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Management Strategies For Peripheral Tuberculous Lymphadenopathy, Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Management Strategies For Peripheral Tuberculous Lymphadenopathy, Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Saudi Medical Journal
OBJECTIVE: To assess the usual means for diagnosing peripheral tuberculous lymphadenitis and present our experience in the management of the disease. METHODS: Three hundred and two patients with peripheral lymphadenopathy due to tuberculosis were diagnosed and referred by several hospitals in 9 governorates to the National Tuberculosis Institute. Patients were reviewed prospectively regarding diagnosis and treatment. RESULTS: Histological findings were diagnostic in 94% of patients. In our experience, isolation of mycobacterium from the lymph node tissue was neither practical nor reliable. Four out of 54 patients with bulky caseating nodes or discharging sinuses failed to respond to chemotherapy after 2 …
Admission Patterns And Outcomes Of Sick Children: Experience From A Pediatric Intensive Care Unit In Oman, Shabih Manzar
Admission Patterns And Outcomes Of Sick Children: Experience From A Pediatric Intensive Care Unit In Oman, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Survival Pattern Among Extreme Preterm Infants, Shabih Manzar
Survival Pattern Among Extreme Preterm Infants, Shabih Manzar
Saudi Medical Journal
OBJECTIVE: To look at the survival pattern of extreme preterm Omani infants (23-26 weeks gestation) and compare it with the western countries. METHODS: All extreme preterm Omani infants (gestational age of 23 to 26 weeks) admitted from November 1991 to February 1998 at the Neonatal Intensive Care Unit of Sultan Qaboos University Hospital were reviewed. The detailed records of the infants, including name of mother, age, gravidity, parity, route of delivery, Apgar score, time of birth, inborn or outborn, birth weight, gestational age, sex, need for resuscitation, course in the Neonatal Intensive Care Unit, admission and discharge diagnosis, and outcome …
In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir
In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir
Saudi Medical Journal
Obsessive Compulsive Disorder is one of the increasing psychological disorders. If not detected early and treated properly, obsessive-compulsive disorder usually becomes an incapacitating illness adversely affecting almost all aspects of the patient9s life. Outpatient behavioral and pharmacotherapies frequently fail. This is a report on a severe case of obsessive-compulsive disorder that was treated as an in-patient with both behavior and pharmacotherapies, she was then followed up for 5 years with no relapse. The case reflects the importance and the need for in-patient units for severe resistant obsessive compulsive cases especially in Saudi Arabia where we have an increasing number of …
Clinical Profile Of Sleep Apnea Syndrome. A Study At A University Hospital, Abdullah F. Al-Mobeireek, Feisal A. Al-Kassimi, Sulaiman A. Al-Majed, Mohammed S. Al-Hajjaj, Ahmed S. Bahammam, Iltifat Sultan
Clinical Profile Of Sleep Apnea Syndrome. A Study At A University Hospital, Abdullah F. Al-Mobeireek, Feisal A. Al-Kassimi, Sulaiman A. Al-Majed, Mohammed S. Al-Hajjaj, Ahmed S. Bahammam, Iltifat Sultan
Saudi Medical Journal
OBJECTIVE: To review a series of patients with sleep apnea syndrome, to promote more awareness and alert local health professionals to early diagnosis and treatment. METHODS: We studied, prospectively, 48 consecutive patients who were managed at the university hospital from 1992 to 1996. RESULTS: The male:female ratio was 1.4:1. The mean interval between onset of symptoms and the diagnosis was 5.5 years (range 0.25 to 30). In over half of the patients the diagnosis was not suspected upon referral. The mean body mass index was 42.8kg/m2, (range 25 to 76). Daytime hypoxemia was present in 28 patients (58%), while 26 …
Continuous Quality Improvement. A Proposal For Arabian Gulf Medical Associations, Mohammad Z. Al-Shahri, James Kinchin-White
Continuous Quality Improvement. A Proposal For Arabian Gulf Medical Associations, Mohammad Z. Al-Shahri, James Kinchin-White
Saudi Medical Journal
Having well-established and active medical associations in the Arabian Gulf countries is a promising event. Ideally, however, it must be assured that these associations are efficiently and effectively functioning in a manner designed to serve the ultimate goal of promoting the standards of the medical profession and thus, the quality of health care in the region. This paper is designed to promote the application of Continuous Quality Improvement principles by the medical associations in the Arabian Gulf. The paper is presented in a general format so as to allow for appropriate modifications according to the specific objectives of different medical …
