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Acute Chest Syndrome, Ibrahim A. Al-Dabbous
Acute Chest Syndrome, Ibrahim A. Al-Dabbous
Saudi Medical Journal
Acute chest syndrome is an acute pulmonary illness in patients with sickle cell disease. It is a common problem, causing significant morbidity and mortality. Many factors may cause this syndrome. Treatment is primarily supportive. Therapy includes hydration, analgesia, supplemental oxygen, antibiotics, blood transfusion and mechanical ventilation. Early detection and aggressive management may limit its severity and prevent its complications. This article reviews the current information for its definition, frequency, pathogenesis, clinical features, complications, investigations, management and prevention. Recent advances in management of acute and recurrent attacks will be discussed.
Parkinson's Disease, Nabil Biary
Incidence Of Post Cesarean Section Wound Infection In A Tertiary Hospital, Riyadh, Saudi Arabia, Fawzia A. Habib
Incidence Of Post Cesarean Section Wound Infection In A Tertiary Hospital, Riyadh, Saudi Arabia, Fawzia A. Habib
Saudi Medical Journal
OBJECTIVE: To measure the rate of wound infection after cesarean section and assess risk factors for such infection. METHODS: A prospective surveillance was conducted at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period January 2000 through to December 2000. This included a total of 754 cesarean sections. The following risk factors, which were studied included, age, parity, gravida, gestational age, antenatal care, type of cesarean section emergency or elective, previous history of cesarean section, duration of operation, rank of surgeon, use of antibiotics, wound infection, complications and length of stay in the hospital. Post discharge surveillance …
Causative Pathogens Of Severe Diarrhea In Children, Abdulrahman Y. Ismaeel, Afaf E. Jamsheer, Ahmed Q. Yousif, Mohammad A. Al-Otaibi, Giuseppe A. Botta
Causative Pathogens Of Severe Diarrhea In Children, Abdulrahman Y. Ismaeel, Afaf E. Jamsheer, Ahmed Q. Yousif, Mohammad A. Al-Otaibi, Giuseppe A. Botta
Saudi Medical Journal
OBJECTIVE: To investigate the enteropathogens in children with diarrhea attending Salmaniya Medical Complex, Bahrain. METHODS: Fecal samples from 805 children up to 15 years were examined for parasites, ova and cysts by direct wet preparation, formol-ether concentration and modified Ziehl-Neelsen stain, during the period November 1998 through to June 2000. Samples were cultured for Salmonella, Shigella, Campylobacter and Enteropathogenic Escherichia coli. Antibiotic sensitivity tests were performed on the relevant clinical isolates by agar disk diffusion method. All stools from children below 3 years of age (653 samples) were processed for adenovirus and rotavirus using a commercially available latex agglutination test …
Delays In Primary Vaccination Of Infants Living In Western Saudi Arabia, Fawzia H. Hasanain, Mohammed M. Jan
Delays In Primary Vaccination Of Infants Living In Western Saudi Arabia, Fawzia H. Hasanain, Mohammed M. Jan
Saudi Medical Journal
OBJECTIVE: Vaccination is one of the most cost-effective means of preventing serious infectious diseases. Several studies from developing and developed countries documented considerable delays in the administration of primary vaccinations. Our objectives were to study the circumstances and contributing factors to such delays in order to design preventative measures. METHODS: Parents of consecutive infants seen during a routine vaccination visit at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia were included prospectively between September 2000 and February 2001. Structured interviews were performed using a 20-item questionnaire. Vaccinations were considered delayed if they took place 4 or more weeks after …
Prevalence Of Hepatitis B And Hepatitis C In Blood Donors And High Risk Groups In Hajjah, Yemen Republic, Nassir A. Haidar
