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Psychosocial Functioning And Determinants Of Domestic Violence Among Women. An Epidemiological Study, Farouk M. Shakhatreh, Rowaida M. Maaitah, Montaha K. Gharaibeh Feb 2005

Psychosocial Functioning And Determinants Of Domestic Violence Among Women. An Epidemiological Study, Farouk M. Shakhatreh, Rowaida M. Maaitah, Montaha K. Gharaibeh

Saudi Medical Journal

No abstract provided.


Contaminated Physician's Stethoscope - A Potential Source Of Transmission Of Infection In The Hospital. Need Of Frequent Disinfection After Use, Bodh R. Panhotra, Anil K. Saxena, Abdulrahman S. Al-Mulhim Feb 2005

Contaminated Physician's Stethoscope - A Potential Source Of Transmission Of Infection In The Hospital. Need Of Frequent Disinfection After Use, Bodh R. Panhotra, Anil K. Saxena, Abdulrahman S. Al-Mulhim

Saudi Medical Journal

No abstract provided.


Health, Globalization And Developing Countries, Nesrin Cilingiroglu Feb 2005

Health, Globalization And Developing Countries, Nesrin Cilingiroglu

Saudi Medical Journal

In health care today, scientific and technological frontiers are expanding at unprecedented rates, even as economic and financial pressures shrink profit margins, intensify competition, and constrain the funds available for investment. Therefore, the world today has more economic, and social opportunities for people than 10 or 100 years since globalization has created a new ground somewhat characterized by rapid economic transformation, deregulation of national markets by new trade regimes, amazing transport, electronic communication possibilities and high turnover of foreign investment and capital flow as well as skilled labor. These trends can easily mask great inequalities in developing countries such as …


Dietary Macronutrient Intake Of Saudi Males And Its Relationship To Classical Coronary Risk Factors, Eman M. Alissa, Suhad M. Bahijri, Gordon A. Ferns Feb 2005

Dietary Macronutrient Intake Of Saudi Males And Its Relationship To Classical Coronary Risk Factors, Eman M. Alissa, Suhad M. Bahijri, Gordon A. Ferns

Saudi Medical Journal

OBJECTIVE: To investigate whether the dietary intake of energy; macronutrients; and fiber differ between age groups, racial groups and socio-economic classes among males from the Western province of Kingdom of Saudi Arabia (KSA). METHODS: Data were collected from 303 male subjects, aged 15-80 years. They were selected randomly from King Abdul-Aziz University Hospital, Jeddah, KSA from October 2001 to November 2003 and grouped according to their age into 3 groups. The subjects were asked to complete a questionnaire concerning their demographic characteristics, health history, lifestyle, and dietary habits. RESULTS: Energy and carbohydrates intake fell with age (p<0.05). Total dietary carbohydrates and fat intake were similar for all groups when expressed as a percentage of energy intake. The percentage energy as protein increased with age (p<0.05). Mean cholesterol intake was high for all groups, but fell with age group (p<0.0001). Saturated fat and monounsaturated fat intake, expressed as percentage energy intake were both high, whereas polyunsaturated fat intake was low. The youngest group had the highest percentage energy provided by saturated fatty acid (p<0.001), and the lowest percentage energy as polyunsaturated fatty acid (p<0.05) compared to the other groups. The intake of fibre rose with age was significantly higher in the older group (p<0.05). CONCLUSION: Diet consumed by urban dwellers in KSA appears to have resulted in an imbalance of macronutrient intake among all sectors of the population. This problem can only be averted by raising public awareness and the development of appropriate population-specific nutritional guidelines.


The Effect Of Dietary Supplementation Of N-Acetyl-L-Cysteine On Glutathione Concentration And Lipid Peroxidation In Cigarette Smoke-Exposed Rats Fed A Low-Protein Diet, Adel A. Alhamdan Feb 2005

The Effect Of Dietary Supplementation Of N-Acetyl-L-Cysteine On Glutathione Concentration And Lipid Peroxidation In Cigarette Smoke-Exposed Rats Fed A Low-Protein Diet, Adel A. Alhamdan

