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Etiological Factors And Clinical Profile Of Adhesive Capsulitis In Patients Seen At The Rheumatology Clinic Of A Tertiary Care Hospital In India, Malik A. Rauoof, Nazir A. Lone, Bashir A. Bhat, Shahida Habib Mar 2004

Etiological Factors And Clinical Profile Of Adhesive Capsulitis In Patients Seen At The Rheumatology Clinic Of A Tertiary Care Hospital In India, Malik A. Rauoof, Nazir A. Lone, Bashir A. Bhat, Shahida Habib

Saudi Medical Journal

OBJECTIVE: This study was conducted to examine the clinical profile of patients with adhesive capsulitis (AC) and evaluate various possible etiological factors. METHODS: The study was conducted in the Department of Physical Medicine and Rehabilitation, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India. One hundred patients fulfilling the criteria for the diagnosis of AC were studied for the severity of shoulder pain and the range of shoulder movements. The patients were also examined for the presence of various etiological factors for AC. RESULTS: Age of the subjects ranged from 25-70 years and duration of symptoms averaged 3.66 +/- 2.36 months; …


Long Term Results Of Pyeloplasty In Adults, Abdulmalik M. Tayib Mar 2004

Long Term Results Of Pyeloplasty In Adults, Abdulmalik M. Tayib

Saudi Medical Journal

OBJECTIVE: To determine the presenting symptoms, complications, stone coincidence in the adult patients with primary ureteropelvic junction (UPJ) obstruction seen at King Abdul-Aziz University Hospital, (KAUH) Jeddah, Kingdom of Saudi Arabia, we are also reporting the success rate and long term results of adult pyeloplasty. METHODS: We reviewed the records of 34 patients who underwent 37 pyeloplasty operations during the period January 1992 through to June 2002. The preoperative radiological diagnosis made by intravenous urogram (IVU) or renal isotopes scan. We excluded from our study patients with previous history of passage of stones, renal or ureteral surgeries, large renal pelvis …


Anomalies Of The Renal, Phrenic, Suprarenal Arteries, Mohamed A. Bakheit, Mohamed A. Motabagani Mar 2004

Anomalies Of The Renal, Phrenic, Suprarenal Arteries, Mohamed A. Bakheit, Mohamed A. Motabagani

Saudi Medical Journal

This is a case where multiple anomalies of the posterior abdominal wall arteries were found in a single male cadaver aged 50-years. These anomalies were accessory renal, a pre-hilar division of the renal, unilateral origin of the inferior phrenic artery from the renal and aberrant suprarenal arteries. The accessory renal and the pre-hilar branch of the renal resembled polar arteries that supplied both poles of the right and the lower pole of the left kidney. The accessory renal and the pre-hilar branch, or their branches crossed in front of the hilar of the kidneys close to the ureteropelvic junction to …


An Abnormal Chest Radiograph In A 6-Year-Old Boy, Tariq M. Jaber Mar 2004

An Abnormal Chest Radiograph In A 6-Year-Old Boy, Tariq M. Jaber

Saudi Medical Journal

An unexpected finding in a chest radiograph of a child with upper respiratory symptoms is presented as a clinical quiz. The condition is discussed, and the relevant literature is reviewed and summarized.


Aggressive Malignant Abdominal Mesothelioma, Ahmad M. Al-Hassan, Abdulrahman A. Al-Saigh Feb 2004

Aggressive Malignant Abdominal Mesothelioma, Ahmad M. Al-Hassan, Abdulrahman A. Al-Saigh

Saudi Medical Journal

No abstract provided.


