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The Value Of Radiological Examination In The Management Of Adenoidal Hypertrophy In A Pediatric Population, Sami A. Al-Kindy, Abdulmunem O. Obaideen May 2003

The Value Of Radiological Examination In The Management Of Adenoidal Hypertrophy In A Pediatric Population, Sami A. Al-Kindy, Abdulmunem O. Obaideen

Saudi Medical Journal

OBJECTIVE: The objective of this study is to evaluate the role of radiological examination in the management of adenoidal hypertrophy. METHODS: A retrospective study was carried out in the North West Armed Forces Hospital, Tabuk, Kingdom of Saudia Arabia on pediatric patients who had x-ray of lateral naso pharynx to exclude adenoidal hypertrophy, January 2001 to December 2001. The study included; age of the patient, sex and reason for radiology examination and the management rendered. RESULTS: A total of two hundred and ninety-seven pediatric patients were involved. Two hundred and thirteen males (71.7%) and 84 (28.3%) females, age ranged between …


Prevalence And Risk Factors For Helicobacter Pylori Infection Among Yemeni Dyspeptic Patients, Abdullah A. Gunaid, Nageeb A. Hassan, Iain Murray-Lyon May 2003

Prevalence And Risk Factors For Helicobacter Pylori Infection Among Yemeni Dyspeptic Patients, Abdullah A. Gunaid, Nageeb A. Hassan, Iain Murray-Lyon

Saudi Medical Journal

OBJECTIVE: Helicobacter pylori (H. pylori) is one of the world9s most common human bacterial infections. Acquisition of H. pylori infection may be associated with chronic gastritis, peptic ulceration and gastric cancer. This study was aimed at investigating the prevalence of H. pylori infection among dyspeptic patients, any correlation with dyspeptic symptoms and endoscopic findings and, any socioeconomic and environmental risk factors. METHODS: The study was conducted between September 1997 and October 1998 in one Endoscopy Unit, Sana9a city, Yemen. A total of 275 consecutive patients with chronic dyspepsia were enrolled in the study. Endoscopic examination was conducted, gastric biopsies were …


Clinicopathological Pattern Of Colorectal Cancer In The United Arab Emirates, Shamma R. Al-Shamsi, Abdulbari Bener, Mouza Al-Sharhan, Taleb M. Mansoor, Ismail A. Azab, Ali Rashed, Rasul I. Kakil, Khaled M. Amiri May 2003

Clinicopathological Pattern Of Colorectal Cancer In The United Arab Emirates, Shamma R. Al-Shamsi, Abdulbari Bener, Mouza Al-Sharhan, Taleb M. Mansoor, Ismail A. Azab, Ali Rashed, Rasul I. Kakil, Khaled M. Amiri

Saudi Medical Journal

OBJECTIVE: The aim of this study is to define the epidemiology of the colorectal cancer in the United Arab Emirates and compare it with the other Gulf States and developed countries. METHODS: This study is a retrospective descriptive study that includes 114 patients who underwent surgeries for colorectal carcinoma at Al-Ain and Tawam Hospitals in the United Arab Emirates during the period 1985 through to 1998. These patients were under medical follow up for a mean period of 24 months (range 6-120 months) Both univariate and multivariate analyses were performed to assess predictors of recurrence and survival. The survival curves …


Socio-Economic Discrepancies In Growth Status Of Jordanian Children In Military-Run Schools At The Turn Of The Twentieth Century, Hassan Majali, Anwar M. Batieha, Hashem Y. Jaddou, Abdelkareem Khawaldeh, Kamel M. Ajlouni May 2003

Socio-Economic Discrepancies In Growth Status Of Jordanian Children In Military-Run Schools At The Turn Of The Twentieth Century, Hassan Majali, Anwar M. Batieha, Hashem Y. Jaddou, Abdelkareem Khawaldeh, Kamel M. Ajlouni

Saudi Medical Journal

No abstract provided.


