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Smoking Habits Of Students In College Of Applied Medical Sciences, Saudi Arabia, Wasim Maziak, Talal Hashim
Smoking Habits Of Students In College Of Applied Medical Sciences, Saudi Arabia, Wasim Maziak, Talal Hashim
Saudi Medical Journal
No abstract provided.
Hyperhomocysteinemia: Another Independent Vascular Risk Factor, Dirk Deleu
Hyperhomocysteinemia: Another Independent Vascular Risk Factor, Dirk Deleu
Saudi Medical Journal
No abstract provided.
Schistosomes Infection Rate In Relation To Environmental Factors In School Children, Yahia A. Raja’A, Hashim M. Assiragi, Mohammed H. Albahr, Mohammed A. Ashaddadi
Schistosomes Infection Rate In Relation To Environmental Factors In School Children, Yahia A. Raja’A, Hashim M. Assiragi, Mohammed H. Albahr, Mohammed A. Ashaddadi
Saudi Medical Journal
OBJECTIVE: An epidemiological comparative survey aimed at determination of prevalence and focal distribution of Schistosomes infection and intestinal parasites to provide a reference for evaluating the need for community intervention. METHODS: All children of 14th October Primary School were involved. The children were from 7 villages that lie on the Assahul valley of lbb governorates in Yemen. The total number was 230 with (82%) boys and (18%) girls. Their age was between 5-18 years with a mean of 10.24 +/- 2.6 years. Millipore and modified Kato techniques were adopted to quantify urinary and intestinal Schistosomes eggs. Other ova, larvae, cysts …
Long Term Intubation And Successful Weaning In Two Children With Guillain-Barre Syndrome, Hashim Javed, Madhavachandran P. Nair, Roshan L. Koul, Alexander Chacko, Mohammad Fazalullah
Long Term Intubation And Successful Weaning In Two Children With Guillain-Barre Syndrome, Hashim Javed, Madhavachandran P. Nair, Roshan L. Koul, Alexander Chacko, Mohammad Fazalullah
Saudi Medical Journal
No definite criteria exists in Guillian-Barre Syndrome in children regarding prolonged ventilation through an endo-tracheal tube without tracheostomy and successful weaning using a T-piece. Here we report two such cases of Guillian-Barre Syndrome requiring prolonged intubation for 56 days and ventilation for 30 days and ultimately successfully weaning them using the T-piece. Both the children eventually made a complete recovery, highlighting the point that in children prolonged intubation and ventilation using the portex tube is equally good, if not, better than tracheostomy with its attendant risks.
D-Xylose, Fat Load Test And Antigliadin Antibody In Children With Coeliac Disease, Mariem K. Amara, Fauzi A. Sagher
D-Xylose, Fat Load Test And Antigliadin Antibody In Children With Coeliac Disease, Mariem K. Amara, Fauzi A. Sagher
Saudi Medical Journal
OBJECTIVE: To study the clinical pattern of coeliac disease in children living in the northwest coast of Libya, to investigate the sensitivity and specificity of D-Xylose, fat load test and antigliadin antibody and their correlation to each other and changes in jejunal biopsy. METHODS: A 4 year prospective study began in 1993. It includes all suspected coeliacs referred to our department for further evaluation. All have suction jejunal biopsy “using Crosby capsule” performed for diagnosis, screened at the same time with one hour D-Xylose, 3-5 hours urinary D-Xylose, fat load test and antigliadin antibody and followed up for 2-4 years. …
Clobazam For The Treatment Of Intractable Childhood Epilepsy, Mohammed M. Jan, Ali O. Shaabat
Clobazam For The Treatment Of Intractable Childhood Epilepsy, Mohammed M. Jan, Ali O. Shaabat
Saudi Medical Journal
OBJECTIVE: Clobazam is a newer 1,5-benzodiazepine used for the treatment of epilepsy. It is better tolerated and less sedating than other benzodiazepines. It has yet to gain wide use for epilepsy in the Middle East. Our objective is to report our experience with clobazam for the treatment of childhood epilepsy. METHODS: A cohort of children with intractable epilepsy, defined as recurrent seizures after at least 3 anti-epileptic medication trials, were included prospectively. Clobazam was added to a maximum dose of 2 mg/kg/day. Follow-up by two pediatric neurologists was performed. Therapeutic response was recorded as complete (no seizures), good (>50% …
Pre-Surgical Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador
Pre-Surgical Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador
Saudi Medical Journal
