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Use Of Laryngeal Mask Airway For The Care Of Rhinoplasty, Jamil S. Anwari, Javaid Bhatti Mar 2005

Use Of Laryngeal Mask Airway For The Care Of Rhinoplasty, Jamil S. Anwari, Javaid Bhatti

Saudi Medical Journal

No abstract provided.


Retropubic Space Hemorrhage. An Unusual Complication In Cesarean Section, Vaidyanathan Gowri, Poornima Nair, Andrejz Krolikowski Mar 2005

Retropubic Space Hemorrhage. An Unusual Complication In Cesarean Section, Vaidyanathan Gowri, Poornima Nair, Andrejz Krolikowski

Saudi Medical Journal

No abstract provided.


The Epidemic Of The Metabolic Syndrome, Wael N. Elabbassi, Haissam A. Haddad Mar 2005

The Epidemic Of The Metabolic Syndrome, Wael N. Elabbassi, Haissam A. Haddad

Saudi Medical Journal

The incidence of metabolic syndrome (MS) is rising worldwide. This is partly due to a significant increase in the prevalence of obesity. Observational cross-sectional studies as well as demographic health surveys from the Middle East, point out that the prevalence of obesity increases from an average of 6% in healthy children to 20% in adolescent males and to a further 32% in elderly patients. The impact of obesity on our population is expected to be considerable; especially, as it feeds into further rising in the prevalence of hypertension, diabetes, MS and cardiovascular disease. The prevalence of MS in nondiabetic adults …


Chromosomal Instability Detected By Interphase Fluorescence In Situ Hybridization And Its Relation To P53 Alteration In Prostate Carcinoma In Saudi Patients, Jaudah A. Al-Maghrabi Mar 2005

Chromosomal Instability Detected By Interphase Fluorescence In Situ Hybridization And Its Relation To P53 Alteration In Prostate Carcinoma In Saudi Patients, Jaudah A. Al-Maghrabi

Saudi Medical Journal

OBJECTIVE: Chromosomal instability (CIN) is a feature of human neoplasm. The p53 mutation has been shown to be associated with CIN in many human dysplastic and neoplastic lesions. The objective of this study was to examine CIN and p53 mutations in prostate carcinoma (Pca) resected from Saudi patients. METHODS: Testing of p53 alteration using immunohistochemistry was performed on 28 archived prostatic carcinoma specimens containing Pca foci from Saudi patients seen at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia. Chromosomal instability was evaluated in the same tissues by interphase in situ hybridization (IFISH) using centromere probes for chromosome 7 …


Comparison Of Light Cycler Pcr And Conventional Susceptibility Testing For Detection Of Mrsa From Cultures, Mubarak S. Alfaresi Mar 2005

Comparison Of Light Cycler Pcr And Conventional Susceptibility Testing For Detection Of Mrsa From Cultures, Mubarak S. Alfaresi

Saudi Medical Journal

OBJECTIVE: To compare a duplex light cycler polymerase chain reaction (PCR) assay targeting the mecA gene and a Staphylococcus aureus (S. aureus) specific marker and the conventional method. METHODS: We evaluated 400 samples sent to the laboratory in Zayed Military Hospital, Abu Dhabi, United Arab Emirates for methicillin-resistant Staphylococcus aureus (MRSA) screening and routine bacterial cultures from the period January 2003 to January 2004. All samples were cultured and identified according to the National Committee for Clinical Laboratory Standard guidelines. Staphylococcus aureus were tested for methicillin susceptibility according to the guidelines. All Staphylococcus positive cultures underwent testing by the new …


Azithromycin Prophylaxis And Treatment Of Murine Toxoplasmosis, Khalid F. Tabbara, Ehab Hammouda, Abdulkader Tawfik, Othman M. Al-Omar Mar 2005

Azithromycin Prophylaxis And Treatment Of Murine Toxoplasmosis, Khalid F. Tabbara, Ehab Hammouda, Abdulkader Tawfik, Othman M. Al-Omar

