Saudi Med J
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To determine the local effects of peripheral Ammonul infusion on the skin and the subcutaneous tissues. Methods: This retrospective study was conducted at Prince Sultan Military Medical City, Riyadh, Saudi Arabia. All children less than 16 years of age admitted between December 2015 and October 2018 with hyperammonemia and received Ammonul infusion for treatment were recruited. Results: Twenty-one patients received the Ammonul infusion. They were admitted 58 times with acute hyperammonemia during the study period, with an average of 2.8 admissions per patient. The mean age of the included patients was 49.5 months. The most frequent underlying diagnoses were propionic acidemia (n=9), urea cycle disorders (n=5), and intrinsic liver disease (n=3). All participants received Ammonul through peripheral lines except 3 who received it through central lines. No extravasation, burns, or other local side effects were observed in this cohort. ⋯ This data indicate that the use of Ammonul through a peripheral venous route appears to be safe and not associated with infusion-related local adverse effects.
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The original version of this article unfortunately contained a mistake in affiliation of the second author.
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To explore how prevalent body dysmorphic disorder (BDD) is among Arab dermatology patients and what characteristics of patients are associated with it. ⋯ Body dysmorphic disorder was found in 14.1% of Arab dermatology patients. There were significant links between female with BDD (odds ration [OR]: 2.93; 95% CI 1.24, 6.9]), having 2 or more skin conditions with BDD (OR: 4.67; 95% CI 1.33, 16.49) and having a certain skin condition such as hyperpigmentation with BDD (OR: 5.86; 95% CI 1.46, 23.61). The biggest BDD concerns were hyperpigmentation, acne, and hair loss. Conclusion: Body dysmorphic disorder was common among Arab dermatology patients, especially among women and those who have hyperpigmentation or more than one skin condition.
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Transcutaneous spinal direct current stimulation (tsDCS) is a non-invasive method of stimulating spinal circuits that can modulate and induce changes in corticospinal excitability (CE) in incomplete spinal cord injury (SCI). A double-blinded sham controlled study of 2 male patients (A and B) with SCI was carried out. Patient A received sham and cathodal tsDCS, while Patient B received sham and anodal tsDCS. ⋯ Anodal stimulation increased scores in all measures. Motor evoked potentials increased in post-cathode and deteriorated in post-anode. In conclusion, tsDCS modulated gait parameters, spasticity, and CE in incomplete SCI.
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To determine the effect of age and gender on diameters and lengths of the renal arteries. Methods: This is a retrospective study. A total of 50 asymptomatic volunteers were selected randomly and scanned by multi-detector CT to assess the diameters and lengths of the renal arteries. The study conducted at King Abdulaziz Specialized Hospital (KAASH) and King Faisal Hospitals, Taif, Saudi Arabia between October 2017 and March 2018. The lengths and diameters of the main arteries were measured and compared to age and gender of the participants. Results: The mean length of right renal artery was significantly longer than the left one (4.47±.70 versus 3.714±.68 cm, p less than 0.001). Length of right and left renal arteries were significantly higher in males than females (p=0.02 and p=0.03). Diameters of both left and right renal arteries were higher in males than females (5.482±1.37 versus 5.288±1.09 cm, and 5.544±1.14 versus 5.188±1.05 cm). The diameters of renal arteries varied significantly with age, specifically in elders (p=0.001). ⋯ The mean length and mean diameter were significantly different between females and males, and between left and right main renal arteries. Age and gender have a significant impact on the length and diameters of main renal arteries.