Childhood Enuresis. Epidemiology, Pathophysiology And Management., Yaser S. Al-Ghamdy, Naseem A. Qureshi, Muzamil H. Abdelgadir
Childhood Enuresis. Epidemiology, Pathophysiology And Management., Yaser S. Al-Ghamdy, Naseem A. Qureshi, Muzamil H. Abdelgadir
Saudi Medical Journal
The goal of this article is to review childhood enuresis, which is a common behavioral condition reported in millions of children worldwide. An online computer search was made, and the literature up to 1997 was screened in order to include relevant data for this review. The prevalence of childhood enuresis varies across reviewed studies. This was attributed to a variety of sociodemographic and cultural dynamics of societies. Similarly, the pathophysiology of this ubiquitous symptom is determined by multiple risk factors including biological, psychological, social, and cultural, but the developmental/maturational delay influenced by genetics remains the most plausible explanation. Although a …
Consanguinity, Fertility, Reproductive Wastage, Infant Mortality And Congenital Malformations In Jordan, Sami A. Khoury, Diana F. Massad
Consanguinity, Fertility, Reproductive Wastage, Infant Mortality And Congenital Malformations In Jordan, Sami A. Khoury, Diana F. Massad
Saudi Medical Journal
OBJECTIVE: Consanguinity is a wide spread practice in Jordan. The objective of this study is to explore the health effects of consanguinity, in particular fertility, reproductive wastage, infant mortality and congenital malformations. METHODS: A stratified 2 stage cluster sample of 1867 married couples, representative of all population groups and all geographic locations of Jordan were randomly selected. A questionnaire was specially designed to explore each of the objectives set for the study and was field tested. A group of field workers were thoroughly trained on the implementation of this instrument. All 1867 couples were interviewed by these field workers and …
Diabetes And Perinatal Loss. A Continuing Problem., Adekunle A. Sobande, Hassan Al-Bar, Eric I. Archibong
Diabetes And Perinatal Loss. A Continuing Problem., Adekunle A. Sobande, Hassan Al-Bar, Eric I. Archibong
Saudi Medical Journal
OBJECTIVE: To determine the fetal outcome in diabetic pregnant patients managed exclusively by the obstetrician at King Faisal Military Hospital in the south-west region of Saudi Arabia, and to compare this with the non-diabetic control group in the same hospital. METHODS: Case-control study of 83 diabetic and non-diabetic pregnant patients who delivered at King Faisal Military Hospital over a 2 year period. RESULTS: The perinatal mortality rate in diabetic patients was 6.02% while that in the non-diabetic control group was 1.2%. However, the difference was not statistically significant, p>0.05. There was no significant difference in the mean birth weight …
Staphylococcus Aureus Bacteremia, Daad H. Akbar, Maimona A. Mushtaq, Ahmed T. El-Tahawi, Ahmed A. Bahnasy
Staphylococcus Aureus Bacteremia, Daad H. Akbar, Maimona A. Mushtaq, Ahmed T. El-Tahawi, Ahmed A. Bahnasy
Saudi Medical Journal
OBJECTIVE: To study the episodes of Staph.aureus bacteremia diagnosed at King Abdulaziz University Hospital, to determine the source of infection, risk factors, the outcome of treatment and to compare our results with those reported in the literature. METHODS: A retrospective study in which the episodes of Staph.aureus bacteremia diagnosed at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia in the period from June 1996 to December 1998 were analyzed. RESULTS: A total of 103 episodes of Staph.aureus bacteremia were diagnosed in 95 patients with a mean age of 33.61 years (range 2 months to 90 years) and male:female ratio …
Measles Antibody Titre In Children Up To 5 Years Of Age In Rural Areas Of Aligarh District, India, Zulfia Khan, Abida Malik, Sunil D. Pal, M. Yunus Khan
Measles Antibody Titre In Children Up To 5 Years Of Age In Rural Areas Of Aligarh District, India, Zulfia Khan, Abida Malik, Sunil D. Pal, M. Yunus Khan
Saudi Medical Journal
OBJECTIVE: To determine the pattern of decline of maternal antibodies in 0-9 month old infants and to study the prevalence of measle antibodies and their levels in 9 month to 5 year old children, regardless of their immunization status. METHODS: A cross-sectional study covering 456 children in the 0-5 year age group residing in 9 registered villages in a rural area of Aligarh District was conducted. The study included the interview of parents, clinical examination of children, and Hemagglutination Inhibition Test for Measles Antibody Titre. RESULTS: There was rapid decline in seropositivity from 100% in the 0-3 month age group …
