relationship of diet and acne

Background: Earlier, medical literature replicated that diet was not a proven cause of acne. Nonetheless, studies in recent years have demonstrated a relation between certain dietary factors and acne. It is uncertain whether patients are aware of recent research findings

Purposes: Acne patients were surveyed to explore beliefs concerning the relationship between diet and acne, to determine whether these beliefs translated into behavior change and to recognize health information sources

Materials and Methods: Surveys were managed to 104 acne patients at King Abdulaziz Hospital from March2016 till February 2017, with 98 completed in full and included in this analysis

Results: of the 104 questionnaires administered, 98 were completed in full and were included in the analysis. The mean age of patients was 29 years [range, 15 to 45 years]; 76 were female and 22 were male. Six respondents had an under-weight BMI of less than 18; 62 respondents had a normal BMI between 18- 25; 26 respondents were overweight with BMI 25-30; and 4 respondents were qualified as obese with BMI greater than 30. A majority,[ 90 of 98 ] of respondents, was educated at the college level

Conclusion: In this exploratory study, patients reported utilizing a diversity of information sources, a majority from the Internet. In those surveyed, there was a persistence of long-held belief that fried/greasy foods and chocolate may serve as acne triggers, and less belief in trigger foods supported by recent research, including refined carbohydrates and sugar. Given the multiplicity of beliefs and utilized sources among acne patients in our survey, there is a need to establish an up-to-date and reliable methods to educate patients the relationship between diet and occurrence of acne

Child abuse and its long-term consequences: an exploratory study on Egyptian university students

Child abuse and its long-term consequences in adulthood have been recently gaining increased attention in the Arab world. This study is an extension of a similar study in Saudi Arabia, and aims to explore some epidemiological characteristics of the problem in Egypt. To study the prevalence of child abuse and associated psychological problems in adulthood, as presented in a sample of university students in Egypt. 963 students, from three different colleges of Zagazig University [Medicine, Education and Arts and Literature] answered multi-questionnaires including: General health Questionnaire [GHQ], Child Traumatic Questionnaire [CTQ] and Psychological Problem Scale [PPS]. Students reported having suffered Emotional neglect [19%], Emotional abuse [8.9%], Physical neglect [44%] and Physical abuse [6%] and Sexual abuse [13%]. Moderate to severe childhood abuse was correlated with various combinations of psychological problems [Low Self-Esteem, Dissociation, Self Harm, Impulsivity and Aggression] in adulthood. Gender and situational stresses, as indicated by GHQ, did not seem to influence the results as much as low income and large family size. In a large proportion of our sample reported both child abuse and several long-term pathological consequences of abuse in adulthood. The problem seems to be serious in this middle class sample and it remains possible that these problems could be worse in lower social classes

Surgical resident satisfaction with the current surgical training program in the Riyadh area

The satisfaction of surgical residents with their training programs plays an important role in dictating its output. This survey was conducted to explore the satisfaction of surgical residents with their training programs in the Riyadh area. A survey questionnaire was distributed in four major hospitals to explore the view of surgical residents regarding their training programs. Frequency tables were generated for each question in the survey. About 78 survey forms were distributed and 52 were retrieved [67%]. About 45% of residents had a comprehensive orientation on admission to the program, but only 20% felt it was helpful. Only 40% of residents felt that their trainers were committed to training and that the consultants who were trained abroad were more committed than those trained locally [62% vs 36%, P=.01]. Only 15% felt the residents themselves had enough bedside teaching or operative experience. Seventy-eight percent of the residents felt that current training does not meet their expectations. However, 85% felt that training abroad was better than local training, and 60% felt it should be mandatory. While 90% felt that training programs should be unified nationally and controlled by one organization, only 6% felt that the current governing body was capable of monitoring the training. Moreover, only 28% felt that current reviews of programs by the governing body are effective. These results show that surgical residents are generally dissatisfied with current training programs. The study suggests that there are significant weaknesses in the current programs and the governing body may be ineffective in monitoring the programs. We feel that a national review of surgical training programs is warranted in view of these results

case of vitamin D deficiency masquerading as occult malignancy

At present, the diagnosis of a [brown tumor] is a clinical curiosity. It is considered to be a complication of severe and rapidly progressive hyperparathyroidism [HPT]. Indeed, such a presentation is typical of a patient harboring a parathyroid carcinoma. The incidence of brown tumors is 3% in the benign form of primary hyperparathyroidism [1]. In secondary HPT, the incidence of brown tumors is under 2% and is caused by chronic renal failure.[1] Brown tumors are locally destructive lesions consisting of fluid-filled cysts that are rich in highly vascularized fibrous tissue containing hemorrhagic spots. Blood pigment [hemosiderin] will accumulate, which imparts a reddish-brown hue and hence the name [brown tumor].[1] Brown tumors are demonstrated radiologically as lesions of osteitis fibrosa cystica [1]. We describe a young lady who was erroneously diagnosed elsewhere as a case of metastatic bone disease. Our evaluation documented this as a case of vitamin D deficiency [VDD] causing secondary hyperparathyroidism [SHPT] with diffuse distribution of brown tumors in her skeleton. Following vitamin D and calcium treatment, the patient improved

Impact of training programme for nurses caring for the heart surgery patients in Al-Noor specialist Hospital-Makkah Al-Makkah Al Maukarramah Kingdom of Saudi Arabia

The Cardiac Surgery Centre, that recently started in Al Noor Specialist Hospital [A.N.S.H.] is considered the first centre in the Holy Makkah and it is the second for the whole Ministry of Health hospitals in Kingdom of Saudi Arabia. The nursing management of those patients present quite a challenge either preoperatively, intraoperatively or in surgical intensive care unit [SICU] ANSH. As it is a new speciality, the management post operatively of such patients is considered an important matter, with nursing care playing a major role. So training programme was conducted for 50 nurses in Cardiac Surgery and SICU at K.F.H. Jeddah and followed by another programme in Al Noor Specialist Hospital. Recent study on those nursing staff in Cardiac Surgery Ward, O.R. and in SICU confirmed the improvement of their performance, skills and knowledge for those nurses who had no previous experience in that delicate speciality

Transaxillary abdominal and lower limb arteriography the King Abulaziz University Hospital experience

The authors reviewed their experience with 31 patients with transaxillary abdominal and lower limb arteriography; with particular attention to technical difficulty or any complication related to the procedure. The indication/or transaxillary approach were aortic occlusion or stenosis [20/31] common or external iliac occlusion or stenosis [7/31], abdominal aortic aneurysm [2/31], iatrogenic abdominal aortic dissection [1/31] and bilateral femoral artery aneurysm [1/31]. Technical difficulties are minimal using single pigtail catheter technique. Difficulties in catheterization can be overcome by the use of catheter exchange technique and thin safety J guide wire [0.028, 0.025 inch]. Only one patient out of 31 had minimal insignificant axillary haematoma from the procedure. It was concluded that the use of minicatheters [5F] with minimal catheter exchange and adequate manual compression after catheter withdrawal until complete haemostasis minimize the risk of complications