Prevalence Of Hepatitis B And Hepatitis C In Blood Donors And High Risk Groups In Hajjah, Yemen Republic, Nassir A. Haidar
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of hepatitis B antigen and anti-hepatitis C virus (HCV) antibodies in blood donors, hospital employees, patients suspected to have liver disease, and hemodialysis patients. METHODS: This study was conducted from April 1997 through to September 1999 as a hospital based study in Hajjah, Republic of Yemen. All healthy blood donors, hospital employees, suspected hepatitis patients and patients in the hemodialysis unit were included in this study. The hepatitis B antigen (HbsAg) measured in IMX system (Abott) using the monoclonal anti-HBs assays. The Hepatitis C screened by the same system using HCV version 3.0 [Third generation …
Stage Iv Oral Cavity Carcinoma. Is Conventional Radical Treatment An Option?, Nasser Al-Rajhi, Mohammad Saleem, Abdullah S. Al-Amro, Ashraf M. El-Enbaby, Gamal A. El-Husseiny, Zeyad Z. Mahasin, Kalid M. Taibah, Ali M. Al-Zahrani
Stage Iv Oral Cavity Carcinoma. Is Conventional Radical Treatment An Option?, Nasser Al-Rajhi, Mohammad Saleem, Abdullah S. Al-Amro, Ashraf M. El-Enbaby, Gamal A. El-Husseiny, Zeyad Z. Mahasin, Kalid M. Taibah, Ali M. Al-Zahrani
Saudi Medical Journal
OBJECTIVE: To evaluate the outcome of radical treatment for patients with stage IV squamous cell carcinoma of the oral cavity. METHODS: Using head and neck tumor database, 57 patients with stage IV non-metastatic invasive squamous cell carcinoma of the oral cavity treated with curative intent at King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia, between July 1992 and June 1998, were identified and retrospectively reviewed. RESULTS: Our cohort of patients consisted of 33 males and 24 females, with a median age of 65 years. The primary sites were alveolus (26), tongue (22), buccal mucosa (6), floor …
Discharging Umbilicus, Abdelkarim A. El-Bakry
Discharging Umbilicus, Abdelkarim A. El-Bakry
Saudi Medical Journal
OBJECTIVE: Umbilical discharge is a symptom of varied pathology. Treatment policies of this clinical problem vary among different institutions. Our experience in the management of 44 patients with umbilical discharge is presented. METHODS: This is a retrospective study of the 44 patients treated at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia over a period of 19 years from 1982 to 2001. RESULTS: With the exception of one patient, all patients were treated in the outpatient clinic. General anesthesia was not employed but instead local anesthesia was used in some cases. One patient required admission for surgical excision, diagnosed …
Levamisole Treatment In Steroid Sensitive Nephrotic Syndrome, Hammad O. Alshaya, Jameela A. Kari
Levamisole Treatment In Steroid Sensitive Nephrotic Syndrome, Hammad O. Alshaya, Jameela A. Kari
Saudi Medical Journal
OBJECTIVE: To evaluate the effectiveness of levamisole in maintaining remission in children with steroid-sensitive nephrotic syndrome (SSNS) who had a frequent relapsing or steroid-dependant course. METHODS: All children with SSNS who had a frequent relapsing or steroid-dependent course and were treated with levamisole between 1997 and 2001 at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia were reviewed. All patients were treated by the same steroid protocol used in our unit. Levamisole was considered effective if the patient successfully remained in remission on Prednisolone 0.5 mg/kg/48 hours or less. RESULTS: Nine children were treated with levamisole (3mg/kg/48 hours) with …
Sleep Problems Among Pupils In Benghazi, Libya, Marwan M. Al-Sharbati
Sleep Problems Among Pupils In Benghazi, Libya, Marwan M. Al-Sharbati
Saudi Medical Journal