Saudi Medical Journal

OBJECTIVE: The aim of the study is to investigate the modulatory effects of dietary supplementation of N-acetyl-L-cysteine (NAC) on glutathione (GSH) concentration in liver and lung, and lipid peroxidation in cigarette smoke-exposed rats fed a low-protein diet. METHODS: Rats were divided randomly into 4 dietary groups; 8 per group. The control group (Group 1) was fed a normal-protein diet and received room air as a sham-smoke exposure. Group 2 was fed a normal-protein diet, Group 3 was fed with a low-protein diet and Group 4 was fed with a low-protein diet supplemented with NAC, and exposed to the smoke of …


Prevalence Of Chronic Venous Insufficiency In The Saudi Adult Population, Khalid O. Bawakid, Rajaa M. Al-Raddadi, Sameer S. Sabban, Khalid A. Alturky, Mahmoud S. Mohamed Feb 2005

Prevalence Of Chronic Venous Insufficiency In The Saudi Adult Population, Khalid O. Bawakid, Rajaa M. Al-Raddadi, Sameer S. Sabban, Khalid A. Alturky, Mahmoud S. Mohamed

Saudi Medical Journal

OBJECTIVE: To estimate the prevalence of chronic venous insufficiency (CVI) in the Saudi adult population and to identify the association of CVI with possible risk factors. METHODS: Sixteen Primary Health Care (PHC) centers have been randomly selected in various districts of 3 major cities of Kingdom of Saudi Arabia, including Jeddah, Makkah and Dammam during the year 2001. Every Saudi patient, of both sexes and aged >18 years, visiting the selected PHC centres for any reason, was eligible. The study was conducted during 6 consecutive days. Patients9 history, demographics and risk factors were recorded and clinical examination was performed in …


The Use Of A Standardized Pre-Participation Physical Examination Form In Turkish Adolescent Athletes, Hakan Yaman, Halil Ozbas, Fusun Toraman, Aylin Yaman Feb 2005

The Use Of A Standardized Pre-Participation Physical Examination Form In Turkish Adolescent Athletes, Hakan Yaman, Halil Ozbas, Fusun Toraman, Aylin Yaman

Saudi Medical Journal

OBJECTIVE: The pre-participation physical examination (PPE) has become the standard of care for athletes of all ages. The PPE is generally intended to identify medical conditions that may affect safe and effective participation in organized sports. The aim of this study is to validate and to implement a standardized questionnaire in Turkish language, which might aid Turkish physicians during the PPE. METHODS: A total of 1350 athletes visiting the yearly PPE of the Directorate of Sports and Youth in Isparta, Turkey were asked to participate in this study between October 2001 and November 2001. Eight hundred and ten (60%) students …


Adolescent Reproductive Health And Gender Role Attitudes In Oman, Yasmin A. Jaffer, Mustafa M. Afifi Feb 2005

Adolescent Reproductive Health And Gender Role Attitudes In Oman, Yasmin A. Jaffer, Mustafa M. Afifi

Saudi Medical Journal

OBJECTIVE: The aim of the study was to investigate the attitudes of Omani adolescents towards the different gender roles and women empowerment with regard to taking household decisions, and to study how they influenced the adolescents9 knowledge and attitudes towards some reproductive health issues in a national representative secondary schools-based sample of 1670 boys and 1675 girls. METHODS: In 2001, through a self administrated questionnaire the adolescents answered 2 indices; adolescents Attitudes Toward Gender Roles (ATGR) and adolescents Attitudes Toward Women Empowerment (ATWE) in addition to answering questions on demographic data, environmental factors, and questions assessing their knowledge and attitudes …


Nodular Lymphocyte Predominant Hodgkin's Lymphoma, Neelam Siddiqui, Abdulrahman I. Al-Diab Feb 2005

Nodular Lymphocyte Predominant Hodgkin's Lymphoma, Neelam Siddiqui, Abdulrahman I. Al-Diab

Saudi Medical Journal

OBJECTIVE: To describe the clinicopathological features, treatment, treatment outcome and sequelae of patients with nodular lymphocyte predominant Hodgkin9s lymphoma (NLPHL) in a Saudi population. METHODS: This is a retrospective review of 29 patients with lymphocyte predominant Hodgkin9s lymphoma treated at 2 major hospitals (King Khalid University Hospital and Security Forces Hospital) in Riyadh, Kingdom of Saudi Arabia from 1985 to 2000. Histological subtypes were confirmed by review of hematoxylin and eosin paraffin sections and immunochemistry. Details of clinical presentation, stage, treatment and results of treatment were analyzed. RESULTS: On pathological reappraisal of the 29 cases, 3 patients had nodular sclerosis …


