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Chronic Pelvic Pain. Laparoscopic And Cystoscopic Findings, Vaidyanathan Gowri, Andrzej Krolikowski
Chronic Pelvic Pain. Laparoscopic And Cystoscopic Findings, Vaidyanathan Gowri, Andrzej Krolikowski
Saudi Medical Journal
OBJECTIVE: To study the laparoscopic and cystoscopic findings in women with chronic pelvic pain referred to the Gynecology Clinic at Sultan Qaboos University Hospital. METHODS: Women referred to Sultan Qaboos University Hospital, Sultanate of Oman from October 1998-September 2000 with pelvic pain of more than 6 months duration were clinically evaluated. Laparoscopic examination was always combined with cystoscopy. Bladder biopsy was performed only if there were doubts regarding the nature of pathology that was found. RESULTS: The mean age of the patients was 31 years and mean parity was 3.0. The minimum duration of symptoms was 6 months, but one …
Drug Resistance Pulmonary Tuberculosis In The Eastern Province Of Saudi Arabia, Abdullah M. Al-Rubaish, Ali A. Madania, Fahd A. Al-Muhanna
Drug Resistance Pulmonary Tuberculosis In The Eastern Province Of Saudi Arabia, Abdullah M. Al-Rubaish, Ali A. Madania, Fahd A. Al-Muhanna
Saudi Medical Journal
OBJECTIVE: To evaluate the prevalence and pattern of antituberculous drug resistance and patients with pulmonary tuberculosis in the Eastern Province and its impact on the tuberculosis control program. METHODS: Patients with pulmonary tuberculosis, proven by culture, admitted to Dammam Chest Hospital from November 1993 through May 1996 were reviewed. Patients who had at least one documented isolate of mycobacterium tuberculosis resistant to at least one standard anti-tuberculosis drug were identified. Medical records were reviewed and information was retrieved regarding age, sex, nationality, history of previous tuberculosis, human immune deficiency status, and results of direct smear and chest radiograph abnormalities. RESULTS: …
Physical Activity Profile Of Adult Males In Riyadh City, Saeed A. Al-Rafaee, Hazzaa M. Al-Hazzaa
Physical Activity Profile Of Adult Males In Riyadh City, Saeed A. Al-Rafaee, Hazzaa M. Al-Hazzaa
Saudi Medical Journal
OBJECTIVE: To assess the patterns and determinants of physical activity among Saudi adult males living in Riyadh. METHODS: Self-administered questionnaires were filled out by 1333 randomly selected Saudi males 19 years and older, during the Fall of 1996. RESULTS: Over 53% of Saudi males were totally physically inactive, and another 27.5% were irregularly active. Only 19% of the entire sample were active on a regular basis. A curvilinear relationship was found between age and inactivity, with the middle age group the least active. Physical activity was lower among those who were married, work in the private sectors, working 2 shifts, …
Blood Lipids And Body Fat In Bahraini Women, Awatif Al-Mannai, Hussain A. Khalfan, J. W. Dickerson, Jane B. Morgan
Blood Lipids And Body Fat In Bahraini Women, Awatif Al-Mannai, Hussain A. Khalfan, J. W. Dickerson, Jane B. Morgan
Saudi Medical Journal
OBJECTIVE: The aim of this study was to examine some biomedical parameters of a representative sample from the population of overweight and obese, and average weight Bahraini women visiting 2 health centers in Bahrain. METHODS: This study was conducted over a period of 4 months in 2 health centers in the urban city of Muharraq in Bahrain, namely Muharraq Health Center and Shaikh Salman Health Center. The association was examined between body mass index, and the distribution of body fat determined by the waist hip ratio. Serum triglycerides, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, as well as glucose …
Ring Chromosome 13 In An Omani Infant Boy With Mental Retardation And Multiple Congenital Anomalies, Poothirikovil Venugopalan, Ravinder K. Kenue
Ring Chromosome 13 In An Omani Infant Boy With Mental Retardation And Multiple Congenital Anomalies, Poothirikovil Venugopalan, Ravinder K. Kenue
Saudi Medical Journal
An Omani infant boy with severe physical and psychomotor retardation, facial dysmorphism, and anomalies of the cardiovascular and genito-urinary systems is described. The chromosomal analysis revealed a 46, XY, r (13) (p11;q34) karyotype. The cytogenetic basis of this rare abnormality is outlined and phenotypic features are compared with published reports.
