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Living-Related Liver Transplantation, Atef F. Bassas, Sami H. Wali, Hussa F. Al-Husseini, Mona S. Al-Shahed, Haider A. Al-Shuraffa, Muafak T. Jawdat
Living-Related Liver Transplantation, Atef F. Bassas, Sami H. Wali, Hussa F. Al-Husseini, Mona S. Al-Shahed, Haider A. Al-Shuraffa, Muafak T. Jawdat
Saudi Medical Journal
We report here, the first pediatric living-related liver transplant in Saudi Arabia and the Middle East. Our patient is a 2 year old girl with a diagnosis of progressive familial intrahepatic cholestasis, causing intractable pruritis and failure to thrive requiring liver transplantation. The child was successfully transplanted using a segment of her mother9s liver for living-related liver transplantation. Two years post-transplantation the patient is doing well. With the ongoing crises in cadaveric organ availability and the high prevalence of pediatric liver disease, living related liver transplantation is an ideal solution to this difficult and challenging problem.
Comparative Study Of Diclofenac Sodium And Paracetamol For Treatment Of Pain After Adenotonsillectomy In Children, Mohamed I. Tawalbeh, Omer O. Nawasreh, Adnan M. Husban
Comparative Study Of Diclofenac Sodium And Paracetamol For Treatment Of Pain After Adenotonsillectomy In Children, Mohamed I. Tawalbeh, Omer O. Nawasreh, Adnan M. Husban
Saudi Medical Journal
OBJECTIVE: To compare the analgesic efficacy of diclofenac sodium and paracetamol on post adenotonsillectomy postoperative pain and oral intake. METHODS: Between January 1999 and July 2000, 80 children aged 3-14 years, underwent tonsillectomy and adenoidectomy for either recurrent tonsillitis or adenotonsillar hypertrophy in Prince Zeid Ben Al-Hussein Hospital and Prince Rashid Ben Al-Hussein Hospital. Forty-one children received diclofenac sodium suppositories (1-3mg/kg) postoperatively, whereas 39 children received only paracetamol syrup (10-15 mg/kg) in 4 divided doses. All children were observed for postoperative pain, oral intake, vomiting, temperature and complications. RESULTS: Children who received diclofenac sodium had significantly less pain, less elevation …
Endemic Goitre In Schoolchildren In High And Low Altitude Areas Of Asir Region, Saudi Arabia, Saeed A. Abu-Eshy, Mostafa A. Abolfotouh, Yousef M. Al-Naggar
Endemic Goitre In Schoolchildren In High And Low Altitude Areas Of Asir Region, Saudi Arabia, Saeed A. Abu-Eshy, Mostafa A. Abolfotouh, Yousef M. Al-Naggar
Saudi Medical Journal
OBJECTIVE: A deficiency of iodine is characteristic of moutainous regions of the world, and the frequency of goitre in such areas has been recognized for centuries. The aim of the present study was to estimate the prevalence of goitre among schoolchildren in high and low altitude areas of Asir Region. METHODS: The study was carried out upon 940 male students randomly selected from 12 schools at 2 high altitude areas (Tamnia and Al-Soda) 3150 meters above sea level and one low altitude area (Marabah) 500 meters above sea level. All students were subjected to clinical examination of the thyroid and …
Pattern Of Breast Diseases In A Teaching Hospital In Jeddah, Saudi Arabia, Awatif A. Jamal
Pattern Of Breast Diseases In A Teaching Hospital In Jeddah, Saudi Arabia, Awatif A. Jamal
Saudi Medical Journal
OBJECTIVE: The aim of this case series study is to evaluate the outline and pattern of male and female breast diseases in Saudi Arabia. Also to compare 8 studies of literature discussing the profile of malignant and benign female breast diseases in the Kingdom. We hope that this study will assist us to appreciate the prototype breast diseases in our region. METHODS: Our study consisted of 1084 consecutive male and female breast lesions. Data on these specimens, received in the time frame of 15 years between January 1984 and March 2000, was retrieved from the records of the laboratory. The …
Surgical Treatment Of Anal Fissures Under Local Anesthesia, Ahmed E. Al-Raymoony
Surgical Treatment Of Anal Fissures Under Local Anesthesia, Ahmed E. Al-Raymoony
Saudi Medical Journal
