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Evaluation Of Oxacillin And Cefoxitin Disk Diffusion Test For Routine Detection Of Methicillin Resistant Staphylococcus Aureus, Subhash C. Arya, Lalit K. Mehta, George Mathai, Bharat K. Agarwal, Shekhar Agarwal
Evaluation Of Oxacillin And Cefoxitin Disk Diffusion Test For Routine Detection Of Methicillin Resistant Staphylococcus Aureus, Subhash C. Arya, Lalit K. Mehta, George Mathai, Bharat K. Agarwal, Shekhar Agarwal
Saudi Medical Journal
No abstract provided.
Diabetes In The Arab World, Basmah Al-Wahhabi
Diabetes In The Arab World, Basmah Al-Wahhabi
Saudi Medical Journal
No abstract provided.
Clinical Sources And Prevalence Of Resistance To Antimicrobials Of Klebsiella Pneumoniae Strains In Trinidad, Fitzroy A. Orrett
Clinical Sources And Prevalence Of Resistance To Antimicrobials Of Klebsiella Pneumoniae Strains In Trinidad, Fitzroy A. Orrett
Saudi Medical Journal
OBJECTIVE: To assess the frequency of Klebsiella pneumoniae (K. pneumoniae) recovery from clinical specimens from hospital and community patients, their antibiotic profile, the extent of extended-spectrum beta lactamase (ESBL) production among such isolates, and the impact on patient management. METHODS: The study recovered 1,118 K. pneumoniae strains from various clinical specimens from hospital and community patients, from 1995 to 2004, at the Eric Williams Medical Sciences Complex. All 1,118 isolates underwent testing for multi-antibiotic resistance, of which 480 that fulfilled the criteria for possible ESBL production underwent further examination, according to guideline recommendations of the National Committee for Clinical Laboratory …
Prenatal Diagnosis Of Beta-Thalassemia In The West Bank And Gaza, Suhail K. Ayesh, Wasif A. Al-Sharef, Suheir M. Nassar, Nabeel A. Thawabteh, Bassam Y. Abu-Libdeh
Prenatal Diagnosis Of Beta-Thalassemia In The West Bank And Gaza, Suhail K. Ayesh, Wasif A. Al-Sharef, Suheir M. Nassar, Nabeel A. Thawabteh, Bassam Y. Abu-Libdeh
Saudi Medical Journal
OBJECTIVE: This study focuses on the genetic aspect of beta-thalassemia among 88 at risk couples from the West Bank and Gaza, and the attitude of these couples toward prenatal diagnosis and its outcome as a preventive method. METHODS: We tested 130 prenatal samples for beta-thalassemia during the period from January 1999 to July 2005. We performed prenatal diagnosis in these cases using the amplification refractory mutation system, as well as beta-globin gene sequencing as a conformational method. We drew a chorionic villus sample (CVS) for 1st trimester pregnant women and amniotic fluid (AF) for those in the 2nd trimester depending …
Prevalence Of Factor V Leiden And Prothrombin G20210a Gene Mutation, Jumana Y. Al-Aama
Prevalence Of Factor V Leiden And Prothrombin G20210a Gene Mutation, Jumana Y. Al-Aama
Saudi Medical Journal
No abstract provided.
Two Anatomic Variations In The Arm Related To The Median Nerve, Burak Bilecenoglu, Aysun Uz, Nazim Karalezli, Sinan Issi
Two Anatomic Variations In The Arm Related To The Median Nerve, Burak Bilecenoglu, Aysun Uz, Nazim Karalezli, Sinan Issi
Saudi Medical Journal
No abstract provided.
