scholarly journals VATS Sympathectomy for the management of Primary Hyperhidrosis: An experience at Aseer Central Hospital, Saudi Arabia.

2021 ◽  
Vol 28 (08) ◽  
pp. 1126-1131
Author(s):  
Javed Mirdad Tarar ◽  
◽  
Kashif Nadeem ◽  
Durre Sadaf Khan ◽  
◽  
...  

Background: Hyperhidrosis is bilateral, symmetrical and profuse sweating beyond physiological limits of the body. It is an important disease that causes social and emotional disturbances. Conservative treatment has poor results and most of the patients end up in surgical remedy eventually. The choice of operation is Bilateral Sympathectomy which has excellent results. Objective: The aim of this study was to assess the demographic features of patients and to evaluate the outcome of VATS Sympathectomy. Study Design: Prospective Study. Setting: Aseer Central Hospital, Saudi Arabia. Period: September 2017 to March 2020. Material & Methods: Bilateral VATS with resection of sympathetic chain from T2 to T5 was done depending upon the area involved in hyperhidrosis. Results: 28 (58.3%) male and 20(41.6%) female patients with mean age 21 years (range 19 to 53) were documented. 40% of the patients related their condition to be familial. Most common site of involvement was combined Palmer Plant and Axillary in 26(54%) whereas isolated facial hyperhidrosis was the least involved area. Complication rate was 12% with no mortality recorded. Excellent results with 98% patient’s satisfaction was found. Conclusion: Bilateral VATS sympathectomy is the gold standard surgical treatment for Primary Hyperhidrosis with excellent results.

2021 ◽  
pp. 1-22
Author(s):  
Sebastian Jugl ◽  
Aimalohi Okpeku ◽  
Brianna Costales ◽  
Earl J. Morris ◽  
Golnoosh Alipour-Haris ◽  
...  

In 2017, a National Academies of Sciences, Engineering, and Medicine (NASEM) report comprehensively evaluated the body of evidence regarding cannabis health effects through the year 2016. The objectives of this study are to identify and map the most recently (2016–2019) published literature across approved conditions for medical cannabis and to evaluate the quality of identified recent systematic reviews, published following the NASEM report. Following the literature search from 5 databases and consultation with experts, 11 conditions were identified for evidence compilation and evaluation: amyotrophic lateral sclerosis, autism, cancer, chronic noncancer pain, Crohn’s disease, epilepsy, glaucoma, human immunodeficiency virus/AIDS, multiple sclerosis (MS), Parkinson’s disease, and posttraumatic stress disorder. A total of 198 studies were included after screening for condition-specific relevance and after imposing the following exclusion criteria: preclinical focus, non-English language, abstracts only, editorials/commentary, case studies/series, and non-U.S. study setting. Data extracted from studies included: study design type, outcome definition, intervention definition, sample size, study setting, and reported effect size. Few completed randomized controlled trials (RCTs) were identified. Studies classified as systematic reviews were graded using the Assessing the Methodological Quality of Systematic Reviews-2 tool to evaluate the quality of evidence. Few high-quality systematic reviews were available for most conditions, with the exceptions of MS (9 of 9 graded moderate/high quality; evidence for 2/9 indicating cannabis improved outcomes; evidence for 7/9 indicating cannabis inconclusive), epilepsy (3 of 4 graded moderate/high quality; 3 indicating cannabis improved outcomes; 1 indicating cannabis inconclusive), and chronic noncancer pain (12 of 13 graded moderate/high quality; evidence for 7/13 indicating cannabis improved outcomes; evidence from 6/7 indicating cannabis inconclusive). Among RCTs, we identified few studies of substantial rigor and quality to contribute to the evidence base. However, there are some conditions for which significant evidence suggests that select dosage forms and routes of administration likely have favorable risk-benefit ratios (i.e., epilepsy and chronic noncancer pain). The body of evidence for medical cannabis requires more rigorous evaluation before consideration as a treatment option for many conditions, and evidence necessary to inform policy and treatment guidelines is currently insufficient for many conditions.


