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Is The Risk Of Multiple Cesarean Sections Similar To That Of A Single Or 2 Previous Cesarean Sections In The Middle East?, Diaa E. Rizk Sep 2006

Is The Risk Of Multiple Cesarean Sections Similar To That Of A Single Or 2 Previous Cesarean Sections In The Middle East?, Diaa E. Rizk

Saudi Medical Journal

No abstract provided.


Mood And Anxiety Disorders In Women Sep 2006

Mood And Anxiety Disorders In Women

Saudi Medical Journal

No abstract provided.


Intentional Sun Exposure In Infancy In Sakarya, Turkey, Nursan D. Cinar, Tuncay M. Filiz, Pinar Topsever, Fatma Ucar, Sukran Akgul, Suleyman Gorpelioglu Aug 2006

Intentional Sun Exposure In Infancy In Sakarya, Turkey, Nursan D. Cinar, Tuncay M. Filiz, Pinar Topsever, Fatma Ucar, Sukran Akgul, Suleyman Gorpelioglu

Saudi Medical Journal

OBJECTIVE: To determine the extent of intentional sun exposure in infancy, and the prevalence of maternal belief that potentially increases the children9s harm risk from ultraviolet radiation. The major determinants of mothers9 beliefs and behaviors regarding sunning were also assessed. METHODS: Three hundred and ninety six Caucasian women mothering 0-12 month old infants, attending to Sakarya State Hospital Healthy Infant outpatient clinic in November 2003, filled in the questionnaire after giving their informed consent. Each mother was asked 11 structured questions regarding maternal education, beliefs regarding benefits or harms of sun exposure, use of sunlight for therapeutic purposes, use of …


Recurrence In Breast Cancer. Analysis With Frailty Model, Mahmood R. Gohari, Mahmood Mahmoudi, Kazem Mohammed, Einollah Pasha, Reza Khodabakhshi Aug 2006

Recurrence In Breast Cancer. Analysis With Frailty Model, Mahmood R. Gohari, Mahmood Mahmoudi, Kazem Mohammed, Einollah Pasha, Reza Khodabakhshi

Saudi Medical Journal

OBJECTIVE: To determine the value of known prognostic factors for metastasis in breast cancer by accounting for patient-specific effect of patients who received surgical treatment followed by adjuvant treatment using the frailty model. METHODS: One hundred seventeen women with breast cancer who underwent surgery followed by adjuvant therapy at 3 hospitals in Tehran, Iran between 1995 and 2003 were enrolled in this study. Women with defined breast cancer with no distant metastases at time of diagnosis that have undergone modified radical mastectomy or breast-conserving surgery were enrolled. Tumors were classified according to the Tumor, Node, Metastasis (TNM) system of the …


A Retrospective Study Of Peritonsillar Abscess In Riyadh Medical Complex Toward Setting Up Treatment Protocol, Abdulaziz A. Aldakhail, Mohammad I. Khan Aug 2006

A Retrospective Study Of Peritonsillar Abscess In Riyadh Medical Complex Toward Setting Up Treatment Protocol, Abdulaziz A. Aldakhail, Mohammad I. Khan

Saudi Medical Journal

OBJECTIVE: To investigate and study the management pattern of peritonsillar abscess, the male to female ratio and incidence. Also, to evaluate the causative organism isolated from abscess and reported by culture/sensitivity (C/S). METHODS: This study has been designed as a single centered retrospective hospital based study. We carried out this study in the Department of ENT, Riyadh Medical Complex, Saudi Arabia from 2000 to 2004. We gathered the data via survey (5 years). There were 81 patients admitted for the management of peritonsillar abscess. RESULTS: Mean age of patients was 22 years (range 10 to 60 years; 44 male, 37 …


Could Imatinib Replace Surgery In Esophageal Gastrointestinal Stromal Tumor, Suhail Al-Salam, Hassan A. El-Teraifi, Mazen S. Taha Aug 2006

Could Imatinib Replace Surgery In Esophageal Gastrointestinal Stromal Tumor, Suhail Al-Salam, Hassan A. El-Teraifi, Mazen S. Taha