Paradoxical Response To Chemotherapy In Tuberculous Pleural Effusion, Raj Kumar, Tajenders S. Vasu
Paradoxical Response To Chemotherapy In Tuberculous Pleural Effusion, Raj Kumar, Tajenders S. Vasu
Saudi Medical Journal
No abstract provided.
Organophosphate Poisoning In Children - Atropine, Pralidoxime Or Both?, Hashim Javad, Zahid A. Al-Mandhiry
Organophosphate Poisoning In Children - Atropine, Pralidoxime Or Both?, Hashim Javad, Zahid A. Al-Mandhiry
Saudi Medical Journal
No abstract provided.
An Outbreak Of Methicillin Resistant Staphylococcus Aureus, Sittana S. Elshafie, Antonio R. Bernardo
An Outbreak Of Methicillin Resistant Staphylococcus Aureus, Sittana S. Elshafie, Antonio R. Bernardo
Saudi Medical Journal
No abstract provided.
Pattern Of Erectile Dysfunction In Jeddah City, Muwafak Al-Eithan, Mostafa A. Abolfotouh
Pattern Of Erectile Dysfunction In Jeddah City, Muwafak Al-Eithan, Mostafa A. Abolfotouh
Saudi Medical Journal
No abstract provided.
Searching Web Based Medical Information, Ibrahim Mansoor
Searching Web Based Medical Information, Ibrahim Mansoor
Saudi Medical Journal
Searching for references is part of everyday life in medicine. Since the arrival of the Internet, it has provided great promise for clinicians because of it9s ability to access and consolidate large amounts of knowledge and information quickly and easily. But because of the overload of the huge amounts of information, searching for particular information has now become a tedious task, which is a lso very time-consuming and frustrating. This article describes effective ways, tips, tools, detailed search techniques and strategies for searching medical information. It also lists some useful resource and database sites that can provide a lot of …
Incidence Of Uterine Rupture In A Teaching Hospital, Sudan, Sayed M. Ahmed, Saad E. Daffalla
Incidence Of Uterine Rupture In A Teaching Hospital, Sudan, Sayed M. Ahmed, Saad E. Daffalla
Saudi Medical Journal
OBJECTIVE: This study aims to document the experience of uterine rupture as a serious common complication of pregnancy in some developing countries like Sudan. The study is also aimed at reviewing the main contributing factors so as to draw broad lines for a strategy of prevention. METHODS: A retrospective study carried out at Medani Teaching Hospital, Medani City, Sudan. Case notes were reviewed for all patients with uterine rupture from 1st January 1992 through 31st of December 1997. The data was analyzed and the literature was reviewed to compare the results of similar studies. RESULTS: Out of the total number …
Impact Of National Protocol On Managment Of Acute Respiratory Infections In Children, Yahia M. Al-Khaldi, Abdullah I. Al-Sharif, Khalid S. Al-Gelban, Qassim M. Al-Hamami, Abdullah O. Al-Jaser
Impact Of National Protocol On Managment Of Acute Respiratory Infections In Children, Yahia M. Al-Khaldi, Abdullah I. Al-Sharif, Khalid S. Al-Gelban, Qassim M. Al-Hamami, Abdullah O. Al-Jaser
Saudi Medical Journal
OBJECTIVE: To measure the impact of implementation of the national protocol on the prescribing patterns for acute respiratory infections among children attending a large primary health care center in Abha City. METHODS: This study was carried out during December of 1997 and February of 1998 in Abha City, Asir Region, Kingdom of Saudi Arabia. One quarter of the prescriptions which were issued in those 2 months were selected randomly and assessed for age, sex, diagnosis and the prescribed drugs before and after intensive training of the primary health care physicians on the implementation of the national protocol for acute respiratory …
Vascular Compromise Associated With Supracondylar Fractures In Children, Hussein M. Rabee, Mussaad M. Al-Salman, Kaisor Iqbal, Hazem Al-Khawashki
Vascular Compromise Associated With Supracondylar Fractures In Children, Hussein M. Rabee, Mussaad M. Al-Salman, Kaisor Iqbal, Hazem Al-Khawashki
Saudi Medical Journal
