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The Burden Of Infections And Child Health In Iraq, Ibrahim M. Khan, Rashid Chotani, Khaled Yassin, Samreen Khan, Ulrich Laaser
The Burden Of Infections And Child Health In Iraq, Ibrahim M. Khan, Rashid Chotani, Khaled Yassin, Samreen Khan, Ulrich Laaser
Saudi Medical Journal
No abstract provided.
The Oral Hygiene Habits Of School Students In Riyadh, Saudi Arabia, Khalid Almas, Emad O. Al-Shwaimi, Hamed S. Al-Shamrani, Nils Skaug
The Oral Hygiene Habits Of School Students In Riyadh, Saudi Arabia, Khalid Almas, Emad O. Al-Shwaimi, Hamed S. Al-Shamrani, Nils Skaug
Saudi Medical Journal
No abstract provided.
Etiology Of Chronic Diarrhea, Janan Al-Khayat
Etiology Of Chronic Diarrhea, Janan Al-Khayat
Saudi Medical Journal
No abstract provided.
A Comparative Study On The Application Of 3 Molecular Methods In Epidemiological Typing Of Bacterial Isolates Using Mrsa As A Prototype, Sahar I. Al-Thawadi, George Kessie, Damian Dela Cruz, Mohammed N. Al-Ahdal
A Comparative Study On The Application Of 3 Molecular Methods In Epidemiological Typing Of Bacterial Isolates Using Mrsa As A Prototype, Sahar I. Al-Thawadi, George Kessie, Damian Dela Cruz, Mohammed N. Al-Ahdal
Saudi Medical Journal
OBJECTIVE: To evaluate and compare 3 widely used molecular techniques, namely, restriction endonuclease analysis of plasmid deoxyribonucleic acid (REAP), randomly amplified polymorphic DNA (RAPD) and pulsed-field gel electrophoresis (PFGE) for their suitability and usefulness in the typing and fingerprinting of bacterial isolates. METHODS: Twenty-four epidemiologically unrelated methicillin-resistant Staphylococcus aureus (MRSA) isolates were used to evaluate the molecular typing methods (REAP, RAPD and PFGE). The study was conducted at the Research and Diagnostic Laboratories of King Faisal Specialist Hospital and Research Center from January 2002 through January 2003. RESULTS: Only 20.8% of all isolates studied were of the same genotypes by …
Prevalence Of H.Influenzae Biotypes And Their Clinical Significance In A University Hospital, Nurum N. Begum, Abdul-Aziz S Al-Khattaf, Abdelmageed M. Kambal, Edward A. Yeboah
Prevalence Of H.Influenzae Biotypes And Their Clinical Significance In A University Hospital, Nurum N. Begum, Abdul-Aziz S Al-Khattaf, Abdelmageed M. Kambal, Edward A. Yeboah
Saudi Medical Journal
OBJECTIVE: Hemophilus influenzae is an important pathogen that is responsible for invasive and non-invasive infections in both children and adults. This study aims to assess the relationship of biotypes to the sites of infection, serotypes, antimicrobial susceptibility, b-lactamase production and age. METHODS: A total of 200 isolates of H.influenzae were obtained from clinical specimens over a period of 12 months from January 2001 through to January 2002 from King Abdul-Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia. RESULTS: Most of the strains were non-typable and were isolated from patients with non-invasive infections. The typable isolates from invasive infections mostly serotype …
Dental Health Status And Caries Pattern Of Preschool Children In Al-Kharj, Saudi Arabia, Tahir R. Paul
Dental Health Status And Caries Pattern Of Preschool Children In Al-Kharj, Saudi Arabia, Tahir R. Paul
Saudi Medical Journal
