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Prevalence And Correlates Of Acute Respiratory Infections In Children Less Than Two Years Of Age, Abdalla A. Saeed, Ibrahim A. Bani
Prevalence And Correlates Of Acute Respiratory Infections In Children Less Than Two Years Of Age, Abdalla A. Saeed, Ibrahim A. Bani
Saudi Medical Journal
OBJECTIVE: To study acute respiratory infections of children less than 2 years of age in Riyadh City and their sociodemographic and anthropometric correlates. METHODS: Study subjects included 250 mothers selected by systematic random sampling from mothers attending 5 Primary Health Care Centers selected by simple random sampling from the 5 geographical zones (one from each zone) in Riyadh during a one month period. Data was collected via a structured pilot tested modified questionnaire filled in by trained research assistants who interviewed mothers regarding acute respiratory infections during the past 2 weeks in their children aged less than 2 years. Heights …
Study Of Hemoglobinopathies In Oman Through A National Register, Anna G. Rajab, Michael A. Patton, Bernadette Modell
Study Of Hemoglobinopathies In Oman Through A National Register, Anna G. Rajab, Michael A. Patton, Bernadette Modell
Saudi Medical Journal
OBJECTIVE: A national register of symptomatic hemoglobinopathies has been developed in Oman to facilitate the development of the National Program for the control of genetic blood disorders. METHODS: The information was initially collected retrospectively through hospital records and was refined prospectively with data collected through a survey of pediatricians. The percentages of heterozygotes in different population groups and geographical locations, birth prevalence, age distribution of cases and factors determining frequencies of Hemoglobinopathies in different regions of the country were studied from the register. RESULTS: The register has identified 1757 cases of homozygous Sickle Cell Anemia and 243 cases of b-thalassemia …
Colorectal Spirochetosis, Issam A. Al-Bozam, Ammar C. Al-Rikabi
Colorectal Spirochetosis, Issam A. Al-Bozam, Ammar C. Al-Rikabi
Saudi Medical Journal
Colorectal spirochetosis is a very rare pathologic condition that was been described several decades ago; however, its clinical significance is debatable in causing problems to human beings. We describe the first 2 documented cases of colorectal sprirochetosis in Saudi Arabia and discuss the different views about this entity and it9s clinical significance.
Biomedical Engineering Company Announces Its Disa S-Flex Coronary Stent, Africas First Ce Marked Heart Implant, Gregory Starke
Biomedical Engineering Company Announces Its Disa S-Flex Coronary Stent, Africas First Ce Marked Heart Implant, Gregory Starke
Saudi Medical Journal
No abstract provided.
Diabetic Autonomic Neuropathy, Awad M. Ahmed, Abbashar Hussein, Nada H. Ahmed
Diabetic Autonomic Neuropathy, Awad M. Ahmed, Abbashar Hussein, Nada H. Ahmed
Saudi Medical Journal
OBJECTIVE: The diabetic autonomic neuropathy is a poorly studied subject in our medical literature. This study is aimed at investigating the presence of diabetic autonomic neuropathy in a group of Sudanese diabetic patients and its relationship to factors like glycemic control, duration of diabetes and presence of peripheral neuropathy. METHODS: During one year we examined 120 diabetic patients and an age-matched control group of 42 by applying a battery of 5 cardiovascular autonomic tests, beside a full history and clinical examination. The patients were also tested for glycemic control and presence of peripheral neuropathy. RESULTS: Diabetic autonomic neuropathy was diagnosed …
Bronchoscopy, Indications, Safety And Complications, Omer S. Alamoudi, Susan M. Attar, Tawfik M. Ghabrah, Mohammed A. Kassimi
Bronchoscopy, Indications, Safety And Complications, Omer S. Alamoudi, Susan M. Attar, Tawfik M. Ghabrah, Mohammed A. Kassimi
Saudi Medical Journal