OBJECTIVE: Our aim was to study the significance of persistently absent radial pulse, with monophasic doppler flow after close reduction percutaneous pinning of displaced supracondylar fracture of humerus, and the need of early exploration of brachial artery in such cases. METHODS: Between July 1992 and 1999, 86 children with Grade III supracondylar fracture of humerus were treated at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia The history, physical examination, vascular status of limb before and after close reduction percutaneous pinning of fracture were recorded. All children having persistently absent radial pulse and monophasic flow doppler signals after close …
Effect Of Amiodarone On Atrial Fibrillation After Coronary Artery Bypass Surgery, Basel S. Harahsheh, Walid A. Sawalha
Effect Of Amiodarone On Atrial Fibrillation After Coronary Artery Bypass Surgery, Basel S. Harahsheh, Walid A. Sawalha
Saudi Medical Journal
OBJECTIVE: Atrial fibrillation occurs in 10%–40% of patients undergoing coronary artery bypass grafting. This study investigates whether prophylactic Amiodarone use reduces the rate of atrial fibrillation post myocardial revascularisation. METHODS: In a prospective study conducted at the Cardiothoracic Center over a 6 month period, 192 patients were randomized to either Amiodarone or placebo. The Amiodarone group received Amiodarone infusion followed by oral Amiodarone on a decreasing dose for a total period of 6 weeks. The placebo group were started on an infusion of dextrose 5% solution and then maintained on a matched regimen of placebo tablets for a corresponding period …
A Case Of Turcot's Syndrome In A Child With Malignant Transformation, Farhan S. Ansari, Alic W. Jacobsz, Hilal Matta, Akhtar Nawaz, Ghassan Al-Khouder, Ahmed H. Al-Salem
A Case Of Turcot's Syndrome In A Child With Malignant Transformation, Farhan S. Ansari, Alic W. Jacobsz, Hilal Matta, Akhtar Nawaz, Ghassan Al-Khouder, Ahmed H. Al-Salem
Saudi Medical Journal
Turcot9s syndrome or the glioma polyposis syndrome is a rare variant of the polyposis syndrome and it is characterized by colonic polyposis and central nervous system neoplasm typically a glioblastoma or a medulloblastoma. We present a case of Turcot9s syndrome in a child with malignant transformation.
Leukemic Synovitis As A Presentation Of Myelomonocytic Blast Crisis Of Chronic Myeloid Leukemia, Hannan M. Al-Rayes, Ahmed A. Al-Shaikh, Magid A. Halim, Fat-Hia S. Al-Qurashi, Mahmoud M. Al-Jurf
Leukemic Synovitis As A Presentation Of Myelomonocytic Blast Crisis Of Chronic Myeloid Leukemia, Hannan M. Al-Rayes, Ahmed A. Al-Shaikh, Magid A. Halim, Fat-Hia S. Al-Qurashi, Mahmoud M. Al-Jurf
Saudi Medical Journal
We describe a patient with a 2-month history of right shoulder monoarthritis and fever as the presenting symptoms of a subsequent diagnosis of chronic myeloid leukemia in blast crisis. Imaging studies showed changes consistent with leukemic infiltration of the soft tissues around the right shoulder joint and the proximal humerus. Immunophenotypic and morphologic analysis of the large number of cells obtained from the synovial fluid confirmed the shoulder synovitis to be an extramedullary manifestation of myelomonocytic blast crisis of chronic myeloid leukemia. The patient was not a candidate for aggressive chemotherapy treatment because of her poor overall condition, and she …
A Comparison Of Spontaneous Labor With Induced Vaginal Tablets Prostaglandin E2 In Grand Multiparae, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong
A Comparison Of Spontaneous Labor With Induced Vaginal Tablets Prostaglandin E2 In Grand Multiparae, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong
Saudi Medical Journal
OBJECTIVE: To compare the outcome of labor in grandmultiparous patients (para >5) who had induction of labor with prostaglandin E2 vaginal tablets with grandmultiparous patients in spontaneous labor, and to observe the complications during induction of labor. METHODS: A retrospective case control study was carried out at King Faisal Military Hospital, Khamis Mushayt between January 1993 through until December 1994. This included 64 grandmultiparous patients that were induced with prostaglandin E2 vaginal tablets. Ninety grandmultiparous patients who went into labor spontaneously served as controls. Maternal and fetal data extracted from their hospital record files included age, parity, indication for induction, …