Lipid Peroxidative Damage In The Erythrocytes And Elevation Of Serum Ldl-Cholesterol, Apolipoprotein-B, Ferritin And Uric Acid With Age And In Coronary Heart Disease Patients, Hameeda H. El-Gebali, Salahaldin A. Tahir, Syed S. Haider, Mustafa M. El-Fakhri
Lipid Peroxidative Damage In The Erythrocytes And Elevation Of Serum Ldl-Cholesterol, Apolipoprotein-B, Ferritin And Uric Acid With Age And In Coronary Heart Disease Patients, Hameeda H. El-Gebali, Salahaldin A. Tahir, Syed S. Haider, Mustafa M. El-Fakhri
Saudi Medical Journal
OBJECTIVE: To determine the normal serum levels of LDL-cholesterol, apolipoprotein-B, ferritin, uric acid, and the extent of erythrocytes lipid peroxidation in healthy control group subjects and to compare them with coronary heart disease patients. Secondly, to study the effects of age and sex on these parameters. METHODS: The blood samples from 150 healthy Libyan control group subjects (110 men and 40 women) were classified into 3 groups according to their age. Group I consisted of 76 subjects with an age range from 20 to 35 years. Group II consisted of 45 subjects with an age range from 36 to 50 …
Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani
Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani
Saudi Medical Journal
Six patients with cerebral tuberculoma seen over a 2 year period are reported. Their clinical presentations, the result of investigations including radiological findings and their response to medical treatment are discussed and correlated with other reports in the literature. Eighty five percent of the patients were above the age of 30 years. All patients had negative past history of tuberculosis and both chest x-ray and erythrocyte sedimentation rate were within normal limits. Five patients presented with symptoms and signs of space occupying lesions but none had papilloedema. Two patients showed paradoxical enlargement or development of new tuberculous lesions during antituberculous …
Evolution Of Resuscitation: A Historical Perspective, Shabih Manzar
Evolution Of Resuscitation: A Historical Perspective, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Congenital Chloride Diarrhea From The West Coast Of The Kingdom Of Saudi Arabia, Harbi A. Shawoosh, Fawzia Badgaish, Enaam Raboie, Talal Basrawi
Congenital Chloride Diarrhea From The West Coast Of The Kingdom Of Saudi Arabia, Harbi A. Shawoosh, Fawzia Badgaish, Enaam Raboie, Talal Basrawi
Saudi Medical Journal
No abstract provided.
Unnecessary X-Rays: Occurrence, Disadvantages And Side Effects, Suresh K. Dargan
Unnecessary X-Rays: Occurrence, Disadvantages And Side Effects, Suresh K. Dargan
Saudi Medical Journal
No abstract provided.
Neonatal Septicemia, Abdulfattah Al-Mowallad, A. Olu Osoba, James O. Obi
Neonatal Septicemia, Abdulfattah Al-Mowallad, A. Olu Osoba, James O. Obi
Saudi Medical Journal
No abstract provided.
Smoking Habits Of Students In College Of Applied Medical Science, Saudi Arabia, Talal J. Hasim
Smoking Habits Of Students In College Of Applied Medical Science, Saudi Arabia, Talal J. Hasim
Saudi Medical Journal
OBJECTIVE: To establish a baseline data on the smoking habits of health science students in a Saudi Arabian university environment. METHODS: The participating subjects were students of the College of Applied Medical Sciences within the age range of 18 to 26. An experimental design with pre-structured questionnaires, and simple random sampling was administered to 712 participants by a panel of experts in behavioral health sciences. RESULTS: Out of 647 respondents, 186 (29%) were current smokers. Of those that indicated that they were currently smokers, 127 (20%) were male and 59 (9%) were female. The 20-24 year old age group exhibited …
Thyroid Function In Cord Blood, Gerard Henry, Samia H. Sobki, Najla M. Al-Beshara, Mimmi E. Harkonen, Helen R Miller, Basil J. Al-Nakeeb
Thyroid Function In Cord Blood, Gerard Henry, Samia H. Sobki, Najla M. Al-Beshara, Mimmi E. Harkonen, Helen R Miller, Basil J. Al-Nakeeb
Saudi Medical Journal
OBJECTIVE: To determine the biochemical parameters of thyroid function in the cord blood of Saudi infants. METHODS: Cord blood samples sent to the Pathology Department for screening for congenital hypothyroidism were used to determine the reference ranges for thyrotropin, free thyroxine, free triiodothyronine, thyroxine-binding globulin and thyroglobulin. All the measurements were carried out by immunoassay (Elisa, microparticle enzyme immunoassay or chemiluminescence immunoassay). Reference ranges were calculated after exclusion of outliers. RESULTS: Reference ranges for thyrotropin, free thyroxine and thyroxine-binding globulin were similar to published values, whereas those for free triiodothyronine and thyroglobulin were different. CONCLUSION: For correct interpretation of the …
