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Blood Lead Level In The Jordanian Population, Malek A. Dabbas, Mohammad A. Al-Zoubi
Blood Lead Level In The Jordanian Population, Malek A. Dabbas, Mohammad A. Al-Zoubi
Saudi Medical Journal
OBJECTIVE: To determine the blood lead level in the non-occupationally exposed Jordanian population as a baseline for comparative studies. METHODS: Seven hundred and forty six blood samples were collected and analyzed using Graphic Furnace Atomic Absorption Spectrophotometry. A representative sample for the Jordanian community was selected. RESULTS: The arithmetic mean for blood lead level in the whole sample was 1.96 µg/d1 which was lower than the other means determined by international studies. CONCLUSION: The blood lead level among the Jordanian population was found to be less than the levels in other countries, this may be partly explained by the low …
Asperger's Syndrome, Muwafak H. Al-Eithan
Asperger's Syndrome, Muwafak H. Al-Eithan
Saudi Medical Journal
This study presents a 14-year-old Saudi child with poor school achievement, diagnosed by psychiatrists as mentally retardated with a significant social deficit. No neurological disorder was evident. She has high to very high intellectual abilities on testing her intelligence quotient. Her verbal learning ability was also very high. Her social skills and capacity were impaired. No evidence of poor language was detected. The patient is diagnosed as suffering from Asperger9s syndrome, and not mentally retarded. She has the criteria for Asperger9s syndrome according to Diagnositic and Statistical Manual, 4th edition, including the significant social deficit with normal intellectual functioning. The …
Crohn's Disease Presenting As Life-Threatening Ileal Bleeding, Curt Tysk, Jan De Keersmaecker, Hussam Al-Been, Talal M. Ahmad
Crohn's Disease Presenting As Life-Threatening Ileal Bleeding, Curt Tysk, Jan De Keersmaecker, Hussam Al-Been, Talal M. Ahmad
Saudi Medical Journal
We report a case of Crohn9s disease in a 32-year old Saudi male. The disease presented with severe, life-threatening ileal bleeding necessitating an urgent laparotomy and 100 cm of ileum and ascending colon was resected. The bleeding source was several ulcers in an inflamed ileum and histopathologic examination revealed typical findings of Crohn9s disease with a chronic, transmural inflammation, non-caseating granuloma and the Ziehl-Neelsen stain was negative. The postoperative course was uneventful. On follow-up he is doing well on medical treatment with mesalamine and substitution therapy with vitamin B12.
An Unusual Anterior Mediastinal Mass In A Child With B-Thalassemia Major, Ahmed H. Al-Salem
An Unusual Anterior Mediastinal Mass In A Child With B-Thalassemia Major, Ahmed H. Al-Salem
Saudi Medical Journal
This case report describes the delayed appearance of Morgagni9s hernia in a 5 year old child with B-Thalassemia major to present as an anterior mediastinal mass. The progressive enlargement of the liver resulted in herniation of the left lobe of the liver through the already congenitally present Morgagni9s hernia leading to its enlargement. The report also emphasizes the fact that a previously normal chest x-ray should not preclude the diagnosis of Morgagni9s hernia. Morgagni9s hernia should also be included in the differential diagnosis of anterior mediastinal masses in children.
