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Pattern Of Skin Diseases In A Hospital In Southwestern Saudi Arabia, Hamdi H. Shelleh, Husni S. Al-Hatiti
Pattern Of Skin Diseases In A Hospital In Southwestern Saudi Arabia, Hamdi H. Shelleh, Husni S. Al-Hatiti
Saudi Medical Journal
OBJECTIVE: To ascertain the type of skin diseases in Najran General Hospital as a rough pattern of skin diseases in Najran region and to compare this with other similar regional studies in the Kingdom of Saudi Arabia (KSA). METHODS: A retrospective 12 months study of the common skin dermatoses, which were recorded in Najran General Hospital, Najran, KSA, within the period December 2000 to December 2001. RESULTS: We recorded 1192 new patients within the study period, 37% had one of the dermatitis or eczema group of diseases, 12.75% had acne, 7% had vitiligo, 5.9% had viral infections 5.6% had superficial …
Is Surgical Management Of Cataract And Glaucoma Patients In Yemen Changing?, Mahfouth A. Bamashmus, Ahmed A. Al-Shabooti
Is Surgical Management Of Cataract And Glaucoma Patients In Yemen Changing?, Mahfouth A. Bamashmus, Ahmed A. Al-Shabooti
Saudi Medical Journal
No abstract provided.
Prevalence Of X-Chromatin In Jordania Women, Ziad M. Bataineh, Mohammad A. Al-Azab
Prevalence Of X-Chromatin In Jordania Women, Ziad M. Bataineh, Mohammad A. Al-Azab
Saudi Medical Journal
OBJECTIVE: This study was conducted to evaluate the distribution of X-chromatin among Jordanian women at different age groups. Results will be compared with other studies for possible racial and environmental effect on X-chromatin distribution. METHODS: Blood samples were drawn from all women subjected to this study by finger prick and stained with Wright9s stain. X-chromatin positive polymorphonuclear cells were counted and corrected for percentage. Samples were taken during late 2002 and early 2003 from healthy women attending routine checkup in health centers in Northern Jordan. RESULTS: The number of X-chromatin was the highest (approximately 22%) in the <9-19 years age group and was the lowest (approximately 10%) >50 and above …
Placenta Percreta With Urinary Bladder Involvement, Eftekhar H. Al-Ojaimi, Balameenakshi V. Subramaniam
Placenta Percreta With Urinary Bladder Involvement, Eftekhar H. Al-Ojaimi, Balameenakshi V. Subramaniam
Saudi Medical Journal
A 37-year-old Pakistani lady, who had previously undergone one cesarean delivery and one uterine curettage, was admitted to the labor ward at 29 weeks of gestation with history of a sudden severe painless vaginal bleeding from a sonographically diagnosed placenta previa. An immediate cesarean section was performed and a live male infant was delivered. The placenta was morbidly adherent to the lower uterine segment and attempts at removal caused torrential bleeding, necessitating cesarean hysterectomy. In addition, attempts to dissect the bladder from the lower uterine segment were unsuccessful and, hence, the diagnosis of placenta percreta with involvement of the urinary …
Reading Medical Articles Critically. What They Do Not Teach You In Medical School, Fahad A. Al-Ateeg
Reading Medical Articles Critically. What They Do Not Teach You In Medical School, Fahad A. Al-Ateeg
Saudi Medical Journal
The article aims to distinguish between the various types of research published in medical journals; illustrate the anatomy of a scientific article in primary research and provide a guideline on how to read journal articles critically in order to maximize the readers understanding of the medical literature. Additionally, it provides a framework for things to consider when reading articles in various fields of research. It also enables non-experts at all levels to recognize strengths and weaknesses of different epidemiologic study designs. To achieve these goals, the hierarchy of medical journals is explained and highlighted, the various research designs used in …
Graduate Education In Surgery In The Kingdom Of Saudi Arabia. The Challenge Of Growing Pains., Ahmed A. Alsaddique