Saudi Medical Journal

OBJECTIVE: To evaluate the azithromycin effects alone and in combination with other agents in the prophylaxis and treatment of murine toxoplasmosis. METHODS: A total of 280 BALB/c mice were included, and 2 x 103 Toxoplasma organisms of the RH strain Toxoplasma gondii strain ATCC50174 were given intraperitoneally to each mouse. In experiment one, 40 animals were given azithromycin 200 milligram/kilogram/daily for 3 days starting the day of inoculation, 40 mice were control. In experiment 2, the treatment was started 48 hours after inoculation and given daily for 3 days: one group received azithromycin 200 milligram/kilogram/day, the second group received pyrimethamine …


Biological And Morphological Effects On The Reproductive Organ Of Rats After Exposure To Electromagnetic Field, Meltem Ozguner, Ahmet Koyu, Gokhan Cesur, Mehmet Ural, Fehmi Ozguner, Alpaslan Gokcimen, Namik Delibas Mar 2005

Biological And Morphological Effects On The Reproductive Organ Of Rats After Exposure To Electromagnetic Field, Meltem Ozguner, Ahmet Koyu, Gokhan Cesur, Mehmet Ural, Fehmi Ozguner, Alpaslan Gokcimen, Namik Delibas

Saudi Medical Journal

OBJECTIVE: The biological effect of electromagnetic field (EMF) emitted from mobile phones is a current debate and still a controversial issue. Therefore, little is known on the possible adverse effects on reproduction as mobile phone bio-effects are only a very recent concern. The aim of this experimental study was to determine the biological and morphological effects of 900 MHz radiofrequency (RF) EMF on rat testes. METHODS: The study was performed in the Physiology and Histology Research Laboratories of Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey in May 2004. Twenty adult male Sprague-Dawley rats weighing 270 - 320 gm were …


Intracytoplasmic Sperm Injection After Total Conventional In-Vitro Fertilization Failure, Zouhair O. Amarin, Basil R. Obeidat, Abdulrahim A. Rouzi, Mohammad F. Jallad, Yousef S. Khader Mar 2005

Intracytoplasmic Sperm Injection After Total Conventional In-Vitro Fertilization Failure, Zouhair O. Amarin, Basil R. Obeidat, Abdulrahim A. Rouzi, Mohammad F. Jallad, Yousef S. Khader

Saudi Medical Journal

OBJECTIVE: This study assessed the value of delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization in patients with normal seminology. METHODS: A case series analysis was conducted on 82 couples who underwent delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization at Fakeeh Hospital, Jeddah, Kingdom of Saudi Arabia between January 1995 and January 2001. RESULTS: Seventy-eight couples had 616 unfertilized metaphase II mature oocytes after initial in-vitro fertilization. Second day "rescue" reinsemination by intracytoplasmic sperm injection (ICSI) resulted in 174 embryos that were suitable for transfer. This resulted in 4 clinical pregnancies (5.1% per started rescue …


Occupational Exposure To Urban Pollutants And Plasma Insulin, Simone De Sio, Maria V. Rosati, Emilia Cherubini, Manuela Ciarrocca, Tiziana P. Baccolo, Franca Grimaldi, Tiziana Caciari, Enrico Tomao, Francesco Tomei Mar 2005

Occupational Exposure To Urban Pollutants And Plasma Insulin, Simone De Sio, Maria V. Rosati, Emilia Cherubini, Manuela Ciarrocca, Tiziana P. Baccolo, Franca Grimaldi, Tiziana Caciari, Enrico Tomao, Francesco Tomei

Saudi Medical Journal

OBJECTIVE: The aim of this study was to investigate whether traffic police of a big city who are exposed to urban pollutants are at risk to alterations in plasma insulin concentrations compared with controls. METHODS: The class of workers examined in this study were employees of the municipal police in Rome, Italy. The study was carried out during the period March - April 2001. Traffic police were matched with a control group, where gender, age, working life and drinking habit were noted. A total of 246 traffic police (128 men and 118 women) with outdoor activity and exposure to urban …


