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Risk Factors Predisposing To Abruptio Placentae. Maternal And Fetal Outcome, Saad E. Dafallah, Hayder E. Babikir Sep 2004

Risk Factors Predisposing To Abruptio Placentae. Maternal And Fetal Outcome, Saad E. Dafallah, Hayder E. Babikir

Saudi Medical Journal

OBJECTIVE: Abruptio placentae is one of the leading causes of perinatal deaths. Abruptio placentae increase the neonatal morbidity and mortality. It is one of the recognized causes of low birth weight. The purpose of this study was to examine the risk factors for abruptio placentae together with the maternal and fetal outcome in a large population based data set. METHODS: All cases of abruptio placentae presented to the Department of Obstetrics, Wad Medani Teaching Hospital, Sudan during the period January 1997 through to December 2002 were collected. All infants born to those cases were also collected and analyzed as live …


The Practice Of Do-Not-Resuscitate Orders In The Kingdom Of Saudi Arabia. The Experience Of A Tertiary Care Center, Masoor Ur Rahman, Yaseen Arabi, Naeem A. Adhami, Barbara Parker, Abdullah Al-Shimemeri Sep 2004

The Practice Of Do-Not-Resuscitate Orders In The Kingdom Of Saudi Arabia. The Experience Of A Tertiary Care Center, Masoor Ur Rahman, Yaseen Arabi, Naeem A. Adhami, Barbara Parker, Abdullah Al-Shimemeri

Saudi Medical Journal

No abstract provided.


The First Arabic Health Related Quality Of Life Visual Function Assessment Tool. The Arabic Visual Function Tool Avft, Zbys Fedorowicz, Peter R. Gutierrez Sep 2004

The First Arabic Health Related Quality Of Life Visual Function Assessment Tool. The Arabic Visual Function Tool Avft, Zbys Fedorowicz, Peter R. Gutierrez

Saudi Medical Journal

No abstract provided.


Prevalence Of The Anatomic Variations Of The Extra Biliary Ducts In Khartoum, Sudan, Hamid A. Al-Tigani, Mohamed A. Bakheit Sep 2004

Prevalence Of The Anatomic Variations Of The Extra Biliary Ducts In Khartoum, Sudan, Hamid A. Al-Tigani, Mohamed A. Bakheit

Saudi Medical Journal

No abstract provided.


Incidence And Patterns Of Bone Marrow Involvement In Ewing's Sarcoma, Saeed Al-Amoudi, Tarek Owaidah, Fouad Al-Dayel Sep 2004

Incidence And Patterns Of Bone Marrow Involvement In Ewing's Sarcoma, Saeed Al-Amoudi, Tarek Owaidah, Fouad Al-Dayel

Saudi Medical Journal

No abstract provided.


Challenges In Creating The Educated Surgeon In The 21st Century. Where Do We Stand?, Gamal A. Khairy Sep 2004

Challenges In Creating The Educated Surgeon In The 21st Century. Where Do We Stand?, Gamal A. Khairy

Saudi Medical Journal

No abstract provided.


Quinolone Resistance In Non-Typhoidal Salmonellae Isolated From Patients Having Primary Extra-Intestinal Infections, Bodh R. Panhotra, Anil K. Saxena, Ali M. Al-Ghamdi Sep 2004

Quinolone Resistance In Non-Typhoidal Salmonellae Isolated From Patients Having Primary Extra-Intestinal Infections, Bodh R. Panhotra, Anil K. Saxena, Ali M. Al-Ghamdi

Saudi Medical Journal

No abstract provided.


Extrapyramidal Syndrome After Treatment Of Falciparum Malaria With Sulphadoxine-Pyrimethamine, Ishag Adam, Mustafa I. Elbashir Sep 2004

Extrapyramidal Syndrome After Treatment Of Falciparum Malaria With Sulphadoxine-Pyrimethamine, Ishag Adam, Mustafa I. Elbashir

Saudi Medical Journal

No abstract provided.


