Riyadh, the national capital of Saudi Arabia, is shown in 1972, 1990 and 2000. Its population grew in these years from about a half million to more than two million. Saudi Arabia experienced urbanization later than many other countries; in the early 1970s its urban-rural ratio was still about 1:3. By 1990 that had reversed to about 3:1. The city grew through in-migration from rural areas, and from decreases in the death rate while birthrates remained high. The 1972 image is a Landsat MSS scene; the 1990 image is a Landsat Thematic Mapper scene; and the 2000 image is an ASTER scene. All three images cover an area of about 27 x 34 km. The image is centered at 24.6 degrees north latitude, 46.6 degrees east longitude. The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission Directorate.
Objective was to assess the knowledge and attitudes towards cardiopulmonary resuscitation (CPR) among the students of King Saud University. This study was a cross sectional survey among King Saud University students, Riyadh, Kingdom of Saudi Arabia, which took place on December 17-20, 2006. The data was collected from self-administered questionnaires prepared in Arabic. The questionnaires were distributed to all 15 colleges of the university. Out of a study sample of 2250 students, 31% did not have prior CPR information. Of those with previous knowledge, 85% feel that it is inadequate. The most common sources of information were television and movies. The 12.7% of individuals encountered a situation that required the use of CPR. However, 14% of them performed it. This was mostly due to lack of knowledge (42.8%). Eighty-eight percent of students would like to learn how to perform CPR. Out of all King Saud University students, 45% believe that CPR training should be a graduation requirement. It was found that overall attitude towards CPR was positive. However, the knowledge on the topic was insufficient. Thus, more focus should be placed on the improvement of CPR skills. In addition, more studies are needed to assess knowledge and attitudes towards CPR in the community. (author)
Al Dhahri, Huda; Al Rubaie, Khalid; Hemachandran, Suhail; Mousa, Ahmed; Gikandi, Priscilla W; Al-Mezaine, Hani S; Abu El-Asrar, Ahmed M
Abstract Purpose: To investigate the referral patterns and diagnosis of uveitis in a university-based tertiary referral center in Riyadh, Saudi Arabia. Methods: We retrospectively reviewed the medical records of 642 patients (1220 eyes). Results: There were 295 (46%) males and 347 (54%) female patients, with a mean age of 36.4?±?16.1 years at presentation. Panuveitis was most common (47.1%), followed by anterior uveitis (36.8%), posterior uveitis (10.7%), and intermediate uveitis (5.4%). Nongranulomatous (85.2%) and noninfectious (69.3%) were the most frequent types of uveitis. The most identifiable specific diagnoses were Vogt-Koyanagi-Harada (VKH) disease (19.6%), presumed tuberculous uveitis (PTU) (17.8%), Behçet disease (BD) (8.4%), and toxoplasmosis (6.9%). After a mean follow-up period of 31.3?±?31.5 months, 73.5% of the eyes achieved visual acuity of 20/40 or better. Conclusions: The most common anatomic diagnosis was panuveitis. VKH disease, PTU, BD, and toxoplasmosis are the most frequently diagnosed entities. PMID:25058456
Mohammed O. Al-Rukban
OBJECTIVES The purpose of the study was to determine the prevalence of overweight and obesity and its correlates among Saudi male adolescents in Riyadh. As well as evaluating their knowledge, attitude and practice towards obesity. METHODS A cross-sectional study conducted in intermediate and secondary schools in Riyadh, Saudi Arabia was carried out during a 5-month period, September 2001-January 2002. A sample of 894 Saudi male adolescents (age 12-20 years) was selected through the m...
Aljumaah, R.S.; M.F. Hussein; Al-mufarrej, S.I.; A.R. Gar ElNabi
During an outbreak of caprine abortion in a farm in Riyadh, Saudi Arabia, serum samples from 57 Aardi goats with recent history of abortion and stillbirths (herd 1) along with samples from 30 control goats without abortion history (herd 2) were analyzed for anti-Toxoplasma gondii antibodies using indirect Enzyme-Linked Immunosorbent Assay (ELISA) and Indirect Haemagglutination (IHA) tests. Antibodies against T. gondii were detected by ELISA in 63.2% of the goats in herd 1 and 50% of the contr...
