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Ovarian Hyperstimulation Syndrome And Deep Vein Thrombosis, Adekunle A. Sobande, Eric I. Archibong, Hassan M. Albar
Ovarian Hyperstimulation Syndrome And Deep Vein Thrombosis, Adekunle A. Sobande, Eric I. Archibong, Hassan M. Albar
Saudi Medical Journal
No abstract provided.
Hyperhomocysteinemia: Another Independent Vascular Risk Factor, Dirk Deleu
Hyperhomocysteinemia: Another Independent Vascular Risk Factor, Dirk Deleu
Saudi Medical Journal
No abstract provided.
Pre-Surgical Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador
Pre-Surgical Evaluation For Epilepsy Surgery, David W. Loring, Kimford J. Meador
Saudi Medical Journal
Neuropsychological testing may reflect subtle structural changes that may not be readily apparent with neuroimaging studies, and physiologic disruption of normal neural function secondary to epileptic activity. Neuropsychological testing is used during the pre-operative evaluation for epilepsy surgery to assess functional brain status, which, in turn, provides important information on the risks for post-operative neruopsychological deficits and also provides confirmatory evidence of seizure onset laterality in patients whose seizures originate in temporal lobes. This review will focus primarily on the pre-operative neuropsychological of candidates for temporal lobectomy surgery since they represent the majority of individuals undergoing ablative epilepsy surgery, and …
Morphologic Patterns Of Male Infertility In Saudi Patients. A University Hospital Experience, Molham M. Al-Rayess, Ammar C. Al-Rikabi
Morphologic Patterns Of Male Infertility In Saudi Patients. A University Hospital Experience, Molham M. Al-Rayess, Ammar C. Al-Rikabi
Saudi Medical Journal
OBJECTIVE: To determine the predominant histopathological patterns seen in the testicular biopsies taken during the investigation of male infertility and to compare the obtained histopathological findings with those seen in other similar studies. METHODS: This is a retrospective study performed on 230 testicular biopsies which were examined in the Department of Pathology at King Khalid University Hospital in Riyadh over a period of 10 years. The histopathological findings were grouped into 8 different morphologic categories. We have utilized a classification that is principally morphologic but that uses known or suspected clinical associations in the case of karyotypic abnormalities and excurrent …
Gastrointestinal Parasites Presentations And Histological Diagnosis From Endoscopic Biopsies And Surgical Specimens, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi, Mohamed I. Yasawy, Bassam Sammak
Gastrointestinal Parasites Presentations And Histological Diagnosis From Endoscopic Biopsies And Surgical Specimens, Abdelrahman E. Mohamed, Zuhal M. Ghandour, Mohamed A. Al-Karawi, Mohamed I. Yasawy, Bassam Sammak
Saudi Medical Journal
OBJECTIVE: To diagnose parasitic ova or worms during endoscopy, surgery or by histology from endoscopic or surgical specimen in our patients. METHODS: The diagnosis of parasitic disease in our patients was made by histological examinations from biopsies obtained either during an upper gastrointestinal or lower gastrointestinal endoscopy or from surgical specimens. RESULTS: Parasites were seen in endoscopic biopsies from upper gastrointestinal tract in 21 patients. Schistosoma ova was seen in biopsies from stomach or duodenum (12 patients). Small intestine biopsies showed Giardiasis (8 patients) and strongyloides (1 patient). Colonic biopsies showed schistosoma ova by paraffin section or by squash technique …
Serum Cytokines Levels In Graves' Disease, Mohammed A. Al-Humaidi
Serum Cytokines Levels In Graves' Disease, Mohammed A. Al-Humaidi
Saudi Medical Journal