The Cytokine Tnf-Alpha. Genetics And Suitability For Prenatal Risks Assessment, El-Harith A. El-Harith Feb 2004

The Cytokine Tnf-Alpha. Genetics And Suitability For Prenatal Risks Assessment, El-Harith A. El-Harith

Saudi Medical Journal

The tumor necrosis factor (TNF-alpha) is a cytokine known as a mediator of inflammation and immunity. The genes coding the tumor necrosis factors alpha and beta are considered part of class III major histocompatability complex. The 2 involved genes have been mapped to chromosome 6. Certain mutations in the TNF-alpha gene are believed to be causative for increased production of the cytokine. In this respect, the most common variant is the TNF2 allele, a single nucleotide substitution of guanine by adenine at position -308 relative to the promoter transcription site of the gene. Elevated production of TNF-alpha has been found …


Fertility Preservation In Children And Young Adults Undergoing Treatment For Malignancy, Haya M. Al-Fozan, Togas Tulandi Feb 2004

Fertility Preservation In Children And Young Adults Undergoing Treatment For Malignancy, Haya M. Al-Fozan, Togas Tulandi

Saudi Medical Journal

Advances in cancer therapy have improved the long-term survival of young patients suffering from malignancies. However, the adverse effects of the treatment are sterility and loss of gonadal function especially in females. Preservation of fertility in males by sperm freezing is more practical and already established. For young women undergoing cancer treatment, the availability of preserving the gonadal function and fertility has just begun. Today, we can cryopreserve the oocytes, the embryos or the ovarian tissue and in those undergoing pelvic irradiation, laparoscopic lateral ovarian suspension can be considered. Because women with non-gynecological malignancies seek advice from a general surgeon …


Evaluation Of Disability Of Occupational Illness Claims For Workers' Compensation, Sultan T. Al-Otaibi Feb 2004

Evaluation Of Disability Of Occupational Illness Claims For Workers' Compensation, Sultan T. Al-Otaibi

Saudi Medical Journal

Occupational physicians are faced with the challenge of estimating the contribution of occupational and non-occupational risk factors to a particular work-related illness for workers9 compensation. This paper proposes guidelines for occupational physicians to evaluate claims for presentation to a compensation board. Occupational bladder cancer was taken as an example. Relevant literature was obtained and reviewed. A worksheet was designed to record pertinent information on occupational illness. The procedure for handling a claim is described. Failure to follow such an approach may lead to gross inequities.


Knowledge, Attitudes And Intention Of High School Students Towards The Nursing Profession In Riyadh City, Saudi Arabia, Badran A. Al-Omar Feb 2004

Knowledge, Attitudes And Intention Of High School Students Towards The Nursing Profession In Riyadh City, Saudi Arabia, Badran A. Al-Omar

Saudi Medical Journal

OBJECTIVE: To determine the knowledge, attitudes, and intention among the Saudi high school students towards the nursing profession. In addition, the study aims to identify students9 perception of causes preventing them to become nurses. It also aims to determine the factors influencing the Saudi high school students9 choice of nursing profession. METHODS: We used the descriptive analytical research design. Stratified random sampling procedures were employed to represent the Saudi high school students, 3 male and 3 female schools scattered in all areas of Riyadh city were selected. A total of 600 questionnaires were distributed and 503 questionnaires were returned, of …


Comparison Of Some Risk Factors Between Non-Familial And Familial Breast Cancer Females In Jordan, Manar F. Atoum, Huda M. Al-Hourani Feb 2004

Comparison Of Some Risk Factors Between Non-Familial And Familial Breast Cancer Females In Jordan, Manar F. Atoum, Huda M. Al-Hourani

Saudi Medical Journal

OBJECTIVE: To compare the risk factors such as age, menopause, menarche, age at the first pregnancy, number of pregnancies and breast feeding period between the familial and non-familial breast cancer females in Jordan. METHODS: This study was carried out in Al-Basheer Hospital, Amman, Jordan during the period 2000 and 2002. A questionnaire was used to collect information from 99 females who were histologically and pathologically diagnosed with breast cancer. Data of the questionnaire were entered and analyzed using statistical package for social sciences. RESULTS: The highest percentage of non-familial and familial breast cancer occurrence was among age group 51-60 years. …


Endocarditis Prophylaxis In Children With Congenital Heart Disease. A Parent's Awareness, Abdullah S. Al-Jarallah, Amer A. Lardhi, Amina A. Hassan Feb 2004