Fine Needle Aspiration Of The Breast: A Call For An Organized Service, Lawrence C. Chiedozi, Sharanamma M. Kollur May 2003

Fine Needle Aspiration Of The Breast: A Call For An Organized Service, Lawrence C. Chiedozi, Sharanamma M. Kollur

Saudi Medical Journal

No abstract provided.


Glycosylated Hemoglobin And Lipoproteins In Patients With Premature Hair Grayness, Waad-Allah S. Mula-Abed, Khalifa E. Sharquie, Maytham M. Al-Hilo, Ansam Al-Bayati, Ali Al-Hussaini May 2003

Glycosylated Hemoglobin And Lipoproteins In Patients With Premature Hair Grayness, Waad-Allah S. Mula-Abed, Khalifa E. Sharquie, Maytham M. Al-Hilo, Ansam Al-Bayati, Ali Al-Hussaini

Saudi Medical Journal

No abstract provided.


Sample Size Determination . Influencing Factors And Calculation Strategies For Survey Research, Ali A. Al-Subaihi Apr 2003

Sample Size Determination . Influencing Factors And Calculation Strategies For Survey Research, Ali A. Al-Subaihi

Saudi Medical Journal

The paper reviews both the influencing factors and calculation strategies of sample size determination for survey research. It indicate the factors that affect the sample size determination procedure and explains how. It also provides calculation methods (including formulas) that can be applied directly and easily to estimate the sample size needed in most popular situations.


Effects Of Thyroid Hormones On Basal And Stimulated Gastric Acid Secretion Due To Histamine, Carbachol And Pentagastrin In Rats, Fatemeh N. Rafsanjani, Saleh Z. Asl, Mohammad K. Naseri, Jalal Vahedian Apr 2003

Effects Of Thyroid Hormones On Basal And Stimulated Gastric Acid Secretion Due To Histamine, Carbachol And Pentagastrin In Rats, Fatemeh N. Rafsanjani, Saleh Z. Asl, Mohammad K. Naseri, Jalal Vahedian

Saudi Medical Journal

OBJECTIVE: Thyroid hormones affect gastric acid secretion. As the mechanism of this effect has not been fully known, in this experimental study the isolated gastric acid secretion of hypothyroid and hyperthyroid rats were compared with control group by the administration of different doses of pentagastrin, histamine and carbachol as gastric acid secretion stimulators. METHODS: This study was carried out in Ahwaz University of Medical Sciences, Ahwaz, Iran in the year 2000. Each group were consisted of 8 rats (N-mari) of both sexes with a mean weight of 246 +/- 5 grams. Hypothyroid and hyperthyroid states were induced respectively by adding …


Thyroid Function And Thyroid Autoimmunity In Patients With Type 1 Diabetes Mellitus, Abdelrahman Radaideh, Mohammed El-Khateeb, Anwar M. Batieha, Abeer S. Nasser, Kamel M. Ajlouni Apr 2003

Thyroid Function And Thyroid Autoimmunity In Patients With Type 1 Diabetes Mellitus, Abdelrahman Radaideh, Mohammed El-Khateeb, Anwar M. Batieha, Abeer S. Nasser, Kamel M. Ajlouni

Saudi Medical Journal

OBJECTIVE: An association between diabetes mellitus and autoimmune thyroid disease is well known. We have investigated the prevalence of thyroid dysfunction and autoimmunity in type 1 diabetic patients. METHODS: Seventy-nine type 1 diabetic patients were recruited in the study, and underwent complete investigations for thyroid function, which included free thyroxine, free tri-iodothyronine, and thyroid stimulating hormone, of those only 64 patients had performed thyroid autoantibodies (TAb); anti- thyroid peroxidase antibodies (TPOAb) or antimicrosomal antibodies and thyroglobulin antibodies (TgAb). They were compared with 127 healthy subjects matched for sex and age. This study was carried out at the National Center for …


Plasma And Red Blood Cells Membrane Lipid Concentration Of Sickle Cell Disease Patients, Zuhair M. Marzouki, Samir M. Khoja Apr 2003

