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Prevalence Of Diabetes Mellitus In A Saudi Community, Anjum Karim, Danny O. Ogbeide, Saima Siddiqui
Prevalence Of Diabetes Mellitus In A Saudi Community, Anjum Karim, Danny O. Ogbeide, Saima Siddiqui
Saudi Medical Journal
OBJECTIVE: The aim of this retrospective cross sectional study is to find out the prevalence of Diabetes Mellitus according to age and sex in the population attending the family and community medicine clinic in Al-Kharj Armed Forces Hospital. METHODS: Total eligible patients of Al-Kharj Military Hospital are about 100,000. The case notes in Medical Records were selected randomly and examined. Data was collected from 3747 case notes. They were divided into different age groups and also separated into male and female groups. RESULTS: The prevalence of Diabetes Mellitus in this study sample of 3747 (1,683 males and 2,064 females) was …
Diabetic Foot. Presentation And Treatment, Faiza A. Qari, Daad Akbar
Diabetic Foot. Presentation And Treatment, Faiza A. Qari, Daad Akbar
Saudi Medical Journal
OBJECTIVE: The aim of this study is to determine the mode of presentation, medical and surgical treatment in diabetic foot. METHODS: Medical notes of 34 diabetic patients admitted to King Abdulaziz University Hospital in Jeddah from June 1997 to June 1999 with diabetic foot were studied retrospectively. Collection of demographic data, mode of presentation, investigations, medical treatment (antibiotics cover) and surgical treatment has been studied. Data of those patients were collected for gender, age, duration of diabetes, mode of presentation, presence of peripheral neuropathy, peripheral vascular disease and other complications, precipitating factors, concurrent medical illness (ischemic heart disease, hypertension, chronic …
Consumers' Satisfaction With Primary Health Services In The City Of Jeddah, Saudi Arabia, Abdullah H. Doghaither, Abdalla A. Saeed
Consumers' Satisfaction With Primary Health Services In The City Of Jeddah, Saudi Arabia, Abdullah H. Doghaither, Abdalla A. Saeed
Saudi Medical Journal
OBJECTIVE: To study consumers9 satisfaction and socio-demographic correlates of satisfaction with services provided by Primary Health Care Centres in the city of Jeddah. METHODS: Study subjects included the consumers visiting the Primary Health Care Centres during the study period. Four Primary Health Care Centres were randomly selected from Jeddah according to the geographical location. Seventy five subjects were selected systematically where every tenth Saudi aged 15 years or above was chosen. Data was collected via a self administered pilot tested questionnaire which included socio-demographic characteristics, as well as the overall and differential satisfaction with the different services and facilities in …
Children's Risk Perception And Parents' Views On Levels Of Risk That Children Attach To Outdoor Activities, Hamid Soori
Children's Risk Perception And Parents' Views On Levels Of Risk That Children Attach To Outdoor Activities, Hamid Soori
Saudi Medical Journal
OBJECTIVE: Higher rates of outdoor injuries are found in older children, boys and children from more deprived areas. Some of the causes of these variations have been studied in some age groups and in different situations. To study children9s perception of safety and danger and parents9 views on the level of risk that their children attach to outdoor activities comparing age groups, boys and girls, and the less economically well off with the better off in order to understand outdoor accidental injuries. METHODS: A cross-sectional study, obtained information from children aged 7 and 9 (n=471) and their parents (n=416) were …
Erythrocyte Sedimentation Rate During Steady State, Painful Crisis And Infection In Children With Sickle Cell Disease, Yousef F. Ahmed, Fuad I. Abbag, Jobran M. Al-Qahtani, Bothanina M. Ghazali, Mostafa A. Abolfotouh
Erythrocyte Sedimentation Rate During Steady State, Painful Crisis And Infection In Children With Sickle Cell Disease, Yousef F. Ahmed, Fuad I. Abbag, Jobran M. Al-Qahtani, Bothanina M. Ghazali, Mostafa A. Abolfotouh
Saudi Medical Journal
OBJECTIVE: To evaluate Erythrocyte Sedimentation Rate in children with sickle cell disease. METHODS: Erythrocyte Sedimentation Rate was performed in 95 children with sickle cell disease during the period from December 1992 to June 1999. Patients were classified into 4 groups. Patients in the steady state (group 1), painful crisis (group 2), mild infection (group 3) and moderate/severe infection (group 4). Comparison between the groups was performed using ANOVA and ANCOVA. RESULTS: There were 55 males (58%) and 40 females (42%) with a mean age of 79.1 months. The mean Erythrocyte Sedimentation Rate values for the various groups were as follows: …
Double Dislocation Of The Interphalangeal Joints In The Finger, Mohammed A. Mesmar
Double Dislocation Of The Interphalangeal Joints In The Finger, Mohammed A. Mesmar
Saudi Medical Journal
A case of simultaneous dislocation of the proximal and distal interphalangeal joints of the same digit is described. The case presented at Princess Basma Teaching Hospital after athletic trauma. It was treated successfully with close reduction followed by two weeks immobilization in slight flexion position. The condition is described in this report with review of the relevant literature.