OBJECTIVE: To review the safety, indications, complications of flexible fiberoptic bronchoscopies performed at university teaching hospital, and to correlate the bronchoscopic findings with radiology, histology, and history of smoking. METHODS: A total of 124 consecutive flexible fiberoptic bronchoscopies were reviewed in the last 3 years. A special form that contains personal data, indications, premedications, route of insertion, bronchoscopic findings, and complications in subjects-undergone bronchoscopy was completed. RESULTS: A suspicion of pulmonary tuberculosis (31%), lung mass (19%) and hemoptysis (18%) were the most common indications. Hypoxemia (14%) during procedure and pneumothorax post procedure were the most common complications. Mortality rate was …
Screening For Asthma And Associated Risk Factors Among Urban School Boys In Abha City, Mohammed A. Alshehri, Mostafa A. Abolfotouh, Ali Sadeg, Youssef M. Al-Najjar, Asindi A. Asindi, Hassan Al-Trabulsi, Suleiman Al Fifi, Abdulrahman Al Frayh
Screening For Asthma And Associated Risk Factors Among Urban School Boys In Abha City, Mohammed A. Alshehri, Mostafa A. Abolfotouh, Ali Sadeg, Youssef M. Al-Najjar, Asindi A. Asindi, Hassan Al-Trabulsi, Suleiman Al Fifi, Abdulrahman Al Frayh
Saudi Medical Journal
OBJECTIVE: The objective of the present study was to measure the prevalence of asthma and asthma-related symptoms among male school children in Abha City and to determine some of the possible risk factors influencing its occurrence. METHODS: A randomly selected sample of 4300 male school children aged 7 to 15 years in Abha were subjected to a previously validated questionnaire for asthma to be completed by parents. Asthma was identified based on the Rush Medical College and International Study of Asthma and Allergies in Children questionnaire. Information of asthma family history, asthma related symptoms, and other atopic conditions, smokers in …
Can The Rate Of Cesarean Section Be Reduced?, Ratib A. Mesleh, Ahmad M. Kurdi, Hisham S. Ayoub
Can The Rate Of Cesarean Section Be Reduced?, Ratib A. Mesleh, Ahmad M. Kurdi, Hisham S. Ayoub
Saudi Medical Journal
OBJECTIVE: To look into all cases with previous one cesarean section who were cared for and delivered at Armed Forces Hospital, Riyadh, between January 1990 and December 1998, to determine its prevalence, final method of delivery, and outline measures of reducing its incidence. METHODS: Retrospective analysis of hospital records of all women with previous one cesarean section who had either a repeat cesarean section or delivered vaginally after cesarean section. RESULTS: Between 1990 and 1998, 61,060 mothers were delivered. Two thousand five hundred and seventy eight patients had one previous cesarean section. They represented 3.5% of the total number of …
Prognostic Significance Of Endometrial Evaluation By Ultrasonography In Ovulation Induced Cycles, Walid K. Idriss, Mohamed A. Mohiuddin, Mini Zachariah, K. Sambasivarao
Prognostic Significance Of Endometrial Evaluation By Ultrasonography In Ovulation Induced Cycles, Walid K. Idriss, Mohamed A. Mohiuddin, Mini Zachariah, K. Sambasivarao
Saudi Medical Journal
OBJECTIVE: To find out prognostic significance of pre-ovulatory endometrial evaluation by ultrasound scanning after exposure to the drugs during different protocols of ovulation induction with particular reference to clomiphene citrate and to correlate with pregnancy rate. METHODS: The thickness and texture of endometrium were the two biophysical parameters considered to be evaluated by ultrasonography. The cycles of 47 women of primary infertility were studied after ovulation induction by 4 types of protocols with or without clomiphene citrate. RESULTS: The pregnancy rate was recorded highest (36%, 5/14) in the exclusive treatment group of clomiphene citrate protocol. Most of the women in …
To Ligate Or Not To Ligate The Hernial Sac In Adults?, Kamal I. Gharaibeh, Yousef Y. Matani
To Ligate Or Not To Ligate The Hernial Sac In Adults?, Kamal I. Gharaibeh, Yousef Y. Matani
Saudi Medical Journal