Saudi Medical Journal

Gastrointestinal stromal tumors GISTs are cellular spindle, or epithelioid tumors that occur in the stomach, intestine, and rarely in the esophagus. A 61-year-old man was complaining of resistant dry cough with dysphagia for one month duration. Upper gastrointestinal tract endoscopic examination showed a polypoid mass 30 cm from the incisors obstructing 50% of the lumen, where multiple biopsies were taken. Magnetic resonance imaging MRI showed a mass in the wall of the esophagus extending into the thoracic cavity. Histologically, the stained sections with the routine hematoxylin and eosin as well as the immunohistochemical stains for CD117, CD34, S100, vimentin, and …


Motor Vehicle Collisions With Large Animals, Masoud O. Bashir, Fikri M. Abu-Zidan Aug 2006

Motor Vehicle Collisions With Large Animals, Masoud O. Bashir, Fikri M. Abu-Zidan

Saudi Medical Journal

Motor vehicle collisions MVC with large animals are a worldwide problem. In this review, we aim to analyze the mechanisms and patterns of human injuries caused by MVC with large animals and various ways to prevent them. Reported studies on large animals that can cause such accidents include the moose, camels, deer, and kangaroos. The moose causes a typical rear-and downward deformity of the roof of the car. The camel falls on the roof of the car causing cervical and head injury to the occupants. Injuries caused by kangaroos and deer are usually mild. Injuries may be caused by direct …


Determination Of Fungal Frequency And Comparison Of Allergic Symptoms Related With Buildings And Fungi In Afyon, Turkey, Ayse Orman, Elif Korcan, Muhsin Konuk, Emel Kurt, Dilek Toprak, Alaaddin Ay Aug 2006

Determination Of Fungal Frequency And Comparison Of Allergic Symptoms Related With Buildings And Fungi In Afyon, Turkey, Ayse Orman, Elif Korcan, Muhsin Konuk, Emel Kurt, Dilek Toprak, Alaaddin Ay

Saudi Medical Journal

OBJECTIVE: To investigate the respiratory symptoms and atopic sensitization to fungi and its relation with the building type where school children were attending. We also compared the prevalence of sensitization to different fungi and respiratory symptoms in 2 different school buildings in a particular area of Turkey. METHODS: Using simple random sampling, 301 school children aged 16-19 years attending a high school in 2 different school buildings (old and new buildings) were recruited and agreed to participate in the study. The study was conducted in Afyonkarahisar, Turkey from August 2003 to August 2004. Information on allergic diseases, building related symptoms …


The Relationship Between Pregnancy Induced Hypertension And Congenital Thrombophilia, S. Cansun Demir, Cuneyt Evruke, Tuncay Ozgunen, Oktay Kadayifci, Umit Altintas, Sehim Kokangul Aug 2006

The Relationship Between Pregnancy Induced Hypertension And Congenital Thrombophilia, S. Cansun Demir, Cuneyt Evruke, Tuncay Ozgunen, Oktay Kadayifci, Umit Altintas, Sehim Kokangul

Saudi Medical Journal

OBJECTIVE: To investigate the relationship between some thrombophilic parameters and pregnancy induced hypertension (PIH). METHODS: The study took place at the Department of Obstetrics and Gynecology, Perinatology Unit, Faculty of Medicine, Cukurova University, Turkey, between January 2002 and December 2002. We evaluated 202 patients.Patients were divided into 2 groups: control group comprised 102 normotensive patients >20 weeks of pregnancy without any medical or pregnancy related pathologies and the study group comprised 100 patients over 20 weeks of pregnancy with PIH. These hypertensive patients were divided into 6 sub-groups as follows: eclampsia, severe preeclampsia, preeclampsia, chronic hypertension plus superimposed preeclampsia, eclampsia, …


Assessment Of Quality Of Life In Children After Successful Treatment Of Hip Dysplasia As Compared With Normal Controls, Vuslat S. Unal, Murat Gulcek, Zafer Soydan, Ahmet Ucaner, Muharrem Yazici Aug 2006

Assessment Of Quality Of Life In Children After Successful Treatment Of Hip Dysplasia As Compared With Normal Controls, Vuslat S. Unal, Murat Gulcek, Zafer Soydan, Ahmet Ucaner, Muharrem Yazici