Dalal Hamad Al-jebreen
A survey was conducted during 2008 to assess the attitudes and perceptions of the Riyadh University students towards genetically modified crops and foods. Using descriptive analysis, it was found that the majority of surveyed students had good knowledge of genetic modifications, but lack knowledge about Genetically Modified Organisms (GMO) values. Most respondents would not purchase clearly labelled GMO products, though considerable number of the respondents was ready to taste or try the prod...
Michelsen, Nils; Reshid, Mustefa; Siebert, Christian; Schulz, Stephan; Rausch, Randolf; Knöller, Kay; Weise, Stephan; Al-Saud, Mohammed; Schüth, Christoph
Arid countries like Saudi Arabia often depend on fossil groundwater. Hence, thorough studies of the available resources are crucial. In the course of such investigations, analyses of ?18O and ?D are frequently applied to constrain the provenance of the waters and to reconstruct the (paleo)climatic conditions during their recharge. Yet, to be able to evaluate the isotopic signature of the groundwater, one also has to know the isotopic composition of current precipitation. Although a few rain water analyses are available for Central Saudi Arabia in the literature - mostly in unpublished consultant reports - a Local Meteoric Water Line has never been established. To complement the available data, 28 rain events occurring in Riyadh between 2009 and 2013 were studied for their stable isotope composition. Samples were collected as integral samples, i.e., they represent the entire precipitation event. Moreover, one event was sampled several times, aiming at an evaluation of intra-storm variability. During selected storms, a grab sample was taken for 3H analysis. The event samples showed ?18O and ?D values scattering between -6.5 and +9.5 and between -30 and +50 ‰ V-SMOW, respectively. In the course of the event that was sequentially sampled, a proceeding isotopic depletion was observed with respect to both isotopes. The relatively large ranges of ?-values for 18O and D of approximately 7 and 38 ‰ V-SMOW highlight the general need for integral sampling. The obtained grab samples are characterized by moderate 3H concentrations of a few Tritium Units. Further results will be presented and discussed in view of associated weather data (e.g. rain amount and temperature) and the probable moisture sources derived from back-trajectories, which were calculated using HYSPLIT (Hybrid Single-Particle Lagrangian Integrated Trajectory Model; Draxler & Rolph, 2003). References Draxler, R.R. & Rolph, G.D. (2013): HYSPLIT (Hybrid Single-Particle Lagrangian Integrated Trajectory) Model, access via NOAA ARL READY Website (http://www.arl.noaa.gov/HYSPLIT.php). NOAA Air Resources Laboratory, College Park, MD.
Dalal Hamad Al-jebreen
Full Text Available A survey was conducted during 2008 to assess the attitudes and perceptions of the Riyadh University students towards genetically modified crops and foods. Using descriptive analysis, it was found that the majority of surveyed students had good knowledge of genetic modifications, but lack knowledge about Genetically Modified Organisms (GMO values. Most respondents would not purchase clearly labelled GMO products, though considerable number of the respondents was ready to taste or try the products. It is evident from these results that majority of university students who participated in this survey, in general had very little information or didn’t know the genetic engineering technology e.g., gene therapy, fingerprinting, role in reducing pesticide application etc., as appeared in the results, therefore, most of the participants did not know or thought GM foods are harmful and could not be easily detected. The implication of this result is that majority will not support GM products.