OBJECTIVE: The aim of the study was to look at the serum cytokines profile in newly diagnosed thyrotoxic patients with Graves9 disease and to compare their cytokine levels with those of normal control subjects. Furthermore, the levels of T4, being an indicator of the severity of thyrotoxicosis, were also correlated with the Th1/Th2 and proinflammatory cytokines in Graves9 disease patients. METHODS: Serum IFN-g (Th1), IL-10 (Th2), inflammatory cytokines including IL-6, TNF-a, sCD23 and sIL-2R cytokine levels were measured in 28 patients with Graves9 thyrotoxicosis and in 30 normal controls. RESULTS: In Graves9 disease patients, the levels of IFN-g (mean 142.1 …
The Relation Of Low Birth Weight To Psychosocial Stress And Maternal Anthropometric Measurements, Talal J. Hisham, Salma A. Moawed
The Relation Of Low Birth Weight To Psychosocial Stress And Maternal Anthropometric Measurements, Talal J. Hisham, Salma A. Moawed
Saudi Medical Journal
OBJECTIVE: To determine the relationship between low birth weight and psychological stress during pregnancy, as well as anthropometric measurements of Saudi mothers. METHODS: A total of 500 Saudi women were selected, according to weight and gestation age of their new born infants, one control was selected per one case (their weight less than 2500 grams). Data was collected from El-Shamasy Maternal and Child Hospital at Riyadh city. Four instruments were used; interview questionnaire, psychosocial scales to measure life stresses, true sheet to assess maternal anthropometric data and new form characteristics. Data was analyzed using SAS system. Analysis techniques included chi-square, …
Hemoglobin H Disease In The Eastern Region Of Saudi Arabia, Mohammad I. Qadri, Sherief A. Islam
Hemoglobin H Disease In The Eastern Region Of Saudi Arabia, Mohammad I. Qadri, Sherief A. Islam
Saudi Medical Journal
OBJECTIVE: a-thalassemia is frequently encountered in eastern Saudi Arabia. We wanted to find out laboratory based incidence and laboratory features of Hemoglobin H disease in the Dammam region. METHODS: We retrospectively analyzed the results of Hemoglobin electrophoresis carried out during the last 5 years in our laboratory. Hemoglobin electrophoresis was performed on cellulose acetate, pH 8.6 using Helena or Biomidi kits. Hemoglobin S was confirmed by sickle solubility test. Variant hemoglobin if present, was confirmed by citrate agar (pH 6.0) electrophoresis. Helena rapid electrophoresis system was used for plate densitometry. The diagnosis of Hemoglobin H disease was made on the …
Intussusception. A Cause Of Postoperative Intestinal Obstruction In Children, Stanley J. Crankson, Khalid A. Al-Mane
Intussusception. A Cause Of Postoperative Intestinal Obstruction In Children, Stanley J. Crankson, Khalid A. Al-Mane
Saudi Medical Journal
Intestinal obstruction is a common postoperative complication and usually related to intra-abdominal adhesions. Postoperative intussusception, however, is a rare cause and may be confused with postoperative ileus. With more children undergoing abdominal operations, the incidence of postoperative intussusception should rise but reports indicate that this complication may be either not suspected or overlooked. We report 2 children who developed postoperative intussusception following repair of ruptured urinary bladder in one and appendicectomy in the other. Both had successful manual reduction at laparotomy.
Cutaneous Myiasis Due To Dermatobia Hominis In Saudis, Javed Akhter, Syed M. Qadri, Abdelmageed M. Imam
Cutaneous Myiasis Due To Dermatobia Hominis In Saudis, Javed Akhter, Syed M. Qadri, Abdelmageed M. Imam
Saudi Medical Journal
Cutaneous myiasis infestations are normally found in South and Central America but increasing travel has resulted in their spread to non-indigenous countries with increasing frequency. We report two cases of cutaneous infestation by Dermatobia hominis in Taif, Saudi Arabia. There was no history of travel outside Saudi Arabia. The source of infection appears to be domestic cattle indicating that these infestations may be endemic in this region.
