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Articles 7831 - 7860 of 7869
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An Unusual Case Of Impacted Esophageal Foreign Body, Nabil Al-Odaidan, Ohikuaiteme D. Amu, Mustafa Fahmy, Hisham Al-Khalifa, Sameeh S. Ghazal
An Unusual Case Of Impacted Esophageal Foreign Body, Nabil Al-Odaidan, Ohikuaiteme D. Amu, Mustafa Fahmy, Hisham Al-Khalifa, Sameeh S. Ghazal
Saudi Medical Journal
Incidental ingestion of foreign bodies in the pediatric age group is a recognized problem worldwide, however, it is unusual to have a neonate who presents with impacted esophageal foreign body. As such, this case is rare and considered a new form of child neglect.
Traumatic Rupture Of Corpus Cavernosum, Arun Bharthuar
Traumatic Rupture Of Corpus Cavernosum, Arun Bharthuar
Saudi Medical Journal
Traumatic rupture of Corpora Cavernosa is an uncommon injury. We report a case of fractured penis in a 60 year old which was managed by immediate exploration and operative repair. Post operative recovery was uneventful with full return of erectile function.
Unnecessary X-Rays: Occurrence, Disadvantages And Side Effects, Suresh K. Dargan
Unnecessary X-Rays: Occurrence, Disadvantages And Side Effects, Suresh K. Dargan
Saudi Medical Journal
No abstract provided.
Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani
Intracranial Tuberculoma, Tayseer M. Zein, Peter S. Fletcher, Zein M. Mirghani
Saudi Medical Journal
Six patients with cerebral tuberculoma seen over a 2 year period are reported. Their clinical presentations, the result of investigations including radiological findings and their response to medical treatment are discussed and correlated with other reports in the literature. Eighty five percent of the patients were above the age of 30 years. All patients had negative past history of tuberculosis and both chest x-ray and erythrocyte sedimentation rate were within normal limits. Five patients presented with symptoms and signs of space occupying lesions but none had papilloedema. Two patients showed paradoxical enlargement or development of new tuberculous lesions during antituberculous …
Concordant Expression Of Hirschsprung's Disease In Monozygous Twins, Adnan A. Mohammed, Deodas B. Gahukamble
Concordant Expression Of Hirschsprung's Disease In Monozygous Twins, Adnan A. Mohammed, Deodas B. Gahukamble
Saudi Medical Journal
A monozygous pair of twins with long segment Hirschsprung9s disease born to non consanguineous parents is presented. Mother9s history was uneventful. In the absence of prenatal and postnatal illness, the concordant lesions in this pair could be attributed to genetic factors.
Evolution Of Resuscitation: A Historical Perspective, Shabih Manzar
Evolution Of Resuscitation: A Historical Perspective, Shabih Manzar
Saudi Medical Journal
No abstract provided.
Congenital Chloride Diarrhea From The West Coast Of The Kingdom Of Saudi Arabia, Harbi A. Shawoosh, Fawzia Badgaish, Enaam Raboie, Talal Basrawi
Congenital Chloride Diarrhea From The West Coast Of The Kingdom Of Saudi Arabia, Harbi A. Shawoosh, Fawzia Badgaish, Enaam Raboie, Talal Basrawi
Saudi Medical Journal
No abstract provided.
Neonatal Septicemia, Abdulfattah Al-Mowallad, A. Olu Osoba, James O. Obi
Neonatal Septicemia, Abdulfattah Al-Mowallad, A. Olu Osoba, James O. Obi
Saudi Medical Journal
No abstract provided.
