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Articles 7261 - 7290 of 7869
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Proinflammatory Cytokines In Open Versus Laparoscopic Cholecystectomy, Saeed A. Abu-Eshy, Riyad A. Moosa, Abdallah A. Al-Rofaidi, Ahmed S. Al-Faki, Ali A. Sadik, Mohammad I. Salati, Hashim W. Ghalib
Proinflammatory Cytokines In Open Versus Laparoscopic Cholecystectomy, Saeed A. Abu-Eshy, Riyad A. Moosa, Abdallah A. Al-Rofaidi, Ahmed S. Al-Faki, Ali A. Sadik, Mohammad I. Salati, Hashim W. Ghalib
Saudi Medical Journal
OBJECTIVE: Laparoscopic cholecystectomy, a minimal access surgery, is fast replacing open cholecystectomy and is being associated with less trauma. The objective of this study was to compare the proinflammatory cytokine levels in both laparoscopic cholecystectomy and open cholecystectomy. METHODS: This study was carried out at Aseer Central Hospital, Aseer region, Abha Private Hospital and the College of Medicine and Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia, during the time period October 1998 through to November 2000. Sixty-one patients were included in the study, 27 of them had laparoscopic cholecystectomy and 34 had open cholecystectomy. Cytokines [Interleukin-6 Interleukin-1b, …
Vision Screening Of Preschool Children In Jeddah, Saudi Arabia, Wedad M. Bardisi
Vision Screening Of Preschool Children In Jeddah, Saudi Arabia, Wedad M. Bardisi
Saudi Medical Journal
OBJECTIVE: To determine the prevalence of Amblyopia and other refractive errors and to identify the factors associated with these disorders. METHODS: The study was carried out in Jeddah, Kingdom of Saudi Arabia, in 1999, on children enrolled in governmental kindergartens during the academic year 1419-1420H. Children were screened for Amblyopia, any child who failed to pass the screening examination, was referred to the ophthalmolgist for complete examination. A 95% confidence interval was used to describe the prevalence of eye disorders. RESULTS: The number of children referred to the ophthalmologists was 102. Out of this figure, 70% of children kept their …
A Profile Of Childhood Neuropathies At A University Hospital In Oman, Roshan Koul, Alexander Chacko, Hashim Javed, Khalid Al-Hinai, Matthew Zachariah, Srinivas Bulusu, Thirapathur V. Rao
A Profile Of Childhood Neuropathies At A University Hospital In Oman, Roshan Koul, Alexander Chacko, Hashim Javed, Khalid Al-Hinai, Matthew Zachariah, Srinivas Bulusu, Thirapathur V. Rao
Saudi Medical Journal
OBJECTIVE: To analyze all cases of childhood neuropathies (under 14 years of age) and report on their profile, pattern, clinical features and management. METHODS: Children with acute flaccid paralysis, longstanding weakness of extremities, neuroregression and children receiving anti cancer drugs with symptoms suggestive of neuropathy were evaluated for evidence of peripheral neuropathy. The evaluation of children with acute flaccid paralysis was a prospective study from January 1992 through to December 2000. The rest of the patients were studied retrospectively from the hospital medical records, pediatric neurology outpatient clinic and the neurophysiology laboratory, Sultan Qaboos University Hospital, Al-Khod, Oman. RESULTS: Eighty-two …
Low Aspirin Use In Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha M. Siddique
Low Aspirin Use In Diabetics, Daad H. Akbar, Maimona M. Ahmed, Aisha M. Siddique
Saudi Medical Journal