Neonatal Varicella And Acyclovir
D-Xylose, Fat Load Test And Antigliadin Antibody In Children With Coeliac Disease, Mariem K. Amara, Fauzi A. Sagher
D-Xylose, Fat Load Test And Antigliadin Antibody In Children With Coeliac Disease, Mariem K. Amara, Fauzi A. Sagher
Saudi Medical Journal
OBJECTIVE: To study the clinical pattern of coeliac disease in children living in the northwest coast of Libya, to investigate the sensitivity and specificity of D-Xylose, fat load test and antigliadin antibody and their correlation to each other and changes in jejunal biopsy. METHODS: A 4 year prospective study began in 1993. It includes all suspected coeliacs referred to our department for further evaluation. All have suction jejunal biopsy “using Crosby capsule” performed for diagnosis, screened at the same time with one hour D-Xylose, 3-5 hours urinary D-Xylose, fat load test and antigliadin antibody and followed up for 2-4 years. …
Febrile Convulsions In Children, Saleh F. Al-Ajlouni, Imad H. Kodah
Febrile Convulsions In Children, Saleh F. Al-Ajlouni, Imad H. Kodah
Saudi Medical Journal
The term febrile convulsion is not a diagnostic entity. It simply describes any seizure that occurs in response to a febrile stimulus. It usually occurs between the age of 3 months and 5 years and occurs in 2-4% of young children. The typical febrile convulsion is a generalized tonic clonic seizure lasting between a few seconds and 15 minutes, followed by a period of drowsiness. Febrile seizures tend to occur in families, although the exact mode of inheritance is not known. Viruses are the most common cause of illness in children admitted to the hospital with a first febrile seizure. …
Clobazam For The Treatment Of Intractable Childhood Epilepsy, Mohammed M. Jan, Ali O. Shaabat
Clobazam For The Treatment Of Intractable Childhood Epilepsy, Mohammed M. Jan, Ali O. Shaabat
Saudi Medical Journal
OBJECTIVE: Clobazam is a newer 1,5-benzodiazepine used for the treatment of epilepsy. It is better tolerated and less sedating than other benzodiazepines. It has yet to gain wide use for epilepsy in the Middle East. Our objective is to report our experience with clobazam for the treatment of childhood epilepsy. METHODS: A cohort of children with intractable epilepsy, defined as recurrent seizures after at least 3 anti-epileptic medication trials, were included prospectively. Clobazam was added to a maximum dose of 2 mg/kg/day. Follow-up by two pediatric neurologists was performed. Therapeutic response was recorded as complete (no seizures), good (>50% …
Schistosomes Infection Rate In Relation To Environmental Factors In School Children, Yahia A. Raja’A, Hashim M. Assiragi, Mohammed H. Albahr, Mohammed A. Ashaddadi
Schistosomes Infection Rate In Relation To Environmental Factors In School Children, Yahia A. Raja’A, Hashim M. Assiragi, Mohammed H. Albahr, Mohammed A. Ashaddadi
Saudi Medical Journal
OBJECTIVE: An epidemiological comparative survey aimed at determination of prevalence and focal distribution of Schistosomes infection and intestinal parasites to provide a reference for evaluating the need for community intervention. METHODS: All children of 14th October Primary School were involved. The children were from 7 villages that lie on the Assahul valley of lbb governorates in Yemen. The total number was 230 with (82%) boys and (18%) girls. Their age was between 5-18 years with a mean of 10.24 +/- 2.6 years. Millipore and modified Kato techniques were adopted to quantify urinary and intestinal Schistosomes eggs. Other ova, larvae, cysts …
Patients' Expectations, Satisfaction And Future Behavior In Hospitals In Riyadh City, Badran A. Al-Omar
Patients' Expectations, Satisfaction And Future Behavior In Hospitals In Riyadh City, Badran A. Al-Omar
Saudi Medical Journal
OBJECTIVE: The main objectives of this study are to assess patient satisfaction at both Ministry of Health and private hospitals in Riyadh city, to compare the perceived satisfaction of patients to their expectations prior to admission at both sectors, and to determine the variables that influence the patient9s future intention. METHODS: A self-administered questionnaire was used to collect data from 500 patients (392 were returned fully completed) in 7 private and Ministry of Health hospitals. In addition to the descriptive statistics, paired and independent t-tests, phi and Cramers9V tests were used for the inferential statistics of the data analysis. RESULTS: …
Tracheobronchial Foreign Bodies In Children, Chillem Kareemullah, Abdulaziz Shembish
Tracheobronchial Foreign Bodies In Children, Chillem Kareemullah, Abdulaziz Shembish
Saudi Medical Journal
OBJECTIVE: The objective of this study is to prove that rigid bronchoscopy is a relatively safe procedure in experts’ hands and should be carried out in children whenever symptoms like persistent cough, chest infection or stridor persist despite proper antibiotic therapy. METHODS: A review of 534 bronchoscopies in children was carried out between August 1988 and May 1995. Three hundred and fifteen were male and 219 were female children. The most common age was between 1 and 2 years while the mean age being 1 year 10 months. RESULTS: Out of 534 brochoscopies, 332 were positive for foreign bodies in …
Long Term Intubation And Successful Weaning In Two Children With Guillain-Barre Syndrome, Hashim Javed, Madhavachandran P. Nair, Roshan L. Koul, Alexander Chacko, Mohammad Fazalullah
Long Term Intubation And Successful Weaning In Two Children With Guillain-Barre Syndrome, Hashim Javed, Madhavachandran P. Nair, Roshan L. Koul, Alexander Chacko, Mohammad Fazalullah
Saudi Medical Journal
No definite criteria exists in Guillian-Barre Syndrome in children regarding prolonged ventilation through an endo-tracheal tube without tracheostomy and successful weaning using a T-piece. Here we report two such cases of Guillian-Barre Syndrome requiring prolonged intubation for 56 days and ventilation for 30 days and ultimately successfully weaning them using the T-piece. Both the children eventually made a complete recovery, highlighting the point that in children prolonged intubation and ventilation using the portex tube is equally good, if not, better than tracheostomy with its attendant risks.
