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Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary
Subclinical Diabetic Neuropathy. A Common Complication In Saudi Diabetics, Daad H. Akbar, Sirag A. Mira, Tareef H. Zawawi, Hussein M. Malibary
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of sub clinical diabetic neuropathy in Saudi diabetics and the risk factors associated with symptomatic diabetic neuropathy. METHODS: A prospective study of Saudi diabetics attending King Abdulaziz University Hospital out patient clinic from January 1998 until April 1999. Detailed information of each patients9 age, sex, body mass index, type and duration of diabetes mellitus, mode of treatment, degree of blood glucose control, presence of hypertension, hyperlipidemia, smoking, family history of diabetes mellitus and hypertension were recorded. Patients were assessed for diabetic neuropathy using the Michigan Neuropathy Program. Patients who were asymptomatic and scored less than …
Consumers' Satisfaction With Primary Health Services In The City Of Jeddah, Saudi Arabia, Abdullah H. Doghaither, Abdalla A. Saeed
Consumers' Satisfaction With Primary Health Services In The City Of Jeddah, Saudi Arabia, Abdullah H. Doghaither, Abdalla A. Saeed
Saudi Medical Journal
OBJECTIVE: To study consumers9 satisfaction and socio-demographic correlates of satisfaction with services provided by Primary Health Care Centres in the city of Jeddah. METHODS: Study subjects included the consumers visiting the Primary Health Care Centres during the study period. Four Primary Health Care Centres were randomly selected from Jeddah according to the geographical location. Seventy five subjects were selected systematically where every tenth Saudi aged 15 years or above was chosen. Data was collected via a self administered pilot tested questionnaire which included socio-demographic characteristics, as well as the overall and differential satisfaction with the different services and facilities in …
Children's Risk Perception And Parents' Views On Levels Of Risk That Children Attach To Outdoor Activities, Hamid Soori
Children's Risk Perception And Parents' Views On Levels Of Risk That Children Attach To Outdoor Activities, Hamid Soori
Saudi Medical Journal
OBJECTIVE: Higher rates of outdoor injuries are found in older children, boys and children from more deprived areas. Some of the causes of these variations have been studied in some age groups and in different situations. To study children9s perception of safety and danger and parents9 views on the level of risk that their children attach to outdoor activities comparing age groups, boys and girls, and the less economically well off with the better off in order to understand outdoor accidental injuries. METHODS: A cross-sectional study, obtained information from children aged 7 and 9 (n=471) and their parents (n=416) were …
Reinfestation In Cutaneous Leishmaniasis. A New Look At Predisposing Conditions, Khalifa E. Sharquie, Rafid A. Najim, Azad K. Hussein
Reinfestation In Cutaneous Leishmaniasis. A New Look At Predisposing Conditions, Khalifa E. Sharquie, Rafid A. Najim, Azad K. Hussein
Saudi Medical Journal
OBJECTIVE: A prospective study of cases of reinfestation with cutaneous leishmaniasis is carried out to try to identify if there is any associated condition which might predispose to reinfestation. METHODS: Over a 2 year period, cases of reinfestation with cutaneous leishmaniasis presenting in the Department of Dermatology, were collected. RESULTS: Thirteen cases showing a typical scar with a parasitologically proven new infection were included. The mean age of patients was 54.69+/-2.65 years. The time lapse between the two infections was 52.38+/-2.60 years. The scar of the primary infection was mainly on the face while the lesion was mostly on the …
Khat Induced Hemorrhoidal Disease In Yemen, Ahmed M. Al-Hadrani
Khat Induced Hemorrhoidal Disease In Yemen, Ahmed M. Al-Hadrani
Saudi Medical Journal
OBJECTIVE: The aim of this study was to evaluate the potential association between the habit of khat chewing and the development of hemorrhoidal disease. METHODS: Four hundred and seventy four individuals (373 men and 101 women) with ages ranging from 17 to 80 years were divided into 2 groups. Group 1 (n=247) chronic khat chewers. Group 2 (n=200) non-khat chewers. Data was collected regarding chewing habits, colorectal symptoms, abdominal, proctoscopic, and operative findings. RESULTS: The key difference between the 2 groups was the incidence of hemorrhoids and hemorrhoidectomy. In the chronic khat chewers group: 169 (62%) had hemorrhoids. Of these …
Munchausen Syndrome By Proxy, Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Munchausen Syndrome By Proxy, Roshan L. Koul, Alexander Chacko, Zakia Al-Lamki, Adel M. Al-Amri, Saleh Al-Khusaiby
Saudi Medical Journal
Five children (3F:2M), in the age group 1 years to 11 years, with Munchausen syndrome by proxy are reported from the Sultanate of Oman. They were seen over a four years period from 1996-1999. In all these children, the mother came up with history of uncontrolled epilepsy. Carbamazepine was the most common antiepileptic drug used. One of these children remained hospitalized elsewhere for nearly 9 months, as a case of uncontrolled status epilepticus. It took 18 months to 6 years (mean 2.8 years) to establish the diagnosis and the mother was the offender in all. The main lead to diagnosis, …
Laparoscopic Juxtarenal Varicocelectomy, Mohammad M. Kenawi
Laparoscopic Juxtarenal Varicocelectomy, Mohammad M. Kenawi
Saudi Medical Journal
No abstract provided.