Graduate Education In Surgery In The Kingdom Of Saudi Arabia. The Challenge Of Growing Pains., Ahmed A. Alsaddique
Saudi Medical Journal
With the establishment of undergraduate medical education and the progress of health care in the country heralded by the return of well trained and dedicated physicians and surgeons, it was only natural that the attention will be focused on establishing graduate training for the different medical specialties in the Kingdom of Saudi Arabia. This paper addresses the current status of general surgery training in the country and compares our model with the experience of others from the perspective of a program director. It is not the exception, but it is the rule to have challenges at this stage of development. …
Vitamin D Receptor, Her-2 Polymorphisms And Risk Of Prostate Cancer In Men With Benign Prostate Hyperplasia, Mohammed T. Tayeb, Caroline Clark, Neva E. Haites, Linda Sharp, Graeme I. Murray, Howard L. Mcleod
Vitamin D Receptor, Her-2 Polymorphisms And Risk Of Prostate Cancer In Men With Benign Prostate Hyperplasia, Mohammed T. Tayeb, Caroline Clark, Neva E. Haites, Linda Sharp, Graeme I. Murray, Howard L. Mcleod
Saudi Medical Journal
OBJECTIVE: Prostate cancer (PRCa) is one of the most common causes of cancer death in men and determinants of PRCa risk remain largely unidentified. Benign prostatic hyperplasia (BPH) is found in the majority of ageing men and has been associated with PRCa. Many candidate genes have been suggested to be involved in PRCa, such as those that are central to cellular growth and differentiation in the prostate gland. The vitamin D receptor (VDR) and HER-2 protooncogene have been shown to be involved in the regulation of cell proliferation and differentiation in prostate cells. Genetic variations of these genes could be …
Resistance Patterns Among Selective Gram-Negative Bacilli From An Intensive Care Unit In Trinidad, West Indies, Fitzroy A. Orrett
Resistance Patterns Among Selective Gram-Negative Bacilli From An Intensive Care Unit In Trinidad, West Indies, Fitzroy A. Orrett
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of antimicrobial resistance among gram-negative aerobic bacteria isolated from infected patients on the intensive care unit (ICU) and the outcome of infected patients. METHODS: Over a 5-year period (January 1998 to December 2002), all gram-negative aerobic bacteria (GNB) consecutively isolated from infected ICU patients at General Hospital, San Fernando, Trinidad and Tobago, West Indies. were tested for susceptibility to 10 commonly prescribed antimicrobial agents. Bacterial strains were identified according to standard microbiological procedures. The antimicrobial agents used and the amounts consumed by patients on the ICU were obtained from the hospital pharmacy records. Hospital discharges …
Awareness Of Hepatitis B Virus Among Undergraduate Medical And Non-Medical Students, Ali A. Al-Jabri, Samir Al-Adawi, Jehan H. Al-Abri, Said H. Al-Dhahry
Awareness Of Hepatitis B Virus Among Undergraduate Medical And Non-Medical Students, Ali A. Al-Jabri, Samir Al-Adawi, Jehan H. Al-Abri, Said H. Al-Dhahry
Saudi Medical Journal
OBJECTIVE: To investigate the awareness of Omani medical and non-medical students of hepatitis-B virus (HBV) infection. METHODS: A structured questionnaire of 31 different statements concerning basic knowledge of HBV, its modes of transmission, diagnosis, risk behaviors, prevention, treatment, beliefs as well as attitudes towards patients with HBV infection were distributed to 280 students (154 females and 126 males). Of these 138 were pre-clinical medical students and 142 were non-medical students. The study was conducted at Sultan Qaboos University, Muscat, Sultanate of Oman during the period of 2001 to 2003. RESULTS: The majority of the students (75%) were aware that HBV …
Prescribing In Primary Care For The Older People, Mohammed H. Al-Doghether, Tarek I. Al-Megbil
Prescribing In Primary Care For The Older People, Mohammed H. Al-Doghether, Tarek I. Al-Megbil
Saudi Medical Journal