A Case For User Charges In Public Hospitals, Mohammed H. Mufti
A Case For User Charges In Public Hospitals, Mohammed H. Mufti
Saudi Medical Journal
The present decline in per capita expenditure on health in Saudi Arabia requires private funding to reduce pressure of health expenditure on the government budget. User charges would be an important source of revenue in the Kingdom where services cannot be cut and taxes are not imposed. User charges in public facilities would curtail over-utilization and reduce inefficient use of resources by providing a link between financial responsibility and the provision of services. The financial implication facing patients would encourage them to be more cost-conscience, and therefore their physicians would be encouraged to limit practices such as over prescribing drugs …
Trans-Nasal Route. The New Way Of Upper Gastrointestinal Technique Diagnostic Endoscopy, Mohamed A. Al-Karawi
Trans-Nasal Route. The New Way Of Upper Gastrointestinal Technique Diagnostic Endoscopy, Mohamed A. Al-Karawi
Saudi Medical Journal
No abstract provided.
Thalassemia Syndromes In Saudi Arabia. Meta-Analysis Of Local Studies, Baker H. Al-Awamy
Thalassemia Syndromes In Saudi Arabia. Meta-Analysis Of Local Studies, Baker H. Al-Awamy
Saudi Medical Journal
The geographical distribution of Alpha and Beta-Thalassemias differ markedly. Alpha-Thalassemia being particularly prevalent in Southeast Asia and Beta-Thalassemia in the Mediterranean basin. Thalassemia syndromes are common in Saudi Arabia: the Beta-Thalassemia genes occur with variable frequency in different regions of Saudi Arabia and both B+ and Bo thalassemia have been reported. Alpha-Thalassemia is also highly prevalent here and the interaction with the sickle cell gene is commonly observed. Over the last few years, a great deal of information regarding the clinical, molecular and management of these disorders has accumulated in the literature. In this paper we summarize some of the …
Old And New Anti-Epileptic Drugs In Pregnancy, Giovanni Regesta, Paolo Tanganelli
Old And New Anti-Epileptic Drugs In Pregnancy, Giovanni Regesta, Paolo Tanganelli
Saudi Medical Journal
During the recent years, a significant number of anti-epileptic drugs have been approved for prescription in different countries. In addition, some other promising drugs are in various stages of development. Soon after each drug has found its place in the therapeutic arsenal, pregnancies with exposure occur, with an increased risk of birth defect and developmental disturbances. As regards the possible teratogenic effect of the new anti-epileptic drugs, apart some individual reports we have only the results of pre-clinical toxicological studies which are difficult to extrapolate to the human situation, because of the well-known interspecies differences in pharmacokinetics and pharmacodynamics. Furthermore, …
Adolescent Endocrinology In Saudi Arabia, Mohamed A. Abdullah, Hamad S. Al-Salhi, Mona A. Anani, Liza Q. Melendrez
Adolescent Endocrinology In Saudi Arabia, Mohamed A. Abdullah, Hamad S. Al-Salhi, Mona A. Anani, Liza Q. Melendrez
Saudi Medical Journal
OBJECTIVE: The importance of providing special health care services for adolescents has been recently stressed. In Saudi Arabia, adolescents have no special services. In this study, we describe our first 5 years experience of an adolescent endocrinology clinic in Security Forces Hospital. We believe it is the first clinic with this objective in the Kingdom. METHODS: An adolescent endocrinology clinic was run by a team composed of pediatric endocrinologist, diabetic nurse educator, clinic nurse and a dietician in collaboration with other supportive staff and consultants from other disciplines. The methodology of setting up, staffing and running the clinic is described. …
Effect Of Chromium Supplementation On Glucose Tolerance And Lipid Profile, Suhad M. Bahijri
Effect Of Chromium Supplementation On Glucose Tolerance And Lipid Profile, Suhad M. Bahijri
Saudi Medical Journal
