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Pancreatic Cancer In Saudi Arabia, Abdulwahed N. Meshikhes, Salem A. Alfaifi, Hamza J. Alghamdi, Abdulrahman M. Jazieh Nov 2013

Pancreatic Cancer In Saudi Arabia, Abdulwahed N. Meshikhes, Salem A. Alfaifi, Hamza J. Alghamdi, Abdulrahman M. Jazieh

Saudi Medical Journal

No abstract provided.


Accidental Genital Trauma In The Female Children In Jordan And The Role Of Forensic Medicine, Emad M. Al-Abdallat, Rayyan A. Al-Ali, Ghada A. Salameh Oct 2013

Accidental Genital Trauma In The Female Children In Jordan And The Role Of Forensic Medicine, Emad M. Al-Abdallat, Rayyan A. Al-Ali, Ghada A. Salameh

Saudi Medical Journal

OBJECTIVE: To evaluate the frequency and the nature of genital trauma in female children in Jordan, and to stress the role of forensics. METHODS: This is a cross-sectional study conducted between March 2008 and December 2011 in Jordan University Hospital, Amman, Jordan. Sixty-three female children were examined for genital trauma after immediate admission. The mechanism of injury was categorized and reported by the examiners as either straddle, non-straddle blunt, or penetrating. RESULTS: Straddle injury was the cause of injuries in 90.5% of patients, and contusions were the significant type of injury in 34% of patients, followed by abrasions in both …


Middle East Respiratory Syndrome Novel Corona Mers-Cov Infection. Epidemiology And Outcome Update, Jaffar A. Al-Tawfiq, Abdullah Assiri, Ziad A. Memish Oct 2013

Middle East Respiratory Syndrome Novel Corona Mers-Cov Infection. Epidemiology And Outcome Update, Jaffar A. Al-Tawfiq, Abdullah Assiri, Ziad A. Memish

Saudi Medical Journal

Middle East respiratory syndrome coronavirus MERS-CoV is a newly emerging respiratory virus with a high case fatality rate among identified cases. The virus is thought to cause a severe disease in patients with underlying comorbidities. The identification of asymptomatic patients and mild cases among family and healthcare worker contacts of confirmed cases indicates a wider spectrum of clinical manifestation of the disease. The majority of patients presented with fever 98%, fever with cough 83%, and shortness of breath 72%. Radiographic manifestations range from unilateral infiltrate 43%, to increased bronchovascular markings 17%, and diffuse reticulonodular pattern 4%. Our understanding of the …


A Comparative Study Between Prescribed And Over-The-Counter Antibiotics, Abobakr E. Abasaeed, Jiri Vlcek, Mohamed A. Abuelkhair, Retnosari Andrajati, Asim A. Elnour Oct 2013

A Comparative Study Between Prescribed And Over-The-Counter Antibiotics, Abobakr E. Abasaeed, Jiri Vlcek, Mohamed A. Abuelkhair, Retnosari Andrajati, Asim A. Elnour

Saudi Medical Journal

OBJECTIVE: To examine the influence of pharmacists’ demographic characteristics on dispensing antibiotics purchased with and without a prescription in the community pharmacies. METHODS: This cross-sectional study was conducted in 24 randomly-selected community pharmacies located in Abu Dhabi, United Arab Emirates between March and September 2009. Data were collected through a closed-structured questionnaire and analyzed using the Statistical Package for Social Sciences Version 17. Descriptive statistics, odds ratios, significance and 95% CI and logistic regression analyses were then used to analyze the resulting data. RESULTS: Participating pharmacists conducted a total of 1645 antibiotic transactions (1211 [73.6%] dispensed with prescriptions versus and …


Advanced Techniques In Molecular Genetics And Its Implications On Genetic Testing And Screening In The Arabian Peninsula, Khaled K. Abu-Amero, Altaf A. Kondkar Oct 2013

Advanced Techniques In Molecular Genetics And Its Implications On Genetic Testing And Screening In The Arabian Peninsula, Khaled K. Abu-Amero, Altaf A. Kondkar

