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Search Results: 1 - 10 of 18630 matches for " Malak Al Qahtani "
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Physical Activity Performance among Obese Adolescents Who Are Enrolled in the Obesity Treatment Program: A Comparative Study  [PDF]
Malak Al Qahtani, Einas Al Eisa
Open Journal of Therapy and Rehabilitation (OJTR) , 2016, DOI: 10.4236/ojtr.2016.43015
Abstract: Existing literature indicates that a weight-management program that includes diet modification, Physical Activity (PA) instructions and behavioral modification in weight reduction increases obese adolescents’ participation in PA. However, the effect of such a program on obese Saudi adolescents is unknown. Objective: To examine the effects of a weight-management program in terms of decreasing Body Mass Index (BMI) and improving participation in PA in obese Saudi adolescents, and to establish whether differences exist between genders in response to a weight-management program. PA was measured by Arab Teens Life Style (ATLS) questionnaire for both groups. Results: A wide range of differences in PA and sedentary time are evident between new and weight- managed patients and two genders. PA performance was significantly higher among the weight- managed patients compared with new patients. Also, for boys there were no differences between both groups in PA performance. While, girls’ PA was significantly higher among the girls in weight- managed group compared with girls in new patients group. Weight-managed patients spend significantly less time on the computer and/or the Internet per day compared with new patients. After treatment, the mean BMI among the weight-managed patients slightly decreased. Conclusion: The study findings suggest that the weight-management program could be effective in treating Saudi obese adolescents due to its effect in BMI reduction and greater improvement in PA performance. The surprising result from this study, PA differences between the groups were because of the total PA of girls only, meaning that obesity treatment program can lower the percentage of obesity among women and increase their levels of physical activity.
Role of IVUS in Assessing Spontaneous Coronary Dissection: a Case Report
Amin Daoulah,Awad Al Qahtani,Majed Mazen Malak,Saud Al Ghamdi
Journal of Tehran University Heart Center , 2012,
Abstract: Spontaneous coronary artery dissection (SCAD) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. This condition may occur particularly in women during late pregnancy and in the postpartum period. We present the case of a 33-year-old African American woman, who had spontaneous left anterior descending coronary artery (LAD) dissection two weeks postpartum, resulting in acute ST-segment elevation myocardial infarction with severe left ventricular dysfunction. The use of the intravascular ultrasound (IVUS) in our case confirmed the diagnosis and helped with stent sizing and implantation. On subsequent follow-up, there was marked left ventricular function recovery and clinical improvement.
Relationship between Patient-Dependent Parameters and Radiation Dose Rates Measured around Patients Undergoing PET/CT Imaging Using 18F-FDG  [PDF]
Khaled Soliman, Saad Al Qahtani, Ahmed Alenezi
International Journal of Medical Physics,Clinical Engineering and Radiation Oncology (IJMPCERO) , 2018, DOI: 10.4236/ijmpcero.2018.73033
Abstract: Objectives: Patients undergoing 18F-FDG PET/CT imaging are considered external radiation sources. Accurate dose rate estimates are important for conducting realistic risk assessments and performing dose reconstruction in cases of accidental exposures. The patient radiation self-attenuation factor is assumed to be a function of the patient’s body size metrics, but we can use these metrics to predict the dose rate around the patients with accuracy. The objective of this work was first to measure the patient attenuation factor by performing direct dose rate measurements from patients undergoing PET/CT imaging studies using 18F-FDG. The second objective was to study the possible correlation between the measured dose rate constant per unit activity from the patients and their body size metrics; five metrics were tested in this work. The last objective was to measure the patients’ voiding factor. Methods: We have measured dose rates at one meter from 57 patients and noted the patients height (H), weight (W) and calculated patient size metrics namely: Equivalent Cylindrical Diameter (ECD), Equivalent Spherical Diameter (ESD) and the Body Mass Index (BMI). Results: The measured average dose rate was 92.2 ± 14 μSv·h
Induction of Labor with PGE2 after One Previous Cesarean Section: 18 Years Experience in a University Hospital  [PDF]
Nourah Al Qahtani, Sameera Al Borshaid, Hissa Al Enezi
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.21008
Abstract: Objective: To review the outcome of prostaglandin induction of labor in term pregnant women with previous one ce-sarean section compared to those without previous Cesarean section. Design: 18 years retrospective review of hospital records and case note review of index cases. Setting: University hospital. Population: Three hundred and twenty two women who had their labor induced with prostaglandin E2. One hundred and sixty one women had one previous Ce-sarean section. Methods: This study was conducted at King Fahad University Hospital, University of Dammam. It is a tertiary referral center with approximately 2300 births per year. We searched the hospital's records of deliveries from January 1992 to December 2009 and reviewed all indications and outcomes of prostaglandin induction of labor in women with one previous Cesarean section. The control group was composed of women who had their labor induced with prostaglandin but without previous Cesarean section. Main outcome measures: Labor outcome and uterine rup-ture Results: Three hundred and twenty two women were included. All received prostaglandin E2 for induction of labor. One hundred and sixty one women had one previous Cesarean section (study group) and the rest had no previous Ce-sarean section (control group). There was no difference in the rate of vaginal delivery between study and control group, 68.3% and 79.5% (p value 0.3), respectively. The rate of uterine rupture was 30 times higher in study group (2.5% Vs 0.033%). Conclusion: In women with one previous Cesarean section, induction of labor with prostaglandin leads to comparable rate of vaginal delivery similar to those without prior Cesarean section but with relatively high risk of uter-ine rupture.