Al-Jebreen, Dalal Hamad
A survey was conducted during 2008 to assess the attitudes and perceptions of the Riyadh University students towards genetically modified crops and foods. Using descriptive analysis, it was found that the majority of surveyed students had good knowledge of genetic modifications, but lack knowledge about Genetically Modified Organisms (GMO) values. Most respondents would not purchase clearly labelled GMO products, though considerable number of the respondents was ready to taste or try the products. It is evident from these results that majority of university students who participated in this survey, in general had very little information or didn't know the genetic engineering technology e.g., gene therapy, fingerprinting, role in reducing pesticide application etc., as appeared in the results, therefore, most of the participants did not know or thought GM foods are harmful and could not be easily detected. The implication of this result is that majority will not support GM products. PMID:20415150
Al-Saud, Loulwa Mohammed Saad
The aim of this study was to investigate the learning style preferences of a group of first-year dental students and their relation to gender and past academic performance. A total of 113 first-year dental students (forty-two female, seventy-one male) at King Saud University in Riyadh, Saudi Arabia, participated. The Visual, Aural, Read-write, and Kinesthetic (VARK) questionnaire was used to determine the students' preferred mode of learning. This sixteen-item questionnaire defines preference of learning based on the sensory modalities: visual, aural, reading/writing, and kinesthetic. More than half (59 percent) of the students were found to have multimodal learning preferences. The most common single learning preferences were aural (20 percent) followed by kinesthetic (15.2 percent). Gender differences were not statistically significant. However, a statistically significant difference was found in the mean values of GPA in relation to the students' learning style preferences (p=0.019). Students with a single learning style preference had a lower mean GPA than those with multiple (quad-modal) learning style preferences. For effective instruction, dental educators need to broaden their range of presentation styles to help create more positive and effective learning environments for all students. PMID:24098042
Abdulrahman K Al Asmari; Adnan G. Al Zahrani; Said Al Jowhary; Mohammed Arshaduddin
OBJECTIVES To study the clinical aspects and frequency of scorpion stings in Riyadh region of Saudi Arabia. METHODS Clinical aspects and frequency of scorpion sting cases reporting to 2 referral hospitals in the Riyadh region of Saudi Arabia were analyzed during May 2006 to April 2008. Data on demographic status, date and time of sting, sting site, scorpion color, clinical manifestations, and treatment were collected. RESULTS A total of 391 cases of scorpion stings were recorde...
AL Anazi, Abdullah D.; Alyousif, Mohamed S.
This study aimed to provide recent data on the occurrence of non-strongyle intestinal parasite infestation in horses in the Riyadh region of Saudi Arabia as a basis for developing parasite control strategies. We conducted necropsy for 45 horses from September 2006 to November 2007 in the Riyadh region, Saudi Arabia. 39 out of 45 horses were infected with intestinal parasites with an infestation rate of 86.6%. Infestations with seven nematode species and two species of Gasterophilus larva were...
Hanan A. Al-Ahmadi
OBJECTIVES To examine the magnitude and determinants of job satisfaction in nurses working in Ministry of Health hospitals Riyadh, Kingdom of Saudi Arabia. METHODS A modified version of the Minnesota Job Satisfaction Questionnaire is used to survey 500 nurses in 9 Ministry of Health hospitals in Riyadh, Kingdom of Saudi Arabia. Three hundred and sixty six nurses from different nationalities responded to the questionnaire (response rate 73%). Data analysis consisted of descriptive sta...
Full Text Available Aida AlDughaither,1 Hind AlMutairy,2 Mohammed AlAteeq11College of Medicine, King Saud Bin Abdul-Aziz University for Health Sciences, 2Department of Family Medicine and PHC, King Abdul-Aziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia Objectives: Menopause is associated with somatic, vasomotor, psychological, and sexual complaints that may affect quality of life. We determined the prevalence and severity of menopausal symptoms and their impact on the quality of life among Saudi women visiting primary care centers in Riyadh, Saudi Arabia.Methods: A cross-sectional study was conducted from October to November 2010. In total, 119 women aged 45–60 years were randomly interviewed using a questionnaire. Participants were divided into three categories: premenopausal (n=31, perimenopausal (n=49, and postmenopausal (n=39. The Menopause Rating Scale (MRS assessed the prevalence and severity of eleven menopausal symptoms. Mean scores of menopausal categories were compared for different symptoms.Results: The mean age at menopause was 48.3±3 years (median, 49 years. The symptoms reported to be most prevalent were joint and muscle pain (80.7%, physical and mental exhaustion (64.7%, and hot flushes and sweating (47.1%. Somatic and psychological symptoms were highly prevalent in perimenopausal women compared to other groups. The mean overall quality-of-life score was higher in perimenopausal women, while the total MRS score indicated that the symptoms were mild in severity (MRS <9.Conclusion: The prevalence of menopausal symptoms was comparable to previous studies in Asian women; however, the prevalence of classic symptoms of hot flushes and night sweats was lower than reported in Western studies. Saudi women reported an MRS score indicating milder severity of symptoms, reflecting better quality of life and ability to cope with climacteric symptoms.Keywords: menopause, Saudi women, Menopause Rating Scale, quality of life
Al-Aqeel SA; Al-Sabhan JF; Sultan NY
Background: Advertising is a crucial component of pharmaceutical industry promotion. Research indicates that information on advertisement materials might be inadequate, inaccurate, biased, and misleading. Objective: To analyse and critically assess the information presented in print pharmaceutical advertisements in Saudi Arabia.Methods: Pharmaceutical advertisements were collected from 280 community pharmacies in Riyadh city, Saudi Arabia. The advertisements were evaluated using criteria deri...
