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Chronic Renal Insufficiency In Pregnancy, Mumtaz Rashid, Haroon M. Rashid
Chronic Renal Insufficiency In Pregnancy, Mumtaz Rashid, Haroon M. Rashid
Saudi Medical Journal
This article attempts to assess the nature, severity and management of the risks associated with pregnancy in chronic renal insufficiency and end-stage renal disease, including dialysis and transplant recipients. Women with serum creatinine levels of >125 mmol/l are at an increased risk for deterioration in renal function, hypertension with superimposed pre-eclampsia and obstetric complications. Rigid control of hypertension is crucial for a successful pregnancy outcome. A range of antihypertensive drugs are available with angiotensin converting enzyme inhibitors being contraindicated. Women on dialysis have low fertility rates that return to normal following renal transplantation. Immunosuppresive drugs are not associated with increased …
Pattern Of Infant Feeding At A University Hospital In Western Saudi Arabia, Nadia M. Fida, Jumama Y. Al-Aama
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 …
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
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 …
Radiographic Osteoarthritis And Serum Cholesterol, Abdurhman S. Al-Arfaj
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 …
Prevalence And Predictors Of Diabetic Foot Syndrome In Type 2 Diabetes Mellitus In Jordan, Abdulkareem S. Jbour, Nadim S. Jarrah, Abdelrahman M. Radaideh, Nadima S. Shegem, Ismail M. Bader, Anwar M. Batieha, Kamel M. Ajlouni
Prevalence And Predictors Of Diabetic Foot Syndrome In Type 2 Diabetes Mellitus In Jordan, Abdulkareem S. Jbour, Nadim S. Jarrah, Abdelrahman M. Radaideh, Nadima S. Shegem, Ismail M. Bader, Anwar M. Batieha, Kamel M. Ajlouni
Saudi Medical Journal
OBJECTIVE: To detect feet changes and to identify risk factors leading to amputation among type 2 diabetics. METHODS: A total of 1142 patients with type 2 diabetes mellitus; 595 males (52%), and 547 females (48%) were seen between January and December 2001 at the National Center for Diabetes, Endocrinology, and Genetics (NCDG) Amman, Jordan. The mean age was 56.1 years (SD=10.2) and the mean duration of diabetes was 9 years (SD=7.1). All patients had a complete medical assessment including history, physical examination, glycosylated hemoglobin (HbA1c) (the mean of the last 4 readings) and microalbuminuria. Statistical analysis were performed to identify …
Ultrasound As A Primary Tool To Evaluate Patients With Blunt Abdominal Trauma, Hassan A. Musa
Ultrasound As A Primary Tool To Evaluate Patients With Blunt Abdominal Trauma, Hassan A. Musa
Saudi Medical Journal
No abstract provided.
Sars: The Emergence Of A New Epidemic, Fahad A. Al-Ateeg
Sars: The Emergence Of A New Epidemic, Fahad A. Al-Ateeg
Saudi Medical Journal
No abstract provided.
End Stage Renal Disease Experience In A General Hospital In Eastern Saudi Arabia, Ahmed M. Alkhunaizi, Bedri M. Yousif, Abdulrazack A. Amir, S. Brand
End Stage Renal Disease Experience In A General Hospital In Eastern Saudi Arabia, Ahmed M. Alkhunaizi, Bedri M. Yousif, Abdulrazack A. Amir, S. Brand
Saudi Medical Journal
No abstract provided.
Disease Markers In Exhaled Breath, Abdullah Al-Mobeireek
Disease Markers In Exhaled Breath, Abdullah Al-Mobeireek
Saudi Medical Journal
No abstract provided.