Plasma Copper And Zinc Levels In Chronic Viral Hepatitis, Iclal Meram, Fatma Sirmatel, Sibel Ahi, Mehmet Tarakcioglu Aug 2004

Plasma Copper And Zinc Levels In Chronic Viral Hepatitis, Iclal Meram, Fatma Sirmatel, Sibel Ahi, Mehmet Tarakcioglu

Saudi Medical Journal

OBJECTIVE: The relationship between chronic hepatitis and trace metals has not been understood clearly. Copper (Cu) and zinc (Zn) are essential trace elements for several metabolic processes. Overload or deficiency of these elements can lead to metabolic disorders and some other diseases. In this study, we aimed to examine the relationship between chronic hepatitis and plasma Cu and Zn levels. METHODS: Forty-three patients with chronic viral hepatitis (CVH) and 30 healthy controls were included in this study. The patients were consecutively admitted to the Department of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Gaziantep University, Turkey, between January 2000 …


Changing Survival Statistics Among Extreme Premature Infants In Oman, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Saleh M. Al-Khusaiby Aug 2004

Changing Survival Statistics Among Extreme Premature Infants In Oman, Shabih Manzar, Arun K. Nair, Mangalore G. Pai, Saleh M. Al-Khusaiby

Saudi Medical Journal

No abstract provided.


Breast Cancer Screening, Fadwa J. Altaf Aug 2004

Breast Cancer Screening, Fadwa J. Altaf

Saudi Medical Journal

Breast cancer is a very common health problem in Saudi females that can be reduced by early detection through introducing breast cancer screening. Literature review reveals significant reduction in breast cancer incidence and outcome after the beginning of breast cancer screening. The objectives of this article are to highlight the significance of breast cancer screening in different international societies and to write the major guidelines of breast cancer screening in relation to other departments involved with more emphasis on the Pathology Department guidelines in tissue handling, diagnostic criteria and significance of the diagnosis. This article summaries and acknowledges major work …


Isolation Of Coryneform Bacteria From Blood Cultures Of Patients At A University Hospital In Saudi Arabia, Hanan A. Babay, Abdelmageed M. Kambal Aug 2004

Isolation Of Coryneform Bacteria From Blood Cultures Of Patients At A University Hospital In Saudi Arabia, Hanan A. Babay, Abdelmageed M. Kambal

Saudi Medical Journal

OBJECTIVE: Coryneform bacteria have been increasingly recognized as opportunistic pathogens in recent years. The aim of this study is to identify and determine the antimicrobial susceptibility of coryneform bacteria isolated from blood cultures of patients seen at King Khalid University Hospital (KKUH), Riyadh, Kingdom of Saudi Arabia and review the literature. METHODS: All coryneform bacteria isolated from blood culture specimens between January 2001 and March 2003 were prospectively identified by API Coryne System (BioMerieux, France). Clinical data were collected from each patient9s medical record. Antimicrobial susceptibility to 16 antimicrobial agents were determined by minimum inhibitory concentration (MIC) using E-test (AB …


Postoperative Wound Infection In Surgical Procedures, Ahmed M. Al-Hashemy, Mohamed I. Seleem, Zaka-Allah A. Khan, Seif M. Nowry Aug 2004

Postoperative Wound Infection In Surgical Procedures, Ahmed M. Al-Hashemy, Mohamed I. Seleem, Zaka-Allah A. Khan, Seif M. Nowry

Saudi Medical Journal

No abstract provided.


Delta-S Entropy Variation System: A Novel Biophysical Approach To Treat Chronic-Degenerative Processes. The Challenge Of Liver Cirrhosis, Giuseppe Marineo, Francesco Marotta Aug 2004

Delta-S Entropy Variation System: A Novel Biophysical Approach To Treat Chronic-Degenerative Processes. The Challenge Of Liver Cirrhosis, Giuseppe Marineo, Francesco Marotta

Saudi Medical Journal

No abstract provided.


Effect Of Preventive Applications On Prevalence Of Hepatitis B Virus And Hepatitis C Virus Infections In West Turkey, Serhan Sakarya, Serkan Oncu, Barcin Ozturk, Selcen Oncu Aug 2004

Effect Of Preventive Applications On Prevalence Of Hepatitis B Virus And Hepatitis C Virus Infections In West Turkey, Serhan Sakarya, Serkan Oncu, Barcin Ozturk, Selcen Oncu

Saudi Medical Journal

OBJECTIVE: Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are community health problems in developing countries and the most common causative agents of chronic hepatitis, cirrhosis and hepatocellular carcinoma. This study investigates the prevalence and the effect of preventive applications on prevalence of HBV and HCV infections in blood donors. METHODS: Blood donors enrolled to the University and State Hospital Blood Banks in Aydin region of Turkey through the years 1993 to 2002 were retrospectively analyzed. Blood donors were investigated in 2 groups, Group I (1993-1997) and Group II (1998-2002) to compare the prevalence difference in 10-years period. …


