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Prevalence Of Helicobacter Pylori In Northern Jordan. Endoscopy Based Study, Kamal E. Bani-Hani, Shadi M. Hammouri Oct 2001

Prevalence Of Helicobacter Pylori In Northern Jordan. Endoscopy Based Study, Kamal E. Bani-Hani, Shadi M. Hammouri

Saudi Medical Journal

OBJECTIVE: Helicobacter pylori infection is considered the most common infection worldwide and is associated with many other disorders. The aim of this study is to determine the prevalence of this infection among patients undergoing endoscopy in Northern Jordan. METHODS: Between November 1998 and September 2000, all patients referred from the Gastro-esophageal Clinic to the Endoscopy Unit at Princess Basma Teaching Hospital, Irbid, Northern Jordan were enrolled in this prospective study. For each patient clinical and epidemiological data was collected and endoscopy was performed. At least 3 antral biopsies were obtained from each patient, and these were examined histologically for the …


Schistosoma Mansoni As A Cause Of Bloody Stool In Children, Nassir A. Haidar Oct 2001

Schistosoma Mansoni As A Cause Of Bloody Stool In Children, Nassir A. Haidar

Saudi Medical Journal

OBJECTIVE: To identify the frequency of schistosoma mansoni as a cause of bloody stool or diarrhea and study the clinical, laboratory, radiological characteristics and regional distribution in Hajjah governorate. METHODS: This was a hospital based study conducted in Hajjah town, from April 1997 to May 1999. Medical charts were reviewed for age, sex, area of residency, clinical presentation, number of previous schistosoma mansoni infections, possible causes of bloody stool or diarrhea, number of hospital visits and results of any radiological studies made. RESULTS: Three hundred and sixty patients presented to the pediatric clinic with a history of bloody stool, 156 …


The Pattern And Distribution Of Malignant Neoplasms Among Yemeni Patients, Abdulla K. Al-Thobhani, Yahia A. Raja’A, Tariq A. Noman Oct 2001

The Pattern And Distribution Of Malignant Neoplasms Among Yemeni Patients, Abdulla K. Al-Thobhani, Yahia A. Raja’A, Tariq A. Noman

Saudi Medical Journal

OBJECTIVE: This research was aimed at describing the pattern of malignancies among 1,491 patients during 1996 through to 2000 and to explore association with age, sex and site of cancers. METHODS: A research was carried out at a Histopathology Center in Sana9a, Republic of Yemen between the period August 1996 through to August 2000. All specimens were diagnosed by one pathologist based on the International Classification of Disease for Oncology. RESULTS: Results revealed comparable male: female ratio (1:0.92) and mean age of 46.1 ± 22.8 in males and 44.2 ±18.3. The most common cancers were the gastrointestinal tract malignancies, 22%. …


Comparison Of Minimum Inhibitory Concentration Values For Fluoroquinolones Against Escherichia Coli Causing Urinary Tract Infection In Both Hospitalized Patients And Outpatients, Mohamed Tayfour, A. Yuce, N. Yulug Oct 2001

Comparison Of Minimum Inhibitory Concentration Values For Fluoroquinolones Against Escherichia Coli Causing Urinary Tract Infection In Both Hospitalized Patients And Outpatients, Mohamed Tayfour, A. Yuce, N. Yulug

Saudi Medical Journal

OBJECTIVE: To determine the resistance among Escherichia coli isolates causing urinary tract infections in hospitalized patients and outpatients. METHODS: This study was carried out in the Department of Microbiology, Dokuz Eylul University, Medical Faculty Hospital, Inciralti, Ismir, Turkey, from February 1997 through to June 1998. A total of 300 Escherichia coli strains were isolated from urine specimens of 111 hospitalized and 189 elderly outpatients (more than 20 years of age). We determined the minimum inhibitory concentrations of the test drugs nalidixic acid, pefloxacin, ofloxacin, norfloxacin and ciprofloxacin by the microdilution method, recommended by the National Committee for Clinical Laboratory Standards. …