The Risk of Cesarean Delivery in Short Saudi Women  [PDF]
Nourah H. Al Qahtani, Salha Al Ganmi, Asma Badran
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.33048
Abstract: Objectives: To evaluate the relationship between maternal height of <155 cm and the risk of caesarean delivery due to failure to progress (FTP) among nulliparous saudi women. Design: Observational cohort study. Material and Method: A total of 405 term (GA > 37 weeks), uncomplicated singleton nulliparous pregnant women were enrolled on admission to labour room. The patients were divided into two groups based on maternal height, >155 cm (247 cases) as control and < 155 cm (158 cases) as study group. The medical records of these women were reviewed. Various baseline clinical characteristics were collected. Maternal characteristics and maternal and neonatal outcomes were recorded. Results: Caesarean section rate for all indications was higher among study group than control group (26.6% and 19.4% respec-tively, p = 0.023). Significant difference was observed in the rate of caesarean delivery due to failure to progress (7.3% and 12% in control and study group respectively, p-value 0.038). The rate of caesarean delivery due to failure to progress was highest among those with height 150 - 155 cm (p-value 0.022). Mean birth weight was significantly higher among control group than study group (3137 ± 403 g and 3030 ± 408 respectively, p-value 0.010). Conclusion: Term singleton nulliparous Saudi pregnant women with maternal height 151 - 154 cm were associated with a greater likelih-ood of caesarean section for failure to progress. Women with height <150 cm did not have increased cesarean section rate. However, mean birth weight was significantly lower in this group.
Recurrent Pregnancy Loss in Patients with Polycystic Ovary Syndrome: A Case Control Study  [PDF]
Lulwa Ashaq, Yousef Al Mazer, Nourah Al Qahtani
Open Journal of Obstetrics and Gynecology (OJOG) , 2017, DOI: 10.4236/ojog.2017.711108
Abstract: Objectives: To identify different biophysical and hormonal factors that could contribute to recurrent pregnancy loss in Saudi women who have been diagnosed with polycystic ovary syndrome. Study Design: Case-control study. Settings: Infertility clinic in Dammam Maternity and Children Hospital. Cases: PCOS patients with recurrent pregnancy loss. Controls: PCOS patients without recurrent pregnancy loss. Results: The prevalence of recurrent abortion in PCOS patients was 31%. There was no significant difference between the cases and the controls in the age, 33.1 years versus 31.9 years, BMI, 31.4 kg/m2 versus 31.6 kg/m2 respectively. There was no significant difference in the successful pregnancies outcome in cases and controls, term deliveries 84% versus 90%, preterm deliveries 10% versus 5%, twin pregnancy 6% versus 5% respectively. There was no significant difference in the hormonal profile (prolactin, LH, FSH, LH/FSH ratio, TSH, progesterone, testosterone) between cases and controls. Serum estradiol level was significantly lower in the cases compared to the controls, 55.5 pg/mL versus 83.9 pg/mL respectively (p < 0.01). Conclusion: PCOS patients with recurrent abortions had no significant increase in the age, BMI, preterm pregnancy, multiple gestation and ectopic pregnancy. The hormonal profile (prolactin, LH, FSH, LH/FSH ratio, TSH, progesterone, testosterone) was comparable between the cases and the controls, except for serum estradiol level, which was significantly lower in PCOS patients with recurrent abortions.
Doppler ultrasound in the assessment of suspected intra-uterine growth restriction
N AL Qahtani
Annals of African Medicine , 2011,
Abstract: Small fetuses constitute a large heterogenous group that includes healthy small fetuses, chromosomally abnormal fetuses and fetuses suffering from utero-placental insuffi ciency leading to restriction in fetal growth. This review outlines the diagnosis of intra-uterine growth restriction and describes how to differentiate this group from the group of healthy small fetuses. This is very crucial in the management of small fetuses in order to avoid unnecessary intervention in the healthy group, as well as avoid stillbirth and neonatal mortality and morbidity.
