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Multiple Choice Questions In Sudan Medical Schools: Teachers Views, Awad M. Ahmed, Abbashar Hussein, Nada H. Ahmed, Ali M. Elawad
Multiple Choice Questions In Sudan Medical Schools: Teachers Views, Awad M. Ahmed, Abbashar Hussein, Nada H. Ahmed, Ali M. Elawad
Saudi Medical Journal
No abstract provided.
Obesity Among Diabetic Patients, Shariq R. Masoodi, Bashir A. Laway, Yousef A. Al-Turki
Obesity Among Diabetic Patients, Shariq R. Masoodi, Bashir A. Laway, Yousef A. Al-Turki
Saudi Medical Journal
No abstract provided.
Pagets Disease Of The Bone, Payam S. Pahlavan, Abdul H. Zargar, Bashir A. Laway, Shariq R. Masoodi, Arshad I. Wani, Mir I. Bashir, Nisar A. Tramboo, Fayez A. Khan
Pagets Disease Of The Bone, Payam S. Pahlavan, Abdul H. Zargar, Bashir A. Laway, Shariq R. Masoodi, Arshad I. Wani, Mir I. Bashir, Nisar A. Tramboo, Fayez A. Khan
Saudi Medical Journal
No abstract provided.
Neonatal Septicemia, Khalid N. Haque, Asindi A. Asindi
Neonatal Septicemia, Khalid N. Haque, Asindi A. Asindi
Saudi Medical Journal
No abstract provided.
The Characteristics Of Systemic Lupus Erythematosus. A Study In A General Hospital, Mansour F. Karadsheh, Farah A. Nimri, Yousef M. Ajlouni, Wael A. Dneibat, Rasha F. Karadsheh
The Characteristics Of Systemic Lupus Erythematosus. A Study In A General Hospital, Mansour F. Karadsheh, Farah A. Nimri, Yousef M. Ajlouni, Wael A. Dneibat, Rasha F. Karadsheh
Saudi Medical Journal
OBJECTIVE: There is a wide variation in the natural history of Systemic Lupus Erythematosus among different ethnic and geographical groups. Studies in Arabs are few. This study aims to demonstrate the clinical characteristics of Systemic Lupus Erythematosus patients in Jordanians. METHODS: A retrospective review of the records of the cases diagnosed as Systemic Lupus Erythematosus in a tertiary referral centre (King Hussein Medical Centre) over the years 1991-1997. The records were analyzed for age, sex, presentation, diagnostic criteria, investigations, complications and treatment. RESULTS: Seventy-six records were analyzed. The patients were from all parts of Jordan, with a mean age of …
Hospital Morbidity Due To Post-Operative Infections In Obstetrics & Gynecology, Jagjeevan K. Dhaliwal, Affaf M. El-Shafei, Mona R. Al-Sharqi, Kumbakonam R. Jothy, Usha Vijayan, Anita Qadri
Hospital Morbidity Due To Post-Operative Infections In Obstetrics & Gynecology, Jagjeevan K. Dhaliwal, Affaf M. El-Shafei, Mona R. Al-Sharqi, Kumbakonam R. Jothy, Usha Vijayan, Anita Qadri
Saudi Medical Journal
OBJECTIVE: To study the incidence and risk factors for postoperative infection following cesarean sections and major gynecological surgery. METHODS: Postoperative infection was documented in the specified registers in all patients following cesarean sections and major gynecological surgery from January 1997 to December 1998. This study was a part of the prospective analysis of hospital-based morbidity and mortality in the Department of Obstetrics and Gynecology. RESULTS: There were a total of 89 cases of postoperative infections amongst 4,032 patients undergoing major operations giving an overall infection rate of 2.2%. The morbidity due to infections was 3.3% in cesarean sections and 0.9% …
A Guideline To Clinical Utility Of Prostate Specific Antigen, Walid A. Farhat, Aida A. Habbal, Raja B. Khauli
A Guideline To Clinical Utility Of Prostate Specific Antigen, Walid A. Farhat, Aida A. Habbal, Raja B. Khauli
Saudi Medical Journal
Prostate cancer has emerged as the most common tumor effecting adult men. In the USA, 300,000 cases each year, and some 40,000 deaths per year are expected from this disease. Once prostate cancer gets to an advanced stage, one cannot prevent its progression and cure is no longer possible. Thus, to effect the course of prostate cancer and to diminish the death rate from this disease, it should be detected at its early stages. The prostate specific antigen serum test is the best tumor marker present but it is certainly not perfect. The proper utility of prostate specific antigen testing, …
