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Squamous Cell Carcinoma Of Colon And Rectum, Fraz Fahim, Saleh M. Al-Salamah, Muhammad K. Alam, Muhammad H. Al-Akeely
Squamous Cell Carcinoma Of Colon And Rectum, Fraz Fahim, Saleh M. Al-Salamah, Muhammad K. Alam, Muhammad H. Al-Akeely
Saudi Medical Journal
Primary squamous cell carcinoma SCC of the colon and rectum is a rare malignancy. Less than 100 cases have been reported in literature. We report 2 cases of pure SCC involving the rectum and sigmoid colon. A review of literature has been made starting from the first report in 1919 to the present. We have examined the theories regarding the etiology, available treatment modalities, and prognosis for this variant of colorectal carcinoma. We conclude that this tumor presents later than adenocarcinoma and follows an aggressive course. With a greater awareness among surgeons and pathologists, more cases may become known leading …
Pain-Driven Suicide Due To Pleural Plaques Associated With Asbestos Exposure, Umit Bicer, Omer Kurtas, Cengiz Ercin, Umit N. Gundogmus, Basar Colak, Nadir Paksoy
Pain-Driven Suicide Due To Pleural Plaques Associated With Asbestos Exposure, Umit Bicer, Omer Kurtas, Cengiz Ercin, Umit N. Gundogmus, Basar Colak, Nadir Paksoy
Saudi Medical Journal
No abstract provided.
Reviewing The Correspondence Section In The Saudi Medical Journal 2000-2004, Mustafa Afifi
Reviewing The Correspondence Section In The Saudi Medical Journal 2000-2004, Mustafa Afifi
Saudi Medical Journal
No abstract provided.
The Impact Of Periodontal Infections On Systemic Diseases. An Update For Medical Practitioners, Sukumaran Anil, Hamdan S. Al-Ghamdi
The Impact Of Periodontal Infections On Systemic Diseases. An Update For Medical Practitioners, Sukumaran Anil, Hamdan S. Al-Ghamdi
Saudi Medical Journal
Oral health status is an integral component of a general health and well-being of an individual. Knowledge about the link between periodontal disease and systemic diseases are growing rapidly. Increasing evidence is available from many investigators to indicate periodontitis as a risk factor for cardiovascular diseases, diabetes mellitus, low birth weight infants and pulmonary diseases. Both epidemiologists and researchers in oral microbiology have contributed significantly to the new paradigm of periodontal disease. Although additional studies are needed to determine the mechanisms by which such associations exist; available research clearly demonstrates that oral diseases and conditions are not only markers for …
Etiology Of Community-Acquired Pneumonia In Hospitalized Patients In Jordan, Musa K. Al-Ali, Raymond G. Batchoun, Tarig M. Al-Nour
Etiology Of Community-Acquired Pneumonia In Hospitalized Patients In Jordan, Musa K. Al-Ali, Raymond G. Batchoun, Tarig M. Al-Nour
Saudi Medical Journal
OBJECTIVE: To ascertain the causative organisms of community acquired pneumonia (CAP) in Jordanian patients requiring hospital admission. METHODS: A prospective study of both adults and children admitted to Princess Basma and Princess Rahma Teaching Hospitals in Irbid, Jordan with a diagnosis of CAP over a 6-month period from April to October 2002. RESULTS: A total of 35 adult patients were admitted with a mean age of 47 years, and 63 children with a mean age of 3 years. A pathogen was isolated from 25 (71%) adults, and from 17 (27%) children, and sputum cultures gave the best diagnostic yield. In …
Magnesium Supplementation And The Potential Association With Mortality Rates Among Critically Ill Non-Cardiac Patients, Ousama C. Dabbagh, Abdulaziz S. Aldawood, Yaseen M. Arabi, Nazair A. Lone, Riette Brits, Monica Pillay
Magnesium Supplementation And The Potential Association With Mortality Rates Among Critically Ill Non-Cardiac Patients, Ousama C. Dabbagh, Abdulaziz S. Aldawood, Yaseen M. Arabi, Nazair A. Lone, Riette Brits, Monica Pillay
Saudi Medical Journal
