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Performance Indicators And Validity Of Serum Fructosamine Assay As A Diagnostic Test In A Screening Program For Diabetes Mellitus, Waad-Allah S. Mula-Abed, Amjad H. Al-Naemi
Performance Indicators And Validity Of Serum Fructosamine Assay As A Diagnostic Test In A Screening Program For Diabetes Mellitus, Waad-Allah S. Mula-Abed, Amjad H. Al-Naemi
Saudi Medical Journal
OBJECTIVE: To evaluate the performance indicators and validity of fructosamine assay as a diagnostic tool in screening for Diabetes mellitus (DM). METHODS: Fasting plasma glucose (FPG) and serum fructosamine (FA) were compared in 1015 subjects aged >= 25 years from different urban and rural areas in Mosul city, Northern Iraq. The subjects were classified into 5 groups: Group 1: Subjects with FPG < 6.1 mmol/L (n=883), Group 2: Subjects with impaired FPG 6.1-6.9 mmol/L (n=29), Group 3: New diabetics diagnosed solely by new 1997 American Diabetes Association (ADA) criteria with FPG 7.0-7.7 mmol/L (n=20), Group 4: New diabetics diagnosed according to old 1980-1985 World Health Organization (WHO) criteria with FPG >= 7.8 mmol/L (n=23), and Group 5: Known diabetics (n=60). Subjects in groups 2 and 3 underwent a standard 75 gm oral glucose tolerance test (OGTT) as recommended by the WHO. Reclassification of subjects into 3 groups according …
Prescribing For Asthmatic Children In Primary Care. Are We Following Guidelines?, Noha A. Dashash, Saud H. Mukhtar
Prescribing For Asthmatic Children In Primary Care. Are We Following Guidelines?, Noha A. Dashash, Saud H. Mukhtar
Saudi Medical Journal
OBJECTIVE: Guidelines for asthma management have been developed both locally and internationally. The aim of this study was to evaluate the adherence of primary care physicians in the National Guard Iskan Primary Care Center to these guidelines. METHODS: The records of 206 asthmatic children who visited the National Guard Iskan Primary Care Center, Jeddah, Kingom of Saudi Arabia, during the months of February 1998 through June 1998, were reviewed. The following data was extracted from them; presenting symptoms, number of visits, names of asthma medications, whether doses were documented or not and number of times antitussives were prescribed. RESULTS: The …
Prevalence And Risk Factors For Helicobacter Pylori Infection Among Yemeni Dyspeptic Patients, Abdullah A. Gunaid, Nageeb A. Hassan, Iain Murray-Lyon
Prevalence And Risk Factors For Helicobacter Pylori Infection Among Yemeni Dyspeptic Patients, Abdullah A. Gunaid, Nageeb A. Hassan, Iain Murray-Lyon
Saudi Medical Journal
OBJECTIVE: Helicobacter pylori (H. pylori) is one of the world9s most common human bacterial infections. Acquisition of H. pylori infection may be associated with chronic gastritis, peptic ulceration and gastric cancer. This study was aimed at investigating the prevalence of H. pylori infection among dyspeptic patients, any correlation with dyspeptic symptoms and endoscopic findings and, any socioeconomic and environmental risk factors. METHODS: The study was conducted between September 1997 and October 1998 in one Endoscopy Unit, Sana9a city, Yemen. A total of 275 consecutive patients with chronic dyspepsia were enrolled in the study. Endoscopic examination was conducted, gastric biopsies were …
Abdominal Wall Endometriosis. An Overlooked Diagnosis, Muhammad R. Khammash, Abdel K. Omari, Ghazi R. Gasaimeh, Kamal E. Bani-Hani
Abdominal Wall Endometriosis. An Overlooked Diagnosis, Muhammad R. Khammash, Abdel K. Omari, Ghazi R. Gasaimeh, Kamal E. Bani-Hani
Saudi Medical Journal
