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Rate Of Wound Infection After Clean Surgery, Tariq A. Noman, Yahia A. Raja’A, Hashim M. Assiraji, Yousef A. Assofi
Rate Of Wound Infection After Clean Surgery, Tariq A. Noman, Yahia A. Raja’A, Hashim M. Assiraji, Yousef A. Assofi
Saudi Medical Journal
OBJECTIVE: The aim of this study is to determine the rate of wound infection after clean surgical operations without using of prophylactic antibiotics and to investigate the relation between surgical wound infection with patient9s age, sex, type of hospital, and the difference in surgeons. METHODS: This study carried out in Sana’a city on 238 patients who underwent clean operations in two governmental and two private hospitals by four surgeons between 1998-1999. Patients at high risk of infection were excluded. RESULTS: The rate of wound infection was 8%. The study revealed statistically significant difference (P=0.011) in the infection with elderly patients …
Hairy Cell Leukemia-Variant, Iman H. Al-Sheikh, Mohammad I. Quadri
Hairy Cell Leukemia-Variant, Iman H. Al-Sheikh, Mohammad I. Quadri
Saudi Medical Journal
Hairy cell leukaemia variant is a very rare chronic lymphoproliferative disorder and is closely related to hairy cell leukemia. We hereby describe a case of hairy cell leukaemia variant for the first time in Saudi Arabia. An elderly Saudi man presented with pallor, massive splenomegaly, and moderate hepatomegaly. Hemoglobin was 7.7 g/dl, Platelets were 134 x109/l and white blood count was 140x10 9/l with 97% being abnormal lymphoid cells with cytoplasmic projections. The morphology, cytochemistry, and immunophenotype of the lymphoid cells were classical of hairy cell leukaemia variant. The bone marrow was easily aspirated and findings were consistent with hairy …
Saudi Medical Journal The New Century, Basim A. Yaqub, Saleh M. Al-Deeb
Saudi Medical Journal The New Century, Basim A. Yaqub, Saleh M. Al-Deeb
Saudi Medical Journal
No abstract provided.
Challenges Facing Continuing Medical Education And The Saudi Council For Health Specialities, Ali M. Al-Shehri, Saud A. Al-Turki
Challenges Facing Continuing Medical Education And The Saudi Council For Health Specialities, Ali M. Al-Shehri, Saud A. Al-Turki
Saudi Medical Journal
As we leave the 20th century, continuing medical education faces many challenges in relation to its effectiveness, efficiency and quality. The young and promising Saudi Council for Health Specialties produces a document on accreditation of continuing medical education, which indicates its interest in this vital subject. This paper aims to enrich the approach to continuing medical education in Saudi Arabia by reviewing the main relevant challenges reported in literature and suggesting that the Saudi Council for Health Specialities may consider developing and implementing a continuing medical education charter that addresses the needs of all stakeholders and emphasizes high quality and …
Geographical Distribution Of Biomedical Publications From The Gulf Corporation Council Countries, Margaret G. Northway, Dirk Deleu, Yolande Hanssens
Geographical Distribution Of Biomedical Publications From The Gulf Corporation Council Countries, Margaret G. Northway, Dirk Deleu, Yolande Hanssens
Saudi Medical Journal
OBJECTIVE: It was our purpose to perform a geographical analysis for the number of biomedical and clinical research publications from the six countries of the Gulf Cooperation Council over the past decade (1990-1999). METHODS: Medline was searched with the aid of the Internet provider PubMed. By using the advanced search option, entries were based on the country name for each of the Gulf Cooperation Council countries and the time period considered. RESULTS: The number of Medline-listed biomedical research papers published in the Gulf Cooperation Council countries over the last 10 years totaled 6,960 and increased by 14% over the past …
Seroepidemiological Study Of Toxoplasma Gondii Infection In The Human Population In The Eastern Region, Abdul R. Al-Qurashi, Ahmed M. Ghandour, Obied E. Obeid, Abdulaziz Al-Mulhim, Suhair M. Makki
Seroepidemiological Study Of Toxoplasma Gondii Infection In The Human Population In The Eastern Region, Abdul R. Al-Qurashi, Ahmed M. Ghandour, Obied E. Obeid, Abdulaziz Al-Mulhim, Suhair M. Makki
Saudi Medical Journal
