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Leukemia Cutis In A Middle Aged Saudi Patient With Acute Myeloid Leukemia, Omar M. Al-Akloby, Ali M. Al-Ameer, Layla A. Bashwari Dec 2001

Leukemia Cutis In A Middle Aged Saudi Patient With Acute Myeloid Leukemia, Omar M. Al-Akloby, Ali M. Al-Ameer, Layla A. Bashwari

Saudi Medical Journal

No abstract provided.


Papillary Carcinoma In A Thyroglossal Duct Cyst, Vijaya Lakhsmi, Fadel A. Zahra Dec 2001

Papillary Carcinoma In A Thyroglossal Duct Cyst, Vijaya Lakhsmi, Fadel A. Zahra

Saudi Medical Journal

No abstract provided.


Problem-Based Learning And Current Textbooks: Trains On Motorways?, Mahfooz A. Farooqui, Omar A. Al-Rawas, Samy A. Azer Dec 2001

Problem-Based Learning And Current Textbooks: Trains On Motorways?, Mahfooz A. Farooqui, Omar A. Al-Rawas, Samy A. Azer

Saudi Medical Journal

No abstract provided.


Current Evaluation And Management Of Renal And Ureteral Stones, Ahmed N. Ghanem Dec 2001

Current Evaluation And Management Of Renal And Ureteral Stones, Ahmed N. Ghanem

Saudi Medical Journal

No abstract provided.


Clinicopathological Patterns And Distribution Of Schistomsomiasis In Asir Region, Kingdom Of Saudi Arabia, Abdul-Wahed Meshikhes Dec 2001

Clinicopathological Patterns And Distribution Of Schistomsomiasis In Asir Region, Kingdom Of Saudi Arabia, Abdul-Wahed Meshikhes

Saudi Medical Journal

No abstract provided.


Multiple Choice Questions, Awad M. Ahmed, Shabih Manzar Nov 2001

Multiple Choice Questions, Awad M. Ahmed, Shabih Manzar

Saudi Medical Journal

No abstract provided.


Acute Renal Failure In An Intensive Care Unit, Hatem O. Qutub, Ibrahiem A. Saeed Nov 2001

Acute Renal Failure In An Intensive Care Unit, Hatem O. Qutub, Ibrahiem A. Saeed

Saudi Medical Journal

OBJECTIVE: To determine the clincal course and outcome of acute renal failure in an intensive care unit set-up. METHODS: All patients admitted to the intensive care until who developed acute renal failure were prospectively studied over a 3-year period from 1996 to 1999, at King Fahd Hospital of the University, Al Khobar, Kingdom of Saudi Arabia. They were investigated for the causes of their acute renal failure, given appropriate treatment and their course carefully documented until discharge from the intensive care unit. RESULTS: Forty-seven patients (29 male and 18 female) were studied. The majority were Saudis (81%). The age range …


Ipsilateral Dislocation Of The Shoulder And Elbow, Mohammed R. Khan, Tarek M. Mirdad Nov 2001

Ipsilateral Dislocation Of The Shoulder And Elbow, Mohammed R. Khan, Tarek M. Mirdad

Saudi Medical Journal

Ipsilateral dislocation of shoulder and elbow joints is a rare injury. Only 2 such cases have been reported in the English literature. We report a case of a 35-year-old man involved in a road traffic accident under the influence of alcohol. He sustained posterior left elbow and anterior left shoulder dislocation with minimally displaced greater tuberosity fracture. He also had partial median nerve palsy. Under intramuscular pethidine and intravenous diazepam, close reduction of elbow followed by shoulder was carried out. At 2 months, median nerve function returned to normal. At 3 months, almost full elbow and shoulder joint movement returned. …


Mummification To Plastination. Revisited, Muhammad Saeed, Amin A. Rufai, Saleh E. Elsayed Nov 2001

Mummification To Plastination. Revisited, Muhammad Saeed, Amin A. Rufai, Saleh E. Elsayed

Saudi Medical Journal

A brief summary of the history of anatomy is presented with particular focus on important scientists who contributed significantly to the development of anatomical education and recognition of anatomy as a discipline of science. An attempt has been made to review the history of preservation of human cadavers from earliest mummification methodology used by ancient Egyptians to the most modern technique of embalming and plastination of human cadavers, developed by Von Hagens during the period from 1979 to 1987. The need for use of modern teaching aids for instruction of topographic anatomy is also highlighted.