Neuroblastoma, Hadir M. Meir, Ibrahim Balawi, Hala Nayel, Mohammad K. Yousef, Sami Badawood, Mohammad Al-Mobarak
Neuroblastoma, Hadir M. Meir, Ibrahim Balawi, Hala Nayel, Mohammad K. Yousef, Sami Badawood, Mohammad Al-Mobarak
Saudi Medical Journal
OBJECTIVE: Due to the poor results achieved on combination chemotherapy and the unproven cost-effectiveness value of myeloablative therapy, the question has been raised; should patients with stage IV neuroblastoma be actively treated? The aim of the current study is to analyze retrospectively treatment results of 43 children with neuroblastoma with special stress on the rate and duration of remission in children with disseminated neuroblastoma. METHODS: Treatment of children with neuroblastoma consisted of surgical removal of the tumor, if possible, followed by chemotherapy for unresectable residual tumor including metastases. Second look surgery was performed to resect residual masses rendered resectable on …
Efficacy Of Sulphadoxine And Pyrimethamine, Doxycycline And Their Combination In The Treatment Of Chloroquine Resistant Falciparum Malaria, Habab K. Elkheir, El-Fatih I. Elkarim, Idris B. Eltayeb, Abd E. Elkadaru, Hamza A. Babiker, Adil M. Ibrahim
Efficacy Of Sulphadoxine And Pyrimethamine, Doxycycline And Their Combination In The Treatment Of Chloroquine Resistant Falciparum Malaria, Habab K. Elkheir, El-Fatih I. Elkarim, Idris B. Eltayeb, Abd E. Elkadaru, Hamza A. Babiker, Adil M. Ibrahim
Saudi Medical Journal
OBJECTIVE: The present in vivo study evaluates the efficacy of sulphadoxine/pyrimethamine, doxycycline and their combination in the treatment of Sudanese patients infected by chloroquine resistant falciparum malaria. METHODS: Febrile patients with positive blood smears of Plasmodium falciparum were given chloroquine 25mg-base/kg body weight and followed up for 3 days. Patients with recrudescence due to chloroquine resistance were readmitted for test treatment. Using simple number randomization patients were divided into groups, A, B and C. These were treated with doxycycline, sulphadoxine/ pyrimethamine and a combination therapy of sulphadoxine/pyrimethamine plus doxycycline. Doxycycline was initially administered as a single dose of 200mg followed …
Allergic Bronchopulmonary Aspergillosis Mimicking Pulmonary Tuberculosis, Omer S. Al-Moudi
Allergic Bronchopulmonary Aspergillosis Mimicking Pulmonary Tuberculosis, Omer S. Al-Moudi
Saudi Medical Journal
Allergic bronchopulmonary aspergillosis is an uncommon disease in which cystic bronchiectasis is a common feature. The presence of central bronchiectasis with constitutional symptoms of cough, fever, weight loss, and pulmonary infiltration in patients with allergic bronchopulmonary aspergillosis has been misdiagnosed as cavitating pulmonary tuberculosis. Herein, we report 2 cases of allergic bronchopulmonary aspergillosis that were misdiagnosed as pulmonary tuberculosis and treated with antituberculous therapy. They all have negative sputum and bronchoalveolar lavage for acid-fast bacillus as well as their tuberculin tests. The diagnosis of pulmonary tuberculosis was based on the presence of symptoms and radiological changes. In both cases the …
Ear, Nose And Throat Manifestations Of Relapsing Polychondritis In A Child, Fadl A. Fadl, Khalid M. Hassan, Nureni M. Oyetunji, Samir A. Al-Nour
Ear, Nose And Throat Manifestations Of Relapsing Polychondritis In A Child, Fadl A. Fadl, Khalid M. Hassan, Nureni M. Oyetunji, Samir A. Al-Nour
Saudi Medical Journal
Relapsing polychondritis is a rare disorder, that can present initially to Otolaryngologists and can easily be overlooked due to its relative rarity and atypical initial symptoms and signs. Here we report on a 12-year-old schoolboy who presented initially with ear, nose and throat manifestations, including stridor, cough, hoarseness, sore throat and fever. The other clinical signs such as nasal tip, depression and softening of right auricle, developed subsequently. The clinical features, laboratory investigations, diagnostic criteria and treatment options were discussed with a brief review of literature.
