19 in children in 2020 and 2021

Kramarov Sergiy, Yevtushenko Vitalii, Seriakova Iryna, Palatna Liudmyla, Shpak Iryna, Voronov Oleksandr, Shadrin Valerii, Kyrytsia Nataliia, Dudnikova Mariia, Kaminska Tatiana, Holovach Olena, Chemerkina Nataliia, Bolshakova Ludmila, Tsymbalenko Anna

Background: In Ukraine there have been two periods of increased incidence of COVID-19 in 2020 and 2021. The pandemic has wavy character, which may be due, to the high mutational activity, which leads to the rapid formation of new variants of the virus

Medical Science, 2021, 25(115), 2373-2382

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The association between smartphone usage and musculoskeletal pain among medical residents in Riyadh, Saudi Arabia during covid-19 pandemic

Omar Jamal Abdulkareem Alwatban, Sulaiman Abdullah Alshammari, Bandar Khalid Alrabiah, Khalid F Alsadhan, Mohammed W Alwhibi

Background: The association between smartphone addiction and the increased prevalence of musculoskeletal pain is still a controversial issue

Medical Science, 2021, 25(115), 2383-2391

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Low back pain among physicians, Saudi Arabia 2020

Manal Ibrahim Hanafi Mahmoud, Assmaa Ahmed Shaker, Rowaid Sohail Yazbik, Mohammed Khder Alamri, Ahmed Sameh Salem

Background: Low back pain is defined as pain and discomfort located below the costal border and superior to the inferior gluteal sulcus, with or without leg pain. It is an important cause of disability among physicians

Medical Science, 2021, 25(115), 2392-2400

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The association between smoking and urinary albumin excretion rate and GFR in patients with type 2 DM

Sara N Al Mazrooa, Shatha A Alduraywish

Objective: The objective of this study was to find the differences in urinary albumin excretion rate and glomerular filtration rate (eGFR) between non-smoking, currently smoking and formerly smoking type 2 diabetic patients

Medical Science, 2021, 25(115), 2401-2410

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RESEARCH

Protective effect of some food supplement against the toxicity of cyclophosphamide on the brain

Ali Hassan A Ali, Shaban Ragab Ibrahim, Abdulrahman M Alkassar Alanazi, Faisal M Alshmmari, Abduallah A Alotaibi, Abdulmohsen K Alghamdi

The nervous system had been found to be affected by oxidative stress. Natural dietary supplements had been proved that they have antioxidants properties that may protect our bodies against the effects of free radicals

Medical Science, 2021, 25(115), 2411-2419

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ANALYSIS

Compliance with the international code of marketing of breast milk substitutes: Can physicians protect the code?

Najed M Alotabi, Nada A Alyousefi

Background: The International code of marketing of mother’s milk substitutes was adopted following the reports on the general decline in the prevalence of breastfeeding worldwide

Medical Science, 2021, 25(115), 2420-2430

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Prevalence and impact of primary headache on quality of life in the general population of Arar, Northern Saudi Arabia

Abdelrahman Mohamed Ahmed Abukanna, Norah Ayed Ayash Alenezi, Atheer Ayed Tinan Alenezi, Malak Ayed Tinan Alenezi

Background: Headache is a common health problem; it could leads to negating influences on the quality of life. Objective: The study aimed to investigate the prevalence and influence of primary headache on the quality of life of the general population of Arar, Northern Saudi Arabia

Medical Science, 2021, 25(115), 2431-2439

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Development of nano-formulating dexamethasone for anterior uveitis treatment: A randomized clinical trial study

Mostafa Feghhi, Behzad Sharif Makhmalzadeh, Fereydoun Farrahi, Alinejat Sharafi, Ali Kasiri

Objective: To evaluate the efficiency of nano-formulating dexamethasone in the treatment of anterior uveitis. Methods: The present study is a randomized clinical trial study conducted on 20 patients with anterior uveitis referred to the Ophthalmology Department of Imam Khomeini Hospital

Medical Science, 2021, 25(115), 2440-2451

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