Hypertension Among Attendants Of Primary Health Care Centers In Al-Qassim Region, Saudi Arabia, Khalid A. Kalantan, Ashry G. Mohamed, Ahmed A. Al-Taweel Nov 2001

Hypertension Among Attendants Of Primary Health Care Centers In Al-Qassim Region, Saudi Arabia, Khalid A. Kalantan, Ashry G. Mohamed, Ahmed A. Al-Taweel

Saudi Medical Journal

OBJECTIVE: The aims of the present work were to determine the prevalence of hypertension among attendants of primary health care centers in Al-Qassim region, Kingdom of Saudi Arabia. Also to investigate sociodemographic associates, and assess awareness among hypertensives. METHODS: Through cluster sampling 30 primary health care centers were selected. Forty attendants were chosen randomly from each center. A questionnaire inquiring sociodemographic characteristics and awareness was completed by interview with each participant. Using standardized methods the blood pressure, height and weight were measured. RESULTS: The study sample amounted to 1114 persons, 338 (30%) were hypertensives (blood pressure >140/90), 24% stage 1, …


Three Methods Of Treatment Of Chalazia In Children, Thabit A. Mustafa, Ismat H. Oriafage Nov 2001

Three Methods Of Treatment Of Chalazia In Children, Thabit A. Mustafa, Ismat H. Oriafage

Saudi Medical Journal

OBJECTIVE: This is a pilot prospective study undertaken to compare 3 methods of chalazion treatment, namely intralesional triamcinolone acetonide injection, incision and curettage and the combination of incision, curettage and intralesional triamcinolone acetonide injection. METHODS: Twenty-six pediatric age patients with 36 chalazia were divided into 3 groups of 12 chalazia each. The first group received intralesional triamcinolone acetonide 5 mg/ml injection, the 2nd group was treated by simple incision and curettage and the 3rd group was treated by incision, curettage and intralesional triamcinolone acetonide injection on the same session. RESULTS: In the first group, after 2 weeks from receiving intralesional …


Gynecology And Obstetrical Conditions Requiring Intensive Care Admission, Abdulwahab S. Al-Jabari, Abdulaziz A. Al-Meshari, Mohamad S. Takrouri, Mohamad A. Seraj Nov 2001

Gynecology And Obstetrical Conditions Requiring Intensive Care Admission, Abdulwahab S. Al-Jabari, Abdulaziz A. Al-Meshari, Mohamad S. Takrouri, Mohamad A. Seraj

Saudi Medical Journal

OBJECTIVE: Gynecological admissions to the surgical intensive care unit vary from the obstetrical cases. Pregnant women are of prime age and can tolerate the pregnancy and delivery well. There are certain rare conditions or complications, which make the pregnant women9s life pass through a critical time. These are dealt with in a high dependency area, which is short of the intensive care unit. In King Khalid University Hospital there is no such arrangement, so the mildly affected and critically ill patients together are cared for in the surgical intensive care unit. The objective of this study is to study the …


Knowledge And Attitude Of Dental Health Workers Towards Fluoride In Riyadh Area, Azizah F. Al-Mobeeriek, Saleh M. Al-Shamrani, Al-Johera A. Al-Hussyeen, Hawzen Z. Bushnaq, Rana A. Al-Waheib Nov 2001

Knowledge And Attitude Of Dental Health Workers Towards Fluoride In Riyadh Area, Azizah F. Al-Mobeeriek, Saleh M. Al-Shamrani, Al-Johera A. Al-Hussyeen, Hawzen Z. Bushnaq, Rana A. Al-Waheib

Saudi Medical Journal

OBJECTIVE: To assess the knowledge, attitudes, and beliefs of the dentists and hygienists in the Riyadh area of the Kingdom of Saudi Arabia towards fluoride. METHODS: One hundred and thirty dentists and hygienist working in dental clinics in Riyadh were randomly selected. Self-administered questionnaires covered the following areas: general information, the use and application of fluoride, pharmacodymanics and pharmacokinetics of fluoride. The subjects responded to each of the statements by ticking one of the 3-scaled options from "agree" to "disagree". RESULTS: The majority of the respondents (65%) supported an assessment of the pattern of dental caries before fluoridating the water, …


Frequency Of Abo Blood Groups In The Eastern Region Of Saudi Arabia, Layla A. Bashwari, Abdul A. Al-Mulhim, Malik S. Ahmad, Mirghani A. Ahmed Nov 2001

Frequency Of Abo Blood Groups In The Eastern Region Of Saudi Arabia, Layla A. Bashwari, Abdul A. Al-Mulhim, Malik S. Ahmad, Mirghani A. Ahmed