The Use Of Rectal Diclofenac For Post-Cesarean Analgesia, Mumtaz Rashid, Hanan M. Jaruidi
The Use Of Rectal Diclofenac For Post-Cesarean Analgesia, Mumtaz Rashid, Hanan M. Jaruidi
Saudi Medical Journal
OBJECTIVE: To determine whether the prophylactic use of rectal diclofenac sodium produces effective analgesia after cesarean section. METHODS: A randomized single blind controlled trial. The study period was from September 1997 - April 1998. Forty patients undergoing both emergency and elective cesarean section were studied, with 20 patients in each arm. The study group received 100 mg rectal diclofenac immediately after cesarean section followed by 50 mg at 12 hours and 100 mg at 36 hours after the surgery. The control group did not receive any diclofenac suppositories. RESULTS: The results showed that the visual analogue score for pain in …
Consanguinity, Fertility, Reproductive Wastage, Infant Mortality And Congenital Malformations In Jordan, Sami A. Khoury, Diana F. Massad
Consanguinity, Fertility, Reproductive Wastage, Infant Mortality And Congenital Malformations In Jordan, Sami A. Khoury, Diana F. Massad
Saudi Medical Journal
OBJECTIVE: Consanguinity is a wide spread practice in Jordan. The objective of this study is to explore the health effects of consanguinity, in particular fertility, reproductive wastage, infant mortality and congenital malformations. METHODS: A stratified 2 stage cluster sample of 1867 married couples, representative of all population groups and all geographic locations of Jordan were randomly selected. A questionnaire was specially designed to explore each of the objectives set for the study and was field tested. A group of field workers were thoroughly trained on the implementation of this instrument. All 1867 couples were interviewed by these field workers and …
Screening For Gestational Diabetes Mellitus In Pregnant Females, Hassan A. Nasrat, Hassan S. Jamal, Hussein M. Al-Sagaaf, Bader E. Mustafa
Screening For Gestational Diabetes Mellitus In Pregnant Females, Hassan A. Nasrat, Hassan S. Jamal, Hussein M. Al-Sagaaf, Bader E. Mustafa
Saudi Medical Journal
OBJECTIVE: To evaluate the applicability of the 50-g glucose challenge test as a screening test for gestational diabetes mellitus in relation to pregnancy outcomes. METHODS: A prospective study was conducted on 818 Saudi pregnant females who were randomly recruited from the Antenatal Clinics at King Abdulaziz University Hospital and New Jeddah Clinic Hospital, Jeddah. All females underwent a 50-g glucose challenge test between 24-28 weeks gestation. A result for 50-g glucose challenge test was considered positive at > 7.2 mmol/L and the female was asked to undergo a 100-g oral glucose tolerance test. The diagnosis of gestational diabetes mellitus was carried …
Congenital Paraesophageal Hernia In Infancy And Childhood, Ahmed H. Al-Salem
Congenital Paraesophageal Hernia In Infancy And Childhood, Ahmed H. Al-Salem
Saudi Medical Journal
OBJECTIVE: Congenital paraesophageal hernia is a rare condition in the pediatric age group. The symptomatology of these patients is usually non-specific in the form of repeated attacks of chest infection and/or recurrent attacks of vomiting but can be associated with serious complications such as intrathoracic gastric volvulus. METHODS: Between 1989 and 1997, 6 children with paraesophageal hernia were treated at our hospital. RESULTS: Six children (4 males and 2 females) were treated for congenital paraesophageal hernia. Their age at presentation ranged from 2 days to 21/2 years (mean 1.3 years). Two presented with recurrent chest infection, while 3 others had …
Survival Pattern Among Extreme Preterm Infants, Shabih Manzar
Survival Pattern Among Extreme Preterm Infants, Shabih Manzar
Saudi Medical Journal
OBJECTIVE: To look at the survival pattern of extreme preterm Omani infants (23-26 weeks gestation) and compare it with the western countries. METHODS: All extreme preterm Omani infants (gestational age of 23 to 26 weeks) admitted from November 1991 to February 1998 at the Neonatal Intensive Care Unit of Sultan Qaboos University Hospital were reviewed. The detailed records of the infants, including name of mother, age, gravidity, parity, route of delivery, Apgar score, time of birth, inborn or outborn, birth weight, gestational age, sex, need for resuscitation, course in the Neonatal Intensive Care Unit, admission and discharge diagnosis, and outcome …
