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Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Saudi Medical Journal
OBJECTIVE: To identify rates of primary and secondary drug-resistant Mycobacterium tuberculosis and their risk factors from a tertiary-care center in the Kingdom of Saudi Arabia. METHODS: Review of microbiological and clinical data of all patients with positive isolates of Mycobacterium tuberculosis between 1995 and 2000 at King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia. RESULTS: Susceptibility to antituberculosis agents was tested in 320 isolates from 320 patients. The median age was 50 years. Pulmonary tuberculosis was diagnosed in 106 (33%) patients, extrapulmonary in 183 (57%), and both in 31 (10%) patients. Two hundred forty-six isolates were …
Hearing Impairment In Low Birth Weight Children, Kamal J. Daghistani, Tarek S. Jamal, Siraj M. Zakzouk
Hearing Impairment In Low Birth Weight Children, Kamal J. Daghistani, Tarek S. Jamal, Siraj M. Zakzouk
Saudi Medical Journal
OBJECTIVE: To investigate the prevalence of hearing impairment in normal and low birth weight children. METHODS: A survey of 9540 Saudi children below 15 years of age was carried out. The survey was performed in the provinces of the Kingdom of Saudi Arabia from September 1994 to May 1998. The subjects were classified into low birth weight (up to 2.5 kg) and normal birth weight (>2.5 kg) groups. Each child was carefully examined for hearing status. RESULTS: The results of this study showed significantly high prevalence of hearing impairment in low birth weight children (14.87%) as compared to normal …
Changing Trends Of Histopathology In Childhood Nephrotic Syndrome In Western Saudi Arabia, Jameela A. Kari
Changing Trends Of Histopathology In Childhood Nephrotic Syndrome In Western Saudi Arabia, Jameela A. Kari
Saudi Medical Journal
OBJECTIVE: It is widely accepted that minimal change nephrotic syndrome is the most common cause of nephrosis in children. Recent studies have demonstrated an increasing incidence of focal segmental glomerulosclerosis in adults and children. This study was conducted to analyze the trend of histopathologic subtypes in idiopathic nephrotic syndrome in the western area of the Kingdom of Saudi Arabia. METHODS: To determine the possible changes in the etiology of childhood nephrosis, the clinical charts of 46 pediatric patients diagnosed with idiopathic nephrotic syndrome between 1997 and 2001, group A, were reviewed. Results were compared with our initial published data of …
An Unusual Presentation Of Metabolic Cardiomyopathy Due To Pompe's Disease, Poothirikovil Venugopalan, Shakeel Ahmed, Vasudev T. Rao, Khalid M. Al-Hinai
An Unusual Presentation Of Metabolic Cardiomyopathy Due To Pompe's Disease, Poothirikovil Venugopalan, Shakeel Ahmed, Vasudev T. Rao, Khalid M. Al-Hinai
Saudi Medical Journal
An Omani infant boy who presented in the neonatal period with cardiac failure secondary to hypertrophic cardiomyopathy is reported. He subsequently progressed to show features of a metabolic disorder with multisystem involvement and was diagnosed to have Type II glycogenosis (Pompe9s disease). The differential diagnosis and management of metabolic cardiomyopathy are outlined.
Geriatric Care - A Challenge To Internists In Saudi Arabia, Latif A. Khan, Sarosh A. Khan
Geriatric Care - A Challenge To Internists In Saudi Arabia, Latif A. Khan, Sarosh A. Khan
Saudi Medical Journal
No abstract provided.
