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Osmotic Fragility And Na+-K+ Atpase Activity Of Erythrocytes Of Hiv/Aids Patients, Osaretin A. Ebuehi, Mohammed O. Balogun, Rosemary A. Audu, Emmanuel O. Idigbe Dec 2003

Osmotic Fragility And Na+-K+ Atpase Activity Of Erythrocytes Of Hiv/Aids Patients, Osaretin A. Ebuehi, Mohammed O. Balogun, Rosemary A. Audu, Emmanuel O. Idigbe

Saudi Medical Journal

No abstract provided.


Tonsillectomy Blood Splash, Sami A. Al-Kindy, Ahamefule O. Ibekwe, Mohammed Al Hiemy, Sultan Al Harthy Dec 2003

Tonsillectomy Blood Splash, Sami A. Al-Kindy, Ahamefule O. Ibekwe, Mohammed Al Hiemy, Sultan Al Harthy

Saudi Medical Journal

No abstract provided.


Profile Of Pap Smear Cytology In The Western Region Of Saudi Arabia, Awatif Jamal, Jaudah A. Al-Maghrabi Nov 2003

Profile Of Pap Smear Cytology In The Western Region Of Saudi Arabia, Awatif Jamal, Jaudah A. Al-Maghrabi

Saudi Medical Journal

OBJECTIVE: Cervical carcinoma is an important womens health problem in the Western countries. There are only few published data on this disease in the Kingdom of Saudi Arabia (KSA). The aim of this study is to evaluate the abnormal cytological entities detected by cervical Pap smear in Western region of KSA and to discuss the importance of Pap smears screening programs. METHODS: Retrospective review of all the cervical smears present at the King Abdul-Aziz University Hospital, Jeddah, KSA from 1984 to 2000. The reports of 22089 smears were retrieved from the file of the pathology department. RESULTS: There were 368 …


Management Of Acute Myocardial Infarction., Mohamed Z. Khalil, Abdullah A. Abba Nov 2003

Management Of Acute Myocardial Infarction., Mohamed Z. Khalil, Abdullah A. Abba

Saudi Medical Journal

OBJECTIVE: Acute myocardial infarction (MI) is a major health problem with a substantial fatality and morbidity. The management of patients with acute MI has been addressed in major trials to improve the survival and enhance the quality of life of the patients. Numerous guidelines have been established for the management of such patients. The objective of this study is to determine whether the current practice in managing patients admitted with acute MI in a major community hospital in Riyadh is evidence based compliant. METHODS: The data were collected from patients admitted to the Coronary Care Unit (CCU), Riyadh Medical Complex …


Unmet Need For Family Planning, Farouk M. Shakhatreh Nov 2003

Unmet Need For Family Planning, Farouk M. Shakhatreh

Saudi Medical Journal

No abstract provided.


The Prevalence Of Antibodies Against Rubella In Pregnant Women In Kerman, Iran, Tahereh A. Ganjooie, Mohammad M. Mohammadi Nov 2003

The Prevalence Of Antibodies Against Rubella In Pregnant Women In Kerman, Iran, Tahereh A. Ganjooie, Mohammad M. Mohammadi

Saudi Medical Journal

No abstract provided.


Health Hazards Of Welding Fumes, Sultan A. Meo, Thamir Al-Khlaiwi Nov 2003

Health Hazards Of Welding Fumes, Sultan A. Meo, Thamir Al-Khlaiwi

Saudi Medical Journal

Even in the twenty-first century, welding is still a common and a highly skilled occupation. The hazardous agents associated with welding processes are acetylene, carbon monoxide, oxides of nitrogen, ozone, phosgene, tungsten, arsenic, beryllium, cadmium, chromium, cobalt, copper, iron, lead, manganese, nickel, silver, tin, and zinc. All welding processes involve the potential hazards for inhalation exposures that may lead to acute or chronic respiratory diseases. According to literature described earlier it has been suggested that welding fumes cause the lung function impairment, obstructive and restrictive lung disease, cough, dyspnea, rhinitis, asthma, pneumonitis, pneumoconiosis, carcinoma of the lungs. In addition, welding …