Clinical Profile Of Sleep Apnea Syndrome. A Study At A University Hospital, Abdullah F. Al-Mobeireek, Feisal A. Al-Kassimi, Sulaiman A. Al-Majed, Mohammed S. Al-Hajjaj, Ahmed S. Bahammam, Iltifat Sultan
Clinical Profile Of Sleep Apnea Syndrome. A Study At A University Hospital, Abdullah F. Al-Mobeireek, Feisal A. Al-Kassimi, Sulaiman A. Al-Majed, Mohammed S. Al-Hajjaj, Ahmed S. Bahammam, Iltifat Sultan
Saudi Medical Journal
OBJECTIVE: To review a series of patients with sleep apnea syndrome, to promote more awareness and alert local health professionals to early diagnosis and treatment. METHODS: We studied, prospectively, 48 consecutive patients who were managed at the university hospital from 1992 to 1996. RESULTS: The male:female ratio was 1.4:1. The mean interval between onset of symptoms and the diagnosis was 5.5 years (range 0.25 to 30). In over half of the patients the diagnosis was not suspected upon referral. The mean body mass index was 42.8kg/m2, (range 25 to 76). Daytime hypoxemia was present in 28 patients (58%), while 26 …
X-Linked Adrenoleukodystrophy. The Saudi Experience, Mohammed A. Al-Essa, Nadia A. Sakati, Siema M. Bakheet, Zoltan J. Patay, Omar Dabbagh, Enrique Chaves-Carbello, Pinar T. Ozand
X-Linked Adrenoleukodystrophy. The Saudi Experience, Mohammed A. Al-Essa, Nadia A. Sakati, Siema M. Bakheet, Zoltan J. Patay, Omar Dabbagh, Enrique Chaves-Carbello, Pinar T. Ozand
Saudi Medical Journal
OBJECTIVE: To evaluate the clinical, biochemical, neuroradiological, and neurophysiological findings of patients with X-linked adrenoleukodystrophy. METHODS: Retrospective study evaluating the data of 10 X-linked adrenoleukodystrophy patients diagnosed at King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. RESULTS: The common presenting symptoms were deterioration in school performance, vision and hearing, behavioral changes, and seizures. Eight patients survived 1-4 years and one patient 12 years after the initial presentation, while one patient expired. Six patients had the childhood form, 3 had the adolescent form and one had the adrenomyeloneuropathy form. Six are in an advanced stage of the disease and …
Thalassemia Syndromes In Saudi Arabia. Meta-Analysis Of Local Studies, Baker H. Al-Awamy
Thalassemia Syndromes In Saudi Arabia. Meta-Analysis Of Local Studies, Baker H. Al-Awamy
Saudi Medical Journal
The geographical distribution of Alpha and Beta-Thalassemias differ markedly. Alpha-Thalassemia being particularly prevalent in Southeast Asia and Beta-Thalassemia in the Mediterranean basin. Thalassemia syndromes are common in Saudi Arabia: the Beta-Thalassemia genes occur with variable frequency in different regions of Saudi Arabia and both B+ and Bo thalassemia have been reported. Alpha-Thalassemia is also highly prevalent here and the interaction with the sickle cell gene is commonly observed. Over the last few years, a great deal of information regarding the clinical, molecular and management of these disorders has accumulated in the literature. In this paper we summarize some of the …
Primary Hyperparathyroidism And Pregnancy, Mona A. Fouda
Primary Hyperparathyroidism And Pregnancy, Mona A. Fouda
Saudi Medical Journal
OBJECTIVE: The coexistence of primary hyper-parathyroidism and pregnancy is very rare worldwide. It carries serious complications to the mother and fetus, therefore, early diagnosis and management is of paramount importance. METHODS: Over a period of 16 years from 1982-1997, 24 patients with primary hyperparathyroidism were identified from the central diagnostic index data base of King Khalid University Hospital. Out of these, only 3 women with primary hyperparathyroidism complicating pregnancy were identified. RESULTS: All 3 women were in the fourth decade. Two of them had coexisting vitamin D deficiency with initially normal serum calcium and were misdiagnosed as cases of osteomalacia …
