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Socio-Demographic Determinants Of Antibiotic Misuse In Children. A Survey From The Central Region Of Saudi Arabia, Abdulaziz H. Abobotain, Haytham A. Sheerah, Faiza N. Alotaibi, Abdulaziz U. Joury, Rowayda M. Mishiddi, Amna R. Siddiqui, Abdulaziz Bin Saeed Aug 2013

Socio-Demographic Determinants Of Antibiotic Misuse In Children. A Survey From The Central Region Of Saudi Arabia, Abdulaziz H. Abobotain, Haytham A. Sheerah, Faiza N. Alotaibi, Abdulaziz U. Joury, Rowayda M. Mishiddi, Amna R. Siddiqui, Abdulaziz Bin Saeed

Saudi Medical Journal

OBJECTIVE: To investigate knowledge, beliefs, and practices associated with parental antibiotic misuse. METHODS: This cross-sectional study included parents visiting 4 malls in Riyadh, Saudi Arabia. The study took place at the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia between June and December 2010. Self-prescription of antibiotic for a child in the past year was defined as antibiotic misuse. RESULTS: From 610 parents (60.5% mothers and 39.5% fathers), 11.6% reported self-prescription. Responding parents differed by age, education, number of children, and profession. Overall, parents responded that antibiotics are required in children with runny nose or cough or …


Fatal Hemophagocytic Syndrome As A Manifestation Of Immune Reconstitution Syndrome In A Patient With Acquired Immunodeficiency Syndrome, Samreen M. Safdar, Jalil U. Rehman, Eba M. Samman, Nezar M. Bahabri Aug 2013

Fatal Hemophagocytic Syndrome As A Manifestation Of Immune Reconstitution Syndrome In A Patient With Acquired Immunodeficiency Syndrome, Samreen M. Safdar, Jalil U. Rehman, Eba M. Samman, Nezar M. Bahabri

Saudi Medical Journal

Hemophagocytic lymphohistiocytosis (HLH) is an aggressive and potentially life-threatening condition characterized by uncontrolled hyper inflammation caused by various inherited or acquired immune deficiencies. We report a case of a 42-year-old man, newly diagnosed with HIV on the basis of a low CD4 T lymphocyte count (17/mm3) and HIV viral load >100,000 copies/mL by polymerase chain reaction tests who was undergoing an anti-retroviral regimen (emitricitabine, tenofovir disoproxil fumarate, ritonavir, and darunavir) and opportunistic infection prophylaxis (clarithromycin and atovaquone). He was concomitantly diagnosed with hemophagocytic syndrome, also known as HLH. He developed increasingly severe pancytopenia while on treatment with anti-retroviral drugs.


Pancreatic Cancer In Saudi Patients Treated At Tertiary Institution. Ten Years Retrospective Study, Hamza J. Alghamdi, Salem A. Alfaifi, Ashwaq A. Alolayan, Salma Ma. Musaad, Abdulrahman M. Jazieh Jun 2013

Pancreatic Cancer In Saudi Patients Treated At Tertiary Institution. Ten Years Retrospective Study, Hamza J. Alghamdi, Salem A. Alfaifi, Ashwaq A. Alolayan, Salma Ma. Musaad, Abdulrahman M. Jazieh

Saudi Medical Journal

OBJECTIVE: To describe presentation, management, and outcome, and determine prognostic factors for pancreatic cancer patients. METHODS: A retrospective review of patients diagnosed with pancreatic cancer at King Abdulaziz Medical City, Riyadh, Saudi Arabia during the period from January 2000 to December 2010. Descriptive statistics were conducted on the collected data and survival was estimated using the Kaplan Meier estimate. Univariate and multiple regression analyses were carried out. RESULTS: The medical records of 179 patients were reviewed. The patients9 median age was 63 years ranging from 15-96 years, and 116 (64.8%) of them were male. The one-year survival rate was 39% …