Uterine Ruptures In Yemen, Abdalla E. Diab Feb 2005

Uterine Ruptures In Yemen, Abdalla E. Diab

Saudi Medical Journal

OBJECTIVE: To study the incidence, risk factors, clinical presentation, maternal morbidity and mortality, and perinatal mortality in cases with ruptured gravid uterus. METHODS: All cases with diagnosis of uterine rupture at Saudi Hospital at Hajjah, Yemen during 5-years period from April 1999 to March 2004 were studied. Detailed informations were obtained by reviewing hospital records. RESULTS: Out of the total number of deliveries during the period (N=5547), 60 cases had uterine rupture giving a hospital incidence of one in 92 deliveries (1.1%). Forty-three cases (71.7%) with unscarred uterus and 17(28.3%) had a previous cesarean scar. Poor antenatal and intra-natal care …


Epidemiology Of Antibody To Hepatitis B Core Antigen Screening Among Blood Donors In Eastern Saudi Arabia . Need To Replace The Test By Hbv Dna Testing, Bodh R. Panhotra, Ahmed Al-Bahrani, Zahoor Ul-Hassan Feb 2005

Epidemiology Of Antibody To Hepatitis B Core Antigen Screening Among Blood Donors In Eastern Saudi Arabia . Need To Replace The Test By Hbv Dna Testing, Bodh R. Panhotra, Ahmed Al-Bahrani, Zahoor Ul-Hassan

Saudi Medical Journal

OBJECTIVE: Prevention of the residual risk of transfusion transmitted hepatitis B virus (HBV) infection is mostly relied on serological screening of blood donors for antibody to hepatitis B core antigen (HBc), to detect donors in window period of HBV infection. This study was carried out to determine the prevalence of anti-HBc antibody among blood donors and its impact on rejection of collected blood units. METHODS: Blood bank records of all the blood donors who donated blood at blood bank of King Fahad Hospital, Al-Hofuf, Kingdom of Saudi Arabia, during the period of 2000 to 2003 were reviewed. All the collected …


Abdominal Tuberculosis. On-Going Challenge To Gastroenterologists, Mahgoub Ibrahim, Abimbola O. Osoba Feb 2005

Abdominal Tuberculosis. On-Going Challenge To Gastroenterologists, Mahgoub Ibrahim, Abimbola O. Osoba

Saudi Medical Journal

OBJECTIVE: The aim of this study is to record the observations and experience on the diagnosis and management of abdominal tuberculosis (TB) and to highlight the difficulties in the diagnosis and management of this condition. METHODS: Two hundred consecutive patients attending the Gastroenterology Department of the King Khalid National Guard Hospital, Jeddah, Kingdom of Saudi Arabia between May 1991 and May 2001, suspected with abdominal TB were investigated. A detailed clinical history and physical examination were obtained. Data of 75 confirmed cases of abdominal TB were analyzed. RESULTS: The most common presenting symptoms were anorexia (84%), abdominal pain (84%) and …


Immune Response To Hepatitis B Vaccine Among Children In Yemen, Talal A. Sallam, Haifa M. Alghshm, Arwa A. Ablohom, Mona S. Alarosi, Rasha E. Almotawakel, Nasrah H. Farea, Abdo A. Mosleh Feb 2005

Immune Response To Hepatitis B Vaccine Among Children In Yemen, Talal A. Sallam, Haifa M. Alghshm, Arwa A. Ablohom, Mona S. Alarosi, Rasha E. Almotawakel, Nasrah H. Farea, Abdo A. Mosleh

Saudi Medical Journal

OBJECTIVE: This study looks into the immune response to hepatitis B vaccine (HBV) among children who completed the 3 doses of vaccine 7-years after inclusion of HBV vaccination to the National Extended Program for Immunizations (EPI) in Yemen. METHODS: Between March 2002 and October 2002, a total of 170 children, aged 13-73 months with a mean age of 43.64 ± 17.42 SD months; and have completed the 3 HBV vaccine doses were investigated for immune response to HBV vaccine by quantifying anti-HBs. Past infection was investigated by testing children to total anti-HBc. RESULTS: Of all children, 49.4% were males and …