Adult Bacteremia. Comparative Study Between Diabetic And Non-Diabetic Patients, Daad H. Akbar
Adult Bacteremia. Comparative Study Between Diabetic And Non-Diabetic Patients, Daad H. Akbar
Saudi Medical Journal
OBJECTIVE: To compare type of infection, microbiology, source, complications and outcome of bactermia in diabetic and non-diabetic patients in our teaching hospital. To study the risk factors associated with diabetic bacteremia9s mortality and to compare our findings with those reported in the literatures. METHODS: Retrospective study of all adult cases of bactermia admitted to King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, from January 1998 to January 1999. RESULTS: Rate of bacteremia per 1000 admission was 23. We compared 71 episodes in 48 diabetics with 100 episodes in 77 non-diabetics. Diabetic patients were older than non-diabetics (mean age 61.08 …
Effect Of Chromium Supplementation On Glucose Tolerance And Lipid Profile, Suhad M. Bahijri
Effect Of Chromium Supplementation On Glucose Tolerance And Lipid Profile, Suhad M. Bahijri
Saudi Medical Journal
OBJECTIVE: To investigate chromium status of the adult population in the western region of Saudi Arabia and the possibility of using serum chromium status measurement as indicator of this status. METHODS: The effect of chromium supplement on glucose tolerance and lipid profile was studied in 44 normal, free living adults. 200mg chromium/day as CrCL3 or a placebo was given in a double blind cross-over study, with 8 weeks experimental periods. Fasting, 1 hour and 2 hour post glucose challenge (75g of glucose) glucose, serum fructosamine, total cholesterol, high-density lipoprotein-cholesterol, triglycerides, chromium and dietary intakes were estimated at the beginning and …
Hearing Loss In A Textile Factory, Farouk M. Shakhatreh, Khader J. Abdul-Baqi, Moh’D M. Turk
Hearing Loss In A Textile Factory, Farouk M. Shakhatreh, Khader J. Abdul-Baqi, Moh’D M. Turk
Saudi Medical Journal
OBJECTIVE: To compare the prevalence rate of hearing loss at different levels of noise in a textile factory and to find out the levels of hearing loss according to duration (years) of employment in the factory. METHODS: Seventy workers exposed to different levels of noise were matched with 70 persons in the community who were not exposed to occupational noise. Noise levels dB(A) were measured at different locations in the factory. Hearing was assessed in all participants. Few cases were excluded from the study because hearing loss was due to factors other than exposure to noise. RESULTS: The prevalence rate …
Prevalence Of Food Allergy In Asthmatic Patients, Bahaa A. Aba-Alkhail, Fathi M. El-Gamal
Prevalence Of Food Allergy In Asthmatic Patients, Bahaa A. Aba-Alkhail, Fathi M. El-Gamal
Saudi Medical Journal
OBJECTIVE: This study was conducted to assess the role of clinical sensitivity to food on the pattern of bronchial asthma. METHODS: A total of 1341 patients with asthma were included in the present study. The clinical sensitivity to food and its relation to respiratory symptoms were assessed cross-sectionally (using detailed questionnaires), and longitudinally during their regular visits to the asthma clinic using diet diary. Total IgE was determined for a subsample of the patients (No = 392). RESULTS: The prevalence of clinical sensitivity to food was 29%; about 2 thirds of the patients had high total IgE level. Asthmatic patients …
Visual Loss After Coronary Artery Bypass Surgery, Reham I. Sha’Aban, Wafa M. Asfour
Visual Loss After Coronary Artery Bypass Surgery, Reham I. Sha’Aban, Wafa M. Asfour
Saudi Medical Journal
Anterior ischemic optic neuropathy is caused by microvascular occlusion of the prelaminar or laminar portion of the optic nerve head. The main types are arteritic, non-arteritic, and autoimmune. Few cases were reported following coronary artery bypass surgery. A 63-year-old man, who is both diabetic and hypertensive, underwent coronary artery bypass graft complicated postoperatively by sudden visual loss in his right eye. The diagnosis was non-arteritic anterior ischemic optic neuropathy. Possible predisposing factors were crowded disc and internal carotid artery stenosis.
