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Obstetric Admissions To The Intensive Care Unit, Jamil S. Anwari, Adil A. Butt, Mohammed A. Al-Dar Oct 2004

Obstetric Admissions To The Intensive Care Unit, Jamil S. Anwari, Adil A. Butt, Mohammed A. Al-Dar

Saudi Medical Journal

OBJECTIVE: To describe clinical characteristics, interventions required, and outcome of critically ill obstetric patients admitted to a general intensive care unit (ICU). METHODS: All obstetric patients admitted to ICU at Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia from 1997 to 2002 were included in the study. The data related to demographics, obstetric history, pre-existing medical problems, indications for ICU admission, intervention required, length of stay, and outcome of ICU admission were collected by retrospective review of medical records. RESULTS: The 99 obstetric admissions to ICU were represented by 0.2% of all deliveries and 1.6% of all ICU admissions. Most …


Mefloquine In The Treatment Of Falciparum Malaria During Pregnancy In Eastern Sudan, Ishag Adam, Daw A. Ali, Altaeib Alwaseila, Mousa M. Kheir, Mustafa I. Elbashir Oct 2004

Mefloquine In The Treatment Of Falciparum Malaria During Pregnancy In Eastern Sudan, Ishag Adam, Daw A. Ali, Altaeib Alwaseila, Mousa M. Kheir, Mustafa I. Elbashir

Saudi Medical Journal

OBJECTIVE: To test the efficacy and toxicity of mefloquine therapy both on expectant mothers and the outcome of their pregnancies. METHODS: We performed a prospective non-comparative clinical trial in New Halfa Teaching Hospital, Eastern Sudan, during the period October 1998 to June 2001. Pregnant Sudanese women were given mefloquine 25 mg/kg for treatment of falciparum malaria following chloroquine failure. The women were followed every 2 weeks in the antenatal clinic until delivery. The babies were followed until the age of one year. RESULTS: Forty pregnant women were enrolled in the second and third trimesters. Itching which occurred in 17.5% and …


Changes In Epidemiological Pattern Of Meningococcal Disease In Saudi Arabia. Does It Constitute A New Challenge For Prevention And Control?, Yagob Y. Al-Mazrou, Mohamed H. Al-Jeffri, Mohamed N. Abdalla, Sirag A. Elgizouli, Amin A. Mishskas Oct 2004

Changes In Epidemiological Pattern Of Meningococcal Disease In Saudi Arabia. Does It Constitute A New Challenge For Prevention And Control?, Yagob Y. Al-Mazrou, Mohamed H. Al-Jeffri, Mohamed N. Abdalla, Sirag A. Elgizouli, Amin A. Mishskas

Saudi Medical Journal

OBJECTIVE: Meningococcal meningitis epidemics, which occurred in the Kingdom of Saudi Arabia (KSA) coincided with Hajj and Umra seasons; the 2 major pilgrims to Muslims. In many countries, the disease showed major changes of its epidemiological determinants, in particular to age and prevailing serogroup. This study was conducted to determine the epidemiological trend of meningococcal meningitis disease in KSA. METHODS: All confirmed meningococcal meningitis cases reported in KSA during the period from January 1999 to December 2002 were studied retrospectively. Confirmation of cases was based on isolation of the causative organism from cerebrospinal fluid (CSF) or blood culture or detection …


Effectiveness Of Hepatitis B Vaccination In Children Of Chronic Hepatitis B Mothers, Peyman Adibi, Rezvan Ghassemian, Seyed-Moayed Alavian, Mitra Ranjbar, Amir H. Mohammadalizadeh, Fariborz Nematizadeh, Mojgan Mamani, Mahdi Rezazadeh, Fariba Keramat, Ali Ardalan, Abbas Esmaeili, Mohammad R. Zali Oct 2004

Effectiveness Of Hepatitis B Vaccination In Children Of Chronic Hepatitis B Mothers, Peyman Adibi, Rezvan Ghassemian, Seyed-Moayed Alavian, Mitra Ranjbar, Amir H. Mohammadalizadeh, Fariborz Nematizadeh, Mojgan Mamani, Mahdi Rezazadeh, Fariba Keramat, Ali Ardalan, Abbas Esmaeili, Mohammad R. Zali

