Saudi Male Research Articles

Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome

Background: Page-Schroetter Syndrome (PSS) is a rare variant of thoracic outlet syndrome which requires early intervention to prevent formation of deep vein thrombosis in the upper limbs. Development of PSS depends on risk factors such as young-aged athletes, typically of male sex, who exercises using repetitive arm movements such as swimming, muscle building exercises, and handball, aggravating microtrauma to venous intima leading to activation of coagulation cascade. Case Presentation: A case of 33-year-old Saudi male was presented to the emergency department on an acute onset of right arm swelling, redness, and pain. Following calisthenics exercises where he was doing push-ups on an open door. The patient was hemodynamically stable, negative for signs and symptoms of pulmonary embolism, and he denied any history of thrombus-forming events. The patient was diagnosed with PSS after detecting filling defect on Doppler ultrasound, and severe stenosis of the right subclavian vein on venogram. The patient was treated accordingly and was discharged on long-term oral direct anticoagulants. Conclusion: PSS is easily missed due to scarce number of reported cases, and unfamiliarity from the medical personnel with the approach to detect and treat upper limb deep vein thrombosis.

The effect of moderate-intensity exercises on physical fitness, adiposity, and cardiovascular risk factors in Saudi males university students.

Physical inactivity has been linked to several non-communicable diseases. This cross-sectional study investigated the impact of moderate-intensity exercise on physical fitness, adiposity, and cardiovascular risk factors in 284 Saudi male university students in the Eastern Province of Saudi Arabia between 2017 and 2019. The physical activity (PA) intervention comprised three (120 minutes each) sessions of moderate intensity on non-consecutive days each week, delivering a total of 360 minutes of PA per week for ten weeks. We measured physical fitness using VO2 max calculations and assessed adiposity and cardiovascular risk factors using a range of parameters, such as systolic/diastolic blood pressure, heart rate, mean arterial pressure, body mass index, waist circumference, waist-to-height ratio, waist-to-hip ratio, body adiposity index, and body fat percentage. Our study found a significant increase in VO2 max after ten weeks of moderate-intensity exercise (<0.001). Additionally, body adiposity indices were significantly reduced before and after the intervention (p<0.001), as were cardiovascular risk factors. Our findings suggest that regular moderate-intensity exercise effectively improves physical fitness, decreases adiposity, and lowers cardiovascular risk factors in Saudi male adults. We recommend that policymakers and public health practitioners increase physical activity among university students by launching a campaign on social media and through.

A Case Report of Idiopathic Mesenteric panniculitis in the Youngest Saudi Male

A Case Report of Idiopathic Mesenteric panniculitis in the Youngest Saudi Male

The Impact of Exposure to the Game of Thrones on Saudi Male Identity

The objective of this study is to examine the impact of Game of Thrones on the cultural identity of young Saudi males. The study also discovered the reasons why Saudi males watch American TV series (Game of Thrones) from a critical cultural perspective. This study has collected the data using an online survey conducted on 63 Saudi male adolescents with age ranging from 15 to 25 years who regularly watched Game of Thrones. The results show that the cultural identities of Saudi males are not negatively impacted because there are only limited viewers of this American drama series. The result reveal that 81.0% participants have watched Game of Thrones &amp;ldquo;alone&amp;rdquo; but only for having fun, learning a new culture and passing time. The relationship between age, education with respect to time spent on watching Game of Thrones and respective opinions are statistically significant. The study concluded that learning English language, acting like characters of the drama series and watching their favorite actors and actresses are the main motives of watching this TV series.

Small bowel malignant tumor: a diagnostic dilemma, a case report and literature review

A 47 years old Saudi male was admitted to king Khalid hospital with complaints of constipation and abdominal distension. Abdominal examination showed as a case of intestinal obstruction. He was fully evaluated and was treated first conservatively, until all investigative study confirmed as huge small bowel dilatation (mainly jejunum). Exploratory laparotomy confirmed small bowel tumor and on histology an adenocarcinoma. The introduction, history and research paper will also be discussed in this report.