Prevalence Of Hypocalcemia In Children Examined For Serum Calcium In Sana'a, Yemen, Mabrook A. Binmohanna, Yahia A. Rajaa, Ghassan A. Saif Mar 2005

Prevalence Of Hypocalcemia In Children Examined For Serum Calcium In Sana'a, Yemen, Mabrook A. Binmohanna, Yahia A. Rajaa, Ghassan A. Saif

Saudi Medical Journal

OBJECTIVE: To estimate the prevalence of hypocalcemia in children examined for serum calcium. METHODS: A record-based study was carried out in the Specialized Pediatric Center in Sana9a city, Yemen during the 4 year period 1999 to 2003. Out of 90600 patients seen for different causes, 310 (0.34%) were subjected to serum calcium level examination. Data regarding age and gender were also collected. RESULTS: The median age of the patients was 5 months, with minimum age of one day and maximum age of 4 years. Prevalence of hypocalcemia among children examined for serum calcium was 58%, 60% of them were males …


Risk Factors For Asthma Among Primary School Children In Baghdad, Iraq, Waqar Al-Kubaisy, Shatha H. Ali, Dawood Al-Thamiri Mar 2005

Risk Factors For Asthma Among Primary School Children In Baghdad, Iraq, Waqar Al-Kubaisy, Shatha H. Ali, Dawood Al-Thamiri

Saudi Medical Journal

OBJECTIVE: Asthma is one of the most common chronic diseases of children. To fill the gap in data concerning this disease in Iraq, we investigated the socio-demographic and other risk factors related to asthma occurrence among primary school children. METHODS: A case control study was conducted in Baghdad, Iraq among primary school children aged 6-12 years, for the period between October 2000 and June 2002. Six hundred and forty-four children with asthma were investigated with a control group of 1618 children without asthma. Well-constructed standardized modified questionnaires of International Study of Asthma and Allergies in Childhood were completed by the …


Frontal Sinus Cementifying Ossifying Fibroma, Kamal-Eldin A. Abou-Elhamd Mar 2005

Frontal Sinus Cementifying Ossifying Fibroma, Kamal-Eldin A. Abou-Elhamd

Saudi Medical Journal

Cementifying ossifying fibroma is a fibro-osseous lesion which produces cementum. Cementifying ossifying fibroma is a mesodermal, non-odontogenic tumor of ectopic multipotential periodontal membrane blast cells. Although, it is a benign bone tumor, it has an aggressive destructive behavior in patients under 20 years of age with high tendency for recurrence. Cementifying ossifying fibroma can be recognized microscopically by the presence of cementicles. This is a case of frontal sinus cementifying ossifying fibroma presenting with proptosis in a 39-year-old male.


Successful Treatment Of Brucella Endocarditis With Aortic Root Abscess, Abdal-Rahman H. Alhyari, Faris G. Bakri, Moath M. Al-Smady Mar 2005

Successful Treatment Of Brucella Endocarditis With Aortic Root Abscess, Abdal-Rahman H. Alhyari, Faris G. Bakri, Moath M. Al-Smady

Saudi Medical Journal

Brucella endocarditis is a rare but fatal complication of Brucellosis, it causes destructive valvular lesions. The aortic valve is the most common affected site. We present a case of Brucella endocarditis with aortic root abscess, the patient received a prolonged combination of antibiotic therapy, and underwent aortic valve replacement. After one and a half years of follow up, the patient is still without signs of recurrence. The high mortality in Brucella endocarditis can be overcome by early diagnosis and aggressive therapy.