Endocarditis Prophylaxis In Children With Congenital Heart Disease. A Parent's Awareness, Abdullah S. Al-Jarallah, Amer A. Lardhi, Amina A. Hassan

Saudi Medical Journal

OBJECTIVE: The aim of this study is to determine the parental knowledge of bacterial endocarditis prophylaxis (BEP). METHODS: Parents of 205 patients attending the Pediatric Cardiology Clinics at King Khalid University Hospital, Riyadh, King Fahad University Hospital, Al-Khobar and Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia from July 1999 to June 2000, were interviewed by a standard questionnaire pertaining to their knowledge of their child9s cardiac disease, medications, and BEP. The patients9 cardiac lesions and current medications were verified by a review of medical records. Each patient9s need for BEP was determined according to American Heart Association recommendations. …


Effect Of Diclofenac Alone Or In Combination With Alpha-Tocopherol On The Oxidative Activity Of Polymorphonuclear Leukocytes In Healthy And Osteoarthritic Individuals, Abdurhman S. Al-Arfaj, Suliman R. Alballa, Ali A. Mustafa, Ali S. Al-Tuwaijri, Abdullah N. Al-Dalaan, M. S. Al-Humayyd Feb 2004

Effect Of Diclofenac Alone Or In Combination With Alpha-Tocopherol On The Oxidative Activity Of Polymorphonuclear Leukocytes In Healthy And Osteoarthritic Individuals, Abdurhman S. Al-Arfaj, Suliman R. Alballa, Ali A. Mustafa, Ali S. Al-Tuwaijri, Abdullah N. Al-Dalaan, M. S. Al-Humayyd

Saudi Medical Journal

OBJECTIVE: To investigate the effects of diclofenac alone or when combined with alpha-tocopherol on the oxidative activity of polymorphonuclear leukocytes (PMNs) in healthy and osteoarthritic (OA) patients. METHODS: The study was carried out at the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia, over the period 1999 to 2000. Twelve healthy controls and 12 osteoarthritic patients were recruited to the study. Twelve healthy controls and osteoarthritic patients were given diclofenac 50 mg thrice daily orally, initially for 5 days then alpha-tocopherol at 200 mg thrice daily orally, was added for another 5 days. Blood samples were drawn …


Prevalence Of Hepatitis C Virus Among Bilharziasis Patients, Zaheer A. Khan, Ibrahim S. Alkhalife, Sami E. Fathalla Feb 2004

Prevalence Of Hepatitis C Virus Among Bilharziasis Patients, Zaheer A. Khan, Ibrahim S. Alkhalife, Sami E. Fathalla

Saudi Medical Journal

OBJECTIVE: Hepatitis C virus (HCV) infection with concurrent Schistosoma mansoni infestation has emerged as a major cause of chronic liver disease and liver cirrhosis. The aim of this study was to investigate the prevalence of HCV among bilharzia patients. METHODS: The study was conducted at the Viral Diagnostic and Parasitology Departments, Regional Laboratory and Blood Bank, Dammam, Kingdom of Saudi Arabia from August 1999 to July 2000. Sera from a total of 405 patients, including 356 Saudi nationals and 49 non-Saudis, who had a clinical suspicion of bilharziasis were tested, using enzyme linked immunosorbent assay for HCV infection and indirect …


The Effect Of Glycemic Control In Type 2 Diabetic Patients With Diabetes-Related Dyslipidemia, Abdel-Gayoum A. Abdel-Gayoum Feb 2004

The Effect Of Glycemic Control In Type 2 Diabetic Patients With Diabetes-Related Dyslipidemia, Abdel-Gayoum A. Abdel-Gayoum

Saudi Medical Journal

OBJECTIVE: The study was planned to investigate whether the serum lipid profile in type 2 diabetes mellitus was different between groups of patients classified as having good, satisfactory or poor glycemic controls, depending on their serum fructosamine levels. METHODS: The study was carried out in the Department of Laboratory, Dammam College for Health Sciences, Dammam, Kingdom of Saudi Arabia between February 2003 to June 2003. Clinical laboratory data from diagnosed type 2 diabetic patients were used in the study. One hundred and nineteen patient9s data were randomly selected, and according to their serum fructosamine levels, the patients were divided into …