Relationship Of Leptin Concentration To Gender, Body Mass Index And Age In Saudi Adults, Rowyda N. Al-Harithy Aug 2004

Relationship Of Leptin Concentration To Gender, Body Mass Index And Age In Saudi Adults, Rowyda N. Al-Harithy

Saudi Medical Journal

OBJECTIVE: Leptin concentrations are highly correlated with body fat storage and exhibit sexual dimorphism, with women having higher concentrations at every level of relative or absolute adiposity. To test whether or not this relation is consistent across the Saudi population. This study aims to investigate the effect of gender, obesity related parameters, and age on leptin levels from representative samples of Saudi women and men. METHODS: This study was carried out at King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia during the year 2003. Fasting leptin concentrations were determined after an overnight fast in 122 healthy subjects (57 women, 65 …


Pentasaccharides. The New Anticoagulants, Hikmat Abdel-Razeq Aug 2004

Pentasaccharides. The New Anticoagulants, Hikmat Abdel-Razeq

Saudi Medical Journal

Venous thromboembolism VTE remains a common but preventable disease. The last decade has witnessed major advances in VTE treatment and prophylaxis. Low molecular weight heparins LMWH became the agents of choice in the treatment of deep venous thrombosis DVT and are increasingly used in the treatment of stable pulmonary embolism PE. Increasing focus on simplicity and efficacy has led to the discovery of the synthetic pentasaccharides, substances that specifically inhibit factor Xa activity, producing an antithrombotic effect without affecting other coagulation factors or platelets. Fondaparinux, the first pentasaccharide introduced into the market, was first tried as a prophylactic agent against …


Anemia In Pregnant Sudanese Women. Community Based Study, Ishaq Adam, Gehad El-Ghazali, Gehad El-Ghazali, Munier Mohamedin, Mustafa I. Elbashir Aug 2004

Anemia In Pregnant Sudanese Women. Community Based Study, Ishaq Adam, Gehad El-Ghazali, Gehad El-Ghazali, Munier Mohamedin, Mustafa I. Elbashir

Saudi Medical Journal

No abstract provided.


Daily Iron Supplementation Versus Intermittent Dose, Anila Jaleel, Mohamad A. Urrahman Aug 2004

Daily Iron Supplementation Versus Intermittent Dose, Anila Jaleel, Mohamad A. Urrahman

Saudi Medical Journal

No abstract provided.


Colorectal Cancer Among Yemeni Patients. Characteristics And Trends, Huda O. Huda, Khaled A. Al-Sakkaf Aug 2004

Colorectal Cancer Among Yemeni Patients. Characteristics And Trends, Huda O. Huda, Khaled A. Al-Sakkaf

Saudi Medical Journal

OBJECTIVE: This study aimed to describe the characteristics and trends of colorectal cancer registered in Aden Cancer Registry. METHODS: A retrospective analysis of all registered cancers (1735) was performed at Aden Cancer Center, University of Aden, Aden, Yemen from the years 1997-2001, to describe colorectal cancers with regards to age, sex and residency distribution, subsites and histopathology, and incidence rates. RESULTS: The results indicate that digestive system cancers are the most common cancers (17.1%); and colorectal cancer (28%) is the most common of these. Developing countries characteristics of this cancer are clear. These include a relatively high proportion of early-onset …


Triple Therapy With Pantoprazole, Clarithromycin And Amoxicillin For Eradication In Patients With Helicobacter Pylori Positive Duodenal Ulcers, Ghazzawi Ghazzawi, Walid A. Obeidat, Feras A. Zuriekat Aug 2004

Triple Therapy With Pantoprazole, Clarithromycin And Amoxicillin For Eradication In Patients With Helicobacter Pylori Positive Duodenal Ulcers, Ghazzawi Ghazzawi, Walid A. Obeidat, Feras A. Zuriekat

Saudi Medical Journal

OBJECTIVE: To assess the effectiveness of a 7-day pantoprazole 40 mg twice a day (bid) plus clarithromycin 500 mg bid and amoxicillin one gram bid therapy in the eradication of Helicobacter pylori (H. pylori) in patients with H. pylori positive duodenal ulcers. METHODS: The present study was a prospective, non-comparative and open-label designed. After confirming duodenal ulcer by endoscopy, patients with evidence of H. pylori infection with Campylobacter like organism (CLO) test, histology or culture were given eradication treatment for 7 days. Successful eradication was confirmed with second endoscopy after 4 weeks unless all CLO test, histology or culture were …


