Clinical Presentation and outcome of acute disseminated encephalomyelitis in Saudi Arabia. Tertiary Center Experience.

OBJECTIVE: To evaluate the clinical presenation of acute disseminated Encephalomyelitis (ADEM) in pediatric age group, treatments, and to asses the outcome at King Abdulaziz Medical City, Riyadh, Kingdom of Saudia Arabia. METHODS: The medical records of all patients younger than 18 years of age with a diagnosis of ADEM and treated at King Abdulaziz Medical City from January 1996 to Decemeber 2016 were collected. A total of 20 patients were included. RESULTS: Of 20 patients enrolled in our study, 13 (65%) were female. Autumn and summer were the most common seasons in which ADEM presented (60%); 19 (95%) patients had a history of preceding viral illnesses. The most common neurological deficits on presentation were weakness (85%), ataxia (45%), and nystagmus (45%). Cortical and subcortical lesions (60%) were the most common finding on cranial magnetic resonance imaging. Seventeen patients (85%) received steroid only. Only 16 patients continued with follow-up, with a mean duration of 7 months. All 16 patients improved: 11 patients were recovered and 5 patients still had a neurological deficit at the clinic visits. No patient had relapsed. CONCLUSION: Most of the patients in this case series have an excellent outcome and attended follow-up visits and no disease relapses were identified. Further exploration of the disease is recommended.

Family medicine academy trainers' satisfaction in King Saud Medical City, Riyadh, Saudi Arabia.

Background: The influence of family physicians on the health care system is indisputable. Medical doctors' satisfaction is a critical measure of their wellness which has been negatively associated with physicians' burnout. The satisfaction of physicians is also linked with different health care outcomes. Objective: This study aimed to measure the family medicine academy trainers' satisfaction in King Saud Medical City (KSMC), Riyadh, Saudi Arabia. Materials and Methods: This cross-sectional study was carried out in 2020 among KSMC trainers in Riyadh, Saudi Arabia. Data were collected by a pretested questionnaire. The data were analyzed by Statistical Package for Social Sciences (SPSS). Percentage and frequency were used to describe the categories. The Chi-square test was used to assess the differences in satisfaction levels among different categories. Results: A total of 80 participants were included with a mean age of 40.6 years. Most of the participants were married (86.3%). Furthermore, it was found that 37.5% were extremely satisfied, whereas 3.8% were dissatisfied. Moreover, it was also found that the social level of the trainer was a predictor of their satisfaction, as those with a more stable social life, married or lived with parents, and those who lived together had a significantly higher level of satisfaction. Conclusion: Most trainers were satisfied with the training program; however, limitations in tools, resources, and technology represented the most common concern for them.