Saudi Medical Journal

OBJECTIVE: To document the frequency of the ABO and Rhesus blood groups in Saudi male donors, and to compare our results with the results of other studies in the Kingdom and elsewhere. METHODS: This study included a total of 57396 male potential blood donors; 19496 blood donors between the years 1985-1989 (referred to as first period of study) and 37700 blood donors between the years 1995-1999 (2nd period). The blood donors were Saudis, coming to donate blood for various reasons to the Blood Bank Department of King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia. ABO and Rhesus …


Carnitine Palmityl Transferase I Deficiency, Aida I. Al-Aqeel, Mohammed S. Rashed, Jos P. Ruiter, Hussa F. Al-Husseini, Mohammed S. Al-Amoudi, Ronald J. Wanders Nov 2001

Carnitine Palmityl Transferase I Deficiency, Aida I. Al-Aqeel, Mohammed S. Rashed, Jos P. Ruiter, Hussa F. Al-Husseini, Mohammed S. Al-Amoudi, Ronald J. Wanders

Saudi Medical Journal

Carnitine palmityl transferase I is the key enzyme in the carnitine dependent transport of long chain fatty acids across the mitochondrial inner membrane and its deficiency results in a decrease rate of fatty acids beta-oxidation with decreased energy production. We reported a family of 3 affected siblings who are the product of a first degree cousin marriage. The first 2 presented with typical Reye-like syndrome with unconsciousness, hepatomegaly, hypoglycemia, hyperammonemia and very high liver enzymes. Liver biopsy showed steatosis. On screening of the complete family, the 3rd sibling was found to have hepatomegaly. The 3 siblings showed an acyl carnitine …


Mammary Duct Ectasia And Periductal Mastitis In Males, Jamal K. Al-Masad Nov 2001

Mammary Duct Ectasia And Periductal Mastitis In Males, Jamal K. Al-Masad

Saudi Medical Journal

Mammary duct ectasia/periductal mastitis is exceedingly rare in males. Ten cases have been reported in the literature, the last 2 cases were associated with Human immunodeficiency virus. The previously reported cases presented in females with blood stained discharge or subareolar inflammatory process. All cases required surgical treatment, 7 out of 10 cases underwent a form of mastectomy. To the best of our knowledge this disease entity was not reported in patients suffering from Behcets disease. This article described 2 new cases, one of them is a young man who had associated Behcets disease. An immune mechanism may be responsible for …


Care Of Women In The Middle East, Latif A. Khan, Sarosh A. Khan, Samar Iqbal Nov 2001

Care Of Women In The Middle East, Latif A. Khan, Sarosh A. Khan, Samar Iqbal

Saudi Medical Journal

No abstract provided.


Gut Peptides And Elemental Diet In Childhood Crohn's Disease, Fauzi A. Sagher, Vector Miller Nov 2001

Gut Peptides And Elemental Diet In Childhood Crohn's Disease, Fauzi A. Sagher, Vector Miller

Saudi Medical Journal

No abstract provided.


Rare Abdominal Wall Hernias In Infants And Children, Ahmed H. Al-Salem Nov 2001

Rare Abdominal Wall Hernias In Infants And Children, Ahmed H. Al-Salem

Saudi Medical Journal

No abstract provided.


Pattern Of Acute Pancreatitis, Mohammed Bakhotmah, Saeed Abu-Eshy Nov 2001

Pattern Of Acute Pancreatitis, Mohammed Bakhotmah, Saeed Abu-Eshy

Saudi Medical Journal

No abstract provided.


Medical Surfing, Latif A. Khan, Sarosh A. Khan Nov 2001

Medical Surfing, Latif A. Khan, Sarosh A. Khan

Saudi Medical Journal

The Internet has revolutionized information technology. Vast amounts of latest information are available on the Internet to medical professionals. Medical surfing is fast becoming part of a doctor9s profession. But the way to approach the Internet and retrieve useful information from myriads of medical websites seems a daunting task to many. This review aims to help the newcomer, the medical students and doctors in obtaining fruitful medical information while surfing. It will prevent them from the feeling of getting drowned in the ocean of medical information. As medical information is not restricted to books and journals, providing Internet addresses of …


Malnutrition In Children With Congenital Heart Defects, Poothirikovil Venugopalan, Felix O. Akinbami, Khalid M. Al-Hinai, Ajit K. Agarwal Nov 2001