Suaad S. Alwakeel
Full Text Available The occurrence of harmful aflatoxins from agricultural products varies with geographic location, farming practices and processing. To date, no data was reported from Saudi Arabia on mycotoxin content of nuts and edible seeds. Forty samples of edible nuts and dried seeds were randomly collected from different locations in Al-Riyadh, Saudi Arabia. Fungi were detected by seed-plate and dilutions plate method and were cultured on glucose-Czapek's agar, sucrose-Czapek's agar and starch yeast agar. Purified fungal isolates were identified morphologically. Mycotoxins were extractedusing chloroform and detected by thin layer chromatography. Bacterial analysis was done using total plate count method. There was a predominance of A. niger and A. flavus in all medium types. Aflatoxin B1 (8.5 µg mL-1 was detected in peanuts containing A. flavus. Aflatoxin B1 (1.7 µg mL-1 and B2 (1.7 µg mL-1 was detected in sunflower seeds containing A. terreus. T2 toxin (2.8 mg mL-1 was detected in pumpkinseeds containing Stachybotrys chartarum and DAS (2.4 µg mL-1 was detected in a salted peanut sample containing Trichthecium roseum. Four nut samples showed contamination with bacteria. Turkish pine seeds and American walnut had total plate counts of 12x10. Pakistani pine seeds and Iranian salted pistachio had TPC of 3x10. Listeria monocytogenes was isolated from American walnut samples. Government authorities for food safety consumption should continue to monitor and set appropriate guidelines and information initiatives for public knowledge on the safety of these agricultural products whole year round.
Wafa A.I. Al-Megrin
Full Text Available This study was conducted to determine the prevalence of intestinal parasites among immunocompromised patients in Riyadh, Saudi Arabia. Fecal samples were collected from 136 immunocompromised patients (52 females and 84 males, aged 2 to 69 years. Specimens were fixed with 10% formalin for 30 min (2-3 g fecal-1 and then concentrated by a formalin-ether sedimentation technique. Samples were examined as wet saline mounts and in iodine preparation for detection of protozoan oocysts, cysts, helminthic eggs and larvae. Permanent stained smears were performed for intestinal coccidian parasites by the modified Ziehl-Neelsen technique and the modified trichrome stain. Intestinal parasites were detected in 54 (39.7% most of them (25.7% were with diarrhea. More specifically the following parasites were detected Cryptosporidium parvum 11(8.1%, Giardia lamblia 9 (6.6%, Cyclospora cayetanensis 8 (5.9%, Blastocystis hominis 7 (5.2%, Entamoeba histolytica 7 (5.2%, Entamoeba coli 5 (3.7%, Strongyloides stercoralis 3 (2.2%, Ascaris lumbricoides 1 (0.7%, Hymenolepis nana 1 (0.7%, Dicrocoelium dendriticum 1 (0.7% and Hook worm 1 (0.7%. The most common parasite associated with diarrhea in patients, was C. parvum (p<0.001, followed by G. lamblia, C. cayetanensis and E. histolytica. However, differences between different age groups were statistically non-significant. Similarly, no significant difference in the infection rate were found between male and female patients.