Pseudohypoaldosteronism Type 1 In An Omani Male Infant Simulating Salt-Losing Congenital Adrenal Hyperplasia., Adnan Khan, Shabih Manzar
Pseudohypoaldosteronism Type 1 In An Omani Male Infant Simulating Salt-Losing Congenital Adrenal Hyperplasia., Adnan Khan, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Neonatal Salmonella Meningitis., Leslie Matthew, Usha Chandran
Neonatal Salmonella Meningitis., Leslie Matthew, Usha Chandran
Saudi Medical Journal
No abstract provided.
Prevention Of Migraine, S. Pahlavan, Dirk Deleu, Yolande Hanssens
Prevention Of Migraine, S. Pahlavan, Dirk Deleu, Yolande Hanssens
Saudi Medical Journal
No abstract provided.
Undergraduate Curriculum Reform In Saudi Medical Schools. Which Direction To Go?, Yousef M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Faraidy
Undergraduate Curriculum Reform In Saudi Medical Schools. Which Direction To Go?, Yousef M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Faraidy
Saudi Medical Journal
Curriculum reform in undergraduate medical education is quite essential for the success of the educational process. Saudi medical schools have been involved in curriculum reform over the past 2 decades. Review of the existing literature identifies the following as problems with today9s curriculum including: Overcrowding of the curriculum, over presentation of some subjects, presence of relatively non-relevant subjects, dissociation between basic and clinical sciences, repetition of lectures and exams, need for new subjects of clinical relevance, predominantly hospital based medical education with minimal community-based practice, as well as non-optimal use of resources. The authors put forth suggestions for reform of …
A Simplified Management Of Diabetic Pregnant Woman, Omer A. Mirghani, Osman K. Saeed
A Simplified Management Of Diabetic Pregnant Woman, Omer A. Mirghani, Osman K. Saeed
Saudi Medical Journal
OBJECTIVE: To evaluate a simplified management of diabetic pregnant women. METHODS: A prospective study of the management of all diabetic pregnant women (74) during 2 years from March 1995 - March 1997 was carried out in the Department of Obstetrics & Gynecology, Wad Medani Teaching Hospital, Sudan. Diabetes was diagnosed by an oral glucose tolerance test according to the World Health Organization criteria. Patients were controlled by insulin and monitored by urine for glucose and pre-prandial blood sugar. They were delivered by induction of labor or cesarean section at 38 weeks. Basic resuscitation was carried out for all babies. Intravenous …
Pagets Disease Of The Bone, Payam S. Pahlavan, Abdul H. Zargar, Bashir A. Laway, Shariq R. Masoodi, Arshad I. Wani, Mir I. Bashir, Nisar A. Tramboo, Fayez A. Khan
Pagets Disease Of The Bone, Payam S. Pahlavan, Abdul H. Zargar, Bashir A. Laway, Shariq R. Masoodi, Arshad I. Wani, Mir I. Bashir, Nisar A. Tramboo, Fayez A. Khan
Saudi Medical Journal
No abstract provided.