OBJECTIVE: To assess doctor9s knowledge, attitude and practices, which influence their prescribing for older people. METHODS: This is a cross-sectional study conducted by the primary health care physicians working in the primary health care centers in Riyadh city, Kingdom of Saudi Arabia during April 2001 to July 2001. A hundred physicians in randomly selected primary health care centers in Riyadh were asked to fill a structured questionnaire to assess their knowledge, attitude and practices on prescribing for older people. RESULTS: The study showed 56% of the physicians thought that number of older people in PHC is increasing, 65% of physicians …
Frequency Of Benign And Preinvasive Breast Diseases, Fadwa J. Altaf, Lailah S. Abdullah, Awatif A. Jamal
Frequency Of Benign And Preinvasive Breast Diseases, Fadwa J. Altaf, Lailah S. Abdullah, Awatif A. Jamal
Saudi Medical Journal
OBJECTIVE: The importance of benign proliferative and non-invasive breast lesions as a risk factor preceding the development of invasive mammary carcinoma is well established in the literature. The objective of this study is to estimate the magnitude of benign proliferative diseases as well as mammary intra-epithelial neoplasia in the Western region of the Kingdom of Saudi Arabia (KSA), in order to encourage nationwide breast cancer screening programs for early detection of the high risk proliferative and pre-invasive breast lesions. METHODS: We reviewed histopathology records (reports and slides of selected cases) of 2129 breast cases including mastectomies and breast biopsies from …
Treatment Of Plummer-Vinson Syndrome With Savary-Gilliard Dilatation, Mohamed I. Yasawy
Treatment Of Plummer-Vinson Syndrome With Savary-Gilliard Dilatation, Mohamed I. Yasawy
Saudi Medical Journal
The association of postcricoid dysphagia, iron deficiency anemia and upper esophageal webs is known as the Plummer-Vinson syndrome (PVS). It is predominantly a disease of middle aged females. Four patients with cervical web of the esophagus were studied, dysphagia was mostly for solids, which were non-progressive and were present for years before they presented. Initial treatment in 3 patients consisted of esophageal dilatation with savary bougies after initial rupture of the web by endoscope. In one case, due to failure to visualize the esophageal lumen by fluoroscopy guidance, guide wire was introduced and breaking of the web was performed by …
Rift Valley Fever Hepatitis Complicated By Disseminated Intravascular Coagulation And Hepatorenal Syndrome, Tarig S. Al-Khuwaitir, Abdurahman M. Al-Moghairi, Safia M. Sherbeeni, Abdullah S. Al-Ghamdi
Rift Valley Fever Hepatitis Complicated By Disseminated Intravascular Coagulation And Hepatorenal Syndrome, Tarig S. Al-Khuwaitir, Abdurahman M. Al-Moghairi, Safia M. Sherbeeni, Abdullah S. Al-Ghamdi
Saudi Medical Journal
No abstract provided.
Is Methotrexate Safe In The Treatment Of Psoriatic Patients?, Makram M. Al-Waiz, Shakir J. Jafar
Is Methotrexate Safe In The Treatment Of Psoriatic Patients?, Makram M. Al-Waiz, Shakir J. Jafar
Saudi Medical Journal
No abstract provided.
Sickle Cell Disease In Pregnancy. Obstetric And Anesthetic Management Perspectives, Khalil E. Rajab, Jonathan H. Skerman
Sickle Cell Disease In Pregnancy. Obstetric And Anesthetic Management Perspectives, Khalil E. Rajab, Jonathan H. Skerman
Saudi Medical Journal
Recent advances in the pathophysiology, clinical investigations, and management of sickle hemoglobinopathies enables all physicians to better manage these disease states and their sequelae. Patients with sickle cell disease SCD are living longer and are thus more likely to contract unrelated diseases that require surgery and anesthesia. Patients with SCD continue to be a challenge to all branches of medicine particularly in obstetrics, surgery and anesthesia; however, the armamentarium of new knowledge and practice places a different perspective on the care of this old disease. In general, the literature to date suggests that neither prophylactic transfusion of pregnant sicklers nor …
Can We Reduce Mortality In Sepsis?
Can We Reduce Mortality In Sepsis?