Zinc Deficiency Among A Healthy Population In Baghdad, Iraq, Dhia J. Al-Timimi, Shatha S. Al-Sharbatti, Farouk Al-Najjar
Zinc Deficiency Among A Healthy Population In Baghdad, Iraq, Dhia J. Al-Timimi, Shatha S. Al-Sharbatti, Farouk Al-Najjar
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of zinc deficiency and the current zinc status among a sample selected from the healthy population in Baghdad, Iraq. METHODS: We carried out a community-based study in Baghdad City, Iraq from November through June 2002. We selected a sample of 2090 healthy subjects (aged 1 month to 85 years). We used a pre-tested questionnaire, designed to obtain information on gender, birth dates, height, weight, residence, habitual food consumption patterns, and social status. We performed laboratory assessment of serum zinc level, dietary assessment of food frequency and usual zinc intake. We considered subjects with serum zinc …
Dietary Intake And Nutritional Status Of Turkish Pregnant Women During Ramadan, Gul Kiziltan, Efsun Karabudak, Gorkem Tuncay, Filiz Avsar, Piril Tuncay, Onur Mungan, Pinar Meral
Dietary Intake And Nutritional Status Of Turkish Pregnant Women During Ramadan, Gul Kiziltan, Efsun Karabudak, Gorkem Tuncay, Filiz Avsar, Piril Tuncay, Onur Mungan, Pinar Meral
Saudi Medical Journal
OBJECTIVE: To determine the effects of Ramadan fasting on dietary intakes, nutritional status and biochemical parameters of Turkish pregnant women. METHODS: We carried out this study at Dr. Zekai Tahir Burak Women9s Health Care and Research Hospital, Ankara, Turkey from October 15th to November 13th 2004. Forty-nine fasting group and 49 non-fasting group (control group) voluntarily enrolled for the study. We analyzed the blood biochemical parameters of pregnant women and obtained the dietary intakes from the groups. RESULTS: Compared to the control group, weight gain and energy intake (p<0.05 for second and third trimesters) was less in the fasting group. The percentage of protein (p<0.05 for first and second trimesters) and carbohydrates (p<0.05 for all trimesters) from total energy was higher in the fasting group than in the control group. We noticed a slight increase in the fasting blood glucose, serum total cholesterol high-density lipoprotein-cholesterol and triglycerides (p<0.05 for first trimester) concentrations in the fasting group during Ramadan. However, we found decreased levels in the plasma urea, total cholesterol, triglycerides, low-density lipoprotein-cholesterol and total protein and albumin levels of the fasting group in comparison with the control group. Dietary mineral and vitamin intakes were lower than the recommended daily allowance, except vitamin A and vitamin C in both groups. CONCLUSION: Based on the results of the present study, Ramadan fasting had no significant adverse effect on the health of pregnant women.
Target Level Controlled Sedation. An Alternative To General Anesthesia In Endovascular Treatment Of Intracranial Aneurysms, Ahmet C. Senel, Ahmet Akyol, Halil Uzunlar, Ahmet Eroglu
Target Level Controlled Sedation. An Alternative To General Anesthesia In Endovascular Treatment Of Intracranial Aneurysms, Ahmet C. Senel, Ahmet Akyol, Halil Uzunlar, Ahmet Eroglu
Saudi Medical Journal
No abstract provided.