The Diagnosis Of Diabetes Mellitus. A Contest Between 3 Points!, Aus A. Alzaid, Samia Sobki Oct 2001

The Diagnosis Of Diabetes Mellitus. A Contest Between 3 Points!, Aus A. Alzaid, Samia Sobki

Saudi Medical Journal

A major debate is currently taking place on the world diabetes scene on the merits of fasting versus 2-hour postprandial glucose concentrations as a reference point for the diagnosis of diabetes. Other time points of the oral glucose tolerance test on the other hand, seem to attract little attention. In Saudi Arabia however, we have been intrigued by the scale and severity of hyperglycemia observed at one-hour following glucose load. Plasma glucose concentration one-hour postprandially is strikingly abnormal amongst native Saudis and interestingly, is associated with insulin resistance and features of syndrome X. Such observations have prompted us to call …


In Vitro Activity Of 6 Antifungal Agents On Candida Species Isolated As Causative Agents From Vaginal And Other Clinical Specimens, Mohamed S. Ellabib, Ibrahim A. Eljariny Oct 2001

In Vitro Activity Of 6 Antifungal Agents On Candida Species Isolated As Causative Agents From Vaginal And Other Clinical Specimens, Mohamed S. Ellabib, Ibrahim A. Eljariny

Saudi Medical Journal

OBJECTIVE: To study the susceptibility pattern of candida species isolated from various clinical specimens to common usable antifungals in Libya. METHODS: Two hundred and four candida species were isolated from patients complaining of fungal infections gathered from vaginal swabs, nails, throat, hair and ear. Yeast isolates were identified to the species level by API 20C AUX Commercial system. The in vitro susceptibility to amphotericin B, nystatin, ketoconazole, miconazole, clotrimazole and econazole was determined using the macrodilution in broth method. RESULTS: Candida albicans was the most common isolated species from vaginal and Candida tropicalis from throat swabs. On the other hand …


Teenage Pregnancy, Ratib A. Mesleh, Amal S. Al-Aql, Ahmad M. Kurdi Oct 2001

Teenage Pregnancy, Ratib A. Mesleh, Amal S. Al-Aql, Ahmad M. Kurdi

Saudi Medical Journal

OBJECTIVE: To study the frequency of teenage pregnancy and its complications as compared to controls. METHODS: A retrospective case record analysis of 2522 pregnancies, aged below 25 years was carried out, in the Department of Obstetrics, Riyadh Armed Forces Hospital during the period 1 January 1999 to 31st December 1999. RESULTS: The incidence of teenage pregnancy for 1999 was 6%. Three hundred and eighty five (76%) were carrying their first pregnancy while 42 (8%) mothers had 2 or more previous pregnancies and deliveries. The birth weight was less than 2.5 kg in 109 (21.5%) adolescents, as compared to 187 (9%) …


Does Serum Calcium In Pre-Eclampsia And Normal Pregnancy Differ?, Nasser O. Malas, Ziad M. Shurideh Oct 2001

Does Serum Calcium In Pre-Eclampsia And Normal Pregnancy Differ?, Nasser O. Malas, Ziad M. Shurideh

Saudi Medical Journal

OBJECTIVE: To determine the calcium and parathyroid hormone levels in normal pregnancy and pregnancy induced hypertension. METHODS: Eighty pregnant women were enrolled in this study, 50 women represented the study group (Pregnancy-induced hypertension), and 30 women represented the control group (normal pregnancy). This study was carried out between March 1998 to February 2000 at King Hussein Medical Center, starting from the first or 2nd trimester. Once the patient developed hypertension for the first time in the 3rd trimester and fullfilled the selected criteria she was enrolled in this study. RESULTS: The mean serum total calcium of the study group was …


Prevalence Of Smoking Among High School Students, Musa A. Al-Yousaf, Anjum Karim Oct 2001