Cardiac Markers For Assessing The Acute Coronary Syndromes. A Focus On Cardiac Troponins, Salam M. Saadeddin, Moh’D A. Habbab, Gordon A. Ferns
Cardiac Markers For Assessing The Acute Coronary Syndromes. A Focus On Cardiac Troponins, Salam M. Saadeddin, Moh’D A. Habbab, Gordon A. Ferns
Saudi Medical Journal
Markers of myocardial injury will continue to play an essential role in the assessment and management of patients presenting within the spectrum of acute coronary syndromes, a term representing the continuum of acute myocardial ischemia ranging from angina through Q-wave myocardial infarction. Coronary artery lesion instability can be detected by markers of plaque inflammation and disruption, platelets reactivity, and thrombosis. When myocardial injury occurs with severe impairment of coronary blood flow, several markers are released from the damaged myocyte. For many years, creatine kinase-MB isoenzyme has been the conventional marker for myocardial infarction. Despite its inadequate sensitivity and specificity for …
Cardio-Respiratory Responses To Moderately Heavy Aerobic Exercise During The Ramadan Fasts, Jasem M. Ramadan, Mario Barac-Nieto
Cardio-Respiratory Responses To Moderately Heavy Aerobic Exercise During The Ramadan Fasts, Jasem M. Ramadan, Mario Barac-Nieto
Saudi Medical Journal
OBJECTIVE: The aim of this study was to quantify the magnitude of the cardiovascular and respiratory changes that occur during the month of Ramadan in response to moderately heavy aerobic physical exertion. METHODS: Eighteen sedentary Kuwaiti adult males were tested under thermo-neutral conditions during a spring-like month of Ramadan and one month thereafter. RESULTS: There were no significant changes in maximal exercise capacity, treadmill walking efficiency, percentage VO2 max, in body weight and composition associated with Ramadan fasting or one month after. Cardiac (heart rate) and ventilatory responses to moderately intense bouts of sub-maximal aerobic exercise (70% of VO2 max) …
Healthcare Risk Waste In Saudi Arabia. Rate Of Generation, Mohammed A. Al-Zahrani, Zuheir I. Fakhri, Mohammed A. Al-Shanshouri, Mohammed H. Al-Ayed
Healthcare Risk Waste In Saudi Arabia. Rate Of Generation, Mohammed A. Al-Zahrani, Zuheir I. Fakhri, Mohammed A. Al-Shanshouri, Mohammed H. Al-Ayed
Saudi Medical Journal
OBJECTIVE: To assess the amount of healthcare risk waste generated by health establishments in Saudi Arabia. METHODS: A healthcare waste management questionnaire was applied in 27 hospitals, and 16 primary health centres and clinics. The total quantity of healthcare risk waste collected in 24 hours in each of these establishments was weighed. Calculations were carried out to get hospitals rate of healthcare risk waste generation and primary healthcare centres risk waste generation. The total national estimate of healthcare risk waste production in kilograms/year for the whole health establishments in the Kingdom was then calculated. RESULTS: The mean hospital healthcare risk …
Acoustic Reflex Threshold And Loudness Discomfort, Mohammad F. Al-Azazi, Balqis M. Othman
Acoustic Reflex Threshold And Loudness Discomfort, Mohammad F. Al-Azazi, Balqis M. Othman
Saudi Medical Journal
OBJECTIVE: Trying to find an accurate relation between loudness discomfort level and acoustic reflex threshold. METHODS: Seventy patients were involved in this study. Ten normal patients, 30 patients of unilateral conductive hearing loss and 30 patients of unilateral or bilateral, mild to moderate sensorinearal hearing loss were tested by 1, 2, KH2 pure tones, 0.5, 1, 2, 4, 8 KHz narrow band noise, wide band noise and speech noise stimuli to get loudness discomfort level and acoustic reflex threshold in each ear for each stimulus. RESULTS: Ninety two percent of predicted loudness discomfort levels occurred within +/-6 of acoustic reflex …