Cardiac Troponin T And End Stage Renal Disease, Alaa-Eldin M. Gabr, Ibrahim A. Ibrahim, Shaza M. Aloulou, Mohamed A. Al-Alfi, Khalid A. Al-Abdlrahim Aug 2004

Cardiac Troponin T And End Stage Renal Disease, Alaa-Eldin M. Gabr, Ibrahim A. Ibrahim, Shaza M. Aloulou, Mohamed A. Al-Alfi, Khalid A. Al-Abdlrahim

Saudi Medical Journal

OBJECTIVE: The aim of this study is to investigate the relationship between serum concentration of cardiac troponin T (cTnT) and other cardiac markers and ischemic heart disease (IHD) in end stage renal disease (ESRD) patients on chronic hemodialysis (HD). METHODS: This study was carried out at King Fahd Specialist Hospital, Buraidah, Kingdom of Saudi Arabia from July 2002 to September 2003. Cardiac troponin T was measured using Elecsys 2020 immunoassay system, a method that is specific for cTnT. The analytical range of cTnT assay was 0.01-25.0 ug/L. Seventy-three patients were divided into 4 groups: 20 patients with history of IHD, …


Bone Mineral Density. What Normative Data Should We Use To Report Saudi Female Patients?, Ahmed M. Outif, Awatif A. Hendi, Abdulaziz A. Al-Dihan, Safar S. Al-Ghamdi Aug 2004

Bone Mineral Density. What Normative Data Should We Use To Report Saudi Female Patients?, Ahmed M. Outif, Awatif A. Hendi, Abdulaziz A. Al-Dihan, Safar S. Al-Ghamdi

Saudi Medical Journal

OBJECTIVE: Despite the fact that the Kingdom of Saudi Arabia (KSA) was a pioneer in developing its bone mineral density (BMD) reference population (RP), BMD is still reported in most Saudi dual energy x-ray absorptiometry (DEXA) centers according to Lebanese RP. The aim of the current work was to assess the implication of using normal ranges other than Saudi female normal range in reporting BMD of Saudi female patients (SFP). METHODS: This study was conducted at the Security Forces Hospital, Riyadh, KSA. Three published Arabian female DEXA RPs were reviewed and statistically compared. The implication of using RPs other than …


Thyroid Dysfunction In Patients With Type 2 Diabetes Mellitus In Jordan, Abdel-Rahman M. Radaideh, Mohamad K. Nusier, Fawaz L. Amari, Anwar E. Bateiha, Mohammed S. El-Khateeb, Abeer S. Naser, Kamel M. Ajlouni Aug 2004

Thyroid Dysfunction In Patients With Type 2 Diabetes Mellitus In Jordan, Abdel-Rahman M. Radaideh, Mohamad K. Nusier, Fawaz L. Amari, Anwar E. Bateiha, Mohammed S. El-Khateeb, Abeer S. Naser, Kamel M. Ajlouni

Saudi Medical Journal

OBJECTIVE: To investigate the prevalence of thyroid dysfunction and autoimmunity in type 2 diabetic patients. METHODS: The study was conducted at the National Center for Diabetes, Endocrinology and Genetics, Jordan University Hospital, Amman, Jordan, between March 2000 and September 2000. A group of 908 type 2 diabetic patients (T2DM) were recruited in the study and underwent investigations for thyroid functions; free thyroxine (FT4), free tri-iodothyronine (FT3) and thyroid stimulating hormone (TSH). Six hundred had performed thyroid autoantibodies, thyroid peroxidase antibodies (TPOab) or antimicrosomal antibodies (AMA) and thyroglobulin antibodies (Tgab). They were compared with 304 non-diabetics, of those 282 had performed …


Endocrine Changes After Laparoscopic Ovarian Drilling In Clomiphene Citrate-Resistant Women With Polycystic Ovarian Syndrome, Eftekhar H. Al-Ojaimi Aug 2004

Endocrine Changes After Laparoscopic Ovarian Drilling In Clomiphene Citrate-Resistant Women With Polycystic Ovarian Syndrome, Eftekhar H. Al-Ojaimi