OBJECTIVE: The objective of this study was to assess dental caries and its relation to plaque, tooth brushing habit and past dental attendance, and to determine the caries pattern in primary dentition of preschool children. METHODS: One hundred and three, 5-year-old children, from preschool nurseries in Al-Kharj, Kingdom of Saudi Arabia were studied in 1994. The World Health Organization criteria was used to determine caries. RESULTS: Only 16.5% were caries free. The mean decayed missing filled teeth (dmft) was 7.1, and by excluding caries free children it was 8.5. The decay component of dmft was predominant (82%). Almost 90% of …
Malignant Biliary Strictures, Ibrahim A. Al-Mofleh, Rashed S. Al-Rashed, Saleh M. Al-Amri, Abdullah S. Al-Ghamdi, Faleh Z. Al-Faleh, Hussein M. Al-Freihi, Arthur C. Isnani
Malignant Biliary Strictures, Ibrahim A. Al-Mofleh, Rashed S. Al-Rashed, Saleh M. Al-Amri, Abdullah S. Al-Ghamdi, Faleh Z. Al-Faleh, Hussein M. Al-Freihi, Arthur C. Isnani
Saudi Medical Journal
OBJECTIVE: To identify the cause, methods of diagnosis and management of malignant biliary strictures in our institution and compare with studies from other communities. METHODS: From March 1998 through to August 2002, we reviewed 1000 files of patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) at the Gastroenterology unit, King Khalid University Hospital in Riyadh, Kingdom of Saudi Arabia for malignant biliary strictures (MBS). Clinical, laboratory data, method of diagnosis and management were recorded. RESULTS: Seventy-two patients (72/1000) with MBS were encountered. Forty one (57%) were males and 31 (43%) were females and the majority were Saudi nationals (82%). Jaundice and …
Lack Of Association Of Coronary Artery Disease With H.Pylori Infection, Mansour M. Al-Nozha, Mohamed Z. Khalil, Ibrahim A. Al-Mofleh, Abdullah S. Al-Ghamdi
Lack Of Association Of Coronary Artery Disease With H.Pylori Infection, Mansour M. Al-Nozha, Mohamed Z. Khalil, Ibrahim A. Al-Mofleh, Abdullah S. Al-Ghamdi
Saudi Medical Journal
OBJECTIVE: It has been suggested from previous studies that there is an associated increased risk of coronary artery disease (CAD) in patients with Helicobacter pylori (H.pylori). However, others dispute this. We therefore evaluated this hypothesis in a group of patients with confirmed H.pylori infection. METHODS: A total of 158 patients with dyspeptic symptoms were evaluated by esophago-gastro-duodenoscopy (EGD) in King Khalid University Hospital in Riyadh, Kingdom of Saudi Arabia from May through to June 1997. Endoscopic biopsies and histology as well as culture and serology for H.pylori were obtained. In patients with confirmed H.pylori a further analysis was performed looking …
Skin Cancers In Western, Manzoor A. Bhat, Venkatashari Ramesh, Syed M. Ali
Skin Cancers In Western, Manzoor A. Bhat, Venkatashari Ramesh, Syed M. Ali
Saudi Medical Journal
OBJECTIVE: A retrospective analysis of skin cancers in a major referral centre in Taif region, Kingdom of Saudi Arabia, (KSA). METHODS: The case records of all malignant skin cancers diagnosed during a 10 year period, from 1992 through to 2001 were taken for the study. The clinical and histopathological details were noted. These were compared to reports from the rest of KSA and other countries. RESULTS: One hundred and four cases of malignant skin lesions including primary and metastatic tumors were seen. The majority were Saudis. The male to female ratio was 2.25:1. Most of the patients were over the …
Aorto Carotid Bypass In Takayasus Disease, Seyed M. Alamshah, Amanollah Heydari
Aorto Carotid Bypass In Takayasus Disease, Seyed M. Alamshah, Amanollah Heydari
Saudi Medical Journal
No abstract provided.