OBJECTIVE: To determine the percentage of adult diabetics with cardiovascular disease, or risk factors for cardiovascular disease who are using aspirin, and to report on any differences between males and females, or Saudis and non-Saudis. METHODS: Medical records of diabetics seen at King Abdulaziz University Hospital during the period January 1998 through to December 2000 were analyzed. The following data were collected: patients age, sex, nationality, body mass index, duration of diabetes, history of cardiovascular disease, risk factors for cardiovascular disease (hypertension, hyperlipidemia, obesity, smoking, family history of ischemic heart disease) and aspirin use. RESULTS: A total of 550 patients …
Hyperimmunoglobulin-E Syndrome, Othman Z. Mahdi, Lionel L. Mathelier, Nouman H. Al-Bardeisi
Hyperimmunoglobulin-E Syndrome, Othman Z. Mahdi, Lionel L. Mathelier, Nouman H. Al-Bardeisi
Saudi Medical Journal
Two Saudi girls aged 8 years and 5 years were seen over a period of 6 years and 5 years. Their clinical presentations consisted of recurrent bilateral otitis media, repeated episodes of tonsillitis and chest infection. Cultures from the ears grew on numerous occasions Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeroginosa, Proteus species and Providencia species. The 8-year-old had a serum IgE level of 1431 iu/L, with normal levels of other immunoglobulin classes. The 5-year-old had an immunoglobulin E value of 1119 iu/L with normal values of other immunoglobulin classes. Both were human immuno-deficiency virus negative and no other causes for …
Clinicopathological Aspects Of Chediak-Higashi Syndrome In The Accelerated Phase, Durjoy K. Shome, Hussain Al-Mukharraq, Najat Mahdi, Ghada Ameen, Eman Farid
Clinicopathological Aspects Of Chediak-Higashi Syndrome In The Accelerated Phase, Durjoy K. Shome, Hussain Al-Mukharraq, Najat Mahdi, Ghada Ameen, Eman Farid
Saudi Medical Journal
This report describes clinical and laboratory features of a case of Chediak-Higashi syndrome that presented in the accelerated phase of the disorder. This female infant presented with a fever, marked neutropenia, large cytoplasmic granules in leukocytes and a constellation of features that suggested a virus-associated hemophagocytic syndrome. The clinical course was marked by limited response to the therapeutic agents that included ascorbate, cytotoxic agents and granulocyte colony-stimulating factor.
Diabetes And Infarcted Papillary Thyroid Cancer, Fares H. Haddad, Omar M. Malkawi, Ahmad A. Omari, Alia S. Izzat, Hana M. Khassrof, Luma M. Faiad, Abed-Latif Okla, Abdallah N. Jamil
Diabetes And Infarcted Papillary Thyroid Cancer, Fares H. Haddad, Omar M. Malkawi, Ahmad A. Omari, Alia S. Izzat, Hana M. Khassrof, Luma M. Faiad, Abed-Latif Okla, Abdallah N. Jamil
Saudi Medical Journal
A young black Jordanian lady who has type one diabetes, chronic diabetic complication and ischemic heart disease, presented with a picture of diabetic keto-acidosis, precipitated by an acute neck swelling. This was suggestive of acute suppurative thyroiditis with abscess formation causing compressive symptoms. This unfortunate patient had an eventful course despite aggressive treatment by antibiotics and surgery and then succumbed of an acute cardiac event. The operative tissue biopsy revealed an abscess in an infarcted papillary thyroid cancer. We believe this is a rare presentation of such an association with a fatal outcome.
Drug Resistant Mycobacterium Tuberculosis In Saudi Arabia, Subhash C. Arya
Drug Resistant Mycobacterium Tuberculosis In Saudi Arabia, Subhash C. Arya
Saudi Medical Journal
No abstract provided.
Allergic Bronchopulmonary Aspergillosis Mimicking Pulmonary Tuberculosis, Abdullah Al-Mobeireek, Omer Alamoudi
Allergic Bronchopulmonary Aspergillosis Mimicking Pulmonary Tuberculosis, Abdullah Al-Mobeireek, Omer Alamoudi
Saudi Medical Journal
No abstract provided.
Serum Sodium Changes During And After Transurethral Prostatectomy, Ahmed Ghanem
Serum Sodium Changes During And After Transurethral Prostatectomy, Ahmed Ghanem
Saudi Medical Journal
No abstract provided.