Management Strategies For Peripheral Tuberculous Lymphadenopathy, Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Management Strategies For Peripheral Tuberculous Lymphadenopathy, Ahmed M. Al-Hadrani, Saleh M. Aulaqi, Saleh F. Al-Salami, Abdul-Malik A. Al-Kabsi, Abdul-Karim M. Al-Zabedi, Ali H. Al-Gamrah
Saudi Medical Journal
OBJECTIVE: To assess the usual means for diagnosing peripheral tuberculous lymphadenitis and present our experience in the management of the disease. METHODS: Three hundred and two patients with peripheral lymphadenopathy due to tuberculosis were diagnosed and referred by several hospitals in 9 governorates to the National Tuberculosis Institute. Patients were reviewed prospectively regarding diagnosis and treatment. RESULTS: Histological findings were diagnostic in 94% of patients. In our experience, isolation of mycobacterium from the lymph node tissue was neither practical nor reliable. Four out of 54 patients with bulky caseating nodes or discharging sinuses failed to respond to chemotherapy after 2 …
The Use Of Indomethacin For The Prevention Of Intraventricular Brain Hemorrhage In High-Risk Neonates, Essam M. Al-Shawaf, Saleh A. Al-Alaiyan, Ali Y. Aqeel, Mohammed H. Gamal
The Use Of Indomethacin For The Prevention Of Intraventricular Brain Hemorrhage In High-Risk Neonates, Essam M. Al-Shawaf, Saleh A. Al-Alaiyan, Ali Y. Aqeel, Mohammed H. Gamal
Saudi Medical Journal
OBJECTIVE: The objective of this study was to determine the effect of indomethacin on reducing the incidence of intraventricular hemorrhage in premature infants treated in our units at King Faisal Specialist Hospital and Research Centre. METHODS: This historical cohort study included 45 infants born with birth weights of 1250g or less and received indomethacin in the first 12 hours of life for intraventricular hemorrhage prevention. The treated infants were compared to 33 other infants with birth weights of 1250g or less who did not receive indomethacin for intraventricular hemorrhage prevention. Data collected included demographic, complications of prematurity, renal function and …
Arthrogryposis, Renal Dysfunction And Cholestasis Syndrome, Mohamed A. Abdullah, Zuhair Al-Hasnan, Emi Okamoto, Abdullah M. Abomelha
Arthrogryposis, Renal Dysfunction And Cholestasis Syndrome, Mohamed A. Abdullah, Zuhair Al-Hasnan, Emi Okamoto, Abdullah M. Abomelha
Saudi Medical Journal
We report for the first time from the Arabian Gulf area 3 patients with arthrogryposis multiplex congenita, cholestasis and renal tubular dysfunction from a Saudi family with 2 other siblings and 3 cousins who possibly died with a similar clinical picture. We also document for the second time in literature other findings in this syndrome including cerebral abnormalities (hypoplastic corpus callosum), congenital heart disease and nerve deafness. We suggest that some of these cases might benefit from ursodeoxycholic acid therapy. We believe that this autosomal recessive disorder is possibly under-diagnosed in this region with a high consanguineous marriage rate.
Malignant Peritoneal Mesothelioma, Saleh M. Al-Amri, Rehan H. Rahmatulla, Issam A. Al-Bozom
Malignant Peritoneal Mesothelioma, Saleh M. Al-Amri, Rehan H. Rahmatulla, Issam A. Al-Bozom
Saudi Medical Journal
Malignant peritoneal mesotheliomas are rare tumors arising from the peritoneal surface. We report a 53 year old, non-asbestos exposed Saudi male who presented with exudative ascites. The diagnosis was obtained from laparoscopic biopsy. To the best of our knowledge this entity has not been described in the Saudi community. The aim is to increase the awareness among the medical community about this rare entity.