OBJECTIVE: Recent literature showed that development of hypomagnesemia is associated with higher mortality. The objective of this study is to evaluate the impact of magnesium supplementation on mortality rates of critically ill patients. METHODS: All patients admitted to the Intensive Care Unit (ICU) of King Abdul-Aziz Medical City, Riyadh, Saudi Arabia since September 2003 were included. We recorded the demographics data, APACHE score, daily magnesium levels and magnesium supplementation. We collected the data for 30 days or until discharge from ICU. Statistical analysis was performed using the student t-test for continuous data and the Fischers exact test for categorical data. …
Comparison Of Curative And Palliative Radiotherapy Efficacy In Unresectable Advanced Non-Small Cell Lung Cancer Patients With Or Without Metastasis, Ismet Unlu, Gulden Diniz, Berna Komurcuoglu, Mine Gayaf, Tumay Gokce, Ilker Karadogan, Cimen Akcay
Comparison Of Curative And Palliative Radiotherapy Efficacy In Unresectable Advanced Non-Small Cell Lung Cancer Patients With Or Without Metastasis, Ismet Unlu, Gulden Diniz, Berna Komurcuoglu, Mine Gayaf, Tumay Gokce, Ilker Karadogan, Cimen Akcay
Saudi Medical Journal
OBJECTIVE: To evaluate the efficacy of curative and palliative radiotherapy in inoperable advanced non-small cell lung cancer (NSCLC) patients with a performance status (PS) equal or greater than 2, and to compare the therapy effect on survival with or without metastatic disease. METHODS: From January 1998 through December 2004, 797 patients with inoperable stage III and IV NSCLC were treated with radiotherapy alone because of older age, cardiovascular disease, insufficient respiratory reserve or general frailty. Radical radiotherapy, consisting of approximately 60 Gy, given in 30 fractions was performed in 363 (45.5 %) of these patients. The other 434 patients (54.5%) …
Anemia And Nutritional Status Of Schoolchildren Living At Saudi High Altitude Area, Alaa H. Abou-Zeid, Moataz M. Abdel-Fattah, Abdulsalam A. Al-Shehri, Tamer M. Hifnawy, Sir-Alkhatim A. Al-Hassan
Anemia And Nutritional Status Of Schoolchildren Living At Saudi High Altitude Area, Alaa H. Abou-Zeid, Moataz M. Abdel-Fattah, Abdulsalam A. Al-Shehri, Tamer M. Hifnawy, Sir-Alkhatim A. Al-Hassan
Saudi Medical Journal
OBJECTIVE: To estimate the prevalence and possible risk factors for anemia and abnormal anthropometric measurements among schoolchildren in Al-Hada Area, Taif, Kingdom of Saudi Arabia. METHODS: We conducted the study between January and April, 2005 at Al-Hada area. A nested case-control study was conducted to estimate risk factors for anemia and abnormal anthropometric measurements. RESULTS: From 5 schools, 513 students were recruited. The mean hemoglobin concentration was 13.4±0.9 g/dL, while the prevalence of anemia was 11.6% and 15.5% based on hemoglobin and hematocrit values. At the same time, underweight affected 14.2% of the students, and stunting affected 12.2%. Moreover, 9.8% …
Anthropometric Measurements Of A Group Of Newborns In A Teaching Hospital In Baghdad, Sabeeha H. Al-Mefraji, Namir G. Al-Tawil, Lamia A. Karim
Anthropometric Measurements Of A Group Of Newborns In A Teaching Hospital In Baghdad, Sabeeha H. Al-Mefraji, Namir G. Al-Tawil, Lamia A. Karim
Saudi Medical Journal
OBJECTIVE: To show the normal standards of trunk and limbs anthropometric measurements in a group of normal full term newborns in Al-Kadhimiya Hospital, Baghdad, and to use the above mentioned standards (as a reference) in the evaluation of newborns, mainly those with dysmorphic features. METHODS: A cross-sectional study was carried out in the Obstetric Department, Al-Kadhimiya Teaching Hospital, Baghdad, Iraq, involving 300 full term newborns (within the first 24 hours of birth) delivered in the delivery room, from January 1, 2002 through December 31, 2004. Ten anthropometric measurements were studied. RESULTS: The mean weight (±SD) was 3.5 ± 0.46 Kg, …
Dermatitis Herpetiformis And Rheumatoid Arthritis, Ece Aydog, Okan Yesilli, Aslihan Sever, Hicran Usan