Laparoscopic Juxtarenal Varicocelectomy, Mohammad M. Kenawi
Laparoscopic Juxtarenal Varicocelectomy, Mohammad M. Kenawi
Saudi Medical Journal
No abstract provided.
Complications Of Carbon Monoxide Poisoning, Mohamed S. Al-Moamary, Afaf S. Al-Shammary, Abdullah A. Al-Shimemeri, Mir M. Ali, Hamdan H. Al-Jahdali, Adnan A. Awada
Complications Of Carbon Monoxide Poisoning, Mohamed S. Al-Moamary, Afaf S. Al-Shammary, Abdullah A. Al-Shimemeri, Mir M. Ali, Hamdan H. Al-Jahdali, Adnan A. Awada
Saudi Medical Journal
OBJECTIVE: Acute carbon monoxide poisoning is a common problem that occurs during winter and leads to serious complications. METHODS: We retrospectively studied 24 consecutive cases admitted with the aim of finding the causes and outcome of acute carbon monoxide poisoning. RESULTS: The source of poisoning was charcoal in 71% of patients, motor gasoline in 21%, and other causes in 8%. Immediate complications included altered consciousness level in 54% of patients, metabolic acidosis in 46%, pneumonia in 42%, cardiac arrhythmia in 29% and rhabdomyolysis in 25%. Late neurological complications occurred in 17% of patients. All the patients received 100% oxygen. Eleven …
Penile Metastasis From Rectal Carcinoma, Faisal Al-Mashat, Abdulrahman Sibiany, Saeed Rakha, Folabi Olumide
Penile Metastasis From Rectal Carcinoma, Faisal Al-Mashat, Abdulrahman Sibiany, Saeed Rakha, Folabi Olumide
Saudi Medical Journal
We are presenting a 65-year old patient with metastatic carcinoma of the penis which was discovered 19 months after abdomino-perineal resection for rectal cancer (Duke A). There was also metastasis in the perineum and one rib. Penile biopsy and cavernosography were carried out and established the metastatic nature. The patient declined further therapy and died 5 months after diagnosis.
A Need For Managed Care In Saudi Arabia, Mohammed H. Mufti
A Need For Managed Care In Saudi Arabia, Mohammed H. Mufti
Saudi Medical Journal
Is the Kingdom of Saudi Arabia getting value for money invested in health? Quality care is being provided throughout health facilities in the Kingdom, however there is minimal control of utilization in all health sectors, consequently leading to abuse and over utilization, particularly in the public sector. Managed care programs have proven effective in reducing unnecessary inpatient and ancillary service utilization by reducing use of expensive procedures and unnecessary, highly specialized services, and shifting to less expensive care options. Health maintenance organizations are the best example of a managed health care model; tracking good performance and cost savings averaging between …
Where Is Critical Care Medicine In Today's Undergraduate Medical Curriculum?, Hatem O. Qutub
Where Is Critical Care Medicine In Today's Undergraduate Medical Curriculum?, Hatem O. Qutub
Saudi Medical Journal
Critical Care Medicine is a well-established specialty in developed countries. Medical students have exposure to it at undergraduate level and it is an independent subspecialty at postgraduate level. However, in the Kingdom of Saudi Arabia, Critical Care Medicine is minimally taught under other subject headings in Surgery, Internal Medicine or Anesthesia. This article discusses the need for the inclusion of Critical Care Medicine in the undergraduate curriculum for better integration of basic and clinical sciences on one hand and improvement of the student9s base of knowledge and quality of patient care on the other.
