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Clinical Measurement Of Proprioceptive Function After Anterior Cruciate Ligament Reconstruction, Abdullah A. Al-Othman Feb 2004

Clinical Measurement Of Proprioceptive Function After Anterior Cruciate Ligament Reconstruction, Abdullah A. Al-Othman

Saudi Medical Journal

OBJECTIVE: Proprioception is very important for the integrity and stability of the knee joint. Patients with anterior cruciate ligament (ACL) tear have a decline in proprioceptive functions of the injured knee. However, improvement of proprioceptive functions of the knee after ACL reconstruction is a subject of considerable debate. This study was conducted to evaluate the results of a simple clinical proprioception test developed by the author in patients with ACL reconstructed knees. METHODS: This study was conducted in King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia, from January 1996 to June 2002. The proprioceptive function of the …


Leptin Level In Pregnant Mothers At Term And Cord Blood And The Effect Of Newborns Gender, Zainab A. Babay, Arjumand S. Warsy, Mohsen A. El-Hazmi, Mohammed H. Addar Feb 2004

Leptin Level In Pregnant Mothers At Term And Cord Blood And The Effect Of Newborns Gender, Zainab A. Babay, Arjumand S. Warsy, Mohsen A. El-Hazmi, Mohammed H. Addar

Saudi Medical Journal

OBJECTIVE: To evaluate the leptin level in healthy pregnant mothers at term and in their newborns and its relationship to their body mass index (BMI) and gender of the newborn. METHODS: The leptin level was measured in serum of 187 pregnant women at term delivering at the King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia in July 2001 and their newborns. Correlation studies were made between leptin level and their growth parameters, and gender of the newborns. RESULTS: Leptin level of the mothers was significantly higher compared to their newborns. There was a significant correlation between leptin level in …


Spontaneous Bladder Rupture In A Non-Augmented Neuropathic Bladder, Khalid F. Neel Feb 2004

Spontaneous Bladder Rupture In A Non-Augmented Neuropathic Bladder, Khalid F. Neel

Saudi Medical Journal

A spontaneous bladder rupture in an intact bladder without history of trauma has been reported before with different postulation for the pathogenesis. All these cases were reported in the adult age group. Patients with a neuropathic bladder associated with such a complication were post augmentation cystoplasty or catheter induced injury. We present our experience in a boy with a neuropathic bladder secondary to spina bifida who had a spontaneous bladder rupture with no surgical intervention carried out before, and discuss the possible pathogenesis.


Katayama Syndrome, Mohamed I. Yasawy Feb 2004

Katayama Syndrome, Mohamed I. Yasawy

Saudi Medical Journal

Two schoolboys from a non-endemic region visited an endemic area of Schistosomiasis in Yemen. They developed cutaneous itching after swimming in infected ponds. Five weeks later both brothers were admitted to the hospital with high fever, abdominal pain, vomiting and diarrhea. The blood results exhibited marked eosinophilia and schistosomal serological test showed an evidence of exposure. Initially, stool examinations were negative, but the sigmoidoscopy was suggestive for acute bilharzial colitis and the biopsy showed schistosoma ova; a finding consistent with Katayama syndrome. Both patients treated with Praziquantel, and they became asymptomatic, and the eosinophilia normalized. This report shows the importance …


Laparoscopic Cholecystectomy In A Pregnant Lady With Systemic Lupus Erythematosus, Norman O. Machado Feb 2004

Laparoscopic Cholecystectomy In A Pregnant Lady With Systemic Lupus Erythematosus, Norman O. Machado

Saudi Medical Journal

No abstract provided.


No Evidence Of Persistent Helicobacter Pylori Infection In Peripheral Blood Of Patients With Coronary Heart Disease, Abdulaziz S. Al-Khattaf Feb 2004

No Evidence Of Persistent Helicobacter Pylori Infection In Peripheral Blood Of Patients With Coronary Heart Disease, Abdulaziz S. Al-Khattaf

Saudi Medical Journal

No abstract provided.