Pediatric Inflammatory Bowel Disease In The Western Region Of Saudi Arabia. A Retrospective Analysis, Mohammed Y. Hasosah, Ghassan A. Sukkar, Ashraf F. Alsahafi, Suzanne Y. Kutbi, Abdullah A. Alzabn, Kevan Jacobson Jun 2013

Pediatric Inflammatory Bowel Disease In The Western Region Of Saudi Arabia. A Retrospective Analysis, Mohammed Y. Hasosah, Ghassan A. Sukkar, Ashraf F. Alsahafi, Suzanne Y. Kutbi, Abdullah A. Alzabn, Kevan Jacobson

Saudi Medical Journal

No abstract provided.


Disability In Saudi Arabia, Maher S. Al-Jadid May 2013

Disability In Saudi Arabia, Maher S. Al-Jadid

Saudi Medical Journal

Disability is a complex, influential, dynamic, multidimensional challenge, and it can substantially limit major life activities of human beings and their ability to integrate/reintegrate into society. According to the World Health Organization reports almost 15% of the world9s population lives with certain types of disability, of whom 2-4% experience substantial difficulties in functioning. In Saudi Arabia, very limited research has been conducted on the prevalence and incidence of disability, and most of this is on disabled children. There are several difficulties associated with conducting research on disability related issues in Saudi Arabia. Here, we review the current situation of disability, …


Oral Health Considerations In Cancer Survivors, Hani H. Mawardi, Maha A. Al-Mohaya, Nathaniel S. Treister May 2013

Oral Health Considerations In Cancer Survivors, Hani H. Mawardi, Maha A. Al-Mohaya, Nathaniel S. Treister

Saudi Medical Journal

Over the past decade, advances in cancer treatment have helped in prolonging the survival rate for cancer patients. However, the patients who undergo treatment for cancer are potentially at high-risk for developing a number of oral complications, including oral mucositis, infections, hyposalivation, dental caries, and jaw osteonecrosis. Cancer survivors may remain at life-long risk of developing oral complications, and therefore require long-term dental follow-up, well after completion of cancer therapy. Patients should typically undergo thorough oral examination prior to initiation of therapy, during and after therapy to identify any active infection. In addition, and in order to maintain adequate oral …


Medical And Dental Health Status Of Orphan Children In Central Saudi Arabia, Asma M. Al-Jobair, Salwa A. Al-Sadhan, Areej A. Al-Faifi, Reem I. Andijani May 2013

Medical And Dental Health Status Of Orphan Children In Central Saudi Arabia, Asma M. Al-Jobair, Salwa A. Al-Sadhan, Areej A. Al-Faifi, Reem I. Andijani

Saudi Medical Journal

OBJECTIVE: To evaluate the medical and dental health status of orphan children from 4 to 12-years-old, and compare them with children living with their parents. METHODS: This analytical, cross-sectional study took place in 3 government orphanages and 3 ordinary schools in Riyadh, Saudi Arabia from July 2011 to January 2012. All orphans aged 4-12 year were selected (N=90). Ninety children living with their parents were selected randomly to serve as the controls. Demographic data, medical, and dental history were obtained through a questionnaire answered by the orphans9 foster mothers and childrens9 parents. The study groups were examined to evaluate their …


Prevalence Of Obesity Among Military Personnel In Saudi Arabia And Associated Risk Factors, Ghalib Bin Horaib, Hesham I. Al-Khashan, Adel M. Mishriky, Mohei A. Selim, Noura Alnowaiser, Abdulaziz A. Binsaeed, Ahmed D. Alawad, Abdulrahman K. Al-Asmari, Khalid Alqumaizi Apr 2013

Prevalence Of Obesity Among Military Personnel In Saudi Arabia And Associated Risk Factors, Ghalib Bin Horaib, Hesham I. Al-Khashan, Adel M. Mishriky, Mohei A. Selim, Noura Alnowaiser, Abdulaziz A. Binsaeed, Ahmed D. Alawad, Abdulrahman K. Al-Asmari, Khalid Alqumaizi