Schmidt's Syndrome In A Saudi Family, Faiza A. Qari, Saleh Damnan
Schmidt's Syndrome In A Saudi Family, Faiza A. Qari, Saleh Damnan
Saudi Medical Journal
We present 3 patients from a Saudi family who are presented with polyglandular autoimmune syndrome type 2. They have Addison9s disease with either autoimmune thyroid disease or insulin dependent diabetic mellitus. Although this syndrome is rare, the incidence among Saudi Arabia or the Arab population is not known.
Thyroiditis Induced By Interferon In Dialysis, Ali S. Al-Harbi, Hatem Mansy, John Moloney
Thyroiditis Induced By Interferon In Dialysis, Ali S. Al-Harbi, Hatem Mansy, John Moloney
Saudi Medical Journal
We describe a dialysis patient who acquired acute Hepatitis C infection. Her primary renal disease was systemic lupus erythromatosis. She was having goitre but clinically euthyroid and her thyroid function test was normal. To avoid long term complications of Hepatitis C we elected to treat her with Interferon 3 million units subcutaneously 3 times a week. During treatment she developed some transient side effects initially which subsided but later she felt pressure symptoms around her neck. When we checked her TSH and thyroid antibodies these were elevated. Though this could be related to HCV, rarely, but we think the thyroid …
Aetiology Of Community Acquired Pneumonia: Fashionable Or Familiar, Robert M. Bannatyne, Laila Qasem
Aetiology Of Community Acquired Pneumonia: Fashionable Or Familiar, Robert M. Bannatyne, Laila Qasem
Saudi Medical Journal
No abstract provided.
Hysterectomy - A Female Gynecologist's Perspective., A. Logambal, Lulu L. Al-Nuaim
Hysterectomy - A Female Gynecologist's Perspective., A. Logambal, Lulu L. Al-Nuaim
Saudi Medical Journal
No abstract provided.
Drug Addiction, Nasem A. Qureshi, Bahaa Abalkhail
Drug Addiction, Nasem A. Qureshi, Bahaa Abalkhail
Saudi Medical Journal
No abstract provided.
Trans-Nasal Route. The New Way Of Upper Gastrointestinal Technique Diagnostic Endoscopy, Mohamed A. Al-Karawi
Trans-Nasal Route. The New Way Of Upper Gastrointestinal Technique Diagnostic Endoscopy, Mohamed A. Al-Karawi
Saudi Medical Journal
No abstract provided.
A Case For User Charges In Public Hospitals, Mohammed H. Mufti
A Case For User Charges In Public Hospitals, Mohammed H. Mufti
Saudi Medical Journal
The present decline in per capita expenditure on health in Saudi Arabia requires private funding to reduce pressure of health expenditure on the government budget. User charges would be an important source of revenue in the Kingdom where services cannot be cut and taxes are not imposed. User charges in public facilities would curtail over-utilization and reduce inefficient use of resources by providing a link between financial responsibility and the provision of services. The financial implication facing patients would encourage them to be more cost-conscience, and therefore their physicians would be encouraged to limit practices such as over prescribing drugs …
Old And New Anti-Epileptic Drugs In Pregnancy, Giovanni Regesta, Paolo Tanganelli
Old And New Anti-Epileptic Drugs In Pregnancy, Giovanni Regesta, Paolo Tanganelli
Saudi Medical Journal
During the recent years, a significant number of anti-epileptic drugs have been approved for prescription in different countries. In addition, some other promising drugs are in various stages of development. Soon after each drug has found its place in the therapeutic arsenal, pregnancies with exposure occur, with an increased risk of birth defect and developmental disturbances. As regards the possible teratogenic effect of the new anti-epileptic drugs, apart some individual reports we have only the results of pre-clinical toxicological studies which are difficult to extrapolate to the human situation, because of the well-known interspecies differences in pharmacokinetics and pharmacodynamics. Furthermore, …