Age At Menarche In Jordanian Girls, Fawaz L. Ammari, Heitham K. Ajlouni, Kamel M. Ajlouni Feb 2004

Age At Menarche In Jordanian Girls, Fawaz L. Ammari, Heitham K. Ajlouni, Kamel M. Ajlouni

Saudi Medical Journal

No abstract provided.


Saudi Medical Journal 25 Years Of Excellence, Saleh M. Al-Deeb, Basim A. Yaqub Jan 2004

Saudi Medical Journal 25 Years Of Excellence, Saleh M. Al-Deeb, Basim A. Yaqub

Saudi Medical Journal

No abstract provided.


The Watched Structure Clinical Examination (Wasce) As A Tool Of Assessment Jan 2004

The Watched Structure Clinical Examination (Wasce) As A Tool Of Assessment

Saudi Medical Journal

OBJECTIVE: Assessment of medical students9 clinical competencies is still evolving. The aim of this study was to find out the effectiveness of a new tool of assessment to assess medical students at the end of clinical rotations. METHODS: A new tool has been developed in the College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain, called the Watched Structure Clinical Examination (WASCE). It was used at the end of the Family Medicine clinical rotation during the academic year 2000-2001 involving 62 final year students. RESULTS: The study found a significant statistical correlation between the students9 results in the …


A Major Pitfall In The Search Strategy On Pubmed, Ghazi O. Tadmouri, Nisrine Bissar-Tadmouri Jan 2004

A Major Pitfall In The Search Strategy On Pubmed, Ghazi O. Tadmouri, Nisrine Bissar-Tadmouri

Saudi Medical Journal

No abstract provided.


Cancer-Related Anemia, Hikmat N. Abdel-Razeq Jan 2004

Cancer-Related Anemia, Hikmat N. Abdel-Razeq

Saudi Medical Journal

Anemia is the most common hematological abnormality in cancer patients, unfortunately, it is often under-recognized and under-treated. The pathogenesis of cancer anemia is complex and most of the time multifactorial; involving factors related to the tumor itself or its therapy. While anemia can present in a wide range of symptoms, involving almost every organ, it is believed that it contributes much to cancer-related fatigue, one of the most common symptoms in cancer patients. In addition, there is increasing evidence to suggest that anemia is an independent factor adversely affecting tumor response and patient survival. While blood transfusion was the only …


Enterococcal Bacteremia In A Teaching Hospital, Fawzia E. Al-Otaibi, Abdelmageed M. Kambal, Rubana A. Baabbad Jan 2004

Enterococcal Bacteremia In A Teaching Hospital, Fawzia E. Al-Otaibi, Abdelmageed M. Kambal, Rubana A. Baabbad

Saudi Medical Journal

OBJECTIVE: To study enterococcal blood stream infection including the different species isolated, their antibiotic resistance associated risk factors and outcome of treatment. METHODS: A retrospective and prospective study was carried out over a 12 month period between June 2001 and May 2002 in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. Sixty episodes of enterococcal bacteremia with clinical significance detected in adults and neonates were included. Statistical analysis of the epidemiological characteristic, etiologic risk factors and mortality were determined. RESULTS: Fifty-four (90%) of the episodes were hospital acquired. Fifty-five percent of patients were elderly males and 20% were neonates. …


Prevalence Of Hbv, Hcv, Hiv-1, 2 And Htlv-I/Ii Infections Among Blood Donors In A Teaching Hospital In The Central Region Of Saudi Arabia, Malak M. El-Hazmi Jan 2004

Prevalence Of Hbv, Hcv, Hiv-1, 2 And Htlv-I/Ii Infections Among Blood Donors In A Teaching Hospital In The Central Region Of Saudi Arabia, Malak M. El-Hazmi

Saudi Medical Journal

OBJECTIVE: Several infectious diseases are transmissible by blood transfusion, especially viral infections. The most common blood-transmitted viruses are hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). These viruses cause fatal, chronic and life-threatening disorders. The prevalence of these viruses varies by nationality and geography. The purpose of this study was to establish the current prevalence of hepatitis viruses (B and C) and human retroviruses (HIV-1, 2 and human T-lymphotropic virus type I and II, HTLV-I /II) among blood donors at King Khalid University Hospital (KKUH), Riyadh, Kingdom of Saudi Arabia (KSA). METHODS: Serological markers of …