Saudi Medical Journal

Molecular diagnosis of human disorders is referred to as the detection of the various pathogenic mutations in DNA and/or RNA samples in order to facilitate detection, diagnosis, sub-classification, prognosis, and monitoring response to therapy. The use of molecular biology techniques to expand scientific knowledge of the natural history of diseases, identify people who are at risk for acquiring specific diseases, and diagnose human diseases at the nucleic acid level. Molecular diagnostics combines laboratory medicine with the knowledge and technology of molecular genetics and has been enormously revolutionized over the last decades, benefiting from the discoveries in the field of molecular …


The Polymorphism Of Angiotensin-Receptor Gene A1166c In Familial Hypertension And Its Distribution In The Han Yellow Race Of China, Li Jinmin, Liu Jianmin, Zhou Shuqin, Liu Xueqiu, Tang Shuyi Oct 2013

The Polymorphism Of Angiotensin-Receptor Gene A1166c In Familial Hypertension And Its Distribution In The Han Yellow Race Of China, Li Jinmin, Liu Jianmin, Zhou Shuqin, Liu Xueqiu, Tang Shuyi

Saudi Medical Journal

OBJECTIVE: To study the polymorphism of angiotensin-type 1 receptor (AT1R) gene A1166C in familial primary hypertension and its distribution in Han Yellow race of China. METHODS: One hundred and four hypertensive patients with no family history, 178 hypertensive patients with familial history, and 150 healthy adults were randomly selected to participate in a prospective clinical trial, and genetype detection by standard polymerase chain reaction methods and restriction fragment length polymorphism (PCR-RFLP) in trials. The study was carried out between October 2009 and November 2010 at Jinan Center for Cardiovascular Disease, Affiliated Hospital of Taishan Medical College, Jinan, China. RESULTS: Notable …


Evidence Based Medicine Workshop. Randomized Controlled Trial Of The Efficacy On Physician's Knowledge And Skills, Nadira A. Al-Baghli Oct 2013

Evidence Based Medicine Workshop. Randomized Controlled Trial Of The Efficacy On Physician's Knowledge And Skills, Nadira A. Al-Baghli

Saudi Medical Journal

OBJECTIVE: To assess the effect of evidence based medicine (EBM) workshop on knowledge and skills of physicians towards EBM use in the near future, as well as in the long run. METHODS: This is a randomized controlled trial conducted in the primary health care administration center in Dammam, Saudi Arabia between October and November 2008. Fifty-nine primary care physicians in the intervention group participated in the EBM workshops while 89 physicians from the control group attended other primary health care activities other than EBM workshop. The main outcome was to measure the change in the participants9 level of awareness and …


Analysis Of Health Promoting Lifestyle Behaviors And Associated Factors Among Nurses At A University Hospital In Turkey, Nukhet Kirag, Esin M. Ocaktan Oct 2013

Analysis Of Health Promoting Lifestyle Behaviors And Associated Factors Among Nurses At A University Hospital In Turkey, Nukhet Kirag, Esin M. Ocaktan

Saudi Medical Journal

OBJECTIVE: To determine the health promotion lifestyle behaviors (HPLB) of nurses working in a university medical faculty hospital in Turkey and to investigate the factors related behaviors. METHODS: This descriptive and cross-sectional study was conducted in Ankara University Medical Faculty Hospital, Ankara, Turkey, between January 2008 and 23 January 2009. Two hundred and eighty nurses were recruited randomly out of 550 female nurses. However, 10 of them were removed from the research due to the annual leave. The study was conducted among 270 nurses. Health promotion lifestyle behaviors were evaluated using Personal Information Form and Health Promoting Lifestyle Profile (HPLP …


Management Of An Impacted Maxillary Central Incisor With Dilacerated Root, Jun-Jie Xue, Nian-Song Ye, Jing-Yu Li, Wen-Li Lai Oct 2013

Management Of An Impacted Maxillary Central Incisor With Dilacerated Root, Jun-Jie Xue, Nian-Song Ye, Jing-Yu Li, Wen-Li Lai

Saudi Medical Journal

Dilaceration is a comparatively uncommon dental deformity generally characterized by an angulation between crown and root, and consequently causing non-eruption of the tooth. Dilaceration generally occurs following trauma to the apices of deciduous dentition, which lies close to the permanent tooth buds. As a result, surgical extraction used to be the first choice when making the treatment plan for a case with severely dilacerated teeth. This case report presents the orthodontic alignment of a permanent maxillary right central incisor in an 8-year-old boy who had an impacted inverted maxillary central incisor, with distoangular root dilaceration through the crown. Following surgical …