ReCALL ◽  
2012 ◽  
Vol 24 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Jérôme Eneau ◽  
Christine Develotte

AbstractThis study concerns the development of autonomy in adult learners working on an online learning platform as part of a professional master's degree programme in “French as a Foreign Language”. Our goal was to identify the influence of reflective and collaborative dimensions on the construction of autonomy for online learners in this programme. The material used was 27 self-analysis papers in response to an assignment which asked students to review their distance learning experience (reflective dimension) and to highlight the role of others, if any, in their learning (collaborative dimension). In addition to these two major points, the analysis by category of the body of results shows principally that in qualitative terms, the factors of autonomisation for online learning are interconnected and include: the difficulties related to distance learning and the strategies that learners develop to face those difficulties, the importance of interpersonal relationships in social and emotional terms in overcoming those difficulties, the specific modes of sociability developed for distance learning and the related development of a new type of autonomy that is both individual and collective. The discussion examines the creation, over the course of time, of a new “distance learning culture” that is nonetheless never easy to create and share.


2021 ◽  
Author(s):  
◽  
Ibrahim Alamir

This dissertation is composed of three unrelated chapters, all of which are on different topics. Chapter 1 : The Effect of Wind Speed and Particulate Matter to the Emergency Depart- ment of King Fahad Central Hospital in the Jazan Region of Saudi Arabia by Those Suffering from Asthma. Chapter 2 : The Effect of Gasoline. Chapter 3 : The Effect of Dust and Sand Storms on Asthma, Pneumonia, Cardiovascular Disease, and Upper Respiratory Disease: Primary Health Care Visits in Jazan, Saudi Arabia Prices on Road Fatalities in Saudi Arabia


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Sameer Al-Ghamdi ◽  
Mamdouh M. Shubair ◽  
Abdulrahman Aldiab ◽  
Jamaan M. Al-Zahrani ◽  
Khaled K. Aldossari ◽  
...  

1971 ◽  
Vol 2 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Edward T. Auer ◽  
Audrey G. Senturia ◽  
Moisy Shopper ◽  
Ralph L. Biddy

This report deals with the findings from a study of twenty-eight children, all of whom had ventricular septal defects and were studied by the same cardiovascular team. One-half of the group had a surgical procedure for correction of the defect. The study investigated three problems in children with ventricular septal defect ( VSD). (1) Do children with surgical intervention for VSD show greater impairment of intellectual functioning than non-operated children? (2) Do children with surgical intervention show greater emotional disturbance than non-operated children? (3) Do children with surgical intervention show greater alteration of body image than do non-operated children? Data were collected using questionnaires, family interviews, subject interviews, medical records, school reports, physicians' reports and Human Figure Drawings, both inside and outside the body. The findings conclude that ( a) operated children do demonstrate significantly more impairment of intellectual functioning; ( b) there was no significant difference in the incidence of emotional disturbances between the two groups but that these twenty-eight children with VSD were more similar emotionally to children in a psychiatric clinic group than in a control group; and ( c) the only indication of altered body image was found in the greater frequency with which bones were drawn by the operated group.


2011 ◽  
Vol 18 (02) ◽  
pp. 285-288
Author(s):  
KHURRAM SOHAIL RAJA ◽  
HUMAIRA ARSHAD ◽  
FARIDA MANZUR

Objective: To examine the different type of injuries after police torture. Design: Torture study. Setting: Office of District Standing Medical Board, in DHQ Hospital Faisalabad. Period: From 1.1.2009 to 31.12.2009. Material & Methods: A study of 300 victims of alleged police torture examined by the District Standing Medical Board (DSMB) Faisalabad. Most of the victims at the time of examination were showing visible evidence of Physical trauma. Victims were males. Examination was conducted on the directions of judicial magistrates and District & Session Judge Faisalabad. Conclusion: A wide range of different types of injuries was observed on various parts of the body. Blunt trauma was most frequent. Psychological element of torture was also seen in some victims.


Author(s):  
Majed Saleh M. Aldayhum ◽  
Anas Abdullah R. Alshehri ◽  
Dlaim H. AlQahtani ◽  
Eman Yahia Alfussaily ◽  
Suha Abdulrahman S. Althibait ◽  
...  