The Effect Of Ramadan Fasting On Amniotic Fluid Volume, Zahra Kamyabi, Tayebeh Naderi Jan 2004

The Effect Of Ramadan Fasting On Amniotic Fluid Volume, Zahra Kamyabi, Tayebeh Naderi

Saudi Medical Journal

OBJECTIVE: This cross-sectional study was carried out to assess the influence of Ramadan fasting on amniotic fluid volume. METHODS: For this purpose 2 groups of fasting (n=28) and non-fasting (n=25) pregnant women were investigated for amniotic fluid index (AFI) and deepest vertical pocket of amniotic fluid in November (Ramadan month) of 2001-2002 in Kerman Prenatal Clinics in Kerman, Iran. Mean of gestational age based on the last menstrual period and ultrasound reports were 29.6 +/- 5.8 week and 29.5 +/- 4.2 week in fasting and non-fasting groups. RESULTS: There was no significant difference between the 2 groups in age, gestational …


The Effect Of Fasting In Ramadan On Patients With Heart Disease, Hassan Chamsi-Pasha, Waqar H. Ahmed Jan 2004

The Effect Of Fasting In Ramadan On Patients With Heart Disease, Hassan Chamsi-Pasha, Waqar H. Ahmed

Saudi Medical Journal

OBJECTIVE: To determine the clinical and biochemical effects of fasting during Ramadan on patients with cardiac disease. METHODS: Eighty-six outpatients with heart disease with intention to fast were studied in the month of Ramadan 1996 (1416 H) at the King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia. Detailed clinical and biochemical assessments were performed within 3 days before the start of Ramadan and then on the last day of Ramadan. RESULTS: There were 54 (62.8%) males and 32 (37.2%) females with a mean age of 56.3 years (range, 17-84 ). Forty-six patients (53%) had coronary artery disease, 23 …


Prevalence Of Renal Artery Stenosis In Patients Undergoing Routine Cardiac Catheterization, Akram A. Saleh, Basem B. Bustami Jan 2004

Prevalence Of Renal Artery Stenosis In Patients Undergoing Routine Cardiac Catheterization, Akram A. Saleh, Basem B. Bustami

Saudi Medical Journal

OBJECTIVE: To determine the prevalence of renal artery stenosis (RAS) and associated risk factors in patients undergoing cardiac catheterization for suspected coronary artery disease. METHODS: Three hundred and fifty-four consecutive patients (71 female) were studied at the Cardiology Unit of King Abdullah University Teaching Hospital, Irbid, Jordan, between May 2002 and May 2003. Left-sided cardiac catheterization and abdominal aortography were performed to screen for coronary and renal artery disease. RESULTS: Of the 354 patients, 285 had coronary artery disease and 27 had RAS. Significant RAS was present in 11 patients. Patients with RAS were older (66 +/- 8 versus 59 …


Thyroid Cancer In Yemen, Yasser A. Abdulmughni, Mohammed A. Al-Hureibi, Khalid A. Al-Hureibi, Mohammed A. Ghafoor, Ali H. Al-Wadan, Yahia A. Al-Hureibi Jan 2004

Thyroid Cancer In Yemen, Yasser A. Abdulmughni, Mohammed A. Al-Hureibi, Khalid A. Al-Hureibi, Mohammed A. Ghafoor, Ali H. Al-Wadan, Yahia A. Al-Hureibi

Saudi Medical Journal

OBJECTIVE: To evaluate the characteristics of thyroid cancer (TC) patients in regard to demographic distribution, histological variants, mode of presentation and modalities of diagnosis and treatment. METHODS: We retrospectively audited the records of 97 consecutive cases with histologically proved thyroid cancer between 1997 and 2001 presenting to the Kuwait University Hospital, Sana9a, Yemen. RESULTS: Patients with TC in this study comprise 17.7% of goiter patients who were admitted at the same period. Females constituted 89.7% (n=87), and males 10.3% (n=10). The average age of diagnosis was 38.4 years. More than two thirds were at the age of <40. Among patients with goiter, the percentage of carcinoma was higher in the following groups, males (37.9% versus 16.6%, p=0.028), patients aged >47 (25.8% versus …


