Herpetic Esophagitis in Immunocompetent Child

Altamimi, Eyad M.,Alorjani, Mohammed S.,Alquran, Wejdan Y The Korean Society of Pediatric Gastroenterology 2019 Pediatric gastroenterology, hepatology & nutrition Vol.22 No.3

A previously healthy 2.5-year-old male child presented with vomiting, diarrhea, and fever. During hospitalization he developed odynophagia and refusal to eat. His symptoms did not respond to acid suppressant therapy. He underwent upper endoscopy which showed severe inflammation, ulcerations and abundant necrosis. Histopathological features and serological testing were consistent with herpetic esophagitis. He had no history of recurrent infections or history of sick contacts. His immunological work up showed normal level of immunoglobulins and his White Blood Cells subpopulations were normal. His HSV serology was positive. The patient was started on acyclovir 5 mg/kg q 8 hours. He resolved his symptoms within 24 hours of treatment.

Clinical Characteristics of Pediatric Constipation in South Jordan

Altamimi, Eyad The Korean Society of Pediatric Gastroenterology 2014 Pediatric gastroenterology, hepatology & nutrition Vol.17 No.3

Purpose: Constipation is a common pediatric problem worldwide. This study aims to describe the clinical characteristics of pediatric constipation in south Jordan according to gender and age group. Methods: All patients with constipation managed at our pediatric gastroenterology service between September 2009 and December 2012 were included. Hospital charts were reviewed. Demographic data, clinical characteristics, and final diagnosis were recorded. Data were analyzed according to gender and the following age groups: infants, pre-school, school age, and adolescents. Results: During the study period, 126 patients were enrolled. The number (percentage) of patients according to age were the following infants: 43 (34.1%), pre-school: 55 (43.7%), school age: 25 (19.8%), and adolescents: 3 (2.4%). Males made up 54.8% of the study population. There were no statistical gender differences in any age group. The most common symptom in all age groups was dry, hard stool. Infrequent defecation was found in almost one-half of the patients. Fecal incontinence was more common in school-aged children compared to pre-school-aged children and adolescents. Abdominal pain was seen in almost 40% of the constipated children. Abdominal pain was more prevalent in girls and older children. Fecal mass in the rectum was the most common physical finding, with constipated boys exhibiting higher rates. Functional constipation was the most common etiology. Conclusion: Clinical characteristics of constipation in children vary according to age group and gender. Older children had less frequent bowel motions, a longer duration of symptoms, and a higher prevalence of long-standing constipation compilations (fecal incontinence and abdominal pain).

Celiac Disease in South Jordan

Altamimi, Eyad The Korean Society of Pediatric Gastroenterology 2017 Pediatric gastroenterology, hepatology & nutrition Vol.20 No.4

Purpose: Celiac disease, an autoimmune enteropathy triggered by exposure to gluten, is not uncommon in South Jordan. However, its prevalence is underestimated due to lack of physician awareness of the diversity of disease presentation. The clinical spectrum includes classic gastrointestinal manifestations, as well as rickets, iron-deficiency anemia, short stature, elevated liver enzymes, and edema. Our goal was to evaluate celiac disease presentation in clinically diagnosed children. Methods: Retrospective study included all children diagnosed with celiac disease between September 2009 and September 2015. Hospital charts were reviewed. Demographic data, clinical characteristics, and follow-up were recorded. Results: Thirty-five children were diagnosed with celiac disease during the study period. Mean age${\pm}$standard deviation was $6.7{\pm}3.8$ years (range, 2.0-14 years). There were 17 (48.6%) female patients. The average duration between onset of symptoms and diagnosis was $16.3{\pm}18.7$ months. Fifteen (42.9%) patients presented with classic malabsorption symptoms, whereas 7 (20.0%) patients presented with short stature. Positive tissue transglutaminase antibodies (tTg)-immunoglobulin A (IgA) was seen in 34 (97.1%) patients. The one patient with negative tTg-IgA had IgA deficiency. Although tTG-IgA values were not available for objective documentation of compliance, clinical data (resolution of presenting abnormalities and growth improvement) assured acceptable compliance in 22 (62.9%) patients. Conclusion: CD in children may present with diverse picture. Although of the small number, the non-classical presentations are not uncommon in our rural community. Gluten-free diet is the main strategy for treatment and associated with usually correction of laboratory abnormalities and improvement of growth.