OBJECTIVE: To evaluate lateral sphincterotomy under a mixture of local anesthesia versus general anesthesia in the treatment of anal fissures. METHODS: A randomized clinical trial of 62 consecutive patients requiring lateral sphincterotomy was carried out at Princess Haya Al-Hussein Hospital in Jordan. One group underwent lateral sphincterotomy under general anesthesia, while the 2nd group had topical anesthetic cream (xylocaine 2%) applied followed by local anesthesia. RESULTS: There were no differences between the 2 groups in terms of operating time, postoperative pain, nausea or vomiting, pain-free interval after operation, analgesia requirements or patients satisfaction with the method of anesthesia. CONCLUSION: Topical …
Pediatric Thoracic Trauma, Stanley J. Crankson, James D. Fischer, Abdullah A. Al-Rabeeah, Saud A. Al-Jaddan
Pediatric Thoracic Trauma, Stanley J. Crankson, James D. Fischer, Abdullah A. Al-Rabeeah, Saud A. Al-Jaddan
Saudi Medical Journal
OBJECTIVE: A retrospective analysis of the medical records of children up to 12 years of age inclusive, who sustained thoracic injuries during a 6-year period. METHODS: Ninety-one children were treated at King Fahad National Guard Hospital, Riyadh from January 1993 through December 1998. The clinical data included age, sex, mechanism of injury, associated injuries, pediatric trauma score, treatment and mortality. RESULTS: Eighty-seven children (96%) had injuries from blunt trauma and 4 from penetrating injuries. Of the blunt trauma cases, 82 children sustained motor vehicle accident related injuries, 62 as pedestrians and 20 as passengers. Penetrating thoracic injuries occurred in 4 …
Physician's Perceptions Of Fever In Children. Facts And Myths, Youssef A. Al-Eissa, Abdullah A. Al-Zaben, Anwar S. Al-Wakeel, Sulaiman A. Al-Alola, Mohammed A. Al-Shaalan, Abdulrahman A. Al-Amir, Layla A. Al-Shamsan
Physician's Perceptions Of Fever In Children. Facts And Myths, Youssef A. Al-Eissa, Abdullah A. Al-Zaben, Anwar S. Al-Wakeel, Sulaiman A. Al-Alola, Mohammed A. Al-Shaalan, Abdulrahman A. Al-Amir, Layla A. Al-Shamsan
Saudi Medical Journal
OBJECTIVE: To ascertain the knowledge and attitude of physicians, regarding fever in children. METHODS: A self-administered questionnaire was mailed to 600 randomly selected pediatricians, family practice physicians, emergency medicine physicians and general practitioners, who practice in Saudi Arabia. Appropriateness of responses to questions was determined on the basis of current medical literature. A rectal temperature of 38.0oC is generally accepted as indicative of fever in children. RESULTS: Of the 600 physicians surveyed, 419 (70%) completed and returned the questionnaire; 17% of the physicians were consultants, 28% specialists and 55% general practitioners. Fifty-eight percent of the physicians had 10 years or …
Serogroups And Antimicrobial Susceptibility Of Non-Typhoidal Salmonellas In Children, Fahad A. Al-Zamil, Awad R. Al-Anazi
Serogroups And Antimicrobial Susceptibility Of Non-Typhoidal Salmonellas In Children, Fahad A. Al-Zamil, Awad R. Al-Anazi
Saudi Medical Journal
OBJECTIVE: To update knowledge regarding the pattern of Serogroups and antimicrobial susceptibility of Salmonellas causing gastroenteritis in children at the King Khalid University Hospital in Riyadh, Saudi Arabia during the period of 1st April 1996 to 30th September 1999. METHODS: The case records of 416 children, from whom Salmonella species were isolated from stool cultures between April 1996 and September 1999 were reviewed. The isolates and susceptibility of these Salmonella were carried out accordingly to standard microbiological methods. RESULTS: During a period of 3 and 1/2 years a total of 412 non-typhoidal Salmonellas were isolated from stool cultures of 416 …
Epidemiological Profile Of Malaria In A University Hospital In The Eastern Region Of Saudi Arabia, Layla A. Bashwari, Ahmed M. Mandil, Ahmed A. Bahnassy, Mariam A. Al-Shamsi, Huda A. Bukhari
Epidemiological Profile Of Malaria In A University Hospital In The Eastern Region Of Saudi Arabia, Layla A. Bashwari, Ahmed M. Mandil, Ahmed A. Bahnassy, Mariam A. Al-Shamsi, Huda A. Bukhari
Saudi Medical Journal