Ectopic Pregnancy In Abha, Saudi Arabia. A Continuing Conundrum, Eric I. Archibong, Adekunle A. Sobande
Ectopic Pregnancy In Abha, Saudi Arabia. A Continuing Conundrum, Eric I. Archibong, Adekunle A. Sobande
Saudi Medical Journal
OBJECTIVE: To determine the incidence of ectopic pregnancy in Abha, in the south-western region of Saudi Arabia and to evaluate the relevance of the known risk factors. METHODS: Eighty-two women with histologically confirmed ectopic pregnancies, managed in Abha Maternity Hospital over a three-and-a-half year period, were retrospectively studied. RESULTS: The incidence of ectopic pregnancy was 0.74 per 100 live births. Most (56%) of our patients were within the 21-30 age group. Parous women constituted 56% and nulliparous patients constituted 21% of the study group. No previous history of abortion was found in 60% of the patients. Fourteen (17%) had used …
The Prevalence Of Overweight And Obesity Amongst Hypertensive And Diabetic Adult Patients In Primary Health Care, Yousef A. Al-Turki
The Prevalence Of Overweight And Obesity Amongst Hypertensive And Diabetic Adult Patients In Primary Health Care, Yousef A. Al-Turki
Saudi Medical Journal
OBJECTIVE: To estimate the prevalence of overweight and obesity amongst hypertensive and diabetic adult patients in primary health care centers, Riyadh, Saudi Arabia. METHODS: A retrospective review of the medical records of 3186 adult hypertensive and diabetic patients in 10 primary health care centers in Riyadh, from August to October 1999. RESULTS: Nineteen percent of the patients were their ideal weight (body mass index < 25 kg/m2), while 35% were overweight (body mass index 25-29.9 kg/m2). Forty one percent were moderately obese (body mass index 30-40 kg/m2) and 5% were morbidly obese (body mass index > 40 kg/m2). CONCLUSION: Overweight and obesity are coexisting risk factors amongst hypertensive and diabetic adult patients, and are an important focus for treatment and prevention of high blood pressure and diabetes.
Bacteriology Of Diabetic Foot, Ahmed T. El-Tahawy
Bacteriology Of Diabetic Foot, Ahmed T. El-Tahawy
Saudi Medical Journal
OBJECTIVE: To study the relative frequency of bacterial isolates cultured from diabetic foot infections and assess their comparative in vitro susceptibility to the commonly used antibacterial agents. METHODS: This is a retrospective study with a review of the bacteriology results of specimens taken from 111 consecutive patients with diabetic foot infections at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, during the period January 1997 to June 1999. The specimens were cultured using optimal aerobic and anaerobic microbiologic techniques. Antimicrobial susceptibility testing to different agents, was carried out using the disc diffusion method. RESULTS: Staphylococcus aureus was the commonest …
Pathological Prognostic Factors In Breast Carcinoma, Kukuvayil R. Devi, Sarah Kuruvila, Mohamed M. Musa
Pathological Prognostic Factors In Breast Carcinoma, Kukuvayil R. Devi, Sarah Kuruvila, Mohamed M. Musa
Saudi Medical Journal
OBJECTIVE: Pathological prognostic factors in breast cancer are now widely used to predict biological behavior of cancer and to plan its effective management. In this paper, we attempt to evaluate the reports from our histopathology laboratory spanning over a period of 4 years, to assess completeness in recording these factors. It will enable us to improve and standardize reporting on breast cancer. METHODS: The pathology reports of primary carcinoma of the breast diagnosed in our laboratory from 1st January 1994 to 31st December 1997 (4 year period) were reviewed for details on tumor size, histological type and grade, presence or …
Utilization Of Primary Health Care During Summer, Abdullah I. Al-Sharif, Yahia M. Al-Khaldi, Ali M. Al-Shahrani