OBJECTIVE: Toxoplasma gondii is an an obligate intracellular protozoan parasite that causes toxoplasmosis. The infection is worldwide, particularly in warm and moist climates. Few studies have been conducted on the prevalence of subclinical or overt disease in Saudi Arabia. No population-based study was conducted or the seroprevalence of toxoplasmosis in humans in Saudi Arabia and this initiated the present study. The present study aimed at studying seroprevalence of Toxoplasma IgG and IgM antibodies in sera from 5 areas in the Eastern Region of Saudi Arabia. METHODS: A population based epidemiological approach, prevalence according to lifestyle (urban or rural), gender (male …
Epilepsy In Saudi Children With Cerebral Palsy, Abdulsalam A. Al-Sulaiman
Epilepsy In Saudi Children With Cerebral Palsy, Abdulsalam A. Al-Sulaiman
Saudi Medical Journal
OBJECTIVE: To study the clinical characteristics, electroencephalographic and computerized axial tomography profile in Saudi children with cerebral palsy who suffer epilepsy in a university referral center. METHODS: A total of 113 patients with cerebral palsy and epilepsy was seen (67 boys, 46 girls) with an over all mean age 5.3 years (range .2-12 years) during the study period (January 1998 - December 1999). They all had clinical evaluation and standardized electroencephalographic studies interpreted by the same examiner. RESULTS: The main clinical features were language delay (61%), hypotonia (45%), hypertonia (38%), and behavioral abnormalities (41%). Seizure types included generalized in 96 …
Corpus Callosum Agenesis, Roshan Koul, Alexander Chacko, Dilip K. Sankhla
Corpus Callosum Agenesis, Roshan Koul, Alexander Chacko, Dilip K. Sankhla
Saudi Medical Journal
OBJECTIVE: The objectives are to analyse corpus callosum agenesis in children with various neurological problems in a hospital set-up, and to study the neurological and systemic abnormalities associated with this condition. METHODS: The children with various neurological problems who underwent computerized tomography brain from January 1993 to December 1997, and were found to have corpus callosum agenesis, formed the subjects of this study. These children were examined for any syndromic association, congenital infections or metabolic defects. RESULTS: Out of 2164 children who underwent computerized tomography brain, 22 had corpus callosum agenesis (1%). Most cases were not syndromic and 64% were …
Prevalence Of Hypertension In Obese And Non-Obese Saudis, Mohsen A. El-Hazmi, Arjumand S. Warsy
Prevalence Of Hypertension In Obese And Non-Obese Saudis, Mohsen A. El-Hazmi, Arjumand S. Warsy
Saudi Medical Journal
OBJECTIVE: Obesity occurs at a high prevalence in the Saudi population. Studies in literature show that hypertension occurs more frequently in obese individuals.This study was designed to determine the prevalence of hypertension in obese Saudis in comparison with results obtained in non-obese individuals. METHODS: The screening involved a statistically designed household screening program. Only adults 14-70 years of age were included in the study. Blood pressure (systolic and diastolic) was measured when the individuals were in sitting position and height and weight were used to calculate Body Mass Index. All individuals with Body Mass Index > 30 were classified as obese …
Antibiotic Susceptibilities Of Helicobacter Pylori, Khalid M. Bindayna
Antibiotic Susceptibilities Of Helicobacter Pylori, Khalid M. Bindayna
Saudi Medical Journal
OBJECTIVE: The aim of this study was to evaluate the prevalence of resistance among 83 Helicobacter pylori isolates cultured from biopsies taken during routine endoscopies in 1998-1999. METHODS: Minimum Inhibitory Concentration of amoxicillin, tetracycline, clarithromycin and metronidazole were determined by Epsilometer test. RESULTS: Forty-seven strains (57%) were resistant to metronidazole, and 27 (32.5%) were resistant to clarithromycin. Twenty of the 27 strains resistant to clarithromycin were also resistant to metronidazole. None of the strains were resistant to amoxicillin or tetracycline. CONCLUSION: A high percentage of patients from Bahrain were infected with resistant strains of Helicobacter pylori. Antibiotic resistance monitoring is …
Epidemiology Of Bronchial Asthma Among School Boys In Al-Khobar City, Saudi Arabia, Kasim M. Al-Dawood
Epidemiology Of Bronchial Asthma Among School Boys In Al-Khobar City, Saudi Arabia, Kasim M. Al-Dawood
Saudi Medical Journal
OBJECTIVE: The objective of this cross-sectional study was to determine the prevalence of bronchial asthma among Saudi School boys at Al-Khobar city. METHODS: This is a cross-sectional study. The methodology included the distribution of a self administered questionnaire which was filled by the parents of 1482 school boys who satisfied the selection criteria of the study. RESULTS: The prevalence rate of Questionnaire Diagnosed Asthma and Physician Diagnosed Asthma were 9.5% and 8%. Questionnaire Diagnosed Asthma school boys and their parents suffered significantly higher rates of allergenic diseases and environmental factors (pets at home, passive smoking) than non Questionnaire Diagnosed Asthma. …