Septic Pulmonary Embolism Secondary To Staphylococcus Aureus Septic Thrombophlebitis In A Pediatric Patient, Farah C. Thabet, Abdulrahman S. Alhejaili, Abdulrahman N. Alodayani Oct 2013

Septic Pulmonary Embolism Secondary To Staphylococcus Aureus Septic Thrombophlebitis In A Pediatric Patient, Farah C. Thabet, Abdulrahman S. Alhejaili, Abdulrahman N. Alodayani

Saudi Medical Journal

We present the clinical course of an 11-year-old child with septic pulmonary embolism secondary to community acquired methicillin-resistant Staphylococcus aureus (MRSA) septic deep venous thrombosis. The aim is to emphasize the non-specific symptoms of septic pulmonary embolism in pediatrics, the frequent association with septic deep venous thrombosis and osteomyelitis, and to highlight that MRSA is the most frequently isolated organism. Pediatricians should consider septic pulmonary embolism in cases of septic deep venous thrombosis even in the absence of respiratory symptoms. The initial antibiotic management should include glycopeptides, as community acquired MRSA is increasingly the isolated organism in this disorder.


A Development Model For Nursing In The Kingdom Of Saudi Arabia, Ali M. Al-Shehri Oct 2013

A Development Model For Nursing In The Kingdom Of Saudi Arabia, Ali M. Al-Shehri

Saudi Medical Journal

No abstract provided.


Identification Of Helicobacter Pylori By Different Conventional Staining Techniques And Its Comparison With Polymerase Chain Reaction, Himani B. Pandya, Jagdish S. Patel, Harihar H. Agravat, Sahil B. Patel, Minal C. Thakkar Sep 2013

Identification Of Helicobacter Pylori By Different Conventional Staining Techniques And Its Comparison With Polymerase Chain Reaction, Himani B. Pandya, Jagdish S. Patel, Harihar H. Agravat, Sahil B. Patel, Minal C. Thakkar

Saudi Medical Journal

OBJECTIVE: To evaluate Helicobacter pylori (H. pylori) detection by histological staining methods, and to compare with those of Gram staining and polymerase chain reaction (PCR). METHODS: This is a cross-sectional study conducted at the Department of Microbiology, Shree P. M. Patel Paramedical College, Anand, Gujarat, India on 436 patients attending the Deep Surgical Hospital, Anand, Gujarat between February 2008 and October 2011. Biopsies were subjected to histological staining using Hematoxylin & Eosin (H&E), Giemsa, and Warthin-Starry stains, as well as with Gram staining. The PCR was performed on 71 biopsy samples. RESULTS: Sensitivity and negative predictive values of all 3 …


Effects Of Infants' Birth Order, Maternal Age, And Socio-Economic Status On Birth Weight, Seyed J. Ghaemmaghami, Leila Nikniaz, Reza Mahdavi, Zeinab Nikniaz, Farzad Razmifard, Farzaneh Afsharnia Sep 2013

Effects Of Infants' Birth Order, Maternal Age, And Socio-Economic Status On Birth Weight, Seyed J. Ghaemmaghami, Leila Nikniaz, Reza Mahdavi, Zeinab Nikniaz, Farzad Razmifard, Farzaneh Afsharnia

Saudi Medical Journal

OBJECTIVE: To determine the effects of infants9 birth order, maternal age, and socioeconomic status (SES) on birth weight. METHODS: This cross-sectional study included a sample of 858 mothers recruited over a 6-month period in 2010, in a defined population of 9 urban health centers, and who were admitted for their infants9 first vaccination. Maternal clinical data, demographic data, and infants9 birth weight were obtained from the interview and maternal hospital files. Multiple regression and analysis of variance were used for data analysis. RESULTS: First and fourth births had lower birth weights compared with second and third births in all maternal …


Prevalence And Distribution Of Metabolic Syndrome In A Southern Chinese Population. Relation To Exercise, Smoking, And Educational Level, Yong-Qiang Li, Li-Qin Zhao, Xin-Yu Liu, Hong-Lei Wang, Xiao-Hong Wang, Bin Li, Kang-Ping Deng, Ying Zhang, Qin Liu, Harry Holthofer, He-Qun Zou Sep 2013

