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Low Carbohydrate Diet. Its Effects On Selected Body Parameters Of Obese Patients, Faisal A. Alnasir, Bahaa E. Fateha Sep 2003

Low Carbohydrate Diet. Its Effects On Selected Body Parameters Of Obese Patients, Faisal A. Alnasir, Bahaa E. Fateha

Saudi Medical Journal

OBJECTIVE: This pilot study, which involved 13 obese patients, was conducted to determine the effect of a low carbohydrate diet on the body weight and other body parameters, including blood pressure and selected biochemistry indicators. METHODS: The study was carried out in Naim Health Center, Bahrain during the period March 2002 to April 2002. Each individual was followed for 6 weeks while on a low carbohydrate diet, with careful monitoring during the study period. RESULTS: Paired t-test showed statistically significant reduction of waist circumference (p<0.00) and body weight (p<0.00) of the sample population after 6 weeks from the commencement of the diet. The body mass index also showed statistically significant reduction during the study period (p<0.01). Furthermore, blood cholesterol level was reduced (p<0.012). Although there was a statistically significant decrease in the fasting blood sugar levels (p<0.01), the mean readings remained within the normal range of blood sugar levels. There were no statistically significant changes in the levels of urate, creatinine, urea, triglyceride, and in systolic or diastolic blood pressure readings (p>0.05). CONCLUSION: Low carbohydrate diet could help in reducing body weight without any significant harmful …


Dehydroepiandrosterone Sulfate Levels In Women. Relationships With Body Mass Index, Insulin And Glucose Levels, Rowydan N. Al-Harithy Aug 2003

Dehydroepiandrosterone Sulfate Levels In Women. Relationships With Body Mass Index, Insulin And Glucose Levels, Rowydan N. Al-Harithy

Saudi Medical Journal

OBJECTIVE: Dehydroepiandrosterone (DHEA) and DHEA-sulfate (DHEA-S) are the most abundant steroids in human plasma. Previous studies have shown that administration of DHEA-S is more effective than DHEA in reducing adipose tissue mass and cellularity in rats. Another study suggested that maintaining high levels of DHEA-S might prevent the development of obesity. Therefore, this study aims to determine the relationship of plasma dehydroepiandrosterone sulfate (DHEA-S) levels with respect to obesity, fasting insulin and glucose levels in a cohort of obese and normal weight healthy Saudi women. METHODS: This study was carried out at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi …


The Relation Of Smoking To Body Mass Index And Central Obesity Among Omani Male Adults, Asya A. Al-Riyami, Mustafa M. Afifi Aug 2003

The Relation Of Smoking To Body Mass Index And Central Obesity Among Omani Male Adults, Asya A. Al-Riyami, Mustafa M. Afifi

Saudi Medical Journal

OBJECTIVE: Despite the prevalence that smoking has declined in many countries, there is a large increase in the number of young adults starting to smoke and in per capita cigarette consumption. In some studies smoking was associated with a lower body mass index (BMI) and increased waist hip ratio (WHR). Our aim is to study the association of smoking with BMI and WHR among male adults aged 20 years and above in a community based survey as a part of the National Health Survey, 2000. METHODS: A cross sectional survey representing all parts of Oman was designed in the year …


Impact Of Clinical Teaching On Students Knowledge Acquisition, Shabih Manzar Aug 2003

Impact Of Clinical Teaching On Students Knowledge Acquisition, Shabih Manzar

Saudi Medical Journal

OBJECTIVE: We are in the process of curriculum revision and for that we need to know the strengths and weaknesses of the current teaching program and the venue that may need more attention. To proceed with this aim, we conducted this study. METHODS: The study was conducted on 2 groups of students rotating through nursery as a part of Pediatrics clerkship at King Faisal University, Dammam, KSA, during a 2 month study, April through to May 2001. A 15 item questionnaire was developed for testing. By using a pre-test post-test model, we looked at the scores achieved by the students …


The Outcome Of Pregnancies Complicated By Hyperemesis Gravidarum, Asma Al-Ojaili, Anna Krolikowska Aug 2003

The Outcome Of Pregnancies Complicated By Hyperemesis Gravidarum, Asma Al-Ojaili, Anna Krolikowska

Saudi Medical Journal

No abstract provided.


Antisperm Antibodies And Unexplained Infertility In Syria. An Unsolved Problem?, Fawza M. Monem, Hassan A. Moalla Aug 2003

Antisperm Antibodies And Unexplained Infertility In Syria. An Unsolved Problem?, Fawza M. Monem, Hassan A. Moalla

Saudi Medical Journal

No abstract provided.