Hepatocellular Carcinoma Directly Invading The Duodenum, Abdelrahman O. Mohamed, Sandhya Joshi, Janusz Czechowski, Frank Branicki Mar 2005

Hepatocellular Carcinoma Directly Invading The Duodenum, Abdelrahman O. Mohamed, Sandhya Joshi, Janusz Czechowski, Frank Branicki

Saudi Medical Journal

Recurrent gastrointestinal bleeding from hepatocellular carcinoma HCC invading the duodenum is very rare. We present a case of 50-year-old male who was admitted with a history of recurrent upper gastrointestinal tract UGIT bleeding, weight loss and anemia. The patient was known to have a chronic hepatitis C. Endoscopic examination showed grade-2 non-bleeding esophageal varices, and a large ulcerated duodenal mass partially obstructing the duodenal bulb outlet and causing recurrent UGIT bleeding. Pathological evaluation of the mass revealed HCC.


Does Prolonged Semi-Erection In Prepubertal High Flow Priapism Result In Increased Penile Size?, Ziad M. Awwad Mar 2005

Does Prolonged Semi-Erection In Prepubertal High Flow Priapism Result In Increased Penile Size?, Ziad M. Awwad

Saudi Medical Journal

High flow priapism is a rare pathology resulting mainly from trauma to the perineum leading to arterial-lacunar fistula. Management includes arterial embolization using absorbable material, as well as conservative approach. In this case, the effect of prolonged semi-erection in prepubertal high flow priapism on increased penile size is discussed.


Antiphospholipid Syndrome Among Bahraini Patients, Reda A. Ebrahim, Iman A. Farid, Hussain T. Wahab, Ryiadh A. Salman Mar 2005

Antiphospholipid Syndrome Among Bahraini Patients, Reda A. Ebrahim, Iman A. Farid, Hussain T. Wahab, Ryiadh A. Salman

Saudi Medical Journal

No abstract provided.


Contribution Study Of Visceral Leishmaniasis In Syria, Samar Al-Nahhas, Maha Shaaban, Lana Hammoud Mar 2005

Contribution Study Of Visceral Leishmaniasis In Syria, Samar Al-Nahhas, Maha Shaaban, Lana Hammoud

Saudi Medical Journal

No abstract provided.


Vitiligo And Human Herpesvirus 6. Is There A Relationship?, Ali K. Adiloglu, Pinar Y. Basak, Rabia Can, Vahide B. Akkaya Mar 2005

Vitiligo And Human Herpesvirus 6. Is There A Relationship?, Ali K. Adiloglu, Pinar Y. Basak, Rabia Can, Vahide B. Akkaya

Saudi Medical Journal

No abstract provided.


Pregnancy Outcome Following Exposure To Orlistat, Ramipril, Glimepiride In A Woman With Metabolic Syndrome, Nuri I. Kalyoncu, Fusun Yaris, Mine Kadioglu, Murat Kesim, Cunay Ulku, Ersin Yaris, Mesut Unsal, Mustafa Dikici Mar 2005

Pregnancy Outcome Following Exposure To Orlistat, Ramipril, Glimepiride In A Woman With Metabolic Syndrome, Nuri I. Kalyoncu, Fusun Yaris, Mine Kadioglu, Murat Kesim, Cunay Ulku, Ersin Yaris, Mesut Unsal, Mustafa Dikici

Saudi Medical Journal

No abstract provided.


Neutropenia, Khalil A. Aziz, Talal A. Sallam, Yasser Al-Ankoodi Mar 2005

Neutropenia, Khalil A. Aziz, Talal A. Sallam, Yasser Al-Ankoodi

Saudi Medical Journal

No abstract provided.


Survival Analysis Of Patients With Idiopathic Dilated Cardiomyopathy In Oman, Ajit K. Agarwal, Poothirikovil Venugopalan, Ayyril Meharali, David De Bono Feb 2005

Survival Analysis Of Patients With Idiopathic Dilated Cardiomyopathy In Oman, Ajit K. Agarwal, Poothirikovil Venugopalan, Ayyril Meharali, David De Bono