A Hematological Survey Of Preschool Children Of The United Arab Emirates, Campbell J. Miller, Earl V. Dunn, Bertel Berg, Sameeh F. Abdouni
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 …
Serial Evaluation Of Percentage Of Activated T-Lymphocytes In Peripheral Blood Of Human Immunodeficiency Virus Infected Individuals As A Prognostic Marker, Zahid Shakoor
Saudi Medical Journal
OBJECTIVE: Immune activation often associated with human immunodeficiency virus (HIV) infection is characterized by increasing number of peripheral blood T-lymphocytes expressing HLA-DR molecule. This study was performed to investigate the changes in the percentage of activated lymphocytes in the peripheral blood of HIV infected patients on antiretroviral therapy. METHODS: Routine flow cytometry data for peripheral blood lymphocyte subsets were analyzed in 11 HIV infected hemophilia patients (mean age 27 +/- 7) at approximately 6 monthly intervals from 1996 to 2002 in the Division of Immunology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. The number of data sets for …
Cardiovascular Manifestations In Chronic Renal Failure Patients On Hemodialysis, Yahya A. Al-Ezzy, Abdulmoghni O. Al-Barraq, Nabil A. Al-Hamaty, Kamel Haza'a, Salem Y. Thania, Feras A. Al-Saidy
Cardiovascular Manifestations In Chronic Renal Failure Patients On Hemodialysis, Yahya A. Al-Ezzy, Abdulmoghni O. Al-Barraq, Nabil A. Al-Hamaty, Kamel Haza'a, Salem Y. Thania, Feras A. Al-Saidy
Saudi Medical Journal
OBJECTIVE: To study the characteristics of hemodialized patients included in the study and demonstrate patterns of cardiovascular manifestations in patients as well as the impact of duration of dialysis on these manifestations. METHODS: This is a cross-sectional descriptive study carried out on patients undergoing regular hemodialysis in the Dialysis Unit, Al-Thawra General Hospital, Sana9a, Yemen, between September 2000 and December 2000. RESULTS: This study was carried out on 50 patients who were on regular hemodialysis; the male to female ratio was 1.3:1 with a mean age of 39.8 +/- 12.6 years and mean dialysis duration of 61.3 +/- 7.57 months. …
Birth Associated Trauma, Bassam H. Awari, Ibrahim Al-Habdan, Mir Sadat-Ali, Abdulaziz Al-Mulhim
Birth Associated Trauma, Bassam H. Awari, Ibrahim Al-Habdan, Mir Sadat-Ali, Abdulaziz Al-Mulhim
Saudi Medical Journal
OBJECTIVE: To assess the incidence of birth-injuries seen at the King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia (KSA). METHODS: A retrospective analysis was carried out in 31028 consecutive deliveries between January 1986 and December 1996 at the King Fahd Hospital of the University, Al-Khobar, KSA. The study group was compared with a matched control group. RESULTS: There were 203 newborns with 208 injuries with an incidence of 6.70 per 1000 live births. The majority (55%) of the injuries was sustained during normal vaginal deliveries and the least were during cesarean section (5.2%). The average gestational age …
Prostate Cancer In Saudi Arabia In 2002, Hisham A. Mosli
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 …
Obstetric, Neonatal And Anesthetic Considerations For Preterm Labor And Delivery, Jonathan H. Skerman, Khalil E. Rajab
Obstetric, Neonatal And Anesthetic Considerations For Preterm Labor And Delivery, Jonathan H. Skerman, Khalil E. Rajab
Saudi Medical Journal
Preterm birth is a continuing obstetric problem that contributes significantly to the incidence of perinatal death and long-term handicap. In this context, various studies have shown preterm births account for between 69% and 83% of neonatal deaths. Despite this, the incidence of preterm birth has remained static for many years. One explanation for this is that the management of preterm labor has altered very little in the past 30 years. Strategies aimed at reducing the incidence of preterm birth include the identification of risk factors that increase the likelihood of preterm delivery. Treatment is then designed to target those risk …
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
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. …
Cisplatin And Etoposide Alternating Ifosfamide, Vincristine, Epirubicin In Small Cell Lung Cancer, Meftun Unsal, Didem Erturk
Cisplatin And Etoposide Alternating Ifosfamide, Vincristine, Epirubicin In Small Cell Lung Cancer, Meftun Unsal, Didem Erturk