Deniz: The Electronic Database For B-Thalassemia Mutations In The Arab World, Ghazi O. Tadmouri, Resul I. Gulen Nov 2003

Deniz: The Electronic Database For B-Thalassemia Mutations In The Arab World, Ghazi O. Tadmouri, Resul I. Gulen

Saudi Medical Journal

OBJECTIVE: Data on the distribution of beta-thalassemia mutations in Arab populations are usually destined to disparate locations and much of these become increasingly difficult for an average researcher to locate. That is why we aimed at establishing an electronic database network, called Deniz, for beta-thalassemia allele frequency distributions in the Arab world at http://biobase.fatih.edu.tr. METHODS: The scheme of the database combines the benefits of the relational and hierarchical systems. Detailed statistics of the frequencies of beta-thalassemia mutations are retrieved in tabular forms. Multiple permanent connections allow flexible movement within the database. Queries are processed by the systems language and sent …


Tepid Blood Versus Cold Crystalloid Cardioplegia In Cardiac Protection, Abbas Afrasiabi, Susan Hassanzadeh Nov 2003

Tepid Blood Versus Cold Crystalloid Cardioplegia In Cardiac Protection, Abbas Afrasiabi, Susan Hassanzadeh

Saudi Medical Journal

No abstract provided.


Primary Hyperparathyroidism, Hayan A. Bismar, Abdelkarim A. El-Bakry Nov 2003

Primary Hyperparathyroidism, Hayan A. Bismar, Abdelkarim A. El-Bakry

Saudi Medical Journal

OBJECTIVE: The aim of the study is to present the clinical pattern, surgical indication and management of primary hyperparathyroidism in a teaching hospital in the Kingdom of Saudi Arabia (KSA). METHODS: The records of patients who underwent surgical treatment for primary hyperparathyroidism at the King Khalid University Hospital, Riyadh, KSA from March 1992 to October 2002 were reviewed for epidemiological data, biochemical, radiological investigation, operative procedures, histopathology result, preoperative localization studies included neck ultrasonogram, neck computerized tomography and thallium-technetium subtraction scan. All patients underwent surgery under general anesthesia and procedures were bilateral, unilateral neck exploration, or minimal invasive parathyroidectomy. RESULTS: …


Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri Nov 2003

Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri

Saudi Medical Journal

Recently, the role of doctors and managers in health care management has become a hot topic in the newspapers and public magazine in the Kingdom of Saudi Arabia. The aim of this paper is to contribute constructively and scientifically to this topical issue by emphasizing that commonality and interaction between medicine and management dictate more involvement of doctors in management. Although one may argue that doctors are usually not well trained in resources management, scientific evidence supports the need for more involvement of doctors in managing health care system. In addition, government needs to make a strategic shift towards high …


A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani Nov 2003

A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani

Saudi Medical Journal

In the Arabian Peninsula, high percentages of consanguineous marriages and the tribal nature of marriages have resulted in high incidence of genetically based disorders. The successful management of these disorders incurs a high financial cost, which is a great burden on the health care system. The practical solution to this problem is through prevention. Prevention of genetic disorders should be the utmost public health concern especially where these disorders are prevalent. Preventive genetics became possible with the advent of biochemical and molecular technologies. Biochemical neonatal screening based on tandem mass spectrometry technology and molecular technologies such as sequencing, DNA microarray …


Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri Nov 2003

Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri

Saudi Medical Journal

OBJECTIVE: This study aims at assessing the different sources of job stress for nurses in a number of public hospitals in Riyadh city, Kingdom of Saudi Arabia. In addition, it intends to find out the most and least perceived sources of stress, and the effect of demographic factors on nurses perception of these sources. METHODS: Four-hundred and twenty-four nurses working in a number of public hospitals in Riyadh city were the sample size. A questionnaire was used as a method of data collection. It was distributed through the first half of year 2002. Validity and reliability were examined and the …


Students Perception Of The Various Teaching Methods Used In The Primary Health Care Course In The Abha , College Of Medicine, Ismail Abdelmoneim Nov 2003

Students Perception Of The Various Teaching Methods Used In The Primary Health Care Course In The Abha , College Of Medicine, Ismail Abdelmoneim