Plasma And Red Blood Cells Membrane Lipid Concentration Of Sickle Cell Disease Patients, Zuhair M. Marzouki, Samir M. Khoja

Saudi Medical Journal

OBJECTIVE: The present study aimed to determine the concentration of plasma and red blood cells (RBCs) membrane lipids in Saudi sickle cell disease (SCD) patients. METHODS: This study was carried out at the Hematology Clinic, King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from October 1998 to October 1999. Lipid concentrations were determined in plasma and RBC membrane of 81 SCD patients and 66 normal healthy matched individuals (control). Different lipid parameters were measured according to standardized enzymatic assay methods. RESULTS: The plasma concentrations of total cholesterol and low density lipoprotein cholesterol of SCD patients were significantly decreased (p<0.001), whereas the plasma concentrations of high density lipoprotein phospholipids were significantly increased (p<0.001). The plasma concentrations of apo A and apo B were significantly decreased (p<0.001) in SCD patients. However, the concentration of total cholesterol of RBC membrane was significantly increased (p<0.001) in SCD patients, while the phospholipid content was significantly decreased (p<0.001). CONCLUSION: The significant increase of RBC membrane cholesterol concentration in SCD patients possibly is responsible to the change in RBC membrane fluidity that may play a direct role in the sickling phenomenon of RBCs in SCD.


Rheumatoid Arthritis. Radiological Changes In The Cervical Spine, Ahmed A. Al-Boukai, Abdurhman S. Al-Arfaj Apr 2003

Rheumatoid Arthritis. Radiological Changes In The Cervical Spine, Ahmed A. Al-Boukai, Abdurhman S. Al-Arfaj

Saudi Medical Journal

OBJECTIVE: To describe the radiographic cervical spine changes in rheumatoid arthritis patients. METHODS: Forty-nine patients (37 females and 12 males) diagnosed with rheumatoid arthritis at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, between June 1998 and June 2000, were studied for their radiographic cervical spine changes. Their mean age at disease onset was 41.4 +/- 13.4 years (range of 18-73) and mean duration of the disease was 9.1 +/- 6.28 years (range of 2-34). Their demographic data including rheumatoid factor status was obtained. Standard conventional radiographs of cervical spine were obtained to study the cervical spine changes. RESULTS: …


Pancreatic Pseudocyst, Abdul-Wahed N. Meshikhes Apr 2003

Pancreatic Pseudocyst, Abdul-Wahed N. Meshikhes

Saudi Medical Journal

Gallstones cause more than two-thirds of the acute pancreatitis episodes in the Kingdom of Saudi Arabia (KSA). The majority of these attacks are often mild and self-limiting. However, some are associated with complications; most common of which is development of pancreatic pseudocyst. This complication was reported to be rare in some areas of KSA. The author reports his personal experience with pancreatic pseudocysts that he encountered over 9 years of surgical practice in one of the busiest hospitals in the Eastern Province of KSA and discusses various management options.


Maternal Mortality In A Teaching Hospital In Sudan, Saad E. Dafallah, Farouk H. El-Agib, Gamar O. Bushra Apr 2003

Maternal Mortality In A Teaching Hospital In Sudan, Saad E. Dafallah, Farouk H. El-Agib, Gamar O. Bushra

Saudi Medical Journal

OBJECTIVE: Although there is a great advances in obstetrics in recent years, a hard core of maternal mortality still lingers and is considered to be an irreducible minimum. Nevertheless there has been worldwide decline in maternal mortality over the past decades. Yet maternal mortality is still the major public health problem throughout the world. METHODS: A retrospective study carried out at the Medani Teaching Hospital, Medani City, Sudan. Case notes were reviewed for all the 877 women died during the period 1985-1999. All parturients were followed for at least 6 weeks after delivery so that deaths due to sequel of …


Human Physiology, Luke O. Nwoye, Mohammad Dallak Apr 2003

Human Physiology, Luke O. Nwoye, Mohammad Dallak

Saudi Medical Journal

No abstract provided.