OBJECTIVE: To study the epidemiological, clinical and hematological profile of laboratory-diagnosed malaria cases at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia, during the period from January 1990 to December 1999, and to provide suitable recommendations accordingly. METHODS: This was a clinical case series study of confirmed cases presenting to King Fahd Hospital of the Univeristy during the period from January 1990 to December 1999. A specially designed form was used for data collection and 602, laboratory-confirmed cases of malaria were retrospectively analyzed. RESULTS: There were 602 cases with a mean age of 25.8 + 14.3 and a male …
Diabetic Neuroarthropathy, Shakeel A. Qidwai, Syed R. Hussain, Mohiuddin S. Malik
Diabetic Neuroarthropathy, Shakeel A. Qidwai, Syed R. Hussain, Mohiuddin S. Malik
Saudi Medical Journal
OBJECTIVE: This study was undertaken to assess the incidence of diabetic neuroarthropathy and its related morbidity. METHODS: The medical records of 296 diabetic patients were analyzed retrospectively between June of 1998 and July of 1999. The patients with long standing, poorly controlled diabetes mellitus and associated peripheral neuropathy were evaluated clinically and radiographically for the presence of arthropathic changes in the feet. Clinically, neuropathy was considered if there was absence of ankle jerk or glove and stocking sensory loss, or both. Radiographically, the presence of stress fractures, dislocation/subluxation, lytic or arthritic lesions of the bone and joints were taken as …
Reproductive Health Of Male Radiographers, Farouk M. Shakhatreh
Reproductive Health Of Male Radiographers, Farouk M. Shakhatreh
Saudi Medical Journal
OBJECTIVE: To compare certain reproductive health problems reported in 2 groups of males, one of which was exposed to x-ray radiation (radiographers) and the other group that was not exposed to x-ray radiation. The reproductive health problems were miscarriage, congenital anomalies, still births and infertility. METHODS: Two groups of men were selected (90 in each group). The first group consisted of radiographers and the other groups consisted of men not exposed to x-ray radiation. The 2 groups were matched for age and source. Relative risk, attributable risk percentage and level of significance were calculated. RESULTS: Incidence rate of reproductive health …
Effect Of Modified Tumor Antigen On Experimentally Induced Sarcomas, Suresh K. Nigam, Venkatakrishna H. Bhatt
Effect Of Modified Tumor Antigen On Experimentally Induced Sarcomas, Suresh K. Nigam, Venkatakrishna H. Bhatt
Saudi Medical Journal
OBJECTIVE: To explore the possibility of controlling established tumors by active immunization through specific and nonspecific methods. METHODS: By subcutaneous methylcholanthrene, a fibrosarcoma was produced in adult Swiss male mice. The fibrosarcoma was transplanted into the isogenic strain. The cleared tumor cells were injected subcutaneous into the hind leg of the 1st sarcoma group. The 2nd group received intraperitoneally sensitized spleen cells. One section of the irradiated 3rd tumor group received intraperitoneally sensitized spleen cells and subsequently a mild dose of modified tumor antigen. The 2nd section of the 3rd group was irradiated in between the administration of modified tumor …
Lucigenin Chemiluminesence. A New Approach To Study The Redox Activity Of Ehrlich Ascetic Tumor Cells, Ali H. Al-Hashimi, K. V. Ettinger
Lucigenin Chemiluminesence. A New Approach To Study The Redox Activity Of Ehrlich Ascetic Tumor Cells, Ali H. Al-Hashimi, K. V. Ettinger
Saudi Medical Journal
OBJECTIVE: To study the mechanism and to measure the oxygenation/reduction activity of Ehrlich ascetic tumor cells in an isotonic solution by means of lucigenin dependent chemiluminesence. METHODS: All the measurements of the chemiluminesence redox activity of Ehrlich ascetic tumor cell samples in suspension medium, were carried out using a photon counting system especially designed to the purpose. The areas under the chemiluminesence kinetic curves were measured at different cell physiological conditions and at different agents concentrations effect. RESULTS: The rates of lucigenin chemiluminesence redox functional activity of Ehrlich ascetic tumor cells were significantly different from normal oxygenation/reduction activity at different …
Tufted Hair Folliculitis, Yousef M. Al-Khair
Tufted Hair Folliculitis, Yousef M. Al-Khair
Saudi Medical Journal
No abstract provided.