Saudi Medical Journal

OBJECTIVE: To describe students perception of the various teaching methods used in the Primary Health Care (PHC) course concerning the scientific material presented, information processing as well as motivation and importance attached by the students to each method. METHODS: A self-administered anonymous questionnaire was filled by the students of the sixth year (n=51) at the end of the course. This was structured into 3 main parts: a general part addressing the objectives of the course, the suitability of the course contents, the references and the importance of the course for the future career. The second part dealt with the suitability …


Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi Nov 2003

Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi

Saudi Medical Journal

OBJECTIVE: To determine the pattern of pitfalls of inhalation technique in chronic asthmatics; to assess whether an educational program can reduce the pitfalls of inhalation technique; and to evaluate whether reduction of the pitfalls could have a positive correlation with peak expiratory flow (PEF) measurements. METHODS: The pitfalls of inhalation technique in 106 chronic asthmatics using either metered dose inhaler (MDI) (65%) or turbuhaler (35%) were studied prospectively. The pitfalls of inhalation technique and PEF measurement were recorded before and after an educational program at first and second visit. It was performed in the outpatients asthma clinic of the King …


Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam Nov 2003

Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam

Saudi Medical Journal

OBJECTIVE: This study aimed to assess the prevalence of risk factors, knowledge and awareness in Pakistani patients with type 2 diabetes mellitus (DM). METHODS: We studied 120 DM patients at the Diabetes Center in Rawalpindi, Pakistan, from February 2001 to July 2001. Structured questionnaires, clinical and laboratory assessments were used to determine the prevalence of dyslipidemia, glycemic control, hypertension, self monitoring of blood glucose, treatment for hyperglycemia, smoking and modes of diagnosis. The patients knowledge was assessed as regards to the laboratory investigations and treatment of DM that they are receiving. Fasting blood samples were analyzed for serum total cholesterol, …


The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai Nov 2003

The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai

Saudi Medical Journal

OBJECTIVE: To investigate the effect of advancing age of 35 years and more (elderly primigravida) on the outcome of pregnancy in nulliparous women and to compare the type of complications observed in this group of women to those in the age of 20-34 years. METHODS: This was a retrospective analysis of 2517 primigravidas delivered at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia between 1996-2000. All were consecutive patients. The data were collected from the records of the labor room and the medical records were screened for maternal age, antenatal complications, gestational age, birth-weight of the neonate, …


Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel Nov 2003

Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel

Saudi Medical Journal

OBJECTIVE: To determine the incidence of hypothermia during surgical procedures when adequate methods of preserving normothermia are applied. METHODS: A prospective study in which patients ASA I-IV presented for surgery at the Armed Forces Hospital, Wadi Al-Dawasir, Kingdom of Saudi Arabia during the period from July 2000 until February 2003, in whom body core temperature was between 35-37 degree, were included. Ambient temperature of the operating room was thermostatically adjusted to record 26 degree and 24 degree if patients were less than 10 year-old or above. Depending on type of surgery; the patients were provided with space blankets and were …


Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani Nov 2003

Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani

Saudi Medical Journal

OBJECTIVE: Many patients seeking dental care have a significant medical condition that may alter both the course of their oral disease and the treatment provided. The aim of this study was to assess the systemic diseases profile of patients with periodontal diseases for specialized periodontal treatment. METHODS: Seven hundred and forty-three patient9s medical records were screened from the Periodontal Clinics and referred to the College of Dentistry, King Saud University, a teaching hospital in Riyadh, Kingdom of Saudi Arabia for a special care during the period from January 2002 to June 2002. RESULTS: One hundred and sixty-seven were males while …


Metallothionein Expression In Human Prostate Gland, Ziad M. Bataineh, Mohamad K. Nusier Nov 2003

Metallothionein Expression In Human Prostate Gland, Ziad M. Bataineh, Mohamad K. Nusier