Saudi Medical Journal

OBJECTIVE: Although all newborns in Iran have been vaccinated against hepatitis B since March 1993, routine screening of pregnant women has not been conducted in prenatal care programs, yet transmission of hepatitis B via the maternal-fetal route is still a viable likelihood, which must be entertained. METHODS: The subjects were divided into 2 groups. The exposed group comprised 97 vaccinated children whose mothers were seropositive for hepatitis B surface antigen (HBsAg) and had not received hepatitis immunoglobulin at birth. The unexposed group consisted of 87 vaccinated children whose mothers were seronegative for hepatitis B surface antigen. We compared these 2 …


Prevalence Of Human T-Lymphotropic Virus Type I And Type Ii Antibody Among Blood Donors In Eastern Saudi Arabia, Zahoor Ul-Hassan, Ahmad T. Al-Bahrani, Bodh R. Panhotra Oct 2004

Prevalence Of Human T-Lymphotropic Virus Type I And Type Ii Antibody Among Blood Donors In Eastern Saudi Arabia, Zahoor Ul-Hassan, Ahmad T. Al-Bahrani, Bodh R. Panhotra

Saudi Medical Journal

OBJECTIVE: Human T-cell leukemia/lymphoma virus type I and type II (HTLV-I/II) infections can be transfusion associated, leading to tropical paraparesis, myelopathy and other neurological disorders. The aim of this study is to circumvent the risk of transmission through blood transfusion and to describe the prevalence of HTLV-I/II antibody among blood donors of Al-Hasa region and the cost effectiveness of screening blood donors. METHODS: The study was conducted at the Department of Laboratory and Blood Bank, King Fahad Hospital, Al-Hofuf, Al-Hasa, Kingdom of Saudi Arabia during the period of 1997 to 2003. A total of 47426 blood donors were screened for …


Prevalence Of Osteoporosis Among Postmenopausal Females With Diabetes Mellitus, Mohamed A. Al-Maatouq, Mahmoud I. El-Desouki, Saleh A. Othman, Essam H. Mattar, Zainab A. Babay, Mohammed Addar Oct 2004

Prevalence Of Osteoporosis Among Postmenopausal Females With Diabetes Mellitus, Mohamed A. Al-Maatouq, Mahmoud I. El-Desouki, Saleh A. Othman, Essam H. Mattar, Zainab A. Babay, Mohammed Addar

Saudi Medical Journal

OBJECTIVE: To assess the prevalence of osteopenia and osteoporosis among Saudi postmenopausal women with non-insulin dependent type 2 diabetes mellitus (T2DM). METHODS: The study was carried out at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from February 2000 to September 2002. Bone mineral density (BMD) of the lumbar spine and femoral neck using dual x-ray absorptiometry (DXA; Lunar Wisconsin), were performed in 104 postmenopausal Saudi women with T2DM, and 101 postmenopausal non-diabetic women (control). Bone mineral density was measured in gm/cm2 and both T-score and Z-score were measured but only T-score was used for analysis based on World …


Use Of Nasal Intermittent Positive Pressure Ventilation To Avoid Intubation In Neonates, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Jose Paul, Prakash Manikoth, Mariam Georage, Saleh M. Al-Khusaiby Oct 2004

Use Of Nasal Intermittent Positive Pressure Ventilation To Avoid Intubation In Neonates, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Jose Paul, Prakash Manikoth, Mariam Georage, Saleh M. Al-Khusaiby

Saudi Medical Journal

OBJECTIVE: Nasal intermittent positive pressure ventilation (NIPPV) has widely been used in neonates to prevent extubation failure and apnea. This pilot study was carried out to look at the early use of NIPPV to avoid intubation. METHODS: The study was carried out over a period of 3 months from August 2003 to October 2003 at the Royal Hospital, Muscat, Sultanate of Oman. The neonates with clinical signs of moderate to severe respiratory distress were given a trial of early NIPPV based on the avoid-intubation protocol. Inclusion, exclusion and failure criteria with general procedure were made clear to all medical and …


Congenital Absence Of Gall Bladder In A Young Saudi Medical Student. Clinical, Laboratory Findings And Analysis Of Body Composition, Sultan A. Meo Oct 2004

Congenital Absence Of Gall Bladder In A Young Saudi Medical Student. Clinical, Laboratory Findings And Analysis Of Body Composition, Sultan A. Meo

Saudi Medical Journal

No abstract provided.