Saudi Medical Journal

OBJECTIVE: To study the 10-year survival of adults with idiopathic dilated cardiomyopathy (IDC) in Oman. METHODS: Ninety-seven patients aged >13 years with IDC attending the Cardiology Unit, Sultan Qaboos University Hospital, Muscat, Oman from 1992-1995 were prospectively studied, in order to identify the outcome and factors contributing to death. RESULTS: Among 97 patients, 2 died from acute heart failure at presentation. The remaining 95 patients were followed up for periods ranging from 1-10 years (median 7 years). Twenty-four out of 95 patients exhibited clinical deterioration with reduced left ventricular ejection fraction (LVEF), by 5-11%, and 17 of them expired due …


An Audit Of Acute Pain Service In Central, Saudi Arabia, Jamil. S. Anwari, Faham Ahmed, Tajammal Mustafa Feb 2005

An Audit Of Acute Pain Service In Central, Saudi Arabia, Jamil. S. Anwari, Faham Ahmed, Tajammal Mustafa

Saudi Medical Journal

OBJECTIVE: A retrospective analysis of acute pain service (APS) was performed to look at the epidural and patient-controlled analgesia (PCA) with respect to their indications, duration and quality of pain control, dosage regimen and common side effects. METHODS: This study was conducted in the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. All APS monitoring forms, from the year 1994 to 2003 were collected. Every tenth PCA and epidural form was then randomly taken out and reviewed. From each sample form information concerning operation, analgesic modality (epidural or PCA), its duration, side effects and non-steroidal anti-inflammatory drug (NSAID) use was …


Overview Of Bronchiolitis, Hend A. Bafagih, Maha M. Al-Dabbagh Feb 2005

Overview Of Bronchiolitis, Hend A. Bafagih, Maha M. Al-Dabbagh

Saudi Medical Journal

Respiratory syncytial virus RSV, a nonsegmented, single stranded ribonucleic acid virus, infects one-half of all infants within the first year of life. Respiratory syncytial virus possesses pathogenetic qualities that may be attributed to the interplay of viral and host-specific factors including virus strains of different virulence, size of the inoculum, family history of asthma or airway hyper-reactivity and immunologic anomalies of the host. Inflammatory cell recruitment and activation occur in response to RSV infection of epithelial cells. Epithelial cells initiate the inflammatory response to RSV by elaborating a wide variety of cytokines and chemokines that trigger further inflammatory responses. Treatment …


Clustering Of Coronary Artery Disease Risk Factors In Jordanian Hypertensive Patients, Nadia F Khasawneh, Saafan Al-Safi, Abla Albsoul-Younes, Ousayla N. Borqan Feb 2005

Clustering Of Coronary Artery Disease Risk Factors In Jordanian Hypertensive Patients, Nadia F Khasawneh, Saafan Al-Safi, Abla Albsoul-Younes, Ousayla N. Borqan

Saudi Medical Journal

OBJECTIVE: To assess the coronary artery disease risk factors in hypertensive Jordanian patients in various hospitals in Jordan. METHODS: Two hundred and seven patients were assessed by physicians in various hospitals in Jordan including King Hussein Medical Center , Prince Rashid Medical Hospital and King Abdullah University Hospital Primary Health Care Internal Medicine Clinic from March 2003 to October 2003. Clinical assessment included blood pressure (BP), anthropometric data, metabolic and chemical profile were collected. RESULTS: The average age of sample was 58.9 + 11.28 years old. The mean body mass index was 29.4 + 6.4 kg/m2, 77 patients (37.2%) were …


Outcome Of Patients With Hematological Malignancies Admitted To The Intensive Care Unit With Life-Threatening Complications, Ahmed S. Bahammam, Sayed J. Basha, Mohammed I. Masood, Shafi A. Shaik Feb 2005

Outcome Of Patients With Hematological Malignancies Admitted To The Intensive Care Unit With Life-Threatening Complications, Ahmed S. Bahammam, Sayed J. Basha, Mohammed I. Masood, Shafi A. Shaik