Salmonella Food Poisoning In Najran, Latif A. Khan, Sarosh A. Khan, Venugopal Jayapal, Habeebullah Shah
Salmonella Food Poisoning In Najran, Latif A. Khan, Sarosh A. Khan, Venugopal Jayapal, Habeebullah Shah
Saudi Medical Journal
No abstract provided.
Is The Pancreas Responsible For Hyperemens Gravidarum?, Fikra Al-Busaida, A. Krolikowski
Is The Pancreas Responsible For Hyperemens Gravidarum?, Fikra Al-Busaida, A. Krolikowski
Saudi Medical Journal
No abstract provided.
Uses Of Internet Technology In Clinical Practice, Ibrahim Mansoor
Uses Of Internet Technology In Clinical Practice, Ibrahim Mansoor
Saudi Medical Journal
The practice of medicine has extended itself to vast areas and requires active clinicians to systematize and organize their workload through the use of the most up-to-date digital and computer communication technologies. Computerization and worldwide accessibility of information has especially provided great assistance in this regard. The explosive growth of medical information increases the need for the use of these new methods of organizing and accessing data. This article briefly summarizes a few of the vital tools that internet technology has provided clinical practice, with the aid of basic concepts of internet, database systems, hospital systems and data security and …
Laparoscopic Cholecystectomy In Patients With Sickle Cell Disease, Hussein A. Al-Abkari, Hussein I. Abdulnabi, Ali H. Al-Jamah, Abdulwahid N. Meshikhes
Laparoscopic Cholecystectomy In Patients With Sickle Cell Disease, Hussein A. Al-Abkari, Hussein I. Abdulnabi, Ali H. Al-Jamah, Abdulwahid N. Meshikhes
Saudi Medical Journal
OBJECTIVE: To determine the safety and benefits of laparoscopic cholecystectomy as the standard surgical treatment for gallstones in patients with sickle cell anemia. METHODS: Thirty-six sicklers and 111 non-sickler patients from the eastern province of the Kingdom of Saudi Arabia who were admitted to Qatif Hospital between April 1994 and March 1998 for laparoscopic cholecystectomy, were prospectively compared for their clinical presentation, surgical management and long-term result. RESULTS: Both groups were comparable from the clinical presentation point of view as well as the operative time. The incidence of choledocholithiasis was higher among the sicklers, which was managed successfully by endoscopic …
Effect Of Sickle Cell Trait And B-Thalassemia Minor On Determinations Of Hba1c By An Immunoassay Method, Suad M. Al-Fadhli, Abdulhadi A. Ahmad, Hassan A. Al-Jafar
Effect Of Sickle Cell Trait And B-Thalassemia Minor On Determinations Of Hba1c By An Immunoassay Method, Suad M. Al-Fadhli, Abdulhadi A. Ahmad, Hassan A. Al-Jafar
Saudi Medical Journal
OBJECTIVE: Glycated hemoglobin determination is being used worldwide to monitor the efficiency of blood glucose control and to plan treatment in diabetes mellitus patients. Several methods are used for measuring glycated hemoglobin, but a possible interference by hemoglobin variants is a major concern. The use of immunoassay methods with glycated hemoglobin-specific antibodies is supposed to overcome this problem. We are evaluating the effect of the most prevalent hemoglobinopathies in the region (sickle trait hemoglobin and B-Thalassemia) on the immunoassay method used in determining glycated hemoglobin. METHODS: Eighty-one whole blood sample hemolysates were tested for glycated hemoglobin using Beckman Synchron LX20 …
Subclinical Human Papillomavirus Infection Of The Cervix, Makram M. Al-Waiz, Rabab N. Al-Saadi, Zahida A. Al-Saadi, Faiza A. Al-Rawi
Subclinical Human Papillomavirus Infection Of The Cervix, Makram M. Al-Waiz, Rabab N. Al-Saadi, Zahida A. Al-Saadi, Faiza A. Al-Rawi
