Saudi Med J
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This is a case of a patient with a buccal cutaneous sinus tract, originally misdiagnosed, with delayed healing and potential malpractice. An odontogenic cutaneous sinus tract is a pathologic canal that initiates in the oral cavity but opens externally at the cutaneous surface of the face or neck. It is frequently misdiagnosed, leading to inappropriate treatment. ⋯ This case was initially misdiagnosed as a sebaceous cyst and laceration of parotid gland. The case was correctly diagnosed through detailed examination and evaluation, using tracing and advanced imaging technology (cone beam imaging). Endodontic treatment was performed, which resulted in rapid resolution of the case, followed by dermatologic treatment with fractional laser to treat the scar formed.
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Multicenter Study
A novel diagnosis scoring model to predict invasive pulmonary aspergillosis in the intensive care unit.
To improve the quality of invasive pulmonary aspergillosis (IPA) management for intensive care unit (ICU) patients using a practical diagnostic scoring model. ⋯ This study provides a novel diagnosis scoring model to predict IPA in ICU patients. Using this model, a more rapid diagnosis and treatment of IPA may be possible. The application of the diagnosis scoring should be preceded by specified pre-requisites.
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To evaluate the relationship of the first and second mandibular molar roots to the inferior alveolar canal (IAC) and cortical plates using cone beam computed tomography (CBCT) in the Saudi population. Methods: Scans of 60 patients were collected retrospectively from the dental hospital database in King Saud University, Riyadh, Kingdom of Saudi Arabia. Measurements of the right and left first and second mandibular molars for each dental root and the mandibular bone thickness were determined. The position of the IAC was estimated using axial, coronal, and sagittal views. Three examiners performed the measurements independently. ⋯ The mean distance between the root apices of the mandibular molars and the IAC ranged from 1.68-4.79 mm, whereas the mean distance from the outer surface of the buccal cortical plate to the buccal root surface ranged from 2.33-6.72 mm. Similarly, the mean distance from the outer surface of the lingual cortical plate to the lingual root surface ranged from 2.62-4.80 mm. Finally, the mean distance from the outer surface of the lingual cortical plate to the outer surface of the buccal cortical plate was 11.93-13.19 mm. Conclusion: The measurements reported in this study may be of value to practitioners treating Saudi patients, as they need to be familiar with the distance of the mandibular first and second molars in relation to the IAC and surrounding cortical plates to accurately assess and plan endodontic surgeries, surgical extractions, and implant placements.
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To evaluate the clinical presentations and immunohistochemical (IHC) properties of gastrointestinal stromal tumors (GISTs) and to compare them to internationally published data. ⋯ Gastrointestinal stromal tumors in our study demonstrates a major similar feature as the published international data. However, minor differences do exist in terms of clinical features and immunohistochemistry.
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Observational Study
Services satisfaction of type 2 diabetic patients attending Arar's diabetic center, Saudi Arabia.
To determine type 2 diabetic patients' satisfaction with the services provided by the Diabetic Center, Arar, Saudi Arabia, and to assess the relationship between patients' satisfaction and their diabetic control. Methods: An observational cross-sectional study, carried out in 322 patients at the Arar Diabetic Center, Arar, Kingdom of Saudi Arabia between January and April 2018. A systematic random sampling technique was applied to include every second type 2 diabetic patient attending the center. We interviewed the type 2 diabetic patients using a predesigned questionnaire tested for validity and reliability. Results: The mean age of the studied population was 48.5±13.05. ⋯ Hemoglobin A1c (HbA1c) was controlled in 64% of patients. There was a statistically significant association between patients' dissatisfaction and poor diabetic control. Conclusion: Two-thirds of the patients were satisfied with the services provided by the Diabetic Centres of Arar city, Saudi Arabia. The study recommends emphasis on patient education and addressing patient needs and worries.