Analysis Of False Positive And False Negative Cytological Diagnosis Of Breast Lesions, Awatif A. Jamal, Ibrahim Mansoor
Analysis Of False Positive And False Negative Cytological Diagnosis Of Breast Lesions, Awatif A. Jamal, Ibrahim Mansoor
Saudi Medical Journal
OBJECTIVE: To study the reasons for interpretive errors in false negative and false positive diagnosis of breast carcinoma on fine needle aspiration cytology material. METHODS: We reviewed only those cases in which cytohistological discrepancies were found, where the cytologic material was abnormal and to some extent misinterpreted or both. RESULTS: There was only one false negative case (false negative fraction 0.32%) proved histologically as ductal carcinoma and four false positive cases (false positive fraction 1.2%); 2 fibroadenoma; 1 fibrocystic disease; and 1 stromal fibrosis. Smears of the two false positive fibroadenoma cases showed very high cellularity, overcrowded clusters and frequent …
Pseudolesion In Left Lobe Of The Liver Due To Superior Vena Cava Obstruction
Pseudolesion In Left Lobe Of The Liver Due To Superior Vena Cava Obstruction
Saudi Medical Journal
We report a case of lymphoma in which abnormal strong enhancement in the medial segment of left lobe of liver during arterial phase of triphasic helical computed tomography due to superior vena cava obstruction.
Attitude Of Patients Attending The Surgical Clinic Towards A Day Surgical Unit, Abdul-Wahed M. Meshikhes, Mohammed A. Mubarek
Attitude Of Patients Attending The Surgical Clinic Towards A Day Surgical Unit, Abdul-Wahed M. Meshikhes, Mohammed A. Mubarek
Saudi Medical Journal
OBJECTIVE: To establish awareness and attitude of patients attending the general surgical clinic in Dammam Central Hospital, Dammam, Eastern Province towards a day surgery unit. Also, to establish the reasons for their preference to have surgery performed as inpatients or in the day surgery unit. METHODS: Some 100 consecutive patients attending the surgical clinic of a single consultant surgeon at Dammam Central Hospital were surveyed. Patients who can neither read nor write were excluded. They were asked to answer a simple questionnaire on day surgery and their preference to have their minor operations under general anesthesia performed as a day …
Hypereosinophilia Associated With Intrahepatic Cholestasis In Early Infancy, Ali M. Al-Binali, Suliman H. Al-Fifi, Abdulla A. Al-Harthi, Ahmed A. Al-Barki, Samuel H. Annobil
Hypereosinophilia Associated With Intrahepatic Cholestasis In Early Infancy, Ali M. Al-Binali, Suliman H. Al-Fifi, Abdulla A. Al-Harthi, Ahmed A. Al-Barki, Samuel H. Annobil
Saudi Medical Journal
A male infant presented with intrahepatic cholestasis due to idiopathic eosinophilia damaging the biliary epithelium. No other etiological agent or cause could be identified. He responded well to prednisone therapy.
Knowledge And Attitude Of Primary Health Care Physicians Towards Sleep Disorders, Ahmed S. Bahammam
Knowledge And Attitude Of Primary Health Care Physicians Towards Sleep Disorders, Ahmed S. Bahammam
Saudi Medical Journal
OBJECTIVE: Although sleep disorders are common, these are under-recognized and underestimated by many workers in the medical field due to lack of physician9s education in sleep and sleep disorders. We conducted this survey to assess the general knowledge and attitude of Primary Health Care Physicians in Riyadh, Saudi Arabia towards sleep disorders. METHODS: A self-administered questionnaire was distributed to all Primary Health Care physicians working in Primary Health Care centers of the Ministry of Health in Riyadh. The following factors were assessed: demographic data of the participating physicians, their background about sleep disorders and their recognition of possible presentations, consequences …
Rift Valley Fever, Sherine Shawky
Rift Valley Fever, Sherine Shawky
Saudi Medical Journal
Rift Valley fever is a viral disease that affects domestic animals and humans. In humans, Rift Valley fever causes a flu-like disease but occasionally leads to high morbidity and mortality. The disease is generally known in the African continent. However, cases started to appear in Saudi Arabia and Yemen. The objective of this review is to give a general briefing about the epidemiology, ecology and management of the disease.