OBJECTIVE: Prospective evaluation of the long term effect of leaving the hernial sac open without ligation on the recurrence rate of indirect inguinal hernia repair. METHODS: During the period from July 1987 to July 1990, a total of 60 consecutive patients with 64 indirect inguinal hernia were entered into this prospective study. The indirect inguinal hernia was repaired using Maloney technique with excision of the hernial sac proximally as deep as possible without any attempt to ligate or transfix the sac. All patients were followed up at regular intervals. RESULTS: During the 3-year period, a total of 64 indirect inguinal …
Spinal Versus Epidural Anesthesia For Transurethral Resection Of The Prostate, Nabil A. Jayousi
Spinal Versus Epidural Anesthesia For Transurethral Resection Of The Prostate, Nabil A. Jayousi
Saudi Medical Journal
OBJECTIVE: To compare spinal versus epidural anesthesia for transurethral resection of the prostate. METHODS: A total of 65 patients undergoing transurethral resection of the prostate between September 1996 and March 1997, from the King Hussein Medical Centre, Amman, Jordan, were enrolled in this study. RESULTS: Epidural anesthesia was successful in 30 patients using an initial dose of 15 ml of 0.5% bupivicaine; whereas spinal anesthesia was successful in 32, using 2.5 ml of 0.5% bupivicaine. Sensory blockade at the level of T8 was similar in both techniques as were hypotension and postoperative hemorrhage. Differences occurred in the degree of motor …
Subcutaneous Panniculitic T Cell Lymphoma Mimicking Histiocytic Cytophagic Panniculitis In A Child, Sulafa K. Ali, Nadir M. Othman, Alexander B. Tagoe, Asma A. Tulba
Subcutaneous Panniculitic T Cell Lymphoma Mimicking Histiocytic Cytophagic Panniculitis In A Child, Sulafa K. Ali, Nadir M. Othman, Alexander B. Tagoe, Asma A. Tulba
Saudi Medical Journal
Subcutaneous panniculitc T-cell lymphoma is a very rare malignancy in the pediatric age group, its association with hemophagocytic syndrome had been described but the association with the skin lesions mimicking histiocytic cytophagic panniculitis which is characteristic of hemophagocytic syndrome has not, to our knowledge, been described in children. We report a child with panniculitic T-cell lymphoma associated with bone marrow hemophagocytosis and subcutaneous histiocytic infiltration with active phagocytosis simulating histiocytic cytophagic. We stress the importance of searching for T-cell lymphoma in patients with panniculitis and hemophagocytic syndrome.
Bronchiolitis Obliterans Organizing Pneumonia Associated With Pseudomonas Aeruginosa Infection, Daad H. Akbar, Omer S. Alamoudi
Bronchiolitis Obliterans Organizing Pneumonia Associated With Pseudomonas Aeruginosa Infection, Daad H. Akbar, Omer S. Alamoudi
Saudi Medical Journal
Bronchiolitis obliterans organizing pneumonia is a rare disease characterized by the presence of granulation tissue within alveolar ducts and alveoli. Most cases are idiopathic, but it may also be seen during resolution of viral or bacterial pneumonia (mycoplasma, legionella and chlamydia). It may present as a community acquired pneumonia which does not respond to antibiotics, which make the diagnosis very difficult. We described a 53-year old patient who presented with Bronchiolitis obliterans organizing pneumonia during the resolution of pseudomonas aeruginosa pneumonia. Initially there was slight improvement on antibiotics but later he became severely hypoxic and placed on mechanical ventilator. Diagnosis …
Gastric Perforation. An Unusual Cause Of Ascites In A Newborn Baby, Omer B. Abdelbasit, Meeralebbae M. Shaheed, Mohammad S. Al-Omari, Abdullah M. Abomelha, Mirghani O. Babiker
Gastric Perforation. An Unusual Cause Of Ascites In A Newborn Baby, Omer B. Abdelbasit, Meeralebbae M. Shaheed, Mohammad S. Al-Omari, Abdullah M. Abomelha, Mirghani O. Babiker
Saudi Medical Journal
We report a case of a low birth weight asymmetrical small for gestational age baby, who presented at the age of 20 hours with sudden abdominal distension. Since birth he has been breastfed and was kept with his mother. Absence of radiological findings of necrotizing enterocolitis or perforation at the time of presentation delayed the diagnosis for 48 hours. At laparotomy the baby was found to have perforation of the stomach with no evidence of other gastrointestinal disorder.