Prevalence Of Smoking Among High School Students, Musa A. Al-Yousaf, Anjum Karim

Saudi Medical Journal

OBJECTIVE: Smoking is the single and most important preventable cause of morbidity and morality worldwide. This study was carried out to ascertain the prevalence of smoking among high school students in Alkharj and the influencing factors for smoking. METHODS: This study was carried out by means of a Questionnaire. The study was conducted by the Department of Family and Community Medicine in Al-Kharj Military Hospital, Kingdom of Saudi Arabia. The participants were students of age 15 years and above in randomly selected Alkharj high schools. RESULTS: Out of 819 correspondence 166 (20%) were current smokers, 134 (16%) were ex-smokers. Five …


Development Of Maximal Cardiorespiratory Function In Saudi Boys. A Cross-Sectional Analysis, Hazzaa M. Al-Hazzaa Oct 2001

Development Of Maximal Cardiorespiratory Function In Saudi Boys. A Cross-Sectional Analysis, Hazzaa M. Al-Hazzaa

Saudi Medical Journal

OBJECTIVE: To provide normative data on maximal cardiorespiratory function for healthy Saudi boys between the ages of 7-15 years. METHODS: One hundred and thirty-seven Saudi boys from nearby schools in Riyadh, Kingdom of Saudi Arabia, participated in this study. Cardiorespiratory measurements were obtained during graded treadmill running until exhaustion. Gas exchange variables were assessed continuously throughout the test using open circuit spirometry. RESULTS: Normative values in the forms of means, standard deviation and percentiles were presented for 4 age groups. Mass-dependent cardiorespiratory variables were also classified based on body surface area. Absolute maximal oxygen uptake increased linearly from 1.2 ± …


Gallbladder Pathologies And Cholelithiasis, Ibrahim H. Zahrani, Ibrahim Mansoor Oct 2001

Gallbladder Pathologies And Cholelithiasis, Ibrahim H. Zahrani, Ibrahim Mansoor

Saudi Medical Journal

OBJECTIVE: Cholecystectomy, mostly due to cholelithiasis is one of the most common surgical procedures utilizing a significant amount of healthcare resources. As there are a huge number of cases, for example approximately 300 cases per year in our region, outlines this commonly encountered lesion should be recorded. Also, in an attempt to delineate the outline of the pattern, age and sex distribution of gallbladder diseases in the whole Kingdom, a comparative analysis is also included in this study with 7 other studies published from different parts of the Kingdom. METHODS: Our study consisted of 740 consecutive gallbladder cholecyctectomies mostly for …


Diaphragmatic Injury. A Clinical Review, Abdulmohsen A. Al-Mulhim, Naif I. Al-Awad, Hazem M. Zakaria, Majed S. Al-Awami Oct 2001

Diaphragmatic Injury. A Clinical Review, Abdulmohsen A. Al-Mulhim, Naif I. Al-Awad, Hazem M. Zakaria, Majed S. Al-Awami

Saudi Medical Journal

OBJECTIVE: Recent experience at King Fahad Hospital of the University, Al-Khobar University, Kingdom of Saudi Arabia was reviewed to identify the pitfalls in the diagnosis of diaphragmatic injuries, and attempt to develop a scheme by which early diagnosis is achieved in order to avoid the sequelae of delayed presentations. METHODS: A retrospective chart review of patients admitted to the surgical service, with the diagnosis of diaphragmatic injury was undertaken during the period June 1994 through to June 1999. RESULTS: The total number was 8 patients, and the age ranged between 6-71 years. Of these patients 5 were diagnosed immediately post-traumatic, …


Integration Of Mental Health Care Into Primary Care. Preliminary Observations Of Continuing Implementation Phase., Naseem A. Qureshi, Yasser S. Al-Ghamdy, Nasser S. Al-Haddad, Muzamil H. Abdelgadir, Mohd H. Tawfik Oct 2001

Integration Of Mental Health Care Into Primary Care. Preliminary Observations Of Continuing Implementation Phase., Naseem A. Qureshi, Yasser S. Al-Ghamdy, Nasser S. Al-Haddad, Muzamil H. Abdelgadir, Mohd H. Tawfik