Prevalence And Distribution Of Metabolic Syndrome In A Southern Chinese Population. Relation To Exercise, Smoking, And Educational Level, Yong-Qiang Li, Li-Qin Zhao, Xin-Yu Liu, Hong-Lei Wang, Xiao-Hong Wang, Bin Li, Kang-Ping Deng, Ying Zhang, Qin Liu, Harry Holthofer, He-Qun Zou

Saudi Medical Journal

OBJECTIVE: To investigate the prevalence and distribution of metabolic syndrome (MetS) and the impact of exercise, smoking, and educational level on the risk of MetS in a southern Chinese population. METHODS: A cross-sectional study was conducted in Zhuhai City, China from June to August 2012. Data on exercise, smoking, and educational level, anthropometric parameters, blood pressure, lipid, and glucose levels were collected. The prevalence of MetS (as defined by the International Diabetes Federation) was determined. Data necessary to evaluate MetS, the socio-economic characteristics, and lifestyle were obtained for 4645 subjects aged 18-75 years old. RESULTS: A total of 19.8% of …


Concurrent Splenic Lymphangiomatosis And Proteus Syndrome, Reja S. Emran, Ihab M. Anwar, Michel Trudel, Adnan A. Bhatti Sep 2013

Concurrent Splenic Lymphangiomatosis And Proteus Syndrome, Reja S. Emran, Ihab M. Anwar, Michel Trudel, Adnan A. Bhatti

Saudi Medical Journal

A 37-year-old female presented with Proteus syndrome and was found to have an asymptomatic enlarged spleen. Pathology confirmed splenic lymphangiomatosis. We describe an association of these 2 disorders in the Middle Eastern population. Diagnosis and pathogenesis are discussed in this case report.


Therapeutic Modalities In Systemic Lupus Erythematosus, Naveen K. Tyagi, Robert G. Lahita Sep 2013

Therapeutic Modalities In Systemic Lupus Erythematosus, Naveen K. Tyagi, Robert G. Lahita

Saudi Medical Journal

Systemic lupus erythematosus (SLE) is a complex autoimmune disease with significant clinical heterogeneity. Its pathogenesis is complex and involves multigenic components, dysregulation of T and B lymphocytes and the presence of autoantibodies, which form the basis for inflammation, and the pathology found in the various organ systems. Traditional treatments for SLE have included non-steroidal anti-inflammatory drugs, antimalarials, corticosteroids, and cytotoxic/immunosuppressants, but a recent emphasis on the development of biological agents that inhibit autoreactive B cells, interrupt cytokine signaling and facilitate the development of regulatory T cells has become a new modality in treating the disease. This review will delve into …


Visual Outcomes And Patient Satisfaction After Implantable Collamer Lens And Toric Implantable Collamer Lens Correction For Moderate To High Myopia And Myopic Astigmatism, Mahfouth A. Bamashmus, Ammar H. Al-Arabi, Mohammed A. Alawad Sep 2013

Visual Outcomes And Patient Satisfaction After Implantable Collamer Lens And Toric Implantable Collamer Lens Correction For Moderate To High Myopia And Myopic Astigmatism, Mahfouth A. Bamashmus, Ammar H. Al-Arabi, Mohammed A. Alawad

Saudi Medical Journal

OBJECTIVE: To compare preoperative and postoperative visual outcomes, determine patient9s satisfaction, and evaluate visual symptoms after implantable collamer lens (ICL) implantation. METHODS: One hundred and twelve patients with myopia between -2.75 and -19.50 diopter had ICL or Toric ICL (TICL) implantation. The implantations were carried out at the Cornea and Refractive Unit, Magrabi Eye Hospital, Sana9a, Republic of Yemen between September 2007 and October 2010. Preoperative and postoperative uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), and refraction was evaluated. Patient9s satisfaction and visual symptoms were evaluated using a questionnaire. RESULTS: The mean age was 26.74 +/- 5.6 …


Arabic Coffee Increases The Glycemic Index But Not Insulinemic Index Of Dates, Muneera Q. Al-Mssallem, Jonathan E. Brown Sep 2013

Arabic Coffee Increases The Glycemic Index But Not Insulinemic Index Of Dates, Muneera Q. Al-Mssallem, Jonathan E. Brown