Full Text Available Eisha M Gaffas,1 Reginald P Sequeira,2 Riyadh A Al Namla,1 Khalid S Al-Harbi31Al-Amal Complex for Mental Health, Riyadh, Kingdom of Saudi Arabia; 2College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain; 3King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Kingdom of Saudi ArabiaBackground: The postgraduate training program in psychiatry in Saudi Arabia, which was established in 1997, is a 4-year residency program. Written exams comprising of multiple choice questions (MCQs are used as a summative assessment of residents in order to determine their eligibility for promotion from one year to the next. Test blueprints are not used in preparing examinations.Objective: To develop test blueprints for the written examinations used in the psychiatry residency program.Methods: Based on the guidelines of four professional bodies, documentary analysis was used to develop global and detailed test blueprints for each year of the residency program. An expert panel participated during piloting and final modification of the test blueprints. Their opinion about the content, weightage for each content domain, and proportion of test items to be sampled in each cognitive category as defined by modified Bloom's taxonomy were elicited.Results: Eight global and detailed test blueprints, two for each year of the psychiatry residency program, were developed. The global test blueprints were reviewed by experts and piloted. Six experts participated in the final modification of test blueprints. Based on expert consensus, the content, total weightage for each content domain, and proportion of test items to be included in each cognitive category were determined for each global test blueprint. Experts also suggested progressively decreasing the weightage for recall test items and increasing problem solving test items in examinations, from year 1 to year 4 of the psychiatry residence program.Conclusion: A systematic approach using a documentary and content analysis technique was used to develop test blueprints with additional input from an expert panel as appropriate. Test blueprinting is an important step to ensure the test validity in all residency programs.Keywords: test blueprinting, psychiatry, residency program, summative assessment, documentary and content analysis, Kingdom of Saudi Arabia
Full Text Available Background and Objectives : A national plan of management for flu-like illnesses was developed by the Saudi Ministry of Health after the first outbreak in Saudi Arabia in June. We describe the clinical presentation of the H1N1 cases attending King Khalid University Hospital (KKUH between July through September 2009 and identify the high-risk age groups. Methods : All patients presenting with influenza-like illnesses (ILI in the H1N1 clinics during the specified period were clinically examined and tested using reverse transcription polymerase chain reaction (RT-PCR. Those who were clinically diagnosed and confirmed positive for novel influenza A (H1N1 were included in the study. Results : Over a 6-week period, 117 cases of laboratory-confirmed cases were reported in KKUH with a mean (SD age of 19.6 (16.7 years, of whom 72 (62.1% were males. Most reported cases were Saudis (n=99, 85.3%; 94 (81% had no travel history outside the country; 100 (86.2% had had no contact with an H1N1-identified patient; 33% were aged 5-14 years and 28.4% were aged 15-29 years. The most commonly reported symptoms were fever in 99 (85.3%, cough in 9 (81%, runny nose (33.6% and sore throat (21.3%. All 117 cases were confirmed positive using real time RT-PCR testing. Thirty-one cases (26% were admitted and 22 of those (71% recovered after receiving oseltamivir. Two deaths were attributed to the 2009 pandemic. One patient died of chronic pulmonary disease. The other cause of death was unknown. Conclusion : These findings indicate indigenous influenza A (H1N1 transmission, and confirm the urgent need for prevention strategies which specifically target children and young adults, who appear to have a higher risk of infection and hospitalization. Such measures include immunization, improved personal hygiene, and increased ventilation in habitations.
Al-Haqwi Ali; Tamim Hani; Asery Ali
Background: Tobacco consumption is associated with considerable negative impact on health. Health professionals, including future doctors, should have a leading role in combating smoking in the community. Objectives: The aims of the study were to assess the prevalence of smoking among medical students of newly established medical colleges in Riyadh city, the capital of Saudi Arabia, as well as to assess students? attitude, practice and their knowledge on the risk factors of tobacco ...