Neuropsychological testing may reflect subtle structural changes that may not be readily apparent with neuroimaging studies, and physiologic disruption of normal neural function secondary to epileptic activity. Neuropsychological testing is used during the pre-operative evaluation for epilepsy surgery to assess functional brain status, which, in turn, provides important information on the risks for post-operative neruopsychological deficits and also provides confirmatory evidence of seizure onset laterality in patients whose seizures originate in temporal lobes. This review will focus primarily on the pre-operative neuropsychological of candidates for temporal lobectomy surgery since they represent the majority of individuals undergoing ablative epilepsy surgery, and …
Gastrointestinal Parasites Presentations And Histological Diagnosis From Endoscopic Biopsies And Surgical Specimens, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi, Mohamed I. Yasawy, Bassam Sammak
Gastrointestinal Parasites Presentations And Histological Diagnosis From Endoscopic Biopsies And Surgical Specimens, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi, Mohamed I. Yasawy, Bassam Sammak
Saudi Medical Journal
OBJECTIVE: To diagnose parasitic ova or worms during endoscopy, surgery or by histology from endoscopic or surgical specimen in our patients. METHODS: The diagnosis of parasitic disease in our patients was made by histological examinations from biopsies obtained either during an upper gastrointestinal or lower gastrointestinal endoscopy or from surgical specimens. RESULTS: Parasites were seen in endoscopic biopsies from upper gastrointestinal tract in 21 patients. Schistosoma ova was seen in biopsies from stomach or duodenum (12 patients). Small intestine biopsies showed Giardiasis (8 patients) and strongyloides (1 patient). Colonic biopsies showed schistosoma ova by paraffin section or by squash technique …
The Relation Of Low Birth Weight To Psychosocial Stress And Maternal Anthropometric Measurements, Talal J. Hisham, Salma A. Moawed
The Relation Of Low Birth Weight To Psychosocial Stress And Maternal Anthropometric Measurements, Talal J. Hisham, Salma A. Moawed
Saudi Medical Journal
OBJECTIVE: To determine the relationship between low birth weight and psychological stress during pregnancy, as well as anthropometric measurements of Saudi mothers. METHODS: A total of 500 Saudi women were selected, according to weight and gestation age of their new born infants, one control was selected per one case (their weight less than 2500 grams). Data was collected from El-Shamasy Maternal and Child Hospital at Riyadh city. Four instruments were used; interview questionnaire, psychosocial scales to measure life stresses, true sheet to assess maternal anthropometric data and new form characteristics. Data was analyzed using SAS system. Analysis techniques included chi-square, …
Patients' Expectations, Satisfaction And Future Behavior In Hospitals In Riyadh City, Badran A. Al-Omar
Patients' Expectations, Satisfaction And Future Behavior In Hospitals In Riyadh City, Badran A. Al-Omar
Saudi Medical Journal
OBJECTIVE: The main objectives of this study are to assess patient satisfaction at both Ministry of Health and private hospitals in Riyadh city, to compare the perceived satisfaction of patients to their expectations prior to admission at both sectors, and to determine the variables that influence the patient9s future intention. METHODS: A self-administered questionnaire was used to collect data from 500 patients (392 were returned fully completed) in 7 private and Ministry of Health hospitals. In addition to the descriptive statistics, paired and independent t-tests, phi and Cramers9V tests were used for the inferential statistics of the data analysis. RESULTS: …
Cutaneous Myiasis Due To Dermatobia Hominis In Saudis, Javed Akhter, Syed M. Qadri, Abdelmageed M. Imam
Cutaneous Myiasis Due To Dermatobia Hominis In Saudis, Javed Akhter, Syed M. Qadri, Abdelmageed M. Imam
Saudi Medical Journal
Cutaneous myiasis infestations are normally found in South and Central America but increasing travel has resulted in their spread to non-indigenous countries with increasing frequency. We report two cases of cutaneous infestation by Dermatobia hominis in Taif, Saudi Arabia. There was no history of travel outside Saudi Arabia. The source of infection appears to be domestic cattle indicating that these infestations may be endemic in this region.