Dermatitis Herpetiformis And Rheumatoid Arthritis, Ece Aydog, Okan Yesilli, Aslihan Sever, Hicran Usan
Saudi Medical Journal
Dermatitis herpetiformis DH is a rare, intensely pruritic, chronic, recurrent, papulovesicular disease. The disease can be clearly distinguished from the other subepidermal blistering eruptions by histologic, immunologic, and gastrointestinal criteria. Most patients have an associated gluten-sensitive enteropathy GSE that is usually asymptomatic. Both enteropathy and the dermatologic findings disappear with a gluten-free diet, therefore, DH is thought to be the specific dermatologic finding of celiac disease CD. An association between CD and autoimmune disease has been documented in several studies. Similar associations have been reported in DH. We report a 46-year-old man with DH diagnosed more than 10 years previously …
Colonization Of Caga-Positive Helicobacter Pylori Is Significantly Greater In Infected Human Males Than Females. A Possible Factor In Distal Gastric Cancer Gender Difference, Mohammed S. Al-Marhoon, Sheila Nunn, Roger W. Soames
Colonization Of Caga-Positive Helicobacter Pylori Is Significantly Greater In Infected Human Males Than Females. A Possible Factor In Distal Gastric Cancer Gender Difference, Mohammed S. Al-Marhoon, Sheila Nunn, Roger W. Soames
Saudi Medical Journal
No abstract provided.
Preanesthetic Evaluation. Importance Of Herbal Drug Usage In Anesthesia Practice, Leyla Iyilikci, Bahar Kuvaki, Basak Canduz, Huriye Begburs Sarikaya, Dilek Kural, Ali Gunerli
Preanesthetic Evaluation. Importance Of Herbal Drug Usage In Anesthesia Practice, Leyla Iyilikci, Bahar Kuvaki, Basak Canduz, Huriye Begburs Sarikaya, Dilek Kural, Ali Gunerli
Saudi Medical Journal
No abstract provided.
The Relation Between Anticardiolipin Antibodies And Complications Of Type 2 Diabetes Mellitus, Oznur Kal, Fusun Gultekin, Zahir M. Bakici, Ali Kal
The Relation Between Anticardiolipin Antibodies And Complications Of Type 2 Diabetes Mellitus, Oznur Kal, Fusun Gultekin, Zahir M. Bakici, Ali Kal
Saudi Medical Journal
No abstract provided.
Epidemiology Of Type 1 Diabetes Mellitus Among Arab Children, Taher Q. Al-Dabbagh
Epidemiology Of Type 1 Diabetes Mellitus Among Arab Children, Taher Q. Al-Dabbagh
Saudi Medical Journal
No abstract provided.
Physicians Perception Of Health Insurance In Saudi Arabia, Mohammed S. Alnaif
Physicians Perception Of Health Insurance In Saudi Arabia, Mohammed S. Alnaif
Saudi Medical Journal
OBJECTIVE: To assess physicians views on health insurance and its implication on the health care system. METHODS: We carried out a cross-sectional study in 2 major hospitals in Riyadh, Kingdom of Saudi Arabia. Data were collected from January to December 2002 through self-administered questionnaires that were distributed to a total sample of 400 physicians. The instrument consisted of 28 items that focused on assessing physicians9 perception towards health insurance and its effect on health services. We performed a descriptive statistics and analysis of variance using the Statistical Package for Social Sciences. RESULTS: Overall, 151 physicians (38%) completed the survey. This …
Staphylococcus Aureus Endocarditis Complicated By Bilateral Pneumothorax, Azza A. Alafify, Tarig S. Al-Khuwaitir, Bashir A. Wani, Samir M. Taifur
Staphylococcus Aureus Endocarditis Complicated By Bilateral Pneumothorax, Azza A. Alafify, Tarig S. Al-Khuwaitir, Bashir A. Wani, Samir M. Taifur
Saudi Medical Journal
Staphylococcus aureus is the most common cause of endocarditis in intravenous drug users. The organism gains access by intravenous injection or from the direct invasion of skin at injection sites. Known for its aggressiveness, the right sided endocarditis that ensues can lead to complications such as pulmonary abscesses and even death. We report the unusual case of an intravenous drug abuser, who following the occurrence of extensive pulmonary abscesses, developed bilateral pneumothoraces within a few days.