Utilization Of Primary Health Care During Summer, Abdullah I. Al-Sharif, Yahia M. Al-Khaldi, Ali M. Al-Shahrani
Saudi Medical Journal
OBJECTIVE: To determine the workload on primary health care center services, to recognize the patterns of utilization of primary health care center services and morbidity patterns among the summer visitors who attended primary health care centers in Asir region in 1998. METHODS: A special form was designed to record demographic data, diagnosis and management. Ten percent of those forms were analyzed to study the patterns of morbidity and health service utilization. A special formula was used to calculate the size of the workload on the health services during the season. RESULTS: The total number of patients who attended primary health …
Post Traumatic High-Flow Arterial Priapism. The Need For Increased Awareness Among Health Care Professionals, Riyadh F. Talic, Saleh A. Al-Damegh
Post Traumatic High-Flow Arterial Priapism. The Need For Increased Awareness Among Health Care Professionals, Riyadh F. Talic, Saleh A. Al-Damegh
Saudi Medical Journal
High flow arterial priapism is a rare urological emergency. Presentation, diagnosis and institution of definitive management are often delayed. We describe our experience with this diagnostic entity and reviewed the literature to define possible reasons for the delayed diagnosis and management. We report two patients (10 years and 35 years old) that presented following blunt perineal trauma. The presentation and diagnosis of arterial priapism were delayed in both patients. Selective angiogram of the internal pudendal artery revealed arteriocavernous fistula in each patient. Embolization of the fistulae by gel foam was carried out at the same sitting. Penile detumescence was noted …
Dandy-Walker Syndrome In Association With Neurofibromatosis In Monozygotic Twins, Roshan L. Koul, Alexander Chacko, Hans O. Leven
Dandy-Walker Syndrome In Association With Neurofibromatosis In Monozygotic Twins, Roshan L. Koul, Alexander Chacko, Hans O. Leven
Saudi Medical Journal
Dandy-Walker syndrome in monozygotic twins is reported. The twins reported, presented with delayed development, big head and dysmorphic features. In addition, there were significant cafe-au-lait spots on the trunk and other minor features consistent with the diagnosis of neurofibromatosis. To the best of our knowledge, Dandy-Walker syndrome in combination with neurofibromatosis in monozygotic twins has not been previously reported.
Tumor-Like Presentation Of Multiple Sclerosis, Muneera A. Al-Bunyan
Tumor-Like Presentation Of Multiple Sclerosis, Muneera A. Al-Bunyan
Saudi Medical Journal
Multiple sclerosis patients may present with clinical data suggestive of cerebral tumor, however, most of the lesions do not show expansive signs in computerized tomography of brain or magnetic resonance imaging. We report in this paper, 2 patients who had shown expansive radiological signs suggestive of neoplasm. Cerebral biopsy was an important diagnostic procedure in these 2 cases which revealed the diagnosis of demyelinating disease.
Necrotizing Fascitis Of Abdominal Wall After Cesarean Section, A. Krowlikowski, V. Gowri, K. Radha
Necrotizing Fascitis Of Abdominal Wall After Cesarean Section, A. Krowlikowski, V. Gowri, K. Radha
Saudi Medical Journal
No abstract provided.
A Clinico-Dosimetric Characteristic Of Radiotherapy In Patients With Early Stages Of Breast Cancer, Ya Megali, Z. P. Mikhina, G. E. Gorlachev, R. A. Gutnik, V. N. Ivanov, N. A. Pirogova
A Clinico-Dosimetric Characteristic Of Radiotherapy In Patients With Early Stages Of Breast Cancer, Ya Megali, Z. P. Mikhina, G. E. Gorlachev, R. A. Gutnik, V. N. Ivanov, N. A. Pirogova
Saudi Medical Journal
No abstract provided.