Comparison Of Intravenous Aminoglycoside Therapy With Switch Therapy To Cefixime In Urinary Tract Infections, Salmieh Noorbakhsh, Abdolaziz R. Lari, Faramarz Masjedian, Hamid Mostafavi, Reza Alaghehbandan Oct 2004

Comparison Of Intravenous Aminoglycoside Therapy With Switch Therapy To Cefixime In Urinary Tract Infections, Salmieh Noorbakhsh, Abdolaziz R. Lari, Faramarz Masjedian, Hamid Mostafavi, Reza Alaghehbandan

Saudi Medical Journal

No abstract provided.


The Services Provided For Combined Oral Contraceptive Users In Health Care Centers, Kerman, Iran, Tahereh Ashraf-Ganjoei Oct 2004

The Services Provided For Combined Oral Contraceptive Users In Health Care Centers, Kerman, Iran, Tahereh Ashraf-Ganjoei

Saudi Medical Journal

No abstract provided.


Arteriovenous Fistulas For Hemodialysis. Patency Rates And Complications, Ozalp Karabay, Ufuk Yetkin, Hakan Onol Oct 2004

Arteriovenous Fistulas For Hemodialysis. Patency Rates And Complications, Ozalp Karabay, Ufuk Yetkin, Hakan Onol

Saudi Medical Journal

No abstract provided.


Effects Of Ramadan Fasting On Cardiovascular Diseases, Majda T. Benchekroun, Samya Moussamih Oct 2004

Effects Of Ramadan Fasting On Cardiovascular Diseases, Majda T. Benchekroun, Samya Moussamih

Saudi Medical Journal

No abstract provided.


The Outcome Of Non-Operative Treatment For Undisplaced Patellar Fractures, Mohammed L. Al-Otaibi, Fawzi F. Al-Jassir, Rudy Reindle Oct 2004

The Outcome Of Non-Operative Treatment For Undisplaced Patellar Fractures, Mohammed L. Al-Otaibi, Fawzi F. Al-Jassir, Rudy Reindle

Saudi Medical Journal

No abstract provided.


Hajj Caravan 1423, Khalid O. Dhafar, Zohair J. Gazzaz, Javeria Shahbaz Oct 2004

Hajj Caravan 1423, Khalid O. Dhafar, Zohair J. Gazzaz, Javeria Shahbaz

Saudi Medical Journal

No abstract provided.


Relationship Between Plasma Angiotensinii, Leptin And Arterial Blood Pressure, Awdah M. Al-Hazimi, Ahmad Y. Syiamic Sep 2004

Relationship Between Plasma Angiotensinii, Leptin And Arterial Blood Pressure, Awdah M. Al-Hazimi, Ahmad Y. Syiamic

Saudi Medical Journal

OBJECTIVE: Obesity and hypertension are 2 closely associated conditions and obesity probably predisposed to hypertension. The mechanism of the association between obesity and hypertension is not clear. The aim of the present study was to clarify the relationship between blood pressure (BP), body mass index (BMI), serum angiotensinII (AGII) and serum leptin levels and to investigate the relation between serum AGII and leptin. This study also aimed to rule out if there is a difference in serum AGII and leptin levels between lean and obese hypertensive females. METHODS: We measured fasting serum AGII and leptin levels in 16 normotensive lean …


Implementation Of The National Asthma Management Guidelines In The Emergency Department, Hamdan H. Al-Jahdali, Abdulaelah M. Al-Omar, Mohamad S. Al-Moamary, Ahmed S. Al-Duhaim, Abdullah S. Al-Hodeib, Imad S. Hassan, Ahmed M. Al-Rabegi Sep 2004