Saudi Medical Journal

OBJECTIVE: To document the quality of life of children who have been treated for developmental dysplasia of the hip (DDH) within the first 3 years of life successfully after a minimum follow-up period of 2 years, and compare their results with healthy age-matched children. METHODS: Thirty patients with DDH treated between 1998 and 2002 in Ankara Numune Education and Research Hospital, Ankara, Turkey and 19 age-matched healthy controls were included in this study with the approval of the ethical committee. The mean follow up period was 56.1 months. Each child9s parents answered the Child Health Questionnaire-Parent Form 50 (CHQ-PF50) after …


Successful Coronary Artery Bypass Grafting In A Patient With Aplastic Anemia And Sjogren Syndrome, Ismail Koramaz, Mehmet Sonmez, Zerrin Pulathan, Umit Cobanoglu, Suleyman S. Karti Aug 2006

Successful Coronary Artery Bypass Grafting In A Patient With Aplastic Anemia And Sjogren Syndrome, Ismail Koramaz, Mehmet Sonmez, Zerrin Pulathan, Umit Cobanoglu, Suleyman S. Karti

Saudi Medical Journal

No abstract provided.


Diagnostic Value Of Bilirubin Concentrations Compared With Novel And Traditional Biomarkers In Atherosclerosis With Coronary Artery Disease, Necat Yilmaz, Hulya K. Cicek, Ahmet Celik, Vedat Davutoglu Aug 2006

Diagnostic Value Of Bilirubin Concentrations Compared With Novel And Traditional Biomarkers In Atherosclerosis With Coronary Artery Disease, Necat Yilmaz, Hulya K. Cicek, Ahmet Celik, Vedat Davutoglu

Saudi Medical Journal

No abstract provided.


Immunological Diagnosis Of Vasculitis, Khalil Abdul-Aziz, Abdul-Aziz Faizal Aug 2006

Immunological Diagnosis Of Vasculitis, Khalil Abdul-Aziz, Abdul-Aziz Faizal

Saudi Medical Journal

Inflammation of blood vessels, or vasculitis, is caused by a heterogenous group of autoimmune conditions with wide spectrum of systemic, and often overlapping, clinical manifestations. Some of these conditions present acutely and result in major organ9s damage and, therefore, require prompt diagnosis and treatment in order to avoid the high morbidity and mortality that otherwise occur. The clinical immunology laboratory plays a vital role in the diagnosis of vasculitis. Moreover, due to the availability of simple tests, with quick turn around time, immunological findings can provide an early picture of the type of vasculitis involved thereby allowing initiation of prompt …


Lack Of Evidence Of Epstein-Barr Virus Infection In Patients With Castleman's Disease. Molecular Genetic Analysis, Jaudah Al-Maghrabi, Suzanne Kamel-Reid, Denis J. Bailey Aug 2006

Lack Of Evidence Of Epstein-Barr Virus Infection In Patients With Castleman's Disease. Molecular Genetic Analysis, Jaudah Al-Maghrabi, Suzanne Kamel-Reid, Denis J. Bailey

Saudi Medical Journal

OBJECTIVE: Epstein-Barr virus (EBV) infection is associated with a diverse group of malignancies and many lymphoproliferative disorders. Castleman9s disease (CD) is atypical lymphoproliferative disorder. The role of EBV in the pathogenesis of CD is not clear yet. The objective of this study is to investigate the EBV status in CD. METHODS: We searched medical records for cases of CD at the Toronto General Hospital, Toronto, Canada and King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Twenty cases were found. The presence of EBV was analyzed using polymerase chain reaction. Polymerase chain reaction were performed at the Department of Pathology and Laboratory …


Indeterminate Human Immunodeficiency Virus Western Blot Results In Iranian Patients With Discordant Screening Assay Results, Mehrdad Ravanshad, Fereidoun Mahboudi, Farzaneh Sabahi, Saeed Bayanolhagh Aug 2006

Indeterminate Human Immunodeficiency Virus Western Blot Results In Iranian Patients With Discordant Screening Assay Results, Mehrdad Ravanshad, Fereidoun Mahboudi, Farzaneh Sabahi, Saeed Bayanolhagh