The Current Status Of Helicobacter Pylori, Kamal E. Bani-Hani
The Current Status Of Helicobacter Pylori, Kamal E. Bani-Hani
Saudi Medical Journal
We present a review of the current status of Helicobacter pylori infection, and focus on the clinical issues facing physicians with regards to its pathogenicity, diagnosis and treatment. We have attempted to address the important clincial issues relevant to the subject, and summarize the currently accepted concepts concerning Helicobacter pylori. Our knowledge regarding Helicobacter pylori biology is enormous, but detailed knowledge on its transmission is still far from clear. Helicobacter pylori is mainly involved in gastrointestinal and possibly in other extra-intestinal disorders. There are differences in the clinical presentation in various geographical regions resulting from variations in the genetic make-up …
Prevalence Of Hepatitis C Virus Antibodies Among Intravenous Drug Abusers And Prostitutes In Damascus, Syria, Basem M. Othman, Fawza S. Monem
Prevalence Of Hepatitis C Virus Antibodies Among Intravenous Drug Abusers And Prostitutes In Damascus, Syria, Basem M. Othman, Fawza S. Monem
Saudi Medical Journal
OBJECTIVE: In studies of risk factors among patients presenting with acute and chronic hepatitis C, a history of intravenous drug use is the most common finding, accounting for 40% or more of subjects. The prevalence of anti-hepatitis C virus antibodies among intravenous drug users is considered one of the highest numbers among high risk groups. Whether hepatitis C virus is transmitted efficiently or at all via sexual contact remains controversial. Therefore, the prevalence of hepatitis C virus antibodies among a group of Syrian intravenous drug users, prostitutes, and blood donors was studied. METHODS: The prevalence of anti-hepatitis C virus in …
An In-Vitro Study Of The Effects Of Various Disinfectants On Prosthetic And Surface Materials, Salma A. Bahannan, Maha M. Abdel-Salam
An In-Vitro Study Of The Effects Of Various Disinfectants On Prosthetic And Surface Materials, Salma A. Bahannan, Maha M. Abdel-Salam
Saudi Medical Journal
OBJECTIVE: This study assessed the effect of various disinfectants on several contaminated prosthetic and surface-covering materials. METHODS: The efficacy of 6 disinfectants used at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, on prosthetic and surface-covering materials, irreversible hydrocolloid and elastomer impression materials, wax, acrylic resin, metal, bench-covering material, and floor carpet. These materials were contaminated with Pseudomonas aeruginosa, Escherichia coli, and Staphylococcus aureus. Counts of viable bacteria on the materials was determined by incubated replica plating on blood agar plates at 5 minute intervals. A 3 way non parametric analysis of variance was used to evaluate the main effects …
Kukuchi-Fujimito Disease, Mona A. Al-Nazer, Ali M. Al-Hadad, Soror A. Al-Aithan, Ahmed H. Al-Salem, Ahmed A. Al-Faraj, Hussain H. Al-Saeed
Kukuchi-Fujimito Disease, Mona A. Al-Nazer, Ali M. Al-Hadad, Soror A. Al-Aithan, Ahmed H. Al-Salem, Ahmed A. Al-Faraj, Hussain H. Al-Saeed
Saudi Medical Journal
OBJECTIVE: Kukuchi-Fujimito disease is a rare, benign and self limiting condition, which usually presents with lymphadenopathy or fever of an unknown etiology, or both. Its rarity, as well as the similarity of its clinical features to other more common conditions, contribute to overlooking it in the differential diagnosis of patients presenting with lymphadenopathy or fever of an unknown etiology. METHODS: The study was carried out at Qatif Central Hospital, Qatif, Kingdom of Saudi Arabia. All lymph node excisional biopsies received in the histopathology laboratory between 1989 and 1999 were evaluated and those diagnosed as Kukuchi-Fujimito disease were reviewed for clinical …
Causes Of Infant Mortality In Jordan, Sami A. Khoury, Diana F. Mas'ad
Causes Of Infant Mortality In Jordan, Sami A. Khoury, Diana F. Mas'ad
Saudi Medical Journal