Saudi Medical Journal

OBJECTIVE: To measure the prevalence of obesity among military personnel in the Kingdom of Saudi Arabia (KSA), and to identify its risk factors. METHODS: This nationwide cross-sectional study covered all 5 military regions of KSA. It included a multistage stratified random sample of 10,500 active military personnel. The World Health Organization STEP wise approach to chronic disease risk factor surveillance (STEPS) was used in the design of the data collection tool. The project lasted from January 2009 to February 2011. RESULTS: The response rate was 97.4%; 40.9% of the participants were overweight, 29% obese, and 42.4% had central obesity. Multivariate …


Counseling And Depression Among Diabetic Patients, Essmat A. Mansour, Essmat M. Gemeay, Ihab M. Moussa Mar 2013

Counseling And Depression Among Diabetic Patients, Essmat A. Mansour, Essmat M. Gemeay, Ihab M. Moussa

Saudi Medical Journal

OBJECTIVE: To determine the level of depression in diabetic patients and investigate the effect of a counseling program on the level of depression. METHODS: A pre-post experimental study was conducted at the outpatient medical clinics of the Health Insurance Hospital affiliated to the Ministry of Health, Mansoura, Egypt. The study was carried out between June 2011 and September 2011. One hundred and twenty type II diabetic patients were recruited in this study. We used 2 tools for data collection: a) A structured interview questionnaire including socio-demographic and disease related data. b) The Zung self-rating depression scale. We classified the subjects …


Prevalence Of Colistin And Tigecycline Resistance In Acinetobacter Baumannii Clinical Isolates From 2 Hospitals In Riyadh Region Over A 2-Year Period, Abeer M. Baadani, Sahar I. Thawadi, Noura A. El-Khizzi, Ali S. Omrani Mar 2013

Prevalence Of Colistin And Tigecycline Resistance In Acinetobacter Baumannii Clinical Isolates From 2 Hospitals In Riyadh Region Over A 2-Year Period, Abeer M. Baadani, Sahar I. Thawadi, Noura A. El-Khizzi, Ali S. Omrani

Saudi Medical Journal

OBJECTIVE: To describe the rates and patterns of colistin and tigecycline resistance among Acinetobacter baumannii (A. baumannii) isolates from clinical specimens from 2 major hospitals in Riyadh Region over a 2-year period. METHODS: This is a retrospective review of records of all clinical isolates of A. baumannii from the departments of microbiology at King Faisal Specialist Hospital and Research Center (KFSHRC) and Prince Sultan Military Medical City (PSMMC), Riyadh, Kingdom of Saudi Arabia for the period from January 2010 to December 2011. RESULTS: Records for 1307 Acinetobacter species isolates were identified. The overall tigecycline resistance rates were 9.7% and colistin …


A Novel Approach To Manage Patients With Compromised Airway. Videoscopic Assisted Retromolar Intubation, Abdulaziz M. Boker Mar 2013

A Novel Approach To Manage Patients With Compromised Airway. Videoscopic Assisted Retromolar Intubation, Abdulaziz M. Boker

Saudi Medical Journal

Aids to difficult airway management are essential for safe practice of anesthesia particularly for high-risk patients. This case series described a novel approach of combined use of complementing tools (videolaryngeoscopic assisted retromolar intubation) to enhance airway management of a subset of various high-risk patients with extremely difficult airway. It also addressed the rational for the combination of such approaches as well as the advantages and disadvantages of this technique. In all of the 4 patients, the use of the combined approach resulted in a successful intubation without the need for surgical airway. This technique showed many advantages making it possible …


Healthcare Seeking Behavior Among Subjects With Irritable Bowel Syndrome Mar 2013

Healthcare Seeking Behavior Among Subjects With Irritable Bowel Syndrome

Saudi Medical Journal

The behaviors exhibited by individuals who seek healthcare for irritable bowel syndrome (IBS) are numerous, varied, and sometimes controversial, and/or inconsistent. This study aims to review the factors associated with these healthcare seeking behaviors. Through a selective review of the literature, articles were identified by using the following search terms: IBS, healthcare seeking, conventional and non-conventional treatment, cultural factors, and gender differences. The roles of different factors associated with healthcare seeking are discussed.