Implementation Of The National Asthma Management Guidelines In The Emergency Department, Hamdan H. Al-Jahdali, Abdulaelah M. Al-Omar, Mohamad S. Al-Moamary, Ahmed S. Al-Duhaim, Abdullah S. Al-Hodeib, Imad S. Hassan, Ahmed M. Al-Rabegi

Saudi Medical Journal

OBJECTIVE: The national protocol for asthma management was released in 1995. There has been no national investigation to compare the actual care delivered at the Emergency Department to those recommended by these guidelines: To compare the documented management of acute bronchial asthma at the Emergency Room (ER) with the Saudi National Guidelines. METHODS: Retrospective analyses of a total of 150 ER records, of patients with a diagnosis of asthma over a one year period (January through to December 2000), at King Abdul-Aziz Medical City, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. Documentation of the history, indices of …


Impaired Gestational Glucose Tolerance. Its Effect On Placental Pathology, Maasoumah A. Makhseed, Mohammad A. Ahmed, Vijaya M. Musini Sep 2004

Impaired Gestational Glucose Tolerance. Its Effect On Placental Pathology, Maasoumah A. Makhseed, Mohammad A. Ahmed, Vijaya M. Musini

Saudi Medical Journal

OBJECTIVE: The aim of this study was to investigate several macroscopic and microscopic features of placenta in cases with impaired gestational glucose tolerance. METHODS: Seventy-five gm World Health Organization criteria for the diagnosis of gestational diabetes and impaired gestational glucose tolerance were followed during the period June 1999 through to June 2000, at the Maternity Hospital of Kuwait. Macroscopic and microscopic examinations of 95 placentas were carried out. Sixty-five were from the control patients and 30 were from cases with impaired gestational glucose tolerance. RESULTS: Mean maternal age, maternal weight and parity was significantly higher in the impaired gestational glucose …


Lifestyle Related Risk Factors For Breast Cancer In Jordanian Females, Manar F. Atoum, Huda M. Al-Hourani Sep 2004

Lifestyle Related Risk Factors For Breast Cancer In Jordanian Females, Manar F. Atoum, Huda M. Al-Hourani

Saudi Medical Journal

OBJECTIVE: To compare the lifestyle related risk factors for breast cancer such as physical activity, cigarette smoking, the use of contraceptive pills and increased body weight between non-familial and familial breast cancer females in Jordan. METHODS: This study was carried out in the Kingdom of Jordan during the period 2000 through to 2002. A questionnaire was used to collect information from 99 females who were histologically and pathologically diagnosed for breast cancer. Data of the questionnaire was entered and analyzed using statistical package for social sciences. RESULTS: This study showed no significant difference between familial, non-familial breast cancer females and …


Growth Centiles For Omani Premature Infants Born At 26 Weeks Of Gestation, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Saleh M. Al-Khusaiby Sep 2004

Growth Centiles For Omani Premature Infants Born At 26 Weeks Of Gestation, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Saleh M. Al-Khusaiby

Saudi Medical Journal

OBJECTIVE: The present growth chart used in the Sultanate of Oman does not contain centile measurements for infants born at 26-weeks of gestation. With the increased survival of these premature infants, there is a growing need to develop such a chart. The present study was conducted with the aim to look at the anthropometric measurements (weight, length and head circumference) of Omani premature infants born at 26-weeks of gestation and to develop centile charts for these measurements. METHODS: The study was conducted at the Special Care Baby Unit (SCBU) of the Royal Hospital, one of the major perinatal institutions in …


Terminology In Diabetes; An Example Of Resistance To Change, Saleh A. Aldasouqi, Ali S. Alzahrani Sep 2004

Terminology In Diabetes; An Example Of Resistance To Change, Saleh A. Aldasouqi, Ali S. Alzahrani

Saudi Medical Journal

No abstract provided.