Reversible Thyrotoxicosis Dilated Cardiomyopathy

Thyrotoxic cardiomyopathy is a rarely diagnosed disease in patients coming into the hospital with hyperthyroidism for the first time. The objective of this case study is to present the rare case of a patient, who was diagnosed with a thyrotoxic cardiomyopathy for the first time. A 47-year old Saudi male was presented in the King Abdulaziz Medical City in Jeddah, Saudi Arabia in March 2017, with a two-week history of progressive dyspnea, orthopnea, paroxysmal nocturnal dyspnoea, and atrial fibrillation. Following physical examinations and investigations, the diagnosis of thyrotoxicosis was performed. Initially, he was treated with Methimazole, followed by radioactive therapy, which resulted in the patient’s full recovery from cardiomyopathy through the treatment of his thyrotoxicosis. One of the first symptoms, the manifestation of thyrotoxicosis, is thyrotoxic dilated cardiomyopathy. In most cases, it may be completely reversible through the appropriate treatment of the thyrotoxicosis.

A vesicating dermatitis from a blister beetle, in the neck of Septuagenarian Saudi male

A vesicating dermatitis from a blister beetle, in the neck of Septuagenarian Saudi male

Isolated cold-induced sweating in a young Saudi male: Case report

Cold-induced sweating is a rare condition, which is reported in the literature as part of Crisponi syndrome in which patients have many neurological and skeletal abnormalities. We report a case of isolated nonsyndromic cold-induced sweating in a 24-year-old Saudi male. The patient was treated with many treatments, including clonidine 0.1 mg, amitriptyline, and fluoxetine, but these were discontinued due to side effects. The patient was treated with onabotulinum toxin A with partial satisfactory result. Treatment options for cold-induced sweating are limited, and in this case, inadequate.

A Case Report of Amyand's Hernia in a 55-year-old Saudi Male

A Case Report of Amyand's Hernia in a 55-year-old Saudi Male

Administration error of benzathine penicillin G in a Saudi male

AbstractBackgroundBenzathine penicillin G is indicated for intramuscular (IM) administration. There have been reports of unintentional intravenous (IV) administration, which has been associated with cardiorespiratory arrest and death. This article reports on a case of inadvertent IV administration of benzathine penicillin G instead of IM injection.Clinical detailsA 29‐year‐old Saudi army male with no history of any chronic illness visited the Security Forces Hospital in Makkah because of injuries to his left hand and left ear as a result of a bomb blast. The patient underwent surgery, and was conscious, oriented and vitally stable after the operation. He was prescribed benzathine penicillin G to prevent wound infection, but the injection was incorrectly administered IV instead of IM.OutcomesThe patient did not exhibit any visible clinical symptoms after receiving the drug via the wrong route. The patient's vital signs were fine and he did not have a fever. The full complete blood count was normal, except for a mild elevation in the neutrophil count (84%) and a mild decrease in lymphocytes (8.8%). Random blood glucose was 149 mg/dL and the activated partial thromboplastin time was 39.3 s. All other laboratory investigations were within the normal range. The creatinine concentration fluctuated between 0.8 and 1 mg/dL.ConclusionThis was an obvious case of a drug‐related problem categorised as a ‘wrong route error’. The role of clinical pharmacists in preventing such errors is important to ensure patient safety.