Distribution Of Class I Integrons And Their Effect On The Prevalence Of Multi-Drug Resistant Escherichia Coli Clinical Isolates From Sudan, Mutasim E. Ibrahim, Magzoub A. Magzoub, Naser E. Bilal, Mohamed E. Hamid Mar 2013

Distribution Of Class I Integrons And Their Effect On The Prevalence Of Multi-Drug Resistant Escherichia Coli Clinical Isolates From Sudan, Mutasim E. Ibrahim, Magzoub A. Magzoub, Naser E. Bilal, Mohamed E. Hamid

Saudi Medical Journal

OBJECTIVE: To analyze integrons gene cassettes Class I among Escherichia coli (E. coli) isolates from Sudan and to determine their effect on the prevalence of resistance to antimicrobials. METHODS: This cross-sectional study was conducted at 6 hospitals in Khartoum State, Sudan between April and August 2011. Escherichia coli (n=133) isolated from clinical specimens of patients were included. Isolates were identified and tested for antimicrobial susceptibility following standard procedures. Multi-drug resistance (MDR) patterns was defined as non-susceptibility to ≥3 antimicrobials. Class I integrons was detected by polymerase chain reaction, and gene cassettes were characterized via sequencing analysis. RESULTS: Of the 133 …


Treatment Adherence And Quality Of Life Outcomes In Patients With Sickle Cell Disease, Taher F. Halawa Mar 2013

Treatment Adherence And Quality Of Life Outcomes In Patients With Sickle Cell Disease, Taher F. Halawa

Saudi Medical Journal

OBJECTIVE: To assess the health-related quality of life (HRQL) of patients with sickle cell disease (SCD) and to measure the impact of treatment adherence on disease complication, severity, crisis, and outcome. METHODS: This was a cross-sectional study on patients with SCD who attended the Hematology Clinic at King Abdulaziz University Hospital from January 2009 to December 2011. We measured the primary outcome of health-related quality of life (HRQL) using the World Health Organization quality of life assessment instrument (WHOQOL-BREF). Data were collected and analyzed using the Statistical Package for Social Sciences. Analysis of HRQL was carried out along the scoring …


High C Reactive Protein Associated With Increased Pulse Wave Velocity Among Urban Men With Metabolic Syndrome In Malaysia, Amilia Aminuddin, Zaiton Zakaria, Ahmad F. Fuad, Jaarin Kamsiah, Faizah Othman, Srijit Das, Yusof Kamisah, Haji S. Qodriyah, Zakiah Jubri, Noranita M. Nordin, Wan Z. Ngah Mar 2013

High C Reactive Protein Associated With Increased Pulse Wave Velocity Among Urban Men With Metabolic Syndrome In Malaysia, Amilia Aminuddin, Zaiton Zakaria, Ahmad F. Fuad, Jaarin Kamsiah, Faizah Othman, Srijit Das, Yusof Kamisah, Haji S. Qodriyah, Zakiah Jubri, Noranita M. Nordin, Wan Z. Ngah

Saudi Medical Journal

OBJECTIVE: To determine the association between carotid femoral pulse wave velocity (PWVCF); augmentation index (AI); and high-sensitivity C reactive protein (hs-CRP) with metabolic syndrome (MetS), and to determine the influence of ethnicity on PWVCF and AI, and the association between high hs-CRP and increased PWV, and AI in MetS. METHODS: A cross-sectional study was conducted at Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia from September 2009 to September 2011. Three hundred and eighty men (Chinese and Malays) were recruited from the study. The PWVCF and AI were measured by Vicorder (SMT Medical, Wuerzburg, Germany). The hs-CRP level was also …