Hemophagocytic Syndrome, Ali H. Al-Talag, Abdulrahman E. Mohamed, Mutasim M. Dafulla, Zuhal Ghandour, Mohammed A. Al-Karawi, Abdul Haleem
Hemophagocytic Syndrome, Ali H. Al-Talag, Abdulrahman E. Mohamed, Mutasim M. Dafulla, Zuhal Ghandour, Mohammed A. Al-Karawi, Abdul Haleem
Saudi Medical Journal
This case report is about an elderly man who presented with a long-standing history of high-grade fever and weight loss. He initially had only hepatosplenomegaly, but then developed jaundice. He also had pancytopenia and raised liver enzymes. His septic screen was negative, but he had a positive Monospot test and immunoglobulin G for Epstein-Barr virus. The liver biopsy showed sinusoidal phagocytosis and the subsequent bone marrow aspiration and biopsy showed significant hemophagocytosis, hence Hemophagocytic syndrome was diagnosed. The fever was refractory to antibiotic and anti-tuberculosis therapy, but it responded only partially to steroids. Full response was only noticed following anti-viral …
Complication Of Gall Stone Lost During Laparoscopic Cholecystectomy, Fuad F. Ammari, Awni Abu-Zaiton
Complication Of Gall Stone Lost During Laparoscopic Cholecystectomy, Fuad F. Ammari, Awni Abu-Zaiton
Saudi Medical Journal
No abstract provided.
Folate Deficiency And Neurologic Complications In Elderly Omani Patients., Dirk Deleu, Philis Okereke, David Gravell, David Nam, Huxley Knox-Macaulay
Folate Deficiency And Neurologic Complications In Elderly Omani Patients., Dirk Deleu, Philis Okereke, David Gravell, David Nam, Huxley Knox-Macaulay
Saudi Medical Journal
No abstract provided.
Undergraduate Curriculum Reform In Saudi Medical Schools, Elbagir A. Elfaki, Yussuf M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Fariady
Undergraduate Curriculum Reform In Saudi Medical Schools, Elbagir A. Elfaki, Yussuf M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Fariady
Saudi Medical Journal
No abstract provided.
Benign Prostatic Hyperplasia. The Saudi Perspective In The Year 2000, Hisham A. Mosli, Mahmoud A. Atwa, Samia H. Mahassini
Benign Prostatic Hyperplasia. The Saudi Perspective In The Year 2000, Hisham A. Mosli, Mahmoud A. Atwa, Samia H. Mahassini
Saudi Medical Journal
All published data on benign prostatic hyperplasia in Saudi Arabia was reviewed. The age of presentation of the benign prostatic hyperplasia Saudi patient is between 60 and 70 years. Until the introduction of medical therapy for benign prostatic hyperplasia, presentation by complication was common, mainly by retention of urine in 40-50% of the cases. Diagnostic modalities are improving and both biochemical and imaging techniques are now available. Medical therapy for benign prostatic hyperplasia is widely used but studies on only 2 alpha adrenergic blocking agents out the 5 pharmacological preparations currently in the field were reported. Those are Prazosin and …
Microbiology Of Chronic Suppurative Otitis Media With Cholesteatoma, Mohammad S. Attallah
Microbiology Of Chronic Suppurative Otitis Media With Cholesteatoma, Mohammad S. Attallah
Saudi Medical Journal
OBJECTIVE: To report the result of causative organisms in chronic suppurative otitis media with cholesteatoma. METHODS: Eighty eight patients clinically diagnosed with chronic suppurative otitis media with cholesteatoma, and confirmed intra-operatively and by histological examination were pre-operatively studied for the causative bacteria and fungi. RESULTS: A single isolate was obtained in 42 (48%) cases, no growth was isolated in 11 (12.5%) cases. Most common bacteria isolated were, Pseudomonas Aeruginosa in 51%, Staphylococcus Aureus in 31%, and Proteus species in 17%. Among the 15 fungal isolates, 9 (10%) were Aspergillus species and the remaining 6 (7%) were Candida Albicans. CONCLUSION: Conventional …
A Pilot Study Of The Relationship Between Down's Syndrome And Hearing Loss, Hoda A. Kattan, Ribha F. Jarrar, Ziad Z. Mahasin