Saudi Medical Journal

OBJECTIVE: To determine whether the glycemic index (GI) and insulinemic index (II) of dates could be altered by Arabic coffee consumption. METHODS: This randomized cross-over study was conducted at the Department of Nutritional Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom from November 2009 to February 2010. Healthy subjects (5 males, 5 females) were recruited to the study. They were fed Khulas dates either with water, or with Arabic coffee. Plasma glucose and insulin responses were measured using standardized methods. Responses were compared with a pure glucose solution matched for available carbohydrate. The GI and …


The Value Of Urine Cytology In The Diagnosis Of Bladder Cancer. Cytopathological Correlation, Layla S. Abdullah Sep 2013

The Value Of Urine Cytology In The Diagnosis Of Bladder Cancer. Cytopathological Correlation, Layla S. Abdullah

Saudi Medical Journal

OBJECTIVE: To identify the value of urine cytology in the diagnosis of bladder cancer by comparing cytologic and histologic findings. METHODS: This study was conducted from January to December 2012 at the Department of Pathology, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. The laboratory database was retrospectively reviewed for all patients with a histopathological diagnosis of urothelial carcinoma (UC) between January 2007 and December 2011. Histopathological diagnosis was considered the gold standard, and urine cytology findings were correlated with the results of bladder biopsy. Biopsies with low- and high-grade lesions were considered positive. All data were …


Evaluation Of Biomedical Research In Saudi Arabia, Jamal Al-Bishri Sep 2013

Evaluation Of Biomedical Research In Saudi Arabia, Jamal Al-Bishri

Saudi Medical Journal

OBJECTIVE: To evaluate the quality and quantity of biomedical studies published in the Kingdom of Saudi Arabia (KSA) between 2010 and 2011. METHODS: This study was conducted on January 2013 at the Internal Medicine Department, Taif University, Taif, KSA. An online search was conducted on PubMed to collect the articles published from KSA using the country name (Saudi Arabia) as a keyword. The search was limited to studies published in the period of 2 years from January 2010 to December 2011. The year 2012 was not included to give at least one year for citation. The total number of studies …


Single Implant In The Mandibular Molar Region Of Edentulous Patient, Jun-Jiang Zhai, Cai Wen, Ming-Hua Teng, Xing Liang Sep 2013

Single Implant In The Mandibular Molar Region Of Edentulous Patient, Jun-Jiang Zhai, Cai Wen, Ming-Hua Teng, Xing Liang

Saudi Medical Journal

Implant-retained overdentures are a valid treatment option for edentulous patients, especially for patients with severe alveolar ridge atrophy. A central single implant is considered adequate to retain an overdenture in the edentulous mandible. However, for some patients, there is no sufficient bone height, or width in the interforaminal region of the mandible for insertion of the implant. This case report illustrates that the insertion of a single implant in the mandibular molar region might stabilize the prosthesis, and might improve the oral health-related quality of life and chewing function. A Locator attachment was used in this case to retain the …


Severe Pulmonary Tuberculosis Complicating Intestinal Tuberculosis With The Entire Colorectal Ulcers, Zhong-Yin Zhou, He-Sheng Luo, Cheng-Bo Liang Sep 2013

Severe Pulmonary Tuberculosis Complicating Intestinal Tuberculosis With The Entire Colorectal Ulcers, Zhong-Yin Zhou, He-Sheng Luo, Cheng-Bo Liang

Saudi Medical Journal

No abstract provided.


The Use Of Porcine Derived Low Molecular Weight Heparins In Muslims, Mir Sadat-Ali, Haifa A. Al-Turki Aug 2013

The Use Of Porcine Derived Low Molecular Weight Heparins In Muslims, Mir Sadat-Ali, Haifa A. Al-Turki

Saudi Medical Journal

No abstract provided.