Successful Intrauterine Aspiration Of A Large Fetal Ovarian Cyst, Eftekhar H. Al-Ojaimi Feb 2005

Successful Intrauterine Aspiration Of A Large Fetal Ovarian Cyst, Eftekhar H. Al-Ojaimi

Saudi Medical Journal

A 32-year-old Bahraini lady with a large fetal intra-abdominal cyst detected antenatally on ultrasound examination at 16 weeks of gestation. The cyst was simple anechoic, increasing in size and causing progressive displacement of the fetal thoracic organs. A successful intrauterine needle aspiration was carried out under ultrasound guidance at 30 weeks gestation without maternal or fetal morbidity. Cytology of the cyst fluid showed luteinized granulosa cells and biochemistry demonstrated high concentrations of estradiol, progesterone, and testosterone that confirmed the etiology of the cyst as ovarian. There was no evidence of recurrence following aspiration and no further need for postnatal surgery.


Percutaneous Nephrolithotripsy In Supine Position In Yemen, Tawfik Baadani, Mohammed Alwan, Ibraheim Alnono, Ismail Al-Meslemi Feb 2005

Percutaneous Nephrolithotripsy In Supine Position In Yemen, Tawfik Baadani, Mohammed Alwan, Ibraheim Alnono, Ismail Al-Meslemi

Saudi Medical Journal

No abstract provided.


Is Quality Of Diabetic Care Up To The Standards?, Manal M. Khorsheed, Fahad S. Tayyeb Feb 2005

Is Quality Of Diabetic Care Up To The Standards?, Manal M. Khorsheed, Fahad S. Tayyeb

Saudi Medical Journal

No abstract provided.


A Sero-Epidemiologic Study On Cystic Echinococcosis In Midwestern Region Of Turkey, Zafer Cetinkaya, Ihsan H. Ciftci, Reha Demirel, Mustafa Altindis, Erol Ayaz Feb 2005

A Sero-Epidemiologic Study On Cystic Echinococcosis In Midwestern Region Of Turkey, Zafer Cetinkaya, Ihsan H. Ciftci, Reha Demirel, Mustafa Altindis, Erol Ayaz

Saudi Medical Journal

No abstract provided.


Evaluation Of An Emergency Service Attempted By The Saudi Red Crescent Society, Khalid O. Dhaffar, Abdul F. Sindy, Zohair J. Gazzaz, Javeria Shabaz Feb 2005

Evaluation Of An Emergency Service Attempted By The Saudi Red Crescent Society, Khalid O. Dhaffar, Abdul F. Sindy, Zohair J. Gazzaz, Javeria Shabaz

Saudi Medical Journal

No abstract provided.


Detecting Of Mycoplasma Genitalium In Male Patients With Urethritis Symptoms In Turkey By Polymerase Chain Reaction., Istar Dolapci, Alper Tekeli, Murat Ozsan, Onder Yaman, Sureyya Ergin, Atilla Elhan Jan 2005

Detecting Of Mycoplasma Genitalium In Male Patients With Urethritis Symptoms In Turkey By Polymerase Chain Reaction., Istar Dolapci, Alper Tekeli, Murat Ozsan, Onder Yaman, Sureyya Ergin, Atilla Elhan

Saudi Medical Journal

OBJECTIVES: The aim of this study was to investigate the incidence of Mycoplasma genitalium in the urine samples of 63 male patients who had urethritis symptoms. Along with Neisseria gonorrhoeae (N. gonorrhoeae) and Chlamydia trachomatis (C. trachomatis). We also investigated Mycoplasma hominis (M. hominis) and Ureaplasma urealyticum (U. urealyticum), both of which are known to cause urethritis. METHODS: Microorganisms were investigated in urine samples of the patients with polymerase chain reaction. The study was conducted between September 2003 - February 2004 at the Department of Microbiology and Clinical Microbiology Ankara University School of Medicine, Ankara, Turkey. RESULTS: A total of …


Hallucinogenic Plant Poisoning In Children., Adnan M. Al-Shaikh, Zakira M. Sablay Jan 2005