Saudi Medical Journal

OBJECTIVE: This study is conducted to detect metallothionein (MT) distribution in the epithelial cells of prostate gland from patients with benign prostatic hypertrophy and adenocarcinoma. METHODS: Prostatic tissues from patients with benign prostatic hypertrophy and adenocarcinoma were processed for immunocytochemistry using indirect peroxidase antiperoxidase procedure and primary antibody against MT. The samples were collected over a period of 2-3 years and were processed at Jordan University of Science and Technology, Irbid, Jordan in the year 2002. RESULTS: All prostatic tissues showed a positive reaction for MT. In benign prostatic hypertrophy, MT was mainly localized in the nuclei of epithelial cells …


Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi Nov 2003

Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi

Saudi Medical Journal

This report describes a case of Takayasus arteritis in a 19-year-old Palestinian female. She conceived after diagnosis. Her pregnancy was complicated by uncontrolled hypertension, which was not associated with other markers of disease activity. Despite aggressive medical treatment, cesarean section had to be carried out at 34 weeks of pregnancy because of uncontrolled hypertension. A live fetus was borne, and her blood pressure was subsequently controlled with a single antihypertensive agent.


Preference Of Medical Students In Clinical Year, Nadia M. Fida Nov 2003

Preference Of Medical Students In Clinical Year, Nadia M. Fida

Saudi Medical Journal

No abstract provided.


Does Tuberculin Skin Test Predict Tuberculosis In Patients With End-Stage Liver Disease?, Mohamed S. Al-Moamary, Salah Al-Baz, Adel Alothman, Ziad Memish, Hamdan Al-Jahdali, Abdulmajeed Al-Abdulkareem Nov 2003

Does Tuberculin Skin Test Predict Tuberculosis In Patients With End-Stage Liver Disease?, Mohamed S. Al-Moamary, Salah Al-Baz, Adel Alothman, Ziad Memish, Hamdan Al-Jahdali, Abdulmajeed Al-Abdulkareem

Saudi Medical Journal

No abstract provided.


Prescribing For Asthmatic Children In Primary Care, Abdullah Al-Mobeireek, Noha A. Dashash Nov 2003

Prescribing For Asthmatic Children In Primary Care, Abdullah Al-Mobeireek, Noha A. Dashash

Saudi Medical Journal

No abstract provided.


Sub-Optimal Postprandial Blood Glucose Level In Diabetics Attending The Outpatient Clinic Of A University Hospital, Daad H. Akbar Oct 2003

Sub-Optimal Postprandial Blood Glucose Level In Diabetics Attending The Outpatient Clinic Of A University Hospital, Daad H. Akbar

Saudi Medical Journal

OBJECTIVE: To determine the frequency of diabetic patients who attained the optimal postprandial blood glucose level. METHODS: Cross-sectional study of type-2 diabetic patients being followed at the medical outpatient clinic of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia, from January 1999 to December 2001. Patients were classified according to postprandial blood glucose level into 3-categories; group-1 (<9mmol/l), group-2 (9.1-10 mmol/l), group-3 (>10 mmol/l). Other data such as age, sex, duration of diabetes, presence of hypertension, hyperlipidemia, smoking, obesity, ischemic heart disease was recorded as well as mortality. RESULTS: A total of 443 patients were studied with mean age of 55 years and …


Obstructed Labor In A Teaching Hospital In Sudan, Saeed E. Dafallah, Justin Ambago, Faroug El-Agib Oct 2003

Obstructed Labor In A Teaching Hospital In Sudan, Saeed E. Dafallah, Justin Ambago, Faroug El-Agib

Saudi Medical Journal

OBJECTIVE: This study was aimed to deal with a serious obstetrical problem in Wad Medani Teaching Hospital, Medani, Sudan. The study reviewed the incidence of obstructed labor, its clinical presentation and methods of diagnosis. The study also includes the methods of treatment and its complications. METHODS: A prospective and descriptive study was carried out in Wad Medani Teaching Hospital, Medani, Sudan. Case notes were studied for all cases with obstructed labor received during the period 1 January 1997 to 31 December 1999. The data was analyzed. The literature was reviewed for similar studies. RESULTS: During the period 207 cases of …


Plasma Copper And Zinc Levels In Pregnant Women In Gaziantep, Turkey, Iclal Meram, Ali I. Bozkurt, Sibel Ahi, Servet Ozgur Oct 2003