OBJECTIVE: To study the incidence of abdominal wall endometriosis after cesarean section and its presentation to the general surgeon. METHODS: Fourteen patients were treated for abdominal wall endometriosis during the period June 1997 to May 2002 at Princess Basma Teaching Hospital and King Abdulla University Hospital, Irbid, Jordan. The patient9s files were reviewed to see their way and time of presentation after cesarean section, provisional diagnosis made and operative procedures performed. Symptoms suggestive of and investigations carried out to detect pelvic endometriosis were also looked for and recorded. RESULTS: Fourteen patients were treated within 5 years; all had painful scar-related …
Intrapericardial Chemotherapy For The Management Of Neoplastic Cardiac Tamponade, Neelam Siddiqui, Abdulrahman I. Al-Diab
Intrapericardial Chemotherapy For The Management Of Neoplastic Cardiac Tamponade, Neelam Siddiqui, Abdulrahman I. Al-Diab
Saudi Medical Journal
A young patient with disseminated osteogenic sarcoma presented with cardiac tamponade. She was successfully managed with pericardiocentesis and intrapericardial instillation of cisplatin. There was no reaccumulation of pericardial fluid or recurrence of tamponade until the patient9s death 12 months later. Intrapericardial chemotherapy may be effective in the management of cardiac tamponade secondary to malignancy.
A Case Of Seven Recurrent Ectopic Pregnancies, Shakeel A. Faiz, Bengt G. Sporrong, Abdulaziz A. Al-Meshari
A Case Of Seven Recurrent Ectopic Pregnancies, Shakeel A. Faiz, Bengt G. Sporrong, Abdulaziz A. Al-Meshari
Saudi Medical Journal
If a woman with previous ectopic pregnancy ever gets pregnant again, the risk of a repeat ectopic pregnancy is said to be 4-fold. We present a rare case of 7 recurrent ectopic pregnancies in a 39-year-old Saudi woman, together with a literature review of the reproductive performance after recurrent ectopic pregnancy.
Hypocalcemia Resistant To 1,Alpha Hydroxyvitamin D Treated Successful With 1,25-Dihydroxyvitamin D, Rula Goussous, Ruba Barakat, Nadim Jarrah, Mohammed O. Abu-Hijleh, Mohammed El-Zaheri, Kamel Ajlouni
Hypocalcemia Resistant To 1,Alpha Hydroxyvitamin D Treated Successful With 1,25-Dihydroxyvitamin D, Rula Goussous, Ruba Barakat, Nadim Jarrah, Mohammed O. Abu-Hijleh, Mohammed El-Zaheri, Kamel Ajlouni
Saudi Medical Journal
No abstract provided.
Influence Of Sickle Hemoglobinopathy On Growth And Development Of Young Adult Males In Southern Iraq, Abbas A. Mansour
Influence Of Sickle Hemoglobinopathy On Growth And Development Of Young Adult Males In Southern Iraq, Abbas A. Mansour
Saudi Medical Journal
No abstract provided.
Effect Of Itraconazole Therapy In Allergic Bronchopulmonary Aspergillosis, Raj Kumar, Pranav Singh, Rajan Arora, Shailendra N. Gaur
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
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.
Thyroid Function And Thyroid Autoimmunity In Patients With Type 1 Diabetes Mellitus, Abdelrahman Radaideh, Mohammed El-Khateeb, Anwar M. Batieha, Abeer S. Nasser, Kamel M. Ajlouni
Thyroid Function And Thyroid Autoimmunity In Patients With Type 1 Diabetes Mellitus, Abdelrahman Radaideh, Mohammed El-Khateeb, Anwar M. Batieha, Abeer S. Nasser, Kamel M. Ajlouni
Saudi Medical Journal
OBJECTIVE: An association between diabetes mellitus and autoimmune thyroid disease is well known. We have investigated the prevalence of thyroid dysfunction and autoimmunity in type 1 diabetic patients. METHODS: Seventy-nine type 1 diabetic patients were recruited in the study, and underwent complete investigations for thyroid function, which included free thyroxine, free tri-iodothyronine, and thyroid stimulating hormone, of those only 64 patients had performed thyroid autoantibodies (TAb); anti- thyroid peroxidase antibodies (TPOAb) or antimicrosomal antibodies and thyroglobulin antibodies (TgAb). They were compared with 127 healthy subjects matched for sex and age. This study was carried out at the National Center for …
Plasma And Red Blood Cells Membrane Lipid Concentration Of Sickle Cell Disease Patients, Zuhair M. Marzouki, Samir M. Khoja
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.