Anti-Hepatitis Delta Virus Seroprevalence And Risk Factors In Patients With Hepatitis B In Southeast Turkey, Mustafa K. Celen, Celal Ayaz, Salih Hosoglu, Mehmet F. Geyik, Mehmet Ulug
Anti-Hepatitis Delta Virus Seroprevalence And Risk Factors In Patients With Hepatitis B In Southeast Turkey, Mustafa K. Celen, Celal Ayaz, Salih Hosoglu, Mehmet F. Geyik, Mehmet Ulug
Saudi Medical Journal
OBJECTIVE: To obtain regional epidemiological data on hepatitis delta virus (HDV, a defective virus) infections, the incidence of anti-HDV positivity and the associated risk factors in asymptomatic hepatitis B virus surface antigen (HBsAg) carriers and in patients with chronic active hepatitis B. METHODS: The study took place at Dicle University Hospital (Diyarbakir, Southeast of Turkey) between January 2002 and July 2004. Anti-HDV screening was performed in asymptomatic hepatitis B carriers (N=889) and in patients with chronic active hepatitis B infection (N=120). We explored the association between anti-HDV positivity and asymptomatic hepatitis B carrier status, presence of active hepatitis B, age, …
Troponin Estimation Identifies Myocardial Infarction Patients With Different Characteristics, Mohammad Zubaid, Wafa A. Rashed, Marwan Abu Rezq, Bassam Abu Al-Banat, Mustafa Ridha, Bader A. Mohammad, Mohammad H. Al-Kandari, Ghassan Baidas, Rashed Al-Hamdan, Shaheed Zubair, Lukman Thalib
Troponin Estimation Identifies Myocardial Infarction Patients With Different Characteristics, Mohammad Zubaid, Wafa A. Rashed, Marwan Abu Rezq, Bassam Abu Al-Banat, Mustafa Ridha, Bader A. Mohammad, Mohammad H. Al-Kandari, Ghassan Baidas, Rashed Al-Hamdan, Shaheed Zubair, Lukman Thalib
Saudi Medical Journal
OBJECTIVE: To investigate the impact of new myocardial infarction definition based on troponin, the rate of myocardial infarction diagnosis, patients characteristics, and short-term prognosis. METHODS: We enrolled 1,255 consecutive myocardial infarction patients from the Kuwait Registry of Acute Coronary Syndromes from December 2003 to May 2004. Two patient groups were identified, those diagnosed with elevated creatine kinase-MB (CK group) and those diagnosed with elevated troponin with normal CK-MB (Troponin group). RESULTS: The use of troponin have increased the number of myocardial infarctions by 49%. Compared with the CK group, the Troponin group were older [age 60.3 ± 12.5 years versus …
Comparison Of Early Results Of Limited Thoracotomy Versus Complete Sternotomy In Atrial Septal Defect Closure, Rezayat Parvizi, Morad Hashemzehi, Susan H. Salmasi, Naser Safai
Comparison Of Early Results Of Limited Thoracotomy Versus Complete Sternotomy In Atrial Septal Defect Closure, Rezayat Parvizi, Morad Hashemzehi, Susan H. Salmasi, Naser Safai
Saudi Medical Journal
No abstract provided.