Reappraisal Of The Management Of Cholelithiasis In Diabetics, Salman Y. Guraya
Reappraisal Of The Management Of Cholelithiasis In Diabetics, Salman Y. Guraya
Saudi Medical Journal
Recently, dramatic advances in research have elucidated the prognosis of gallstone disease and have permitted a more selective choice of persons for treatment based on symptom status and projected prognosis. Ultrasound- detected-incidental gallstones are infrequently clinically significant, but this finding has prompted the surgeons to have a liberal attitude towards the operative indications for cholelithiasis particularly after the advent of laparoscopy. At the same time, the management of gallstones in the diabetics still remains controversial. Early retrospective studies reported an alarmingly high incidence of gallstones in diabetics as compared with the general population and in view of profound morbidity and …
Construction Of Intrauterine Growth Curves In A High Altitude Area Of Saudi Arabia, Mohammed A. Al-Shehri, Mostafa A. Abolfotouh, Luke O. Nwoye, Waleed Eid
Construction Of Intrauterine Growth Curves In A High Altitude Area Of Saudi Arabia, Mohammed A. Al-Shehri, Mostafa A. Abolfotouh, Luke O. Nwoye, Waleed Eid
Saudi Medical Journal
OBJECTIVE: The aim of the present study was to construct intrauterine percentile growth curves for body weight, length and head circumference for local use in a high altitude area of Saudi Arabia. METHODS: This is a cross-sectional study of all Saudi births from Abha General Hospital over a 6-year period from 1999 to 2004. We included a total of 6,035 Saudi births in the present study after eliminating babies that were stillbirths, twins or those with major congenital anomalies. The gestational age of the infants ranged from 26-42 weeks. The anthropometric measurements included birth weight, crown-heel length and head circumference. …
Lung Function In Type 1 Saudi Diabetic Patients, Sultan A. Meo, Abdul M. Al-Drees, Sayed F.A. Shah, Muhammad Arif, Khalid Al-Rubean
Lung Function In Type 1 Saudi Diabetic Patients, Sultan A. Meo, Abdul M. Al-Drees, Sayed F.A. Shah, Muhammad Arif, Khalid Al-Rubean
Saudi Medical Journal
OBJECTIVE: To determine the effects of type 1 diabetes mellitus on lung function and its gravity in relation to the duration of disease. METHODS: We carried out this study in the Department of Physiology, College of Medicine and Diabetic Center, King Abdul-Aziz University Hospital, King Saud University, Riyadh, Saudi Arabia during the period 2003-2004. We randomly selected a group of 27 apparently healthy volunteer Saudi male type 1 diabetic patients with age ranging from 19-70 years. We matched the diabetic patients with another group of 27 control healthy male subjects in terms of age, height, weight and socioeconomic status. Both …
The Use Of Mitomycin-C For Respiratory Papillomas. Clinical, Histologic And Biochemical Correlation, Ashraf H. Hamza, Manal M. Nasr, Akram A. Deghady
The Use Of Mitomycin-C For Respiratory Papillomas. Clinical, Histologic And Biochemical Correlation, Ashraf H. Hamza, Manal M. Nasr, Akram A. Deghady
Saudi Medical Journal
OBJECTIVE: To assess the clinical effects of mitomycin-C (MMC) on human papilloma virus (HPV)-infected tissues of the airway. METHODS: We included 10 patients with previous histologic diagnosis of recurrent respiratory papillomas (RRP) in this prospective study, conducted at the Department of Otolaryngology-Head and Neck Surgery, University of Alexandria, Egypt, between January 2000 and December 2002. Under general anesthesia, each patient underwent laser excision of all visible papillomas, followed by topical application of 1 cc of 0.5 mg/ml MMC. The procedure was repeated weekly until no visible papillomas could be microscopically detected. We histopathologically studied the obtained specimens and tested for …
Etiology Of Childhood Diarrhea In Zliten, Libya, Mustafa B. Ali, Khalifa S. Ghenghesh, Ridha B. Aissa, Ali Abuhelfaia, Mohamed Dufani
Etiology Of Childhood Diarrhea In Zliten, Libya, Mustafa B. Ali, Khalifa S. Ghenghesh, Ridha B. Aissa, Ali Abuhelfaia, Mohamed Dufani
Saudi Medical Journal