Clinical Characteristics of Pediatric Constipation in South Jordan

Eyad Altamimi 대한소아소화기영양학회 2014 Pediatric gastroenterology, hepatology & nutrition Vol.17 No.3

Purpose: Constipation is a common pediatric problem worldwide. This study aims to describe the clinical characteristics of pediatric constipation in south Jordan according to gender and age group. Methods: All patients with constipation managed at our pediatric gastroenterology service between September 2009 and December 2012 were included. Hospital charts were reviewed. Demographic data, clinical characteristics, and final diagnosis were recorded. Data were analyzed according to gender and the following age groups: infants, pre-school, school age, and adolescents. Results: During the study period, 126 patients were enrolled. The number (percentage) of patients according to age were the following infants: 43 (34.1%), pre-school: 55 (43.7%), school age: 25 (19.8%), and adolescents: 3 (2.4%). Males made up 54.8% of the study population. There were no statistical gender differences in any age group. The most common symptom in all age groups was dry, hard stool. Infrequent defecation was found in almost one-half of the patients. Fecal incontinence was more common in school-aged children compared to pre-school-aged children and adolescents. Abdominal pain was seen in almost 40% of the constipated children. Abdominal pain was more prevalent in girls and older children. Fecal mass in the rectum was the most common physical finding, with constipated boys exhibiting higher rates. Functional constipation was the most common etiology. Conclusion: Clinical characteristics of constipation in children vary according to age group and gender. Older children had less frequent bowel motions, a longer duration of symptoms, and a higher prevalence of long-standing constipation compilations (fecal incontinence and abdominal pain).

Celiac Disease in South Jordan

Eyad Altamimi 대한소아소화기영양학회 2017 Pediatric gastroenterology, hepatology & nutrition Vol.20 No.4

Purpose: Celiac disease, an autoimmune enteropathy triggered by exposure to gluten, is not uncommon in South Jordan. However, its prevalence is underestimated due to lack of physician awareness of the diversity of disease presentation. The clinical spectrum includes classic gastrointestinal manifestations, as well as rickets, iron-defi-ciency anemia, short stature, elevated liver enzymes, and edema. Our goal was to evaluate celiac disease pre-sentation in clinically diagnosed children.Methods: Retrospective study included all children diagnosed with celiac disease between September 2009 and September 2015. Hospital charts were reviewed. Demographic data, clinical characteristics, and follow-up were recorded.Results: Thirty-five children were diagnosed with celiac disease during the study period. Mean age±standard devia-tion was 6.7±3.8 years (range, 2.0-14 years). There were 17 (48.6%) female patients. The average duration between onset of symptoms and diagnosis was 16.3±18.7 months. Fifteen (42.9%) patients presented with classic mal-absorption symptoms, whereas 7 (20.0%) patients presented with short stature. Positive tissue transglutaminase antibodies (tTg)-immunoglobulin A (IgA) was seen in 34 (97.1%) patients. The one patient with negative tTg-IgA had IgA deficiency. Although tTG-IgA values were not available for objective documentation of compliance, clinical data (resolution of presenting abnormalities and growth improvement) assured acceptable compliance in 22 (62.9%) patients.Conclusion: CD in children may present with diverse picture. Although of the small number, the non-classical pre-sentations are not uncommon in our rural community. Gluten-free diet is the main strategy for treatment and asso-ciated with usually correction of laboratory abnormalities and improvement of growth.

Arthroscopic Excision of Heterotopic Ossification in the Supraspinatus Muscle

Lamees A. Altamimi,Erica Kholinne,Hyojune Kim,Dongjun Park,In-Ho Jeon 대한견주관절의학회 2020 대한견주관절의학회지 Vol.23 No.1

Heterotopic ossification is formation of bone in atypical extra-skeletal tissues and usually occurs spontaneously or following neurologic injury with unknown cause. We report a 46-year-old female with right shoulder pain and restricted range of motion (ROM) for 3 months without history of trauma. Magnetic resonance imaging (MRI) showed a lesion within the rotator cuff supraglenoid. Excisional biopsy from a previous institution revealed a heterotopic ossificans (HO). Following repeat MRI and bone scan, histopathology from arthroscopic resection confirmed an HO. The patient demonstrated improved pain and ROM at follow-up. Idiopathic HO rarely occurs in the shoulder joint, and resection of HO should be delayed until maturation of the lesion to avoid recurrence. The current case showed that arthroscopic HO resection provides an excellent surgical view to ensure complete lesion removal and minimize soft tissue damage at the supraglenoid area. Furthermore, the minimally invasive procedure of arthroscopy may reduce rehabilitation time and facilitate early return to work.

Herpetic Esophagitis in Immunocompetent Child

Eyad M. Altamimi,Mohammed S. Alorjani,Wejdan Y Alquran 대한소아소화기영양학회 2019 Pediatric gastroenterology, hepatology & nutrition Vol.22 No.3

A previously healthy 2.5-year-old male child presented with vomiting, diarrhea, and fever. During hospitalization he developed odynophagia and refusal to eat. His symptoms did not respond to acid suppressant therapy. He underwent upper endoscopy which showed severe inflammation, ulcerations and abundant necrosis. Histopathological features and serological testing were consistent with herpetic esophagitis. He had no history of recurrent infections or history of sick contacts. His immunological work up showed normal level of immunoglobulins and his White Blood Cells subpopulations were normal. His HSV serology was positive. The patient was started on acyclovir 5 mg/kg q 8 hours. He resolved his symptoms within 24 hours of treatment.

