;
About KMA

Formerly known as ‘The Journal of the Kuwait Medical Association’, the Kuwait Medical Journal (KMJ) was established in the year 1967. It is the official publication of the Kuwait Medical Association and is published quarterly in March, June, September and December.

The KMJ aims to publish peer-reviewed manuscripts of international interest. Submissions on clinical, scientific or laboratory investigations of relevance to medicine and health science come within the scope of its publication. Original articles, case reports, brief communications, book reviews, insights and letters to the editor are all considered. Review articles are solicited. Basic medical science articles are published under the section ‘Experimental Medicine’.

Bibliographic Details

Kuwait Medical Journal
Journal Abbreviation: Kuwait Med J
ISSN: 0023-5776

Whoops! There was an error.
ErrorException (E_WARNING)
file_put_contents(/home/mhnhvvvlzqyt/kmj.org.kw/storage/framework/sessions/2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L): failed to open stream: Disk quota exceeded ErrorException thrown with message "file_put_contents(/home/mhnhvvvlzqyt/kmj.org.kw/storage/framework/sessions/2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L): failed to open stream: Disk quota exceeded" Stacktrace: #7 ErrorException in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122 #6 file_put_contents in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122 #5 Illuminate\Filesystem\Filesystem:put in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php:83 #4 Illuminate\Session\FileSessionHandler:write in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/Store.php:128 #3 Illuminate\Session\Store:save in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php:87 #2 Illuminate\Session\Middleware\StartSession:terminate in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php:218 #1 Illuminate\Foundation\Http\Kernel:terminateMiddleware in /home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php:189 #0 Illuminate\Foundation\Http\Kernel:terminate in /home/mhnhvvvlzqyt/kmj.org.kw/index.php:61
7
ErrorException
/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php122
6
file_put_contents
/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php122
5
Illuminate\Filesystem\Filesystem put
/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php83
4
Illuminate\Session\FileSessionHandler write
/vendor/laravel/framework/src/Illuminate/Session/Store.php128
3
Illuminate\Session\Store save
/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php87
2
Illuminate\Session\Middleware\StartSession terminate
/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php218
1
Illuminate\Foundation\Http\Kernel terminateMiddleware
/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php189
0
Illuminate\Foundation\Http\Kernel terminate
/index.php61
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php
     *
     * @param  string  $path
     * @return string
     */
    public function hash($path)
    {
        return md5_file($path);
    }
 
    /**
     * Write the contents of a file.
     *
     * @param  string  $path
     * @param  string  $contents
     * @param  bool  $lock
     * @return int
     */
    public function put($path, $contents, $lock = false)
    {
        return file_put_contents($path, $contents, $lock ? LOCK_EX : 0);
    }
 
    /**
     * Prepend to a file.
     *
     * @param  string  $path
     * @param  string  $data
     * @return int
     */
    public function prepend($path, $data)
    {
        if ($this->exists($path)) {
            return $this->put($path, $data.$this->get($path));
        }
 
        return $this->put($path, $data);
    }
 
    /**
     * Append to a file.
Arguments
  1. "file_put_contents(/home/mhnhvvvlzqyt/kmj.org.kw/storage/framework/sessions/2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L): failed to open stream: Disk quota exceeded"
    
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php
     *
     * @param  string  $path
     * @return string
     */
    public function hash($path)
    {
        return md5_file($path);
    }
 
    /**
     * Write the contents of a file.
     *
     * @param  string  $path
     * @param  string  $contents
     * @param  bool  $lock
     * @return int
     */
    public function put($path, $contents, $lock = false)
    {
        return file_put_contents($path, $contents, $lock ? LOCK_EX : 0);
    }
 
    /**
     * Prepend to a file.
     *
     * @param  string  $path
     * @param  string  $data
     * @return int
     */
    public function prepend($path, $data)
    {
        if ($this->exists($path)) {
            return $this->put($path, $data.$this->get($path));
        }
 
        return $this->put($path, $data);
    }
 
    /**
     * Append to a file.
Arguments
  1. "/home/mhnhvvvlzqyt/kmj.org.kw/storage/framework/sessions/2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L"
    