Changing Trends And Etiology Of Bacteremia In A Referral Hospital In Saudi Arabia, Mohamed Qutub
Changing Trends And Etiology Of Bacteremia In A Referral Hospital In Saudi Arabia, Mohamed Qutub
Saudi Medical Journal
No abstract provided.
Brucellosis And Thrombocytopenia, Latif A. Khan, Husni S. Al-Hateeti, Iftikhar Hussein, Bindiganavale N. Gokul, Alfred Paul
Brucellosis And Thrombocytopenia, Latif A. Khan, Husni S. Al-Hateeti, Iftikhar Hussein, Bindiganavale N. Gokul, Alfred Paul
Saudi Medical Journal
No abstract provided.
Laparoscopic Colectomy. Where Do We Stand?, Zain H. Al-Shareef, Osman A. Hamour
Laparoscopic Colectomy. Where Do We Stand?, Zain H. Al-Shareef, Osman A. Hamour
Saudi Medical Journal
Laparoscopy has changed our approach to surgery, instrumentation and training. The techniques are evolving for a wide range of surgical procedures outside the biliary tree. Currently available data suggests that laparoscopic colectomy can be completed safely in most cases. It is feasible and offers patient-related benefits similar to those described for other laparoscopic procedures. The advisability of performing laparoscopy for cure of colorectal malignancy has been challenged because the recurrence rates and overall cure rates remain unknown. Until prospective randomized trials resolve these issues neoplastic colon laparoscopic surgery must be the prerogative of selected and specialized centers.
Familial Mediterranean Fever, Hatem E. El-Shanti
Familial Mediterranean Fever, Hatem E. El-Shanti
Saudi Medical Journal
Familial Mediterranean Fever is a genetic disorder frequently diagnosed among the Arabs. It is also prevalent among Jews, Armenians and Turks. The clinical picture consists of febrile and painful attacks that differ in quality across patients and even within the same patient. There may be accompanying joint pain, chest pain, skin manifestations and other findings, and amyloidosis may occur in some patients as a complication. The primary treatment is Colchicine, which decreases the frequency of the attacks and prevents the occurrence of amyloidosis. The gene responsible for Familial Mediterranean Fever, MEFV, has been mapped and cloned and mutations were identified …
Is Hypertension Common In Hospitalized Type 2 Diabetic Patients?, Daad H. Akbar
Is Hypertension Common In Hospitalized Type 2 Diabetic Patients?, Daad H. Akbar
Saudi Medical Journal
OBJECTIVE: To report on the prevalence and implications of hypertension in hospitalized type 2 diabetic patients at King Abdulaziz University Hospital. METHODS: Relevant data was retrieved from the medical charts of type 2 diabetic patients admitted to the medical unit of King Abdulaziz University Hospital in the period between January 1998 and September 1999. Patients9 age, sex, body mass index, presence of hypertension and hyperlipidemia, degree of glycemic control, reason for admission, duration of hospital stay and mortality were recorded. RESULTS: A total of 427 patients were studied, 46% of whom were hypertensive. Hypertensive diabetics tend to be older, more …
A Calculus Within An Anal Fistula Tract In A Diabetic Patient, Mohamed E. Ahmed, Ahmed I. Shumo
A Calculus Within An Anal Fistula Tract In A Diabetic Patient, Mohamed E. Ahmed, Ahmed I. Shumo
Saudi Medical Journal
A non-insulin dependent diabetic patient with a chronic anal fistula underwent fistulectomy. At operation a calculus was discovered. The patient had an uneventful recovery and healing of the wound in 4 weeks duration. The only case reported previously was in a nondiabetic patient and interestingly from this department.