Rheumatoid Arthritis. Radiological Changes In The Cervical Spine, Ahmed A. Al-Boukai, Abdurhman S. Al-Arfaj
Rheumatoid Arthritis. Radiological Changes In The Cervical Spine, Ahmed A. Al-Boukai, Abdurhman S. Al-Arfaj
Saudi Medical Journal
OBJECTIVE: To describe the radiographic cervical spine changes in rheumatoid arthritis patients. METHODS: Forty-nine patients (37 females and 12 males) diagnosed with rheumatoid arthritis at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, between June 1998 and June 2000, were studied for their radiographic cervical spine changes. Their mean age at disease onset was 41.4 +/- 13.4 years (range of 18-73) and mean duration of the disease was 9.1 +/- 6.28 years (range of 2-34). Their demographic data including rheumatoid factor status was obtained. Standard conventional radiographs of cervical spine were obtained to study the cervical spine changes. RESULTS: …
Isolated Agenesis Of The Gallbladder, Pradeep J. Chopra, Samir S. Hussein
Isolated Agenesis Of The Gallbladder, Pradeep J. Chopra, Samir S. Hussein
Saudi Medical Journal
We report a rare case of agenesis of the gallbladder, which was misdiagnosed as cholecystitis. This is the first reported case from the Middle East. Despite advances in biliary imaging, the diagnosis is usually made at surgery. Like most patients, our patient became asymptomatic after the surgery. Extensive dissection to exclude the presence of gallbladder in an ectopic site is discouraged.
Pancreatic Pseudocyst, Abdul-Wahed N. Meshikhes
Pancreatic Pseudocyst, Abdul-Wahed N. Meshikhes
Saudi Medical Journal
Gallstones cause more than two-thirds of the acute pancreatitis episodes in the Kingdom of Saudi Arabia (KSA). The majority of these attacks are often mild and self-limiting. However, some are associated with complications; most common of which is development of pancreatic pseudocyst. This complication was reported to be rare in some areas of KSA. The author reports his personal experience with pancreatic pseudocysts that he encountered over 9 years of surgical practice in one of the busiest hospitals in the Eastern Province of KSA and discusses various management options.
Febrile Neutropenia. Etiology Of Infection, Empirical Treatment And Prophylaxis, Ahmed T. Eltahawy
Febrile Neutropenia. Etiology Of Infection, Empirical Treatment And Prophylaxis, Ahmed T. Eltahawy
Saudi Medical Journal
Much has changed in the treatment of patients with fever and neutropenia, including the patterns of microbial flora and drug resistance, and the drugs used. Gram-positive organisms have overshadowed the gram-negative ones as causes of bacteremia. Changes in therapy may include antimicrobials directed against gram-positive bacteria, resistant gram-negative bacteria, or fungi. Due to the high risk for colonization by vancomycin resistant Enterococci, vancomycin use is restricted as first line empiric therapy unless the patient is at high-risk for serious gram-positive infection. Prophylactic antibiotic therapy may increase the selection of resistant strains and should be avoided. Therapy with colony stimulating factor …
Assessment Of Nutritional Rickets In Western Saudi Arabia, Nadia M. Fida
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. …
Is Hypertension Well Controlled In Hypertensive Diabetics, Daad H. Akbar, Aisha A. Al-Ghamdi
Is Hypertension Well Controlled In Hypertensive Diabetics, Daad H. Akbar, Aisha A. Al-Ghamdi
Saudi Medical Journal