Risk Factors Of Major Noncommunicable Diseases In Bahrain. The Need For A Surveillance System, Randah R. Hamadeh Sep 2004

Risk Factors Of Major Noncommunicable Diseases In Bahrain. The Need For A Surveillance System, Randah R. Hamadeh

Saudi Medical Journal

Noncommunicable diseases NCDs are the major cause of morbidity and mortality in Bahrain. The review examines the prevalence of risk factors of major NCDs from the available literature and determines the impact of the rapid socio economic changes on their burden. It further recommends ways of improving their reporting and monitoring. Smoking, obesity, diabetes, hypertension, hyperlipidemia, physical activity and nutrition are considered. The review points out that data on some of the factors is available but deficient for others. The call for the establishment of an integrated surveillance system using the World Health Organization STEPwise approach is stressed.


Health Hazards Of Cement Dust, Sultan A. Meo Sep 2004

Health Hazards Of Cement Dust, Sultan A. Meo

Saudi Medical Journal

ven in the 21st century, millions of people are working daily in a dusty environment. They are exposed to different types of health hazards such as fume, gases and dust, which are risk factors in developing occupational disease. Cement industry is involved in the development of structure of this advanced and modern world but generates dust during its production. Cement dust causes lung function impairment, chronic obstructive lung disease, restrictive lung disease, pneumoconiosis and carcinoma of the lungs, stomach and colon. Other studies have shown that cement dust may enter into the systemic circulation and thereby reach the essentially all …


Coronary Artery Disease In Saudi Arabia, Mansour M. Al-Nozha, Mohammed R. Arafah, Yaqoub Y. Al-Mazrou, Mohammed A. Al-Maatouq, Nazeer B. Khan, Mohamed Z. Khalil, Akram H. Al-Khadra, Khalid Al-Marzouki, Moheeb A. Abdullah, Saad S. Al-Harthi, Maie S. Al-Shahid, Mohammed S. Nouh, Abdulellah Al-Mobeireek Sep 2004

Coronary Artery Disease In Saudi Arabia, Mansour M. Al-Nozha, Mohammed R. Arafah, Yaqoub Y. Al-Mazrou, Mohammed A. Al-Maatouq, Nazeer B. Khan, Mohamed Z. Khalil, Akram H. Al-Khadra, Khalid Al-Marzouki, Moheeb A. Abdullah, Saad S. Al-Harthi, Maie S. Al-Shahid, Mohammed S. Nouh, Abdulellah Al-Mobeireek

Saudi Medical Journal

OBJECTIVE: Coronary artery disease (CAD) is a major public health problem worldwide. To our knowledge, there is no national data available from community based studies on prevalence of CAD in the Kingdom of Saudi Arabia (KSA). Therefore, we designed this study with the objective to determine the prevalence of CAD among Saudis of both sexes, between the ages of 30-70-years in rural as well as urban communities. Further, to determine the prevalence and clinical pattern of the major modifiable risk factors for CAD among the same population. This work is part of a major national study on CAD in Saudis …


A Survey Of Patients' Attitude Toward Total Knee Replacement In A Major Center In The Kingdom Of Saudi Arabia, Yaser M. Behairy, Saleh H. Motuweh, Khalid A. Kathlan Sep 2004

A Survey Of Patients' Attitude Toward Total Knee Replacement In A Major Center In The Kingdom Of Saudi Arabia, Yaser M. Behairy, Saleh H. Motuweh, Khalid A. Kathlan

Saudi Medical Journal

No abstract provided.


Predictors Of Neonatal Mortality In The Intensive Care Unit In Abha, Kingdom Of Saudi Arabia, Ghulam Nabi, Mohd A. Karim Sep 2004

Predictors Of Neonatal Mortality In The Intensive Care Unit In Abha, Kingdom Of Saudi Arabia, Ghulam Nabi, Mohd A. Karim

Saudi Medical Journal

No abstract provided.


