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Placenta Previa In A Referral Hospital In Oman, Sangeeta M. Bhat, Ilham M. Hamdi, Sunil K. Bhat Jun 2004

Placenta Previa In A Referral Hospital In Oman, Sangeeta M. Bhat, Ilham M. Hamdi, Sunil K. Bhat

Saudi Medical Journal

OBJECTIVE: To determine the incidence of placenta previa associated pregnancies, to find out the strength of association of identified risk factors with the major placenta previa associated pregnancies and to identify predictors for preterm outcome. METHODS: Records of women with placenta previa, who delivered at Nizwa Hospital, Al-Dakhliya region, Sultanate of Oman between October 1998 and September 2002, were analyzed retrospectively utilizing a case control approach. RESULTS: An incidence of 0.6% for placenta previa was noted in our study. Nearly two thirds (64.8%) of the pregnancies resulted in antepartum bleeding. Pregnancies with major placenta previa constituted 72% of all the …


Dna Amplification Fingerprinting Using 10 X Polymerase Chain Reaction Buffer With Ammonium Sulfate For Human Identification, Aysun Baransel, Hikmet E. Dulger, Mehmet Tokdemir Jun 2004

Dna Amplification Fingerprinting Using 10 X Polymerase Chain Reaction Buffer With Ammonium Sulfate For Human Identification, Aysun Baransel, Hikmet E. Dulger, Mehmet Tokdemir

Saudi Medical Journal

OBJECTIVE: The polymerase chain reaction (PCR) - based DNA amplification fingerprinting (DAF) or randomly amplified polymorphic DNA (RAPD) is based on a strategy using a single arbitrary oligonucleotide primer to generate anonymous amplification of genomic DNA. On this basic strategy, in this study, we aimed to test individual differences and usefulness of 2 basic primers (59-CGCGCCGG-39 and 59-TGCCGAGCTG-39) and examined whether there is a positive effect on results of 10 x PCR buffer with ammonium sulfate. METHODS: A new approach in DNA fingerprinting, 10 x PCR buffer with ammonium sulfate, is presented in the study. Primers with single 8 and …


Treatment Strategy Of Inguinal Hernia In Infants And Children In Eastern Libya, Amal R. Omar, Ahmad M. Omar, Abdulgader N. Shaheen, Massoud H. Geryani Jun 2004

Treatment Strategy Of Inguinal Hernia In Infants And Children In Eastern Libya, Amal R. Omar, Ahmad M. Omar, Abdulgader N. Shaheen, Massoud H. Geryani

Saudi Medical Journal

OBJECTIVE: The aim of the study is to evaluate and improve the treatment strategy of inguinal hernia in children. METHODS: A retrospective analysis was performed on the hospital notes and operation records of 827 (681 boys and 146 girls) children who underwent inguinal herniotomy at Al-Fatah Children Hospital, Benghazi, Libya, between 1998 and 2002. RESULTS: Eight hundred and sixty-five inguinal herniotomies were performed on 827 children. In 497 patients, operations were performed on the right side, in 292 on the left side, and in 38 bilateral. Thirty-nine (4.7%) children presented as emergencies with irreducible hernia, of which 29 (74.4%) patients …


Comparison Between Arthroscopy And 3 Dimensional Double Echo Steady State 3d-Dess Sequences In Magnetic Resonance Imaging Of Internal Derangements Of The Knee, Nagwa A. Dongola, Philip Gishen Jun 2004

Comparison Between Arthroscopy And 3 Dimensional Double Echo Steady State 3d-Dess Sequences In Magnetic Resonance Imaging Of Internal Derangements Of The Knee, Nagwa A. Dongola, Philip Gishen

Saudi Medical Journal

OBJECTIVE: This study was performed with the aim of evaluating the usefulness of 3 dimensional double-echo steady state sequences in examining the internal derangements of the knee. Arthroscopy was used as a referral standard. METHODS: The study was performed in the Radiology and Arthroscopy Departments of King9s College Hospital, London, United Kingdom, during a 6-month period from January 1997 to June 1997. All patients who had knee magnetic resonance imaging within 3 months of arthroscopy were retrospectively studied. Thirty-three patients fulfilled these criteria and were selected. RESULTS: Three dimensional double-echo steady state sequences produced sensitivity for detecting meniscal tears of …


Epstein-Barr Virus Expression In Hodgkin S Disease In Jordan, Nidal M. Almasri, Hasan S. Khalidi Jun 2004

Epstein-Barr Virus Expression In Hodgkin S Disease In Jordan, Nidal M. Almasri, Hasan S. Khalidi