Saudi Medical Journal

OBJECTIVE: The authors mainly focus on the initial observations of the implementation phase of a health project that aims to integrate mental health into primary care. METHODS: In the light of specific aims and objectives of both planning and curriculum development phases, 2- weeks of intensive psychiatric training consisting of basic theoretical and clinical concepts of psychiatry was imparted to a group of general practitioners and paramedical staff. In addition to assessing their pre-and post-training knowledge, attitude, and practice toward psychiatry, 2 internal Consultant Psychiatrists and participants evaluated the training course providing appropriate feedback to the organizers and trainers for …


Synchronous Endometrioid Carcinoma Of The Ovary And Endometrium Associated With Ovulation Induction, Samir Ghourab Oct 2001

Synchronous Endometrioid Carcinoma Of The Ovary And Endometrium Associated With Ovulation Induction, Samir Ghourab

Saudi Medical Journal

Over the last 2 decades great concern about the possible association between ovarian cancer and ovulation induction has been raised. Between the first reported case in 1982 and the end of year 2000, there have been 44 cases of ovarian carcinoma reported to occur in women previously treated with ovulation induction drugs. Most of these tumors were of the serous type with low malignant potential. In the present case, the patient had secondary anovulatory infertility and previous left cystoophorectomy for ovarian endometrioma. She was treated with human menopausal gonadotrophin alone or in combination with clomiphene citrate for 13 cycles prior …


Histopathology Of Adenoid Cystic Carcinoma Of The Larynx And Adenocarcinoma Hybrid, Fadwa J. Altaf Oct 2001

Histopathology Of Adenoid Cystic Carcinoma Of The Larynx And Adenocarcinoma Hybrid, Fadwa J. Altaf

Saudi Medical Journal

A 35-year-old Saudi female presented to the Ear, Nose and Throat clinic complaining of hoarseness of voice. Examination revealed subglottic mass, which proved to be adenoid cystic carcinoma of the larynx with adenocarcinoma hybrid. In this paper we discuss the pathological features and electron microscopy of adenoid cystic carcinoma in detail, including its differential diagnosis, prognosis and treatment.


Post-Operative Wound Infections. Etiology And Follow-Up Problems, Majoub B. Rishi, Mohamed A. Aboshkiwa, Adel A. Bakir Oct 2001

Post-Operative Wound Infections. Etiology And Follow-Up Problems, Majoub B. Rishi, Mohamed A. Aboshkiwa, Adel A. Bakir

Saudi Medical Journal

No abstract provided.


The Value Of Treating The Male Partner In Vaginal Candidiasis, Cornelius S. Bello Oct 2001

The Value Of Treating The Male Partner In Vaginal Candidiasis, Cornelius S. Bello

Saudi Medical Journal

No abstract provided.


Susceptibility Patterns And Serotypes Of Non-Typhoidal Salmonella In Trinidad, Fitzroy A. Orrett, Simone M. Shurland Oct 2001

Susceptibility Patterns And Serotypes Of Non-Typhoidal Salmonella In Trinidad, Fitzroy A. Orrett, Simone M. Shurland

Saudi Medical Journal

OBJECTIVE: To study the serotype distribution of non-typhoidal salmonella isolated from clinical specimens and to evaluate their susceptibility patterns to the most commonly prescribed antimicrobial agents used in this region. METHODS: A retrospective study during the period 1993–1999 was carried out at the Eric Williams Medical Sciences Complex Microbiology Laboratory, a teaching hospital in the northwestern part of Trinidad. Strains of non-typhoidal salmonella were serogrouped with polyvalent Salmonella O antiserum and sent to the local Public Health Laboratory for confirmation and further serotyping. RESULTS: A total of 412 strains of non-typhoidal salmonella were serotyped. Of the 13 serotypes, Salmonella enteritidis …