Vitamin D status and its correlates in Saudi male population

BackgroundVitamin-D deficiency is a universal health problem caused primarily by inadequate exposure to sunlight. This study aimed to assess the vitamin D status and investigate the factors affecting vitamin D distribution among Saudi males.MethodsA cross-sectional study was conducted at the King Saud University Medical City from December 2015 to August 2016. Saudi males attending the outpatient primary health care clinics were invited to participate in the study. Data were collected on the current and past health status along with biochemical investigations for total 25-hydroxyvitamin D (25OHD), blood sugar, and cholesterol.ResultsMajority of the participants (76.1%) had vitamin D deficiency. Blood sugar level, age, and cholesterol level were the most significant factors associated with vitamin D status. The highest percentage of deficiency was observed in the youngest age group (30-40 years). With increasing age, the percentage of deficiency decreased significantly. Those with normal blood sugar and cholesterol level had higher serum vitamin D levels compared to those with diabetes and hypercholesterolemia.ConclusionsVitamin D deficiency is still endemic in Saudi Arabia, particularly among younger males and those with diabetes and hypercholesterolemia. Vitamin D screening, supplementations, and vitamin D-fortified foods should be provided especially for these groups.

Evaluation of skeletal variations and establishment of Cephalometric Norms in Saudi Sub Population using Bjork Jarabak's analysis.

Objective:To evaluate the skeletal variations amongst individuals and to compare the measurements with the standardized linear and angular values of Bjork Jarabak’s analysis.Methods:This study was conducted at POS Department, King Khalid University on 100 adult Saudi patients recruited through convenience sampling. It was conducted between April to September 2017, had inclusion criteria of patients between the age group 17 to 22 years showing normal occlusion. After history and examinations, lateral cephalographs were taken, scanned and traced using Dolphin Imaging Software and Cephalometric points were recognized. Linear and angular dimensions were calculated according to Bjork-Jarabak’s method.Results:Analysis and assessment of Saudi male and female values revealed considerable variation in the anterior and posterior cranial base lengths (p<0.05), anterior and posterior face height, ramus height, and mandibular length. Male measurements in contrast to Jarabak’s values showed noteworthy variances in articular angle, anterior and posterior cranial base, ramus height, length of mandible, anterior face height and Jarabak’s ratio. Female dimensions in relation to Jarabak’s norms showed considerable variances in articular angle, anterior cranial base, posterior facial height with less significant values in Saudi females while compared with Jarabak’s norms apart from mandibular body length which is more in Saudi females.Conclusion:Skeletal variations amongst Saudi males and females were significant and comparison with standardized linear and angular values of Bjork Jarabak’s analysis was also significant.

A Rare Presentation of Meckel’s Diverticulum: A Case Report

The purpose of this report is to present a rare presentation of Meckel’s diverticulum. A 25-year-old Saudi male was referred to our hospital with recurrent intestinal obstruction; computed tomography was done, which showed distended small bowel. Operative management was discussed with the patient and consent was taken for laparoscopy and laprotomy if indicted. Initially we started with laparoscopy but due to sever distention of bowls and adhesion, midline incision was done and multiple adhesions were released from ascending colon and distal small bowl until it was revealed that he had Meckel’s diverticulum with severe adhesion around. J Curr Surg. 2018;8(1-2):22-24 doi: https://doi.org/10.14740/jcs335w

Frequency of vitamin D inadequacy among Saudi males visiting a Rheumatology Outpatient Clinic of a tertiary hospital in Al-Qassim region: Effect of vitamin D supplementation

Background: Vitamin D inadequacy (deficiency and insufficiency) has become an epidemic with the assumption that women in Arab countries are at a higher risk due to their clothing style of wearing dark colored suits or a veil. Aim of the work: To determine the frequency of vitamin D inadequacy among young adult and early middle-aged males in Al-Qassim region and to study the effect of vitamin D supplementation. Patients and methods: Sixty Saudi males visiting Rheumatology Outpatient Clinic of a tertiary hospital in Al-Qassim region were enrolled and evaluated for musculoskeletal state including assessment of chronic diffuse musculoskeletal pains using Numeric Rating Pain Scale (NRPS) and functional evaluation of lower limb proximal muscle power using chair–rise performance test. Serum 25(OH)D was evaluated. Vitamin D supplementation was provided for symptomatic subjects. Follow-up clinical evaluation as well as serum 25(OH)D measurement after 12weeks vitamin D3 supplementation was performed. Results: The mean age of the patients was 43.2±6.4years. 54 (90%) had vitamin D inadequacy; 42 (70%) deficiency and 12 (20%) had insufficiency. Significant increase in baseline serum 25(OH)D (13.92±5.67ng/ml) after 12weeks of supplementation (35.94±4.11ng/ml) with significant decrease in NPRS (7.42±2.12vs 2.06±2.04) (p<0.001), as well as significant improvement of functional status scores of chair–rise performance test (93.95±23.56vs 203.1±58.6 (p<0.001). Conclusion: Vitamin D inadequacy is a major health problem not only in elderly people or women with in-door residency and dark-colored clothes, but also in Saudi male young adults in Al-Qassim region.