A Pilot Study Of The Relationship Between Down's Syndrome And Hearing Loss, Hoda A. Kattan, Ribha F. Jarrar, Ziad Z. Mahasin
Saudi Medical Journal
OBJECTIVE: Hearing loss is one of the most common disabilities in children with Down9s syndrome. The objective of this study is to investigate the incidence and types of hearing loss in Down9s syndrome patients. METHODS: Twenty-six subjects with Down9s syndrome aged between 2 and 17 year old were evaluated during the year 1998, referred randomly by the Pediatric Department and the Down9s Syndrome Centre. Screening audiological procedures were used to evaluate these patients, which include behavioral audiometry, play and pure tone audiometry, tympanometry and ABR, which is the measurement of the activity of the auditory pathway structures from the distal …
Direct Impact Of Non-Fatal Occupational Injuries, Kasim M. Al-Dawood
Direct Impact Of Non-Fatal Occupational Injuries, Kasim M. Al-Dawood
Saudi Medical Journal
OBJECTIVE: The objectives of this study were to describe the pattern of certain direct impacts of non-fatal injuries among workers insured by the General Organization of Social Insurance, admitted to hospitals in Al-Khobar City, and to determine factors influencing these direct impacts. METHODS: This cohort study consisted of 65, 915 insured male workers in various industries, followed to determine those who were admitted to 2 private hospitals selected randomly in Al-Khobar City. A data-collection sheet was used to collect the necessary data from patients and their medical records on admission to the hospital. RESULTS: The majority of admissions (78%) were …
Prevalence Of Hepatitis B And C And Blood Donors, Syed R. Mehdi, Avinash Pophali
Prevalence Of Hepatitis B And C And Blood Donors, Syed R. Mehdi, Avinash Pophali
Saudi Medical Journal
OBJECTIVE: Screening for hepatitis B and C is routinely carried out in the blood banks. The purpose of this study is to compare the prevalence of hepatitis B surface antigen and anti hepatitis C among Saudi and non-Saudi blood donors. METHODS: All the blood donors visiting King Fahad Specialist Hospital were screened by Enzyme Linked Immunosorbent Assay technique for hepatitis B surface antigen and anti hepatitis C. Donors with any history of jaundice in the past were eliminated from the study. RESULTS: Egyptians showed a very high prevalence of Hepatitis C. Saudis had a higher prevalence of hepatitis B compared …
Ankylosing Spondylitis In Northern Jordan, Ibrahim A. Al-Amayreh, Bassam O. Zaidat
Ankylosing Spondylitis In Northern Jordan, Ibrahim A. Al-Amayreh, Bassam O. Zaidat
Saudi Medical Journal
OBJECTIVE: This study describes the profile of ankylosing spondylitis as seen in the Rheumatology Practice at Prince Rashid Ben Al-Hassan Hospital, lrbid, Jordan over a period of 14 months. METHODS: Fifty-two cases that met the modified New York clinical criteria for ankylosing spondylitis were accumulated. A standardized method that included patients9 interview, physical examination including measurements of spinal mobility, medical record review, radiographic and laboratory examination was applied. RESULTS: Forty-two cases (85%) of the 52 accumulated cases were males and 10 cases (15%) were females (male:female ratio of 4.2:1). Their mean age of onset was 26 years (range 16-40 years) …
Adverse Reactions Of Intravenous Immunoglobulin, Adel M. Al-Wahadneh, Imad A. Khriesat, Emad H. Kudu
Adverse Reactions Of Intravenous Immunoglobulin, Adel M. Al-Wahadneh, Imad A. Khriesat, Emad H. Kudu
Saudi Medical Journal