Experience With The Objective Structured Examination As A Tool For Students' Assessment In The Department Of Community Medicine And Primary Health Care In A University Hospital In Western Saudi Arabia, Sherine Shawky
Saudi Medical Journal
OBJECTIVE: The objectives of this study were to 1. assess the knowledge and attitude of the 5th year female medical students towards the objective structured examination in general and in Community Medicine in particular prior to the exam, 2. Detect any change in students9 knowledge and attitude after passing the exam, 3. Identify the students9 evaluation for future objective structured examination in Community Medicine and Primary Health Care and 4. Compare the students9 performance in the objective structured examination in Community Medicine and Primary Health Care to the results of multiple choice questions evaluation in the department. METHODS: There were …
Risk Factors For Duodenal Ulcer Disease
Risk Factors For Duodenal Ulcer Disease
Saudi Medical Journal
OBJECTIVE: To evaluate the role played by some of the traditional risk factors on the prevalence of duodenal ulcer disease in Jordan, where the prevalence of Helicobacter pylori is high. METHODS: This study was carried out in the Endoscopy unit at the Health Center, Jordan University of Science and Technology, Irbid, Jordan, during the period January 1998 through to july 1999. The patients9 group consisted of 290 subjects with endoscopically proven duodenal ulcers and 161 subjects who were endoscoped for various indications and found to have no ulcers were considered as controls. Validated questionnaires were filled out before the procedure, …
Precipitating Factors For Diabetic Ketoacidosis, Faiza A. Qari
Precipitating Factors For Diabetic Ketoacidosis, Faiza A. Qari
Saudi Medical Journal
OBJECTIVE: The aim of this study is to identify the precipitating factors from a medical and social point of view, in addition to discussing some clinical and laboratory aspects of diabetic ketoacidosis. METHODS: Sixty-eight patients were admitted to King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, over a 2 year period, (April 1999 through to April 2001). Diagnosis of diabetic ketoacidosis was based on: clinical features, serum sugar >12 mmol\L with ketonuria, bicarbonate and base deficit. RESULTS: The mean age was 22.5 years (0.5-87) years with a male to female ratio of 1.4:1. Poor compliance to continue the treatment …
Nutritional Rickets And Osteomalacia In School Children And Adolescents, Nasir A. Al-Jurayyan, Mahmoud E. El-Desouki, Abdullah S. Al-Herbish, Abdullah S. Al-Mazyad, Maha M. Al-Qhtani
Nutritional Rickets And Osteomalacia In School Children And Adolescents, Nasir A. Al-Jurayyan, Mahmoud E. El-Desouki, Abdullah S. Al-Herbish, Abdullah S. Al-Mazyad, Maha M. Al-Qhtani
Saudi Medical Journal
OBJECTIVE: To review experiences of nutritional rickets and osteomalacia in school children and adolescents at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. METHODS: Records of children and adolescents aged 6-18 years, seen at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period January 1994 through to December 1999, who were diagnosed to have rickets or osteomalacia were reviewed. The diagnosis was based on clinical, biochemical and radiological data. Data extracted and analyzed included age, sex, presenting symptoms and signs, dietary history and sun exposure, blood count, bone profiles, renal and liver profile, and 25-hydroxy vitamin …
Clinicopathological Trends In Colorectal Cancer In A Tertiary Care Hospital, Mohammed I. Ayyub, Assem O. Al-Radi, Adel M. Khazeindar, Abdul H. Nagi, Iqbal A. Maniyar
Clinicopathological Trends In Colorectal Cancer In A Tertiary Care Hospital, Mohammed I. Ayyub, Assem O. Al-Radi, Adel M. Khazeindar, Abdul H. Nagi, Iqbal A. Maniyar
Saudi Medical Journal
OBJECTIVE: This study aims to retrospectively analyze the pattern of patients with colorectal cancer seen in King Abdul Aziz Hospital and Oncology Center, Jeddah, Kingdom of Saudi Arabia from January 1992 through to December 1997, with a view to determine various epidemiological and clinopathological features of the disease. METHODS: All cases of colorectal cancer presented to King Abdul Aziz Hospital, Jeddah between January 1992 and December 1997 were retrospectively reviewed and the data was analysed to determine age, gender, ethnicity, subsite distribution, clinical presentation, histological type and staging of disease. RESULTS: A total of 160 patients were included in the …
Staphylococcal Toxic Shock Syndrome In A Small Infant, Sameeh S. Ghazal, Mansour N. Al-Hawasi, Sulaiman A. Al-Mosallam, Yousef K. Ghazal, Aysha M. Al-Shammary
Staphylococcal Toxic Shock Syndrome In A Small Infant, Sameeh S. Ghazal, Mansour N. Al-Hawasi, Sulaiman A. Al-Mosallam, Yousef K. Ghazal, Aysha M. Al-Shammary
Saudi Medical Journal
Non menstrual staphylococcal toxic shock syndrome is rare in small infants. This is a 4-month-old infant presented to us with a picture of bronchiolitis and few postuler skin lesions, treated with antistapylococcal antibiotics in addition to other supportive medications. On the 4th day of therapy the patient developed sunburn like erythroderma, hypotension, and high grade fever. The dose of antibiotics was increased to the maximum possible dose, in addition to other supportive medications. The patient improved and developed extensive desquamation in both hands and feet on the 14th day of hospitalization, which confirms the diagnosis.