Saudi Medical Journal

OBJECTIVE: To study the effects of laparoscopic ovarian drilling on the serum hormone levels in clomiphene citrate resistant women with polycystic ovarian syndrome (PCOS) and to determine the criteria which influenced their clinical response. METHODS: A prospective study that was carried out at Salmaniya Medical Complex in Bahrain. One hundred and eighty-one women with clomiphene citrate-resistant PCOS were treated with laparoscopic ovarian drilling, all procedures were performed over a 4-year period between June 1996 and June 2000. Fasting blood samples for determination of the serum levels of luteinizing hormone (LH), follicle stimulating hormone (FSH), LH-FSH ratio, testosterone and prolactin were …


Low Birth Weight As A Determinant Of Protein Energy Malnutrition In 0-5 Years Omani Children Of South Batinah Region, Oman, Padmamohan J. Kurup, Rajiv Khandekar Aug 2004

Low Birth Weight As A Determinant Of Protein Energy Malnutrition In 0-5 Years Omani Children Of South Batinah Region, Oman, Padmamohan J. Kurup, Rajiv Khandekar

Saudi Medical Journal

OBJECTIVE: To determine the risk factors of protein energy malnourishment (PEM) among 0-5 year old children in South Batinah region, Oman. METHODS: at are maintained at the primary health institutions of the study area. This case control study was conducted between March 2003 and May 2003. The information of their birth weight, birth interval, birth order, twin pregnancy, history of underweight and death among siblings, presence of congenital anomalies, breast feeding status, social problem and other ail. RESULTS: The median birth order among PEM cases was significantly higher compared to the children without PEM (Mann Whitney test; p=0.029). Using multivariate …


The Sole Arch Indices Of Adolescent Basketball Players, Sedat T. Aydog, Haydar A. Demirel, Onur Tetik, Ece Aydog, Zafer Hascelik, Mahmut N. Doral Aug 2004

The Sole Arch Indices Of Adolescent Basketball Players, Sedat T. Aydog, Haydar A. Demirel, Onur Tetik, Ece Aydog, Zafer Hascelik, Mahmut N. Doral

Saudi Medical Journal

OBJECTIVE: The aim of this study was to find out the difference between sole arch indices of adolescent basketball players and an age matched non-athletic group. METHODS: This study was carried out in the Sports Education, Health and Research Center, Ankara, Turkey, between November 1998 and December 1998. In junior (16-18 years) categories 48 male basketball players and 45 age matched controls were included in the study. Body mass index and podoscopic sole images of subjects were recorded, and the arch index was calculated for each group. RESULTS: The sole arch index has no difference between basketball players and controls. …


Does Physician's Awareness Of Peripheral Arterial Disease Affect Its Prevalence And Outcome, Abdullah M. Al-Wahbi, Khaled H. Al-Jaber, Ali I. Al-Haqawi, Fahad M. Al-Mujarri Aug 2004

Does Physician's Awareness Of Peripheral Arterial Disease Affect Its Prevalence And Outcome, Abdullah M. Al-Wahbi, Khaled H. Al-Jaber, Ali I. Al-Haqawi, Fahad M. Al-Mujarri

Saudi Medical Journal

No abstract provided.


Treatment Of Chronic Fistula-In-Ano Using Commercial Fibrin Glue, Abdulmajeed Al-Abdulkareem Aug 2004

Treatment Of Chronic Fistula-In-Ano Using Commercial Fibrin Glue, Abdulmajeed Al-Abdulkareem

Saudi Medical Journal

No abstract provided.


Necrotizing Fasciitis. Role Of Early Surgical Intervention, Shabir A. Qazi, Abdulmajeed A. Mohammed, Elsanousi I. Saber, Shaukat M. Mirza Jul 2004

Necrotizing Fasciitis. Role Of Early Surgical Intervention, Shabir A. Qazi, Abdulmajeed A. Mohammed, Elsanousi I. Saber, Shaukat M. Mirza

Saudi Medical Journal

OBJECTIVE: To evaluate our experience of management of necrotizing fasciitis (NF) particularly the role of early and aggressive surgical intervention. METHODS: This is a retrospective review of the cases affected by this disease and managed at Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, during 5 calendar years from 1996 through to 2000 (1416-1420 A.H). The preoperative and operative data was collected, and postoperative morbidity and mortality were analyzed. RESULTS: A total of 25 cases of NF were treated during the 5-year period, 18 were males and 7 female. The majority of patients had perianal suppuration as the primary lesion, …