Long-Term Outcomes Of Supracricoid Partial Laryngectomy With Cricohyoidoepiglottopexy And Its Modified Version, Yan Maoxiao, Lin Renyu Mar 2013

Long-Term Outcomes Of Supracricoid Partial Laryngectomy With Cricohyoidoepiglottopexy And Its Modified Version, Yan Maoxiao, Lin Renyu

Saudi Medical Journal

OBJECTIVE: To investigate the long-term outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP) and its modified version, in which we reserve the poster inferior borders of both thyroid cartilage laminas to protect swallowing function. METHODS: This retrospective survival analysis was performed in 86 patients, wherein 46 undergoing CHEP and 40 undergoing modified CHEP. Their decannulation data were reviewed. We used swallowing quality-of-life questionnaire to measure the quality-of-life in 53 of the 65 survivals at the end of the follow-up period in 2011. Of the 53 patients, 24 underwent CHEP, while the remaining by modified CHEP. RESULTS: The log rank test …


Factors Affecting The Retention Of Nurses. A Survival Analysis, Noufa A. Alonazi, Maye A. Omar Mar 2013

Factors Affecting The Retention Of Nurses. A Survival Analysis, Noufa A. Alonazi, Maye A. Omar

Saudi Medical Journal

OBJECTIVE: To identify and explore factors that mostly influence nurses9 turnover and retention, and to estimate the length of employment for nurses in the hospital. METHODS: This is a retrospective cohort study examining the standard Exit Questionnaires completed by all the female pediatric nurses who joined and left the hospital during the period between January 2006 and October 2010. The Developed Questionnaires where completed by nurses who were still employees in October 2010. The nurses who left the job will be considered as events and the nurses who are still working will be considered as censored. The study took place …


In Vivo Hemodynamic And Electrocardiographic Changes Following Crataegus Aronia Syn. Azarolus L Administration To Normotensive Wistar Rats, Abdullah S. Shatoor Feb 2013

In Vivo Hemodynamic And Electrocardiographic Changes Following Crataegus Aronia Syn. Azarolus L Administration To Normotensive Wistar Rats, Abdullah S. Shatoor

Saudi Medical Journal

OBJECTIVE: To evaluate the effects of the whole plant aqueous extract of Crataegus aronia (C. aronia) syn. Azarolus (L) on the hemodynamic and electrocardiographic intervals in albino rats. METHODS: This study was carried out in 2 stages at the Research Laboratory, Physiology Department, Medical College of King Khalid University, Abha, Kingdom of Saudi Arabia between February and June 2012. First, the effects of C. aronia syn. Azarolus (L) on the hemodynamics and electrocardiograph in 54 Wistar male rats were assessed, then the mechanisms underlying the hemodynamic and electrocardiographic changes observed in the first stage were evaluated in 48 rats of …


Pediatric Near-Drowning And Drowning, Mohammed M. Jan Feb 2013

Pediatric Near-Drowning And Drowning, Mohammed M. Jan

Saudi Medical Journal

Childhood water submersion remains a major public health problem. The aim of this article is to present an updated overview of the topic with data from our region and special attention to prevention strategies. Children less than 5 years and males are particularly at risk. Infants are at higher risk of drowning in bathtubs, toilets, or washing machines, while most drowning in older children occurs in swimming pools. Poor supervision by inexperienced caregivers is a common factor and contributes to most deaths. Adolescents drown more often during outdoor water activity. Acute management should start as soon as possible in order …


Effect Of The China-America Union Pre-Hospital Emergency Care Training Program On The Emergency Knowledge And Skills Of Chinese Paramedics, Jianfeng Tu, Wenwei Cai, Meiqi Zhang, Xianghong Yang, Huan Chen, Shengang Zhou, Xuming Chen, Yiming Zhao, Junping Guo, Yue Yang Feb 2013