Saudi Medical Journal
Considerable progress has been made over the last 2 decades in diagnosing and treating sepsis. Although the mortality rate is beginning to decline with the development of new therapeutic interventions, it still remains unacceptably high. Five such interventions are discussed in this review article to provide guidance for intensivists on the integration and implementation of new interventions into the intensive care unit. They were shown in randomized, controlled trials to reduce mortality by limiting the tidal volume in acute lung injury or acute respiratory distress syndrome, the early goal directed therapy, the use of recombinant human activated protein C, the …
Anticardiolipin And Antinuclear Antibodies In The Adult Healthy Omani Individuals
Anticardiolipin And Antinuclear Antibodies In The Adult Healthy Omani Individuals
Saudi Medical Journal
OBJECTIVE: To investigate the prevalence and normal versus abnormal levels of anticardiolipin antibodies (aCL) in a healthy adult population of Omanis and whether a correlation exists between aCL and antinuclear antibodies (ANA) in this Omani population. METHODS: A total of 521 healthy Omani individuals (333 males and 188 females), aged between 17-54-years were investigated for the presence and quantities of anticardiolipin antibodies (immunoglobulin G (IgG)) and IgM isotypes using a conventional enzyme linked immunosorbent assay. Antinuclear antibodies were detected, in this group, using standard indirect immunofluorescence techniques. This study was conducted during the period 2002 through to 2003 at the …
Knowledge, Attitudes And Practices Regarding Blood Donation Among The Saudi Population, Maqbool Alam
Knowledge, Attitudes And Practices Regarding Blood Donation Among The Saudi Population, Maqbool Alam
Saudi Medical Journal
OBJECTIVE: To assess the knowledge, attitude and practice regarding blood donation among the Saudi population. Based on this study, an effective strategy can be made regarding motivation and recruitment of voluntary non-remunerated blood donors in future. METHODS: This cross sectional study was carried out at the Armed Forces Hospital, Sharourah, Kingdom of Saudi Arabia, during January 2003. A total of 500 adult males were interviewed. Each individual completed a questionnaire in Arabic language containing epidemiological data and knowledge regarding blood donation and reasons of blood donation or non donation. RESULTS: Out of 500 individuals, 291 (58.2%) were donors and 209 …
Role Of Hba1c In Management Of Diabetes Mellitus, Aisha A. Al-Ghamdi
Role Of Hba1c In Management Of Diabetes Mellitus, Aisha A. Al-Ghamdi
Saudi Medical Journal
OBJECTIVE: To represent that glycosylated hemoglobin (HbA1c) is not requested by the physicians in spite of its critical importance in the monitoring of glycemic control and prediction of complications due to diabetes. METHODS: A cross-sectional study was conducted at the outpatient department of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia, between October 2002 and July 2003. Out of the 265 known patients with diabetes, 130 patients were included in the study, which had HbA1c levels registered in their medical records. Demographic features, smoking habit, presence of hypertension, hyperlipidemia were recorded. Detailed information on diabetes were recorded, which included …
Prevalence And 10-Year Secular Trend Of Obesity In Oman, Jawad A. Al-Lawati, Pekka J. Jousilahti
Prevalence And 10-Year Secular Trend Of Obesity In Oman, Jawad A. Al-Lawati, Pekka J. Jousilahti
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of overweight and obesity by age, gender and region and to assess the difference between rural and urban populations and determine the trends of the past decade. METHODS: Analysis of nationally represented samples from 2 cross-sectional surveys conducted in 1991 and 2000, containing 5,086 and 6,400 Omani citizens aged >=20 years. Body mass index (BMI) (weight in kg) divided by height (in meters squared) was calculated using measured height and weight data. Overweight was defined as BMI 25-29.9 kg/m2 and obesity as BMI >= 30 kg/m2. RESULTS: In the year 2000, the age adjusted prevalence …
Bone Mineral Density And Bone Scintigraphy In Adult Saudi Female Patients With Osteomalacia, Mahmoud I. El-Desouki, Saleh M. Othman, Mona A. Fouda
Bone Mineral Density And Bone Scintigraphy In Adult Saudi Female Patients With Osteomalacia, Mahmoud I. El-Desouki, Saleh M. Othman, Mona A. Fouda
Saudi Medical Journal
OBJECTIVE: This prospective study was conducted to demonstrate the role of bone mineral density (BMD) and bone scan in the management of adult Saudi female patients with established diagnosis of osteomalacia. METHODS: Bone scan using Tc99m methylene diphosphonate (MDP) and BMD of the lumbar spine and femoral neck using dual x-ray absorptiometry (DXA) were performed at the time of diagnosis 6 months and one year after therapy in 96 Saudi female patients attending the metabolic bone disease clinic at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, between January 1997 through to June 1999, aged between 20 and 73-years …
Natural Family Planning Revisited, Fahad A. Al-Ateeg
Natural Family Planning Revisited, Fahad A. Al-Ateeg
Saudi Medical Journal
The article focuses on the role of natural family planning NFP as a component of reproductive health. It distinguishes NFP from the concept of fertility awareness method. Furthermore, the effectiveness of NFP as determined by previous studies is presented and the advantages and disadvantages of NFP are highlighted. Additionally, factors that influence the use of NFP methods are examined. Finally, delivery strategies and options for mainstreaming NFP into reproductive health services are identified and discussed.
Hepatitis B Viral Infection In South West Saudi Arabia, Subhash C. Arya, Nirmala Agarwal, Ayobanji E. Ayoola
Hepatitis B Viral Infection In South West Saudi Arabia, Subhash C. Arya, Nirmala Agarwal, Ayobanji E. Ayoola
Saudi Medical Journal
No abstract provided.