Saudi Medical Journal

OBJECTIVE: Epstein-Barr virus (EBV) has been associated with many hematopoietic malignancies including Hodgkin9s disease (HD). The association of HD correlates with the histologic subtype, age of presentation and geographic location. Our aims were to find out if EBV is associated with Jordanian HD; and if EBV association exists, to determine its relationship to certain age groups or specific histologic subtypes of HD; and finally to establish whether such association follows patterns seen in developing or developed countries. METHODS: We have examined 64 cases of HD diagnosed in 2 major medical centers in Jordan for evidence of EBV association. We used …


Antimicrobial Susceptibility Pattern Of Clinical Isolates Of Pseudomonas Aeruginosa, Asma M. Al-Jasser, Noura A. Elkhizzi Jun 2004

Antimicrobial Susceptibility Pattern Of Clinical Isolates Of Pseudomonas Aeruginosa, Asma M. Al-Jasser, Noura A. Elkhizzi

Saudi Medical Journal

OBJECTIVE: To determine the level of resistance to the widely used antipseudomonal antibiotics in clinical isolates of Pseudomonas aeruginosa (P. aeruginosa). METHODS: The microbiology database of all clinical isolates of P. aeruginosa at the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia, from January 1999 to December 1999 was reviewed. The antimicrobial susceptibilities were determined by a standardized method. RESULTS: Seven hundred and four P. aeruginosa isolates were tested. These strains were commonly isolated from surgical patients followed by intensive care units. Respiratory tract was the most common source of isolation. The antibiotic susceptibility rates were as follows: ciprofloxacin 92.2%, …


Efficacy And Safety Of Sevelamer. Comparison With Calcium Carbonate In The Treatment Of Hyperphosphatemia In Hemodialysis Patients, Faisal A. Shaheen, Nabeela M. Akeel, Laila S. Badawi, Muhammad Z. Souqiyyeh Jun 2004

Efficacy And Safety Of Sevelamer. Comparison With Calcium Carbonate In The Treatment Of Hyperphosphatemia In Hemodialysis Patients, Faisal A. Shaheen, Nabeela M. Akeel, Laila S. Badawi, Muhammad Z. Souqiyyeh

Saudi Medical Journal

OBJECTIVE: Current phosphate binders used in hemodialysis patients include calcium-based binders that result in frequent hypercalcemia. The use of a calcium- and aluminum-free phosphate-binding polymer in hemodialysis (sevelamer) disclosed efficacy in the short and long-term studies. However, due to race differences we performed a short-term study on the Saudi hemodialysis patients and compared sevelamer with a standard calcium-based phosphate binder. METHODS: An open-label, randomized, cross-over study was performed to evaluate the safety and effectiveness of sevelamer hydrochloride in controlling hyperphosphatemia in hemodialysis patients. After a 2-week phosphate binder washout period, stable hemodialysis patients were given either sevelamer or calcium carbonate, …


Determination Of Fundal Height Increase In Fasting And Non-Fasting Pregnant Women During Ramadan, Tayebeh Naderi, Zahra Kamyabi Jun 2004

Determination Of Fundal Height Increase In Fasting And Non-Fasting Pregnant Women During Ramadan, Tayebeh Naderi, Zahra Kamyabi

Saudi Medical Journal

No abstract provided.


Achromobacter Xylosoxidans Isolated From The Sputum Of A Patient With Cystic Fibrosis Mutation I1234v With Pseudomonas Aeruginosa, Atiqa Abdul Wahab, Ibrahim A. Janahi, Sittana S. El-Shafie Jun 2004

Achromobacter Xylosoxidans Isolated From The Sputum Of A Patient With Cystic Fibrosis Mutation I1234v With Pseudomonas Aeruginosa, Atiqa Abdul Wahab, Ibrahim A. Janahi, Sittana S. El-Shafie

Saudi Medical Journal

No abstract provided.


Columnar Lined Esophagus. An Attempt To Find A Useful Definition And Reproducible Histopathological Diagnostic Criteria, Ammar C. Al-Rikabi Jun 2004

Columnar Lined Esophagus. An Attempt To Find A Useful Definition And Reproducible Histopathological Diagnostic Criteria, Ammar C. Al-Rikabi

Saudi Medical Journal

No abstract provided.


The Effect Of Rifampicin On Serum Cortisol Level In Patients With Active Tuberculosis, Elhassan H. Elansary Jun 2004

The Effect Of Rifampicin On Serum Cortisol Level In Patients With Active Tuberculosis, Elhassan H. Elansary

Saudi Medical Journal

No abstract provided.