The Effect Of Unilateral Partial Edentulism To Muscle Thickness, Gozlem Koca-Ceylan, Nergiz Taskaya-Yilmaz, Ahmet U. Guler, Lutfi Incesu, Tolga Aksoz
The Effect Of Unilateral Partial Edentulism To Muscle Thickness, Gozlem Koca-Ceylan, Nergiz Taskaya-Yilmaz, Ahmet U. Guler, Lutfi Incesu, Tolga Aksoz
Saudi Medical Journal
OBJECTIVE: Teeth and muscles play a very important role for occlusal equilibrium and function. When tooth loss begins, it may also affect the function of the muscle tissues. METHODS: The thickness of the masseter and anterior temporalis muscles were measured bilaterally in 30 healthy fully dentate adults and in 30 unilateral edentulous patients by using ultrasonographic imaging. All scans were carried out by the same radiologist to eliminate the inter-observer difference, using a real time scanner (Toshiba SSA- 270 A Japan). A 7.5 MHz linear transducer was used. The transducer was held against the cheek with light pressure. The effect …
Osmotic Fragility And Na+-K+ Atpase Activity Of Erythrocytes Of Hiv/Aids Patients, Osaretin A. Ebuehi, Mohammed O. Balogun, Rosemary A. Audu, Emmanuel O. Idigbe
Osmotic Fragility And Na+-K+ Atpase Activity Of Erythrocytes Of Hiv/Aids Patients, Osaretin A. Ebuehi, Mohammed O. Balogun, Rosemary A. Audu, Emmanuel O. Idigbe
Saudi Medical Journal
No abstract provided.
Tonsillectomy Blood Splash, Sami A. Al-Kindy, Ahamefule O. Ibekwe, Mohammed Al Hiemy, Sultan Al Harthy
Tonsillectomy Blood Splash, Sami A. Al-Kindy, Ahamefule O. Ibekwe, Mohammed Al Hiemy, Sultan Al Harthy
Saudi Medical Journal
No abstract provided.
Isolated Agenesis Of The Gallbladder, Shoukat H. Khan, Pradeep Chopra, Samir Hussein
Isolated Agenesis Of The Gallbladder, Shoukat H. Khan, Pradeep Chopra, Samir Hussein
Saudi Medical Journal
No abstract provided.
Profile Of Pap Smear Cytology In The Western Region Of Saudi Arabia, Awatif Jamal, Jaudah A. Al-Maghrabi
Profile Of Pap Smear Cytology In The Western Region Of Saudi Arabia, Awatif Jamal, Jaudah A. Al-Maghrabi
Saudi Medical Journal
OBJECTIVE: Cervical carcinoma is an important womens health problem in the Western countries. There are only few published data on this disease in the Kingdom of Saudi Arabia (KSA). The aim of this study is to evaluate the abnormal cytological entities detected by cervical Pap smear in Western region of KSA and to discuss the importance of Pap smears screening programs. METHODS: Retrospective review of all the cervical smears present at the King Abdul-Aziz University Hospital, Jeddah, KSA from 1984 to 2000. The reports of 22089 smears were retrieved from the file of the pathology department. RESULTS: There were 368 …
Management Of Acute Myocardial Infarction., Mohamed Z. Khalil, Abdullah A. Abba
Management Of Acute Myocardial Infarction., Mohamed Z. Khalil, Abdullah A. Abba
Saudi Medical Journal
OBJECTIVE: Acute myocardial infarction (MI) is a major health problem with a substantial fatality and morbidity. The management of patients with acute MI has been addressed in major trials to improve the survival and enhance the quality of life of the patients. Numerous guidelines have been established for the management of such patients. The objective of this study is to determine whether the current practice in managing patients admitted with acute MI in a major community hospital in Riyadh is evidence based compliant. METHODS: The data were collected from patients admitted to the Coronary Care Unit (CCU), Riyadh Medical Complex …
Unmet Need For Family Planning, Farouk M. Shakhatreh
Unmet Need For Family Planning, Farouk M. Shakhatreh
Saudi Medical Journal
No abstract provided.
Tepid Blood Versus Cold Crystalloid Cardioplegia In Cardiac Protection, Abbas Afrasiabi, Susan Hassanzadeh
Tepid Blood Versus Cold Crystalloid Cardioplegia In Cardiac Protection, Abbas Afrasiabi, Susan Hassanzadeh
Saudi Medical Journal
No abstract provided.
Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri
Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri
Saudi Medical Journal
Recently, the role of doctors and managers in health care management has become a hot topic in the newspapers and public magazine in the Kingdom of Saudi Arabia. The aim of this paper is to contribute constructively and scientifically to this topical issue by emphasizing that commonality and interaction between medicine and management dictate more involvement of doctors in management. Although one may argue that doctors are usually not well trained in resources management, scientific evidence supports the need for more involvement of doctors in managing health care system. In addition, government needs to make a strategic shift towards high …
A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani
A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani
Saudi Medical Journal
In the Arabian Peninsula, high percentages of consanguineous marriages and the tribal nature of marriages have resulted in high incidence of genetically based disorders. The successful management of these disorders incurs a high financial cost, which is a great burden on the health care system. The practical solution to this problem is through prevention. Prevention of genetic disorders should be the utmost public health concern especially where these disorders are prevalent. Preventive genetics became possible with the advent of biochemical and molecular technologies. Biochemical neonatal screening based on tandem mass spectrometry technology and molecular technologies such as sequencing, DNA microarray …
Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri
Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri
Saudi Medical Journal
OBJECTIVE: This study aims at assessing the different sources of job stress for nurses in a number of public hospitals in Riyadh city, Kingdom of Saudi Arabia. In addition, it intends to find out the most and least perceived sources of stress, and the effect of demographic factors on nurses perception of these sources. METHODS: Four-hundred and twenty-four nurses working in a number of public hospitals in Riyadh city were the sample size. A questionnaire was used as a method of data collection. It was distributed through the first half of year 2002. Validity and reliability were examined and the …
Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi
Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi
Saudi Medical Journal
OBJECTIVE: To determine the pattern of pitfalls of inhalation technique in chronic asthmatics; to assess whether an educational program can reduce the pitfalls of inhalation technique; and to evaluate whether reduction of the pitfalls could have a positive correlation with peak expiratory flow (PEF) measurements. METHODS: The pitfalls of inhalation technique in 106 chronic asthmatics using either metered dose inhaler (MDI) (65%) or turbuhaler (35%) were studied prospectively. The pitfalls of inhalation technique and PEF measurement were recorded before and after an educational program at first and second visit. It was performed in the outpatients asthma clinic of the King …
Penicillin Resistance In Serogroups/Serotypes Of Streptococcus Pneumoniae Causing Invasive Infections In Central Saudi Arabia, Kingsley Twum-Danso, Abdulrahman M. Al-Mazrou, Abdel-Mageed M. Kambal, Fahad A. Al-Zamil
Penicillin Resistance In Serogroups/Serotypes Of Streptococcus Pneumoniae Causing Invasive Infections In Central Saudi Arabia, Kingsley Twum-Danso, Abdulrahman M. Al-Mazrou, Abdel-Mageed M. Kambal, Fahad A. Al-Zamil
Saudi Medical Journal
OBJECTIVE: To determine the minimum inhibitory concentrations (MICs) of penicillin, ceftriaxone and vancomycin of serogroups/serotypes of Streptococcus pneumoniae (S. pneumoniae) from invasive diseases in all age groups from major hospitals in Riyadh, Kingdom of Saudi Arabia (KSA). METHODS: All isolates of S. pneumoniae from patients with invasive pneumococcal infections between February 2000 and November 2001 were prospectively collected from 8 major hospitals in Riyadh, KSA. The isolates were confirmed as S. pneumoniae at the King Khalid University Hospitals, Riyadh, KSA and then serogrouped/serotyped using the agglutination method. The MICs for penicillin, ceftriaxone and vancomycin were carried out using the E-test. …
Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam
Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam
Saudi Medical Journal