Intestinal Parasitic Infections Among School Children Of The Dhahira Region Of Oman, Prakash K. Patel, Rajiv Khandekar
Intestinal Parasitic Infections Among School Children Of The Dhahira Region Of Oman, Prakash K. Patel, Rajiv Khandekar
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of intestinal parasitic infections among primary school children in Dhahira region of Oman. METHODS: The study took place in the Dhahira region of Oman from September 2004 to March 2005. We randomly recruited 436 students of 9-10 years of age. Their anthropometric measurements were noted. We collected the stool sample of each student and examined for different intestinal parasites. Stereoscopic microscopy and the World Health Organization9s approved KATO-KATZ technique were used. RESULTS: Of the 436 students examined, 65 children (15%) were undernourished (body mass index (BMI) <14 kg/m2). The prevalence of intestinal parasitic infections was 38.7% (95% CI 33.2-42.2). The prevalence of protozoan infection was 36% while helminth infection was 9.4%. The prevalence of Entamoeba histolytica/Entamoeba dispar was 24%, Giardia species 10.5% and Escherichia coli 1.4%. The hookworm (Ancylostoma duodenale, Necator americanus), Ascariasis lumbricoides, Trichuris trichiura, Hymenolepiasis nana, Taenia species, Enterobius vermicularis and Strongyloides infections in our study had very low prevalence. Only 29 (6.4%) students had parasitic infection by more than one parasite. The wet zone was significantly associated to the intestinal parasitic infections [Adjusted odds ratio (OR)=3.2 (95% CI 1.9-5.2)]. CONCLUSION: Dhahira region could be classified as low prevalence and low intensity area for soil transmitted helminths infections. However, the magnitude of the protozoan infection was high. The school health program should focus on parasitic infection treatment and addressing the underlying causes of this problem.
Atheromatous Disease And Latent Prostate Cancer. A Correlation Or A Coincidence, Konstantinos N. Stamatiou, Alevizos G. Alevizos, Mohamad A. Natzar, Nikolaos G. Karakoukis, Anargiros D. Mariolis, Fragiskos A. Sofras
Atheromatous Disease And Latent Prostate Cancer. A Correlation Or A Coincidence, Konstantinos N. Stamatiou, Alevizos G. Alevizos, Mohamad A. Natzar, Nikolaos G. Karakoukis, Anargiros D. Mariolis, Fragiskos A. Sofras
Saudi Medical Journal
No abstract provided.
Results Of Total Knee Replacement Using A Cemented Stemmed Prosthesis, Talal M. Bakhsh
Results Of Total Knee Replacement Using A Cemented Stemmed Prosthesis, Talal M. Bakhsh
Saudi Medical Journal
OBJECTIVE: To present the results of total knee replacement at the King Abdul-Aziz University Hospital in Jeddah, Kingdom of Saudi Arabia (KSA). METHODS: The medical records of 205 patients who received 309 prostheses was reviewed. The study took place at King Abdul-Aziz University Hospital, Jeddah, KSA between May 1989 and August 2005, where patients were either examined in the outpatient clinic or interviewed on the phone. Seventeen patients (22 prostheses) were lost for follow up. The scores were registered according to the Knee Society Clinical Rating System. RESULTS: There was a significant improvement in all-functional scores postoperatively in the first …
Ethical Guidelines In Genetics And Genomics. An Islamic Perspective, Mohsen A. El-Hazmi, Aida I. Ai-Aqeel
Ethical Guidelines In Genetics And Genomics. An Islamic Perspective, Mohsen A. El-Hazmi, Aida I. Ai-Aqeel
Saudi Medical Journal
No abstract provided.