Undergraduate Curriculum Reform In Saudi Medical Schools. Which Direction To Go?, Yousef M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Faraidy
Undergraduate Curriculum Reform In Saudi Medical Schools. Which Direction To Go?, Yousef M. Al-Gindan, Abdulsalam A. Al-Sulaiman, Abdulatif Al-Faraidy
Saudi Medical Journal
Curriculum reform in undergraduate medical education is quite essential for the success of the educational process. Saudi medical schools have been involved in curriculum reform over the past 2 decades. Review of the existing literature identifies the following as problems with today9s curriculum including: Overcrowding of the curriculum, over presentation of some subjects, presence of relatively non-relevant subjects, dissociation between basic and clinical sciences, repetition of lectures and exams, need for new subjects of clinical relevance, predominantly hospital based medical education with minimal community-based practice, as well as non-optimal use of resources. The authors put forth suggestions for reform of …
A Simplified Management Of Diabetic Pregnant Woman, Omer A. Mirghani, Osman K. Saeed
A Simplified Management Of Diabetic Pregnant Woman, Omer A. Mirghani, Osman K. Saeed
Saudi Medical Journal
OBJECTIVE: To evaluate a simplified management of diabetic pregnant women. METHODS: A prospective study of the management of all diabetic pregnant women (74) during 2 years from March 1995 - March 1997 was carried out in the Department of Obstetrics & Gynecology, Wad Medani Teaching Hospital, Sudan. Diabetes was diagnosed by an oral glucose tolerance test according to the World Health Organization criteria. Patients were controlled by insulin and monitored by urine for glucose and pre-prandial blood sugar. They were delivered by induction of labor or cesarean section at 38 weeks. Basic resuscitation was carried out for all babies. Intravenous …
Efficacy And Acceptability Of Depo-Medroxyprogesterone Acetate Injection As A Method Of Contraception In Saudi Arabia, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong, Ali A. Sadek
Efficacy And Acceptability Of Depo-Medroxyprogesterone Acetate Injection As A Method Of Contraception In Saudi Arabia, Adekunle A. Sobande, Hassan M. Al-Bar, Eric I. Archibong, Ali A. Sadek
Saudi Medical Journal
OBJECTIVE: To determine the efficacy and acceptability of Depo-Medroxyprogesterone acetate (depo-provera) among the women using that method of contraception at King Faisal Military Hospital in the south-west region of Saudi Arabia. METHODS: A preliminary retrospective and questionnaire analysis of 165 Saudi women who had depo-provera as a method of contraception at the contraception clinic of King Faisal Military Hospital over a period of 2 months. RESULTS: The mean age of the women was 31.21 years and the mean parity 6.77. There was no pregnancy reported during the period of use of the contraceptive method which ranged from 3 months to …
Etiology And Outcome Of Thyrotoxicosis At A University Hospital, Daad H. Akbar, Maimona M. Mushtaq, Abdulrahman A. Al-Sheik
Etiology And Outcome Of Thyrotoxicosis At A University Hospital, Daad H. Akbar, Maimona M. Mushtaq, Abdulrahman A. Al-Sheik
Saudi Medical Journal
OBJECTIVE: To determine the causes, clinical manifestations, mode of treatment, and outcome of hyperthyroidism at King Abdulaziz University Hospital. METHODS: A retrospective study of all cases of thyrotoxicosis diagnosed at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, in the period between January 1997 to January 1999, that received a minimum of one year treatment. RESULTS: A total of 203 patients were seen with female: male ratio of 3.8:1 and mean age of 35.49+/-10.86 years. Graves’ disease was the underlying cause in 69% of cases, toxic multi nodular goiter in 29%, and toxic adenoma and sub acute thyroiditis in …
Frequency Of Herpes Simplex Virus In Syria Based On Type-Specific Serological Assay, Ali I. Ibrahim, Khalil M. Kouwatli, Michel T. Obeid