H.Pylori And Myocardial Infarction, Abdulhalim J. Kinsara, Mansour M. Al-Nozha, Mohamed Z. Khalil, Ibrahim A. Al-Mofleh, Abdullah S. Al-Ghamdi Jun 2004

H.Pylori And Myocardial Infarction, Abdulhalim J. Kinsara, Mansour M. Al-Nozha, Mohamed Z. Khalil, Ibrahim A. Al-Mofleh, Abdullah S. Al-Ghamdi

Saudi Medical Journal

No abstract provided.


Helicobacter Pylori Infection And The Risk For Coronary Artery Disease, Jannis Kountouras, Christos Zavos, Dimitrios Chatzopoulos May 2004

Helicobacter Pylori Infection And The Risk For Coronary Artery Disease, Jannis Kountouras, Christos Zavos, Dimitrios Chatzopoulos

Saudi Medical Journal

No abstract provided.


Multiple Pregnancy And Preterm Labor, Ahmed M. Kurdi, Rateb A. Mesleh, Malak M. Al-Hakeem, Tareq Y. Khashoggi, Hani M. Khalifa May 2004

Multiple Pregnancy And Preterm Labor, Ahmed M. Kurdi, Rateb A. Mesleh, Malak M. Al-Hakeem, Tareq Y. Khashoggi, Hani M. Khalifa

Saudi Medical Journal

OBJECTIVE: Multiple gestations are high risk pregnancies, which may be complicated by pre-maturity, low birth weight infants, pre-eclampsia, anemia, postpartum hemorrhage, intrauterine growth restriction, neonatal morbidity and high perinatal, neonatal and infant mortality. This study was carried out to determine the incidence and effect of multiple pregnancies on pre-term labor in tertiary care hospitals. METHODS: Retrospective case record analysis of 375 cases of multiple pregnancies that were reported at Armed Forces Hospital and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, between January 2000 and December 2001. The data was analyzed to determine the incidence of multiple pregnancies and …


Branchial Remnants, Ahmed H. Al-Salem May 2004

Branchial Remnants, Ahmed H. Al-Salem

Saudi Medical Journal

No abstract provided.


Rubella Immune Status Of Pregnant And Non-Pregnant Women In Istanbul, Turkey, Sebahat Seker, M. Fatih Abasiyanik, Barik A. Salih May 2004

Rubella Immune Status Of Pregnant And Non-Pregnant Women In Istanbul, Turkey, Sebahat Seker, M. Fatih Abasiyanik, Barik A. Salih

Saudi Medical Journal

OBJECTIVE: Rubella immunization rates are not optimal and infections during pregnancy still occur since many countries incorporate no rubella vaccine in their national immunization program. The evaluation of immunity to rubella virus relies on the presence of specific antibodies. This study was undertaken to determine in a cross-sectional survey whether rubella virus circulation in the Istanbul city, induces detectable immunoglobulin G (IgG) antibodies with a protective level, in a random group of pregnant and non-pregnant women. METHODS: One hundred and sixty women of 20-41-years of age (average 24-years) were grouped as follows: 1. Forty-eight married women. Among these were 41 …


Genito-Urinary Cancer In Saudi Arabia, Mohammed S. Abomelha May 2004

Genito-Urinary Cancer In Saudi Arabia, Mohammed S. Abomelha

Saudi Medical Journal

The incidence of Genito-urinary cancer GUC in the Kingdom of Saudi Arabia KSA increases with age and is 5-fold higher in men than in women. Genito-urinary cancer accounts for only 9.2% of all cancers in KSA, while the rate in the United States of America USA is as high as 24.1%. An epidemiological search on GUC in KSA revealed a relatively low incidence compared to developed countries. This is more evident in prostatic cancer, which is 50 times lower than in the USA. The most common GUC in KSA is bladder, followed by the prostate, kidney, and testicular cancer. Penile …


The Campaign To Revitalize Academic Medicine Kicks Off. We Need A Deep And Broad International Debate To Begin, Peter Tugwell May 2004

The Campaign To Revitalize Academic Medicine Kicks Off. We Need A Deep And Broad International Debate To Begin, Peter Tugwell

Saudi Medical Journal

a:2:{s:4:"lang";s:2:"en";s:7:"content";s:4679:" The British Medical Journal (BMJ) and a range of partners, including other journals published by the BMJ Publishing Group, Lancet, Canadian Medical Association Journal, Dutch Journal of Medicine, Medical Journal of Australia, Croatian Medical Journal, the Academy of Medical Sciences, and many others have initiated a project to bring people together to debate whether the existing structure of academic medicine is still fundamentally sound and, if not, to propose alternatives to it.1 I have taken on the challenge of coordinating this project, and I extend an invitation to readers all over the world to join me in this exciting …