Malnutrition In Children With Congenital Heart Defects, Poothirikovil Venugopalan, Felix O. Akinbami, Khalid M. Al-Hinai, Ajit K. Agarwal

Saudi Medical Journal

OBJECTIVE: To assess the frequency of malnutrition in children with congenital heart defects in a hospital outpatient setting. METHODS: One hundred and fifty-two children with congenital heart defects (patients), and an equal number of children with innocent cardiac murmurs (controls) attending the Pediatric Cardiology Outpatient Clinic at Sultan Qaboos University Hospital, Muscat, Oman from 1997 to 1998 were prospectively studied. Weight, height and head circumference were used for evaluation of nutritional status. Patients and controls were categorized into acute malnutrition (weight <3rd percentile for age, and height >3rd centile), and chronic malnutrition (weight and height <3rd centile), based on the National Centre for Health Statistics standards. Children with symptomatic congenital heart defects (Group I, number = 73) were also compared with those without symptoms (Group II, number = 79). RESULTS: The study patients showed a higher frequency of both acute (27%) and chronic (24%) malnutrition (p<0.01). Children in Group I had a significant reduction in weight (p<0.01), height (p=0.02) and head circumference (p<0.01) compared to controls, however for those in Group II the differences were not significant. Acute malnutrition was higher in both groups, 31% (p<0.01) and 16% (p=0.04), whilst chronic malnutrition was significantly higher only in Group I, 31% (p<0.01). Infants in Group I were more frequently affected (33/45) compared to older children (13/28; p=0.02). CONCLUSION: Malnutrition remains a problem among children with congenital heart defects, especially in those with either heart failure or cyanosis, and symptomatic infants are the worst affected. Greater attention is required in the dietary management, early diagnosis and intervention to restore normal growth.


Serum 25-Hydroxy Cholecalciferol In Infants And Preschool Children In The Western Region Of Saudi Arabia. Etiological Factors, Suhad M. Bahijri Nov 2001

Serum 25-Hydroxy Cholecalciferol In Infants And Preschool Children In The Western Region Of Saudi Arabia. Etiological Factors, Suhad M. Bahijri

Saudi Medical Journal

OBJECTIVE: Low vitamin D status has been frequently reported among Saudi subjects of all ages. No attempt has been made to relate this status to dietary intake or to diseases leading to malabsorption, for example diarrhea. This study was performed to investigate the various factors leading to low vitamin D status, and their relative importance in infants and preschool children. METHODS: Nine hundred and thirty-five healthy subjects aged 4-72 months were selected randomly form the Jeddah area of the Kingdom of Saudi Arabia. Medical history, time and frequency of exposure to sunlight and dietary intake were recorded. Blood samples were …


Abdominal Myomectomy Versus Abdominal Hysterectomy For Symptomatic And Big Uterine Fibroids, Abdulrahim A. Rouzi, Afaf I. Al-Noury, Amal S. Shobokshi, Hassan S. Jamal, Hassan S. Abduljabbar Nov 2001

Abdominal Myomectomy Versus Abdominal Hysterectomy For Symptomatic And Big Uterine Fibroids, Abdulrahim A. Rouzi, Afaf I. Al-Noury, Amal S. Shobokshi, Hassan S. Jamal, Hassan S. Abduljabbar

Saudi Medical Journal

OBJECTIVE: To compare abdominal myomectomy with abdominal hysterectomy in women with big and symptomatic uterine fibroids. METHODS: The hospital records at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia were reviewed to identify women who underwent abdominal myomectomy or abdominal hysterectomy between 1989 and 1999. Inclusion criteria were the presence of symptoms and size of the uterus equaling that of 12 weeks gestation or more. Women who underwent myomectomy as a treatment of infertility were excluded. RESULTS: During the study period, 111 women met the inclusion criteria. Thirty-eight women underwent abdominal myomectomy and 73 women underwent abdominal hysterectomy. Forty …


Morphological Profile Of Testicular Biopsies Associated With Infertility, Awatif A. Jamal, Ibrahim Mansoor Nov 2001

Morphological Profile Of Testicular Biopsies Associated With Infertility, Awatif A. Jamal, Ibrahim Mansoor

Saudi Medical Journal

OBJECTIVE: Based on testicular biopsies examined at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, the goal of this retrospective study is identification and systemization of the histopathological patterns of testicular biopsies received especially for investigating male infertility and further more to compare the findings of our study with similar studies in the literature. METHODS: Our study group consisted of 164 testicular biopsies, which were examined in the Department of Histopathology at King Abdulaziz University Hospital in Jeddah, over a period of 10 years. The data was retrieved and analyzed and the available histopathological results were grouped into 8 …