Cigarette Smoking Behavior Among Male Secondary School Students In The Central Region Of Saudi Arabia, Saleh A. Al-Damegh, Mahmoud A. Saleh, Mohammed A. Al-Alfi, Ibrahim A. Al-Hoqail Feb 2004

Cigarette Smoking Behavior Among Male Secondary School Students In The Central Region Of Saudi Arabia, Saleh A. Al-Damegh, Mahmoud A. Saleh, Mohammed A. Al-Alfi, Ibrahim A. Al-Hoqail

Saudi Medical Journal

OBJECTIVE: This study was conducted to examine the smoking habits among male secondary school students in Al-Qassim, Kingdom of Saudi Arabia (KSA) and to assess their knowledge and attitudes towards smoking. METHODS: This cross-sectional study was conducted in Al-Qassim region, KSA during March 2003. Randomly selected was 14 out of 110 government male secondary schools. In the sample section, care was taken to represent urban and rural communities. In urban areas, 8 schools with the largest number of students were selected. This is in addition to 3 schools, which were the only schools with special education on Islamic, Commercial and …


Susacs Syndrome, Turkia M. Lammouchi, Samira M. Bouker, Mounir T. Grira, Sofien A. Benammou Feb 2004

Susacs Syndrome, Turkia M. Lammouchi, Samira M. Bouker, Mounir T. Grira, Sofien A. Benammou

Saudi Medical Journal

We describe a 25-year-old woman that presented with frequent rotational dizziness, visual loss of the right eye one month later, and unilateral deafness one year after. After 2 years, she presented with a right hemiparesis and deafness greater for low frequency tones. Magnetic resonance imaging with angiography of the brain showed constriction in the first segment of the cerebral anterior artery diagnosed as Susac9s syndrome.


Portal Vein Thrombosis After Splenectomy For Beta-Thalassemia Major, Zakaria M. Al-Hawsawi, Ammar S. Haouimi, Ahmad M. Tarawah Feb 2004

Portal Vein Thrombosis After Splenectomy For Beta-Thalassemia Major, Zakaria M. Al-Hawsawi, Ammar S. Haouimi, Ahmad M. Tarawah

Saudi Medical Journal

Portal vein thrombosis is a recognized complication after splenectomy in beta-thalassemia major due to the chronic hypercoagulable state which has been recognized to exist in childhood thalassemia and contribute to thromboembolic events. We are reporting one patient with beta-thalassemia major developed portal vein thrombosis following splenectomy.


Primary Actinomycosis Of The Abdominal Wall, Kamran Khalid, Shabir A. Qazi, Khalid A. Al-Saleh Feb 2004

Primary Actinomycosis Of The Abdominal Wall, Kamran Khalid, Shabir A. Qazi, Khalid A. Al-Saleh

Saudi Medical Journal

Primary actinomycosis of the abdominal wall is a rare clinical entity. Only 7 adequately described cases have been reported in the English literature. We report a case of isolated abdominal wall actinomycosis involving the left lower quadrant of the abdominal wall in a 32-year-old diabetic male. The diagnosis was confirmed by histopathological examination. Surgical drainage of the abscess followed by long-term administration of penicillin resulted in cure. The clinicopathological spectrum of actinomycosis is reviewed and isolated involvement of the abdominal wall is characterized in light of the knowledge acquired from the available literature on this rare clinical presentation. The significance …


Complications Of Femoral Venous Catheterization In Critically Ill Patients, Suhaila E. Al-Jawder, Akmal A. Hameed Feb 2004

Complications Of Femoral Venous Catheterization In Critically Ill Patients, Suhaila E. Al-Jawder, Akmal A. Hameed

Saudi Medical Journal

No abstract provided.