Ethnic Differences In Hypertension And Blood Pressure Control. Issues For Prevention Strategies, Pietro A. Modesti Sep 2004

Ethnic Differences In Hypertension And Blood Pressure Control. Issues For Prevention Strategies, Pietro A. Modesti

Saudi Medical Journal

opulation studies revealed significantly lower levels of hypertension among rural community than both semi-urban and recently urbanized communities, and much of the difference was attributed to environmental factors. Migration studies revealed that increased sodium consumption is a key factor for the development of hypertension in some ethnic group, and people of African origin are known to be more prone to develop hypertension in western countries. Recent data obtained in European countries reveals that the rates of detection, treatment, and control are higher among the black population indicating a greater awareness among the general public and physicians in Europe of the …


Coronary Stent Thrombosis In Bare Metal Stents, Waqar H. Ahmed, Khaled F. Al-Shaibi Sep 2004

Coronary Stent Thrombosis In Bare Metal Stents, Waqar H. Ahmed, Khaled F. Al-Shaibi

Saudi Medical Journal

OBJECTIVE: The incidence of coronary stent thrombosis has reduced with improved techniques and drugs. Nevertheless, clinical trials may not reflect real world practice due to the selective inclusion criteria, regional variations and more complex patients treated in day-to-day practice. We examined the frequency, predisposing factors and outcome of stent thrombosis in unselected patients undergoing bare metal stents. METHODS: All patients undergoing stent implantation are entered into a prospective database. We reviewed the incidence of stent thrombosis in our database for all patients with at least 6 months of follow up. RESULTS: From December 1996 through to December 2002, 1140 consecutive …


Otitis Externa Infection In Jordan. Clinical And Microbiological Features, Mohammed N. Battikhi, Samih I. Ammar Sep 2004

Otitis Externa Infection In Jordan. Clinical And Microbiological Features, Mohammed N. Battikhi, Samih I. Ammar

Saudi Medical Journal

OBJECTIVE: Aims of this study were to investigate the clinical findings and to identify causative microorganisms and their susceptibility to antibiotics in otitis externa infection. METHODS: The symptoms and signs, as well as the bacterial and fungal flora from the auditory canal of one hundred and eighty patients (100 males and 80 females), age range from 6 month to 19-years old suffering from acute otitis externa were studied from January 2001 to December 2002. One way ANOVA and Least Significant Difference (LSD) were carried out for statistical analysis. RESULTS: Pain was the most common symptom (97.2%) while, itching and difficulty …


Cryptosporidiosis And Other Intestinal Parasitic Infections In Patients With Chronic Diarrhea, Nadham K. Mahdi, Naeel H. Ali Sep 2004

Cryptosporidiosis And Other Intestinal Parasitic Infections In Patients With Chronic Diarrhea, Nadham K. Mahdi, Naeel H. Ali

Saudi Medical Journal

OBJECTIVE: To consider the relationship of the parasitic infections including cryptosporidium with chronic diarrhea. Also the effect of chronic disease as pulmonary tuberculosis (TB) and nosocomial infection on the occurrence rate of parasites in cases of chronic diarrhea. METHODS: Stool samples were collected from 205 patients in teaching, general, child and maternity hospitals in Basrah, Iraq, suffering from chronic diarrhea during 2000. Out of these patients, there were 40 patients with pulmonary TB and 50 inpatients with nosocomial infection. Also 175 apparently healthy individuals who have no episodes of diarrhea for at least 2-months were served as a control group. …


The Influence Of Delay On Perforation In Childhood Appendicitis. A Retrospective Analysis Of 58 Cases, I. F. Ozguner, B. I. Buyukayavuz, M. C. Savas Sep 2004

The Influence Of Delay On Perforation In Childhood Appendicitis. A Retrospective Analysis Of 58 Cases, I. F. Ozguner, B. I. Buyukayavuz, M. C. Savas

Saudi Medical Journal

OBJECTIVE: Appendicitis is the most common non-traumatic surgical abdominal disorder in children aged 2-years or older. It is generally believed that delay in diagnosis and surgery of acute appendicitis is associated with a more advanced stage of disease and a higher morbidity. The aim of this retrospective study was to document the clinical features of acute appendicitis (AA), and to describe the factors associated with appendiceal perforation (AP) among children. METHODS: This study included 58 patients who underwent emergency appendectomy during the period January 1998 through to December 2002, Suleyman Demirel University Hospital, Isparta, Turkey. They were proven to have …