Plasma Copper And Zinc Levels In Pregnant Women In Gaziantep, Turkey, Iclal Meram, Ali I. Bozkurt, Sibel Ahi, Servet Ozgur

Saudi Medical Journal

OBJECTIVE: Trace elements such as copper and zinc are important factors on the health of pregnant women, fetus and embryonic development. Since these elements have important influences on health of pregnant women and the growing fetus, this study was designed to evaluate the zinc and copper status of pregnant women in Gaziantep, Turkey. METHODS: This study was designed as a prevalence study. Twenty-two health station region were chosen in 13 health centers in the province of Gaziantep city in 1999, and copper and zinc levels were examined in 415 pregnant women living in these regions. Plasma copper and zinc concentrations …


Familial Mediterranean Fever Mutation Frequencies And Carrier Rates Among A Mixed Arabic Population, Jamil R. Al-Alami, Marwan K. Tayeh, Dana A. Najib, Ziad A. Abu-Rubaiha, Hassan A. Majeed, Mohammed S. Al-Khateeb, Hatem I. El-Shanti Oct 2003

Familial Mediterranean Fever Mutation Frequencies And Carrier Rates Among A Mixed Arabic Population, Jamil R. Al-Alami, Marwan K. Tayeh, Dana A. Najib, Ziad A. Abu-Rubaiha, Hassan A. Majeed, Mohammed S. Al-Khateeb, Hatem I. El-Shanti

Saudi Medical Journal

OBJECTIVE: Familial Mediterranean Fever (FMF) is an autoinflammatory periodic disorder characterized by febrile and painful attacks due to inflammation involving the serosal membranes. The gene implicated in this disorder, MEFV, has been cloned and mutations in its coding regions have been identified. We aimed at identifying the frequency of MEFV mutations and carrier frequency in a mixed Arabic population. METHODS: We identified 29 probands from 29 unrelated sibships segregating the disorder and representing the affected individual cohort. We screened 200 anonymous deoxyribonucleic acid (DNA) samples, representing a healthy adult cohort, for the mutations found to be common in the affected …


Candidemia And The Susceptibility Pattern Of Candida Isolates In Blood, Abimbola O. Osoba, Abdulfattah W. Al-Mowallad, Diane E. Mcalear, Baraa A. Hussein Oct 2003

Candidemia And The Susceptibility Pattern Of Candida Isolates In Blood, Abimbola O. Osoba, Abdulfattah W. Al-Mowallad, Diane E. Mcalear, Baraa A. Hussein

Saudi Medical Journal

OBJECTIVE: Candida species has become one of the most common blood isolates as well as one of the leading causes of nosocomial bloodstream infections. The purpose of our study was to determine the prevalence of Candida species among our bloodstream infecting organisms and the susceptibility pattern of the Candida isolates to antifungal agents. METHODS: A prospective study was carried out in the Division of Microbiology, King Khalid National Guard Hospital, Jeddah, Kingdom of Saudi Arabia of all positive blood cultures for Candida species. The study took place from 1st January 1998 to March 2002. Identification and susceptibility pattern of isolates …


Treatment Needs For Dental Caries In Schoolchildren In Riyadh, Saudi Arabia. A Follow Up Study Of The Oral Health Survey, Nazeer B. Khan Oct 2003

Treatment Needs For Dental Caries In Schoolchildren In Riyadh, Saudi Arabia. A Follow Up Study Of The Oral Health Survey, Nazeer B. Khan

Saudi Medical Journal

OBJECTIVE: To determine the magnitude and severity of treatment needs for dental caries of school children of Riyadh, Kingdom of Saudi Arabia (KSA), 14 years after the conduct of the Oral Health Survey (Phase I) (OHS (I)) in KSA. METHODS: Six hundred and two primary school first graders (primary school (PS)) (5-8 year-old) and 205 intermediate school first graders (intermediate school (IS)) (11-14 year-old) children were randomly selected, using stratified cluster random sampling, from schools of Riyadh, KSA during April 2001 to May 2001. All the children were examined for caries and treatment needs, using the World Health Organization criteria. …