Multiple Choice Questions In Medical Schools, Dirk Deleu, Awad M. Ahmed
Multiple Choice Questions In Medical Schools, Dirk Deleu, Awad M. Ahmed
Saudi Medical Journal
No abstract provided.
Guidelines For The Administration Of Oral Examinations, Mohammed M. Jan, Amira R. Al-Buhairi
Guidelines For The Administration Of Oral Examinations, Mohammed M. Jan, Amira R. Al-Buhairi
Saudi Medical Journal
Practical oral examinations are considered an important and often a difficult part of medical school examinations. They represent an accurate and direct mean of assessing student9s interaction with patients and their clinical and technical skills. This paper reviews an outline for the administration of oral examinations. The review is based on the medical literature detailed discussions with many senior examiners from different medical systems, and the author9s personal experience. In summary, although examiner9s judgment is crucial, some general rules remain important for fair and consistent evaluation of students. First, examiner9s attitudes should be as friendly as possible with an objective …
Clean Intermittent Catheterization In Saudi Children. Suggestion For A Common Protocol, Roberto De Castro, Ahmad M. Alshammari
Clean Intermittent Catheterization In Saudi Children. Suggestion For A Common Protocol, Roberto De Castro, Ahmad M. Alshammari
Saudi Medical Journal
In the last thirty years, clean intermittent catheterization of urinary bladder has proven to be one of the most important advances in Urology. Clean intermittent catheterizationis already utilized in the Kingdom of Saudi Arabia, but the materials and the methods in use are not always the most appropriate. The acceptance of the long-term treatment with clean intermittent catheterization among Saudi families does not seem to be adequate. Moreover, the knowledge and the agreement about clean intermittent catheterization by Saudi Medical Community, and even among Urologists, does not seem to be satisfactory everywhere. We analyzed many different catheters and their cost. …
Prevalence Of Parainfluenza And Influenza Viruses Amongst Children With Upper Respiratory Tract Infection, Gheyath K. Nasrallah, Mamdoh M. Meqdam, Abdullah Al-Shurman
Prevalence Of Parainfluenza And Influenza Viruses Amongst Children With Upper Respiratory Tract Infection, Gheyath K. Nasrallah, Mamdoh M. Meqdam, Abdullah Al-Shurman
Saudi Medical Journal
OBJECTIVE: The objective of this study was to determine the prevalence of Parainfluenza and Influenza causing upper respiratory tract infections and to evaluate shell vial culture assay and direct immunofluorescence assay. METHODS: A retrospective study during the period between November 1997 and May 1998. A total of 350 nasopharyngeal aspirates were obtained from children suffering from respiratory tract infections. Nasopharyngeal aspirates were investigated for the presence of Parainfluenza 1, 2 and 3, Influenza A and B using shell vial culture assay, conventional culture assay and direct immunofluorescence assay. RESULTS: Parainfluenza 1 were identified in 3%, Parainfluenza 2 in 5% and …
Profile Of Stroke In A Teaching University Hospital In The Western Region, Faiza A. Qari
Profile Of Stroke In A Teaching University Hospital In The Western Region, Faiza A. Qari
Saudi Medical Journal
OBJECTIVE: An epidemiological study of stroke on patients admitted at King Abdul Aziz University hospital to determine the pattern of stroke, clinical presentation, risk factors and the outcome of the stroke in Saudis and non Saudis. METHODS: Case records of patients admitted with stroke between (January 1997 to January 2000) at King Abdul Aziz University Hospital which is a teaching hospital affiliated to Ministry of Education, provides health care to multinational population of mixed socioeconomic status. The diagnosis was established by radiological assessment either by computerized tomography scan or magnetic resonance imaging. Pattern of stroke, clinical presentations, risk factors and …