Antibiotic Resistance. An Impending Crisis, Manuel W. Mah, Ziad A. Memish
Antibiotic Resistance. An Impending Crisis, Manuel W. Mah, Ziad A. Memish
Saudi Medical Journal
The global emergence of antimicrobial resistance has become a pre-eminent concern in medicine and public health. Antimicrobial resistance is of particular concern because the problem is widespread, the causative factors are uncontrolled, and national strategies to address the problem are lacking. The persisting burden of infectious diseases makes elimination of antibiotic use unethical, but dramatic overuse and misuse of antimicrobial agents around the world must be reduced to extend the useful lifetimes of these drugs. Population genetic models suggest that resistance emerges rapidly under the selective pressure of antibiotics, but decays slowly once that pressure is removed. Hence, measures to …
Knowledge And Practices Of Mothers About Infants' Diarrheal Episodes, Salma A. Moawed, Abdalla A. Saeed
Knowledge And Practices Of Mothers About Infants' Diarrheal Episodes, Salma A. Moawed, Abdalla A. Saeed
Saudi Medical Journal
OBJECTIVE: To study the socioeconomic correlates of infants9 diarrhea as well as infants9 mothers9 knowledge and practice concerning diarrheal diseases. METHODS: Study subjects included 300 infants (150 from Sulaimania Pediatrics Hospital and 150 from the Maternal and Childrens Hospital) with diarrheal episodes during the study period selected by systematic random sampling. Data was collected via a structured open ended pilot tested modified questionnaire filled in by trained Arabic speaking research assistants who interviewed mothers about the diarrheal aspects of their infants, assessed their knowledge and practices concerning diarrheal diseases in children as well as collecting the necessary sociodemographic characteristics of …
Seroepidemiology Of Hepatitis B Virus Markers Among Hospital Health Care Workers. Analysis Of Certain Potential Risk Factors, Mohamed A. Daw, Ismail M. Siala, Mansour M. Warfalli, Mohamed I. Muftah
Seroepidemiology Of Hepatitis B Virus Markers Among Hospital Health Care Workers. Analysis Of Certain Potential Risk Factors, Mohamed A. Daw, Ismail M. Siala, Mansour M. Warfalli, Mohamed I. Muftah
Saudi Medical Journal
OBJECTIVE: To determine, the prevalence of hepatitis B virus markers among hospital health care workers, to determine the influence of some risk factors on such prevalence and to outline the specific policies to tackle such problems among hospital health care workers. METHODS: Hepatitis B virus markers including hepatitis B surface antigen, anti-hepatitis B surface antigen and anti-hepatitis B core antigen were determined from sera samples collected from 459 hospital health care workers at different hospital departments. The prevalence of hepatitis B virus among these employees was correlated by a variety of risk factors such as gender, age, blood transfusion, and …
Allograftic And Alloplastic Auricular Reconstruction, Jamal A. Habiballah, Ahmed Bamousa
Allograftic And Alloplastic Auricular Reconstruction, Jamal A. Habiballah, Ahmed Bamousa
Saudi Medical Journal
OBJECTIVE: The ear is considered a major asthetic unit that is not easily duplicated. Children born with microtia and patients who suffer from total auricular deformities present with one of the most challenging problems a facial plastic surgeon may encounter. METHODS: Various modalities have been described in the literature. The aim of this paper is to describe the results obtained when the ear is reconstructed using different modalities (autogenous and non-autogenous) with special emphasis on the results of using polyethylene (Med pore) ear implants. RESULTS: A retrospective chart review was conducted on 22 patients who had major ear reconstruction using …
Depot Antipsychotics. Patient Characteristics And Prescribing Pattern, Mohammed A. Al-Sughayir
Depot Antipsychotics. Patient Characteristics And Prescribing Pattern, Mohammed A. Al-Sughayir
Saudi Medical Journal
OBJECTIVE: To determine the prescribing pattern of depot neuroleptics and the clinical characteristics of patients attending depot clinic. METHODS: A case series of chronic psychotics attending the depot clinic in the day care center at King Abdulaziz University Hospital in Riyadh, over 10 years. Data was obtained from hospital records, patients interview and contact with patients9 relatives and social workers. RESULTS: The total number of patients was 69 (55% were males). The majority were single schizophrenics between 25 and 45 years. Fifty-one percent of patients lost contact with the service. The Chlorpromazine equivalent depot dose was 188.5 mg/day. CONCLUSION: Patients …
Obstetric Handling Of A Deaf Patient, Mohamed S. Mustafa, Mohamed H. Addar
Obstetric Handling Of A Deaf Patient, Mohamed S. Mustafa, Mohamed H. Addar
Saudi Medical Journal
We report our experience of obstetric handling of a deaf pregnant patient antenatally, in labor and postpartum. The patient was deaf from childhood. The attending obstetrician had no training in the necessary skills for communication with the deaf. Fortunately, the patient could read and write English very well and communication was carried out through pen and paper. This proved to be difficult, time-consuming and required a lot of patience. The clinical, psychological and human aspects of the management were gratifying. The patient brought up interesting aspects that need to be considered when dealing with similar patients. Experience of deaf mothers …
Congenital Aplasia Of The Scalp., Adnan A. Mohammed, Musa A. El-Gadi
Congenital Aplasia Of The Scalp., Adnan A. Mohammed, Musa A. El-Gadi
Saudi Medical Journal
No abstract provided.