Male Variant Of Cloacal Extrophy, Khalid M. Saidy
Male Variant Of Cloacal Extrophy, Khalid M. Saidy
Saudi Medical Journal
No abstract provided.
Temporomandibular Joint Osteo-Arthrosis - Histopathological Study Of The Effects Of Intra-Articular Injection Of Triamcinolone Acetonide, Suresh K. Dargan
Temporomandibular Joint Osteo-Arthrosis - Histopathological Study Of The Effects Of Intra-Articular Injection Of Triamcinolone Acetonide, Suresh K. Dargan
Saudi Medical Journal
No abstract provided.
Abnormal Uterine Bleeding. Diagnostic Value Of Hysteroscopy, Sameera M. Madan, Zainab A. Al-Jufairi
Abnormal Uterine Bleeding. Diagnostic Value Of Hysteroscopy, Sameera M. Madan, Zainab A. Al-Jufairi
Saudi Medical Journal
OBJECTIVE: To determine the specificity, sensitivity and predictive value of hysteroscopic impression versus histological diagnosis of endometrial curettings in evaluating patients with abnormal uterine bleeding. In addition, to determine whether office hysteroscopy can eliminate hospital diagnostic dilatation and curettage for patients with abnormal uterine bleeding. METHODS: A retrospective study of 556 patients who underwent hysteroscopy and dilatation and curettage for abnormal uterine bleeding between January 1995 and December 1998 at the Salmaniya Medical Complex in Bahrain. A comparison was made between hysteroscopic impression and histological examination. RESULTS: Out of 556 patients who were included in the study, 53 were diagnosed …
An Experience Of Rigid Esophagoscopy In 294 Cases, Osman M. El-Mustafa
An Experience Of Rigid Esophagoscopy In 294 Cases, Osman M. El-Mustafa
Saudi Medical Journal
No abstract provided.
Pitfalls In Cerebrospinal Fluid Test For The Diagnosis Of Neurosyphilis, Abdulaziz M. Al-Semari, Saeed I. Bohlega, Edward J. Cupler, Donald R. Mclean, Jehad A. Al-Watban
Pitfalls In Cerebrospinal Fluid Test For The Diagnosis Of Neurosyphilis, Abdulaziz M. Al-Semari, Saeed I. Bohlega, Edward J. Cupler, Donald R. Mclean, Jehad A. Al-Watban
Saudi Medical Journal
OBJECTIVE: To determine the usefulness of cerebrospinal fluid tests in the diagnosis of neurosyphilis. METHODS: Two hundred and seven cerebrospinal fluid-Venereal Disease Research Laboratories tests were performed at King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia between 1992 and 1997. The records of 14 cases with progressive neurological disease and reactive serum fluorescent treponemal absorbent antibodies or treponemal pallidum hemagglutination test were reviewed for clinical presentation, cerebrospinal fluid analysis and Venereal Disease Research Laboratories, neuro-imaging abnormalities and compatibility with the diagnosis of neurosyphilis. The diagnosis of neurosyphilis was made if the patient had reactive serum fluorescent treponemal absorbent …
Hypertension Control In A Community Health Centre At Riyadh, Saudi Arabia, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa.
Hypertension Control In A Community Health Centre At Riyadh, Saudi Arabia, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa.