Neonatal Varicella And Acyclovir
Surgical Management Of Hepatic Metastatic Disease, Xavier Rogiers, Claus Brunken
Surgical Management Of Hepatic Metastatic Disease, Xavier Rogiers, Claus Brunken
Saudi Medical Journal
In Europe, liver metastases are the most common malignomas of the liver. The majority of metastases are due to colorectal cancer. Radical surgical resection, if possible, is the treatment of choice. Radical resection of metastases from wilms-tumor, carcinoids, carcinoma of the breast, hypernephroma, adrenal tumors, malignant melanoma, leiomyosarcoma and gastric cancer may improve long time survival, however knowledge is too small for giving general directions. Local destructive therapies are only beneficial when a total necrosis of the tumor is reached. Indications for this treatment are quite rare. Both, systemic and local chemotherapy offers only palliation with little influence on long …
Clinical Characteristic Of Amoebic Liver Abscesses In The North Of Iraq, Fouad A. Baban
Clinical Characteristic Of Amoebic Liver Abscesses In The North Of Iraq, Fouad A. Baban
Saudi Medical Journal
OBJECTIVE: The purpose of the study was to find out the clinical characteristic of amoebic liver abscesses in this area, the simplest method for diagnosis and to determine the effectiveness of treatment by metronidazole therapy proved by disappearance of symptoms and regression in the size of the abscesses by ultrasound. METHODS: We studied prospectively all cases of suspected liver abscesses admitted to our unit over 2 years (1990 & 1991). A special case sheet was prepared. Daily follow up of patients was carried out in hospital for at least 10 days. Patients were later followed up by ultrasound after discharge. …
Prevalence Of Hypertension In Patients, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa
Prevalence Of Hypertension In Patients, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa
Saudi Medical Journal
OBJECTIVE: This study was carried out to ascertain the prevalence of hypertension in our community with a view to forming a baseline and planning strategies for prevention and control. METHODS: A cross sectional study carried out by collecting data from randomly selected case notes of 3747 patients (1683 males and 2064 females), regarding age, sex, blood pressure measurements and whether or not they were on treatment for hypertension. RESULTS: The prevalence of hypertension in the total population was 3.1% (females 3.05% and males 2.67%). With regard to age group, the prevalence was highest in 65-74 years in both males and …
Head And Neck Squamous Cell Carcinoma In Hajjah, Yemen, Abdulwahab H. Nasr, Mishri L. Khatri
Head And Neck Squamous Cell Carcinoma In Hajjah, Yemen, Abdulwahab H. Nasr, Mishri L. Khatri
Saudi Medical Journal
OBJECTIVE: Incidence of head and neck squamous cell carcinoma seems to be relatively high in Yemen but not well documented. The purpose of this study is to analyze the clinical profile of the Yemeni patients of squamous cell carcinoma of the head and neck and to evaluate the possible relationship to kath chewing. METHODS: With the help of a special protocol, all the patients of head and neck squamous cell carcinoma seen between October 1997 and December 1998 at the Ear, Nose and Throat and Dermatology Clinics of Saudi Hospital, Hajjah, Yemen Republic were subjected to detailed analysis. The diagnosis …
Occupational Hearing Loss, Sultan T. Al-Otaibi
Occupational Hearing Loss, Sultan T. Al-Otaibi
Saudi Medical Journal
Occupational hearing loss is a common work related problem that can be attributed to an offending agent in the workplace. This paper describes the different causes of occupational hearing loss and its compensation. Physicians should be aware of this preventable medical condition.