Effect Of The China-America Union Pre-Hospital Emergency Care Training Program On The Emergency Knowledge And Skills Of Chinese Paramedics, Jianfeng Tu, Wenwei Cai, Meiqi Zhang, Xianghong Yang, Huan Chen, Shengang Zhou, Xuming Chen, Yiming Zhao, Junping Guo, Yue Yang

Saudi Medical Journal

OBJECTIVE: To evaluate the effect of the China-America Union Pre-Hospital Emergency Care Training Program (PHEC) on the emergency medical knowledge and skills of Chinese paramedics. METHODS: This study was conducted at the Emergency Command Center of Zhejiang Province, Zhejiang Provincial People9s Hospital, Hangzhou, China from June to December 2011. The experimental group of 113 trainees, and the control group of 85 trainees received training in pre-hospital emergency care (PHEC) theory and practice. They were given pre- and post- tests to evaluate their knowledge and skill levels. The training content was the same and the teaching methods, materials and training team …


Oxidative Stress And Antioxidative Potency Are Closely Associated With Diabetic Retinopathy And Nephropathy In Patients With Type 2 Diabetes, Rika Naruse, Mariko Suetsugu, Tomoko Terasawa, Keishi Ito, Kenji Hara, Kohzo Takebayashi, Kimio Morita, Yoshimasa Aso, Toshihiko Inukai Feb 2013

Oxidative Stress And Antioxidative Potency Are Closely Associated With Diabetic Retinopathy And Nephropathy In Patients With Type 2 Diabetes, Rika Naruse, Mariko Suetsugu, Tomoko Terasawa, Keishi Ito, Kenji Hara, Kohzo Takebayashi, Kimio Morita, Yoshimasa Aso, Toshihiko Inukai

Saudi Medical Journal

OBJECTIVE: To examine involvement of oxidative stress in the pathogenesis and vascular complications of diabetes. METHODS: This cross sectional study was conducted at the Joint Laboratory Office (JLO), Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan from April 2010 to December 2011. Fasting glucose, glycosylated hemoglobin (HbA1c), serum lipids, urinary albumin excretion (UAE), ankle brachial index and pulse wave velocity were measured in 51 patients with type 2 diabetes and 20 healthy controls. The fundus oculi and Achilles’ tendon reflex were also examined in the patients. Oxidative stress was measured by a reactive oxygen metabolites (ROM) test and antioxidant potency was …


The Acute Auditory Effects Of Exposure For 60 Minutes To Mobile’S Electromagnetic Field, Abdulrahman A. Alsanosi, Murad O. Al-Momani, Abdulrahman A. Hagr, Fidaa M. Almomani, Ibraheem M. Shami, Salman F. Al-Habeeb Feb 2013

The Acute Auditory Effects Of Exposure For 60 Minutes To Mobile’S Electromagnetic Field, Abdulrahman A. Alsanosi, Murad O. Al-Momani, Abdulrahman A. Hagr, Fidaa M. Almomani, Ibraheem M. Shami, Salman F. Al-Habeeb

Saudi Medical Journal

OBJECTIVE: To assess the immediate consequences of 60 minutes exposure to mobile phones on hearing function by determining changes in distortion product otoacoustic emission (DPOAE) and hearing threshold levels (HTLs). METHODS: This prospective control clinical trial study was carried out at the Ear, Nose and Throat Department, King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia from July 2009 to July 2011. The data collected included age, symptoms experienced after exposure, and HTLs and DPOAE were recorded before, and immediately after 60 minutes of exposure to the same model of mobile phone. RESULTS: Heat/pain was the most commonly reported symptom. …


The High Dependency Of Supine Position In Obstructive Sleep Apnea, Selma F. Guven, Bulent Ciftci, Huseyin Lakadamyali, Tansu U. Ciftci Feb 2013

The High Dependency Of Supine Position In Obstructive Sleep Apnea, Selma F. Guven, Bulent Ciftci, Huseyin Lakadamyali, Tansu U. Ciftci