OBJECTIVE: To find the prevalence of sleep problems among pupils, its possible causes and associated behaviors. METHODS: This study was carried out during 3-24 February 1996. We randomly selected a sample of (277) 5th graders (181 boys and 96 girls), from 3 public primary schools in 3 different socio-economic areas in Benghazi, Libya. We interviewed the pupils and the teachers by a pretested questionnaire concerning sleep, school achievement and other behaviors. Those pupils who sleep after 10:00 pm, or those having bad sleep characters, or both, twice or more a week in the last month, were considered suffering from sleep …
Can We Predict Prognosis Using Mortality Probability Model Iio?, Yaseen Arabi, Radoslow Goraj, Abdullah Al-Shimemeri, Salim Al-Malik
Can We Predict Prognosis Using Mortality Probability Model Iio?, Yaseen Arabi, Radoslow Goraj, Abdullah Al-Shimemeri, Salim Al-Malik
Saudi Medical Journal
OBJECTIVE: To evaluate Mortality Probability Model (MPM) II0 as a tool to predict very poor prognosis after intensive care unit admission. METHODS: The study was conducted as a prospective observational study in a medical-surgical intensive care unit in a tertiary care teaching hospital, Riyadh, Kingdom of Saudi Arabia. Data necessary to calculate MPM II0 predicted mortality was collected from March 1999 through to February 2000 on all intensive care unit admissions. The hospital outcome was documented. We calculated the sensitivity, specificity, positive predictive value and negative predictive value of MPM II0 using cutoff points of 90% and 95%. RESULTS: Data …
Enterococcus Faecalis Endocarditis, Mona A. Kholeif, Abdulhalim J. Kinsara, Boniface O. George, Abdulfattah W. Mowallad, Fakri A. Bugis, Abimbola O. Osoba
Enterococcus Faecalis Endocarditis, Mona A. Kholeif, Abdulhalim J. Kinsara, Boniface O. George, Abdulfattah W. Mowallad, Fakri A. Bugis, Abimbola O. Osoba
Saudi Medical Journal
The increasing usage of cephalosporins, to which the enterococci are resistant, has resulted in the rising number of enterococcal infections worldwide. Enterococci are a normal part of the flora of the human gastrointestinal tract, buccal cavity, perineal skin, vagina, urethra and gallbladder, but may occur as pathogens in a number of sites causing urinary tract infections, intra-abdominal infections, fatal bacteremia, meningitis and endocarditis. A Saudi male who developed enterococcal endocarditis with vegetations on both aortic and mitral valves required mitral and aortic valve replacement. The attention of physicians is drawn to the increasing frequency of enterococcus as a cause of …
Extrarenal Retroperitoneal Angiomyolipoma, Mostafa K. Mansi, Waleed K. Al-Khudair, Nasser M. Al-Bqami, Georg S. Wenckepach
Extrarenal Retroperitoneal Angiomyolipoma, Mostafa K. Mansi, Waleed K. Al-Khudair, Nasser M. Al-Bqami, Georg S. Wenckepach
Saudi Medical Journal
Angiomyolipoma of the retroperitoneum is extremely rare with only 7 cases reported to date in the literature. Spontaneous hemorrhage and shock is the most common presentation that requires emergency intervention. We report a case of large extrarenal retroperitoneal angiomyolipoma that illustrates a different form of presentation for such a rare tumor mimicking a large locally advanced renal parenchymal tumor. The diagnosis was made by histopathology after performing radical nephrectomy. Although rare, angiomyolipoma of the perinephric fat may have variable presentations and should be considered in the differential diagnosis of large renal tumors particularly in view of possible kidney sparing management.
Antiphospholipid Antibodies Associated With Different Presentations At A University Hospital, Faiza A. Qari
Antiphospholipid Antibodies Associated With Different Presentations At A University Hospital, Faiza A. Qari
Saudi Medical Journal
No abstract provided.
Precipitating Factors For Diabetic Ketoacidosis, Awad M. Ahmed, Faiza A. Qari
Precipitating Factors For Diabetic Ketoacidosis, Awad M. Ahmed, Faiza A. Qari
Saudi Medical Journal
No abstract provided.