Power Spectrum Analysis And Conventional Electromyogram In Duchenne Muscular Dystrophy, Khalil I. Shaikhly, Farqad B. Hamdan, Fakher S. Al-Ani
Power Spectrum Analysis And Conventional Electromyogram In Duchenne Muscular Dystrophy, Khalil I. Shaikhly, Farqad B. Hamdan, Fakher S. Al-Ani
Saudi Medical Journal
OBJECTIVE: A comparative study of automatic electromyogram analysis (power spectral analysis) and manual measurements of the individual motor units potentials parameters in normal and Duchenne muscular dystrophy patients was performed to assess the diagnostic yield of both methods. METHODS: The analysis of 20 motor unit potentials elicited at weak effort manually by visual assessment and by power spectrum analysis at 1400 Hz Haning window were performed with concentric needle electrode in the biceps brachii and tibialis anterior. The study includes 18 healthy controls and 32 Duchenne muscular dystrophy patients. The primary diagnosis of the patients was based on the clinical …
The Value Of Treating The Male Partner In Vaginal Candidiasis, Awad S. Shihadeh, Ashraf N. Nawafleh
The Value Of Treating The Male Partner In Vaginal Candidiasis, Awad S. Shihadeh, Ashraf N. Nawafleh
Saudi Medical Journal
OBJECTIVE: To determine whether treatment of the sexual partners of women with vulvo-vaginal candidiasis with oral Ketoconazole can affect the cure and recurrence rate of candida vaginitis. METHODS: A total number of 144 women with vaginal candidiasis were treated with Ketoconazole 400 mg daily for 7 days, and half the male partners were treated with Ketoconazole 400 mg daily for 7 days. All women had physical follow-up examination, and mycological cultures were obtained at one week and four weeks after the start of treatment. The incidence of predisposing factors or of a recurrence history did not differ between treatment groups. …
Adult Kawasaki Disease, Hamdi H. Shelleh, Sarosh A. Khan, Latif A. Khan, Hussni Al-Hateeti, Samar Iqbal, Abdul F. Saleh
Adult Kawasaki Disease, Hamdi H. Shelleh, Sarosh A. Khan, Latif A. Khan, Hussni Al-Hateeti, Samar Iqbal, Abdul F. Saleh
Saudi Medical Journal
Kawasaki disease was first described from Japan in 1967. Most of the patients reported have been under 3 years of age. We are reporting a typical case of Kawasaki disease in an adult Yemeni male, who had all criteria for diagnosis. Additionally our patient had tricuspid regurgitation as well as tricuspid valve endocarditis, which is only rarely reported in literature. We also noted a rise in monocyte and eosinophil count up to 10%, which may have pathophysiologic significance in this disease. At two year follow up our patient had persistent right bundle branch black which he had developed during the …
Pattern Of Admission In Diabetics Of Najran, Latif A. Khan, Sarosh A. Khan, Husni Al-Hateeti, Daad H. Akbar
Pattern Of Admission In Diabetics Of Najran, Latif A. Khan, Sarosh A. Khan, Husni Al-Hateeti, Daad H. Akbar
Saudi Medical Journal
No abstract provided.
Diabetes And Perinatal Loss, A Continuing Problem, Ratib Mesleh, Adekunle A. Dekunle, A. Sobande
Diabetes And Perinatal Loss, A Continuing Problem, Ratib Mesleh, Adekunle A. Dekunle, A. Sobande
Saudi Medical Journal
No abstract provided.
Post Carotid Endarterectomy Seizure, Hussein M. Rabee, Nabil M. Aly, Ahmed M. Ahmed
Post Carotid Endarterectomy Seizure, Hussein M. Rabee, Nabil M. Aly, Ahmed M. Ahmed
Saudi Medical Journal
Post carotid endarterectomy seizure is a known clinical presentation in patients who suffer from hyperperfusion syndrome. This case focuses on the importance of identification of high risk patients for developing this syndrome and delaying their discharge from the hospital after successful carotid endarterectomy.