A Need For Managed Care In Saudi Arabia, Mohammed H. Mufti
A Need For Managed Care In Saudi Arabia, Mohammed H. Mufti
Saudi Medical Journal
Is the Kingdom of Saudi Arabia getting value for money invested in health? Quality care is being provided throughout health facilities in the Kingdom, however there is minimal control of utilization in all health sectors, consequently leading to abuse and over utilization, particularly in the public sector. Managed care programs have proven effective in reducing unnecessary inpatient and ancillary service utilization by reducing use of expensive procedures and unnecessary, highly specialized services, and shifting to less expensive care options. Health maintenance organizations are the best example of a managed health care model; tracking good performance and cost savings averaging between …
Ectopic Pregnancy In Abha, Saudi Arabia. A Continuing Conundrum, Eric I. Archibong, Adekunle A. Sobande
Ectopic Pregnancy In Abha, Saudi Arabia. A Continuing Conundrum, Eric I. Archibong, Adekunle A. Sobande
Saudi Medical Journal
OBJECTIVE: To determine the incidence of ectopic pregnancy in Abha, in the south-western region of Saudi Arabia and to evaluate the relevance of the known risk factors. METHODS: Eighty-two women with histologically confirmed ectopic pregnancies, managed in Abha Maternity Hospital over a three-and-a-half year period, were retrospectively studied. RESULTS: The incidence of ectopic pregnancy was 0.74 per 100 live births. Most (56%) of our patients were within the 21-30 age group. Parous women constituted 56% and nulliparous patients constituted 21% of the study group. No previous history of abortion was found in 60% of the patients. Fourteen (17%) had used …
The Prevalence Of Overweight And Obesity Amongst Hypertensive And Diabetic Adult Patients In Primary Health Care, Yousef A. Al-Turki
The Prevalence Of Overweight And Obesity Amongst Hypertensive And Diabetic Adult Patients In Primary Health Care, Yousef A. Al-Turki
Saudi Medical Journal
OBJECTIVE: To estimate the prevalence of overweight and obesity amongst hypertensive and diabetic adult patients in primary health care centers, Riyadh, Saudi Arabia. METHODS: A retrospective review of the medical records of 3186 adult hypertensive and diabetic patients in 10 primary health care centers in Riyadh, from August to October 1999. RESULTS: Nineteen percent of the patients were their ideal weight (body mass index < 25 kg/m2), while 35% were overweight (body mass index 25-29.9 kg/m2). Forty one percent were moderately obese (body mass index 30-40 kg/m2) and 5% were morbidly obese (body mass index > 40 kg/m2). CONCLUSION: Overweight and obesity are coexisting risk factors amongst hypertensive and diabetic adult patients, and are an important focus for treatment and prevention of high blood pressure and diabetes.
Efficacy And Acceptability Of Depo-Medroxyprogesterone Acetate Injection As A Method Of Contraception In Saudi Arabia, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong, Ali A. Sadek
Efficacy And Acceptability Of Depo-Medroxyprogesterone Acetate Injection As A Method Of Contraception In Saudi Arabia, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong, Ali A. Sadek
Saudi Medical Journal
OBJECTIVE: To determine the efficacy and acceptability of Depo-Medroxyprogesterone acetate (depo-provera) among the women using that method of contraception at King Faisal Military Hospital in the south-west region of Saudi Arabia. METHODS: A preliminary retrospective and questionnaire analysis of 165 Saudi women who had depo-provera as a method of contraception at the contraception clinic of King Faisal Military Hospital over a period of 2 months. RESULTS: The mean age of the women was 31.21 years and the mean parity 6.77. There was no pregnancy reported during the period of use of the contraceptive method which ranged from 3 months to …
Frequency Of Herpes Simplex Virus In Syria Based On Type-Specific Serological Assay, Ali I. Ibrahim, Khalil M. Kouwatli, Michel T. Obeid
Frequency Of Herpes Simplex Virus In Syria Based On Type-Specific Serological Assay, Ali I. Ibrahim, Khalil M. Kouwatli, Michel T. Obeid
Saudi Medical Journal
OBJECTIVE: This study aimed to determine the seroprevalence of herpes simplex virus types 1 and 2 antibodies in Syrian populations. Serum samples collected between 1995 - 1998 from a total of 1293 healthy persons, neonates, pregnant women, labial herpes patients, kidney transplantation patients, atherosclerosis patients, cervical cancer patients, patients with suspected herpetic keratitis, viral encephalitis patients, patients with sexually transmitted diseases, AIDS patients, female prostitutes and bar girls. METHODS: Serum samples were studied by enzyme immunosorbent assay using herpes simplex virus type-specific antigen, glycoprotein (gG). RESULTS: In the healthy group, herpes simplex virus type 1 infections correlated mostly with age …
Utilization Of Primary Health Care During Summer, Abdullah I. Al-Sharif, Yahia M. Al-Khaldi, Ali M. Al-Shahrani