The Insulin Resistance Syndrome Among Type Ii Diabetics, Siraj A. Mira, Daad H. Akbar, Ibrahim A. Hashim, Siham H. Salamah, Tarif H. Zawawi
The Insulin Resistance Syndrome Among Type Ii Diabetics, Siraj A. Mira, Daad H. Akbar, Ibrahim A. Hashim, Siham H. Salamah, Tarif H. Zawawi
Saudi Medical Journal
OBJECTIVE: The aim of this study is to determine the prevalence of insulin resistance syndrome among type-II Saudi diabetics. METHODS: The study involved type-II Saudi diabetics followed at the Out-patient Clinic of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia, from January 1997 to December 1998. Their age, sex and body mass index was recorded. Serum samples were analyzed for glucose. Insulin C-peptide level and insulin glucose index was calculated. Serum cholesterol, high density lipoproteins, low density lipoproteins, triglyceride, and uric acid were measured. RESULTS: A total of 109 patients were studied, (67 females and 42 males) with an …
The Outcome And Analysis Of 40 Cases Of Fetal Gastroschisis, Naser O. Malas, A. S. Al-Ghoweri, R. M. Shwyiat
The Outcome And Analysis Of 40 Cases Of Fetal Gastroschisis, Naser O. Malas, A. S. Al-Ghoweri, R. M. Shwyiat
Saudi Medical Journal
OBJECTIVE: This collaborative retrospective study was undertaken at Royal Medical Services Hospital, Amman, Jordan, between 1993 through to 2000. Its purpose was to assess the difference in terms of morbidity and mortality in neonates with gastroschisis delivered by cesarean section versus vaginal delivery. METHODS: The records of all neonates born with gastroschisis (n=40, 26 females, 14 males) from 1993-2000 were analyzed. The mode of delivery was noted. Those babies delivered by cesarean section (n=22) were labelled group one, while those delivered vaginally (n=18) were labelled group 2. The mean maternal age was 26.45 ± 5.97 and 28.30 ± 4.22 years …
Spasmocanulase In Irritable Bowel Syndrome, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi
Spasmocanulase In Irritable Bowel Syndrome, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi
Saudi Medical Journal
OBJECTIVE: Irritable bowel syndrome is a functional gastro intestinal disorder, with various symptomatology and difficult to treat using several medications. Spasmocanulase, which has an anti-spasmodic and anti-flatulence effect and contains several ingredients, was tried in patients with irritable bowel syndrome, who had been on other medications previously without improvement. METHODS: At the gastroenterology out-patient clinic, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia, 21 patients who were diagnosed with irritable bowel syndrome for more than 2 years on treatment and did not benefit from these medications, received spasmocanulase one tablet 3 times a day and followed in the gastroenterology out-patient …
Tuberculosis Of The Knee, Umayya M. Musharrafieh, George F. Araj, Ghazi S. Zaatari, Ramzi S. Musharrafieh
Tuberculosis Of The Knee, Umayya M. Musharrafieh, George F. Araj, Ghazi S. Zaatari, Ramzi S. Musharrafieh
Saudi Medical Journal
Tuberculosis is a worldwide problem that has persisted in developing countries and is re-emerging in developed ones. Infectious complications with Mycobacterium tuberculosis have also been reported with increasing frequency. Among these, skeletal and intra-articular infections continue to affect patients and pose a difficult diagnostic problem to physicians and orthopedic surgeons. This is so, as the non-specific clinical presentation which, overlaps with several infectious and non-infectious diseases, and the latency period of this bacteria that can persist up to several years after the initial infection, contribute to diagnosis and management delay. Thus due to the paucity of the disease, physicians should …
An Anemic Patient Who Presented With Abdominal Pain Due To Trichobezoar, Maqbool Alam, Durab Khan
An Anemic Patient Who Presented With Abdominal Pain Due To Trichobezoar, Maqbool Alam, Durab Khan
Saudi Medical Journal
No abstract provided.