Tissue Factor. Biological Function And Clinical Significance, Bashir A. Lwaleed
Tissue Factor. Biological Function And Clinical Significance, Bashir A. Lwaleed
Saudi Medical Journal
Tissue Factor is the principal cellular initiator of normal blood coagulation. It is frequently encrypted in the plasma membrane of cells in contact with blood, but under certain pathological conditions endothelial cells, monocytes or macrophages may express tissue factor; and hence trigger coagulation activation. Aberrant expression of tissue factor by these cells is thought to be responsible for the thrombophilia found in septic shock, atherosclerosis and cancer. Tissue factor is produced by tumor-associated macrophages where it is believed to play an important role in tumor growth and dissemination. It may also be involved in other cellular processes such as intracellular …
Physical Activity, Fitness And Fatness Among Saudi Children And Adolescents. Implications For Cardiovascular Health, Hazzaa M. Al-Hazzaa
Physical Activity, Fitness And Fatness Among Saudi Children And Adolescents. Implications For Cardiovascular Health, Hazzaa M. Al-Hazzaa
Saudi Medical Journal
During recent years, the Kingdom of Saudi Arabia has witnessed a tremendous development at an astounding rate. The standard of living rises and mechanization has been apparent in all aspects of people9s life. As industrialization and modernization progress, a number of changes in physical activity and eating habits are likely to occur. Indeed, physical inactivity and sedentary living with associated low level of physical fitness are increasingly becoming prevalent in the Saudi society. These lifestyle changes undoubtedly carry unfavorable consequences on health outcomes of the Saudi population. This paper reviews the status of physical activity among Saudi children and adolescents …
Management Of Oral Cancer In A Tertiary Care Hospital, Saeed A. Al-Balawi, Alagumba L. Nwoku
Management Of Oral Cancer In A Tertiary Care Hospital, Saeed A. Al-Balawi, Alagumba L. Nwoku
Saudi Medical Journal
OBJECTIVE: Oral cancer is the 3rd most common cause of malignancy in Saudi Arabia after lymphoma and leukemia. The high incidence of oral cancer in this region is attributed to frequent use of tobacco (Shamma). In this report we have reviewed the mode of treatment and subsequent outcome of 228 oral cancer patients at the Oral Maxillofacial Surgery Unit of the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. METHODS: In this retrospective study the case notes of 228 oral cancer patients treated at the Armed Forces Hospital, Riyadh were reviewed. Age, sex, presenting symptoms, location of cancer in oral …
The Diagnosis Of Gastroesophageal Reflux Disease In Children, Asaad M. Abdullah
The Diagnosis Of Gastroesophageal Reflux Disease In Children, Asaad M. Abdullah
Saudi Medical Journal
OBJECTIVE: Gastroesophageal reflux disease is a common disorder affecting children worldwide. The objective of this study is to report our experience on the accuracy of tests used for the diagnosis ofgastroesophageal reflux disease with emphasis on the advantages and disadvantages of each of them. METHODS: This study took place in the Pediatric Gastroenterology Division, Department of Pediatrics, College of Medicine and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period of 1994 through to 1999. Results of barium meal, 24-hour esophageal pH monitoring, endoscopy, and gastrointestinal scintigraphy are analyzed and compared in children with and without gastroesophageal …
Audit Of Referral Of Diabetic Patients, Yahia M. Al-Khaldi, Mohammed Y. Khan, Samir H. Khairallah