Pigment Epithelium-Derived Factor Inhibits High Glucose-Induced Jak/Stat Signalling Pathway Activation In Human Glomerular Mesangial Cells, Tuohua Mao, Hongmin Chen, Lian Hong, Jing Li Aug 2013

Pigment Epithelium-Derived Factor Inhibits High Glucose-Induced Jak/Stat Signalling Pathway Activation In Human Glomerular Mesangial Cells, Tuohua Mao, Hongmin Chen, Lian Hong, Jing Li

Saudi Medical Journal

OBJECTIVE: To further elucidate the mechanism of the anti-fibrogenic role of pigment epithelium-derived factor (PEDF) on diabetic nephropathy. METHODS: Human glomerular mesangial cells (HMCs) were treated with 30mmol/l D-glucose for different time intervals (6, 12, 24, and 48 hrs). To examine the beneficial effect of PEDF, we incubated the HMCs with high glucose (30mmol/L) in the presence of different concentrations of PEDF (10, 40, and 100nmol/l) for 24 hrs. The study took place in the Laboratory of Endocrinology, Renmin Hospital of Wuhan University, Wuhan, China between July 2012 and December 2012. Transforming growth factor-beta1 (TGF-beta1) and fibronectin (FN) mRNA was …


Acceptance Of Pharmaceutical Gifts. Variability By Specialty And Job Rank In A Saudi Healthcare Setting, Fahad Alosaimi, Abdulaziz Alkaabba, Mahdi Qadi, Abdullah Albahlal, Yasir Alabdulkarim, Mohammad Alabduljabbar, Faisal Alqahtani Aug 2013

Acceptance Of Pharmaceutical Gifts. Variability By Specialty And Job Rank In A Saudi Healthcare Setting, Fahad Alosaimi, Abdulaziz Alkaabba, Mahdi Qadi, Abdullah Albahlal, Yasir Alabdulkarim, Mohammad Alabduljabbar, Faisal Alqahtani

Saudi Medical Journal

OBJECTIVE: To examine the variability in accepting different types of gifts by clinical specialty as well as job rank among physicians working in Saudi Arabia. METHODS: This cross-sectional study was carried out between March and July of 2012 in different regions of Saudi Arabia. A self-administrated questionnaire was developed and administered to all participants, both in paper and electronic formats. RESULTS: A total of 281 participants answered the question ‘do you accept pharmaceutical gifts and/or promotions?’ Most of the participants (80.1%) admitted acceptance of pharmaceutical gifts of any type. The most common gifts accepted were free drug samples (58.2%), stationary …


Clinical Effectiveness And Influential Factors Of Maxillary Rehabilitation With Zygomatic Implant Following Tumor Resection, Lu Yu, Wang Shu, Yang Feng, Yan Qi-Hui Aug 2013

Clinical Effectiveness And Influential Factors Of Maxillary Rehabilitation With Zygomatic Implant Following Tumor Resection, Lu Yu, Wang Shu, Yang Feng, Yan Qi-Hui

Saudi Medical Journal

OBJECTIVE: To evaluate the clinical effectiveness and influential factors of maxillary rehabilitation with zygomatic implant and prosthesis after tumor resection. METHODS: Thirty-six patients with maxillary defects were collected prospectively in this study and received zygomatic implant and prosthesis for maxillary rehabilitation in the Department of Stomatology of the Municipal Hospital, Taizhou, Zhejiang, China from March 2007 to May 2010. The speech intelligibility (SI) and masticatory efficiency of pre-rehabilitation and post-rehabilitation at one, 6, 12, and 24 months were measured. The relationships between the following factors (oro-nasal communication, hard-palate resection, soft-palate resection, retention teeth) and SI value were analyzed. The relationships …


Performance Of Chloride/Phosphate Test In Patients With Primary Hyperparathyroidism. Is It Related To Calcium Level?, Ayman A. Mismar, Gabriele Materazzi, Marco Biricotti, Nader M. Albsoul, Nidal A. Younes, Paolo Miccoli Aug 2013

Performance Of Chloride/Phosphate Test In Patients With Primary Hyperparathyroidism. Is It Related To Calcium Level?, Ayman A. Mismar, Gabriele Materazzi, Marco Biricotti, Nader M. Albsoul, Nidal A. Younes, Paolo Miccoli

Saudi Medical Journal

OBJECTIVE: To examine the sensitivity of the chloride/phosphate (Cl/PO4) ratio with a cut-off point of >33 as a diagnostic test for primary hyperparathyroidism (pHPT) in surgically proven patients, and its performance at different calcium levels. METHODS: This is a retrospective medical records based study. Data of 120 patients diagnosed with pHPT, already operated in the Department of Surgery, Cisanello Hospital, Pisa, Italy between March 2010 and June 2011 were reviewed. They were divided into 4 subgroups according to their calcium levels. The Cl/PO4 ratio was measured for each patient, with a cut-off point of 33, sensitivity of Cl/PO4 test was …