Group B Streptococcal Endocarditis, Dayel A. Al-Shahrani, Ibrahim Z. Al-Mohsen, Suliman A. Al-Jumaah, Saud H. Al-Oufi
Group B Streptococcal Endocarditis, Dayel A. Al-Shahrani, Ibrahim Z. Al-Mohsen, Suliman A. Al-Jumaah, Saud H. Al-Oufi
Saudi Medical Journal
Group B Streptococcus can cause early onset neonatal disease. Beyond neonatal life, group B Streptococci are unusual pathogens. It can cause septicemia, epiglottis, fascitis, and endocarditis. A male Saudi child with group B endocarditis who has congenital heart disease is discussed.
Septic Postpartum Ovarian Vein Thrombosis, Khalil E. Rajab, Neelam Malik, Jonathan H. Skirman
Septic Postpartum Ovarian Vein Thrombosis, Khalil E. Rajab, Neelam Malik, Jonathan H. Skirman
Saudi Medical Journal
This report describes the clinical findings and outcome of a patient suffering from septic postpartum ovarian vein thrombosis. Treatment modalities are well described and range from hysterectomy and thrombectomy to the use of vena cava filters in combination with anticoagulation and antibiotics. Defervescence with a combination infusion of tissue plasminogen and heparin were used. This treatment approach has been found particularly successful in cases of ilio-femoral, hepatic, renal and vena caval thromboses.
Parents' Attitude Towards Children's First Dental Visit In The College Of Dentistry, Riyadh, Saudi Arabia, Thakib A. Al-Shalan, Basim A. Al-Musa, Abdulmoniem M. Al-Khamis
Parents' Attitude Towards Children's First Dental Visit In The College Of Dentistry, Riyadh, Saudi Arabia, Thakib A. Al-Shalan, Basim A. Al-Musa, Abdulmoniem M. Al-Khamis
Saudi Medical Journal
OBJECTIVE: The objectives of this study were to evaluate parents9 awareness about the timing of the first dental visit for their children, the parents9 attitude toward behavior modification for their children at the first dental visit, and to determine the main reasons for bringing the child to the dentist in the first visit among the Saudi parents attending the dental school at the College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. METHODS: A self-administered questionnaire consisting of 12 items was distributed to any adult patient reporting at the Registration Appointments and Records Division of King Saud University, …
Congenital Malformation Of The Gastrointestinal Tract In Aseer Region, Saudi Arabia, Asindi A. Asindi, Saad A. Al-Daama, Mohammed S. Zayed, Yousef A. Fatinni
Congenital Malformation Of The Gastrointestinal Tract In Aseer Region, Saudi Arabia, Asindi A. Asindi, Saad A. Al-Daama, Mohammed S. Zayed, Yousef A. Fatinni
Saudi Medical Journal
OBJECTIVE: The aim of this prospective study was to evaluate the prevalence and pattern of congenital malformations of the gastrointestinal tract among the Saudi newborn population in Aseer region, Kingdom of Saudi Arabia. METHODS: Every consecutive newborn admitted to the neonatal intensive care unit of Aseer Central Hospital, Kingdom of Saudi Arabia with features of gastrointestinal tract anomaly during the period January 1995 to December 2000 had relevant data obtained and entered into a program form. RESULTS: During the 6 year period, a total of 1386 Saudi infants were admitted into the neonatal intensive care unit of Aseer Central Hospital. …
The Role Of Antenatal Corticosteroid In An Extremely Preterm Fetus With Reversed End Diastolic Flow Velocity In Umbilical Artery, Aisha M. Al-Hinai, Mariam Mathew
The Role Of Antenatal Corticosteroid In An Extremely Preterm Fetus With Reversed End Diastolic Flow Velocity In Umbilical Artery, Aisha M. Al-Hinai, Mariam Mathew
Saudi Medical Journal
No abstract provided.