Saudi Medical Journal

OBJECTIVE: The Western blot (WB) assay is the most widely accepted confirmatory assay for the detection and confirmation of antibodies to human immunodeficiency virus type 1 (HIV-1) and 2 (HIV-2). However, indeterminate WB reactivity to HIV-1 and HIV-2 proteins may occur in individuals who do not appear to be infected with HIV. METHODS: In this study, we describe the results of indeterminate WB reactivity in Iranian patients with discordant screening assays. The samples were obtained from the Iranian Blood Transfusion Center, Tehran, Iran and evaluated in the Biotechnology Process Development Center, Pasteur Institute of Iran, Tehran, Iran between 2003 and …


Development Of An Ultra Rapid And Simple Multiplex Polymerase Chain Reaction Technique For Detection Of Salmonella Typhi, Karami Ali, Ahmadi Zeynab, Safiri Zahra, Khalilpour Akbar, Morrovati Saeid Aug 2006

Development Of An Ultra Rapid And Simple Multiplex Polymerase Chain Reaction Technique For Detection Of Salmonella Typhi, Karami Ali, Ahmadi Zeynab, Safiri Zahra, Khalilpour Akbar, Morrovati Saeid

Saudi Medical Journal

OBJECTIVE: To make a rapid and definite diagnosis of Salmonella enteritis, using an ultra rapid multiplex polymerase chain reaction (PCR) detection method for major Salmonella serotypes, such as Salmonella typhi, Salmonella Typhimurium and Salmonella Havana. METHODS: We performed this study at the Research Center of Molecular Biology, Institute of Military Medicine, Bagyatallah University of Medical Sciences, Iran from June 2004 to July 2005. The PCR primers for tyv (rfbE), prt (rfbS) and invA genes were designed and used for the rapid identification of Salmonella enterica serovars Typhi and Paratyphi A with multiplex PCR. By using simple DNA extraction method in …


Seroprevalence Of Fasciolosis And The Difference Of Fasciolosis Between Rural Area And City Center In Isparta, Turkey, Selcuk Kaya, Mustafa Demirci, Reha Demirel, Buket C. Aridogan, Mustafa Ozturk, Metin Korkmaz Aug 2006

Seroprevalence Of Fasciolosis And The Difference Of Fasciolosis Between Rural Area And City Center In Isparta, Turkey, Selcuk Kaya, Mustafa Demirci, Reha Demirel, Buket C. Aridogan, Mustafa Ozturk, Metin Korkmaz

Saudi Medical Journal

OBJECTIVE: To investigate the seroprevalence of fasciolosis and the possible causes of differences between rural and city center. METHODS: We undertook a multi-stage sampling analysis of data from Isparta, Turkey, between March and June 2004. Four hundred and fifteen individuals participants from Isparta center and 171 from Asagi Gokdere village were included in the study. Fasciola hepatica (F. hepatica) specific antibodies were analyzed using excretory-secretory (ES)-enzyme-linked immunosorbent assay (ELISA) method. RESULTS: Fasciola hepatica antibodies were detected as positive in 10 (2.4%) of 415 people whose sera were collected from the city center and 16 (9.3%) of 171 people from Asagi …


Increasing Single And Multi-Antibiotic Resistance In Shigella Species Isolated From Shigellosis Patients In Sana'a, Yemen, Khaled A. Al-Moyed, Nabil S. Harmal, Abdulilah H. Al-Harasy, Hassan A. Al-Shamahy Aug 2006

Increasing Single And Multi-Antibiotic Resistance In Shigella Species Isolated From Shigellosis Patients In Sana'a, Yemen, Khaled A. Al-Moyed, Nabil S. Harmal, Abdulilah H. Al-Harasy, Hassan A. Al-Shamahy

Saudi Medical Journal

OBJECTIVE: The epidemiology and antibiotic susceptibility of Shigella species changes over time. Updated susceptibility knowledge is necessary for appropriate empirical antibiotic treatment. Thus, this research aimed to study these changes in 2 time periods with an interval of 10 years. METHODS: Two hundreds and three Shigella strains, isolated from stool samples of diarrheic patients at the Central Health Laboratory in Sana9a, Yemen in 2 time periods (1993 and 2003) with a 10-year interval, were examined for serotyping and drug resistance pattern. Resistance patterns of the strains to 12 commonly used antimicrobial agents and minimum inhibitory concentrations of the antibiotics were …