Scorpion Sting Syndrome In A General Hospital In Saudi Arabia, Abdulrahman K. Al-Asmari, Abdulaziz A. Al-Saif Jan 2004

Scorpion Sting Syndrome In A General Hospital In Saudi Arabia, Abdulrahman K. Al-Asmari, Abdulaziz A. Al-Saif

Saudi Medical Journal

OBJECTIVE: To evaluate the incidence of scorpion stings and to draw the attention of clinicians, concerning the dilemma of scorpion sting syndrome and its management in the Kingdom of Saudi Arabia (KSA). METHODS: In a retrospective survey, 251 cases were presenteds with scorpion stings to the Emergency Department of the Armed Forces Hospital, Riyadh, KSA during a period of 15 years (April 1986 to April 2000). Their ages ranged from 2 months to 101 years (male to female ratio was 2.6:1) and 70.6% of the cases were under 20 years of age. RESULTS: The mean annual incidence of the scorpion …


Dementia In Qatar, Ahmad I. Hamad, Mohammed A. Ibrahim, Essa M. Sulaiti Jan 2004

Dementia In Qatar, Ahmad I. Hamad, Mohammed A. Ibrahim, Essa M. Sulaiti

Saudi Medical Journal

OBJECTIVE: Dementia is a major public health problem among the elderly in developed countries and a growing problem in the underdeveloped countries. There are no published data on dementia in any of the Arabic countries. The aim of this study was to determine the different sub-types of dementia among Qataris. METHODS: A retrospective and prospective ongoing hospital-based study in which all medical records of the patients with diagnosis of dementia seen at the Hamad General Hospital, Doha, Qatar, between June 1997 and June 2003, whether inpatient or outpatient were reviewed. Dementia was defined according to diagnostic and statistical manual (DSM) …


Wandering Spleen, Faisal M. Al-Mashat, Abdulrahman M. Sibiany, Abdulraouf A. Maimani, Fayad K. Alem Jan 2004

Wandering Spleen, Faisal M. Al-Mashat, Abdulrahman M. Sibiany, Abdulraouf A. Maimani, Fayad K. Alem

Saudi Medical Journal

Congenital malformations of the spleen are rare. We report 3 cases of wandering spleen presented as abdominal or pelvi-abdominal mass. Two patients were suffering from chronic lower abdominal pain with thrombosed splenic pedicle and the third patient had an acute abdomen. All patients underwent splenectomies. Abdominal ultrasound, computerized tomography, Doppler ultrasound, and radioisotope studies were used to confirm the diagnosis. The clinical, diagnostic and treatment modalities are discussed.


Hemorrhagic Episodes In Hemophiliacs Simulating Abdominal Surgical Emergencies, Mohammad E. Rabie, Abdul-Rahman E. Al-Tayeb, Mubarak H. Zafer, Anwar K. Sheikha Jan 2004

Hemorrhagic Episodes In Hemophiliacs Simulating Abdominal Surgical Emergencies, Mohammad E. Rabie, Abdul-Rahman E. Al-Tayeb, Mubarak H. Zafer, Anwar K. Sheikha

Saudi Medical Journal

Hemophiliacs are subjected to develop episodes of spontaneous bleeding at different sites of the body, primarily the knees. On occasions, such episodes affect the abdomen. The picture engendered in such cases may mimic that of an abdominal emergency requiring surgical intervention. Such ill advised and unwarranted intervention may end with the patient9s death. With the proper employment of radiology, the correct diagnosis may be reached and consequently, conservative treatment, in which factor VIII plays the major role, instituted. Here, we describe the clinical course of 2 patients with hemophilia A who suffered bleeding in the abdomen and were treated conservatively …


Thrombocytopenia Responding To Red Blood Cell Transfusion, Ahmed A. Mubarak, Abdalla Awidi, Kakil I. Rasul, Ussama Al-Homsi Jan 2004