Saudi Medical Journal
OBJECTIVE: A prospective study to investigate a group of Iraqi woman with proved genital vulval warts, to seek evidence of human papillomavirus infection in apparently normal looking cervixes and to investigate the natural history of infection. METHODS: From December 1997 to August 1998, 20 women with vulval warts were enrolled along with 20 aged-matched control cases without warts. Their ages ranged between 19-48 years with a mean of 30.4 years, (± standard deviation = 2.3) for patients and 18-48 years with a mean of 29.7 (± standard deviation = 2.7) for the control group. General and gynecological examinations were carried …
Risk Factors Of Uterine Rupture, Zainab A. Al-Jufairi, Amjaret K. Sandhu, Khulood A. Al-Durazi
Risk Factors Of Uterine Rupture, Zainab A. Al-Jufairi, Amjaret K. Sandhu, Khulood A. Al-Durazi
Saudi Medical Journal
OBJECTIVE: To determine the incidence of uterine rupture in Ministry of Health Hospitals in Bahrain and to find the risk factors associated with this obstetrical tragedy. METHODS: A case control study was conducted on all the cases of uterine rupture in Ministry of Health Hospitals in Bahrain during the period 1st of January 1990 until 31st of December 1999. The following risk factors which, were studied, included parity, gestational age, previous cesarean delivery, previous cesarean section for cephalopelvic disproportion, previous evacuation of the uterus, induction and or augmentation of labor, malpresentation, duration of the labor, type of the delivery and …
Study Of Colorectal Cancer In Qatar, Kakil I. Rasul, Abdullah S. Awidi, Ahmed A. Mubarak, Ussama M. Al-Homsi
Study Of Colorectal Cancer In Qatar, Kakil I. Rasul, Abdullah S. Awidi, Ahmed A. Mubarak, Ussama M. Al-Homsi
Saudi Medical Journal
OBJECTIVE: To study the epidemiology of colorectal cancer in Qatar and compare it with other parts of the world. To collect demographic data on colorectal cancer in Qatar (age and sex distribution) and to collect anatomic pathology data on colorectal cancer in Qatar. METHODS: Retrospective analysis of data collected from hospital records was used to review the incidence and prevalence of colorectal cancer in Qatar. During the period 1994-1998, one hundred and twenty patients with colorectal cancer were seen at Hamad General Hospital. RESULTS: Mean annual incidence was 24 patients/year. Forty-five patients were Qataris and 75 were non Qataris. Of …
Attention Deficit Hyperactivity Disorder. Epidemiologic, Pathophysiologic, Diagnostic And Treatment Perspectives, Yasser S. Al-Ghamdy, Naseem A. Qureshi
Attention Deficit Hyperactivity Disorder. Epidemiologic, Pathophysiologic, Diagnostic And Treatment Perspectives, Yasser S. Al-Ghamdy, Naseem A. Qureshi
Saudi Medical Journal
Although attention deficit hyperactivity disorder is a common child psychiatric disorder, the epidemiology and pathophysiology of attention deficit hyperactivity disorder is variable in different studies. Attention deficit hyperactivity disorder and comorbid disorders in children aided both by attention deficit hyperactivity disorder diagnostic criteria and assessment scales entails a comprehensive neuropsychiatric interview plus collection of information from different sources. Although psychosocial and behavioral therapies are of great therapeutic values, the psychopharmacological drugs are often used in the treatment of patients with attention deficit hyperactivity disorder. With a combined approach, a substantial proportion of patients with attention deficit hyperactivity disorder (90%) show …