Predictors Of Cesarean Section Following Elective Post-Dates Induction Of Labor In Nullipara With Uncomplicated Singleton Vertex Pregnancies, Fawaz E. Edris, Peter Von Dadelszen, Laurie M. Ainsworth, Robert M. Liston Aug 2006

Predictors Of Cesarean Section Following Elective Post-Dates Induction Of Labor In Nullipara With Uncomplicated Singleton Vertex Pregnancies, Fawaz E. Edris, Peter Von Dadelszen, Laurie M. Ainsworth, Robert M. Liston

Saudi Medical Journal

OBJECTIVE: Although post-dates is among the most common indications for induction of labor, no studies have identified the predictors of cesarean section (C/S) in that population. The high cesarean rate in our institution for this group of women triggered us to assess different induction practices to elicit potential causes. METHODS: We conducted a hospital-based retrospective cohort analysis using chart reviews of all nullipara women with induced labor at the Children9s and Women9s Health Centre of British Columbia, Vancouver, Canada, during the 2-year period, April 1998 to March 2000. The C/S rate was compared among 3 groups of women who were …


Adolescent Pregnancy In West Turkey. Cross Sectional Survey Of Married Adolescents, Aysun Ozsahin, Mehmet Zencir, Birsen Gokce, Nurhan Acimis Aug 2006

Adolescent Pregnancy In West Turkey. Cross Sectional Survey Of Married Adolescents, Aysun Ozsahin, Mehmet Zencir, Birsen Gokce, Nurhan Acimis

Saudi Medical Journal

OBJECTIVE: The purpose of this research was to determine both the fertility characteristics of married adolescent women in Denizli province center and the adolescent pregnancy rate and also some factors that could occur with adolescent pregnancy. METHODS: This cross-sectional study was conducted in the Denizli province center in the year 2001. According to the Turkish Demographic Health Survey 1998 statistics, the percentage of married adolescents between 15-19 years of age who have begun to give birth is 9.3-10.2%. The sample size of 3471 was determined using Epi Info software. To reach this sample size, 5 of the 25 health clinics …


Twisted Mixed Germ Cell Tumor Of The Ovary In A Child, Abdulqadir M. Zangana Aug 2006

Twisted Mixed Germ Cell Tumor Of The Ovary In A Child, Abdulqadir M. Zangana

Saudi Medical Journal

We report an 8-year-old female patient with a mixed germ cell stromal tumor MGCT of the left ovary. Exploration revealed that the tumor had been twisted around its pedicle. These ovarian tumors are classified among interesting type of tumors due to the variability of neoplastic tissues in the same tumor mass, in the twisted ovarian tumor. Four histological types of tumor tissues were found: well-differentiated adenocarcinoma, dysgerminoma, immature teratoma, and focus of papillary serous cyst adenoma as well. During our review of the literature, this reported case of MGCT of the ovary was among the extremely rare cases, which had …


Successful Use Of Non-Invasive Positive Pressure Ventilation In A Complicated Flail Chest, Mariam A. Al-Ansari Aug 2006

Successful Use Of Non-Invasive Positive Pressure Ventilation In A Complicated Flail Chest, Mariam A. Al-Ansari

Saudi Medical Journal

The current advanced trauma life support manual states that patients with significant hypoxia namely, SaO2 <90% on room air as a result of pulmonary contusion should be intubated and ventilated within the first hour of injury. Recently, several researchers have shown improved outcomes when patients with acute respiratory failure are managed with non-invasive positive pressure ventilation NIPPV. Trauma patients may also benefit from this therapy. We report a case of 15-year-old boy with isolated flail chest and pulmonary contusion, who was intubated in the emergency room, and was managed successfully with the NIPPV in the intensive care unit ICU despite, having had aspiration pneumonia early in the course of his stay. After initial stabilization, he failed a spontaneous breathing trial. Due to absence of contraindications to the use of NIPPV, the patient was extubated on day 7 from pressure support ventilation of 15 cmH2O and positive end expiratory pressure of 8 cmH2O to immediate NIPPV use. Three days later after a total of 50 hours of NIPPV use in the ICU the patient was successfully discharged home.


