An Unexpected Case of Posterior Reversible Encephalopathy Syndrome.

This study presents an 86-year-old gentleman who was admitted under the acute stroke team for a possible posterior cerebral infarct. Radiologic imaging revealed that the diagnosis was in fact posterior reversible encephalopathy syndrome (PRES). Through a process of elimination by means of investigations, the most likely cause was found to be mild hypertension on a background of vascular dementia causing a possible exacerbation of PRES symptoms. A multidisciplinary approach was found to be beneficial, providing safe and effective care for this patient, allowing a brief recovery period and restoration of baseline function and thus minimising permanent sequelae.

Occurrence of organic compounds in groundwater of Saudi Arabia.

The presence of organic compounds in drinking water is well recognized in many developing countries; however, the occurrence of organic contaminants in the groundwater of Saudi Arabia, which is the main source of drinking water in the country, is not well documented. A national comprehensive study was carried out to assess the occurrence of organic compounds in groundwater wells used for drinking water purpose, in different regions of Saudi Arabia. A total of 993 well water samples were collected from all 13 administrative regions of the kingdom. Samples were analyzed for a total of 131 organic compounds using the standard methods. The results indicated that total organic carbon values were in the range of 0.01 to 84.13 mg/L with an average weighted value of 12.61 mg/L. Organic compounds were detected in only 9 regions, with 19.84% of the samples containing organic compounds. Only 96 wells (9.67%) showed contents of organic compounds above the safe limits. Pesticides were not detected in any of the well water samples. Overall, organic compounds were found in only 197 out of 993 wells (19.84%) in the whole country. Most of the wells containing organic compounds were located in residential, industrial, and agriculture areas. Riyadh region and Eastern Province were found to have the most affected wells as compared to other regions. Several regions did not show any organic compounds in the well waters.It can be said that the problem of groundwater contamination with organic compounds in Saudi Arabia is not acute and is manageable at present. It is, however, recommended that a regular monitoring of drinking water wells of all regions should be carried out by the competent authorities for organic compounds to know any contamination if and when it happens. Preventing such contaminants from reaching drinking water sources and protecting drinking water well heads from such contaminants remains a priority.

Water quality of bottled water in the kingdom of Saudi Arabia: A comparative study with Riyadh municipal and Zamzam water.

Nine domestic and three imported bottled water brands were analyzed in Saudi Arabia for various physicochemical water quality parameters. The results of the analysis were compared with the drinking water standards set by different regulatory agencies. The levels of different physicochemical parameters like pH, total dissolved solids (TDS), Ca, Mg, Na, K, NO(3), Cl, and SO(4) of all local and imported bottled water brands met the standards set by different regulatory agencies. Fifteen (15) trace metals viz. Al, As, Ba, Be, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Sr, Pb, and Zn were also analyzed in all the samples. Comparison of analyzed results with the reported label values showed considerable variation for different parameters. Variation was also recorded for the analyzed parameters for 3 bottles of the same bottled water brand, both for local and imported bottled waters. Zamzam water was also collected from Makkah Al Mukarrama from different locations and analyzed for various physical and chemical parameters. Bottled waters were also compared with the city municipal water supply and Zamzam water.

Assessment of nitrate concentration in groundwater in Saudi Arabia.

Contamination of groundwater by nitrate is considered a global problem. Nitrates are introduced in the groundwater from a variety of sources like agricultural activities, poor sewer system, wastewaters, and industrial activities. In the present research, a survey of wells (n = 1,060) was undertaken in all 13 regions of the Kingdom of Saudi Arabia to assess the contained nitrate (NO(3)) levels. The results indicated variation in nitrate levels from 1.1 to 884.0 mg/L as NO(3) throughout the Kingdom. The average nitrate levels in milligrams per liter as NO(3) were as follows in descending order: 65.7 (Jizan), 60.3 (Asir), 60.0 (Qassim), 51.3 (Hail), 41.8 (Makkah Al Mukaramma), 41.3 (Madina Al Munnawara), 38.0 (Al Baha), 37.0 (Najran), 30.7, (Tabouk), 25.2 (Eastern Province), 18.8 (Riyadh), 15.8 (Al Jouf), and 9.1 (Hadwed Shamalyah). The results indicated that nitrate levels exceeded the maximum contaminant limits for drinking water (45 mg/L as NO(3)) in a number of wells (n = 213) in different regions of the Kingdom. The maximum and minimum wells exceeding the maximum contaminant limits for nitrate in drinking water were in Jizan (52.6%) and Hadwed Shamalyah (4.9%), respectively. Most of the wells which exceeded the maximum allowed limits for nitrate were in the areas which were used for agricultural and residential purposes.

Heavy metals in cooler waters in Riyadh, Saudi Arabia.

Water samples were collected from 400 coolers in Riyadh area. From each cooler, one feed and one cooled water samples were collected. These samples were analyzed for trace metals like Al, Cr, Cu, Fe, Mn, Ni, Pb, and Zn by Inductively Coupled Plasma (ICP) Spectrophotometer equipped with ultrasonic nebulizer. Out of 400 coolers, water from 382 (95.50%) were found to meet World Health Organization (WHO), Saudi Arabian Standards Organization (SASO), and United States Environmental Protection Agency (USEPA) drinking water standards whereas water from 18 coolers (4.50%) were found to have elevated levels of Fe, Pb, and Ni metals. In one cooler, water was allowed to stand for 12 h and a 1 L sample collected every 2 h. All the metals mentioned above with the exception of Pb were found to increase due to standing time.