Journal of King Abdulaziz University: Medical Sciences <p style="direction: ltr;"><strong><span style="text-decoration: underline;">The Journal of King Abdulaziz University: Medical Sciences</span> is an open access, peer-reviewed, published twice a year by King Abdulaziz University.</strong></p> <p style="direction: ltr;"><strong> The journal supports the publication of the applied clinical and experimental medical research. </strong></p> <p style="direction: ltr;"> </p> <p><strong>Print ISSN:</strong>1319-1004<strong>, Online ISSN: </strong>1658-4279</p> <p><strong>Frequency: </strong> June - December</p> <p><strong>Language:</strong> English</p> en-US (Professor Mohammed Wanees Al-Rabia) ( journal Editorial Office) Thu, 21 Dec 2023 10:48:02 +0000 OJS 60 Use of Ergonomics to Control Musculoskeletal Pain among Dental Students at King Abdulaziz University: A Cross-sectional Study <p>The prevalence of musculoskeletal pain (MS-Pain) increases day by <br>day and is common among dental practitioners. The aim of this study <br>was to assess the relationship between ergonomics use and other <br>related factors in controlling musculoskeletal pain among dental <br>students and interns at King Abdulaziz University, Jeddah, Saudi <br>Arabia. This cross-sectional study was conducted at King Abdulaziz <br>University through a validated self-administered questionnaire. It <br>was distributed among dental students from the fourth academic <br>year up to postgraduate level. The total number of respondents was <br>402, in which 202 (50.2%) were females and 200 (49.8%) were males. <br>Out of the total respondents, 337 (83.8%) reported musculoskeletal <br>pain and approximately 68% of respondents did not apply proper <br>ergonomics for preventing and reducing MS-Pain. Keeping a straight <br>back and maintaining physical activity are the two main factors that <br>are suggested to help in controlling MS-pain, and thus it needs to be <br>emphasized in the everyday clinical educational years<br><br></p> Heba J. Sabbagh Copyright (c) 2023 Journal of King Abdulaziz University: Medical Sciences Sat, 10 Dec 2022 00:00:00 +0000 Justification for Head Computed Tomography in Pediatric Patients in a Tertiary Hospital in Jeddah, Saudi Arabia <p>Imaging justification considers the risk–benefit ratio to avoid <br>unnecessary radiation exposure. The use of high-radiationdose imaging modalities, including computed tomography, has <br>increased. In Saudi Arabia, no clear guidelines exist for protecting <br>pediatric patients from unnecessary exposure to ionizing <br>radiation. We aimed to investigate the frequency of unjustified <br>head computed tomography scans among pediatric patients at <br>our hospital. In this study, we enrolled pediatric patients (0–14 <br>years old) who underwent head computed tomography scans <br>between September 2015 and September 2017, and evaluated <br>the frequency of unjustified scans. Among the 1,109 scans, 40.6% <br>(n = 450) had no findings; of these, 68.4% (n = 308) were justified <br>and 31.6% (n = 142) were not. The majority of “no finding” cases <br>were from the emergency department; (285 [63.3%]) and <br>were from patients &gt;5 years old (203 [45.1%]). Thirty percent <br>of “no findings” cases from the emergency department were <br>not justified and 19% were incompatible with the modality. <br>Approximately 40% of cases from the outpatient departments <br>were neither justified nor compatible with this modality. Our <br>findings highlight the need for regular auditing to justify scan <br>requests and a clinical decision system for medical imaging <br>using ionizing radiation</p> Mawya A. Khafaji, Ranim Y. Nasr Copyright (c) 2023 Journal of King Abdulaziz University: Medical Sciences Thu, 21 Dec 2023 00:00:00 +0000 The Impact of Anesthesia Type During Cesarean Section on Maternal and Neonatal Outcomes at Fakeeh Hospital <p>The World Health Organization has highlighted the importance <br>of improving maternal and neonatal health. Their health could <br>be affected by the anesthesia type given during cesarean <br>section. The study aim is to assess the effect of spinal and <br>general anesthesia on maternal and neonatal outcomes during <br>elective cesarean section. Quantitative observational study <br>was conducted at Fakeeh hospital in Jeddah, Saudi Arabia. 295 <br>participants were included to spinal anesthesia group (n = 285) <br>and general anesthesia (n = 10). A purposeful sampling was used <br>to invite the study participants and structured questionnaire <br>was developed to assess the impact of anesthesia type during <br>cesarean section. The study results provide evidence that spinal <br>anesthesia is more practiced in healthcare settings compared to <br>general anesthesia. The results also showed an effect of general <br>anesthesia on maternal outcomes in which mothers had more <br>intra-operative blood loss, tachycardia, request for analgesia in <br>a short period and neonatal outcomes as low first minute Apgar <br>scores, low skin to skin contact, and low breast-feeding rates. <br>In conclusion, spinal anesthesia was the method of choice in <br>elective cesarean section due to its benefits for both mother and <br>newborn.</p> Eman A. Batayah Copyright (c) 2023 Journal of King Abdulaziz University: Medical Sciences Thu, 21 Dec 2023 00:00:00 +0000 Diagnostic Accuracy of Well's Score in Clinically Suspected Deep Venous Thrombosis <p>The Wells scoring system for risk assessment of developing <br>Deep Venous Thrombosis (DVT) is primarily designed to be used <br>in the outpatient settings. We aimed to determine the validity, <br>discrimination ability, and clinical utility of Wells scoring system <br>in risk stratification of patients suspected of DVT in an inpatient <br>setting in Saudi Arabia as compared to another outpatient <br>population. All Patients who underwent lower limb Doppler <br>ultrasound at King Abdulaziz University Hospital between <br>January 2016 and July 2017 and were suspected to have DVT <br>are included. A total of 1934 clinically-suspected DVT patients <br>are analyzed (34.6% males and 65.4% females). 53.62% were <br>outpatients and 31.8% were inpatients. Doppler ultrasound <br>confirmed DVT in 304 patients. Incidence of DVT in outpatients <br>was 5.9% for low probability; 8% for moderate probability; 18.5% <br>for high probability, whereas the inpatients had an incidence of <br>4.1% for low probability; 8.4% for moderate probability; 15.7% <br>for high probability. The negative predictive value of Wells score <br>in outpatients is 94.1% and 95.9% for inpatients. Results of Well’s <br>score demonstrate an excellent discrimination ability in ruling <br>out DVT in both the outpatient and inpatient settings.</p> Mawya A. Khafaji Copyright (c) 2023 Journal of King Abdulaziz University: Medical Sciences Thu, 21 Dec 2023 00:00:00 +0000