Saudi Medical Journal

OBJECTIVE: To assess the outcome of patients with hematological malignancies (HM) admitted to medical intensive care unit (MICU) and to identify prognostic factors that may affect patients9 outcome. METHODS: Data were collected in 44 patients with HM admitted to the MICU at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia within a 9-year period from 1993 to 2004. Demographic, physiological, clinical, laboratory and therapeutic data were collected on admission to MICU. RESULTS: Thirty-four percent of the patients had acute lymphocytic leukemia; 25% had acute myelocytic leukemia (AML) followed by non-Hodgkin9s lymphoma in 20%, only 13.6% of these patients were …


Non-Invasive Diagnosis Of Fetal Anemia Due To Maternal Red-Cell Alloimmunization, Badreldeen Ahmed, Zahra Ghaffari, Rana S. Ismail, Najah Saleh Feb 2005

Non-Invasive Diagnosis Of Fetal Anemia Due To Maternal Red-Cell Alloimmunization, Badreldeen Ahmed, Zahra Ghaffari, Rana S. Ismail, Najah Saleh

Saudi Medical Journal

OBJECTIVE: To determine the value of measurement of velocity of the middle cerebral artery (MCA) in the prediction of fetal anemia in alloimmunized pregnancies without ultrasound evidence of hydrops and to see if this could replace the invasive techniques in the diagnosis and management of this condition. METHODS: In a prospective cohort study, 65 non-hydropic fetuses with red blood cell alloimmunization were evaluated with ultrasound and Doppler imaging. This study was carried out at Feto Maternal Medicine Unit at Women9s Hospital, Hamad Medical Corporation, Doha, Qatar from January 2003 to December 2003. Middle cerebral artery-peak systolic velocity (PSV) was measured. …


Lennert's Lymphoma, Suresh T. Narayanrao, Rajasekharan Pillai, Aymen Nada, Suhel Hasan Feb 2005

Lennert's Lymphoma, Suresh T. Narayanrao, Rajasekharan Pillai, Aymen Nada, Suhel Hasan

Saudi Medical Journal

Lymphoepithelioid cell lymphoma Lennert9s Lymphoma is a rare morphological variant of peripheral T-cell lymphoma characterized by the presence of numerous clusters of epithelioid histiocytes without formation of discrete granulomas and the intervening atypical lymphocytes. Lennert9s lymphoma is often misinterpreted as granulomatous lymphadenitis or Hodgkin9s disease. This report describes fine needle aspiration cytology and histological findings in a case of Lennert9s lymphoma.


New Intralesional Therapy For Basal Cell Carcinoma By 2% Zinc Sulphate Solution, Khalifa E. Sharquie, Adil A. Al-Nuaimy, Fadhil A. Al-Shimary Feb 2005

New Intralesional Therapy For Basal Cell Carcinoma By 2% Zinc Sulphate Solution, Khalifa E. Sharquie, Adil A. Al-Nuaimy, Fadhil A. Al-Shimary

Saudi Medical Journal

No abstract provided.


Experiences In Rapid Diagnosis Of Brucella Bacteremia Using The Bact/Alert 120 System, Mubarak S. Alfaresi Feb 2005

Experiences In Rapid Diagnosis Of Brucella Bacteremia Using The Bact/Alert 120 System, Mubarak S. Alfaresi

Saudi Medical Journal

No abstract provided.


Fibrous Histiocytoma Of The Breast, Abdul-Wahed N. Meshikhes, Ghulam M. Jan, Abdulla H. Al-Jaroof Feb 2005

Fibrous Histiocytoma Of The Breast, Abdul-Wahed N. Meshikhes, Ghulam M. Jan, Abdulla H. Al-Jaroof

Saudi Medical Journal

Two Saudi females aged 26 and 14 years presented with giant fibroadenomas. The histology after surgical excision revealed benign fibrous histiocytomas. Patient one remained well with no apparent recurrence after 5 years of the initial excision. However, in patient 2 the benign fibrous histiocytoma recurred with low-grade malignancy after a year of the initial excision. A high-grade recurrence developed after 3 months of the second excision. This was treated by radical wide excision. It was felt later that mastectomy was more appropriate and therefore was performed. The second patient highlights the fact that malignant histiocytoma can occur in the pediatric …