Audit Of Referral Of Diabetic Patients, Yahia M. Al-Khaldi, Mohammed Y. Khan, Samir H. Khairallah
Saudi Medical Journal
OBJECTIVE: To determine the referral, the feedback rates and to find out the prevalence of diabetic retinopathy among diabetics who were referred from a primary health care center, to Abha General Hospital in Aseer Region. METHODS: This study was conducted at Wasat Abha Primary Health Care Center in Aseer region at the end of 1996 and 1997. All the diabetic files were reviewed and evaluated for referral to the eye clinic, their feedback and the prevalence of diabetic retinopathy among diabetics for whom fundoscopy was carried out. The related data was entered and analyzed by using the statistical package for …
Features And Complications Of Nephroptosis Causing The Loin Pain And Hematuria Syndrome. A Preliminary Report, Ahmed N. Ghanem
Features And Complications Of Nephroptosis Causing The Loin Pain And Hematuria Syndrome. A Preliminary Report, Ahmed N. Ghanem
Saudi Medical Journal
OBJECTIVE: Loin pain with and without hematuria is a serious clinical problem that is most difficult to diagnose and treat. The underlying symptomatic nephroptosis was disparaged long ago, the loin pain hematuria syndrome is doubted and the link between the 2 conditions remains unknown. The lack of demonstrable pathology on all supine imaging has caused disbeleive. This article aims to demonstrate underlying symptomatic nephroptosis features and complications including loin pain hematuria syndrome and discuss the patho-etiology mechanism. METHODS: Observational study and thorough investigations of patients presenting with loin pain and hematuria showed that all supine standard and ancillary imaging was …
Psoriasis In The Eastern Saudi Arabia, Mohamad I. Fatani, Magdy H. Abdulghani, Khalid A. Al-Afif
Psoriasis In The Eastern Saudi Arabia, Mohamad I. Fatani, Magdy H. Abdulghani, Khalid A. Al-Afif
Saudi Medical Journal
OBJECTIVE: To determine the percentage occurrence, demographic and clinical features of psoriasis in adult patients at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia. METHODS: The medical records of all the adult patients with psoriasis were analyzed from January 1991 to December 1994 at the dermatology clinic, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia. RESULTS: A total of 263 adult psoriatic patients were studied with the percentage occurrence of 5.3%. There was a male preponderance with sex ratio of 1.4:1. The mean age of onset in males was 26.9 years while in females …
Toxic Effect Of Tannic And Related Compounds On Human Plasma Proteins, Sabah M. Al-Shafi
Toxic Effect Of Tannic And Related Compounds On Human Plasma Proteins, Sabah M. Al-Shafi
Saudi Medical Journal
OBJECTIVE: To investigate the toxicity of tannic acid related compounds such as gallic acid and polyphenol on the activity of plasma proteins in vitro. Their electrophoretic results show extremely important information, albumin and globulin levels are remarkably changed and characterized by disorder in their fractions avere which occurred frequently. METHODS: All plasma proteins samples of sets A, B and C were treated in sequences with known different concentrations of gallic acid, gallotannin and polypholes, which were separated chromatographically from phenolic extract of fruit peel of punicaceae. These were then treated, A, B and C were subjected to electrophoresis techniques, for …
High Occurence Of Diabetic Ketoacidosis Among Type 2 African Patients, Awad M. Ahmed
High Occurence Of Diabetic Ketoacidosis Among Type 2 African Patients, Awad M. Ahmed
Saudi Medical Journal
No abstract provided.