Shigella Flexneri Bacteremia In A Child, Cornelius S. Bello, Ahmed A. Al-Barki, Mohamed E. El-Awad, Ramniklal V. Patel Apr 2003

Shigella Flexneri Bacteremia In A Child, Cornelius S. Bello, Ahmed A. Al-Barki, Mohamed E. El-Awad, Ramniklal V. Patel

Saudi Medical Journal

We report an unusual and lethal case of Shigella flexneri septicemia in an 8-year-old Saudi handicapped child from a social home presenting with severe toxic megacolon and acute abdomen secondary to fulminant necrotizing enterocolitis.


Febrile Neutropenia. Etiology Of Infection, Empirical Treatment And Prophylaxis, Ahmed T. Eltahawy Apr 2003

Febrile Neutropenia. Etiology Of Infection, Empirical Treatment And Prophylaxis, Ahmed T. Eltahawy

Saudi Medical Journal

Much has changed in the treatment of patients with fever and neutropenia, including the patterns of microbial flora and drug resistance, and the drugs used. Gram-positive organisms have overshadowed the gram-negative ones as causes of bacteremia. Changes in therapy may include antimicrobials directed against gram-positive bacteria, resistant gram-negative bacteria, or fungi. Due to the high risk for colonization by vancomycin resistant Enterococci, vancomycin use is restricted as first line empiric therapy unless the patient is at high-risk for serious gram-positive infection. Prophylactic antibiotic therapy may increase the selection of resistant strains and should be avoided. Therapy with colony stimulating factor …


Assessment Of Nutritional Rickets In Western Saudi Arabia, Nadia M. Fida Apr 2003

Assessment Of Nutritional Rickets In Western Saudi Arabia, Nadia M. Fida

Saudi Medical Journal

OBJECTIVE: To explore the role of radiological examination and certain biochemical values in diagnosis and assessing severity of nutritional rickets. METHODS: Cases of symptomatic nutritional rickets (age range between 3-36 months) seen at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia, during the period 1997-1999 were studied. Clinical examination by the author of the study, determination of calcium (Ca), phosphate (PO4), alkaline phosphates (ALP), hand and wrist x-rays, were performed for all cases. RESULTS: Sixty cases of nutritional rickets were diagnosed within 2 years (incidence of 0.5%), 38.3% of the patients presented with swollen wrist and 28.3% with bowleg. …


Is Hypertension Well Controlled In Hypertensive Diabetics, Daad H. Akbar, Aisha A. Al-Ghamdi Apr 2003

Is Hypertension Well Controlled In Hypertensive Diabetics, Daad H. Akbar, Aisha A. Al-Ghamdi

Saudi Medical Journal

OBJECTIVE: To determine the degree of blood pressure (BP) control in hypertensive diabetics and to study the types of antihypertensive agents used for BP control. METHODS: A cross-sectional study was carried out on hypertensive diabetics followed in the outpatient clinic of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from January 2000 to February 2001. Patient9s age, sex, duration of diabetes and its control, duration of hypertension and the type of antihypertensive agents used, were noted. Patients were classified according to the degree of systolic and diastolic BP control into 4 groups: systolic group-I (140 mm Hg); diastolic group-I …


Door To Needle Time In Administering Thrombolytic Therapy For Acute Myocardial Infarction, Abdullah A. Abba, Bashir A. Wani, Rehan A. Rahmatullah, Mohamed Z. Khalil, Abubakar M. Kumo, Mohammed A. Ghonaim Apr 2003

Door To Needle Time In Administering Thrombolytic Therapy For Acute Myocardial Infarction, Abdullah A. Abba, Bashir A. Wani, Rehan A. Rahmatullah, Mohamed Z. Khalil, Abubakar M. Kumo, Mohammed A. Ghonaim