Job Satisfaction And Organizational Commitment For Nurses, Ahmed S. Al-Aameri
Job Satisfaction And Organizational Commitment For Nurses, Ahmed S. Al-Aameri
Saudi Medical Journal
OBJECTIVE: The purpose of this study is to find out the extent to which nurses in public hospitals are satisfied with their jobs and committed to their hospitals. Also, it is intended to assess the relationship between job satisfaction and organizational commitment, as well as to examine the effect of nurses9 demographic factors on these 2 variables. METHODS: Two-hundred and ninety nurses working in a number of public hospitals are the sample size. The measures of the study are already tested for validity and reliability. In this study, they are also examined and found to be valid and reliable. The …
Common Causes Of Admission In Diabetics, Daad H. Akbar, Aisha A. Al-Gamdi
Common Causes Of Admission In Diabetics, Daad H. Akbar, Aisha A. Al-Gamdi
Saudi Medical Journal
OBJECTIVE: To report on the causes of admissions of diabetic patients to the medical unit of King Abdulaziz University Hospital, mortality and risk factors, associated with high mortality, and to find out possible ways to reduce admissions, cost and mortality. METHODS: Retrospective analysis of diabetic admissions to the medical unit of King Abdulaziz University Hospital between January 1996 to September 1999. Patients age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, and smoking were recorded as well as the causes of admissions and mortality. RESULTS: A …
Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello
Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello
Saudi Medical Journal
OBJECTIVE: To determine the prevalent bacterial agents of neonatal meningitis and their antibiotic susceptibility in a referral intensive care unit in Assir Central Hospital, Saudi Arabia, during the years 1993-1998. METHODS: Records of newborn infants with positive cerebrospinal fluid culture during the period were retrospectively studied. RESULTS: There were 1473 nursery admissions, of which 32 episodes of meningitis occurred amongst 31 neonates. Klebsiella pneumoniae (31%) and Serratia marcescens (21%) were the main pathogens. The incidence of concurrent septicemia among these infants was 58%. Klebsiella pneumoniae appears to dominate in both early and late onset infections. The sex incidence was equal …
Peak Expiratory Flow Rate In Saudi School Boys At Al-Khobar City, Saudi Arabia, Kasim Al-Dawood
Peak Expiratory Flow Rate In Saudi School Boys At Al-Khobar City, Saudi Arabia, Kasim Al-Dawood
Saudi Medical Journal
OBJECTIVE: To determine the normal peak expiratory flow rate for Saudi school boys living at Al-Khobar City. METHODS: A self administered questionnaire was completed by the parents of 1312 school boys who satisfied the selection criteria of the study. Peak expiratory flow rate was measured for them, using Wright peak flow meter. The multiple linear regression equation for peak expiratory flow rate was generated where height, age, weight, socio-economic class, presence of smoker, pets or both at home were the independent variables. RESULTS: Height, age and weight were found to correlate significantly with peak expiratory flow rate. However, only height …
Neurobrucellosis, Bindiganavale N. Gokul, Alfred Paul, Ifikhar Hussein
Neurobrucellosis, Bindiganavale N. Gokul, Alfred Paul, Ifikhar Hussein
Saudi Medical Journal
Brucellosis, which is endemic in Saudi Arabia, can present as a disease with multisystem involvement. Occasionally the organisms invade the central nervous system producing varied neurological manifestations. Often the clinical diagnosis of neurobrucellosis is not straight forward and is obscure. Certain criteria have to be fulfilled for the definitive diagnosis of neurobrucellosis. We report 2 cases of neurobrucellosis which were encountered for the first time during the past 10 years at this hospital.
Overview Of Chronic Diseases In The Kingdom Of Saudi Arabia, Yousef A. Al-Turki
Overview Of Chronic Diseases In The Kingdom Of Saudi Arabia, Yousef A. Al-Turki
Saudi Medical Journal
No abstract provided.
Tracing Medical Information Over The Internet, Sajed M. Mutairi
Tracing Medical Information Over The Internet, Sajed M. Mutairi
Saudi Medical Journal
The Internet became with do doubt a huge and valuable source of information for researchers. The wealth of information on the Internet is second to none and medical information is no exception. Yet with the vast expansion of the Internet and the World Wide Web in specie, to find the kind of information one is looking for, he/she needs to browse thousands of web sites and the experience would be like digging into a stack of hay looking for a needle. That9s why search engines and subject indexes, as means to overcome this problem, were introduced and grew so rapidly. …
Prevalence Of Diabetes Mellitus In A Saudi Community, Anjum Karim, Danny O. Ogbeide, Saima Siddiqui
Prevalence Of Diabetes Mellitus In A Saudi Community, Anjum Karim, Danny O. Ogbeide, Saima Siddiqui
Saudi Medical Journal