Magnetic Resonance Imaging Of Normal Lumbar Intervertebral Foraminal Height, Maher T. Al-Hadidi, Jamal H. Abu-Ghaida, Darwish H. Badran, Azmy M. Al-Hadidi, Hassan N. Ramadan, Diana F. Massad Jul 2003

Magnetic Resonance Imaging Of Normal Lumbar Intervertebral Foraminal Height, Maher T. Al-Hadidi, Jamal H. Abu-Ghaida, Darwish H. Badran, Azmy M. Al-Hadidi, Hassan N. Ramadan, Diana F. Massad

Saudi Medical Journal

OBJECTIVE: To study the pattern and changes of lumbar intervertebral foraminal heights in an asymptomatic Jordanian sample relative to age, sex, level, and correlate values with midpoint vertebral and disc heights. METHODS: One hundred and fifty-three patients (87 male and 66 female) were selected during the study period. The study was carried out at the Jordan University Hospital, Amman, Jordan from June 1999 to June 2000. Parasagittal magnetic resonance images were used to measure intervertebral foraminal heights at all lumbar levels. Values were statistically analyzed and the significance of differences in the means of foraminal heights at different levels in …


Pattern Of Infant Feeding At A University Hospital In Western Saudi Arabia, Nadia M. Fida, Jumama Y. Al-Aama Jul 2003

Pattern Of Infant Feeding At A University Hospital In Western Saudi Arabia, Nadia M. Fida, Jumama Y. Al-Aama

Saudi Medical Journal

OBJECTIVE: To analyze the pattern of breastfeeding in mothers, identify causes of failure to breastfeed, initiate, and sustain breastfeeding practices at a University Hospital in Western Saudi Arabia. METHODS: Prospective interviews with mothers of infants seen consecutively during routine well baby clinic visits were conducted in the year October 2001 through to September 2002 using structured 18 item questionnaires. This study was carried out at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia. RESULTS: One hundred and twenty-eight interviews were conducted. Of the study groups 106 (83%) were breastfeeding. Of the mothers who came from low income families and …


Morbidity And Mortality Data Of Cystic Fibrosis Patients, Hanaa Banjar Jul 2003

Morbidity And Mortality Data Of Cystic Fibrosis Patients, Hanaa Banjar

Saudi Medical Journal

OBJECTIVE: To identify factors that contributed to morbidity and mortality of cystic fibrosis (CF) population in the Kingdom of Saudi Arabia (KSA). METHODS: This retrospective chart review was carried out in King Faisal Specialist Hospital and Research Centre, Riyadh, KSA, during a 9 year period, November 1993 to November 2002, on confirmed CF patients, for demographic, clinical and mortality data. RESULTS: A total of 190 CF patients were diagnosed during the 9 years. One hundred and sixty-four (86%) patients are alive, 26 (14%) died. Ninety-nine (52%) were males and 91 (48%) were females. Age at diagnosis 2.8 ± 3.5 years, …


Radiographic Osteoarthritis And Serum Cholesterol, Abdurhman S. Al-Arfaj Jul 2003

Radiographic Osteoarthritis And Serum Cholesterol, Abdurhman S. Al-Arfaj

Saudi Medical Journal

OBJECTIVE: To find out the relationship between radiographic osteoarthritis (OA) of the knee, generalized OA and serum cholesterol. METHODS: Over a period of 7 months from September 1998 through to March 1999, 246 patients attending 14 primary care clinics in Northern Riyadh, Kingdom of Saudi Arabia, for different non-musculoskeletal complaints were recruited in the study. Their knees, hands and wrists were radiographed. Their ages, sex, weight, height, body mass index (BMI), fasting serum cholesterol, triglycerides and uric acid were recorded. RESULTS: There were 113 females and 133 males with average ages 46 ± 14.2 and 51.54 ± 16.0 years. One …


A Hematological Survey Of Preschool Children Of The United Arab Emirates, Campbell J. Miller, Earl V. Dunn, Bertel Berg, Sameeh F. Abdouni Jun 2003

A Hematological Survey Of Preschool Children Of The United Arab Emirates, Campbell J. Miller, Earl V. Dunn, Bertel Berg, Sameeh F. Abdouni

Saudi Medical Journal

OBJECTIVE: Anemia is common worldwide, particularly in developing countries including states of the Arabian Peninsular. The purpose of this study was to produce a hematological profile of preschool national children of the United Arab Emirates (UAE). METHODS: From April 2000 to October 2000, a cross-sectional community clinic-based capillary blood survey was carried out on a convenience sample of 1-5-year-old Emirati children attending a Primary Health Care Center in Al-Ain, UAE. Those children with capillary hemoglobin (Hb) and mean corpuscular volume (MCV) values below predetermined cutoffs were offered venous blood hematological workup. A random sample of children with values above those …