OBJECTIVE: To determine the degree of blood pressure (BP) control in hypertensive diabetics and to study the types of antihypertensive agents used for BP control. METHODS: A cross-sectional study was carried out on hypertensive diabetics followed in the outpatient clinic of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from January 2000 to February 2001. Patient9s age, sex, duration of diabetes and its control, duration of hypertension and the type of antihypertensive agents used, were noted. Patients were classified according to the degree of systolic and diastolic BP control into 4 groups: systolic group-I (140 mm Hg); diastolic group-I …
Door To Needle Time In Administering Thrombolytic Therapy For Acute Myocardial Infarction, Abdullah A. Abba, Bashir A. Wani, Rehan A. Rahmatullah, Mohamed Z. Khalil, Abubakar M. Kumo, Mohammed A. Ghonaim
Door To Needle Time In Administering Thrombolytic Therapy For Acute Myocardial Infarction, Abdullah A. Abba, Bashir A. Wani, Rehan A. Rahmatullah, Mohamed Z. Khalil, Abubakar M. Kumo, Mohammed A. Ghonaim
Saudi Medical Journal
OBJECTIVE: Thrombolytic therapy is a standard treatment for patients presenting with acute myocardial infarction (MI). Early administration of these agents is crucial for the outcome of management. This audit was conducted to evaluate the time between arrival to emergency department (ED) and the administration of thrombolysis (door to needle time). METHODS: Data was collected from patients admitted to the Coronary Care Unit of Riyadh Medical Complex (RMC), Riyadh, Kingdom of Saudi Arabia, a 1500-bed community hospital, with a diagnosis of acute MI and received thrombolytic therapy over a one-year period (April 1999 to April 2000). The time between arrival to …
Ureteric Injuries During Obstetric And Gynecologic Procedures, Yousef S. Matani, Kamal E. Bani-Hani, Ibrahim H. Bani-Hani
Ureteric Injuries During Obstetric And Gynecologic Procedures, Yousef S. Matani, Kamal E. Bani-Hani, Ibrahim H. Bani-Hani
Saudi Medical Journal
OBJECTIVE: To review the ureteric injuries resulting from obstetric and gynecologic procedures with a comparative analysis of current pertinent literature. METHODS: From January 1994 - December 1997, the medical records of all patients who sustained ureteric injuries as a result of obstetric or gynecologic procedures and managed at the Princess Basma Teaching Hospital, North of Jordan were reviewed. The clinical presentations, investigations, features of injury and treatment modalities were studied. RESULTS: There were 17 patients with 19 ureteric injuries incurred during obstetric or gynecologic procedures during the study period. Patients were relatively young and presented with loin pain. The left …
Routine Ultrasound In Acute Retention Of Urine, Mohammed H. Al-Durazi, Hamad A. Al-Helo, Sara M. Al-Reefi, Sara M. Al-Sanaa, Waleed A. Abdulwahab
Routine Ultrasound In Acute Retention Of Urine, Mohammed H. Al-Durazi, Hamad A. Al-Helo, Sara M. Al-Reefi, Sara M. Al-Sanaa, Waleed A. Abdulwahab
Saudi Medical Journal
OBJECTIVE: To evaluate the frequency of urological abnormalities in routine urinary tract ultrasonography (renal and pelvic) in patients with urinary retention secondary to benign prostatic hyperplasia. METHODS: All patients presented to Salmaniya Medical Complex, Bahrain with acute retention of urine secondary to benign prostatic hyperplasia (BPH) in the period between January 2001 and December 2001 were included. The frequency of urological abnormalities, other than BPH, was obtained. RESULTS: One hundred patients were enrolled with a mean age of 67 years. Forty-one patients (41%) had other urological abnormalities. Among these, 3 cases of malignancy were discovered incidentally. A case of renal …
Causes Of Death In The Eastern Mediterranean Region During The Years 1998-2000, Sherine Shawky