Acute renal failure and severe rhabdomyolysis in a patient with resistant thrombotic thrombocytopenic purpura
Al Qahtani S
International Journal of General Medicine , 2011, DOI: http://dx.doi.org/10.2147/IJGM.S20815
Abstract: cute renal failure and severe rhabdomyolysis in a patient with resistant thrombotic thrombocytopenic purpura Case report (2410) Total Article Views Authors: Al Qahtani S Published Date October 2011 Volume 2011:4 Pages 687 - 689 DOI: http://dx.doi.org/10.2147/IJGM.S20815 Saad Al Qahtani Intensive Care Department, Critical Care Response Team, King Abdulaziz Medical City (KAMC), National Guard Health Affairs; King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Kingdom of Saudi Arabia Abstract: Thrombotic thrombocytopenic purpura (TTP) is a rare, life-threatening disorder. This paper describes the case of a 39-year-old Sudanese male who presented to the emergency room with fever, jaundice, decreased level of consciousness, and worsening kidney function for 7 days, a high lactate dehydrogenase level (1947), severe thrombocytopenia (platelets 8), and numerous schistocytes in the peripheral blood smear. The patient was admitted with a diagnosis of TTP for plasma exchange. Fourteen days later, his creatinine kinase (CK) level rose to >50,000 IU; rhabdomyolysis was suggested. Continuous venovenous hemodialysis (CVVHD) was started. The patient's CK level remained high, despite CVVHD, until the 6th day, after which this parameter gradually started to decrease. This report highlights a resistant case of TTP that presented with concomitant severe rhabdomyolysis, which demanded aggressive, continuous intervention.
Satisfaction survey on the critical care response team services in a teaching hospital
Saad Al Qahtani
International Journal of General Medicine , 2011, DOI: http://dx.doi.org/10.2147/IJGM.S17361
Abstract: tisfaction survey on the critical care response team services in a teaching hospital Short Report (3129) Total Article Views Authors: Saad Al Qahtani Published Date March 2011 Volume 2011:4 Pages 221 - 224 DOI: http://dx.doi.org/10.2147/IJGM.S17361 Saad Al Qahtani1,2 1Intensive Care Department, Critical Care Response Team, King Abdulaziz Medical City (KAMC), National Guard Health Affairs, 2King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Kingdom of Saudi Arabia Introduction: Patient care and safety is the main goal and mission of any health care provider. We surveyed nurses in the wards and obtained their feedback about the quality of care delivered by the Critical Care Response Team (CCRT). Methods: Our hospital has 900 beds. A self-administered survey was given onsite to all ward nurses. Survey items were identified, discussed, reviewed, piloted, and finalized over a 3-month period in a focus group discussion format during three CCRT core group meetings. Responses were anonymous and collected by the nurses onsite. Results: The total number of returned and analyzed surveys was 274 (98.6%). Ninety-seven percent agreed that CCRT staff arrived in a timely manner. Ninety-four percent reported that CCRT staff helped in managing sick patients and ~70% reported that it strengthened team dynamics. Only 50% of the nurses felt CCRT staff improved competence at the bedside. The overall satisfaction was 100%; none of the nurses were dissatisfied with the team. Conclusion: The CCRT helped manage sick patients in the wards. However, CRRT staff should remember to involve and communicate with the team initiator and the patient’s physician to optimize patient health care.
Satisfaction survey on the critical care response team services in a teaching hospital
Saad Al Qahtani
International Journal of General Medicine , 2011,
Abstract: Saad Al Qahtani1,21Intensive Care Department, Critical Care Response Team, King Abdulaziz Medical City (KAMC), National Guard Health Affairs, 2King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Riyadh, Kingdom of Saudi ArabiaIntroduction: Patient care and safety is the main goal and mission of any health care provider. We surveyed nurses in the wards and obtained their feedback about the quality of care delivered by the Critical Care Response Team (CCRT).Methods: Our hospital has 900 beds. A self-administered survey was given onsite to all ward nurses. Survey items were identified, discussed, reviewed, piloted, and finalized over a 3-month period in a focus group discussion format during three CCRT core group meetings. Responses were anonymous and collected by the nurses onsite.Results: The total number of returned and analyzed surveys was 274 (98.6%). Ninety-seven percent agreed that CCRT staff arrived in a timely manner. Ninety-four percent reported that CCRT staff helped in managing sick patients and ~70% reported that it strengthened team dynamics. Only 50% of the nurses felt CCRT staff improved competence at the bedside. The overall satisfaction was 100%; none of the nurses were dissatisfied with the team.Conclusion: The CCRT helped manage sick patients in the wards. However, CRRT staff should remember to involve and communicate with the team initiator and the patient’s physician to optimize patient health care.Keywords: rapid response team, medical emergency team, critical care response team, satisfaction
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