Ensuring The Quality Of Peer-Review Process, Mustafa Afifi Aug 2006

Ensuring The Quality Of Peer-Review Process, Mustafa Afifi

Saudi Medical Journal

No abstract provided.


Comparison Of Spo2, Hearth Rate And Body Temperature Values In Abdominal Compartment Syndrome In A Rat Model With Intraabdominal Sepsis And Intraabdominal Hypertension, Canan Balci, Gokhan Akbulut, Hamit S. Karabekir, Feyza Karagoz, Hulya Sungurtekin Aug 2006

Comparison Of Spo2, Hearth Rate And Body Temperature Values In Abdominal Compartment Syndrome In A Rat Model With Intraabdominal Sepsis And Intraabdominal Hypertension, Canan Balci, Gokhan Akbulut, Hamit S. Karabekir, Feyza Karagoz, Hulya Sungurtekin

Saudi Medical Journal

No abstract provided.


Effects Of Different Bolus Doses Of Remifentanil On Laryngeal Mask Airway Insertion During Day-Case Surgery, Seval Izdes, Ezgi Erkilic, Mehmet Simsek, Tulin Gumus, Tulin Gumus, Orhan Kanbak Aug 2006

Effects Of Different Bolus Doses Of Remifentanil On Laryngeal Mask Airway Insertion During Day-Case Surgery, Seval Izdes, Ezgi Erkilic, Mehmet Simsek, Tulin Gumus, Tulin Gumus, Orhan Kanbak

Saudi Medical Journal

No abstract provided.


Can Incision Barrier Decrease The Risk Of Surgical Site Infection After Appendectomy?, Mustafa T. Ozer, Taner Yigit, Ali I. Uzar, Mehmet Eryilmaz, Orhan Kozak, Sadettin Cetiner, Ismail Arslan, Turgut Tufan Aug 2006

Can Incision Barrier Decrease The Risk Of Surgical Site Infection After Appendectomy?, Mustafa T. Ozer, Taner Yigit, Ali I. Uzar, Mehmet Eryilmaz, Orhan Kozak, Sadettin Cetiner, Ismail Arslan, Turgut Tufan

Saudi Medical Journal

No abstract provided.


Effects Of Erythropoietin On Fracture Healing In Rats, Murat Bozlar, Aydiner Kalaci, Bahadir Aslan, Lutfu Baktiroglu, Ahmet N. Yanat, Arzu Tasci Aug 2006

Effects Of Erythropoietin On Fracture Healing In Rats, Murat Bozlar, Aydiner Kalaci, Bahadir Aslan, Lutfu Baktiroglu, Ahmet N. Yanat, Arzu Tasci

Saudi Medical Journal

No abstract provided.


Effects Of Moderate Alcohol Consumption On Serum Marker Enzymes Of Rabbits, M. Sabih Aktas, Ismail Celik Aug 2006

Effects Of Moderate Alcohol Consumption On Serum Marker Enzymes Of Rabbits, M. Sabih Aktas, Ismail Celik

Saudi Medical Journal

No abstract provided.


A Study On Children And Adolescents With Disabilities In Kahramanmaras, Turkey, Lale Donbak, Mustafa Celik, Mustafa Celik, Ilter Demirhan Aug 2006

A Study On Children And Adolescents With Disabilities In Kahramanmaras, Turkey, Lale Donbak, Mustafa Celik, Mustafa Celik, Ilter Demirhan

Saudi Medical Journal

No abstract provided.


Brucella Seropositivity In South And Southeast Turkey, Gurol Emekdas, Gonul Aslan, Seda Tezcan, Pinar Ciragil, Mehmet R. Bayraktar, Yusuf Onlen, Esin Aktas, Vusiat Bosnak, Arzu Kanik Aug 2006

Brucella Seropositivity In South And Southeast Turkey, Gurol Emekdas, Gonul Aslan, Seda Tezcan, Pinar Ciragil, Mehmet R. Bayraktar, Yusuf Onlen, Esin Aktas, Vusiat Bosnak, Arzu Kanik

Saudi Medical Journal

No abstract provided.