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 …
The Management Of Acute Severe Asthma In A Pediatric Intensive Care Unit, Faisal M. Abu-Ekteish, Jihad N. Zahraa, Khalid F. Al-Mobaireek, Ali A. Nasir, Abdulrahman S. Al-Frayh
The Management Of Acute Severe Asthma In A Pediatric Intensive Care Unit, Faisal M. Abu-Ekteish, Jihad N. Zahraa, Khalid F. Al-Mobaireek, Ali A. Nasir, Abdulrahman S. Al-Frayh
Saudi Medical Journal
OBJECTIVE: The hospitalization and mortality rates incurred from acute childhood asthma continue to rise in the past decade. The purpose of this study is to examine the outcome, morbidity and the management of children admitted with acute asthma to our pediatric intensive care unit (PICU) and compare it with those described in the literature. METHODS: Medical records of all children admitted with acute severe asthma to PICU at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia over an 8-year period (1994-2001) were reviewed. RESULTS: Fifty-six patients were analyzed. The male to female ratio was 1.3:1 and the mean age …
Fever Of Unknown Origin, Suliman H. Al-Fifi
Fever Of Unknown Origin, Suliman H. Al-Fifi
Saudi Medical Journal
This report describes a 3-year-old female child with prolonged fever in which a very extensive work-up resulted in the discovery of the underlying congenital anomaly causing her symptom.
Isolation Of Salmonella Paratyphi A From A Patient With Nephrolithiases, Fawzia E. Al-Otaibi
Isolation Of Salmonella Paratyphi A From A Patient With Nephrolithiases, Fawzia E. Al-Otaibi
Saudi Medical Journal
We describe a case of Salmonella paratyphi A isolated from urine of a 37-year-old Saudi patient who is a known case of nephrolithiasis and hydronephrosis with frequent admission for management of renal stones. History of enteric fever was not documented and urinary schistosomiasis in such a patient from endemic area is a strong possibility. Relevant literature was discussed.
Nasal Polyps Masking A Unilateral Choanal Atresia, Sami A. Al-Kindy
Nasal Polyps Masking A Unilateral Choanal Atresia, Sami A. Al-Kindy
Saudi Medical Journal
No abstract provided.
Gallium-67 Lymph Node Localization In Toxic Kikuchi-Fujimotos Disease, Omeima T. Elshafie, Nicholas J. Woodhouse, Samir S. Hussein, V. Nirmala
Gallium-67 Lymph Node Localization In Toxic Kikuchi-Fujimotos Disease, Omeima T. Elshafie, Nicholas J. Woodhouse, Samir S. Hussein, V. Nirmala
Saudi Medical Journal
No abstract provided.
Sandhoff Disease In An Extreme Preterm Baby With Bilateral Syndactyly, Pmc Nair, Flor Bataclan, Anuradha Ganesh
Sandhoff Disease In An Extreme Preterm Baby With Bilateral Syndactyly, Pmc Nair, Flor Bataclan, Anuradha Ganesh
Saudi Medical Journal
No abstract provided.
Diclofenac Suppositories In The Treatment Of Bone And Joint Diseases. A Forgotten Route, Fayek Al-Hilli, Fayek Al-Hilli
Diclofenac Suppositories In The Treatment Of Bone And Joint Diseases. A Forgotten Route, Fayek Al-Hilli, Fayek Al-Hilli
Saudi Medical Journal
No abstract provided.
Sample Size Determination . Influencing Factors And Calculation Strategies For Survey Research, Ali A. Al-Subaihi
Sample Size Determination . Influencing Factors And Calculation Strategies For Survey Research, Ali A. Al-Subaihi
Saudi Medical Journal
The paper reviews both the influencing factors and calculation strategies of sample size determination for survey research. It indicate the factors that affect the sample size determination procedure and explains how. It also provides calculation methods (including formulas) that can be applied directly and easily to estimate the sample size needed in most popular situations.