Jarallah, J. S.; Bamgboye, E. A.; al-Ansary, L. A.; K. A. Kalantan
OBJECTIVE: To determine the prevalence and determinants of cigarette smoking among intermediate (junior secondary) schoolboys in Riyadh, Saudi Arabia. PARTICIPANTS: A sample of 1382 students (ages 12-19 years) in 45 classes randomly selected from 15 schools, using a two- stage stratified cluster sampling scheme. DESIGN: Students in the selected classes were requested to complete an anonymous questionnaire, under the supervision of trained interviewers. Univariate and multivariate statis...
Mohammed I. Al-Sebayel
OBJECTIVES Organ transplantation programs have been successful in the Kingdom of Saudi Arabia. This success is limited by organ shortage. The aim of this study is to find out the percentage of actual donors out of all potential donors in intensive care units (ICU), and to look at problems related to the donation process, particularly from the logistical point of view. METHODS The study was conducted prospectively for a one year period, June 2001 through to May 2002, in 4 main Riyadh ...
Suaad S. Alwakeel
Fungi causes most plant disease. When fruits are stored at suboptimal conditions, fungi grows, and some produce mycotoxin which can be dangerous for human consumption. Studies have shown that the Penicillium and Monilinia species commonly cause spoilage of fruits, especially apples. Several other genera and species were reported to grow to spoil fruits. This study was conducted to isolate and identify fruit spoilage by fungi on apples collected in Riyadh, Saudi Arabia and conduct a molecular ...
Management practices employed by a firm can have direct impacts on its economic performance in the market. This research focused on how economic performance of two banks located in the City of Riyadh is affected by their management practices. These two banks were Samba Financial Group and Saudi British Bank. It was realized that management skills applied by an organization would pose direct effects on the economic performance of that firm. Samba Financial Group has designed management practic...
The study reported examined the status of hospital libraries, their sponsoring organizations, their staff, the academic qualifications of the head of the library, collection size, available space, buildings, and services. The study was limited to the hospitals with libraries for staff in Riyadh, the capital of Saudi Arabia. The data were collected through questionnaires sent to a sample of fifteen hospitals with medical libraries. Twelve libraries responded. This is the first study of its kin...
Al-Bedah AM; Qureshi NA
Abdullah Mohammed Al-Bedah1, Naseem Akhtar Qureshi21Arabian Center for Tobacco Control, 2General Administration for Medical Research and Mental Health and Social Services, Ministry of Health, Riyadh, Saudi ArabiaBackground: Tobacco use is a major public health problem, and its prevalence is globally increasing, especially among children and adolescents.Objective: The Global Youth Tobacco Survey aimed to explore the epidemiological trends and risk factors of tobacco smoking among intermediate ...
Hanan A. Babay
OBJECTIVES To describe the microbiology, underlying medical conditions and risk factors contributing to bloodstream infection (BSI) and mortality at a University Hospital in Riyadh, Kingdom of Saudi Arabia. METHODS We conducted this study at King Khalid University Hospital, Riyadh, Saudi Arabia, wherein clinical data from patients who died with BSI were collected. All isolates from these patients, from 1 January to 31 December 2004, were identified and antimicrobial susceptibilities ...
Al Anazi, Abdullah D; Alyousif, Mohamed S
This study aimed to provide recent data on the occurrence of non-strongyle intestinal parasite infestation in horses in the Riyadh region of Saudi Arabia as a basis for developing parasite control strategies. We conducted necropsy for 45 horses from September 2006 to November 2007 in the Riyadh region, Saudi Arabia. 39 out of 45 horses were infected with intestinal parasites with an infestation rate of 86.6%. Infestations with seven nematode species and two species of Gasterophilus larva were found. The most prevalent parasites were Strongyloides westeri (64.4%) and Parascaris equorum (28.8%) followed by Habronema muscae (22.2%). Trichostrongylus axei and Oxyuris equi were less common at (11.1%) and (8.8%), respectively. Habronema megastoma and Setaria equine were found in two horses only (4.4%). Gasterophilus intestinalis larvae were recovered from 39 horses (86.6%) and Gasterophilus nasalis larvae were found in 17 horses (37.7%). Season had a significant effect on the prevalence of P. equorum and G. nasalis, while age of horses had a significant effect only on the prevalence of P. equorum. The husbandry in Saudi Arabia appears to be conductive to parasites transmitted in stables or by insects rather than in pasture. PMID:23961139
Al Mohandis, Ahmed A. [???? ??? ?????? ???????