Prevalence And Correlates Of Obesity And Central Obesity Among Omani Adults, Asya A. Al-Riyami, Mustafa M. Afifi Jun 2003

Prevalence And Correlates Of Obesity And Central Obesity Among Omani Adults, Asya A. Al-Riyami, Mustafa M. Afifi

Saudi Medical Journal

OBJECTIVE: Overweight, particularly obesity is a major risk factor for several important diseases, especially hypertension, coronary heart diseases and diabetes mellitus. Our aim is to determine the prevalence of obesity and central obesity among Omani adults aged >/=20 years, and to identify the socio-demographic and health variables that correlate to obesity and central obesity in a community based survey (National Health Survey, 2000). METHODS: A community based cross-sectional survey representing all parts of Oman was designed in the year 2000. A part of the survey was a door to door interviews including demographic data, weight, height, hip and waist measurements, …


Prostate Cancer In Saudi Arabia In 2002, Hisham A. Mosli Jun 2003

Prostate Cancer In Saudi Arabia In 2002, Hisham A. Mosli

Saudi Medical Journal

Epidemiologic studies revealed that there are variations in the geographic and ethnic distribution of cancer of the prostate (CaP) gland. This cancer varies dramatically between being very common in black American men, to rare in Asian and Chinese men. Genetic, familial predisposition and environmental factors in addition to methods of cancer detection and reporting contribute to these variations. Prostate cancer is the ninth most commonly diagnosed cancer in the world yet it ranks first in the United States of America (USA) where resources allow large epidemiological studies. The health policy makers take major decisions such as mass population screening according …


Comparison Of The Growth Standards Between Saudi And American Children Aged 0-5 Years, Yagob Y. Al-Mazrou, Maysoon M. Al-Amoud, Sirrag E. El-Gizouli, Tawfik Khoja, Khalid Al-Turki, Nasr E. Tantawi, Mohamed K. Khalil, Khwaja M. Aziz Jun 2003

Comparison Of The Growth Standards Between Saudi And American Children Aged 0-5 Years, Yagob Y. Al-Mazrou, Maysoon M. Al-Amoud, Sirrag E. El-Gizouli, Tawfik Khoja, Khalid Al-Turki, Nasr E. Tantawi, Mohamed K. Khalil, Khwaja M. Aziz

Saudi Medical Journal

OBJECTIVE: To compare the national growth monitoring data with the National Centre for Health Statistics (NCHS) growth standards, which is currently used in the Kingdom of Saudi Arabia (KSA). METHODS: A cross sectional study following World Health Organization criteria in determining sample size was adopted, whereby 24,000 children from 5 regions were selected to be the desired sample. One hundred and two Primary Health Care centers were also selected randomly from the 5 regions, from where the sample was drawn. A special questionnaire was designed for the data collection. A pilot study was carried out to test the study instruments. …


Cardiovascular Risk Factors In Saudi And Non-Saudi Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha A. Algambi Jun 2003

Cardiovascular Risk Factors In Saudi And Non-Saudi Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha A. Algambi

Saudi Medical Journal

No abstract provided.


Head And Neck Cancer In The Central Region Of Saudi Arabia, Shad S. Akhtar, Asim I. Ijaz, Fadl A. Fadl, Nureni M. Oyetunji Jun 2003

Head And Neck Cancer In The Central Region Of Saudi Arabia, Shad S. Akhtar, Asim I. Ijaz, Fadl A. Fadl, Nureni M. Oyetunji

Saudi Medical Journal

No abstract provided.


Hypertension In Type 2 Diabetic Patients, Musa M. Kheir, Awad M. Ahmed, Asma Elbalaa Jun 2003

Hypertension In Type 2 Diabetic Patients, Musa M. Kheir, Awad M. Ahmed, Asma Elbalaa

Saudi Medical Journal

No abstract provided.


Intravenous Patient-Controlled Analgesia For Labor Pain, Jamil S. Anwari, Faisal M. Ehsan, Muhammad M. Al-Dar Jun 2003

Intravenous Patient-Controlled Analgesia For Labor Pain, Jamil S. Anwari, Faisal M. Ehsan, Muhammad M. Al-Dar

Saudi Medical Journal

No abstract provided.


Effect Of Itraconazole Therapy In Allergic Bronchopulmonary Aspergillosis, Raj Kumar, Pranav Singh, Rajan Arora, Shailendra N. Gaur May 2003

Effect Of Itraconazole Therapy In Allergic Bronchopulmonary Aspergillosis, Raj Kumar, Pranav Singh, Rajan Arora, Shailendra N. Gaur

Saudi Medical Journal

No abstract provided.