Temporomandibular Joint Osteoarthrosis. Histopathological Study Of The Effects Of Intra-Articular Injection Of Triamcinolone Acetonide, Issa K. Haddad
Temporomandibular Joint Osteoarthrosis. Histopathological Study Of The Effects Of Intra-Articular Injection Of Triamcinolone Acetonide, Issa K. Haddad
Saudi Medical Journal
OBJECTIVE: The aim of this study was to investigate the histopathological changes of human temporomandibular joint osteoarthrosis following intra-articular injection of triamcinolone acetonide, and compare the results to these of control group. METHODS: One hundred and forty nine patients who complained of temporomandibular joint dysfunction underwent non-surgical treatment for at least 6 months. Twenty three patients had high condylectomy as a treatment. Forty four patients received two intra-articular injections of triamcinolone acetonide. Histological study was carried out on 44 specimens from 41 patients, the histological changes were recorded for each specimen. RESULTS: Patients who received temporomandibular intra-articular injection of triamcinolone …
Women's Height Age Or Age Height Index And Risk Of Cesarean Delivery, Shabih Manzar
Women's Height Age Or Age Height Index And Risk Of Cesarean Delivery, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Pneumoperitoneum And Free Meconium Without Gastrointestinal Perforation In A Neonate, Ahmed H. Al-Salem
Pneumoperitoneum And Free Meconium Without Gastrointestinal Perforation In A Neonate, Ahmed H. Al-Salem
Saudi Medical Journal
A newborn was referred to our hospital because of poor feeding and abdominal distension and was found to have pneumoperitoneum on abdominal x-ray. At operation there was free intraperitoneal air with no free fluid in the peritoneal cavity. In addition there was free air and meconium retroperitoneally on the left side but there was no evidence of gastrointestinal perforation. This case is rare and unique in that no demonstrable cause for the free air and free meconium could be demonstrated.
Guidelines And Code Of Ethics, Ahmed N. Ghanem
Guidelines And Code Of Ethics, Ahmed N. Ghanem
Saudi Medical Journal
No abstract provided.
Surgical Management Of Hepatic Metastatic Disease, Xavier Rogiers, Claus Brunken
Surgical Management Of Hepatic Metastatic Disease, Xavier Rogiers, Claus Brunken
Saudi Medical Journal
In Europe, liver metastases are the most common malignomas of the liver. The majority of metastases are due to colorectal cancer. Radical surgical resection, if possible, is the treatment of choice. Radical resection of metastases from wilms-tumor, carcinoids, carcinoma of the breast, hypernephroma, adrenal tumors, malignant melanoma, leiomyosarcoma and gastric cancer may improve long time survival, however knowledge is too small for giving general directions. Local destructive therapies are only beneficial when a total necrosis of the tumor is reached. Indications for this treatment are quite rare. Both, systemic and local chemotherapy offers only palliation with little influence on long …
Clinical Characteristic Of Amoebic Liver Abscesses In The North Of Iraq, Fouad A. Baban
Clinical Characteristic Of Amoebic Liver Abscesses In The North Of Iraq, Fouad A. Baban
Saudi Medical Journal
OBJECTIVE: The purpose of the study was to find out the clinical characteristic of amoebic liver abscesses in this area, the simplest method for diagnosis and to determine the effectiveness of treatment by metronidazole therapy proved by disappearance of symptoms and regression in the size of the abscesses by ultrasound. METHODS: We studied prospectively all cases of suspected liver abscesses admitted to our unit over 2 years (1990 & 1991). A special case sheet was prepared. Daily follow up of patients was carried out in hospital for at least 10 days. Patients were later followed up by ultrasound after discharge. …
Prevalence Of Hypertension In Patients, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa
Prevalence Of Hypertension In Patients, Saima Siddiqui, Danny O. Ogbeide, Anjum Karim, Ibrahim Al-Khalifa
Saudi Medical Journal
OBJECTIVE: This study was carried out to ascertain the prevalence of hypertension in our community with a view to forming a baseline and planning strategies for prevention and control. METHODS: A cross sectional study carried out by collecting data from randomly selected case notes of 3747 patients (1683 males and 2064 females), regarding age, sex, blood pressure measurements and whether or not they were on treatment for hypertension. RESULTS: The prevalence of hypertension in the total population was 3.1% (females 3.05% and males 2.67%). With regard to age group, the prevalence was highest in 65-74 years in both males and …