OBJECTIVE: Jordan lacks accurate information on mortality and related indicators. Reporting of infant deaths is defective. Infant mortality rate based on registered deaths was 6/1000 live births, while estimates of this rate based on indirect methods varied between 29-70/1000 live births. Causes of death in general are grossly misrepresented in death certificates. The objective of this paper is to explore, in-depth, causes of infant mortality and related indicators. METHODS: An assessment of causes of death by verbal autopsy was carried out at the Department of Family and Community Medicine, University of Jordan, Amman, Jordan. This was applied between November 1995 …
Cochlear Implants In Deaf Children, Abdulmonem H. Al-Shaikh, Siraj M. Zakzouk, Ataf A. Metwalli, Amal A. Dasugi
Cochlear Implants In Deaf Children, Abdulmonem H. Al-Shaikh, Siraj M. Zakzouk, Ataf A. Metwalli, Amal A. Dasugi
Saudi Medical Journal
OBJECTIVE: This investigation was aimed to determine the current status of sensorineural hearing loss in children from the provinces of the Kingdom Saudi Arabia and to report on those with severe to profound hearing loss who are in need of cochlear implant. METHODS: A comprehensive survey of 9540 Saudi children was carried out from September 1997 through to May 2000. The subjects were randomly selected from the 4 main provinces of the country. The main objective was to screen these children for hearing impairment. A survey team included an ear, nose and throat specialist, a nurse, a social worker and …
Ectopic Pregnancy, Ibrahim Mansoor
Genetic Disease: The Unwanted Inheritance, Abdelkarim Al-Qudah
Genetic Disease: The Unwanted Inheritance, Abdelkarim Al-Qudah
Saudi Medical Journal
No abstract provided.
Meningococcal Disease, Ziad A. Memish, Abdulrahman A. Alrajhi
Meningococcal Disease, Ziad A. Memish, Abdulrahman A. Alrajhi
Saudi Medical Journal
Meningococcal disease occurs as both endemic and epidemic disease in most parts of the world with significant morbidity and mortality. Among the different serogroups of Neisseria meningitidis, serogroups A, B, C account for 90% of the disease. In the last few years there has been a change in the epidemiology of the disease with an increase in the prevalence of serogroup C in Europe and North America, serogroup Y in the United States of America and Sweden, and W135 in the Kingdom of Saudi Arabia. The emergence of Neisseria meningitidis serogroup W135 in the Kingdom of Saudi Arabia has lead …
Diversity In Polyp Pathology And Distribution Of Familial Juvenile Polyposis Syndrome, Tareq M. Al-Jaberi, Hatem El-Shanti
Diversity In Polyp Pathology And Distribution Of Familial Juvenile Polyposis Syndrome, Tareq M. Al-Jaberi, Hatem El-Shanti
Saudi Medical Journal
OBJECTIVE: Juvenile polyposis syndrome is a rare autosomal dominant disorder with incomplete penetrance. The aim of this study was to review our experience with juvenile polyposis syndrome with emphasis on the diversity of polyp pathology and distribution and the recommended treatment. METHODS: Over the period January 1994 through February 2001, 10 family members were managed at Princess Basma Teaching Hospital, Irbid, Jordan. Two siblings with juvenile polyposis syndrome are discussed. RESULTS: The polyps were unusually concentrated in the rectum. In one patient the polyps were purely of the adenomatous type. The father suffered from non-polyposis colon cancer at the age …
Precocious Puberty In A Female With Proteus Syndrome, Kamal M. Ezzeldin, Asmaa A. Ezzeldin, Ahmad J. Zahrani, Maher M. Al-Zaiem
Precocious Puberty In A Female With Proteus Syndrome, Kamal M. Ezzeldin, Asmaa A. Ezzeldin, Ahmad J. Zahrani, Maher M. Al-Zaiem
Saudi Medical Journal
Proteus syndrome is a complex disorder comprising malformations and overgrowth of multiple tissues and characterized by its polymorphism and mosaicism. The syndrome is rare and sporadic. Oliveira M da C et al1 reported the first case of Proteus syndrome associated with precocious puberty in a boy. We are reporting a case of a 7-month old girl with Proteus syndrome who developed a juvenile granulosa cell tumor in one ovary causing precocious puberty. At our knowledge this is the first case of Proteus syndrome with precocious puberty in a female.