Saudi Medical Journal
OBJECTIVE: This study was carried out to determine the degree of control of hypertension and the most commonly used drugs for hyertensive patients attending our community health center. METHODS: A cross sectional study carried out by randomly examining the case notes of patients attending our primary care clinics. RESULTS: Case notes of 3747 patients were examined, 2064 (55%) females (mean age 23.76 years) and 1683 (45%) males (mean age 24.63 years). Prevalence of hypertension was 3% (108 patients), 3% (63 patients) and 3% (45 patients) for females and males respectively. Majority of patients 16 (35%) males and 32 (51%) females …
Are Saudi Arabian Hospitals Prepared For The Threat Of Biological Weapons?, Manuel W. Mah, Ziad A. Memish
Are Saudi Arabian Hospitals Prepared For The Threat Of Biological Weapons?, Manuel W. Mah, Ziad A. Memish
Saudi Medical Journal
The use of biological weapons has been recorded repeatedly in history. Until recently, biological terrorism had been little discussed or written about. However, events over the past 12 to 18 months have made it clear that likely perpetrators already envisage every possible scenario. Nations and dissident groups exist that have both the motivation and access to utilize biological weapons. In April 1994, a Russian biological weapons expert presented the conclusions of the Russian experts as to the agents most likely to be used: smallpox, anthrax, and plague. Health care workers in the Kingdom of Saudi Arabia (physicians, nurses, and emergency …
Penile Implants In The Treatment Of Organic Impotence, Hisham E. Soliman, Faris M. Ayyat, El-Sayed A. Hussein, Moheb F. Milad, Tawfik A. Zein
Penile Implants In The Treatment Of Organic Impotence, Hisham E. Soliman, Faris M. Ayyat, El-Sayed A. Hussein, Moheb F. Milad, Tawfik A. Zein
Saudi Medical Journal
OBJECTIVE: To evaluate the reliability and safety of penile implants in the treatment of organic impotence at the Saudi Aramco - Dhahran Health Center. METHODS: A series of 108 cases of organic impotence that underwent 125 penile implantation procedures between 1988 and 1997 was reviewed. The follow-up period ranged between 6 months and 10 years. The mean age was 57.9 years (range 26-76). The prostheses used were AMS (American Medical System) inflatable (92 cases) and malleable (16 cases). RESULTS: There were no complications in 86 patients, (80%) who had functioning prostheses all through the follow-up period. Revision of the implants …
Pattern Of Erectile Dysfunction In Jeddah City, Hussein M. Ghanem, Mostafa A. Abolfotouh
Pattern Of Erectile Dysfunction In Jeddah City, Hussein M. Ghanem, Mostafa A. Abolfotouh
Saudi Medical Journal
OBJECTIVE: The aim of this study was to determine the demographic features of erectile dysfunction patients attending different specialized clinics in Jeddah city, and to identify possible risk factors associated with erectile dysfunction problem. METHODS: All newly erectile dysfunction patients (n=388) who attended 6 andrology and urology clinics within a period of 3 months were subjected to a modified structural interview questionnaire to collect demographic data and risk factors for erectile dysfunction. RESULTS: The study revealed the following results among erectile dysfunction patients; Saudi patients constituted (81%). The age ranged from 20-86 years with mean age of 43.23+12.56 years, 73% …
Effect Of Maternal Education On The Rate Of Childhood Handicap, Waleed M. Milaat, Sherine Shawky, Bahaa A. Abalkhail, Nadia K. Soliman
Effect Of Maternal Education On The Rate Of Childhood Handicap, Waleed M. Milaat, Sherine Shawky, Bahaa A. Abalkhail, Nadia K. Soliman
Saudi Medical Journal
OBJECTIVE: The objectives of this study were to determine the relation between maternal education and various maternal risk factors, identify the impact of maternal education on the risk of childhood handicap and estimate the proportion of childhood handicap that can be prevented by maternal education. METHODS: Data was collected from all married women attending the two major maternity and child hospitals in Jeddah during April 1999. Women with at least one living child were interviewed for sociodemographic factors and having at least one handicapped child. The risk of having a handicapped child and the population attributable risk percent were calculated. …