Perinatal Mortality Rate In A Teaching Hospital In Sudan. Review Of 15 Years, Saad E. Dafallah, Hydar Elhadi Feb 2004

Perinatal Mortality Rate In A Teaching Hospital In Sudan. Review Of 15 Years, Saad E. Dafallah, Hydar Elhadi

Saudi Medical Journal

No abstract provided.


Barbexaclone Use In Pregnancy, Fusun Yaris, Mine Kadioglu, Murat Kesim, Cunay Ulku, Ersin Yaris, Nuri I. Kalyoncu Feb 2004

Barbexaclone Use In Pregnancy, Fusun Yaris, Mine Kadioglu, Murat Kesim, Cunay Ulku, Ersin Yaris, Nuri I. Kalyoncu

Saudi Medical Journal

No abstract provided.


Suicide After Treatment Of Chloroquine-Resistant Falciparum Malaria With Quinine, Ishag Adam, Mustafa I. Elbashir Feb 2004

Suicide After Treatment Of Chloroquine-Resistant Falciparum Malaria With Quinine, Ishag Adam, Mustafa I. Elbashir

Saudi Medical Journal

No abstract provided.


Cyclopia, Carlos Trujillo Feb 2004

Cyclopia, Carlos Trujillo

Saudi Medical Journal

No abstract provided.


Physical Assault On A Medical Resident, Mohammad A. Bakhotmah, Mansour M. Al-Nozha, Abdullah H. Al-Zayed, Anwar A. Jammah Feb 2004

Physical Assault On A Medical Resident, Mohammad A. Bakhotmah, Mansour M. Al-Nozha, Abdullah H. Al-Zayed, Anwar A. Jammah

Saudi Medical Journal

No abstract provided.


Cytotoxic Effects Of Some Animal And Vegetable Extracts And Some Chemicals On Liver And Colon Carcinoma And Myosarcoma, Vahdettin Bayazit Feb 2004

Cytotoxic Effects Of Some Animal And Vegetable Extracts And Some Chemicals On Liver And Colon Carcinoma And Myosarcoma, Vahdettin Bayazit

Saudi Medical Journal

OBJECTIVE: To study, the cytotoxic effects of some biological and chemical agents on G1, S, G2, M and G0 phases of liver and colon carcinomas and myosarcoma cells obtained with chemical carcinogens dimethylbenzanthracene (DMBA) and cadmium chloride. METHODS: Eight rabbit livers, colon carcinoma and myosarcoma cell lines were obtained by injection of DMBA in the Biology Laboratory, of the University of Dumlupinar, Kutahya, Turkey between January 2001 and June 2003. All lines were grown at 37degrees celsius and 5% carbon dioxide in sterile RPMI-1640 medium with 10% fetal bovine serum after addition of glutamate, penicillin (50 units/ml) and streptomycin (50 …


Spectrum Of Malignant Lymphomas In Bahrain. Leitmotif Of A Regional Pattern, Durjoy K. Shome, Sara M. George, Fayek Al-Hilli, Ali A. Satir Feb 2004

Spectrum Of Malignant Lymphomas In Bahrain. Leitmotif Of A Regional Pattern, Durjoy K. Shome, Sara M. George, Fayek Al-Hilli, Ali A. Satir

Saudi Medical Journal

OBJECTIVE: To determine the clinicopathologic features of malignant lymphomas in Bahraini patients. METHODS: A retrospective hospital-based study was conducted. All new cases of malignant lymphoma diagnosed during the period January 1996 to December 2001 at the Salmaniya Medical Complex in Bahrain were included in the study. RESULTS: Seventy-two cases met the inclusion criteria. This included 24 (33.3%) cases of Hodgkin9s disease (HD) and 48 (66.7%) cases of Non-Hodgkin lymphomas (NHL). A young age at presentation (median 20 years) mixed cellularity histology, lack of extra nodal involvement and rare marrow involvement characterized HD. The majority of NHL showed diffuse high or …