OBJECTIVE: The aim of this retrospective cross sectional study is to find out the prevalence of Diabetes Mellitus according to age and sex in the population attending the family and community medicine clinic in Al-Kharj Armed Forces Hospital. METHODS: Total eligible patients of Al-Kharj Military Hospital are about 100,000. The case notes in Medical Records were selected randomly and examined. Data was collected from 3747 case notes. They were divided into different age groups and also separated into male and female groups. RESULTS: The prevalence of Diabetes Mellitus in this study sample of 3747 (1,683 males and 2,064 females) was …
Diabetic Foot. Presentation And Treatment, Faiza A. Qari, Daad Akbar
Diabetic Foot. Presentation And Treatment, Faiza A. Qari, Daad Akbar
Saudi Medical Journal
OBJECTIVE: The aim of this study is to determine the mode of presentation, medical and surgical treatment in diabetic foot. METHODS: Medical notes of 34 diabetic patients admitted to King Abdulaziz University Hospital in Jeddah from June 1997 to June 1999 with diabetic foot were studied retrospectively. Collection of demographic data, mode of presentation, investigations, medical treatment (antibiotics cover) and surgical treatment has been studied. Data of those patients were collected for gender, age, duration of diabetes, mode of presentation, presence of peripheral neuropathy, peripheral vascular disease and other complications, precipitating factors, concurrent medical illness (ischemic heart disease, hypertension, chronic …
Erythrocyte Sedimentation Rate During Steady State, Painful Crisis And Infection In Children With Sickle Cell Disease, Yousef F. Ahmed, Fuad I. Abbag, Jobran M. Al-Qahtani, Bothanina M. Ghazali, Mostafa A. Abolfotouh
Erythrocyte Sedimentation Rate During Steady State, Painful Crisis And Infection In Children With Sickle Cell Disease, Yousef F. Ahmed, Fuad I. Abbag, Jobran M. Al-Qahtani, Bothanina M. Ghazali, Mostafa A. Abolfotouh
Saudi Medical Journal
OBJECTIVE: To evaluate Erythrocyte Sedimentation Rate in children with sickle cell disease. METHODS: Erythrocyte Sedimentation Rate was performed in 95 children with sickle cell disease during the period from December 1992 to June 1999. Patients were classified into 4 groups. Patients in the steady state (group 1), painful crisis (group 2), mild infection (group 3) and moderate/severe infection (group 4). Comparison between the groups was performed using ANOVA and ANCOVA. RESULTS: There were 55 males (58%) and 40 females (42%) with a mean age of 79.1 months. The mean Erythrocyte Sedimentation Rate values for the various groups were as follows: …
Undiagnosed Term Breech. Management And Outcome, Zainab A. Babay, Lulu A. Al-Nuaim, Mohammed H. Addar, Ahmed A. Abdulkarim
Undiagnosed Term Breech. Management And Outcome, Zainab A. Babay, Lulu A. Al-Nuaim, Mohammed H. Addar, Ahmed A. Abdulkarim
Saudi Medical Journal
OBJECTIVE: To assess the antenatal and intra-partum risk factors associated with undiagnosed breech at term and to compare their outcome with those diagnosed before the onset of labor, as well as identifying the determinants for cesarean section in breech presentation. METHODS: Case control study of 183 undiagnosed breech deliveries at term with those diagnosed before labor. RESULTS: There was no significant difference between diagnosed term breech and undiagnosed breech deliveries with regards to maternal, neonatal outcome and incidence of cesarean section. Footling breech presentation, hypertension and failure to attend antenatal visits were independent risk factor for cesarean section in all …
Update On Diagnosis Of Congenital Infection, Sami H. Al-Hajjar
Update On Diagnosis Of Congenital Infection, Sami H. Al-Hajjar
Saudi Medical Journal
Congenial infection is one of the greatest diagnostic challenges facing clinicians. The list pathogens related to intrauterine infections continues to grow with the identification of new etiologies and resurgence of others. Identification of a congenital infection as early as possible has both diagnostic and therapeutic advantages. This article will give an overview on common clinical findings in infants with congenital infection and a recommended clinical investigational approach for suspected congenital infection.
New Trends In Prenatal Screening For Chromosomal Abnormalities, Mohd H. Addar
New Trends In Prenatal Screening For Chromosomal Abnormalities, Mohd H. Addar
Saudi Medical Journal
In the recent years, the scope of prenatal genetic diagnosis has expanded greatly with the development of a number of new methods, such as maternal serum screening and ultrasound screening for detection of fetal abnormalities. These methods have the advantage of providing earlier diagnosis in addition to being non-invasive and of less psychological traumas. Pre-implantation genetic diagnosis is another new growing field offering the genetic diagnosis prior to implantation. The most promising of all is the first trimester biochemical screening in conjunction with ultrasound nuchal translucency screening.