Psychiatric Admission In A General Hospital. Patients Profile And Patterns Of Service Utilization Over A Decade, Mahdi S. Abumadini, Sheik I. Rahim
Psychiatric Admission In A General Hospital. Patients Profile And Patterns Of Service Utilization Over A Decade, Mahdi S. Abumadini, Sheik I. Rahim
Saudi Medical Journal
OBJECTIVE: To analyze the socio-demographic and clinical characteristics of admitted patients and the patterns of their service utilization over a decade from March 1988 to March 1998. METHODS: Prospective data compilation using a structured questionnaire, hospital records and follow-up observations at King Fahd Hospital of the University in Al-Khobar, Kingdom of Saudi Arabia. RESULTS: A total of 1366 patients (683 of each sex) had 2217 admissions in 10 years. By the International Classification of Diseases, 10th edition criteria, 19.5% had schizophrenia, 15.2% bipolar disorder, 9.9% depressive episodes, 8.6% acute and transient psychotic disorders, 7.7% adjustment disorders and 7.6% dissociative disorders. …
Successful Pregnancy After Round Spermatid Microinjection, Zouhair O. Amarin, Hassan S. Jamal, Abdulrahim A. Rouzi
Successful Pregnancy After Round Spermatid Microinjection, Zouhair O. Amarin, Hassan S. Jamal, Abdulrahim A. Rouzi
Saudi Medical Journal
No abstract provided.
Eating Patterns And Prevalence Of Obesity Among Arabs Living In Ahwaz, Iran.
Eating Patterns And Prevalence Of Obesity Among Arabs Living In Ahwaz, Iran.
Saudi Medical Journal
No abstract provided.
Impact Of A Mini-Clinic On Diabetic Care At A Primary Health Care Center In Southern Saudi Arabia, Yahia M. Al-Khaldi, Mohd Y. Khan
Impact Of A Mini-Clinic On Diabetic Care At A Primary Health Care Center In Southern Saudi Arabia, Yahia M. Al-Khaldi, Mohd Y. Khan
Saudi Medical Journal
OBJECTIVE: The aim of this study was to assess the impact of a mini-clinic on the quality of diabetic care at a Primary Health Care Center in Aseer region, Kingdom of Saudi Arabia. METHODS: All the files of diabetics in Wasat Abha Primary Health Care Center were reviewed at the end of 1997 for diabetic process based on a scoring system of 11 items. Diabetic outcomes were evaluated in accordance with Quality Assurance Protocol. Data of all the files was entered into and analyzed by Statistical Package for Social Sciences. Relevant statistical tests were used. RESULTS: Files of 198 patients …
Combined Brucella Melitensis And Streptococcal Viridans Endocarditis, Tarig S. Al-Khuwaitir, Bashir A. Wani, Suphia M. Sherbeeni
Combined Brucella Melitensis And Streptococcal Viridans Endocarditis, Tarig S. Al-Khuwaitir, Bashir A. Wani, Suphia M. Sherbeeni
Saudi Medical Journal
Infectious endocarditis is a potentially lethal inflammation of the hearts9 inner lining invaded by microorganisms. The mortality from this illness increases as the number of infective organisms rises to 2, due to involvement of the left side of the heart. These microorganisms usually arise from the patient9s own flora but can be acquired from the environment. Fever and heart murmurs are the principal clinical manifestations followed by a plethora of peripheral signs due to dissemination of microorganisms via the bloodstream. Echocardiographic imaging and sensitive culture techniques form the cornerstone of diagnosis. We report a patient with rheumatic heart disease who …
Recombinant Tissue Plasminogen Activator For Acute Ischemic Stroke, Amira R. Al-Buhairi, Mohammed M. Jan
Recombinant Tissue Plasminogen Activator For Acute Ischemic Stroke, Amira R. Al-Buhairi, Mohammed M. Jan
Saudi Medical Journal
Stroke is a leading cause of serious and long-term disability and death worlwide, with approximately 750,000 strokes occuring annually in the United States of America. The risk of stroke doubles each decade for people over 55 years. Cerebral angiography conducted soon after the onset of stroke demonstrates arterial occlusion in 70%-80% of cases. Recanalization of an occluded cerebral artery may assist in the recovery of reversibly ischemic tissue and limit the neurological disability. In June 1996, the recombinant tissue plasminogen activator was approved as a safe and an effective intravenous treatment for acute ischemic stroke, especially if given within 3 …
Biomedical Research In The Kingdom Of Saudi Arabia (1982-2000), Ghazi O. Tadmouri, Nisrine B. Tadmouri
Biomedical Research In The Kingdom Of Saudi Arabia (1982-2000), Ghazi O. Tadmouri, Nisrine B. Tadmouri
Saudi Medical Journal
No abstract provided.