Thrombocytopenia Responding To Red Blood Cell Transfusion, Ahmed A. Mubarak, Abdalla Awidi, Kakil I. Rasul, Ussama Al-Homsi

Saudi Medical Journal

Three patients with severe symptomatic iron deficiency anemia and thrombocytopenia had a significant rise in platelet count a few days following packed red blood cell transfusion. Pre-transfusion platelet count of patient one was 17 x 109/L, 22 x 109/L in patient 2 and 29 x 109/L in patient 3. On the 6th day post transfusion, the platelet count rose to 166 x 109/L in patient one, 830 x 109/L in patient 2 and 136 x 109/L in patient 3. The possible mechanisms behind such an unreported observation are discussed.


Clinical Research Methodology. A Course Report, Rabie E. Abdel-Halim Jan 2004

Clinical Research Methodology. A Course Report, Rabie E. Abdel-Halim

Saudi Medical Journal

No abstract provided.


Ramsay Hunt Syndrome In Focal Segmental Glomerulosclerosis, Khalid M. Cheema, Mustapha K. Kanu, M. Kutaiba, Mohammed Sohail Jan 2004

Ramsay Hunt Syndrome In Focal Segmental Glomerulosclerosis, Khalid M. Cheema, Mustapha K. Kanu, M. Kutaiba, Mohammed Sohail

Saudi Medical Journal

No abstract provided.


Candida Guilliermondii Fungemia. To Treat Or Not To Treat, Shabih Manzar, Shabih Manzar Jan 2004

Candida Guilliermondii Fungemia. To Treat Or Not To Treat, Shabih Manzar, Shabih Manzar

Saudi Medical Journal

No abstract provided.


Acute Chest Syndrome In Sickle Cell Disease, Zakaria M. Al-Hawsawi Jan 2004

Acute Chest Syndrome In Sickle Cell Disease, Zakaria M. Al-Hawsawi

Saudi Medical Journal

No abstract provided.


C-Reactive Protein In Diabetes Mellitus And Hyperlipidemia, Samir M. Khoja, Fahd A. Alabbassi, Abuelgassim O. Abuelgassim, Omar A. Al-Bar Jan 2004

C-Reactive Protein In Diabetes Mellitus And Hyperlipidemia, Samir M. Khoja, Fahd A. Alabbassi, Abuelgassim O. Abuelgassim, Omar A. Al-Bar

Saudi Medical Journal

No abstract provided.


Risk Of Morbid Obesity With Pregnancy, Ezzeldin A. Khorshid, Tarek A. Elbeheidy, Aly M. Quinaibi Jan 2004

Risk Of Morbid Obesity With Pregnancy, Ezzeldin A. Khorshid, Tarek A. Elbeheidy, Aly M. Quinaibi

Saudi Medical Journal

No abstract provided.


Bowel Anastomosis. A Comparative Study Of Various Surgical Techniques, Abdulmajeed Al-Abdulkareem, Abdelkarim El-Bakry Jan 2004

Bowel Anastomosis. A Comparative Study Of Various Surgical Techniques, Abdulmajeed Al-Abdulkareem, Abdelkarim El-Bakry

Saudi Medical Journal

No abstract provided.


Food Poisoning In Saudi Arabia. Potential For Prevention?, Yagob Y. Al-Mazrou Jan 2004

Food Poisoning In Saudi Arabia. Potential For Prevention?, Yagob Y. Al-Mazrou

Saudi Medical Journal

Food poisoning is becoming a very important health problem both internationally and in the Kingdom of Saudi Arabia (KSA). Salmonella species (spp) is the most important pathogen, but due to the extensive effort carried by the health authorities to prevent or eradicate communicable diseases, new pathogens are now emerging such as Escherichia coli (E. coli) and Norwalk like viruses. This review paper highlights the magnitude and determinants of food poisoning internationally and in KSA, and proposes some recommendations on its prevention. Clearly, there is a steady increase in the food poisoning accidents in KSA, especially during the summer months and …