Saudi Medical Journal

OBJECTIVE: To define the frequency of supine positional obstructive sleep apnea (OSA) in patients diagnosed with OSA and to describe the demographic associations with positional OSA (PO). METHODS: A retrospective study was performed in a total of 3813 patients who underwent full-night polysomnography at the Sleep Disorders Center of the Ataturk Chest Diseases, Thoracic Surgery Education and Research Hospital, Ankara, Turkey between June 2007 and June 2010. A total of 3214 patients diagnosed with OSA were included in the study. Positional OSA was defined as a total AHI more than or equal to 5, and supine AHI/non-supine AHI more than …


A Retrospective Study On Traumatic Spinal Cord Injury In An Inpatient Rehabilitation Unit In Central Saudi Arabia, Maher S. Al-Jadid Feb 2013

A Retrospective Study On Traumatic Spinal Cord Injury In An Inpatient Rehabilitation Unit In Central Saudi Arabia, Maher S. Al-Jadid

Saudi Medical Journal

OBJECTIVE: To determine the causes, age and gender differences, hospital length of stay (HLoS), and prevalence of traumatic spinal cord injury (TSCI) in a Saudi referral trauma center. METHODS: We retrospectively reviewed hospital records of all patients who completed the TSCI rehabilitation program in the Rehabilitation Medicine Division, Department of Neurosciences at Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia from August 1982 and November 2010. The age and gender of the patient, type and mechanism of trauma, type and severity of neurologic deficits, frequency, and HLoS of patient’s were collected for analysis. RESULTS: The mean age of …


Clinical And Laboratory Profiles Of Urinary Tract Infections Caused By Extended-Spectrum Beta-Lactamase-Producing Escherichia Coli In A Tertiary Care Center In Central Saudi Arabia, Fawzia E. Al-Otaibi, Elham E. Bukhari Feb 2013

Clinical And Laboratory Profiles Of Urinary Tract Infections Caused By Extended-Spectrum Beta-Lactamase-Producing Escherichia Coli In A Tertiary Care Center In Central Saudi Arabia, Fawzia E. Al-Otaibi, Elham E. Bukhari

Saudi Medical Journal

OBJECTIVE: To study the clinical and laboratory characteristics of urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL) producing Escherichia coli (E. coli). METHODS: A retrospective clinical and laboratory study was performed at the Bacteriology Unit, Department of Pathology/Microbiology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from June 2009 to June 2011. A total of 339 adults and pediatric patients with UTI was included in the study. Two groups of patients (ESBL E. coli UTI and non-ESBL E. coli UTI) were studied. Symptoms and signs of illness, comorbidities, outcomes, and urine analysis results were analyzed. RESULTS: There was …


The Influence Of Socioeconomic Status On Oral Health-Related Quality Of Life Among Syrian Children With Cleft Lip, Or Palate, Or Both, Rahaf J. Dak-Albab, Mayssoon A. Dashash Feb 2013

The Influence Of Socioeconomic Status On Oral Health-Related Quality Of Life Among Syrian Children With Cleft Lip, Or Palate, Or Both, Rahaf J. Dak-Albab, Mayssoon A. Dashash

Saudi Medical Journal

OBJECTIVE: To investigate the impact of socioeconomic status (SES) on the oral health-related quality of life (OHRQoL) among Syrian children with cleft lip, or palate, or both (CL/P). METHODS: A cross-sectional study was carried out at the Pediatric Dentistry Department, Damascus University, Damascus, Syria from April 2010 to May 2011. After excluding subjects with mental disorders, dumb and/or deaf, as well, 87 cleft-children have completed the Arabic version of the Child Oral Health-Related Quality of Life Questionnaire (COHRQoL, 36-item) that was divided into 4 different domains (Oral Symptoms, Functional Limitations, Emotional Well-Being, Social Well-Being). The SES was measured by 5 …