Utilization Of Emergency Services In A Community Hospital, Saima Siddiqui, Danny O. Ogbeide
Utilization Of Emergency Services In A Community Hospital, Saima Siddiqui, Danny O. Ogbeide
Saudi Medical Journal
OBJECTIVE: Over utilization of emergency room services by patients with non-urgent complaints is a global problem. It results in a waste of resources, stress among the emergency room staff and an increase in waiting time for patients requiring attention. This study was carried out to establish the extent of inappropriate emergency room attendance in a Saudi community. METHODS: Data was collected from the emergency room register, regarding the age, sex, presenting complaints, time of presentation and disposal of patients, from January 1st 1999 to March 31st 1999 at Al-Kharj Military Hospital, Al-Kharj, Kingdom of Saudi Arabia. Patients were classified in …
Caries Prevalence In Saudi Primary Schoolchildren Of Riyadh And Their Teachers' Oral Health Knowledge, Attitude And Practices, Amjad H. Wyne, Bandar M. Al-Ghorabi, Yahia A. Al-Asiri, Nazeer B. Khan
Caries Prevalence In Saudi Primary Schoolchildren Of Riyadh And Their Teachers' Oral Health Knowledge, Attitude And Practices, Amjad H. Wyne, Bandar M. Al-Ghorabi, Yahia A. Al-Asiri, Nazeer B. Khan
Saudi Medical Journal
OBJECTIVE: The purpose of the present study was to determine the caries prevalence and severity in primary school children Riyadh, Kingdom of Saudi Arabia, and to assess the oral health knowledge, attitude and practices of their teachers. METHODS: A random sample of primary schoolchildren was examined for dental caries utilizing World Health Organization criteria for diagnosis of caries. The information regarding oral health knowledge, attitude and practices in schoolteachers was collected through an especially designed self-administered questionnaire. RESULTS: The prevalence of caries among the sample was 94.4%. The mean decayed, missing and filled score for primary teeth of the sample …
Prevalence Of Systemic Lupus Erythematosus In Central Saudi Arabia, Abdurhman S. Al-Arfaj, Suliman R. Al-Balla, Abdullah N. Al-Dalaan, Salman S. Al-Saleh, Sultan A. Bahabri, Mohammed M. Mousa, Mohammed A. Sekeit
Prevalence Of Systemic Lupus Erythematosus In Central Saudi Arabia, Abdurhman S. Al-Arfaj, Suliman R. Al-Balla, Abdullah N. Al-Dalaan, Salman S. Al-Saleh, Sultan A. Bahabri, Mohammed M. Mousa, Mohammed A. Sekeit
Saudi Medical Journal
OBJECTIVE: Although systemic lupus erythematosus of varying severity has been seen in our clinics, there is no information regarding the prevalence of the disease among Saudi nationals. We conducted this study to determine the prevalence of systemic lupus erythematosus in Al-Qaseem region of the Kingdom of Saudi Arabia. METHODS: A community survey of towns and villages in the Al-Qaseem area of central Saudi Arabia was conducted in 3 phases to determine the prevalence of systemic lupus erythematosus in the region. RESULTS: Of the 10,372 studied, 2 cases of systemic lupus erythematosus were identified using the criteria set for the diagnosis …