Somatostatin Damage On The Pancreatic Islets, Nahed H. Koura
Somatostatin Damage On The Pancreatic Islets, Nahed H. Koura
Saudi Medical Journal
OBJECTIVE: To study the histological appearance of the pancreatic islets consequent to prolnged regular daily treatment with somatostatin. METHODS: Thirty albino rats of each sex were divided into controls and another 2 groups; the first received the hormone somatostatin for 21 days and the second for 42 days. Pancreatic specimens were taken from the sacrificed animals by the end of these periods. Examination by light microscopy of these specimens was carried out. Insulin and glucose were regularly measured through out the course of treatment. RESULTS: Showed irreversible damage of the alpha and beta cells of the islets. All animals developed …
Agenesis Of Right Lung With Esophageal Atresia And Distal Tracheoesophageal Fistula, N. Surendran
Agenesis Of Right Lung With Esophageal Atresia And Distal Tracheoesophageal Fistula, N. Surendran
Saudi Medical Journal
No abstract provided.
Ketotifen In Treatment Of Uncomplicated Falciparum Malaria, Adil M. Ibrahim, El-Rayah M. Elhag, Sirag E. Mustafa
Ketotifen In Treatment Of Uncomplicated Falciparum Malaria, Adil M. Ibrahim, El-Rayah M. Elhag, Sirag E. Mustafa
Saudi Medical Journal
OBJECTIVE: The present in vivo study evaluates the potential use of ketotifen, a tricyclic antihistaminic drug, in treatment of Sudanese patients with uncomplicated Plasmodium falciparum malaria (19-38 years). METHODS: Four groups of patients (each has 15) were randomly selected and treated by chloroquine (25mg/kg wt) in comparison with regimen combinations of ketotifen (0.13mg/kg body wt) with chloroquine, ketotifen with Fansidar (33.3mg/kg body wt) and ketotifen with both chloroquine and Fansidar. RESULTS: Prior to treatment all patients had a parasite density that varied from 1x103-3.46x104/mL blood. On day 2, the highest level of parasitaemia was recorded in patients treated with chloroquine …
Quadruplet Pregnancy Following A Single Course Of Clomiphene Citrate. An Expensive Success, Zeinab Abotalb
Quadruplet Pregnancy Following A Single Course Of Clomiphene Citrate. An Expensive Success, Zeinab Abotalb
Saudi Medical Journal
Prescribing clomiphene citrate for infertility patients has been taken very lightly. High order pregnancy can happen with this treatment. In addition to high perinatal mortality and morbidity of multiple pregnancy, the economic and social strains on the national health system and the family is great. The case presented showed that although the outcome of pregnancy was successful but the cost to the national health was tremendous. It is therefore recommended that measures should be taken to avoid high order births. Moreover, delaying the delivery, if possible, will be cost effective.
Squamous Cell Carcinoma Complicating Prurigo Nodularis, Makram M. Al-Waiz, Azar H. Maluki
Squamous Cell Carcinoma Complicating Prurigo Nodularis, Makram M. Al-Waiz, Azar H. Maluki
Saudi Medical Journal
Squamous cell carcinoma complicating ulcerative prurigo nodularis is described in 2 patients who were having prurigo nodularis on dorsum of the feet for duration of many years. Biopsy specimens from the ulcerating nodules showed features of squamous cell carcinoma. This finding has not been previously reported. Squamous cell carcinoma should be considered in the evaluation of long standing ulcerative lesion of prurigo nodularis especially when not responding to conventional therapy.