Frequency Of Herpes Simplex Virus In Syria Based On Type-Specific Serological Assay, Ali I. Ibrahim, Khalil M. Kouwatli, Michel T. Obeid
Saudi Medical Journal
OBJECTIVE: This study aimed to determine the seroprevalence of herpes simplex virus types 1 and 2 antibodies in Syrian populations. Serum samples collected between 1995 - 1998 from a total of 1293 healthy persons, neonates, pregnant women, labial herpes patients, kidney transplantation patients, atherosclerosis patients, cervical cancer patients, patients with suspected herpetic keratitis, viral encephalitis patients, patients with sexually transmitted diseases, AIDS patients, female prostitutes and bar girls. METHODS: Serum samples were studied by enzyme immunosorbent assay using herpes simplex virus type-specific antigen, glycoprotein (gG). RESULTS: In the healthy group, herpes simplex virus type 1 infections correlated mostly with age …
Anterior Hypospadias. Is Repair Necessary With Urination In A Sitting Or Squatting Position?, Raymond M. Anikwe, Baher A. Kamal, Mohamed M. Hegazi, Mohamed Hashish, Hamed El-Darawani, Saud A. Taha
Anterior Hypospadias. Is Repair Necessary With Urination In A Sitting Or Squatting Position?, Raymond M. Anikwe, Baher A. Kamal, Mohamed M. Hegazi, Mohamed Hashish, Hamed El-Darawani, Saud A. Taha
Saudi Medical Journal
OBJECTIVE: To determine the chronic complication rate of anterior hypospadias repair and to explore whether the practice of placing the neomeatus at the tip of the penis should be applicable to all cases in our community where urination is in a sitting/squatting position. METHODS: Over a 10-year period commencing 1st September 1987, 312 patients had hypospadias repair of whom 72% had anterior hypospadias. The meatus was advanced to the tip of the penis in all repairs. The location of the meatus was also determined in 281 non-complaining men with a straight penis and normal sexual and reproductive functions. Following prior …
Frequency Of Tracheobronchial Foreign Bodies In Children And Adolescents, Mohammad A. Siddiqui, Ahmed H. Banjar, Sami M. Al-Najjar, Mohammad M. Al-Fattani, Magdi F. Aly
Frequency Of Tracheobronchial Foreign Bodies In Children And Adolescents, Mohammad A. Siddiqui, Ahmed H. Banjar, Sami M. Al-Najjar, Mohammad M. Al-Fattani, Magdi F. Aly
Saudi Medical Journal
OBJECTIVE: The problem of foreign body aspiration in the community has been studied and compared with other reports. METHODS: We have retrospectively studied patients who had bronchoscopy for suspected foreign bodies in the tracheobronchial tree, attending or referred to Al-Noor Specialist Hospital, Makkah over a period of 3 years from May 1996 to May 1999. RESULTS: The total number of patients was 94 (62 male and 32 female). Ages ranged from 4 months to 45 years(mean age 3.77 years), 85% of children being under the age of 5 years. One hundred bronchoscopies (6 repeat bronchoscopies) and one thoracotomy were carried …
Widespread Tuberculous Calcification, M. Qaseem Khan, Ali Q. Al-Qahtani, Sami Al-Momen, Samir A. Aldhurais, Mehmuda Ahmad
Widespread Tuberculous Calcification, M. Qaseem Khan, Ali Q. Al-Qahtani, Sami Al-Momen, Samir A. Aldhurais, Mehmuda Ahmad
Saudi Medical Journal
We are reporting an unusual case of widespread abdominal calcifications, in the peri-colic mesentery, liver and spleen. The diagnostic laparoscopy showed multiple encapsulated calcified hard rounded masses of varying size and shape, with marked adhesions in and around the bowel and mesentery. Histopathology identified them as calcified lymph nodes, but was unable to highlight the pathogenesis of these calcifications. The diagnosis of post tuberculous calcification of lymph nodes is made on the basis of exclusion. The subject was reviewed, to the best of our knowledge, there is no similar case, with such an extent of abdominal calcifications reported in the …
Acute Right Heart Strain Due To Lung Contusion, Tom Mutazindwa, R. Sankaran, Ibrahim Al-Shebrien
Acute Right Heart Strain Due To Lung Contusion, Tom Mutazindwa, R. Sankaran, Ibrahim Al-Shebrien
Saudi Medical Journal
No abstract provided.