Unexpected Admissions Following A Day Case Surgery, Basel S. Harahsheh Oct 2001

Unexpected Admissions Following A Day Case Surgery, Basel S. Harahsheh

Saudi Medical Journal

OBJECTIVE: A day case surgery is an important part of the practice of surgery and is very popular with expanding applications. The aim of this study is to investigate the reasons for unexpected admission after a day case surgery. METHODS: All the procedures were carried out at a general hospital, over a 12-month period. All data of the cases admitted for a day case surgery were obtained from the day surgery unit and the admitting wards. RESULTS: There were 5182 surgical procedures performed, 1081 as a day case (21%). Twenty three (2%) patients had to be admitted after planned for …


Circle Of Willis In Adults, Saleh M. Al-Hussain, Ali M. Shoter, Ziad M. Bataina Oct 2001

Circle Of Willis In Adults, Saleh M. Al-Hussain, Ali M. Shoter, Ziad M. Bataina

Saudi Medical Journal

OBJECTIVE: This study was carried out to describe the main variations of the Circle of Willis and to clarify the clinical importance of these variations, so that practitioners and the students are more alert when dealing with this subject. METHODS: This work is based on the study of 50 Circles of Willis from adult Jordanians who died from diverse causes without signs of cerebrovascular diseases. The arteries of these circles are drawn and measured with the aid of a stereoscopic microscope provided with a drawing tube. RESULTS: Fourteen types of Willis polygonals have been identified among which 13 would be …


A Patient With Hypoxemia And A Normal Chest Radiograph, Abdullah F. Al-Mobeireek, Mohamed A. Babatin Oct 2001

A Patient With Hypoxemia And A Normal Chest Radiograph, Abdullah F. Al-Mobeireek, Mohamed A. Babatin

Saudi Medical Journal

The case of a young patient with hypoxemia and a normal chest radiograph is presented in the form of a clinical quiz, followed by a discussion of the differential diagnosis, investigative methods and a brief review of the final diagnosis.


Outcome Of Thyrotoxicosis Treatment With 3 Different Modalities, Faiza A. Qari, Tariq A. Naser, Ibrahim M. Hashim, Gerald J. Tevaarwerk Oct 2001

Outcome Of Thyrotoxicosis Treatment With 3 Different Modalities, Faiza A. Qari, Tariq A. Naser, Ibrahim M. Hashim, Gerald J. Tevaarwerk

Saudi Medical Journal

OBJECTIVE: To assess the efficacy of 3 different treatment modalities for thyrotoxicosis and a comparison of their cost effectiveness. METHODS: The case records of 100 patients treated for thyrotoxicosis at King Khalid National Guard Hospital in Jeddah were reviewed, during the period January 1992 through to January 2000. Their various treatments and responses were recorded as well as their thyriometabolic status, one year following the last treatment. The treatment consisted of an average of 9 months of antithyroid medication, thyroidectomy or treatment with radioactive iodide. Cure was defined as a patient being euthyroid or hypothyroid for a minimum period of …


An Unusual Cervical Swelling In A Child, Ahmed H. Al-Salem Oct 2001

An Unusual Cervical Swelling In A Child, Ahmed H. Al-Salem

Saudi Medical Journal

Congenital thymic cysts are rare benign lesions, frequently seen in the neck and mediastinum, but because of their infrequent occurrence and similarity to other more common cystic swellings, their preoperative diagnosis is not considered. Congenital thymic cysts although rare should be considered in the differential diagnosis of cervical and mediastinal cystic swellings in children. This is a case report of a multilocular cervical thymic cyst in a child.


Hepatitis B Virus Among Libyan Health Care Workers, Subhash Arya Oct 2001

Hepatitis B Virus Among Libyan Health Care Workers, Subhash Arya

Saudi Medical Journal

No abstract provided.


Red Cell Fatty Acid Profile And Elemental Diet In Childhood Crohns Disease, Fauzi A. Sagher, Vector Miller, Ian C. Ward Oct 2001

Red Cell Fatty Acid Profile And Elemental Diet In Childhood Crohns Disease, Fauzi A. Sagher, Vector Miller, Ian C. Ward

Saudi Medical Journal

No abstract provided.