Neuroleptic Malignant Syndrome Revisited!, Naseem A. Qureshi, Monica Zolezzi, Abdullah M. Al-Hathoul
Neuroleptic Malignant Syndrome Revisited!, Naseem A. Qureshi, Monica Zolezzi, Abdullah M. Al-Hathoul
Saudi Medical Journal
No abstract provided.
Incidence Of Differentiated Cancer In Nodular Goiter, Saleh M. Al-Salamah, Kamran Khalid, Hayan A. Bismar
Incidence Of Differentiated Cancer In Nodular Goiter, Saleh M. Al-Salamah, Kamran Khalid, Hayan A. Bismar
Saudi Medical Journal
OBJECTIVE: The study aims to determine the incidence of differentiated thyroid cancer in surgically treated thyroid nodules and to study its clinical and pathological aspect. The objective was to formulate a uniform departmental policy for the most appropriate surgical management of this potentially curable disease. METHODS: This is a prospective clinicopathological study carried out at the Department of General Surgery, Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia, from January 1996 through to December 2000. A total of 483 thyroidectomies were performed. Preoperative diagnosis of thyroid cancer was based on clinical and fine needle aspiration cytology (FNAC). The patients were …
Acute Retropharyngeal And Parapharyngeal Abscesses In Children, Jihad N. Zahraa, Ahmad A. Al-Boukai
Acute Retropharyngeal And Parapharyngeal Abscesses In Children, Jihad N. Zahraa, Ahmad A. Al-Boukai
Saudi Medical Journal
OBJECTIVE: Acute retropharyngeal and parapharyngeal abscess is a rare but serious disease in children. We reviewed our experience highlighting some of the unusual features of our cases. METHODS: Medical records of children less than 12-years-old who were admitted to King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, over a 10- year period with final diagnosis of deep neck infection, were reviewed. RESULTS: Eight patient9s records were reviewed. Seven were less than 3-years of age. The retropharyngeal abscess was suspected clinically in 3 cases only. The most common findings were fever, neck swelling and feeding problems. The duration of symptoms …
Assessment Of Mother's Knowledge And Practice In Use Of Oral Rehydration Solution For Diarrhea In Rural Bangladesh, Attia Z. Taha
Assessment Of Mother's Knowledge And Practice In Use Of Oral Rehydration Solution For Diarrhea In Rural Bangladesh, Attia Z. Taha
Saudi Medical Journal
OBJECTIVE: To assess mothers9 knowledge, attitude and use of oral rehydration solution (ORS) for diarrhea management at home, and feeding practices during diarrhea for children under 5-years of age, in a rural Health Development Project, Bangladesh. METHODS: This was a cross-sectional survey. This study was carried out in Cox9s Bazar district, South Bangladesh, over a 2-week period, during May 1994. A sample of 300 households in the project area and a similar one in a control area were randomly selected using a multistage stratified technique. Data was collected by interviewing mothers at home using a standard questionnaire and through practical …
Mothers' Practices During Pregnancy, Lactation And Care Of Their Children In Riyadh, Saudi Arabia, Abdulaziz M. Al-Othman, Abdalla A. Saeed, Ibrahim A. Bani, Khalid S. Al-Murshed
Mothers' Practices During Pregnancy, Lactation And Care Of Their Children In Riyadh, Saudi Arabia, Abdulaziz M. Al-Othman, Abdalla A. Saeed, Ibrahim A. Bani, Khalid S. Al-Murshed
Saudi Medical Journal
OBJECTIVE: To study mothers9 practices during pregnancy, lactation and care during the first 2 years. METHODS: A cross section study was carried out in 5 Primary Health Care Centres (PHCC) in Riyadh, Kingdom of Saudi Arabia. Two hundred and fifty women (50 from each PHCC) who have children less than 2-years of age who visited the selected PHCCs during the study period were selected by systematic random sampling. Data was collected via a questionnaire which contained sociodemographic characteristics of the mother and their children and mothers9 practices during pregnancy, lactation and the care of their children. RESULTS: Approximately 73% of …