Saudi Medical Journal

OBJECTIVE: Thrombolytic therapy is a standard treatment for patients presenting with acute myocardial infarction (MI). Early administration of these agents is crucial for the outcome of management. This audit was conducted to evaluate the time between arrival to emergency department (ED) and the administration of thrombolysis (door to needle time). METHODS: Data was collected from patients admitted to the Coronary Care Unit of Riyadh Medical Complex (RMC), Riyadh, Kingdom of Saudi Arabia, a 1500-bed community hospital, with a diagnosis of acute MI and received thrombolytic therapy over a one-year period (April 1999 to April 2000). The time between arrival to …


Ureteric Injuries During Obstetric And Gynecologic Procedures, Yousef S. Matani, Kamal E. Bani-Hani, Ibrahim H. Bani-Hani Apr 2003

Ureteric Injuries During Obstetric And Gynecologic Procedures, Yousef S. Matani, Kamal E. Bani-Hani, Ibrahim H. Bani-Hani

Saudi Medical Journal

OBJECTIVE: To review the ureteric injuries resulting from obstetric and gynecologic procedures with a comparative analysis of current pertinent literature. METHODS: From January 1994 - December 1997, the medical records of all patients who sustained ureteric injuries as a result of obstetric or gynecologic procedures and managed at the Princess Basma Teaching Hospital, North of Jordan were reviewed. The clinical presentations, investigations, features of injury and treatment modalities were studied. RESULTS: There were 17 patients with 19 ureteric injuries incurred during obstetric or gynecologic procedures during the study period. Patients were relatively young and presented with loin pain. The left …


Routine Ultrasound In Acute Retention Of Urine, Mohammed H. Al-Durazi, Hamad A. Al-Helo, Sara M. Al-Reefi, Sara M. Al-Sanaa, Waleed A. Abdulwahab Apr 2003

Routine Ultrasound In Acute Retention Of Urine, Mohammed H. Al-Durazi, Hamad A. Al-Helo, Sara M. Al-Reefi, Sara M. Al-Sanaa, Waleed A. Abdulwahab

Saudi Medical Journal

OBJECTIVE: To evaluate the frequency of urological abnormalities in routine urinary tract ultrasonography (renal and pelvic) in patients with urinary retention secondary to benign prostatic hyperplasia. METHODS: All patients presented to Salmaniya Medical Complex, Bahrain with acute retention of urine secondary to benign prostatic hyperplasia (BPH) in the period between January 2001 and December 2001 were included. The frequency of urological abnormalities, other than BPH, was obtained. RESULTS: One hundred patients were enrolled with a mean age of 67 years. Forty-one patients (41%) had other urological abnormalities. Among these, 3 cases of malignancy were discovered incidentally. A case of renal …


Causes Of Death In The Eastern Mediterranean Region During The Years 1998-2000, Sherine Shawky Apr 2003

Causes Of Death In The Eastern Mediterranean Region During The Years 1998-2000, Sherine Shawky

Saudi Medical Journal

OBJECTIVE: This paper aims to consider the available mortality data as an insight to epitomize the mortality pattern and the main leading causes of death specific to the Easter Mediterranean Region (EMR) in order to set priorities for future research in the region. METHODS: Data was taken from the last 3 World Health Organization (WHO) mortality statistics. Crude mortality rates were compared between the 6 WHO regions for the years 1998, 1999 and 2000. Proportional mortality and standardized proportional mortality ratios were calculated for the causes of death and types of malignant neoplasm deaths and compared between the EMR and …


The Management Of Acute Severe Asthma In A Pediatric Intensive Care Unit, Faisal M. Abu-Ekteish, Jihad N. Zahraa, Khalid F. Al-Mobaireek, Ali A. Nasir, Abdulrahman S. Al-Frayh Apr 2003

The Management Of Acute Severe Asthma In A Pediatric Intensive Care Unit, Faisal M. Abu-Ekteish, Jihad N. Zahraa, Khalid F. Al-Mobaireek, Ali A. Nasir, Abdulrahman S. Al-Frayh

