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   2003| May-August  | Volume 10 | Issue 2  
    Online since July 30, 2012

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Prevalence of obesity among type 2 diabetic patients in Al-Khobar primary health care centers
Kholood M Mugharbel, Mowaffaq A Al-Mansouri
May-August 2003, 10(2):49-53
Objectives : This study estimates the prevalence of obesity among Type 2 diabetic patients who are followed in mini clinics (hypertension, diabetes) in Primary Health Care Centers (PHCC) in Al-Khobar. Methods : Retrospective study reviewing all diabetic patient files registered in PHC centers in the Al- Khobar area from May 2000 to October 2001. Results: Of the 382 diabetic patients followed in PHC, 88.7% were type 2 diabetics, and according to WHO classification of obesity 0.7% were underweight. Only 21.8% of type 2 diabetic patients were in their ideal range of body weight. While 31.2% were overweight (BMI in the range of 25.0-29.9 kg/m 2 ), 39.9% of the type 2 diabetic patients were found to be obese (BMI= 30 - 39.9 kg / m 2 ), and 6.3% had morbid obesity (BMI ≥ 40 kg / m 2 ). Conclusion : High prevalence of overweight and obesity in type 2 diabetics is associated with other serious complications. This study emphasizes the importance of training health care providers for the proper follow-up of patients.
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Depressive disorders in psychiatric outpatient clinic attendees in Eastern Saudi Arabia
Mahdi S Abumadini
May-August 2003, 10(2):43-47
Background: Depressive disorders are common in Psychiatry Outpatient Clinics. Patients: All new patients attending the Psychiatry Clinics at King Fahd Hospital of the University (KFHU), in the Eastern Province were included in the study. Aim: To investigate the frequency and pattern of depressive disorders among Psychiatric Out-patients attendees in the KFHU. Methods: A semi-structured psychiatric interview and clinical mental state examination were used in the assessment of all consecutive new patients attending the clinic during the study period. The Psychiatric diagnoses were made according to the 10 th Edition of International Classification of Mental and Behavioral Disorders (ICD-10). Results: The frequency of depressive disorders was 19.3%. The majority of the patients were between 20-49 years of age and females predominated in the ratio of 1.7:1. Almost 70% were formally unemployed (including 66 housewives). Depressive disorder of the moderate nature was the commonest. Conclusion: Depressive disorders are common in Psychiatry outpatients. The socio-demographic characteristics of depressive disorder in the Kingdom of Saudi Arabia are similar to those abroad in many respects.
  2,135 192 -
Evidence based medicine: An overview
Sameeh M Al-Almaie, Nadira A Al-Baghli
May-August 2003, 10(2):17-24
Evidence based medicine (EBM) considered one of the most important developments in the practice of medicine in recent years, has evolved as a tool for improving the quality of health care. Several studies have shown EBM to be safe and cost-effective. Physicians have welcomed EBM and shown a positive attitude toward it and have expressed desire to learn more about it. This is consistent in most studies done in different countries. However, some studies found considerable misunderstanding about terms and websites used in EBM. The major barriers to the practice of EBM perceived by physician in different studies include insufficient time and evidence, patients' preference and financial constraints. Training has been found to be conducive to the implementation and promotion of EBM. Some Arab countries are already implementing EBM and plan to include it in the undergraduate curriculum. In Saudi Arabia EBM was introduced in the late 90's and a National EBM Advisory Board was formed.
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Hypothyroidism presenting with dysarthria
Kawther T El-Shafie
May-August 2003, 10(2):55-57
Hypothyroidism is a common endocrine disorder with characteristic clinical symptoms and signs. Typical symptoms of hypothyroidism are lethargy, cold intolerance, slowing of intellectual and motor activity, decreased appetite, weight gain, and dry skin. A 39-year-old female presented to the clinic with dysarthria as the chief symptom. Subsequent questions revealed that other symptoms were confined to the otolaryngeal region, which were episodes of mild dysphonia, dysphagia, sleep apnea, and snoring. Laboratory data revealed marked hypothyroidism and positive tests for antithyroglobulin and antimicrosomal antibodies. After administration of thyroxin, the dysarthria and the other symptoms rapidly disappeared. Dysarthria may be the presenting symptom of hypothyroidism and can be resolved after hormone replacement therapy.
