Saudi Med J
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To investigate the effectiveness of wet cupping as alternative treatment on reducing bone pain and built a model that predicts the level of improvement for patients who suffer from bone pain. ⋯ Wet cupping has positive effects on reducing bone pain. We recommend the use of an ANN model in PMC to predict whether patients will benefit from the treatment to reduce pain. This is a recommendation for further study not a conclusion.
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Comparative Study
Evaluation of the diagnostic accuracy of smartphone electrocardiogram recorder compared to standard 12 lead electrocardiography in hospital settings.
To evaluate Smartphone-based Electrocardiogram Recorders (S-ECG-R) diagnostic accuracy compared to standard 12 lead ECG. ⋯ In this study 211 (52%) males and 192 (48%) females were included, with a mean age of 52±18 years. Of the included rhythms,149 (37%) were abnormal. The majority of which were atrial fibrillation 46 (11%), sinus tachycardia 35 (9%) and premature ventricular contractions 33 (8%). Analysis revealed an overall similar diagnostic sensitivity and specificity of S-ECG-R to the standard 12 lead ECG recording, sensitivity (97.3% versus (vs) 98%) and specificity (99.6% vs. 99.6%). However, cardiologists were more confident during interpreting standard ECG recordings in 91% of the recordings while in 71% of S-ECG-R recordings. Conclusion: The ECG rhythms produced by smartphone accessory have a good diagnostic accuracy in diagnosing arrhythmias. The utility of using S-ECG-R for out-patient is to be determined.
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To assess the perception and expectation of students about the quality of educational services and identify the gap in educational services. ⋯ The findings of this study showed that all the dimensions were not up to the expectations of students. The results will help the higher management to initiate a protocol to address all weaknesses.
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Case Reports
Acute pulmonary embolism in a child with ANCA-negative Idiopathic Pulmonary Capillaritis.
Diffuse alveolar hemorrhage is an uncommon and often fatal condition in children that is characterized by distinct histopathological etiologies. Herein, we discuss the case of an 11-year-old girl who presented with acute worsening of hypoxia and left-sided chest pain. The patient had lung biopsy-proven idiopathic pulmonary capillaritis and was being treated with prednisolone every alternate day, azathioprine, and hydroxychloroquine. ⋯ Negative results were obtained on a test for thrombophilia. In children, pulmonary embolism with anti-neutrophil cytoplasmic antibody-negative idiopathic pulmonary capillaritis is a rare clinical condition. The exact cause of thrombus formation in this case is unknown; however, obesity, immobility, and chronic systemic corticosteroid therapy probably played a role.
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[No Abstract Available].