Admission Patterns And Outcomes Of Sick Children: Experience From A Pediatric Intensive Care Unit In Oman, Shabih Manzar
Admission Patterns And Outcomes Of Sick Children: Experience From A Pediatric Intensive Care Unit In Oman, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Invasive Mucormycosis In Benign Gastric Ulcer, Ammar C. Al-Rikabi, Abdullah D. Al-Dohayan, Ahmad A. Al-Boukai
Invasive Mucormycosis In Benign Gastric Ulcer, Ammar C. Al-Rikabi, Abdullah D. Al-Dohayan, Ahmad A. Al-Boukai
Saudi Medical Journal
Fungal elements are frequently noted overlying the base of chronic peptic ulcers of the stomach and it has been suggested that the fungi enhance the degree of necrosis and that these cases have protracted disease and deeper ulcers with more perforations. It has also been postulated that the number of fungal elements might be increased in the stomach of patients who are receiving potent medications such as H2-receptor antagonists to reduce gastric acidity, but there have not been adequate control studies, and the deleterious effects from the presence of the fungi in these cases have not been substantiated. We present …
In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir
In-Patient Treatment For Resistant Obsessive-Compulsive Disorder, Mohammed A. Al-Sughayir
Saudi Medical Journal
Obsessive Compulsive Disorder is one of the increasing psychological disorders. If not detected early and treated properly, obsessive-compulsive disorder usually becomes an incapacitating illness adversely affecting almost all aspects of the patient9s life. Outpatient behavioral and pharmacotherapies frequently fail. This is a report on a severe case of obsessive-compulsive disorder that was treated as an in-patient with both behavior and pharmacotherapies, she was then followed up for 5 years with no relapse. The case reflects the importance and the need for in-patient units for severe resistant obsessive compulsive cases especially in Saudi Arabia where we have an increasing number of …
Hypertension And Its Relation To Renal Function 10 Years After Pregnancy Complicated By Pre-Eclampsia And Pregnancy Induced Hypertension, Amal G. Shammas, Jawad F. Maayah
Hypertension And Its Relation To Renal Function 10 Years After Pregnancy Complicated By Pre-Eclampsia And Pregnancy Induced Hypertension, Amal G. Shammas, Jawad F. Maayah
Saudi Medical Journal
OBJECTIVE: To assess the development of hypertension and its relation to renal function 10 years after pregnancy complicated by pre-eclampsia and pregnancy induced hypertension. METHODS: Women with pre-eclampsia (n=47), pregnancy induced hypertension (n=54) or normotensive (n=46) during 1988 were reviewed at King Hussein Medical Center, Amman, Jordan, for the development of hypertension and renal disorder. Their renal function was reviewed by measuring blood levels of urea, uric acid, creatinine, calcium and albumin. Urine was examined for microalbuminuria. RESULTS: Women with pre-eclampsia and pregnancy induced hypertension had a higher risk of developing hypertension 10 years later compared to the control group, …
Continuous Quality Improvement. A Proposal For Arabian Gulf Medical Associations, Mohammad Z. Al-Shahri, James Kinchin-White
Continuous Quality Improvement. A Proposal For Arabian Gulf Medical Associations, Mohammad Z. Al-Shahri, James Kinchin-White
Saudi Medical Journal
Having well-established and active medical associations in the Arabian Gulf countries is a promising event. Ideally, however, it must be assured that these associations are efficiently and effectively functioning in a manner designed to serve the ultimate goal of promoting the standards of the medical profession and thus, the quality of health care in the region. This paper is designed to promote the application of Continuous Quality Improvement principles by the medical associations in the Arabian Gulf. The paper is presented in a general format so as to allow for appropriate modifications according to the specific objectives of different medical …
Childhood Enuresis. Epidemiology, Pathophysiology And Management., Yaser S. Al-Ghamdy, Naseem A. Qureshi, Muzamil H. Abdelgadir
Childhood Enuresis. Epidemiology, Pathophysiology And Management., Yaser S. Al-Ghamdy, Naseem A. Qureshi, Muzamil H. Abdelgadir
Saudi Medical Journal