Avian Influenza, Awad A. Saeed, Mansour F. Hussein
Avian Influenza, Awad A. Saeed, Mansour F. Hussein
Saudi Medical Journal
A rapidly spreading, highly pathogenic avian influenza virus A H5N1 in the domestic poultry population has crossed the species barrier to humans and other mammalian species, thus, posing an increasing pandemic threat. The World Health Organization, other agencies, and countries worldwide are closely monitoring the prevalent influenza viruses and their related illnesses to detect any increased virulence or transmissibility that might signal the beginnings of any future pandemic. So far, the H5N1 virus has infected birds in more than 30 countries in Asia, Europe and Africa, while further geographical spread remains likely. Human infections are still rare and the virus …
The Prevalence Of Parasites In Commonly Used Leafy Vegetables In South Western, Saudi Arabia, Ali M. Al-Binali, Cornelius S. Bello, Khalid El-Shewy, Salah E. Abdulla
The Prevalence Of Parasites In Commonly Used Leafy Vegetables In South Western, Saudi Arabia, Ali M. Al-Binali, Cornelius S. Bello, Khalid El-Shewy, Salah E. Abdulla
Saudi Medical Journal
OBJECTIVE: To determine the degree of contamination caused by parasites in commonly used leafy vegetables in Abha, Kingdom of Saudi Arabia (KSA). METHODS: We carried out the study in the Department of Clinical Microbiology and Parasitology, King Khalid University, Abha, KSA, during the period September 2004 to May 2005. Five commonly used leafy vegetables, namely, green onion, radish, watercress, lettuce and leek, were washed each in water and Tris-buffer-saline (TBS). The washing solution was then centrifuged and the sediments were examined for parasites. RESULTS: The use of TBS for the extraction, significantly increased the isolation rate (27.2%) of the parasites …
Prevalence Of Helicobacter Pylori Infection In Patients With Peptic Ulcer Diseases, Talal M. Karima, Syed Z. Bukhari, Mohammad A. Ghais, Mohammad I. Fatani, Waleed M. Hussain
Prevalence Of Helicobacter Pylori Infection In Patients With Peptic Ulcer Diseases, Talal M. Karima, Syed Z. Bukhari, Mohammad A. Ghais, Mohammad I. Fatani, Waleed M. Hussain
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of Helicobacter pylori (H. pylori) infection among patients presenting with peptic ulcer disease (PUD) and to establish the relationship between H. pylori infection and its diverse pathology. Secondly, we aimed to examine the effect of age, gender, and geographical distribution on the prevalence of the disease. METHODS: The study included patients with PUD who underwent upper gastrointestinal endoscopy at Hera General Hospital, Makkah, Kingdom of Saudi Arabia between January 2003 and February 2004. We tested the biopsies for the detection of H. pylori by Campylobacter like organism (CLOTM) test, histopathology, immunoglobulin G (IgG) antibodies, culture, …
The Pattern Of Active Pulmonary Tuberculosis In Adults At King Hussein Medical Center, Jordan, Haytham El-Khushman, Jafar A. Momani, Abdelmonen M. Sharara, Faris H. Haddad, Manaf A. Hijazi, Khitam A. Hamdan, Naheel M. Awadat, Yousif M. Al-Laham
The Pattern Of Active Pulmonary Tuberculosis In Adults At King Hussein Medical Center, Jordan, Haytham El-Khushman, Jafar A. Momani, Abdelmonen M. Sharara, Faris H. Haddad, Manaf A. Hijazi, Khitam A. Hamdan, Naheel M. Awadat, Yousif M. Al-Laham
Saudi Medical Journal
OBJECTIVE: To identify the pattern of the clinical, radiological, and diagnostic procedures of the diagnosed cases of active pulmonary tuberculosis (TB) patients presented to the Respiratory Medicine Division at King Hussein Medical Center over the last 10 years. METHODS: This is a retrospective analysis of the medical records and chest radiographs of 137 active pulmonary TB patients who were diagnosed between March 1995 and October 2005. Patient9s symptoms were recorded and analyzed. Radiological findings were assessed. Procedures used to identify Mycobacterium TB were identified. RESULTS: One hundred and thirty-seven patients medical records were retrieved and analyzed (84 males and 53 …
Comparison Of The Antiemetic Effects Of Ondansetron And Dexamethasone On Middle Ear Surgery, Berrin Isik, Nedim Cekmen, Mustafa Arslan, Ozgur Ozsoylar, Aysegul Z. Kordan, Mehmet Akcabay