Utilization Of Primary Health Care During Summer, Abdullah I. Al-Sharif, Yahia M. Al-Khaldi, Ali M. Al-Shahrani
Saudi Medical Journal
OBJECTIVE: To determine the workload on primary health care center services, to recognize the patterns of utilization of primary health care center services and morbidity patterns among the summer visitors who attended primary health care centers in Asir region in 1998. METHODS: A special form was designed to record demographic data, diagnosis and management. Ten percent of those forms were analyzed to study the patterns of morbidity and health service utilization. A special formula was used to calculate the size of the workload on the health services during the season. RESULTS: The total number of patients who attended primary health …
Post Traumatic High-Flow Arterial Priapism. The Need For Increased Awareness Among Health Care Professionals, Riyadh F. Talic, Saleh A. Al-Damegh
Post Traumatic High-Flow Arterial Priapism. The Need For Increased Awareness Among Health Care Professionals, Riyadh F. Talic, Saleh A. Al-Damegh
Saudi Medical Journal
High flow arterial priapism is a rare urological emergency. Presentation, diagnosis and institution of definitive management are often delayed. We describe our experience with this diagnostic entity and reviewed the literature to define possible reasons for the delayed diagnosis and management. We report two patients (10 years and 35 years old) that presented following blunt perineal trauma. The presentation and diagnosis of arterial priapism were delayed in both patients. Selective angiogram of the internal pudendal artery revealed arteriocavernous fistula in each patient. Embolization of the fistulae by gel foam was carried out at the same sitting. Penile detumescence was noted …
Dandy-Walker Syndrome In Association With Neurofibromatosis In Monozygotic Twins, Roshan L. Koul, Alexander Chacko, Hans O. Leven
Dandy-Walker Syndrome In Association With Neurofibromatosis In Monozygotic Twins, Roshan L. Koul, Alexander Chacko, Hans O. Leven
Saudi Medical Journal
Dandy-Walker syndrome in monozygotic twins is reported. The twins reported, presented with delayed development, big head and dysmorphic features. In addition, there were significant cafe-au-lait spots on the trunk and other minor features consistent with the diagnosis of neurofibromatosis. To the best of our knowledge, Dandy-Walker syndrome in combination with neurofibromatosis in monozygotic twins has not been previously reported.
Obesity Among Diabetic Patients, Shariq R. Masoodi, Bashir A. Laway, Yousef A. Al-Turki
Obesity Among Diabetic Patients, Shariq R. Masoodi, Bashir A. Laway, Yousef A. Al-Turki
Saudi Medical Journal
No abstract provided.
Neonatal Septicemia, Khalid N. Haque, Asindi A. Asindi
Neonatal Septicemia, Khalid N. Haque, Asindi A. Asindi
Saudi Medical Journal
No abstract provided.
Quadruplet Pregnancy Following A Single Course Of Clomiphene Citrate. An Expensive Success, Zeinab Abotalb
Quadruplet Pregnancy Following A Single Course Of Clomiphene Citrate. An Expensive Success, Zeinab Abotalb
Saudi Medical Journal
Prescribing clomiphene citrate for infertility patients has been taken very lightly. High order pregnancy can happen with this treatment. In addition to high perinatal mortality and morbidity of multiple pregnancy, the economic and social strains on the national health system and the family is great. The case presented showed that although the outcome of pregnancy was successful but the cost to the national health was tremendous. It is therefore recommended that measures should be taken to avoid high order births. Moreover, delaying the delivery, if possible, will be cost effective.
Hospital Morbidity Due To Post-Operative Infections In Obstetrics & Gynecology, Jagjeevan K. Dhaliwal, Affaf M. El-Shafei, Mona R. Al-Sharqi, Kumbakonam R. Jothy, Usha Vijayan, Anita Qadri
Hospital Morbidity Due To Post-Operative Infections In Obstetrics & Gynecology, Jagjeevan K. Dhaliwal, Affaf M. El-Shafei, Mona R. Al-Sharqi, Kumbakonam R. Jothy, Usha Vijayan, Anita Qadri
Saudi Medical Journal
OBJECTIVE: To study the incidence and risk factors for postoperative infection following cesarean sections and major gynecological surgery. METHODS: Postoperative infection was documented in the specified registers in all patients following cesarean sections and major gynecological surgery from January 1997 to December 1998. This study was a part of the prospective analysis of hospital-based morbidity and mortality in the Department of Obstetrics and Gynecology. RESULTS: There were a total of 89 cases of postoperative infections amongst 4,032 patients undergoing major operations giving an overall infection rate of 2.2%. The morbidity due to infections was 3.3% in cesarean sections and 0.9% …
Agenesis Of Right Lung With Esophageal Atresia And Distal Tracheoesophageal Fistula, N. Surendran
Agenesis Of Right Lung With Esophageal Atresia And Distal Tracheoesophageal Fistula, N. Surendran
Saudi Medical Journal
No abstract provided.