The Clinical Skills Laboratory As A Learning Tool For Medical Students And Health Professionals, Nada H. Al-Yousuf May 2004

The Clinical Skills Laboratory As A Learning Tool For Medical Students And Health Professionals, Nada H. Al-Yousuf

Saudi Medical Journal

Clinical skill laboratories CSL have become one of the essential facilities in an undergraduate medical curriculum. A wide range of training skills were recently introduced which includes clinical examination, diagnostic and therapeutic skills as well as communication skills. Although the educational value of the CSL is very well recognized, very little is written about it in the literature. The purpose of this paper is to provide an overview of the skills laboratory integrated in an undergraduate medical curriculum, highlight the nature of this trend, look at the advantages and disadvantages and suggest some guidelines for implementation.


Breast Feeding In A Saudi Arabian Community. Profile Of Parents And Influencing Factors, Danny O. Ogbeide, Saima Siddiqui, Anjum Karim May 2004

Breast Feeding In A Saudi Arabian Community. Profile Of Parents And Influencing Factors, Danny O. Ogbeide, Saima Siddiqui, Anjum Karim

Saudi Medical Journal

OBJECTIVE: Although bottle feeding is the main infant feeding mode in most societies, human milk is considered the most appropriate food for human infants. The aim of this study is to gather statistics regarding breast feeding prevalence, influencing factors for engaging in, and demographic characteristics of breast feeding in general population. METHODS: This is a random cross-sectional questionnaire study conducted in Al Kharj Health Centre, Kingdom of Saudi Arabia between the period of November 2000 through to February 2001. Mothers of childbearing age with at least one child were interviewed by trained interviewers. The sample was divided into 3 groups …


Knowledge Of And Attitudes Towards Tobacco Control Among Smoking And Non-Smoking Physicians In 2 Gulf Arab States, Nasser N. Behbehani, Randah R. Hamadeh, Nejma S. Macklai May 2004

Knowledge Of And Attitudes Towards Tobacco Control Among Smoking And Non-Smoking Physicians In 2 Gulf Arab States, Nasser N. Behbehani, Randah R. Hamadeh, Nejma S. Macklai

Saudi Medical Journal

OBJECTIVE: The global health professional survey is a project organized by the World Health Organization, to determine the smoking habits, knowledge and attitude towards tobacco control of health professionals in several countries around the world. This paper presents data from Kuwait and Bahrain. METHODS: The survey period was between May 2000 and March 2001. A questionnaire was distributed to all physicians in Bahrain and to a random sample from Kuwait. The responses to knowledge and attitude questions were on a scale of 1-5, (1 strongly agree, 2 agree, 3 unsure, 4 disagree and 5 strongly disagree). RESULTS: Four hundred and …


Validity Of The Self-Report Version Of The Strengths And Difficulties Questionnaire In Yemen, Mohammed H. Almaqrami, Abdullah Y. Shuwail May 2004

Validity Of The Self-Report Version Of The Strengths And Difficulties Questionnaire In Yemen, Mohammed H. Almaqrami, Abdullah Y. Shuwail

Saudi Medical Journal

OBJECTIVE: The main objective of the study was to determine the validity of the Arabic version of the Strengths and Difficulties Questionnaire (SDQ) Self-Report version in Yemen. METHODS: Following translation and back translation of the scale into the Arabic language by a panel of experts, psychometric properties were assessed using 600 students from schools (low risk group) and 57 patients attending the Mental Health Hospital in Sana9a, Republic of Yemen (high risk group) from January through to April 2002. The age range of the 2 groups was from 12-17-years-old. Discriminative validity, concurrent validity and factorial validity were studied. RESULTS: The …


Non-Hodgkin Lymphoma In Jordan. Types And Patterns Of 111 Cases Classified According To The Who Classification Of Hematological Malignancies, Nidal M. Almasri, Mahmud A. Habashneh, Hasan S. Khalidi May 2004

Non-Hodgkin Lymphoma In Jordan. Types And Patterns Of 111 Cases Classified According To The Who Classification Of Hematological Malignancies, Nidal M. Almasri, Mahmud A. Habashneh, Hasan S. Khalidi

Saudi Medical Journal

OBJECTIVE: Non-Hodgkin lymphoma (NHL) is one of the most frequent malignancies in Jordan. The aims of this study are: 1. To classify NHL cases in Jordan, using the new World Health Organization (WHO) classification system, 2. To identify the most common types of NHL in Jordan, and 3. To compare lymphoma types and patterns in Jordan with those in surrounding countries and the West. METHODS: We studied all NHL cases, diagnosed during 1996 through to 1999 inclusive, at 2 major medical centers in Jordan, in order to identify their main types and patterns. One hundred and eleven cases of confirmed …