Clays in the Marrat Formation, which crop out 200 km west of Riyadh, Saudi Arabia, are dominantly composed of brownish red to dark red mudstones and shales. Marrat clays are chiefly composed of kaolinite and lesser amounts of illite. Quartz is the major non-clay mineral. The red colour of the clay is due to hematite present in very small amounts in the samples. The clays were probably formed by partial laterization of acid igneous rocks in the west of the study area. The products were transpo...
Full Text Available In this work, we present additional morphological data about the scorpion fauna of Saudi Arabia. This investigation was carried out in the central region (Riyadh of the country and identified existing and newly discovered scorpion species for taxonomic documentation while determining the medically important ones. The survey covered the entire Riyadh region, including all major districts, and collected a total of 4,164 specimens. Morphological identification of collected animals was based on identification keys. There were two species (one with a subspecies that belonged to the family Scorpionidae, namely Scorpio maurus kruglovi (0.02% and Hemiscorpius arabicus (0.05%. The latter, currently, is part of the Hemiscorpiidae family that had been upgraded from a subfamily. Eight more species from the Buthidae family were found: Leiurus quinquestriatus (7.20%, Androctonus crassicauda (17.24%, Androctonus bicolor (64.60%, Compsobuthus arabicus (3.84%, Compsobuthus werneri (0.94%, Buthacusyotvatensis nigroaculeatus (2.31%, Buthacusleptochelys (3.24% and Orthochirus innesi (0.55%. The major locations of collection were the outskirts of Riyadh city and the airport vicinity. The specimens were transported from all central region areas in 124 short trips.
AK, Al-Asmari; AA, Al-Saief; NM, Abdo; KR, Al-Moutaery.
Full Text Available In this work, we present additional morphological data about the scorpion fauna of Saudi Arabia. This investigation was carried out in the central region (Riyadh) of the country and identified existing and newly discovered scorpion species for taxonomic documentation while determining the medically [...] important ones. The survey covered the entire Riyadh region, including all major districts, and collected a total of 4,164 specimens. Morphological identification of collected animals was based on identification keys. There were two species (one with a subspecies) that belonged to the family Scorpionidae, namely Scorpio maurus kruglovi (0.02%) and Hemiscorpius arabicus (0.05%). The latter, currently, is part of the Hemiscorpiidae family that had been upgraded from a subfamily. Eight more species from the Buthidae family were found: Leiurus quinquestriatus (7.20%), Androctonus crassicauda (17.24%), Androctonus bicolor (64.60%), Compsobuthus arabicus (3.84%), Compsobuthus werneri (0.94%), Buthacusyotvatensis nigroaculeatus (2.31%), Buthacusleptochelys (3.24%) and Orthochirus innesi (0.55%). The major locations of collection were the outskirts of Riyadh city and the airport vicinity. The specimens were transported from all central region areas in 124 short trips.
Full Text Available Aim: This study aimed at assessing prevailing patterns and risk factors of tobacco consumption among clients, food handlers and employers of food facilities, in Riyadh, Saudi Arabia. Methods: A cross-sectional approach to a representative sample of food facilities in Riyadh was used. A sample of 3000 participants included clients (75%; food handlers/hospitality workers (20 % and employers (5 %. Participants were reached at restaurants, food courts or cafes. A modified version of the WHO-CDC-Global Youth Tobacco Survey questionnaire was used for data collection. Results: The prevalence of tobacco use at food facilities was found to be 40.3 %, of which 74% were customers, 18.8% were food handlers and 7.2% were managers. The consumption of tobacco was higher at restaurants (39.9%, but lowest at food courts of shopping malls. Water pipe (55.3% was the main consumption type, followed by cigarettes (42.6% and chewing tobacco (2.1%. Multivariate analysis showed that gender (male, marital status (single, and type of food facility (Estaraha and café/coffee shop were independent risk factors associated with tobacco use at food facilities. Conclusion: Tobacco use is very common in food facilities in Riyadh as reflected by results of our study, especially among single males Saudis. We should build on success encountered in banning smoking in airports, airplanes, shopping malls, market places, educational institutions and healthcare facilities, extending the ban to include food facilities as well. This is important for the health of non-smokers as well as smokers themselves.