OBJECTIVE: To study the frequency, type, and severity of adverse reactions to intravenous immunoglobulin infusions and possible preventable measures. METHODS: We prospectively studied the frequency, type, and severity of adverse reactions in 104 intravenous immunoglobulin infusions (IntraglobinTMF) given to 13 patients suffering from several immunodeficiency and autoimmune diseases over 15 months in King Hussein Medical Center. The severity of the reaction was classified as mild, moderate and severe. Transmission of infections such as human immunodeficiency virus, hepatitis B, and C was monitored. RESULTS: The total number of reactions documented was 16 out of 104 (14.5%) infusions and all resolved without …
Round Spermatid Separation And In-Vitro Maturation, Hassan S. Jamal, Zouhair O. Amarin
Round Spermatid Separation And In-Vitro Maturation, Hassan S. Jamal, Zouhair O. Amarin
Saudi Medical Journal
OBJECTIVE: To combine 2 methods; spermatid isolation and in-vitro maturation to improve their quality and enhance their ability of fertilization. METHODS: A discontinuous Percoll gradient was used to separate immature germ cells. Co-culture with Vero cells was attempted to convert round spermatids into more mature forms. In total 87 spermatids were studied. RESULTS: Of a final number of 77 round spermatids only 12 (15.5%) showed a certain degree of maturation in 3 out of 7 patients (42%). Of those 12 maturing spermatids, only 4 developed to an early elongated spermatid stage Sc1, but without flagella. CONCLUSION: Considering the limited in-vitro …
Liver Laceration Due To Blunt Abdominal Trauma And Its Management In A Peripheral Hospital, T. N. Rao, El-Samoual A. Gadir, J. K. Elvarsi, Fysal Sabri
Liver Laceration Due To Blunt Abdominal Trauma And Its Management In A Peripheral Hospital, T. N. Rao, El-Samoual A. Gadir, J. K. Elvarsi, Fysal Sabri
Saudi Medical Journal
No abstract provided.
Enquiry Into The Causes Of Misuse Of Antibiotics, Sahal D. Salamah, Mohammad M. Hossain, Tosaddak Ahmed
Enquiry Into The Causes Of Misuse Of Antibiotics, Sahal D. Salamah, Mohammad M. Hossain, Tosaddak Ahmed
Saudi Medical Journal
No abstract provided.
Neonatal Salmonella Meningitis, Shabih Manzar, Usha Chandran
Neonatal Salmonella Meningitis, Shabih Manzar, Usha Chandran
Saudi Medical Journal
No abstract provided.
Catalase Evaluation In Different Human Diseases Associated With Oxidative Stress, Faizeh A. Al-Quobaili, Ghada N. Al-Akhras
Catalase Evaluation In Different Human Diseases Associated With Oxidative Stress, Faizeh A. Al-Quobaili, Ghada N. Al-Akhras
Saudi Medical Journal
OBJECTIVE: Catalase is an enzyme present in most of the aerobic cells, it protects them from oxidative stress by catalyzing the rapid decomposition of hydrogen peroxide (H2O2) in two types of reactions depending on its peroxidatic and catalatic activities. The aim of this study was to measure the erythrocytes catalase activity by a reliable method in normal subjects with different age categories, and patients whom suffer from different diseases associated with oxidative stress (inflammatory, tumor, diabetes, cardiovascular diseases, anemia and Wilson9s disease). METHODS: Erythrocytes catalase activity was measured, by peroxidatic method (Johansson-Borg method), in 210 apparently healthy subjects, (117 males …
Fetus In Fetu, Maher M. Al-Zaiem
Fetus In Fetu, Maher M. Al-Zaiem
Saudi Medical Journal
Fetus in fetu is an extremely uncommon cause of abdominal mass in the neonate. A case of retroperitoneal fetus in fetu in a 2 week old boy is reported, the excised mass containing a round mass, covered by hair, containing brain tissue; 2 feet and 2 arms; a cavity containing a loop of intestine of 15 centimeters length, small penis and testis.
Cadiac Troponin And Acute Coronary Syndromes In Saudi Arabia, Subhash C. Ayra, Salam M. Saadeddin
Cadiac Troponin And Acute Coronary Syndromes In Saudi Arabia, Subhash C. Ayra, Salam M. Saadeddin
Saudi Medical Journal
No abstract provided.
Hearing Loss In A Textile Factory, A. Uma, P. Thirumalaikolundusubramanian
Hearing Loss In A Textile Factory, A. Uma, P. Thirumalaikolundusubramanian
Saudi Medical Journal
No abstract provided.