  1,913 192 -
Short-term outcome of preterms in two neonatology units in Al-Qassim, Saudi Arabia
Mohamed K.M. Khalil, Yasser S Al-Ghamdi, Omer A Al-Yahia, Alamin Subahi, Roula Barmada
May-August 2003, 10(2):25-29
Objective: A follow-up study, to compare the short-term outcome of preterms, in two hospitals in Al Qassim region, Saudi Arabia. Methods: Preterms admitted in two hospitals, 47 in hospital A and 36 in hospital B, were followed from admission until one month after discharge. Preterms were compared on gestational age, birth weight, birth head circumference and length of stay. Outcome measures were weight gain per day, feeding patterns on discharge and feeding patterns one month after discharge compared with the feeding of normal infants (200 infants) at the age of 6 weeks. Results: No difference was found between the two hospitals on admission in gestational age, mean birth weight, birth head circumference and length of stay. Mean weight gain per day was significantly higher in hospital A, 9.56 (± 19.7) gm, compared to 1.22 (± 29.47) gm in hospital B. (P=0.049). But the proportion of exclusive breast fed infants, one month after discharge was higher in hospital B, 37.5% compared to 13.2% in hospital A. (p=0.0224). Conclusion: Our study showed that there is a clear hospital level difference in the same region, in the short-term outcome. This emphasizes that outcome should be continuously followed and that differences should be evaluated in perinatal audit procedure.
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Prevalence of minor psychiatric morbidity among female teachers in girls secondary schools in Tabuk city, Saudi Arabia
Abdulaziz F Al-Kabbaa, Mohammed Al-Jehani, Mohamed A Salih
May-August 2003, 10(2):31-36
Objectives : Teachers are at the risk of developing minor psychiatric morbidity (MPM) because of the stressfulness of their job. This may lead to a significant decrease in their teaching effectiveness and to the development of serious health problems, if not detected early and managed appropriately. The objectives of this study were to determine the prevalence of MPM among female teachers in girls' secondary schools in Tabuk, and to analyze certain important associated demographic characteristics. Methods : This was a cross-sectional study. First, a proportional cluster sample was selected randomly from the three sectors of schools in Tabuk, from which female teachers (198 out of a total of 517) in the selected schools were included in the study. Data on MPM and demographic characteristics were collected by means of the General Health Questionnaire 30 (GHQ30), a validated and extensively used instrument for identifying MPM. Results : Out of 198 participants, 187 completed the GHQ30 giving a response rate of 94.4%. The prevalence of MPM among them was 59.4% (111 participants). The variables with a statistically significant association with MPM were as follows: young age, nationality, positive participant psychiatric history, family history of medical and/or psychiatric problems, and divorced and widowed. No statistically significant associations were found with participants' medical problems or their mental status, either single or married, housing type, monthly income, the number of children in a family, and the number of family members. Conclusion : The finding of a high prevalence of MPM (59.4%) indicates that all participants may be at risk. Hence, appropriate and timely management, as well as social support are needed. Studies focusing on the causes and how to manage them will also be required.
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Newly diagnosed seizures in adolescents: A comparative study
Hassan M Ismail
May-August 2003, 10(2):37-42
Objective: To study the clinical, EEG and CT profile in a hospital population of adolescents with newly diagnosed recurrent seizures. Methods: The clinical profiles obtained from history including detailed descriptions of the seizures, examination, electroencephalographic (EEG) and computed tomography (CT) findings were recorded prospectively for all 14 to18-year-old patients who were referred to the electrodiagnostic service at King Fahd Hospital of the University, Al- Khobar, Eastern Province, Saudi Arabia from 1st January 1996 to 31st December 1997. The data were entered into a standard dbase file and analyzed using a personal computer. The results were compared with 2 previous concomitant subsets of data obtained from 263 children ≤13 years (72%) and 73 adults >18 years (20%) over the same study period. Results: Twenty-nine patients (14 males and 15 females, a mean age of 15.7 years) with newly diagnosed recurrent seizures were studied. A positive family history of seizures was found in 10.3%. The main seizure types were partial in 11 (37.9%), partial with secondary generalization in 6 (20.7%) and generalized in 12 (41.4%). The types of epileptic syndromes included localization-related 15 (51.7%), generalized 12 (41.4%) and undetermined 2 (16.9%). The EEG was abnormal in 21 (72.4%) with epileptiform activity, focal in 11 (52.4%), generalized in 9 (42.8%) and none-epileptiform activity in 1 (4.8%). The cranial CT findings were normal in 21 patients (72.4%) and abnormal in 8 (27.6%) patients, with focal lesions in 6 (75%) and generalized cerebral atrophy in 2 (25%). The frequency of adolescents presenting with newly-diagnosed seizures was 8% of the total study population of 365 patients including children and adults. Conclusion: The results showed that partial and partial with secondary generalization seizures and the localization-related epileptic syndrome are the most frequent seizure and epileptic syndrome types in adolescents. The least frequent of newly diagnosed seizures in adolescents compared to children and adults confirms the bimodality of peak frequency in the young and old that has been observed in the west.
  1,711 166 -
Evolution of a new medical school: Goals and challenges
Waleed A Milaat
May-August 2003, 10(2):15-16
  1,597 162 -


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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010