Cardiac Markers For Assessing The Acute Coronary Syndromes. A Focus On Cardiac Troponins, Salam M. Saadeddin, Moh’D A. Habbab, Gordon A. Ferns
Cardiac Markers For Assessing The Acute Coronary Syndromes. A Focus On Cardiac Troponins, Salam M. Saadeddin, Moh’D A. Habbab, Gordon A. Ferns
Saudi Medical Journal
Markers of myocardial injury will continue to play an essential role in the assessment and management of patients presenting within the spectrum of acute coronary syndromes, a term representing the continuum of acute myocardial ischemia ranging from angina through Q-wave myocardial infarction. Coronary artery lesion instability can be detected by markers of plaque inflammation and disruption, platelets reactivity, and thrombosis. When myocardial injury occurs with severe impairment of coronary blood flow, several markers are released from the damaged myocyte. For many years, creatine kinase-MB isoenzyme has been the conventional marker for myocardial infarction. Despite its inadequate sensitivity and specificity for …
Cardio-Respiratory Responses To Moderately Heavy Aerobic Exercise During The Ramadan Fasts, Jasem M. Ramadan, Mario Barac-Nieto
Cardio-Respiratory Responses To Moderately Heavy Aerobic Exercise During The Ramadan Fasts, Jasem M. Ramadan, Mario Barac-Nieto
Saudi Medical Journal
OBJECTIVE: The aim of this study was to quantify the magnitude of the cardiovascular and respiratory changes that occur during the month of Ramadan in response to moderately heavy aerobic physical exertion. METHODS: Eighteen sedentary Kuwaiti adult males were tested under thermo-neutral conditions during a spring-like month of Ramadan and one month thereafter. RESULTS: There were no significant changes in maximal exercise capacity, treadmill walking efficiency, percentage VO2 max, in body weight and composition associated with Ramadan fasting or one month after. Cardiac (heart rate) and ventilatory responses to moderately intense bouts of sub-maximal aerobic exercise (70% of VO2 max) …
Healthcare Risk Waste In Saudi Arabia. Rate Of Generation, Mohammed A. Al-Zahrani, Zuheir I. Fakhri, Mohammed A. Al-Shanshouri, Mohammed H. Al-Ayed
Healthcare Risk Waste In Saudi Arabia. Rate Of Generation, Mohammed A. Al-Zahrani, Zuheir I. Fakhri, Mohammed A. Al-Shanshouri, Mohammed H. Al-Ayed
Saudi Medical Journal
OBJECTIVE: To assess the amount of healthcare risk waste generated by health establishments in Saudi Arabia. METHODS: A healthcare waste management questionnaire was applied in 27 hospitals, and 16 primary health centres and clinics. The total quantity of healthcare risk waste collected in 24 hours in each of these establishments was weighed. Calculations were carried out to get hospitals rate of healthcare risk waste generation and primary healthcare centres risk waste generation. The total national estimate of healthcare risk waste production in kilograms/year for the whole health establishments in the Kingdom was then calculated. RESULTS: The mean hospital healthcare risk …
Ketotifen In Treatment Of Uncomplicated Falciparum Malaria, Adil M. Ibrahim, El-Rayah M. Elhag, Sirag E. Mustafa
Ketotifen In Treatment Of Uncomplicated Falciparum Malaria, Adil M. Ibrahim, El-Rayah M. Elhag, Sirag E. Mustafa
Saudi Medical Journal
OBJECTIVE: The present in vivo study evaluates the potential use of ketotifen, a tricyclic antihistaminic drug, in treatment of Sudanese patients with uncomplicated Plasmodium falciparum malaria (19-38 years). METHODS: Four groups of patients (each has 15) were randomly selected and treated by chloroquine (25mg/kg wt) in comparison with regimen combinations of ketotifen (0.13mg/kg body wt) with chloroquine, ketotifen with Fansidar (33.3mg/kg body wt) and ketotifen with both chloroquine and Fansidar. RESULTS: Prior to treatment all patients had a parasite density that varied from 1x103-3.46x104/mL blood. On day 2, the highest level of parasitaemia was recorded in patients treated with chloroquine …