Evaluating The Efficacy Of Saline Solutions In Treatment Of Chronic Sinusitis, Hedayat Akbari
Evaluating The Efficacy Of Saline Solutions In Treatment Of Chronic Sinusitis, Hedayat Akbari
Saudi Medical Journal
No abstract provided.
Khat Chewing Is A Risk Factor Of Duodenal Ulcer, Yahia A. Raja’A, Tariq A. Noman
Khat Chewing Is A Risk Factor Of Duodenal Ulcer, Yahia A. Raja’A, Tariq A. Noman
Saudi Medical Journal
No abstract provided.
Survival Of Extreme Pre-Term Infants In An Intensive Care Set Up
Survival Of Extreme Pre-Term Infants In An Intensive Care Set Up
Saudi Medical Journal
No abstract provided.
Twins And Cystic Fibrosis, Hanaa Banjar
Ankylosing Spondylitis Presenting With Discitis, Reda A. Ebrahim, Nabeel I. Sarwani, Sangam G. Kanekar
Ankylosing Spondylitis Presenting With Discitis, Reda A. Ebrahim, Nabeel I. Sarwani, Sangam G. Kanekar
Saudi Medical Journal
Ankylosing spondylitis is not an uncommon disease worldwide, yet is relatively rare in Bahrain. There is a typical pattern of joint involvement in cases of ankylosing spondylitis, but the presentation of discitis is rare. We present a case of a patient presenting with backache and was diagnosed to have discitis. The diagnosis of ankylosing spondylitis was made only after he was found to be Human Leukocyte Antigen-B27 positive. This is the first case report of ankylosing spondylitis presenting as discitis in Bahrain.
The Effects Of Inorganic Chromium And Brewer's Yeast Supplementation On Glucose Tolerance, Serum Lipids And Drug Dosage In Individuals With Type 2 Diabetes, Suhad M. Bahijiri, Siraj A. Mira, As’Aad M. Mufti, Mohammed A. Ajabnoor
The Effects Of Inorganic Chromium And Brewer's Yeast Supplementation On Glucose Tolerance, Serum Lipids And Drug Dosage In Individuals With Type 2 Diabetes, Suhad M. Bahijiri, Siraj A. Mira, As’Aad M. Mufti, Mohammed A. Ajabnoor
Saudi Medical Journal
OBJECTIVE: To study the effects of supplementation with organic and inorganic chromium on glucose tolerance, serum lipids, and drug dosage in type 2 diabetes patients, in the hope of finding a better and more economical method of control. METHODS: Seventy eight type 2 diabetes patients were divided randomly into two groups and given Brewer9s yeast (23.3ug Cr/day), and CrCl3 (200ug Cr/day) sequentially with placebo in between, in a double blind cross-over design of four stages, each lasting 8 weeks. At the beginning and end of each stage, subjects were weighed, their dietary data and drug dosage recorded, and blood and …
Cardiac Markers Used In The Detection Of Myocardial Injury, Samia H. Sobki, Salam M. Saadeddin, Moh’D A. Habbab
Cardiac Markers Used In The Detection Of Myocardial Injury, Samia H. Sobki, Salam M. Saadeddin, Moh’D A. Habbab
Saudi Medical Journal
OBJECTIVE: Activities of total creatine kinase and its isoform creatine kinase are usually significantly elevated in patients with myocardial or skeletal muscle injury as well as in those with renal failure. The purpose of this study was to compare findings for creatine kinase mass, cardiac troponin T and cardiac troponin I with those of creatine kinase and creatine kinase MB activity. METHODS: Blood samples from 118 patients were studied. Fifty eight patients had significantly elevated creatine kinase activity (39 with and 19 without clinically proven myocardial injury or infarction) and 60 were normal controls. The sensitivity, specificity, positive and negative …