scholarly journals Current practices of plastic surgeons at King Abdulaziz University Hospital in requesting breast imaging studies prior to non-oncological breast surgeries

Author(s):  
Lama H. Meriky ◽  
Laila K. Ashkar
2017 ◽  
Vol 24 (4) ◽  
pp. 15-20
Author(s):  
Laila K. Ashkar

Timely coordinated breast biopsies following abnormal diagnostic breast imaging reduces patient anxiety and may optimize breast cancer prognosis. Two different pathways have been used in the breast unit at the Radiology Department of King Abdulaziz University Hospital. Before September 2009, all patients who had abnormal breast imaging were sent back to their referring physician, who would then request the necessary biopsy. In September 2009, we proposed the shortened pathway; and coordinated the necessary biopsy directly at our unit, instead of sending the patients back to their physician. This has saved them many weeks of agony and confusion navigating through the medical system to arrange appointments for surgical consultation and radiological biopsy. This study aimed to assess the wait time from abnormal breast imaging to the time of the biopsy. A retrospective study included an analysis of 51 consecutive breast biopsies performed before 2009, compared to 51 biopsy patients after implementing the improved pathway in 2009. It concluded that the expedited pathway reduced the wait time from 42 to 14 days until final diagnosis. To ensure that targets for timeliness are realized, this improved and efficient pathway of care was adapted permanently and has been ongoing since then.


Diagnostics ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. 53 ◽  
Author(s):  
Angie Fasoula ◽  
Luc Duchesne ◽  
Julio Gil Cano ◽  
Peter Lawrence ◽  
Guillaume Robin ◽  
...  

This paper presents the Wavelia microwave breast imaging system that has been recently installed at the Galway University Hospital, Ireland, for a first-in-human pilot clinical test. Microwave breast imaging has been extensively investigated over the last two decades as an alternative imaging modality that could potentially bring complementary information to state-of-the-art modalities such as X-ray mammography. Following an overview of the main working principles of this technology, the Wavelia imaging system architecture is presented, as are the radar signal processing algorithms that are used in forming the microwave images in which small tumors could be detectable for disease diagnosis. The methodology and specific quality metrics that have been developed to properly evaluate and validate the performance of the imaging system using complex breast phantoms that are scanned at controlled measurement conditions are also presented in the paper. Indicative results from the application of this methodology to the on-site validation of the imaging system after its installation at the hospital for pilot clinical testing are thoroughly presented and discussed. Given that the imaging system is still at the prototype level of development, a rigorous quality assessment and system validation at nominal operating conditions is very important in order to ensure high-quality clinical data collection.


2012 ◽  
Vol 32 (2) ◽  
pp. 143-150 ◽  
Author(s):  
Bahjat Al-Awa ◽  
Adnan Al Mazrooa ◽  
Osama Rayes ◽  
Taghreed El Hati ◽  
Isabelle Devreux ◽  
...  

2010 ◽  
Vol 17 (1) ◽  
pp. 67-78
Author(s):  
Lutf A. Abumunaser ◽  
Mohammed J. Alsayyed

Congenital pseudarthrosis of the tibia remains one of the most difficult conditions in pediatric orthopedic surgery. The numerous treatment options reflect this difficulty. The aim of successful treatment is to achieve union, length and deformity correction. This reports a 16-years-old male patient with congenital pseudarthrosis of the tibia diagnosed at age of two years, who previously underwent 14 different operations. The patient was referred to King Abdulaziz University Hospital, where he was treated with Taylor Spatial Frame, excision of pseudarthrosis, autogenus bone grafts and Demineralized Bone Matrix was performed, and union was achieved. Stability and deformity correction permitted by Taylor Spatial Frame, in addition to stimulation of bone healing through proper grafting provided a successful option to treat this complex condition.


2022 ◽  
Author(s):  
Amal A Kokandi

Abstract Introduction:Toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS) are rare, life-threatening conditions caused mainly by drugs. Their management relies on the withdrawal of the culprit medication and supportive measures. Different pharmacotherapies have varied effects. However, data related to TEN and SJS in Saudi is limited. This study aimed to identify the causative agents, associated factors, and outcomes of TEN/SJS cases admitted to a teaching hospital (King Abdulaziz University) in Jeddah during the last 10 years.Methods: We retrospectively analyzed the data of TEN/SJS patients admitted to the hospital over the last 10 years.Results: We identified 12 patients with TEN/SJS. Of these, nine survived the condition and were discharged. The culprit medication was identified in eight of them, including antibiotics in six cases and Tegretol and allopurinol in one case each. Most of the patients received systemic steroids and intravenous immunoglobulins.Conclusion: TEN/SJS is mainly caused by medications of which antibiotics are the most implicated. Consistent with other studies, the mortality rate associated with TEN/SJS in Saudi is 25%. Limitations: restricted to a single center and small sample size.


2016 ◽  
Vol 23 (3) ◽  
pp. 31-37
Author(s):  
Fatimah A. Alturkistani ◽  
Murad A. Alturkustani

Pathological diagnosis of follicular variant of papillary thyroid carcinoma has high inter and intra-observer variability among expert pathologists, aff ecting prognosis and management of the disease. A recent study applying strict diagnostic criteria and long-term follow up confi rmed the indolent behavior of a subtype of these tumors. They recommended a nomenclature change to noninvasive follicular thyroid neoplasm with papillary-like nuclear features, refl ecting the low risk of adverse outcomes. We searched the pathology archives of King Abdulaziz University Hospital from 2002-2016 for all cases diagnosed with “follicular variant of papillary thyroid carcinoma”. Clinical data, and imaging fi ndings were retrospectively reviewed. Available pathologyslides were reviewed using the proposed inclusion and exclusion diagnostic criteria. We confi rmed the diagnostic reproducibility of the suggested criteria. Ten out of 37 cases met the diagnostic criteria. Eightadditional patients could have had their diagnosis modifi ed if sufficient tissue samples were available. Follow up data confi rmed the indolent behavior in these cases with no recurrence or adverse outcome. We concluded that application of the new diagnostic criteria for this subtype is reasonable and has major ramifi cations for the diagnosis and management as this will spare unnecessary thyroidectomies, radioactive iodine therapy, and their complications.


Author(s):  
Sabah Abdullah Alsomali  ,   Amira AbdulAziz Alghamdi

The current study focused on the definition of electronic training and the importance of electronic training in the health organizations. The study main objective was to study the most significant factors that are affecting the electronic training application in the health organizations. The researcher used both a descriptive and analytical methods in her study. A questionnaire was used as a tool for data collection; the questionnaire was divided into two sections. The first section contained questions about general information that included: sex – age- qualification – experience in years – computer skills. The second section dealt with questions related to the study hypothesis. This section consists of four parts as follows: The first part included 11 statements about the reality of the electronic training in the health organizations in the present, which is considered the dependent variable in this study. The second part consists of 15 statements; the third part consists of 13 statements. The fourth part consists of 8 statements. These parts addressed the most significant factors that affected the implementation of the electronic training in the health organizations. These were the independent variables of the study. The questionnaire was distributed to a study sample of (368) employee in the hospital. A (200) questionnaire were collected on a rate of 54%. The Results of the study showed that the infrastructure for the Information technology and the government's tends towards the digital society were the most important factors that primarily affect the possibility of applying the electronic training in the health organizations. The main recommendations of the study were: the need for a support from the high and senior management in the king Abdul Aziz University hospital to adopt the electronic application of the electronic training and manage the resistance of change that many organization faces. The necessity of the electronic training for all the staff on computers skills. Finally, the importance of having a unit for the technical support king Abdul Aziz University hospital.


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