Prevalence of malocclusion and its common traits in Saudi males of Aseer region

Background: To evaluate the prevalence of malocclusion and its common characteristics in young male population of Aseer province. Methods: One thousand eight hundred and twenty Saudi male students between the age of 15 and 17 years were chosen from 3408 pupils studying in different middle schools of Abha region. Oral examination was performed to check the prevalence of malocclusion according to Angles classification and the individual traits including crowding, spacing, deep bite, anterior open bite, and anterior cross bite. Results: The prevalence of Class I, II, and III malocclusions was 62.3%, 28.4%, and 9.3%, respectively. Crowding was the most common individual trait (43.8%) while anterior open bite was the least prevalent (7.2%). Conclusion: There was high prevalence of malocclusion observed in the study population. Nearly half of them were suffering from crowding of teeth.

Traumatic right diaphragmatic rupture with hepatothorax: a diagnostic challenge!

Traumatic injuries of the diaphragm remain an entity of difficult diagnosis especially when it comes to the right diaphragm. It is a recognized consequence of high velocity blunt trauma to the abdomen, usually as a result of road traffic collisions or lateral intrusions into the vehicle and occasionally, penetrating thoraco-abdominal trauma. It has been reported that the rate of initial missed diagnosis of traumatic diaphragmatic injury ranges from 12% to 63% on CT (1). A missed diagnosis is associated with a mortality of 30% to 60% due to late presentation of intrathoracic visceral herniation and strangulation (2,3). After a high speed motor vehicle accident, a 30-year-old Saudi male was received in the trauma room. He was confused, hypotensive and in respiratory distress. The initial diagnostic workup included chest X-ray and full body non-contrast spiral CT scan, revealing fracture of the nasal bone and right hemothorax. No other radiological findings were detected in the initial assessment. Due to an assumed massive rightsided hemothorax ( Figure 1 ), a thoracic tube was inserted and 750 mL of blood coming in the chest drain. After initial stabilization the patient was then transferred to the surgical unit of Sabya General Hospital, Saudi Arabia.

Adipose tissue cytokines: Relation to glycemic control, insulin resistance and biochemical bone markers in type 2 diabetic Saudi male patients

To assess the plasma levels and relations of adipocytokines and biochemical bone markers in type 2 diabetes mellitus (T2DM) Saudi males with insulin resistance. This case-control study included 80 overweight/obese males with T2DM on oral anti-diabetic medications recruited from the diabetic center and 40 healthy lean males of matched age. Measurements included fasting plasma glucose (FBG), fasting plasma insulin, serum calcium (Ca 2 + ), HbA1c, plasma adiponectin and resistin, serum bone-specific alkaline phosphatase (B-ALP), plasma osteocalcin (OC), and plasma osteoprotegerin (OPG). Waist and hip circumferences were measured. Body mass index, waist/hip ratio (WHR), and insulin resistance (HOMA-IR) were calculated. Compared to the control group, diabetic patients showed significantly both lower adiponectin ( p = 0.000) and Ca 2 + ( p = 0.000) but significantly higher resistin ( p = 0.000), OC ( p = 0.000), B-ALP level ( p = 0.000) and OPG ( p = 0.000). After multivariate adjustment in diabetic patients, resistin predicted OC, (beta = −0.30, p = 0.005), WC and resistin predicted Ca 2+ (beta = −0.34, p = 0.035 and beta = −0.25, p = 0.033), adiponectin and resistin predicted B-ALP, (beta = −0.35, p = 0.010 and beta = 0.35, p = 0.004), and FBG, HOMA-IR and age predicted OPG, (beta = −0.66, p = 0.010, beta = 0.58, p = 0.024 and beta = 0.27, p = 0.031 respectively). Also, FBG, WHR and HOMA-IR predicted adiponectin (beta = −0.79, p = 0.001, beta = −0.60, p = 0.001 and beta = 0.80, p = 0.001 respectively), while OC and OPG predicted HbA1c (beta = −0.32, p = 0.007 and beta = 0.28, p = 0.016 respectively). Uncontrolled T2DM Saudi males with insulin resistance have abnormal bone markers with unfavorable levels of adipocytokines. Strong associations between bone markers, adipocytokines, insulin resistance and metabolic control may suggest interaction in multiple direction feedback loops exacerbating hyperglycemia.