Clinical Approach To Patient Treatment By Traditional Cauterization., Latif A. Khan, Sarosh A. Khan
Clinical Approach To Patient Treatment By Traditional Cauterization., Latif A. Khan, Sarosh A. Khan
Saudi Medical Journal
No abstract provided.
Multiple Choice Questions In Sudan Medical Schools., Elbagir A. Elfaki, Awad M. Ahmed
Multiple Choice Questions In Sudan Medical Schools., Elbagir A. Elfaki, Awad M. Ahmed
Saudi Medical Journal
No abstract provided.
Extracranial-Intracranial Bypass Surgery In Cerebrovascular Diseases, Jens Haase
Extracranial-Intracranial Bypass Surgery In Cerebrovascular Diseases, Jens Haase
Saudi Medical Journal
Since the report from the International Study on extracranial-intracranial bypass was presented in 1985, an abrupt stop to almost all bypass surgery was introduced. The clear goals of the bypass study to reduce repeated strokes based on extracranial-intracranial bypass could not be documented. This review emphasizes the drawbacks of this previous study and why its conclusions were too sweeping, including statements that the study could not validate. The present status on cerebral hemodynamics and possible augmentations of reduced cerebral vascular reserve using extracranial-intracranial bypass are given. It is concluded that in hemodynamic proven cases extracranial-intracranial bypass may definitely benefit the …
Factors Influencing Reproductive Performance Following Previous Ectopic Pregnancy, Adekunle A. Sobande
Factors Influencing Reproductive Performance Following Previous Ectopic Pregnancy, Adekunle A. Sobande
Saudi Medical Journal
OBJECTIVE: To assess the factors that influence the reproductive performance in patients who had previous salpingectomy by laparotomy for ectopic pregnancy in the South-west Region of Saudi Arabia. METHODS: Fifty four patients who had pregnancies following salpingectomy for previous ectopic pregnancy were studied retrospectively at Abha Maternity Hospital in the Southern Region of Saudi Arabia. RESULTS: There were 130 ectopic pregnancies during the study period out of which 54 patients became pregnant subsequently. Of the subsequent pregnancies, there were 41 (80%) intrauterine pregnancies and 13 (20%) extrauterine recorded pregnancies. Out of the intrauterine pregnancies, 36 (88%) resulted in full term …
Infant And Child Safety Practices Of Parents, Mohammed M. Jan, Fawzia H. Hasanain, Amal A. Al-Dabbagh
Infant And Child Safety Practices Of Parents, Mohammed M. Jan, Fawzia H. Hasanain, Amal A. Al-Dabbagh
Saudi Medical Journal
OBJECTIVE: Accidental injuries are the leading cause of death among children. Many of these injuries could be prevented if the parents took additional safety precautions. We aimed to study the parent9s safety practices and explore the possible correlating and contributing factors to unfavorable safety behaviors. METHODS: Prospective interviews with the parents of infants seen consecutively during a routine well baby clinic visit were conducted using a structured 38-item questionnaire. RESULTS: Two hundred and eighty nine structured interviews were conducted and the mother was interviewed in 88% of cases. Only 4% of families had a smoke detector at home and 8% …
An Attempt To Estimate Gestational Age Of Newborns Using Physical Characteristics, Muhammed A. Al-Mansoob, Afrah S. Al-Nuzeili
An Attempt To Estimate Gestational Age Of Newborns Using Physical Characteristics, Muhammed A. Al-Mansoob, Afrah S. Al-Nuzeili
Saudi Medical Journal
OBJECTIVE: To investigate the validity of using some physical characteristics to estimate gestational age of the Yemini newborn babies and to compare the results with the findings of other similar studies. METHODS: By using the definitions of 12 physical characteristics and the simple and multiple regression methods, the gestational ages of 184 Yemeni newborns were estimated. RESULTS: The study has proved that, with reasonable estimation precision, only 5 physical characteristics namely skin texture, skin opacity, plantar creases, ear firmness and skull hardness can be used to estimate the gestational age of the Yemeni newborn babies. Further, estimation precision will be …