Value Of Routine Frozen Section Diagnosis Of Thyroid Lesions, Dalal M. Tamimi Nov 2001

Value Of Routine Frozen Section Diagnosis Of Thyroid Lesions, Dalal M. Tamimi

Saudi Medical Journal

OBJECTIVE: The value of routine frozen section examination for intraoperative diagnosis of thyroid cancer is controversial and needs to be evaluated on an institution to institution basis. This paper highlights the local experience with frozen section and analyses its role, accuracy and limitation in diagnosing thyroid cancer. METHODS: A retrospective study of 61 patients who underwent thyroidectomy with routine thyroid frozen section examination at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia. Results were compared with the final diagnosis to evaluate its effectiveness in predicting malignancy. RESULTS: Frozen section diagnosis, proved to be benign in 44 (72%) …


Magnetic Resonance Imaging Of Normal Lumbar Intervertebral Discs, Maher T. Al-Hadidi, Darwish H. Badran, Azmy M. Al-Hadidi, Jamal H. Abu-Ghaida Nov 2001

Magnetic Resonance Imaging Of Normal Lumbar Intervertebral Discs, Maher T. Al-Hadidi, Darwish H. Badran, Azmy M. Al-Hadidi, Jamal H. Abu-Ghaida

Saudi Medical Journal

OBJECTIVE: To study changes in midpoint lumbar disc heights in an asymptomatic Jordanian sample relative to age, sex, lumbar level and midvertebral heights. METHODS: A total of 153 asymptomatic patients (87 males, age range 20-65 years; mean 43±12.1 and 66 females, age range 22-68 years; mean 47±13.7) were selected during the study period. All underwent midsagittal magnetic resonance imaging to measure the midpoint disc height and midvertebral height of all lumbar spines. Values were statistically analyzed to obtain the significance of differences in the means of midpoint disc heights at different levels in every age group and among other age …


Ktp-Laser And Fibrin Glue For Treatment Of Fistulae In Ano, Aws S. Salim, Talal M. Ahmed Nov 2001

Ktp-Laser And Fibrin Glue For Treatment Of Fistulae In Ano, Aws S. Salim, Talal M. Ahmed

Saudi Medical Journal

Fistulae-in-ano remains a significant surgical problem due to the limitations pertinent to accurate assessment and the magnitude, shortcomings and side effects of the various procedures currently employed for their management. Six consecutive fistulae-in-ano patients (males, age range 30 to 58 years) were successfully treated by KTP laser (20-watt continuous aim for 20 to 30 seconds delivering a total energy of 400 to 600 joules) with rapid solidification fibrin glue then followed up for 3 months without recurrence. This approach offers a simple, expeditious and effective treatment for fistulae-in-ano thereby overcoming many of the restrictions associated with other methods.


Quantity And Quality Of Research From The Gulf Corporation Council Countries, Fikri Abu-Zidan, Dirk Deleu, Margaret G. Northway, Yolande Hanssens Nov 2001

Quantity And Quality Of Research From The Gulf Corporation Council Countries, Fikri Abu-Zidan, Dirk Deleu, Margaret G. Northway, Yolande Hanssens

Saudi Medical Journal

No abstract provided.


The Diagnostic Value Of Seminal A-Glucosidase Enzyme Index For Sperm Motility And Fertilizing Capacity, Dawoud A. Yassa, Walid K. Idriss, Majed E. Atassi, Sambasiva K. Rao Nov 2001

The Diagnostic Value Of Seminal A-Glucosidase Enzyme Index For Sperm Motility And Fertilizing Capacity, Dawoud A. Yassa, Walid K. Idriss, Majed E. Atassi, Sambasiva K. Rao

Saudi Medical Journal

OBJECTIVE: To find out the diagnostic value of seminal a-glucosidase enzyme index in the ejaculated semen samples of proven-fertility and primary infertility patients, for the sperm motility and fertilizing capacity. METHODS: The study which lasted approximately 2 years was carried out in the Andrology Department of the Arab Fertility Center, Jeddah, Kingdom of Saudi Arabia. Eighty-five healthy male patients (age 25-38 years) were admitted into the study. They were divided into 2 main groups as proven-fertility group and primary infertility group. Each group was again subdivided into 4 classes based on the sperm concentrations. The sperm motility assessment was carried …