Comparison Of The Antiemetic Effects Of Ondansetron And Dexamethasone On Middle Ear Surgery, Berrin Isik, Nedim Cekmen, Mustafa Arslan, Ozgur Ozsoylar, Aysegul Z. Kordan, Mehmet Akcabay
Saudi Medical Journal
OBJECTIVE: To compare the antiemetic efficacy of ondansetron and dexamethasone in adults undergoing middle ear surgery. METHODS: This clinical research took place in the Faculty of Medicine, Gazi University, Turkey between January to December 2004. The study included 60 cases, classified by the American Society of Anesthesiology physical status group I-II, who underwent middle ear surgery. We carried out anesthesia induction with 5 mg.kg-1 sodium thiopental and performed muscle relaxation with 0.5 mg.kg-1 atracurium to be followed by orotracheal intubation. Anesthesia was maintained at 5 L.min-1 gas flows with 2-3% sevoflurane inhalation in 70/30% O2/N2O. We randomly distributed the cases …
The Spectrum Of Bone Disease In Jordanian Hemodialysis Patients, Nidal A. Younes, Ayman Wahbeh, Walid Mahafzah, Wadad Ailabouni, Mazen Al-Mansour, Yousef Hamzah, Ahmad S. Sroujieh
The Spectrum Of Bone Disease In Jordanian Hemodialysis Patients, Nidal A. Younes, Ayman Wahbeh, Walid Mahafzah, Wadad Ailabouni, Mazen Al-Mansour, Yousef Hamzah, Ahmad S. Sroujieh
Saudi Medical Journal
OBJECTIVE: To evaluate the spectrum of mineral abnormalities and bone disease (BD) in hemodialysis patients at Jordan University Hospital (JUH), Amman, Jordan. METHODS: A cross-sectional study was conducted among 63 patients (38 males and 25 females), mean age 44.19 years (range 17-76 years), with chronic kidney disease (CKD) on regular hemodialysis at JUH between November 2004 and April 2005. All patients have undergone complete blood count, chemistry profile, alkaline phosphatase, serum albumin, intact parathyroid hormone (iPTH) and plain x-rays. RESULTS: Bone disorders were identified in 45 patients on x-rays (70%). Osteopenia was found in 43 patients (68.3%), subperiosteal resorption in …
Diagnostic Accuracy Of Clinical Diagnosis Versus Echocardiography In Evaluating Heart Murmurs In Iraqi Children, Mahmood D. Subhi
Diagnostic Accuracy Of Clinical Diagnosis Versus Echocardiography In Evaluating Heart Murmurs In Iraqi Children, Mahmood D. Subhi
Saudi Medical Journal
OBJECTIVE: To assess the diagnostic accuracy of clinical diagnosis versus echocardiography in evaluating childhood heart murmurs. METHODS: We investigated 107 children under the age of 10 years with heart murmurs admitted to 3 hospitals in Baghdad (Al-Khadimyiah Pediatric Hospital, Al-Karama Teaching Hospital/Pediatric Department and Al-Noor Teaching Hospital/Pediatric Department) during the period of January 1998 to January 2002. Data on age, gender, provisional clinical diagnosis and final echocardiographic diagnosis were taken. Statistical analysis through Chi-square was carried out. RESULTS: There were more males than females (58.9% versus 41.1%, p<0.05). Provisionally, diagnoses of pathological murmurs were made in 88.8% of patients compared with 11.2% for innocent murmurs. The most common pathological murmur was that of ventricular septal defect (58.9%) and the least was aortic stenosis (1.9%). Echocardiographically, pathological findings were seen in 62.6% of patients compared with 37.4% for normal results. Provisional and echocardiographic diagnoses were concordant in 52.3% of patients and discordant in 47.7%, a difference of highly statistical significance (p<0.001). The most common concordant and discordant diagnoses were ventricular septal defect and innocent murmurs. CONCLUSION: Though echocardiography can be used to precisely evaluate heart murmurs, the role of comprehensive history taking and meticulous physical examination must not be neglected. Defect in specific accuracy of clinical acumen noted by the pediatricians who cared for the studied patients probably reflects their different standards in medical education and clinical training. Developing and implementing advanced physical diagnosis curriculum, establishing training programs in cardiology for pediatricians and provision of well-trained pediatric echocardiographers seem crucial. These options will eventually contain medical expenses.