Hallucinogenic Plant Poisoning In Children., Adnan M. Al-Shaikh, Zakira M. Sablay

Saudi Medical Journal

Datura is a hallucinogenic plant found in urban or rural areas in the Kingdom of Saudi Arabia KSA. It grows wildly in many parts of the country. Its taste and shape makes it unattractive to both man and animals, though deliberate use by young adults for its hallucinogenic effects have been widely reported for the past 30 years. Datura contains 3 main toxic alkaloids: atropine, scopolamine and hyoscamine. Consumption of any part of the plant can result in severe anticholinergic toxicity. Clinical symptoms are those seen in atropine poisoning, particularly mydriasis and hallucinations. Children have a special susceptibility to atropine …


Hypovolemic Cardiac Arrest After Dental Extraction. An Unexpected High-Flow Maxillar Arteriovenous Malformation., Fatma Saricaoglu, Elif Basgul, Aydin Erden, Ulku Aypar Jan 2005

Hypovolemic Cardiac Arrest After Dental Extraction. An Unexpected High-Flow Maxillar Arteriovenous Malformation., Fatma Saricaoglu, Elif Basgul, Aydin Erden, Ulku Aypar

Saudi Medical Journal

No abstract provided.


Health Insurance. A Need Of Time., Shabih Manzar Jan 2005

Health Insurance. A Need Of Time., Shabih Manzar

Saudi Medical Journal

No abstract provided.


Al-Aqeel Sewairi Syndrome, A New Autosomal Recessive Disorder With Multicentric Osteolysis, Nodulosis And Arthropathy. The First Genetic Defect Of Matrix Metalloproteinase 2 Gene., Aida I. Al-Aqeel Jan 2005

Al-Aqeel Sewairi Syndrome, A New Autosomal Recessive Disorder With Multicentric Osteolysis, Nodulosis And Arthropathy. The First Genetic Defect Of Matrix Metalloproteinase 2 Gene., Aida I. Al-Aqeel

Saudi Medical Journal

OBJECTIVES: We report a distinctive autosomal recessive multicentric osteolysis in Saudi Arabian families with distal arthropathy of the metacarpal, metatarsal and interphalangeal joints, with ultimate progression to the proximal joints with decreased range of movements and deformities with ankylosis and generalized osteopenia. In addition, they had large, painful to touch palmar and plantar pads. Hirsutism and mild dysmorphic facial features including proptosis, a narrow nasal bridge, bulbous nose and micrognathia. METHODS: Using a genome-wide search for microsatellite markers from 11 members of the family from the Armed Forces Hospital and King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of …


Antibiotic Resistance Patterns Of Acinetobacter Species Isolated In King Hussein Medical Center, Jordan. Jan 2005

Antibiotic Resistance Patterns Of Acinetobacter Species Isolated In King Hussein Medical Center, Jordan.

Saudi Medical Journal

No abstract provided.


Cutaneous Hyperpigmentation Following Nonpermanent Henna Tattoo., Iqbal A. Bukhari Jan 2005

Cutaneous Hyperpigmentation Following Nonpermanent Henna Tattoo., Iqbal A. Bukhari

Saudi Medical Journal

Decorative henna skin painting can provoke severe reactions in the skin. We report 3 cases of unusual and persistent hyperpigmentation following nonpermanent henna tattoo, which alerted us to identify an additional side effect.


Book Review Jan 2005

Book Review

Saudi Medical Journal

No abstract provided.