Spontaneous Rupture Of An Ovarian Tumor During Labor, Radha Kumari, Lovina S. Machado, Andrzej Krolikowski
Spontaneous Rupture Of An Ovarian Tumor During Labor, Radha Kumari, Lovina S. Machado, Andrzej Krolikowski
Saudi Medical Journal
No abstract provided.
Innovations In Pancreas Transplantation, Haider A. Al-Shurafa, Muaffak T. Jawdat, Atef F. Bassas, Xavier C. Rogiers, Wolf O. Bechstein
Innovations In Pancreas Transplantation, Haider A. Al-Shurafa, Muaffak T. Jawdat, Atef F. Bassas, Xavier C. Rogiers, Wolf O. Bechstein
Saudi Medical Journal
Pancreas transplantation is currently the curative treatment for type 1 diabetes mellitus. It aims at providing physiological insulin replacement therapy in type 1 diabetes mellitus. The goal is thereby also to prevent secondary complications of diabetes. Long term control of glucose metabolism has only been achieved by pancreas transplantation. As a result of improvements in the surgical techniques and the efficacy of immunosuppression, the patient and graft survival rates have improved dramatically over the last 2 decades. As a result, pancreas transplantation, as part of simultaneous pancreas and kidney transplantation, pancreas after kidney transplantation, and exceptionally pancreas transplantation alone, became …
Vascular Anomalies - Diagnosis And Therapy, Abdulrahman Y. El-Kayali, Mussaad M. Al-Salman, Kaisor I. Iqbal, Hussein M. Rabee, Elham M. Khoujah
Vascular Anomalies - Diagnosis And Therapy, Abdulrahman Y. El-Kayali, Mussaad M. Al-Salman, Kaisor I. Iqbal, Hussein M. Rabee, Elham M. Khoujah
Saudi Medical Journal
OBJECTIVE: Vascular anomalies were once thought to be impossible to properly diagnose and treat. Hence, we aimed to evaluate the different diagnostic and therapeutic modalities in the management of vascular anomalies. METHODS: We carried out a retrospective review of our experience to evaluate different diagnostic and therapeutic modalities in the management of 25 patients with vascular anomalies over a 2-year-period at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia and follow-up period ranging from 2 months to 2 years. RESULTS: Vascular anomalies were more common in male patients (N=19). Age range was 7 to 46 years. Vascular anomalies were …
Lymphadenopathy In Adults. A Clinicopathological Analysis, Abdullah A. Abba, Afolabi E. Bamgboye, Mohammed Afzal, Rehan A. Rahmatullah
Lymphadenopathy In Adults. A Clinicopathological Analysis, Abdullah A. Abba, Afolabi E. Bamgboye, Mohammed Afzal, Rehan A. Rahmatullah
Saudi Medical Journal
OBJECTIVE: To describe the clinicopathological features of patients admitted to adult wards with a primary presenting feature of lymphadenopathy. METHODS: A retrospective study of all patients admitted to Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia between April 1996 through to March 2000. RESULTS: The patients mean age was 35.2 years (standard deviation 15.7 years) and 59.5% were females while 56.2% were Saudis. Swelling was the primary presenting symptom in 39.3% of the patients, while fever, night sweats, and pain occurred in 17.3%, 10.3% and 8.5% patients. There was considerable overlap between benign and malignant causes of lymphadenopathy but in …
Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Risk Factors For Drug-Resistant Mycobacterium Tuberculosis In Saudi Arabia, Abdulrahman A. Alrajhi, Shahab Abdulwahab, Edna Almodovar, Hail M. Al-Abdely
Saudi Medical Journal