Saudi Medical Journal
OBJECTIVE: The aim of this study was to evaluate the effects and toxicity of alternating cisplatin+etoposide (EP) and ifosfamide+vincristine+epirubicin (IVE) combination regimen in patients with small cell lung cancer (SCLC). METHODS: We have treated 38 SCLC patients with 6 courses of alternating chemotherapy consisting of cisplatin 100 mg/m2 on day one and etoposide 80 mg /m2 on the first, second and third days in courses of first, third and fifth, alternating with ifosfamide 4 g/m2, vincristine 2 mg/day and epirubicin 60 mg/m2 intravenously on day one in courses of second, forth and sixth. The courses were administrated every 3 weeks. …
Prevalence Of Antibodies To Human T- Lymphotropic Viruses Types I And Ii Among Healthy Blood Donors, Mohammad A. Taha, Layla A. Bashawri, Malik S. Ahmed, Mirghani A. Ahmed
Prevalence Of Antibodies To Human T- Lymphotropic Viruses Types I And Ii Among Healthy Blood Donors, Mohammad A. Taha, Layla A. Bashawri, Malik S. Ahmed, Mirghani A. Ahmed
Saudi Medical Journal
OBJECTIVE: To assess the prevalence of human T-cell lymphotropic virus type I and type II antibodies in blood donors donating blood for various reasons in a University hospital and to compare the results with other reports from the Kingdom of Saudi Arabia (KSA), and elsewhere. METHODS: A 7-year retrospective review of blood bank records for results of serological tests at the King Fahd Hospital of the University, Al-Khobar, KSA, from January 1995 to December 2001 was conducted. The study included review of blood donor questionnaire cards as well as extraction of any other relevant information. RESULTS: The results showed that …
High Risk Levels Of Lipoprotein(A) In Pakistani Patients With Type 2 Diabetes Mellitus, Syed S. Habib, Muhammad Aslam
High Risk Levels Of Lipoprotein(A) In Pakistani Patients With Type 2 Diabetes Mellitus, Syed S. Habib, Muhammad Aslam
Saudi Medical Journal
OBJECTIVE: To find the prevalence of high risk levels of lipoprotein(a) [Lp(a)] and the ratio between low-density lipoprotein (LDL) and high-density lipoprotein (HDL) in patients with type 2 diabetes mellitus (DM) as evidence has been provided that Lp(a) and LDL can act additively in the development of atherogenesis. METHODS: This cross sectional study was carried out at the Department of Chemical Pathology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan, from February 2001 to May 2001. The patients participating in the study were diagnosed cases of type 2 DM. Fasting blood samples were analyzed for Lp(a), low-density lipoprotein cholesterol (LDL-C), high-density …
Spirometric Evaluation Of Lung Function (Maximal Voluntary Ventilation) In Welding Workers, Sultan A. Meo
Spirometric Evaluation Of Lung Function (Maximal Voluntary Ventilation) In Welding Workers, Sultan A. Meo
Saudi Medical Journal
OBJECTIVE: The present study was designed to study the effects of welding fumes on maximal voluntary ventilation (MVV) and to determine its severity in relation to duration of exposure. Additional objective was to reduce the potential health risks of welding workers by providing them with information concerning the hazards of welding fumes. METHODS: This study was conducted in the Department of Physiology, Basic Medical Sciences Institute, Jinnah Post Graduate Medical Centre, Karachi, Pakistan in 1999. In this study, the MVV was studied in 50 male control subjects and 50 male arc welding workers and all participants were non-smokers with an …
Outcome Of Laparoscopic Cholecystectomy In Acute Biliary Pancreatitis, Hayan A. Bismar, Saleh M. Al-Salamah
Outcome Of Laparoscopic Cholecystectomy In Acute Biliary Pancreatitis, Hayan A. Bismar, Saleh M. Al-Salamah
Saudi Medical Journal
OBJECTIVE: To evaluate the efficacy, safety, and timing of laparoscopic cholecystectomy in the management of mild to moderate cases of acute biliary pancreatitis. METHODS: The medical records of 158 patients admitted to Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia (KSA) from July 1998 to December 2001 were retrospectively reviewed. Acute biliary pancreatitis was diagnosed in patients who presented with abdominal pain with serum amylase level 3 times the normal limits in the absence of hypercalcemia or hyperlipidemia and presence of gallstones on ultrasonography. Severity of the disease was assessed using Atlanta Symposium criteria. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) was …