Background: Colorectal cancer is the third most common cancer all over the world and the second leading cause of the cancer death in both sexes. CRC is the second most common cancer in Kingdom Saudi Arabia. However, this aspect was not recently studied.Methods: This is a retrospectively cohort based study. We collected and analyzed the records of the patients with CRC diagnosed at Aseer Central Hospital, Abha, Saudi Arabia from January 2008 to June 2016. A pre-specified data sheet was used to collect information regarding socio-demographics, age, Altitude, site of tumor, clinical presentation, outcome and prognosis as well as histopathological pattern of cancer and the stages of disease. Descriptive statistics was performed using SPSS.Results: A total of 291 cases of CRC were registered in the Aseer Central Hospital. 171 cases 58.87% were males while 120 cases 41.2% were females. The mean age of patients (SD) at the time of diagnosis was 59.38 years. At the time of diagnosis, 219 patients 84.6% presented with early stage disease and 40 15.4% had distant metastasis advanced stage. The most frequent CRC located in sigmoid 26.5%, rectal 23.7%and 14% in ascending. The moderately differentiate adenocarcinoma grade of tumor is being the most common grade among all variants 75.6%.Conclusions: In this study, we have nearly similar results found in previously published study by Alshehri et al. Males considered most affected, most of the patients were more than 50 years, 84.6% of the patients came with early stage disease. Left side colon were the most common site of CRC.


Author(s):  
Talat Al-Gunaid ◽  
Rayan Abdulhai ◽  
Baha Flemban

Abstract Introduction: Musculoskeletal disorders (MSDs) are one of the most common occupational hazards associated with a wide range of occupations. Dental professionals have an increased risk of developing such disorders caused by repetitive, hard, or stressful gestures. Taking this issue into consideration, we felt the necessity to investigate the prevalence and distribution of musculoskeletal symptoms among dentists in Al-Madinah. Materials and methods: A self-reported questionnaire was distributed to a random sample of 180 dentists from different parts of Al-Madinah, Kingdom of Saudi Arabia. The questionnaire was about musculoskeletal symptoms in different parts of the body. Results: A total of 70 questionnaires were completed and returned. Of the respondents, 47 (67.1%) were males and 23 (32.9%) were females. The mean age of respondents was 36.1 ± 8.7. Majority were general dental practitioners [45 (64.2%)], with the remainder being specialists [25 (35.8%)]. Prevalence of MSD during the past 12 months was reported to be lower back pain (65.7%), neck pain (48.6%), and shoulder pain (45.7%), with the lowest prevalence pain being found in the hips and thighs (17.1%). Conclusion: The results suggested that the prevalence of musculoskeletal symptoms among dentists in Al-Madinah, Kingdom of Saudi Arabia, is high. Continuing education for dentists and dental students about the proper and correct dental positions as well as practicing ergonomic skills and incorporating them into the curriculum would be beneficial.


2018 ◽  
Vol 18 (2) ◽  
pp. 246-272 ◽  
Author(s):  
Jamil Sarhan ◽  
Bo Xia ◽  
Sabrina Fawzia ◽  
Azharul Karim ◽  
Ayokunle Olanipekun

Purpose The purpose of this paper is to identify the barriers to implementing lean construction in the Kingdom of Saudi Arabia (KSA) construction industry and to prioritise the principal factors that constitute these barriers. Design/methodology/approach A literature review was initially used to reveal the global barriers to implementing lean construction. Subsequently, these barriers were incorporated into a structured questionnaire, and a convenience sample of 282 construction professionals in the KSA construction industry was surveyed. The results were analysed using mean item score (MIS), Mann–Whitney U test and principal component analysis (PCA). Findings The findings revealed 22 barriers to lean construction implementation in the KSA construction industry. Principal factors that constitute these barriers were found to be traditional practices, client related, technological, performance and knowledge and cost-related barriers in descending order of pervasiveness. The study also proposes solutions to overcome these principal barriers. Originality/value This study provides a global overview of the barriers to implementing lean construction. It contributes to the body of knowledge, as it uncovers for the first time the barriers to implementing lean construction in the KSA construction industry with reference to the socio-cultural, economic and operational context of the KSA. Thus, it is relevant to other countries in the Middle East because of their shared similarities to the KSA. Furthermore, the solutions proposed to overcome these barriers in the KSA construction industry can be applied in other countries where similar barriers are identified.


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