Saudi Medical Journal

OBJECTIVE: The hospitalization and mortality rates incurred from acute childhood asthma continue to rise in the past decade. The purpose of this study is to examine the outcome, morbidity and the management of children admitted with acute asthma to our pediatric intensive care unit (PICU) and compare it with those described in the literature. METHODS: Medical records of all children admitted with acute severe asthma to PICU at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia over an 8-year period (1994-2001) were reviewed. RESULTS: Fifty-six patients were analyzed. The male to female ratio was 1.3:1 and the mean age …


Profile Of Child And Adolescent Psychiatry In Oman, Marwan M. Al-Sharbati, Ala'aldin A. Al-Hussaini, Sajjeev X. Antony Apr 2003

Profile Of Child And Adolescent Psychiatry In Oman, Marwan M. Al-Sharbati, Ala'aldin A. Al-Hussaini, Sajjeev X. Antony

Saudi Medical Journal

OBJECTIVE: To find the common behavioral problems in youth, their co-morbidity, treatment, and other variables in Oman. METHODS: All patients who attended the child psychiatric clinic in Sultan Qaboos University Hospital (SQUH), Muscat, (the only child psychiatry clinic in Sultanate of Oman) for a 3-month period were investigated for behavioral problems, particularly hyperactivity (by Conners9 Questionnaire). The diagnosis was based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. RESULTS: Of the total 212 cases, Omani nationals constituted 89% and the rest were expatriates. Sixty five percent were boys, 57% were of school age, 26% were adolescents, 9% …


Fever Of Unknown Origin, Suliman H. Al-Fifi Apr 2003

Fever Of Unknown Origin, Suliman H. Al-Fifi

Saudi Medical Journal

This report describes a 3-year-old female child with prolonged fever in which a very extensive work-up resulted in the discovery of the underlying congenital anomaly causing her symptom.


Sandhoff Disease In An Extreme Preterm Baby With Bilateral Syndactyly, Pmc Nair, Flor Bataclan, Anuradha Ganesh Apr 2003

Sandhoff Disease In An Extreme Preterm Baby With Bilateral Syndactyly, Pmc Nair, Flor Bataclan, Anuradha Ganesh

Saudi Medical Journal

No abstract provided.


Trend Of Antibiotic Resistance In 1316 Shigella Strains Isolated In Bahrain, Affaf E. Jamsheer Apr 2003

Trend Of Antibiotic Resistance In 1316 Shigella Strains Isolated In Bahrain, Affaf E. Jamsheer

Saudi Medical Journal

No abstract provided.


Sleep And Child Mental Health, Nassem A. Qureshi, Marwan M. Al-Sharbati Apr 2003

Sleep And Child Mental Health, Nassem A. Qureshi, Marwan M. Al-Sharbati

Saudi Medical Journal

No abstract provided.


Knowledge And Attitudes Of Undergraduate Medical And Non-Medical Students In Sultan Qaboos University Toward Acquired Immune Deficiency Syndrome, Ali A. Al-Jabri, Jehan H. Al-Abri Mar 2003

Knowledge And Attitudes Of Undergraduate Medical And Non-Medical Students In Sultan Qaboos University Toward Acquired Immune Deficiency Syndrome, Ali A. Al-Jabri, Jehan H. Al-Abri

Saudi Medical Journal

OBJECTIVE: To investigate the knowledge, attitudes and beliefs of Omani medical and non-medical students in Sultan Qaboos University (SQU), toward acquired immune deficiency syndrome (AIDS). METHODS: A structured questionnaire of 40 different statements concerning basic knowledge of the human immunodeficiency virus (HIV), its modes of transmission, diagnosis, risk behaviors, prevention, treatment, beliefs as well as attitudes towards AIDS patients were distributed to 200 students (109 females and 91 males). One hundred and sixteen were pre-clinical students and 84 were non-medical students. This study was carried out during the period October 2001 through to June 2002. RESULTS: Most of the students …


The Hormone Replacement Therapy Conundrum, Mandy D. Abushama, Badreldeen I. Ahmed Mar 2003

The Hormone Replacement Therapy Conundrum, Mandy D. Abushama, Badreldeen I. Ahmed

Saudi Medical Journal

No abstract provided.