  2. "a:3:{s:6:"_token";s:40:"LMt40ogUWoKBL3uSGRyKOggr584RyAoZNyb2tZ6i";s:9:"_previous";a:1:{s:3:"url";s:21:"http://www.kmj.org.kw";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}"
    
  3. 2
    
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php
    /**
     * {@inheritdoc}
     */
    public function read($sessionId)
    {
        if ($this->files->exists($path = $this->path.'/'.$sessionId)) {
            if (filemtime($path) >= Carbon::now()->subMinutes($this->minutes)->getTimestamp()) {
                return $this->files->get($path, true);
            }
        }
 
        return '';
    }
 
    /**
     * {@inheritdoc}
     */
    public function write($sessionId, $data)
    {
        $this->files->put($this->path.'/'.$sessionId, $data, true);
 
        return true;
    }
 
    /**
     * {@inheritdoc}
     */
    public function destroy($sessionId)
    {
        $this->files->delete($this->path.'/'.$sessionId);
 
        return true;
    }
 
    /**
     * {@inheritdoc}
     */
    public function gc($lifetime)
    {
        $files = Finder::create()
Arguments
  1. "/home/mhnhvvvlzqyt/kmj.org.kw/storage/framework/sessions/2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L"
    
  2. "a:3:{s:6:"_token";s:40:"LMt40ogUWoKBL3uSGRyKOggr584RyAoZNyb2tZ6i";s:9:"_previous";a:1:{s:3:"url";s:21:"http://www.kmj.org.kw";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}"
    
  3. true
    
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/Store.php
     *
     * @param  string  $data
     * @return string
     */
    protected function prepareForUnserialize($data)
    {
        return $data;
    }
 
    /**
     * Save the session data to storage.
     *
     * @return bool
     */
    public function save()
    {
        $this->ageFlashData();
 
        $this->handler->write($this->getId(), $this->prepareForStorage(
            serialize($this->attributes)
        ));
 
        $this->started = false;
    }
 
    /**
     * Prepare the serialized session data for storage.
     *
     * @param  string  $data
     * @return string
     */
    protected function prepareForStorage($data)
    {
        return $data;
    }
 
    /**
     * Age the flash data for the session.
     *
     * @return void
Arguments
  1. "2JquXF3oowg9oDinyy4lux62Vekfl1klRhvAtX7L"
    
  2. "a:3:{s:6:"_token";s:40:"LMt40ogUWoKBL3uSGRyKOggr584RyAoZNyb2tZ6i";s:9:"_previous";a:1:{s:3:"url";s:21:"http://www.kmj.org.kw";}s:6:"_flash";a:2:{s:3:"old";a:0:{}s:3:"new";a:0:{}}}"
    
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php
        if ($this->sessionConfigured()) {
            $this->storeCurrentUrl($request, $session);
 
            $this->addCookieToResponse($response, $session);
        }
 
        return $response;
    }
 
    /**
     * Perform any final actions for the request lifecycle.
     *
     * @param  \Illuminate\Http\Request  $request
     * @param  \Symfony\Component\HttpFoundation\Response  $response
     * @return void
     */
    public function terminate($request, $response)
    {
        if ($this->sessionHandled && $this->sessionConfigured() && ! $this->usingCookieSessions()) {
            $this->manager->driver()->save();
        }
    }
 
    /**
     * Start the session for the given request.
     *
     * @param  \Illuminate\Http\Request  $request
     * @return \Illuminate\Contracts\Session\Session
     */
    protected function startSession(Request $request)
    {
        return tap($this->getSession($request), function ($session) use ($request) {
            $session->setRequestOnHandler($request);
 