A case of first degree AV block in carbon monoxide poisoning patient

Carbon monoxide (CO) intoxication is one of the most common types of poisoning. Cardiac manifestations of CO poisoning are limited to case reports of Electrocardiogram (ECG) changes, myocardial dysfunction and myocardial ischemia.A 22year old Saudi male was admitted to the emergency department with decreased level of consciousness after being involved in a fire at home. ECG showed first degree AV block. To the best of our knowledge, this case report is the first CO poisoning case in the literature presented with first degree AV block.

Photon fluence-to-effective dose conversion coefficients calculated from a Saudi population-based phantom

In this work we will present a new set of photon fluence-to-effective dose conversion coefficients using the Saudi population-based voxel phantom developed recently by our group. The phantom corresponds to an average Saudi male of 173cm tall weighing 77kg. There are over 125 million voxels in the phantom each of which is 1.37×1.37×1.00mm3. Of the 27 organs and tissues of radiological interest specified in the recommendations of ICRP Publication 103, all but the oral mucosa, extrathoracic tissue and the lymph nodes were identified in the current version of the phantom. The bone surface (endosteum) is too thin to be identifiable; it is about 10μm thick. The dose to the endosteum was therefore approximated by the dose to the bones. Irradiation geometries included anterior–posterior (AP), left (LLAT) and rotational (ROT). The simulations were carried out with the MCNPX code version 2.5.0. The fluence in free air and the energy depositions in each organ were calculated for monoenergetic photon beams from 10keV to 10MeV to obtain the conversion coefficients. The radiation and tissue weighting factors were taken from ICRP Publication 60 and 103. The results from this study will also be compared with the conversion coefficients in ICRP Publication 116.

Brucella bacteremia in a recipient of an allogeneic hematopoietic stem cell transplant: a case report

BackgroundBrucellosis is an important cause of morbidity and mortality in patients living in areas that are endemic for the infection.Case PresentationA 20 years old Saudi male was diagnosed to have severe aplastic anemia at King Faisal Specialist Hospital and Research Centre in Riyadh in April 2006. One hundred and twelve days following his successful allogeneic hematopoietic stem cell transplant, he presented with pyrexia in addition to neutropenia and mild thrombocytopenia. Brucella serology was strongly positive and blood cultures grew Brucella melitensis. The bacteremic episode of brucellosis was successfully treated with streptomycin, doxycyclin and ciprofloxacin at the outpatient clinic. To our knowledge, this is the first case of a naturally occurring Brucella infection complicated by Brucella bacteremia in a recipient of hematopoietic stem cell transplant.ConclusionBrucellosis may cause systemic infections, complicated bacteremias and serious morbidity in immunocompromised patients living in countries that are endemic for the infection. It should be considered as a possible cause of fever and pancytopenia in hematopoietic stem cell transplant recipients living in these geographical locations. Nevertheless, the infection is curable provided the diagnosis is made early and an appropriate antimicrobial therapy is promptly initiated.