Evaluation Of Dizziness At Jordan University Hospital, Khader J. Abdul-Baqi, Faisal I. Mohammed, Kandil S. Shubair, Mohamed I. Tawalbeh, Khader J. Abdul-Baqi, Yusef S. Sarhan May 2004

Evaluation Of Dizziness At Jordan University Hospital, Khader J. Abdul-Baqi, Faisal I. Mohammed, Kandil S. Shubair, Mohamed I. Tawalbeh, Khader J. Abdul-Baqi, Yusef S. Sarhan

Saudi Medical Journal

OBJECTIVE: This study was performed prospectively to evaluate the dizzy patients in the Neurotology Outpatient clinic at Jordan University Hospital, Amman, Jordan during the period 1993-2000 and to discuss the prevalence and etiology of dizziness. METHODS: Data were collected from 108 patients (52 males and 56 females) with a mean age of 45.6-years. Diagnosis was made on the basis of history, physical, otolaryngological and neurological examination and confirmed by relevant investigation including laboratory, radiological and audio vestibular tests. RESULTS: Secure diagnosis were made in 98% of patients (14% had one cause alone and 84% had multiple causes). Cardiovascular disorders accounted …


Renal Abnormalities In Congenital Chloride Diarrhea, Nadia M. Al-Hamad, Amal A. Al-Eisa May 2004

Renal Abnormalities In Congenital Chloride Diarrhea, Nadia M. Al-Hamad, Amal A. Al-Eisa

Saudi Medical Journal

Congenital chloride diarrhea CLD is a rare autosomal recessive disorder caused by a defect in the chloride/ bicarbonate exchange in the ileum and colon. It is characterized by watery diarrhea, abdominal distension, hypochloremic hypokalemic metabolic alkalosis with high fecal content of chloride >90 mmol/l. We report 3 patients with CLD associated with various renal abnormalities including chronic renal failure secondary to renal hypoplasia, nephrocalcinosis and congenital nephrotic syndrome.


An Analysis Of Referrals From Primary Care, Dhafer A. Al-Qahtani, Mohammed L. Imtiaz May 2004

An Analysis Of Referrals From Primary Care, Dhafer A. Al-Qahtani, Mohammed L. Imtiaz

Saudi Medical Journal

No abstract provided.


Professionalism: Are We Doing Enough?, Mir Sadat-Ali May 2004

Professionalism: Are We Doing Enough?, Mir Sadat-Ali

Saudi Medical Journal

No abstract provided.


Lipoprotein(A). The Bad Cholesterol, Syed S. Habib Apr 2004

Lipoprotein(A). The Bad Cholesterol, Syed S. Habib

Saudi Medical Journal

The aim of this review is to highlight the role of lipoprotein(a) [Lp(a)] in atherogenesis and coronary artery disease. After 40 years from discovery, Lp(a) still remains an enigma and we are still far in understanding the pathophysiological role of Lp(a). Based on its peculiar structure, Lp(a) has both atherogenic and thrombogenic potentials as it is internalized by macrophages and has structural similarity with plasminogen. The results of the prospective studies performed over the past decade have also shown that Lp(a) is a predictor of coronary artery disease (CAD), even though some of the studies have failed to show a …


Childrens' Rights And A Sample Study On Accidents In Children Groups Aged 0-5 Years Old In The Light Of Parents' Responsibility In Turkey, Omur Elcioglu, Sahin Aksoy, Tarik Gunduz Apr 2004

Childrens' Rights And A Sample Study On Accidents In Children Groups Aged 0-5 Years Old In The Light Of Parents' Responsibility In Turkey, Omur Elcioglu, Sahin Aksoy, Tarik Gunduz

Saudi Medical Journal

OBJECTIVE: Most frequent reasons for the accidents seen in children under 5 years of age who have a right to be cared and protected are negligence and carelessness. In this study, judicial cases were compiled from children between the age of 0 to 5, who had been injured due to severe family negligence. METHODS: Files of cases were obtained from archives with file numbers, indicating cases obtained from the records of the hospital and police were studied retrospectively. The gender, age, and type of application of patients, the type of interference, and the results obtained from the procedure were studied. …


Transport Management Of The Critically Ill. Outcome Of Study With Recommendations, Farouk M. Messahel, Ali S. Al-Qahtani Apr 2004

Transport Management Of The Critically Ill. Outcome Of Study With Recommendations, Farouk M. Messahel, Ali S. Al-Qahtani

Saudi Medical Journal

No abstract provided.