            $session->start();
        });
    }
 
    /**
     * Get the session implementation from the manager.
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php
     * @return void
     */
    protected function terminateMiddleware($request, $response)
    {
        $middlewares = $this->app->shouldSkipMiddleware() ? [] : array_merge(
            $this->gatherRouteMiddleware($request),
            $this->middleware
        );
 
        foreach ($middlewares as $middleware) {
            if (! is_string($middleware)) {
                continue;
            }
 
            list($name) = $this->parseMiddleware($middleware);
 
            $instance = $this->app->make($name);
 
            if (method_exists($instance, 'terminate')) {
                $instance->terminate($request, $response);
            }
        }
    }
 
    /**
     * Gather the route middleware for the given request.
     *
     * @param  \Illuminate\Http\Request  $request
     * @return array
     */
    protected function gatherRouteMiddleware($request)
    {
        if ($route = $request->route()) {
            return $this->router->gatherRouteMiddleware($route);
        }
 
        return [];
    }
 
    /**
Arguments
  1. Request {
      #json: null
      #convertedFiles: null
      #userResolver: Closure {
        class: "Illuminate\Auth\AuthServiceProvider"
        this: AuthServiceProvider { …}
        parameters: {
          $guard: {
            default: null
          }
        }
        use: {
          $app: Application { …}
        }
      }
      #routeResolver: Closure {
        class: "Illuminate\Routing\Router"
        this: Router { …}
        use: {
          $route: Route { …}
        }
      }
      +attributes: ParameterBag {}
      +request: ParameterBag {#1}
      +query: ParameterBag {#1}
      +server: ServerBag {}
      +files: FileBag {}
      +cookies: ParameterBag {}
      +headers: HeaderBag {}
      #content: null
      #languages: null
      #charsets: null
      #encodings: null
      #acceptableContentTypes: array:4 [
        0 => "text/html"
        1 => "application/xhtml+xml"
        2 => "application/xml"
        3 => "*/*"
      ]
      #pathInfo: "/"
      #requestUri: "/"
      #baseUrl: ""
      #basePath: null
      #method: "GET"
      #format: null
      #session: Store {}
      #locale: null
      #defaultLocale: "en"
      -isHostValid: true
      -isForwardedValid: true
      basePath: ""
      format: "html"
    }
    
  2. Response {}
    
/home/mhnhvvvlzqyt/kmj.org.kw/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php
     */
    protected function dispatchToRouter()
    {
        return function ($request) {
            $this->app->instance('request', $request);
 
            return $this->router->dispatch($request);
        };
    }
 
    /**
     * Call the terminate method on any terminable middleware.
     *
     * @param  \Illuminate\Http\Request  $request
     * @param  \Illuminate\Http\Response  $response
     * @return void
     */
    public function terminate($request, $response)
    {
        $this->terminateMiddleware($request, $response);
 
        $this->app->terminate();
    }
 
    /**
     * Call the terminate method on any terminable middleware.
     *
     * @param  \Illuminate\Http\Request  $request
     * @param  \Illuminate\Http\Response  $response
     * @return void
     */
    protected function terminateMiddleware($request, $response)
    {
        $middlewares = $this->app->shouldSkipMiddleware() ? [] : array_merge(
            $this->gatherRouteMiddleware($request),
            $this->middleware
        );
 
        foreach ($middlewares as $middleware) {
            if (! is_string($middleware)) {
Arguments
  1. Request {
      #json: null
      #convertedFiles: null
      #userResolver: Closure {
        class: "Illuminate\Auth\AuthServiceProvider"
        this: AuthServiceProvider { …}
        parameters: {
          $guard: {
            default: null
          }
        }
        use: {
          $app: Application { …}
        }
      }
      #routeResolver: Closure {
        class: "Illuminate\Routing\Router"
        this: Router { …}
        use: {
          $route: Route { …}
        }
      }
      +attributes: ParameterBag {}
      +request: ParameterBag {#1}
      +query: ParameterBag {#1}
      +server: ServerBag {}
      +files: FileBag {}
      +cookies: ParameterBag {}
      +headers: HeaderBag {}
      #content: null
      #languages: null
      #charsets: null
      #encodings: null
      #acceptableContentTypes: array:4 [
        0 => "text/html"
        1 => "application/xhtml+xml"
        2 => "application/xml"
        3 => "*/*"
      ]
      #pathInfo: "/"
      #requestUri: "/"
      #baseUrl: ""
      #basePath: null
      #method: "GET"
      #format: null
      #session: Store {}
      #locale: null
      #defaultLocale: "en"
      -isHostValid: true
      -isForwardedValid: true
      basePath: ""
      format: "html"
    }
    