Primary Linked Total Elbow Arthroplasty for Acute Distal Humerus Fracture Management: A Systematic Review of Clinical Outcome

Erica Kholinne,Lamees Abdullah Altamimi,Aya Aldayel,Razan AlSabti,김효준,박동준,고경환,전인호 대한정형외과학회 2020 Clinics in Orthopedic Surgery Vol.12 No.4

Background: The treatment of distal humerus fractures is often challenging in osteoporotic elderly patients. Total elbow arthroplasty (TEA) is a salvage option for non-reconstructable fractures. The aim of this systematic review was to evaluate the clinical evidence for primary TEA in patients with acute distal humeral fractures. Methods: Literatures were searched through PubMed, Ovid/Medline, Cochrane, Google Scholar, and Embase databases with the keywords, “distal humerus fracture,” “total elbow arthroplasty,” and “outcome” according to the MeSH (Medical Subject Headings) index for English-language studies published from April 2009 to April 2019. We performed a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Results: Ten articles with a total of 269 patients were included in the review. The Bryan-Morrey approach was the most common surgical approach (33.7%) with triceps reflecting (42%) for triceps tendon management. The most common implant design used was the Coonrad-Morrey system (83%). The mean postoperative motion arc was 102.3° for flexion-extension and 145.8° for pronation- supination. The average functional outcome score was 89.5 with Mayo Elbow Performance Score (MEPS). An excellent MEPS was found in studies with less than 7 days of average time from injury to surgery. The overall complication rate was 21.5%. Conclusions: The current review showed favorable outcome of primary linked TEA for acute distal humerus fractures. Despite the promising functional outcomes, the complication rate was still considerably high. This systematic review will give surgeons help in explaining to patients regarding the expected outcome after primary TEA for acute distal humerus fractures.

EXPERIMENTAL INVESTIGATION OF CONVECTIVE HEAT TRANSFER IN A NARROW RECTANGULAR CHANNEL FOR UPWARD AND DOWNWARD FLOWS

Jo, Daeseong,Al-Yahia, Omar S.,Altamimi, Raga'i M.,Park, Jonghark,Chae, Heetaek Korean Nuclear Society 2014 Nuclear Engineering and Technology Vol.46 No.2

Heat transfer characteristics in a narrow rectangular channel are experimentally investigated for upward and downward flows. The experimental data obtained are compared with existing data and predictions by many correlations. Based on the observations, there are differences from others: (1) there are no different heat transfer characteristics between upward and downward flows, (2) most of the existing correlations under-estimate heat transfer characteristics, and (3) existing correlations do not predict the high heat transfer in the entrance region for a wide range of Re. In addition, there are a few heat transfer correlations applicable to narrow rectangular channels. Therefore, a new set of correlations is proposed with and without consideration of the entrance region. Without consideration of the entrance region, heat transfer characteristics are expressed as a function of Re and Pr for turbulent flows, and as a function of Gz for laminar flows. The correlation proposed for turbulent and laminar flows has errors of ${\pm}18.25$ and ${\pm}13.62%$, respectively. With consideration of the entrance region, the heat transfer characteristics are expressed as a function of Re, Pr, and $z^*$ for both laminar and turbulent flows. The correlation for turbulent and laminar flows has errors of ${\pm}19.5$ and ${\pm}22.0%$, respectively.

Digital Divide in Riyadh Neighborhoods: A Spatial Analysis

Rawan, Almutlaq,Shuruq, Alshamrani,Ohoud, Alhaqbani,Fatimah, Altamimi,Ghadah, Alammaj,Omer, Alrwais International Journal of Computer ScienceNetwork S 2023 International journal of computer science and netw Vol.23 No.1

The objective of this paper is to use Geographical Information Systems for identifying Digital Divide in Riyadh Neighborhoods, Saudi Arabia. Geo-database was created that includes Streets, Neighborhoods, ICT Access Data and Coverage Map for Riyadh. We used QGIS and overlay for analysis, intersection selected as tool for this paper. The results indicate that after analyzing the use of information communication technology in all regions of the Kingdom it turns that Riyadh, Ash Sharqiyyah and Makkah in average with percentage 50%, While Al Jawf, Al Madinah, and Najran are the least with percentage 42%. Then we focused on Riyadh to analyze the digital divide because it is the capital of Saudi Arabia and occupations the highest percent of communications towers in the KSA due to population density. Regarding coverage of the 4G, the neighborhoods at the center have recorded very high coverage score. While neighborhoods at the edges of the city have low values of coverage score. Same for 3G, it is more intense in the center and the coverage percentage is higher than 4G. For 2G we found it had the highest coverage compared to 3G or 4G