Saphenofemoral Ligation As A Safe And Effective Alternative For The Treatment Of Chronic Venous Leg Ulcer, Emad A. El-Hafez, Mohamed I. Seleem Feb 2004

Saphenofemoral Ligation As A Safe And Effective Alternative For The Treatment Of Chronic Venous Leg Ulcer, Emad A. El-Hafez, Mohamed I. Seleem

Saudi Medical Journal

OBJECTIVE: To evaluate the effectiveness and safety of isolated saphenofemoral junction ligation for the treatment of chronic venous leg ulcer in comparison to traditional stripping procedure. METHODS: Thirty six patients (28 men and 8 women) with mean age of 42.3 +/- 8.7, presented with a venous leg ulcer. After taking a full history, they underwent examination for presence of edema, cellulitis or local ulcer infection. The site and size of ulceration were recorded and ankle-brachial pressure index (ABPI) was measured. Venous color Doppler ultrasonography was performed and venous valvular incompetence was assessed using Valsalva test and calf compression. Patients were …


Branching Pattern Of The Left Coronary Artery And An Important Branch. The Median Artery, Huseyin S. Surucu, Suleyman T. Karahan, Ercan Tanyeli Feb 2004

Branching Pattern Of The Left Coronary Artery And An Important Branch. The Median Artery, Huseyin S. Surucu, Suleyman T. Karahan, Ercan Tanyeli

Saudi Medical Journal

OBJECTIVE: This study was performed to assess the variations in the branching pattern and diameters of the terminal branches of the left coronary artery and discuss various names given to the third branch. METHODS: Hearts of 21 autopsies and 19 cadavers were fixed with 10% formalin and their coronary arteries were examined by dissecting the epicardium. The dissections were performed at the Anatomy Departments of Faculties of Medicine, Ankara and Hacettepe Universities, Ankara, and Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey, between April 2001 and June 2003. RESULTS: There were 2 branches in 19 hearts, 3 branches in 19 …


Alpha-1 Antitrypsin Phenotypes In Patients With Lung, Prostate And Breast Cancer, Zeyad J. El-Akawi, Fatin K. Al-Hindawi Feb 2004

Alpha-1 Antitrypsin Phenotypes In Patients With Lung, Prostate And Breast Cancer, Zeyad J. El-Akawi, Fatin K. Al-Hindawi

Saudi Medical Journal

OBJECTIVE: Determination of Alpha1-antitrypsin (alpha1-AT) phenotypes in Jordanian patients with lung, prostate and breast cancer to find a prevalent phenotype that could be recommended for the early diagnosis of cancer. METHODS: This study was conducted at Jordan University of Science and Technology, Irbid, Jordan, during the period May 2001 to May 2002. Alpha1-AT phenotypes for 83 Jordanian cancer patients distributed as follows, 25 lung cancer, 25 prostate cancer and 33 with breast cancer, were tested using isoelectric focusing gel electrophoresis and immunofixation techniques. RESULTS: Isoelectric focusing results demonstrated that 96% of lung cancer patients were of PiMM phenotype and 4% …


Non-Invasive Positive Pressure Ventilation In Acute Respiratory Failure. An Alternative Modality To Invasive Ventilation At A General Hospital, Sana S. Al-Mutairi, Jehan S. Al-Deen Feb 2004

Non-Invasive Positive Pressure Ventilation In Acute Respiratory Failure. An Alternative Modality To Invasive Ventilation At A General Hospital, Sana S. Al-Mutairi, Jehan S. Al-Deen

Saudi Medical Journal

OBJECTIVE: Non-invasive positive pressure ventilation (NPPV) is a relatively new modality of managing acute respiratory failure (ARF). It has not been applied before in our area. The aim of this study is to verify the use of NPPV on patients with ARF at a general hospital level. METHODS: All patients admitted at the Al-Amiri Hospital, Kuwait (a secondary medical center) between 1999 and 2001 with ARF and met the inclusion criteria were included in the study. The non-invasive mode of nasal ventilation was used as the respiratory support. RESULTS: A total of 21 patients were included in the final analysis. …