2019 : Volume 4 Issue 2

December, 2019

4 - 2 - 1 - Pattern and Characteristics of Childhood Seizure Disorders in a Secondary Care Hospital at Abha City, Aseer Region, K.S.A.


Objectives: Epilepsy is one of commonest central nervous system disorders especially in children. It causes significant impact on wellbeing of affected individuals. This study aimed to assess characteristics of affected children and the pattern of their seizure disorders. Methods: The study was a retrospective one on epileptic patients attending the neurology outpatient clinics at Abha Maternity and children Hospital, Abha, Saudi Arabia for the period from Oct2015-March2016. Results: A total of 220 cases were studied (119 males & 101 females.) The following parameters were studied and analyzed: Age groups, Seizures types, Comorbidities of affected individuals and types of medications used. The commonest affected age group was (6years – 12 years) {50%} with Onset of seizures was commonly in the first year of life (>80% of cases). Commonest types of seizures were generalized tonic/clonic (over 60 % of cases) Many Comorbidities were detected in affected children. Global developmental delay and mental retardation. Conclusion: Epilepsy commonly starts in younger age groups with deleterious effects on affected children. Characteristics of affected children as well as pattern of their epilepsies were studied. Some comorbidities which are commonly overlooked by treating physicians were detected. There is real need to establish registries for childhood epilepsies.

4 - 2 - 2 - The Role of WhatsApp in Scientific Education at the College of Applied Medical Sciences at Imam Abdulrahman bin Faisal University


Objective: To determine how the social networking application of WhatsApp can be used to support and improve student academic performance at the College of Applied Medical Sciences at Imam Abdurrahman bin Faisal University in Dammam in Saudi Arabia. Methodology: This study is based on surveys of students and teachers at the College of Applied Medical Sciences at Imam Abdurrahman bin Faisal University in Dammam in Saudi Arabia. One survey queried the students as to their individual usage of WhatsApp messaging for educational purposes, and requested feedback from each survey participant as to the effects WhatsApp on academic performance. A second survey queried teaching staff about their individual experiences in using WhatsApp as an educational tool. The results of these surveys are the basis for the analysis and conclusions of this research paper. Results: Most of the survey respondents, both students and teachers, confirmed that they do use or would like to use WhatsApp and other social media applications for communications focused on education. The study reveals statistically significant differences in the preference for social media usage between males and females in both student and teacher survey populations. More than two-thirds of respondents (66.5%) stated that they used WhatsApp for personal communications. 73.0%, reported using WhatsApp messaging for educational purposes. Conclusion: In years past, communications between teachers and their students outside of the classroom were minimal and oftentimes non-existent. This new communications technology such as WhatsApp makes student-teacher much easier. As a result, students and teachers are more effective.

4 - 2 - 3 - Patients’ Perception towards Comprehensive Model of Dental Care Delivery at a Teaching Institute of Saudi Arabia


Objective: To evaluate patients’ perception and satisfaction with regard to the treatment provided by final year dental students enrolled in comprehensive care courses at King Khalid University College of Dentistry Clinics, Saudi Arabia. Methods: A total of 120 patients (mean age, 28.3 years; age range, 15– 57 years) who underwent comprehensive dental treatment provided by final year dental students were enrolled in the study. A questionnaire designed in English and Arabic was employed, and the level of patient satisfaction was evaluated using a five-point Likert scale ranging from 1 to 5 (strongly agree, agree, neither agree nor disagree, disagree, and strongly disagree). Results: The majority of the patients (>90%) appeared to be satisfied with the attitude, cheerful disposition, and competency of the dental students. More than 75% of the patients were satisfied with the manner in which the procedures were performed (painless and adequate infection control). Nonetheless, a proportion (25%) of the patients was dissatisfied with the time taken for the treatment procedures and facilities provided at the hospital. Conclusion: Most of the patients were happy with the services provided by the final year dental students at the clinic. However, addressing issues such as waiting time, appearance of waiting area, and time taken for the dental procedures may help improve the perception and satisfaction of the patients with regard to the services provided at our college.

4 - 2 - 4 - Vitamin E reduces placental oxidative stress and improves pregnancy outcome in pregnant rats at high altitude


Objectives: To explore antioxidant (vitamin E) effects during pregnancy at high altitude (3000 m) on pregnancy outcomes. Methodology: Thirty-six pregnant Wistar rats, born and maintained at high altitude, were divided into three groups: Vitamin E-treated (vitamin E dissolved in olive oil), vehicle- treated (olive oil), and control (no treatment) groups. The mean hemoglobin concentration and hematocrit were estimated and used as indices for maternal hypoxia. The number of pups and their birth weight were determined. Placental oxidant conditions were assessed using placental malondialdehyde (MDA) levels and placental antioxidant enzyme activity was determined by superoxide dismutase (SOD) and glutathione peroxidase (GPX). Placentae were then examined histologically, and the average percentage of villi with syncytial knots, cytotrophoblastic cells, and fetal capillaries were used as indices of placental hypoxia. Results: Vitamin E-treated pregnant rats had less maternal and placental hypoxia than control and vehicle-treated groups. The vitamin E-treated group showed a higher number of newborn pups than control and vehicle-treated groups. Conclusion: Vitamin E administration to pregnant rats at high altitude may improve birth outcome by improving both maternal and placental hypoxia. Controlled trial studies to investigate the effect of vitamin E therapy on pregnancy outcomes in pregnant women at high altitude are recommended.

4 - 2 - 5 - Patterns and outcomes of in-hospital cardiac arrest in a tertiary-care centre in the southern region of Saudi Arabia


Objective: To study patterns and outcomes of IHCA. Setting: Tertiary care centre in the southern region of Saudi Arabia. Design: Retrospective case-series study. Methods: Patients aged ≥12 years exhibiting IHCA and subjected to the hospital protocol including CPR from January 2014 to July 2017 were enrolled. Results: The study included 700 patients with a mean age of 59 years (range, 12–103 years; 59% males). Cardiac arrest occurred in 93% of patients, while 7% presented with respiratory arrest. The majority (94%) of cardiac arrest cases were asystole, followed by ventricular fibrillation (3%), pulseless electrical activity (2%), and pulseless ventricular tachycardia (1%). Of the arrest rhythms, 4% were classified as shockable. Overall return to spontaneous circulation occurred in 36.9% of cases. A logistic regression model revealed that age, need of mechanical ventilation, and CPR duration were the most significant predictors of survival among the arrested patients. Conclusions: Asystole was the predominating arrest rhythm in patients with IHCA. CPR duration, age, and need of mechanical ventilation are the main predictors of survival.