Serum 25-Hydroxyvitamin D Concentration In Patients With Psoriasis And Rheumatoid Arthritis And Its Association With Disease Activity And Serum Tumor Necrosis Factor-Alpha, Mona A. Atwa, Mona G. Balata, Ashraf M. Hussein, Nashwa I. Abdelrahman, Hazem H. Elminshawy Aug 2013

Serum 25-Hydroxyvitamin D Concentration In Patients With Psoriasis And Rheumatoid Arthritis And Its Association With Disease Activity And Serum Tumor Necrosis Factor-Alpha, Mona A. Atwa, Mona G. Balata, Ashraf M. Hussein, Nashwa I. Abdelrahman, Hazem H. Elminshawy

Saudi Medical Journal

OBJECTIVE: To assess vitamin D status in psoriasis and rheumatoid arthritis (RA) patients and to study whether it was associated with disease activity, inflammatory markers, and serum tumor necrosis factor-alpha (TNF-alpha). METHODS: This cross-sectional study was conducted at Riyadh National Hospital, Riyadh, Saudi Arabia between March and September 2012. It included 43 patients with plaque psoriasis, 55 RA patients and 40 healthy controls matched for age. Blood samples were drawn from all participants for assessment of 25-hydroxyvitamin D [25(OH)D], TNF-alpha, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), parathyroid hormone (PTH), and serum corrected calcium. Disease activity of psoriasis and RA …


Prevalence Of Vitamin D Deficiency In Saudi Adults, Abdulkareem O. Alsuwadia, Youssef M. Farag, Dujanah H. Mousa, Fayez F. Alhejaili, Ali S. Al-Harbi, Abdulrahman A. Housawi, Bharati V. Mittal, Ajay K. Singh Aug 2013

Prevalence Of Vitamin D Deficiency In Saudi Adults, Abdulkareem O. Alsuwadia, Youssef M. Farag, Dujanah H. Mousa, Fayez F. Alhejaili, Ali S. Al-Harbi, Abdulrahman A. Housawi, Bharati V. Mittal, Ajay K. Singh

Saudi Medical Journal

OBJECTIVE: To determine the prevalence of vitamin D deficiency in healthy Saudi adults. METHODS: A cross-sectional study carried out as part of the screening and early evaluation of kidney disease project. Vitamin D was measured in subjects recruited at 2 screening camps in Riyadh, Saudi Arabia, between March to May 2008. Subjects from the 2 large commercial centers in Riyadh aged >/=18 years and Saudi nationals were invited. RESULTS: The study sample comprised of 488 subjects. The mean age of the subjects was 37.43 (11.32) years, of which 50.2% (n=245) were males. Twenty-nine percent of subjects were in the vitamin …


A Randomized Control Trial Evaluating The Prevalence Of Obstetrical Anal Sphincter Injuries In Primigravida In Routine Versus Selective Mediolateral Episiotomy, Aqmar S. Sulaiman, Shuhaila Ahmad, Norazlin M. Ismail, Rahana A. Rahman, Muhammad A. Jamil Aug 2013

A Randomized Control Trial Evaluating The Prevalence Of Obstetrical Anal Sphincter Injuries In Primigravida In Routine Versus Selective Mediolateral Episiotomy, Aqmar S. Sulaiman, Shuhaila Ahmad, Norazlin M. Ismail, Rahana A. Rahman, Muhammad A. Jamil

Saudi Medical Journal

OBJECTIVE: To evaluate the prevalence of obstetrical anal sphincter injuries (OASIS), which include third and fourth degree perineal tears in primigravida in routine versus selective mediolateral episiotomy. Secondly, to determine the rate of episiotomy in local settings. METHODS: This randomized control trial was carried out in the labor ward of a tertiary hospital of the Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia between May and October 2009. The trial included 171 primigravida beyond 38 weeks gestation who achieved vaginal delivery, and randomly assigned to selective and routine episiotomy groups. The type of perineal injuries following childbirth among 171 women …