Prostate Specific Antigen Reference Ranges In Saudi Men, Baher A. Kamal, Gaber A. Ali, Saud A. Taha
Prostate Specific Antigen Reference Ranges In Saudi Men, Baher A. Kamal, Gaber A. Ali, Saud A. Taha
Saudi Medical Journal
OBJECTIVE: The aim of this study is to find out the age-specific and population-specific values of prostate specific antigen (PSA) among Saudi men. Normal values for different age groups between 40 and 89 years will be obtained. METHODS: The study was conducted in King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia. The total free and percent free PSA were measured for Saudi men who were free of prostate cancer by digital rectal examination (DRE) and with PSA value of <4ng/ml. Transrectal ultrasonography and needle biopsy were performed in those with suspicious DRE or PSA >4ng/ml. A total of 567 cancer free Saudi men were included in this study. All men were divided …
Polytetrafluoroethylene Use For Above-Knee Femoropopliteal Bypass In Critical Limb Ischemia, Abdulrahman A. El-Kayali
Polytetrafluoroethylene Use For Above-Knee Femoropopliteal Bypass In Critical Limb Ischemia, Abdulrahman A. El-Kayali
Saudi Medical Journal
OBJECTIVE: The question of the best material for above-knee femoropopliteal bypass (polytetrafluoroethylene [PTFE] versus vein) continues to be controversial. The aim of this study was to evaluate our results of using PTFE in above knee femoropopliteal bypass and to determine the predictors which affect graft patency. METHODS: A retrospective analysis of all above knee femoropopliteal graft surgery (PTFE) carried out for limb salvage between September 1997 and October 2001 at the King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. All records were reviewed for risk factors, presentations, management and complications. RESULTS: In a 4 year period, 52 above-knee femoropopliteal …
Stone Ingestion By A Child, Riyadh Hassan
Cardiovascular Risk Factors In Saudi And Non-Saudi Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha A. Algambi
Cardiovascular Risk Factors In Saudi And Non-Saudi Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha A. Algambi
Saudi Medical Journal
No abstract provided.
Ectopic Pregnancy In A Teaching Hospital In Sudan, Saad E. Dafallah, Abdalla H. Elsadig, Faroug El-Agib
Ectopic Pregnancy In A Teaching Hospital In Sudan, Saad E. Dafallah, Abdalla H. Elsadig, Faroug El-Agib
Saudi Medical Journal
No abstract provided.
Hypertension In Type 2 Diabetic Patients, Musa M. Kheir, Awad M. Ahmed, Asma Elbalaa
Hypertension In Type 2 Diabetic Patients, Musa M. Kheir, Awad M. Ahmed, Asma Elbalaa
Saudi Medical Journal
No abstract provided.
The Efficacy Of A Management Protocol In Reducing Emergency Visits And Hospitalizations In Chronic Asthmatics, Abdullah Al-Mobeireek, Omer Alamoudi
The Efficacy Of A Management Protocol In Reducing Emergency Visits And Hospitalizations In Chronic Asthmatics, Abdullah Al-Mobeireek, Omer Alamoudi
Saudi Medical Journal
No abstract provided.
Parkinson's Disease, 300 Tips For Making Life Easier, Ashraf Kurdi
Parkinson's Disease, 300 Tips For Making Life Easier, Ashraf Kurdi
Saudi Medical Journal
No abstract provided.
A Survey Of Patients Attitude Toward Low Back Surgery In A Major Center In Saudi Arabia, Yaser M. Behairy, Hayazi Al-Shehri, Saleh A. Al-Azzam, Adnan G. Al-Zahrani
A Survey Of Patients Attitude Toward Low Back Surgery In A Major Center In Saudi Arabia, Yaser M. Behairy, Hayazi Al-Shehri, Saleh A. Al-Azzam, Adnan G. Al-Zahrani
Saudi Medical Journal
OBJECTIVE: Similar to any other invasive procedure, low back surgery has potential complications. These potential complications lead many patients to refuse the surgery when it is indicated. The aim of this study was to evaluate patient9s attitude toward low back surgery and identify factors that might influence their decision. METHODS: Seventy consecutive patients who attended the outpatient clinic of the King Fahad National Guard Hospital Riyadh, Kingdom of Saudi Arabia, between May 2002 and July 2002, due to chronic low back problems and who were surgical candidates were included in this study. The low back outcome score (LBOS) was used …