OBJECTIVE: To investigate chromium status of the adult population in the western region of Saudi Arabia and the possibility of using serum chromium status measurement as indicator of this status. METHODS: The effect of chromium supplement on glucose tolerance and lipid profile was studied in 44 normal, free living adults. 200mg chromium/day as CrCL3 or a placebo was given in a double blind cross-over study, with 8 weeks experimental periods. Fasting, 1 hour and 2 hour post glucose challenge (75g of glucose) glucose, serum fructosamine, total cholesterol, high-density lipoprotein-cholesterol, triglycerides, chromium and dietary intakes were estimated at the beginning and …
Substance Dependence. A Hospital Based Survey, Nayyer Iqbal
Substance Dependence. A Hospital Based Survey, Nayyer Iqbal
Saudi Medical Journal
OBJECTIVE: To collect basic data on multiple and diverse issues such as drugs of dependence, smoking, initiation age, injection related harm, nutritional status, trauma, accidents, abnormal laboratory parameters and co-morbid conditions. METHODS: Seven hundred and ninety nine subjects from a voluntary detoxification unit were studied. Four hundred and ninety seven charts from June 1995 to December 1995 were reviewed retrospectively. For the other 302 subjects admitted between September 1996 to December 1996, information regarding drug use, smoking, trauma, accidents and co-morbid conditions was recorded during the admission interview while the remaining data was later obtained from the charts. RESULTS: Sixty …
Hearing Loss In A Textile Factory, Farouk M. Shakhatreh, Khader J. Abdul-Baqi, Moh’D M. Turk
Hearing Loss In A Textile Factory, Farouk M. Shakhatreh, Khader J. Abdul-Baqi, Moh’D M. Turk
Saudi Medical Journal
OBJECTIVE: To compare the prevalence rate of hearing loss at different levels of noise in a textile factory and to find out the levels of hearing loss according to duration (years) of employment in the factory. METHODS: Seventy workers exposed to different levels of noise were matched with 70 persons in the community who were not exposed to occupational noise. Noise levels dB(A) were measured at different locations in the factory. Hearing was assessed in all participants. Few cases were excluded from the study because hearing loss was due to factors other than exposure to noise. RESULTS: The prevalence rate …
Parkinson's Disease. Clinical And Electrophysiological Evaluation, Muneera A. Al-Bunyan
Parkinson's Disease. Clinical And Electrophysiological Evaluation, Muneera A. Al-Bunyan
Saudi Medical Journal
OBJECTIVE: Identification of the clinical spectrum and the electrophysiological responses of a Saudi population with Parkinson9s disease as opposed to a matched normal population. METHODS: Fifty four subjects (41 males and 13 females) were selected for the study. The patients were clinically evaluated for the occurrence of Parkinson9s disease symptoms, as well as other associated medical conditions. All patients had brain computerized tomography scans. Electrophysiological tests were performed on all patients using the Medelec ST 10 Sensor 59394 Model. These tests included somatosensory evoked response of median nerves, brain stem auditory evoked responses and visual evoked responses. The significant differences …
Prevalence Of Food Allergy In Asthmatic Patients, Bahaa A. Aba-Alkhail, Fathi M. El-Gamal
Prevalence Of Food Allergy In Asthmatic Patients, Bahaa A. Aba-Alkhail, Fathi M. El-Gamal
Saudi Medical Journal
OBJECTIVE: This study was conducted to assess the role of clinical sensitivity to food on the pattern of bronchial asthma. METHODS: A total of 1341 patients with asthma were included in the present study. The clinical sensitivity to food and its relation to respiratory symptoms were assessed cross-sectionally (using detailed questionnaires), and longitudinally during their regular visits to the asthma clinic using diet diary. Total IgE was determined for a subsample of the patients (No = 392). RESULTS: The prevalence of clinical sensitivity to food was 29%; about 2 thirds of the patients had high total IgE level. Asthmatic patients …
Thyroiditis Induced By Interferon In Dialysis, Ali S. Al-Harbi, Hatem Mansy, John Moloney
Thyroiditis Induced By Interferon In Dialysis, Ali S. Al-Harbi, Hatem Mansy, John Moloney
Saudi Medical Journal
We describe a dialysis patient who acquired acute Hepatitis C infection. Her primary renal disease was systemic lupus erythromatosis. She was having goitre but clinically euthyroid and her thyroid function test was normal. To avoid long term complications of Hepatitis C we elected to treat her with Interferon 3 million units subcutaneously 3 times a week. During treatment she developed some transient side effects initially which subsided but later she felt pressure symptoms around her neck. When we checked her TSH and thyroid antibodies these were elevated. Though this could be related to HCV, rarely, but we think the thyroid …