OBJECTIVE: To determine the etiological agents of diarrhea in children from a small semi-urban city in Libya and the association of age, gender, seasonal variation, breast-feeding, source of water for drinking, or antibiotic use with the isolation of enteropathogens and whether such agents are community or hospital acquired. METHODS: Using standard microbiological techniques we examined stool samples from 169 children (70 females) aged a few days to 12 years with acute diarrhea for viral, bacterial and parasitological agents. We used the disc diffusion method to determine the susceptibility of bacterial pathogens to antimicrobial agents. We carried out the study between …
Impact Of Health Education On Knowledge And Attitudes Of Saudi Paramedical Students Toward Hiv/Aids, Yagob Y. Al-Mazrou, Mohammad S. Abouzeid, Mohammad H. Al-Jeffri
Impact Of Health Education On Knowledge And Attitudes Of Saudi Paramedical Students Toward Hiv/Aids, Yagob Y. Al-Mazrou, Mohammad S. Abouzeid, Mohammad H. Al-Jeffri
Saudi Medical Journal
OBJECTIVE: To assess the impact of health education on the knowledge and attitudes of paramedical students in Saudi Arabia toward HIV/AIDS. METHODS: We carried out an interventional study on a sample selected from students of health institutes and health colleges in Saudi Arabia during the calendar year 2002-2003. RESULTS: The intervention shows a positive effect on students9 knowledge regarding means of transmission of HIV and means of protection from HIV/AIDS. Furthermore, it has a positive impact on students9 attitudes toward accepting discussion of AIDS topics with others, acceptance of home care for HIV infected family member and acceptance of HIV-infected …
Clinical Characteristics Of Crohn S Disease In Qatar, Mohammed T. Butt, Abdulbari Bener, Saad Al-Kaabi, Rafie Yakoub
Clinical Characteristics Of Crohn S Disease In Qatar, Mohammed T. Butt, Abdulbari Bener, Saad Al-Kaabi, Rafie Yakoub
Saudi Medical Journal
OBJECTIVE: To assess the clinical characteristics of Crohn9s disease (CD) in Qatar. METHODS: This is a retrospective descriptive study. We studied 50 CD patients admitted to Hamad General Hospital over a period of 8 years from January 1995 to December 2002. We retrospectively collected and analyzed the demographic and clinical data. We made the diagnostic classification of definite CD in accordance with the criteria based on the International Classification of Disease ninth revision [ICD-9]. We based the obtained information on the following parameters: the age at the time of admission, gender and Crohn9s risk factor profiles. RESULTS: Of the studied …
Thrombolytic Therapy In Acute Pulmonary Embolism Due To Heparin-Induced Thrombocytopenia Type Ii, Azza A. Alafify, Tarig S. Al-Khuwaitir, Abdurahman M. Al-Mugheiri, Djibril M Ndao
Thrombolytic Therapy In Acute Pulmonary Embolism Due To Heparin-Induced Thrombocytopenia Type Ii, Azza A. Alafify, Tarig S. Al-Khuwaitir, Abdurahman M. Al-Mugheiri, Djibril M Ndao
Saudi Medical Journal
Hospitalized patients are in danger of deep venous thrombosis either due to a genetic tendency, immobilization or the underlying medical condition. Paradoxically heparin, the substance used to prevent this complication, can lead to thrombo-embolic phenomena, which can be life threatening. We report a case of heparin-induced thrombocytopenia, which caused a massive pulmonary embolism, and its management by administering a thrombolytic agent in a situation where bleeding seems inevitable.
Essential Thrombocythemia In A Child. Diagnostic And Therapeutic Dilemma, Ramyar Asghar, Elahi Behzad, Golsorkhtabar-Amiri Mohammad
Essential Thrombocythemia In A Child. Diagnostic And Therapeutic Dilemma, Ramyar Asghar, Elahi Behzad, Golsorkhtabar-Amiri Mohammad
Saudi Medical Journal
We report an 11-year-old child with essential thrombocythemia ET, a very rare myeloproliferative disorder among children. Essential thrombocythemia can be complicated by life-threatening thrombosis with a risk of converting into acute leukemia. Cytoreductive therapy may reduce the risk of thromboembolic complications. We usually recommend cytoreductive treatment for asymptomatic adult patients with platelet counts of more than 1.5 million/micro liter, but treatment remains obscure in children. Herein, we report the results of child with ET, treated successfully with hydroxuea.
Albumin. Its Place In Critical Care Practice, Mariam A. Al-Ansari
Albumin. Its Place In Critical Care Practice, Mariam A. Al-Ansari
Saudi Medical Journal
No abstract provided.