Hypervitaminosis D Causing Nephrogenic Diabetes Insipidus In A 5-Month-Old Infant, Ihab A. Ahmad, Abdulmoein E. Al-Agha Feb 2013

Hypervitaminosis D Causing Nephrogenic Diabetes Insipidus In A 5-Month-Old Infant, Ihab A. Ahmad, Abdulmoein E. Al-Agha

Saudi Medical Journal

Vitamin D intoxication in infancy leads to acute hypercalcemia and subsequent hypercalcuria with nephrocalcinosis. Strategies used for patients with vitamin D intoxication are unsatisfactory and associated with prolonged periods of hypercalcemia. We present a 5-month-old infant who had failure to thrive, refusal to feed, delayed motor development, truncal hypotonia, and dehydration. She had high plasma sodium and osmolality with low urine osmolality, and did not respond to intravenous desmopressin administration. She was diagnosed as nephrogenic diabetes insipidus due to hypercalcemia caused by hypervitaminosis D, and was treated with hydrochlorothiazide 2 mg/kg twice daily, and hydration.


Methods And Status Of A Comprehensive Community-Based Intervention Focusing On Non-Communicable Diseases And The Major Risk Factors In The Kingdom Of Saudi Arabia. The Crown Health Project, Ziad A. Memish, Abu S. Abdullah, Mohammad Y. Saeedi, Riad M. Salloum, Ahmed J. Almadani, Omer Abid Feb 2013

Methods And Status Of A Comprehensive Community-Based Intervention Focusing On Non-Communicable Diseases And The Major Risk Factors In The Kingdom Of Saudi Arabia. The Crown Health Project, Ziad A. Memish, Abu S. Abdullah, Mohammad Y. Saeedi, Riad M. Salloum, Ahmed J. Almadani, Omer Abid

Saudi Medical Journal

No abstract provided.


Significance Of Fractional Exhaled Nitric Oxide Measurements In Detecting Primary Ciliary Dyskinesia In Saudi Children, Muslim M. Alsaadi, Syed S. Habib, Abdulamajeed Aldrees, Hammad A. Alsadoon Jan 2013

Significance Of Fractional Exhaled Nitric Oxide Measurements In Detecting Primary Ciliary Dyskinesia In Saudi Children, Muslim M. Alsaadi, Syed S. Habib, Abdulamajeed Aldrees, Hammad A. Alsadoon

Saudi Medical Journal

OBJECTIVE: To examine the usefulness of fractional exhaled nitric oxide (FENO) measurements in detecting primary ciliary dyskinesia (PCD) in children. METHODS: This observational study was conducted at the Department of Pediatrics and Physiology, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia from January 2011 to December 2011. The study population consisted of 22 children with symptoms suggestive of PCD and the diagnosis was confirmed by ciliary biopsy. Using the American Thoracic Society guidelines, measurements of FENO were performed in 22 subjects with proven PCD biopsies and in 11 healthy age-matched subjects. RESULTS: No significant differences …


Pathology Of Skin Diseases. A Study From Western Saudi Arabia, Najla M. Alghanmi, Layla S. Abdullah Jan 2013

Pathology Of Skin Diseases. A Study From Western Saudi Arabia, Najla M. Alghanmi, Layla S. Abdullah

Saudi Medical Journal

OBJECTIVE: To describe the histopathological pattern of skin diseases in patients from the western region of Saudi Arabia and to compare this with previously published data from other regions in Saudi Arabia and worldwide. METHODS: A retrospective review of all skin biopsies received and reported by the Department of Pathology, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia between January 2005 and December 2010. Neoplastic and non-neoplastic category were divided into melanocytic and non-melanocytic subcategories. Non-neoplastic category was divided into the following subcategories: dermatitis, infection, vascular, vesiculobullous, connective tissue disease, drugs, panniculitis, non-infectious granuloma, degenerative, metabolic, and pigmentary. RESULTS: …