OBJECTIVE: To identify rates of primary and secondary drug-resistant Mycobacterium tuberculosis and their risk factors from a tertiary-care center in the Kingdom of Saudi Arabia. METHODS: Review of microbiological and clinical data of all patients with positive isolates of Mycobacterium tuberculosis between 1995 and 2000 at King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia. RESULTS: Susceptibility to antituberculosis agents was tested in 320 isolates from 320 patients. The median age was 50 years. Pulmonary tuberculosis was diagnosed in 106 (33%) patients, extrapulmonary in 183 (57%), and both in 31 (10%) patients. Two hundred forty-six isolates were …
Hearing Impairment In Low Birth Weight Children, Kamal J. Daghistani, Tarek S. Jamal, Siraj M. Zakzouk
Hearing Impairment In Low Birth Weight Children, Kamal J. Daghistani, Tarek S. Jamal, Siraj M. Zakzouk
Saudi Medical Journal
OBJECTIVE: To investigate the prevalence of hearing impairment in normal and low birth weight children. METHODS: A survey of 9540 Saudi children below 15 years of age was carried out. The survey was performed in the provinces of the Kingdom of Saudi Arabia from September 1994 to May 1998. The subjects were classified into low birth weight (up to 2.5 kg) and normal birth weight (>2.5 kg) groups. Each child was carefully examined for hearing status. RESULTS: The results of this study showed significantly high prevalence of hearing impairment in low birth weight children (14.87%) as compared to normal …
Standard Penile Size For Normal Full Term Newborns In The Saudi Population, Abdullah S. Al-Herbish
Standard Penile Size For Normal Full Term Newborns In The Saudi Population, Abdullah S. Al-Herbish
Saudi Medical Journal
OBJECTIVE: To establish norms for penile size for normal full term Saudi newborns. METHODS: The length between the pubic ramus and the tip of the glans was measured in 379 normal full term Saudi newborns. An unmarked spatula was used where its edge was placed against the pubic ramus and the shaft of the penis was stretched to the point of increased resistance. The penile circumference was measured using a non- stretchable plastic tube placed around the midshaft of the uncircumcised penis. The study was carried out in King Khalid University Hospital and King Fahad National Guard Hospital, Riyadh, Kingdom …
Changing Trends Of Histopathology In Childhood Nephrotic Syndrome In Western Saudi Arabia, Jameela A. Kari
Changing Trends Of Histopathology In Childhood Nephrotic Syndrome In Western Saudi Arabia, Jameela A. Kari
Saudi Medical Journal
OBJECTIVE: It is widely accepted that minimal change nephrotic syndrome is the most common cause of nephrosis in children. Recent studies have demonstrated an increasing incidence of focal segmental glomerulosclerosis in adults and children. This study was conducted to analyze the trend of histopathologic subtypes in idiopathic nephrotic syndrome in the western area of the Kingdom of Saudi Arabia. METHODS: To determine the possible changes in the etiology of childhood nephrosis, the clinical charts of 46 pediatric patients diagnosed with idiopathic nephrotic syndrome between 1997 and 2001, group A, were reviewed. Results were compared with our initial published data of …
Congenital Lobar Emphysema, Ahmed H. Al-Salem
Congenital Lobar Emphysema, Ahmed H. Al-Salem
Saudi Medical Journal
Congenital lobar emphysema is a very rare congenital cystic malformation of the lung that can cause acute respiratory distress in early life. This paper reviews 6 cases of congenital lobar emphysema seen over a period of 10 years. The medical records of children with the diagnosis of congenital lobar emphysema were retrospectively reviewed for age at diagnosis, sex, presenting symptoms, investigations, treatment and outcome. There were 4 males and 2 females, and all of them presented before 6 months of age. Three presented with recurrent chest infection, while the other 3 had acute respiratory distress soon after birth. In all, …