The Prevalence Of Hepatitis B Carrier State In Khorassan Province Of Iran, Ahmadshah Farhat, Gholamreza Khademi, Shahriar J. Mazouman May 2003

The Prevalence Of Hepatitis B Carrier State In Khorassan Province Of Iran, Ahmadshah Farhat, Gholamreza Khademi, Shahriar J. Mazouman

Saudi Medical Journal

No abstract provided.


Influence Of Sickle Hemoglobinopathy On Growth And Development Of Young Adult Males In Southern Iraq, Abbas A. Mansour May 2003

Influence Of Sickle Hemoglobinopathy On Growth And Development Of Young Adult Males In Southern Iraq, Abbas A. Mansour

Saudi Medical Journal

No abstract provided.


Neonatal Staphylococcal Scalded Skin Syndrome Complicating Ileal Atresia, Adnan A. Mohammed, Musa A. Al-Gadi May 2003

Neonatal Staphylococcal Scalded Skin Syndrome Complicating Ileal Atresia, Adnan A. Mohammed, Musa A. Al-Gadi

Saudi Medical Journal

Staphylococcal scalded skin syndrome is a toxin mediated Staphylococcal infection, the toxin produced by staphylococcus aureus type 2 phage types (55,71,3A,3B,3C). There is a generalized tender erythema which commences on the head and neck, accompanied by fever, irritability, continuous cry and miserable look. The erythema is followed by cleavage of the upper epidermis in a large sheets mainly in the head, neck and the flexures, with formation of bullae (Nikolsky sign). It is most common in infants and children under 5 years. Most cases respond to antibiotics with other supportive measures. The prognosis is good, and the skin lesions disappear …


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

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

Saudi Medical Journal

No abstract provided.


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

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

Saudi Medical Journal

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


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

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

Saudi Medical Journal

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


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

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

Saudi Medical Journal

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


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

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

Saudi Medical Journal

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


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

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

Saudi Medical Journal

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


Knee Osteoarthritis In Al-Qaseem, Saudi Arabia, Abdurhman S. Al-Arfaj, Suliman R. Alballa, Salman S. Al-Saleh, Abdullah M. Al-Dalaan, Sultan A. Bahabry, Mohammed A. Mousa, Mohammed A. Al-Sekeit Mar 2003

Knee Osteoarthritis In Al-Qaseem, Saudi Arabia, Abdurhman S. Al-Arfaj, Suliman R. Alballa, Salman S. Al-Saleh, Abdullah M. Al-Dalaan, Sultan A. Bahabry, Mohammed A. Mousa, Mohammed A. Al-Sekeit

Saudi Medical Journal

OBJECTIVE: The aim of this study was to estimate the prevalence of clinical osteoarthritis (OA) of the knee in Al-Qaseem, a central province in the Kingdom of Saudi Arabia (KSA). METHODS: A house to house survey of randomly selected inhabitants of Al-Qaseem, KSA was conducted. A total of 10,406 persons were interviewed of whom 5,894 were above the age of 16 years. The study was carried out at King Khalid University Hospital and College of Medicine, Riyadh, KSA, from September 1993 to February 1995. They were questioned regarding musculoskeletal complaints, and those positively identified were interviewed further by a team …


Eye Diseases In Children In Southern Jordan, Jamal F. Maaita, Linna F. Sunna, Mousa V. Al-Madani, Suhair M. Horrani Feb 2003

Eye Diseases In Children In Southern Jordan, Jamal F. Maaita, Linna F. Sunna, Mousa V. Al-Madani, Suhair M. Horrani

Saudi Medical Journal

OBJECTIVE: To study the prevalence of refractive errors and certain eye diseases in children in southern Jordan. METHODS: In the period between May 2001 and April 2002, 1725 patients (6-14 years of age) visiting the Pediatric Clinics in Prince Ali Hospital, Jordan for non ophthalmologic complaints were tested by a pediatrician for their visual acuity (VA) using a Snellen9s E-chart. Patients with suspected eye abnormalities and those with VA of <6/12 were referred for further detailed eye examination. RESULTS: Twelve patients had bilateral VA of <6/12, and an additional 5 patients had unilateral VA of <6/12. Strabismus was seen in 9 patients (0.5%), and amblyopia in 5 patients (0.3%). Vernal keratoconjunctivitis was seen in 26 patients (1.5%). CONCLUSION: It is important to conduct a large study, perhaps a multicenter study to evaluate the eye diseases in developing countries.