Use Of Adrenaline As An Adjunct To Local Anesthetic Agent. A Cause Of Concern For The Anesthesiologist, Mobarak H. Ansari, Annamma Abraham
Use Of Adrenaline As An Adjunct To Local Anesthetic Agent. A Cause Of Concern For The Anesthesiologist, Mobarak H. Ansari, Annamma Abraham
Saudi Medical Journal
No abstract provided.
The Frequency Of Skin Diseases In Obese Children And Adult Iraqi Population, Khalifa E. Sharquie, Jamal R. Al-Rawi, Firas F. Al-Tamimi
The Frequency Of Skin Diseases In Obese Children And Adult Iraqi Population, Khalifa E. Sharquie, Jamal R. Al-Rawi, Firas F. Al-Tamimi
Saudi Medical Journal
No abstract provided.
Metastatic Malignancies Of Unknown Primary Site And Malignancies Of Unknown Origin Whether Primary Or Metastatic, Fayek Al-Hilli, Naseem A. Ansari
Metastatic Malignancies Of Unknown Primary Site And Malignancies Of Unknown Origin Whether Primary Or Metastatic, Fayek Al-Hilli, Naseem A. Ansari
Saudi Medical Journal
No abstract provided.
P53 And Heat Shock Protein 70 Expressions In Colorectal Adenocarcinoma, Ali M. Shotar
P53 And Heat Shock Protein 70 Expressions In Colorectal Adenocarcinoma, Ali M. Shotar
Saudi Medical Journal
OBJECTIVE: To examine the localization and over expression of heat shock protein 70 (HSP70) and p53 in patients with colorectal cancer and compared it with control tissue (including normal colon tissue). METHODS: This was a retrospective study of 60 patients with colorectal adenocarcinoma at the Jordan University of Science and Technology (JUST), Irbid, Jordan from 1997 to 2000. The Pathology Department at JUST is the chief provider of surgical pathology services in the north of Jordan. It receives specimens from both government and private hospitals. Immunohistochemistry was the technique of choice. RESULTS: The HSP70 was over expressed more highly in …
Amifostine Exerts Anti-Angiogenic Activity And Suppresses Vascular Endothelial Growth Factor Secreted By Hemopoietic Stem/Progenitor Cells, Salem M. Akel, Manar F. Atoum, Suleiman A. Saleh, Samir M. Awadallah
Amifostine Exerts Anti-Angiogenic Activity And Suppresses Vascular Endothelial Growth Factor Secreted By Hemopoietic Stem/Progenitor Cells, Salem M. Akel, Manar F. Atoum, Suleiman A. Saleh, Samir M. Awadallah
Saudi Medical Journal
OBJECTIVE: To assess, in vitro, the effect of Amifostine (AMF, WR-2721) on angiogenesis and levels of vascular endothelial growth factor (VEGF) secreted from hemopoietic stem/progenitor cell populations. METHODS: We conducted the study in the research laboratories of the Hashemite University, Jordan between September 2003 and January 2005 where we took samples were from Myelodysplastic syndrome (MDS) patients and healthy donors attending Al-Hussein Cancer Center and We determined the proliferation of human umbilical vein endothelial cells (HUVECs) in cultures supplemented with media conditioned with AMF-treated and AMF-untreated pure hemopoietic cells [CD34+ cells, and erythroid, myeloid and megakaryocytic progenitors]. Furthermore, in the …
Effect Of Parity On Bone Mineral Density Among Postmenopausal Saudi Arabian Women, Mir Sadat-Ali, Ibrahim Al-Habdan, Abdul-Aziz Al-Mulhim, Abdallah Y. El-Hassan
Effect Of Parity On Bone Mineral Density Among Postmenopausal Saudi Arabian Women, Mir Sadat-Ali, Ibrahim Al-Habdan, Abdul-Aziz Al-Mulhim, Abdallah Y. El-Hassan
Saudi Medical Journal