Cecal Volvulus, Alaa Abdul Jabbar Oct 2001

Cecal Volvulus, Alaa Abdul Jabbar

Saudi Medical Journal

No abstract provided.


Management Of Sacrococcygeal Pilonidal Disease, Samar J. Al-Homoud, Zakaria S. Habib, William H. Isbister Sep 2001

Management Of Sacrococcygeal Pilonidal Disease, Samar J. Al-Homoud, Zakaria S. Habib, William H. Isbister

Saudi Medical Journal

OBJECTIVE: Many techniques have been described for the treatment of patients with sacrococcygeal pilonidal disease. No data exists, in relation to this disease within the Kingdom of Saudi Arabia. The aim of this paper is to evaluate our technique retrospectively for management of pilonidial disease with regard to cure and recurrence rates. METHODS: All patients treated at King Faisal Specialist Hospital with either pilonidal abscess or sinus between 1990 and 1998 were identified from the colorectal database and details concerning their presentation, surgery and follow-up were obtained from the patients charts. Both patients with pilonidal sinus and abscess were managed …


Laparoscopy Versus Laparotomy Management Of Tubal Pregnancy, Ahmed M. Saleh, Mona M. Mahjoub, Ahmed M. El-Kurdy Sep 2001

Laparoscopy Versus Laparotomy Management Of Tubal Pregnancy, Ahmed M. Saleh, Mona M. Mahjoub, Ahmed M. El-Kurdy

Saudi Medical Journal

OBJECTIVE: To compare laparoscopy versus laparotomy management of tubal pregnancy and the reproductive outcome. METHODS: A retrospective chart review of 81 patients admitted for management of tubal pregnancy was carried out at Riyadh Armed Forces Hospital from January 1998 until January 2000. The patients were divided according to surgical procedure performed into: Group I (33 patients) laparoscopy and group II (48 patients) laparotomy. We evaluated pre and postoperative serum b-human chorionic gonadotrophin levels, total operating time, total blood loss or blood transfusion or both, duration of hospital stay, recurrence rates of ectopic pregnancy and future fertility outcome for all patients. …


Global Directions For Reforming Health Systems And Expanding Insurance. What Is Suitable For The Arab Gulf Countries?, Samir N. Banoob Sep 2001

Global Directions For Reforming Health Systems And Expanding Insurance. What Is Suitable For The Arab Gulf Countries?, Samir N. Banoob

Saudi Medical Journal

Most countries are exploring and implementing reforms of their health care systems. The Arab countries in the Gulf are no exception after establishing modern governmental health care systems accessible to all and free of charge. Current problems of the Arab systems include financial, managerial and quality issues. The private sector in these countries has no defined national role and is gowing abruptly and unplanned. The paper presents the major global health reform directions, analyzing the current activities in the Arab Gulf countries and proposing certain practical relevant approaches for health reform, and expansion of insurance in these activites.


Serum Sodium Changes During And After Transuretheral Prostatectomy, Muneer Al-Ali, Wajih Al-Alousi, Maytham Al-Shukri Sep 2001

Serum Sodium Changes During And After Transuretheral Prostatectomy, Muneer Al-Ali, Wajih Al-Alousi, Maytham Al-Shukri

Saudi Medical Journal

OBJECTIVE: This prospective study aims at determining the effect of transurethral resection of the prostate on serum sodium levels during and after the procedure. METHODS: One hundred consecutive unselected patients with prostatic obstructive symptoms over a period of 11 months underwent transurethral resection of the prostate using continuous flow irrigation with 1.5% glycine running from a height of 70 cm above the table level under epidural anesthesia and were given 1L of intravenous normal saline/hour during the procedure. Resection time ranged between 25 and 90 minutes (mean 32) and was less than 45 minutes in 91 patients (91%). No postoperative …