  2. Response {}
    
/home/mhnhvvvlzqyt/kmj.org.kw/index.php
|--------------------------------------------------------------------------
| Run The Application
|--------------------------------------------------------------------------
|
| Once we have the application, we can handle the incoming request
| through the kernel, and send the associated response back to
| the client's browser allowing them to enjoy the creative
| and wonderful application we have prepared for them.
|
*/
 
$kernel = $app->make(Illuminate\Contracts\Http\Kernel::class);
 
$response = $kernel->handle(
    $request = Illuminate\Http\Request::capture()
);
 
$response->send();
 
$kernel->terminate($request, $response);
 
Arguments
  1. Request {
      #json: null
      #convertedFiles: null
      #userResolver: Closure {
        class: "Illuminate\Auth\AuthServiceProvider"
        this: AuthServiceProvider { …}
        parameters: {
          $guard: {
            default: null
          }
        }
        use: {
          $app: Application { …}
        }
      }
      #routeResolver: Closure {
        class: "Illuminate\Routing\Router"
        this: Router { …}
        use: {
          $route: Route { …}
        }
      }
      +attributes: ParameterBag {}
      +request: ParameterBag {#1}
      +query: ParameterBag {#1}
      +server: ServerBag {}
      +files: FileBag {}
      +cookies: ParameterBag {}
      +headers: HeaderBag {}
      #content: null
      #languages: null
      #charsets: null
      #encodings: null
      #acceptableContentTypes: array:4 [
        0 => "text/html"
        1 => "application/xhtml+xml"
        2 => "application/xml"
        3 => "*/*"
      ]
      #pathInfo: "/"
      #requestUri: "/"
      #baseUrl: ""
      #basePath: null
      #method: "GET"
      #format: null
      #session: Store {}
      #locale: null
      #defaultLocale: "en"
      -isHostValid: true
      -isForwardedValid: true
      basePath: ""
      format: "html"
    }
    
  2. Response {}
    

Environment & details:

empty
empty
empty
empty
empty
Key Value
LSPHP_ENABLE_USER_INI
"on"
PATH
"/usr/local/bin:/usr/bin:/bin"
TEMP
"/tmp"
TMP
"/tmp"
TMPDIR
"/tmp"
PWD
"/"
HTTP_ACCEPT
"text/html,application/xhtml+xml,application/xml;q=0.9,*/*;q=0.8"
HTTP_ACCEPT_ENCODING
"br,gzip"
HTTP_ACCEPT_LANGUAGE
"en-US,en;q=0.5"
HTTP_CONNECTION
"Keep-Alive"
CONTENT_LENGTH
"0"
HTTP_HOST
"www.kmj.org.kw"
HTTP_USER_AGENT
"CCBot/2.0 (https://commoncrawl.org/faq/)"
HTTP_IF_MODIFIED_SINCE
"Sat, 10 Apr 2021 12:20:51 GMT"
UNIQUE_ID
"YXoQIPr6mkkrDQfr5PXViwAAAOU"
SCRIPT_URL
"/"
SCRIPT_URI
"http://www.kmj.org.kw/"
GD-USERNAME
"mhnhvvvlzqyt"
SERVER_SIGNATURE
""
SERVER_SOFTWARE
"Apache"
SERVER_NAME
"www.kmj.org.kw"
SERVER_ADDR
"107.180.48.102"
SERVER_PORT
"80"
REMOTE_ADDR
"3.234.211.61"
DOCUMENT_ROOT
"/home/mhnhvvvlzqyt/kmj.org.kw"
REQUEST_SCHEME
"http"
CONTEXT_PREFIX
""
CONTEXT_DOCUMENT_ROOT
"/home/mhnhvvvlzqyt/kmj.org.kw"
SERVER_ADMIN
"webmaster@kmj.roadrunnerkw.com"
SCRIPT_FILENAME
"/home/mhnhvvvlzqyt/kmj.org.kw/index.php"
REMOTE_PORT
"50700"
SERVER_PROTOCOL
"HTTP/1.1"
REQUEST_METHOD
"GET"
QUERY_STRING
""
REQUEST_URI
"/"
SCRIPT_NAME
"/index.php"
PHP_SELF
"/index.php"
REQUEST_TIME_FLOAT
1635389472.6792
REQUEST_TIME
1635389472
APP_NAME
"Laravel"
APP_ENV
"local"
APP_KEY
"base64:Cnd/Fl4Og+dWEAQ+ZtNXXz4zGG5DbmKHhAkHIvTDniQ="
APP_DEBUG
"true"
APP_LOG_LEVEL
"debug"
APP_URL
"http://localhost"
DB_CONNECTION
"mysql"
DB_HOST
"127.0.0.1"
DB_PORT
"3306"
DB_DATABASE
"homestead"
DB_USERNAME
"homestead"
DB_PASSWORD
"secret"
BROADCAST_DRIVER
"log"
CACHE_DRIVER
"file"
SESSION_DRIVER
"file"
SESSION_LIFETIME
"120"
QUEUE_DRIVER
"sync"
REDIS_HOST
"127.0.0.1"
REDIS_PASSWORD
"null"
REDIS_PORT
"6379"
MAIL_DRIVER
"smtp"
MAIL_HOST
"smtp.mailtrap.io"
MAIL_PORT
"2525"
MAIL_USERNAME
"null"
MAIL_PASSWORD
"null"
MAIL_ENCRYPTION
"null"
PUSHER_APP_ID
""
PUSHER_APP_KEY
""
PUSHER_APP_SECRET
""
PUSHER_APP_CLUSTER
"mt1"
Key Value
LSPHP_ENABLE_USER_INI
"on"
PATH
"/usr/local/bin:/usr/bin:/bin"
TEMP
"/tmp"
TMP
"/tmp"
TMPDIR
"/tmp"
PWD
"/"
APP_NAME
"Laravel"
APP_ENV
"local"
APP_KEY
"base64:Cnd/Fl4Og+dWEAQ+ZtNXXz4zGG5DbmKHhAkHIvTDniQ="
APP_DEBUG
"true"
APP_LOG_LEVEL
"debug"
APP_URL
"http://localhost"
DB_CONNECTION
"mysql"
DB_HOST
"127.0.0.1"
DB_PORT
"3306"
DB_DATABASE
"homestead"
DB_USERNAME
"homestead"
DB_PASSWORD
"secret"
BROADCAST_DRIVER
"log"
CACHE_DRIVER
"file"
SESSION_DRIVER
"file"
SESSION_LIFETIME
"120"
QUEUE_DRIVER
"sync"
REDIS_HOST
"127.0.0.1"
REDIS_PASSWORD
"null"
REDIS_PORT
"6379"
MAIL_DRIVER
"smtp"
MAIL_HOST
"smtp.mailtrap.io"
MAIL_PORT
"2525"
MAIL_USERNAME
"null"
MAIL_PASSWORD
"null"
MAIL_ENCRYPTION
"null"
PUSHER_APP_ID
""
PUSHER_APP_KEY
""
PUSHER_APP_SECRET
""
PUSHER_APP_CLUSTER
"mt1"
0. Whoops\Handler\PrettyPageHandler