The goal of this article is to review childhood enuresis, which is a common behavioral condition reported in millions of children worldwide. An online computer search was made, and the literature up to 1997 was screened in order to include relevant data for this review. The prevalence of childhood enuresis varies across reviewed studies. This was attributed to a variety of sociodemographic and cultural dynamics of societies. Similarly, the pathophysiology of this ubiquitous symptom is determined by multiple risk factors including biological, psychological, social, and cultural, but the developmental/maturational delay influenced by genetics remains the most plausible explanation. Although a …
Diabetes And Perinatal Loss. A Continuing Problem., Adekunle A. Sobande, Hassan Al-Bar, Eric I. Archibong
Diabetes And Perinatal Loss. A Continuing Problem., Adekunle A. Sobande, Hassan Al-Bar, Eric I. Archibong
Saudi Medical Journal
OBJECTIVE: To determine the fetal outcome in diabetic pregnant patients managed exclusively by the obstetrician at King Faisal Military Hospital in the south-west region of Saudi Arabia, and to compare this with the non-diabetic control group in the same hospital. METHODS: Case-control study of 83 diabetic and non-diabetic pregnant patients who delivered at King Faisal Military Hospital over a 2 year period. RESULTS: The perinatal mortality rate in diabetic patients was 6.02% while that in the non-diabetic control group was 1.2%. However, the difference was not statistically significant, p>0.05. There was no significant difference in the mean birth weight …
Staphylococcus Aureus Bacteremia, Daad H. Akbar, Maimona A. Mushtaq, Ahmed T. El-Tahawi, Ahmed A. Bahnasy
Staphylococcus Aureus Bacteremia, Daad H. Akbar, Maimona A. Mushtaq, Ahmed T. El-Tahawi, Ahmed A. Bahnasy
Saudi Medical Journal
OBJECTIVE: To study the episodes of Staph.aureus bacteremia diagnosed at King Abdulaziz University Hospital, to determine the source of infection, risk factors, the outcome of treatment and to compare our results with those reported in the literature. METHODS: A retrospective study in which the episodes of Staph.aureus bacteremia diagnosed at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia in the period from June 1996 to December 1998 were analyzed. RESULTS: A total of 103 episodes of Staph.aureus bacteremia were diagnosed in 95 patients with a mean age of 33.61 years (range 2 months to 90 years) and male:female ratio …
Measles Antibody Titre In Children Up To 5 Years Of Age In Rural Areas Of Aligarh District, India, Zulfia Khan, Abida Malik, Sunil D. Pal, M. Yunus Khan
Measles Antibody Titre In Children Up To 5 Years Of Age In Rural Areas Of Aligarh District, India, Zulfia Khan, Abida Malik, Sunil D. Pal, M. Yunus Khan
Saudi Medical Journal
OBJECTIVE: To determine the pattern of decline of maternal antibodies in 0-9 month old infants and to study the prevalence of measle antibodies and their levels in 9 month to 5 year old children, regardless of their immunization status. METHODS: A cross-sectional study covering 456 children in the 0-5 year age group residing in 9 registered villages in a rural area of Aligarh District was conducted. The study included the interview of parents, clinical examination of children, and Hemagglutination Inhibition Test for Measles Antibody Titre. RESULTS: There was rapid decline in seropositivity from 100% in the 0-3 month age group …
Lipid Peroxidative Damage In The Erythrocytes And Elevation Of Serum Ldl-Cholesterol, Apolipoprotein-B, Ferritin And Uric Acid With Age And In Coronary Heart Disease Patients, Hameeda H. El-Gebali, Salahaldin A. Tahir, Syed S. Haider, Mustafa M. El-Fakhri
Lipid Peroxidative Damage In The Erythrocytes And Elevation Of Serum Ldl-Cholesterol, Apolipoprotein-B, Ferritin And Uric Acid With Age And In Coronary Heart Disease Patients, Hameeda H. El-Gebali, Salahaldin A. Tahir, Syed S. Haider, Mustafa M. El-Fakhri
Saudi Medical Journal
OBJECTIVE: To determine the normal serum levels of LDL-cholesterol, apolipoprotein-B, ferritin, uric acid, and the extent of erythrocytes lipid peroxidation in healthy control group subjects and to compare them with coronary heart disease patients. Secondly, to study the effects of age and sex on these parameters. METHODS: The blood samples from 150 healthy Libyan control group subjects (110 men and 40 women) were classified into 3 groups according to their age. Group I consisted of 76 subjects with an age range from 20 to 35 years. Group II consisted of 45 subjects with an age range from 36 to 50 …