OBJECTIVE: This study aimed to assess the prevalence of risk factors, knowledge and awareness in Pakistani patients with type 2 diabetes mellitus (DM). METHODS: We studied 120 DM patients at the Diabetes Center in Rawalpindi, Pakistan, from February 2001 to July 2001. Structured questionnaires, clinical and laboratory assessments were used to determine the prevalence of dyslipidemia, glycemic control, hypertension, self monitoring of blood glucose, treatment for hyperglycemia, smoking and modes of diagnosis. The patients knowledge was assessed as regards to the laboratory investigations and treatment of DM that they are receiving. Fasting blood samples were analyzed for serum total cholesterol, …
The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai
The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai
Saudi Medical Journal
OBJECTIVE: To investigate the effect of advancing age of 35 years and more (elderly primigravida) on the outcome of pregnancy in nulliparous women and to compare the type of complications observed in this group of women to those in the age of 20-34 years. METHODS: This was a retrospective analysis of 2517 primigravidas delivered at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia between 1996-2000. All were consecutive patients. The data were collected from the records of the labor room and the medical records were screened for maternal age, antenatal complications, gestational age, birth-weight of the neonate, …
Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel
Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel
Saudi Medical Journal
OBJECTIVE: To determine the incidence of hypothermia during surgical procedures when adequate methods of preserving normothermia are applied. METHODS: A prospective study in which patients ASA I-IV presented for surgery at the Armed Forces Hospital, Wadi Al-Dawasir, Kingdom of Saudi Arabia during the period from July 2000 until February 2003, in whom body core temperature was between 35-37 degree, were included. Ambient temperature of the operating room was thermostatically adjusted to record 26 degree and 24 degree if patients were less than 10 year-old or above. Depending on type of surgery; the patients were provided with space blankets and were …
Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani
Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani
Saudi Medical Journal
OBJECTIVE: Many patients seeking dental care have a significant medical condition that may alter both the course of their oral disease and the treatment provided. The aim of this study was to assess the systemic diseases profile of patients with periodontal diseases for specialized periodontal treatment. METHODS: Seven hundred and forty-three patient9s medical records were screened from the Periodontal Clinics and referred to the College of Dentistry, King Saud University, a teaching hospital in Riyadh, Kingdom of Saudi Arabia for a special care during the period from January 2002 to June 2002. RESULTS: One hundred and sixty-seven were males while …
Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi
Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi
Saudi Medical Journal
This report describes a case of Takayasus arteritis in a 19-year-old Palestinian female. She conceived after diagnosis. Her pregnancy was complicated by uncontrolled hypertension, which was not associated with other markers of disease activity. Despite aggressive medical treatment, cesarean section had to be carried out at 34 weeks of pregnancy because of uncontrolled hypertension. A live fetus was borne, and her blood pressure was subsequently controlled with a single antihypertensive agent.
Bilateral Simultaneous Hip Fractures Secondary To An Epileptic Seizure, Mustafiz M. Rahman, Adnan Awada
Bilateral Simultaneous Hip Fractures Secondary To An Epileptic Seizure, Mustafiz M. Rahman, Adnan Awada
Saudi Medical Journal
A 30-year-old man sustained bilateral simultaneous displaced subcapital fractures of neck of femur during an epileptic tonic-clonic seizure. After admission to the hospital approximately 18 hours later, internal fixation of the fractures with dynamic hip screw was undertaken. Post operatively, he was managed by early motion and weight bearing on the second day. Despite the severity of the fractures and delayed surgery, satisfactory union of the fractures was noted at 6 months when bone densitometry was normal. At 3 years follow up, there was no sign of avascular necrosis of the femoral heads.
Erythrokeratoderma Variabilis, Iqbal A. Bukhari, Nawal A. Juma'a
Erythrokeratoderma Variabilis, Iqbal A. Bukhari, Nawal A. Juma'a
Saudi Medical Journal
Erythrokeratoderma variabilis is a rare autosomal dominant genodermatosis of variable expressivity. In this report, we describe the clinical features and microscopic findings in one of our patients born to unaffected parents. We also briefly review the literature on this disorder.