Female Circumcision
Saudi Medical Journal
It is uncertain when female circumcision was first practiced, but it certainly preceded the founding of both Christianity and Islam. A review of past and current historical, popular and professional literature was undertaken, and 4 types of female circumcision were identified. Typically female circumcision is performed by a local village practitioner, lay person or by untrained midwives. Female genital mutilation is not accepted by any religious or medical opinion, and is a violation of human rights against helpless individuals who are unable to provide informed consent and who must therefore be protected through education and legislation. Complications of female circumcision …
Otitis Externa In A Localized Area At The South Of Jordan, Salman M. Al-Asaaf, Maaita J. Farhan
Otitis Externa In A Localized Area At The South Of Jordan, Salman M. Al-Asaaf, Maaita J. Farhan
Saudi Medical Journal
OBJECTIVE: To investigate the clinical findings and to identify the microorganisms in the pathogenesis of otitis externa. METHODS: The symptoms and signs, as well as the bacterial flora, from the auditory canals of 70 Jordanian patients (94 ears) suffering from otitis externa were studied during the period from February 1999 to February 2000. RESULTS: Pain was the most common symptom (82%). The most common sign was erythema (65%), while oedema was the least common (42%). Pseudomonas aeruginosa was found in 39%, Aspergillus in 27%, Candida albicans in 18%, Staphylococcus aureus in 18% and no growth in 8.5%. Ninety three percent …
The Morbidity Pattern Among Adolescents Visiting Primary Health Care Centers, Eissa I. Al-Eissa
The Morbidity Pattern Among Adolescents Visiting Primary Health Care Centers, Eissa I. Al-Eissa
Saudi Medical Journal
OBJECTIVE: The aim of this study is to determine the morbidity pattern among Saudi adolescents in Riyadh City. METHODS: A cross sectional survey comprising 1473 (852 males (58%) and 621 females (42%)) Saudi adolescents aged 11 to 21 years old, visiting 10 primary health care centers, selected randomly in Riyadh city, who were invited to complete a 23 item questionnaire. Part of the questionnaire was designed to be completed by the doctor, and includes the diagnosis of the current problem or chief complaint and any chronic illness. The other part to be completed by the adolescent and includes the question …
Seroprevalence Of Hepatitis A Virus Markers In Eastern Saudi Arabia, Sami E. Fathalla, Abdulaziz A. Al-Jama, Iman H. Al-Sheikh, Sherief I. Islam
Seroprevalence Of Hepatitis A Virus Markers In Eastern Saudi Arabia, Sami E. Fathalla, Abdulaziz A. Al-Jama, Iman H. Al-Sheikh, Sherief I. Islam
Saudi Medical Journal
OBJECTIVE: To record and update the sero-epidemiological status of Hepatitis A virus in Eastern Saudi Arabia. To investigate the main viral etiology of clinical hepatitis in children and discuss the possibility of introducing a Hepatitis A virus vaccine in this Province. METHODS: Examining serum specimens by Enzyme Linkage Immuno-Sorbet Assay technique for these parameters: Immunoglobulin M anti-hepatitis A virus, total immunoglobulin anti-hepatitis A virus, and in selected cases we checked for hepatitis B surface antigen and anti-hepatitis C virus. The study was carried out in the Virology Diagnostic Labs, of Dammam Regional Laboratories & Blood Bank, Dammam. A total of …
Cesarean Section In The Primigravid, Ratib A. Mesleh, Fatma Asiri, Madawi F. Al-Naim
Cesarean Section In The Primigravid, Ratib A. Mesleh, Fatma Asiri, Madawi F. Al-Naim
Saudi Medical Journal
OBJECTIVE: To review all cases of cesarean section in the primigravid mother delivered at the Riyadh Armed Forces Hospital between January 1996 and December 1997. To determine its incidence, describe the clinical indications, outcome and highlight areas of improvement in an attempt to reduce the rate of cesarean section. METHODS: Retrospective case record analysis. RESULTS: During the study period there were 15301 deliveries. The overall cesarean section rate for 1996 was 12% and for 1997 was 13%. The rate of cesarean section in the primigravid was 12%. The rate of cesarean section in primiparas breech was 41%. Cesarean section in …