Cholesterol. How Low Should We Go?, Hassan Chamsi-Pasha Jan 2005

Cholesterol. How Low Should We Go?, Hassan Chamsi-Pasha

Saudi Medical Journal

The National Cholesterol Education Program NCEP has recently updated their Adult Treatment Panel (ATP) III guidelines and called for more intensive cholesterol treatment, especially in patients at high risk for coronary heart disease CHD. The message from the updated report is that lower is better for high risk patients, with the NCEP expert panel calling for low-density lipoprotein LDL- cholesterol treatment targets of <100 mg/dL in patients at high risk for CHD. In very high risk patients, however, aggressively lowering LDL-cholesterol to <70 mg/dL is now a therapeutic option for clinicians. Very high risk individuals are those with cardiovascular disease plus diabetes, persistent cigarette smoking, poorly controlled hypertension, or multiple risk factors of the metabolic syndrome, and those who recently had a myocardial infarction MI. Despite the strong clinical evidence and widely publicized treatment guidelines, many hyperlipidemic patients receive inadequate lipid-lowering treatment or leave the hospital after having a MI without a statin. Intensive therapy should be considered for all patients admitted to the hospital for acute coronary syndrome. Achieving very low levels of LDL-cholesterol often requires high doses of a statin or a combination therapy. The coadministration of ezetimibe, a new cholesterol-absorption inhibitor, further reduced LDL-cholesterol by 23% compared with those patients who remained on statin therapy alone. Recent trials with statin therapy are discussed in this review.


Carcinoma Of Unknown Primary Site., Ali R. Hashim, Ahmed M. Al-Quryni Jan 2005

Carcinoma Of Unknown Primary Site., Ali R. Hashim, Ahmed M. Al-Quryni

Saudi Medical Journal

OBJECTIVES: To verify the spectrum of manifestations of carcinoma of unknown primary site, histopathological type and outcome, as well as to identify the prognostic factors for patient9s outcome and their survival rate. METHODS: From January 2001 to July 2002, in Basrah Teaching Hospital, Basrah, Iraq, 60 patients (27 males and 33 females), (mean age 58.8 ± 11.1 years) who had fulfilled the criteria for carcinoma of unknown primary site were studied. RESULTS: Forty-one patients were with one site of metastasis and 19 patients were with multiple site of metastasis. Liver was the most common site of metastasis (in single site …


Comparison Of Antibiotic Susceptibility Tests, Plasmid Profiles And Restriction Enzyme Analysis Of Plasmid Dna Of Methicillin Susceptible And Resistant-Staphylococcus Aureus Strains Isolated From Intensive Care Units., Mohammed A. Tayfour, Fatma N. Eris, Awadh R. Alanazi Jan 2005

Comparison Of Antibiotic Susceptibility Tests, Plasmid Profiles And Restriction Enzyme Analysis Of Plasmid Dna Of Methicillin Susceptible And Resistant-Staphylococcus Aureus Strains Isolated From Intensive Care Units., Mohammed A. Tayfour, Fatma N. Eris, Awadh R. Alanazi

Saudi Medical Journal

OBJECTIVES: To differentiate methicillin-resistant Staphylococcus aureus (S. aureus) (MRSA) and methicillin-sensitive S. aureus (MSSA) strains and detect the source of epidemic strains and prevent their access to patients. METHODS: All the procedures were carried out in the Department of Microbiology, Medical Faculty Hospital, Dokuz Eylul University, Izmir, Turkey from 1996-1998, and antibiotic susceptibility tests continued in the laboratory of King Fahad Hospital, Al-Baha, Kingdom of Saudi Arabia (KSA), from 2001-2004. A total of 81 S. aureus strains (71 MRSA, 10 MSSA) from Turkey were isolated from different sites of patients in Intensive Care Unit9s (ICU9s), evaluated by plasmid profile, Restriction …


In-Vitro Antimicrobial Activity Of Lawsonia Inermis Linn (Henna). A Pilot Study On The Omani Henna., Omar A. Habbal, Ali A. Al-Jabri, Abdulghaffar H. El-Hag, Zahra H. Al-Mahrooqi, Nasser A. Al-Hashmi Jan 2005

In-Vitro Antimicrobial Activity Of Lawsonia Inermis Linn (Henna). A Pilot Study On The Omani Henna., Omar A. Habbal, Ali A. Al-Jabri, Abdulghaffar H. El-Hag, Zahra H. Al-Mahrooqi, Nasser A. Al-Hashmi

Saudi Medical Journal

OBJECTIVES: To investigate the antimicrobial activity of henna9s fresh and dry leaves and seeds obtained from Oman. METHODS: This study was carried out at the College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman during the period January-June, 2004. Crude extracts of fresh and dry leaves and seeds were investigated for their antimicrobial activity against 3 standard bacterial strains namely: Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa. Eleven different bacterial strains were obtained from patients attending the Sultan Qaboos University Hospital, Muscat, Sultanate of Oman. In addition, one Candida albicans (C. albicans) species was used for …