Job Satisfaction And Organizational Commitment For Nurses, Ahmed S. Al-Aameri
Job Satisfaction And Organizational Commitment For Nurses, Ahmed S. Al-Aameri
Saudi Medical Journal
OBJECTIVE: The purpose of this study is to find out the extent to which nurses in public hospitals are satisfied with their jobs and committed to their hospitals. Also, it is intended to assess the relationship between job satisfaction and organizational commitment, as well as to examine the effect of nurses9 demographic factors on these 2 variables. METHODS: Two-hundred and ninety nurses working in a number of public hospitals are the sample size. The measures of the study are already tested for validity and reliability. In this study, they are also examined and found to be valid and reliable. The …
Effect Of Labor Duration On Fetal Fibrinolysis. A Pilot Study, Shabih Manzar
Effect Of Labor Duration On Fetal Fibrinolysis. A Pilot Study, Shabih Manzar
Saudi Medical Journal
OBJECTIVE: Activation of neonatal and maternal fibrinolysis at birth has been shown earlier. To evaluate further on the effect of labor duration on the fetal fibrinolysis, we conducted this preliminary study. METHODS: An indirect assessment of activation of fetal fibrinolysis was carried out, by measuring the cord blood D-dimer. The cord blood samples were obtained randomly from 11 women undergoing vaginal delivery at term. Specimens were analyzed within 2 hours by using latex agglutination test. Pregnancy details were obtained from the delivery ward register. RESULTS: The mean duration of labor was noted to be 5.4 hours (3.5- 9.46). The mean …
Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello
Neonatal Meningitis, Abdulla A. Al-Harthi, Khalid A. Dagriri, Asindi A. Asindi, Cornelius S. Bello
Saudi Medical Journal
OBJECTIVE: To determine the prevalent bacterial agents of neonatal meningitis and their antibiotic susceptibility in a referral intensive care unit in Assir Central Hospital, Saudi Arabia, during the years 1993-1998. METHODS: Records of newborn infants with positive cerebrospinal fluid culture during the period were retrospectively studied. RESULTS: There were 1473 nursery admissions, of which 32 episodes of meningitis occurred amongst 31 neonates. Klebsiella pneumoniae (31%) and Serratia marcescens (21%) were the main pathogens. The incidence of concurrent septicemia among these infants was 58%. Klebsiella pneumoniae appears to dominate in both early and late onset infections. The sex incidence was equal …
Peak Expiratory Flow Rate In Saudi School Boys At Al-Khobar City, Saudi Arabia, Kasim Al-Dawood
Peak Expiratory Flow Rate In Saudi School Boys At Al-Khobar City, Saudi Arabia, Kasim Al-Dawood
Saudi Medical Journal
OBJECTIVE: To determine the normal peak expiratory flow rate for Saudi school boys living at Al-Khobar City. METHODS: A self administered questionnaire was completed by the parents of 1312 school boys who satisfied the selection criteria of the study. Peak expiratory flow rate was measured for them, using Wright peak flow meter. The multiple linear regression equation for peak expiratory flow rate was generated where height, age, weight, socio-economic class, presence of smoker, pets or both at home were the independent variables. RESULTS: Height, age and weight were found to correlate significantly with peak expiratory flow rate. However, only height …
Ultrastructural Study Of The Gastric Mucosa And Helicobacter Pylori In Duodenal Ulcer Patients, Mohammed H. Al-Muhtaseb, Amer M. Abu-Khalaf, Adib A. Aughsteen
Ultrastructural Study Of The Gastric Mucosa And Helicobacter Pylori In Duodenal Ulcer Patients, Mohammed H. Al-Muhtaseb, Amer M. Abu-Khalaf, Adib A. Aughsteen
Saudi Medical Journal
OBJECTIVE: To investigate the relationship between Helicobacter pylori and gastric mucosa in control and duodenal ulcer patients at the electron microscopic level. METHODS: Three antral biopsies were taken from each of 20 normal control volunteers and 30 duodenal ulcer patients presented to the gastroenterology unit at Jordan University Hospital for upper endoscopic examination. Each specimen was fixed and processed for electron microscopic study. RESULTS: Two types of Helicobacter pylori were observed and identified by their morphology at electron microscopy. The first one was characterized by double external smooth membranes and homogeneous cytoplasmic contents, and the second type with a characteristic …