Health Attitudes Of School Teachers, Faisal A. Alnasir
Health Attitudes Of School Teachers, Faisal A. Alnasir
Saudi Medical Journal
OBJECTIVE: Teachers9 health attitudes are usually a reflection of their knowledge, beliefs and perceptions on health. Such attitudes could be disseminated from teachers to their pupils, who represent the fastest growing segment of the population. Health promotion in society will depend, among other factors, on this segment. School teachers therefore, should have proper attitudes and be knowledgeable with regards to health issues. The purpose of this study was to assess school teachers9 health attitudes and perceptions. METHODS: This study was conducted in Bahrain during 1997 through to 1998. A random sample of 49 schools were selected and all the teachers …
Microbial, Nutritional And Physical Quality Of Commercial And Hospital Prepared Tube Feedings In Saudi Arabia, Jalal K. Mokhalalati, Mary E. Druyan, Susan B. Shott, Gail M. Comer
Microbial, Nutritional And Physical Quality Of Commercial And Hospital Prepared Tube Feedings In Saudi Arabia, Jalal K. Mokhalalati, Mary E. Druyan, Susan B. Shott, Gail M. Comer
Saudi Medical Journal
OBJECTIVE: Blenderized tube feedings (BTF) may present disadvantages over commercially prepared formulas (CPF). This study compares the microbial safety, nutritional content, and physical properties of BTF versus CPF. METHODS: A total of 18 samples of BTF were collected from 3 hospitals in the Kingdom of Saudi Arabia from August 1999 through to November 1999. Samples of a CPF were collected for comparison. All samples were analyzed for nutritional content, microbial quality (aerobic plate counts, coliform counts, microorganism growth) and physical characteristics (viscosity, osmolality). RESULTS: The nutrient content of BTF varied significantly within and between sites. The average intra site variability …
Concurrent Papillary And Medullary Thyroid Carcinomas With Mixed Metastases To Lymph Nodes, Abdul-Wahed N. Meshikhes, Mukund Tingura, Jamal Y. Al-Saeed
Concurrent Papillary And Medullary Thyroid Carcinomas With Mixed Metastases To Lymph Nodes, Abdul-Wahed N. Meshikhes, Mukund Tingura, Jamal Y. Al-Saeed
Saudi Medical Journal
We report here a rare concurrence of medullary and papillary carcinomas of the thyroid in a 39-year-old Saudi male. He presented with a solitary nodule of the right thyroid lobe and underwent total thyroidectomy based on the cytological diagnosis of papillary carcinoma. Subsequent detailed histopathologic examination of the thyroid revealed 2 different types of malignancies in the 2 lobes papillary cancer in the right and medullary cancer in the left lobe. A single small lymph node showed metastatic replacement by both cancers. The extreme rarity and the interesting pathological features of such combinations are discussed.
Elevated Levels Of B-Human Chorionic Gonadotropin And Human Placental Lactogen Between 11-13 Weeks' Gestation And Subsequent Pregnancy Complications In Omani Women, Andrzej Krolikowski, Fikra Al Busaidi, Adil Al Wahaibi
Elevated Levels Of B-Human Chorionic Gonadotropin And Human Placental Lactogen Between 11-13 Weeks' Gestation And Subsequent Pregnancy Complications In Omani Women, Andrzej Krolikowski, Fikra Al Busaidi, Adil Al Wahaibi
Saudi Medical Journal
No abstract provided.
Hashimoto's Thyroiditis In School Girls In The United Arab Emirates, Abdulazim M. Mabrouk, Valsamma N. Eapen
Hashimoto's Thyroiditis In School Girls In The United Arab Emirates, Abdulazim M. Mabrouk, Valsamma N. Eapen
Saudi Medical Journal
No abstract provided.
The Role Of External Cephalic Version On The Presentation At Delivery, Saad E. Dafallah, Sayed M. Elhag
The Role Of External Cephalic Version On The Presentation At Delivery, Saad E. Dafallah, Sayed M. Elhag
Saudi Medical Journal
No abstract provided.
Survey Of Satisfaction Of Patients Attending Pediatric Orthopedic Clinics At King Fahd Hospital Of The University, Al-Khobar, Ibrahim Al-Habdan
Survey Of Satisfaction Of Patients Attending Pediatric Orthopedic Clinics At King Fahd Hospital Of The University, Al-Khobar, Ibrahim Al-Habdan
Saudi Medical Journal
No abstract provided.