OBJECTIVE: Osteoporosis and osteopenia among postmenopausal Saudi Arabian women are common to the extent of over 60%. Pregnancy, multiparity and prolonged lactation are suggested as factors modifying negatively in the development of osteoporosis. Earlier reports from the institution indicated a beneficial role of multiparity in postmenopausal osteoporosis (PMO). We conducted this study to measure the effect of parity on bone mineral density (BMD) measurement of lumbar spine and the upper femur. METHODS: We conducted this prospective study at King Fahd Hospital of the University, College of Medicine, King Faisal University, Dammam, Saudi Arabia, between January 2002 and June 2003. This …
Mycobacterium Tuberculosis And Cd4+ T-Lymphopenia. A Grave Combination, Shahid Aziz, Awadh R. Al-Anazi, Mogbil A. Al-Hedaithy, Hani A. Al-Shobaili, Abdulkarim I. Al-Aska
Mycobacterium Tuberculosis And Cd4+ T-Lymphopenia. A Grave Combination, Shahid Aziz, Awadh R. Al-Anazi, Mogbil A. Al-Hedaithy, Hani A. Al-Shobaili, Abdulkarim I. Al-Aska
Saudi Medical Journal
No abstract provided.
Mechanism Of Cd11b Down-Regulation From Phorbol Myristate Acetate Stimulated Polymorphonuclear Neutrophils, Khalil A. Aziz
Mechanism Of Cd11b Down-Regulation From Phorbol Myristate Acetate Stimulated Polymorphonuclear Neutrophils, Khalil A. Aziz
Saudi Medical Journal
OBJECTIVE: To investigate the mechanism of CD11b down-regulation in phorbol myristate acetate (PMA) stimulated polymorphonuclear leukocytes (PMN). METHODS: Purified PMN were stimulated with PMA in the presence, or absence, of various enzyme inhibitors. Following stimulation, PMN CD11b expression was examined by flow cytometry and Western-blotting. The entire work was carried out at Liverpool University between the period of 1998 and 2001. RESULTS: Stimulation of PMN with PMA induced the down-regulation of CD11b by a mechanism involving a combination of an oxidant and a serine protease; most likely the primary granule derived elastase. CONCLUSION: The present study shows for the first …
Esophageal Foreign Bodies In Yemen, Mohamed Y. Al-Mahbashi, Yahia A. Rajaa
Esophageal Foreign Bodies In Yemen, Mohamed Y. Al-Mahbashi, Yahia A. Rajaa
Saudi Medical Journal
No abstract provided.
Management Of Difficult Airway In A Child With Arthrogryposis Multiplex Congenita During General Anesthesia, Remziye Sivaci, Canan Balci, Gokhan Maralcan, Ilhami Kuru
Management Of Difficult Airway In A Child With Arthrogryposis Multiplex Congenita During General Anesthesia, Remziye Sivaci, Canan Balci, Gokhan Maralcan, Ilhami Kuru
Saudi Medical Journal
No abstract provided.
The Criteria And Analysis Of Good Multiple Choice Questions In A Health Professional Setting, Ahmad A. Abdel-Hameed, Eiad A. Al-Faris, Ibrahim A. Alorainy, Mohammed O. Al-Rukban
The Criteria And Analysis Of Good Multiple Choice Questions In A Health Professional Setting, Ahmad A. Abdel-Hameed, Eiad A. Al-Faris, Ibrahim A. Alorainy, Mohammed O. Al-Rukban
Saudi Medical Journal
Assessment of health workers as students and professionals has a profound impact on their learning and is an essential safety valve before certification. It is used for their training, their placement, their certification, and their promotion. The multiple choice question MCQ type of tests represents one of the most important examination tools that is commonly used in this assessment. The MCQs can be reliable, valid, and cost-effective in assessing medical knowledge. This paper portrays the different purposes of assessment in the medical field. The paper discusses in detail the criteria of a good assessment tool. Interpretation of MCQ test results …