ALFaris, Nora A.; Al-Tamimi, Jozaa Z.; Al-Jobair, Moneera O.; Al-Shwaiyat, Naseem M.
Background Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design In a cross-sectional survey, 127 adolescent Saudi girls (13–18 years) and 69 young adult Saudi girls (19–29 years) were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants’ fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants’ hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%). Conclusion Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls. PMID:25792229
Nora A. ALFaris
Full Text Available Background: Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective: The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design: In a cross-sectional survey, 127 adolescent Saudi girls (13–18 years and 69 young adult Saudi girls (19–29 years were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results: Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants’ fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants’ hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%. Conclusion: Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls.
ALFaris, Nora A; Al-Tamimi, Jozaa Z; Al-Jobair, Moneera O; Al-Shwaiyat, Naseem M
Background : Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective : The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design : In a cross-sectional survey, 127 adolescent Saudi girls (13-18 years) and 69 young adult Saudi girls (19-29 years) were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results : Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants' fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants' hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%). Conclusion : Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls. PMID:25792229
Full Text Available Background: Advertising is a crucial component of pharmaceutical industry promotion. Research indicates that information on advertisement materials might be inadequate, inaccurate, biased, and misleading. Objective: To analyse and critically assess the information presented in print pharmaceutical advertisements in Saudi Arabia.Methods: Pharmaceutical advertisements were collected from 280 community pharmacies in Riyadh city, Saudi Arabia. The advertisements were evaluated using criteria derived from the Saudi Food and Drug Authority (SFDA regulation, the World Health Organization (WHO ethical medicinal drug promotion criteria, and other principles reported in similar studies. The data were extracted independently by two of the researchers using a standardized assessment form. Results: One hundred eighty five printed advertisements were included in the final sample. Approximately half of the advertisements (n = 94, 51% were for over-the-counter (OTC medications, and 71 (38% were for prescription-only medication. Information such as the name of active ingredients was available in 168 (90.8% advertisements, therapeutic uses were mentioned in 156 (98.7% of analysed advertisements. Safety information related to side effects, precautions, and major interactions were stated in 53 (28.5%, 58 (31%, and 33 (16.5% advertisements, respectively. Only 119 advertisements (64% provided references for information presented. Conclusions: Our findings suggest that print advertisements do not convey all the information necessary for safe prescribing. These results have implications for the regulation of drug advertising and the continuing education of pharmacists.
Obeidat Sadek A
Full Text Available Abstract Background Antibiotics sales without medical prescriptions are increasingly recognized as sources of antimicrobial misuse that can exacerbate the global burden of antibiotic resistance. We aimed to determine the percentage of pharmacies who sell antibiotics without medical prescriptions, examining the potential associated risks of such practice in Riyadh, Saudi Arabia, by simulation of different clinical scenarios. Methods A cross sectional study of a quasi-random sample of pharmacies stratified by the five regions of Riyadh. Each pharmacy was visited once by two investigators who simulated having a relative with a specific clinical illness (sore throat, acute bronchitis, otitis media, acute sinusitis, diarrhea, and urinary tract infection (UTI in childbearing aged women. Results A total of 327 pharmacies were visited. Antibiotics were dispensed without a medical prescription in 244 (77.6% of 327, of which 231 (95% were dispensed without a patient request. Simulated cases of sore throat and diarrhea resulted in an antibiotic being dispensed in (90% of encounters, followed by UTI (75%, acute bronchitis (73%, otitis media (51% and acute sinusitis (40%. Metronidazole (89% and ciprofloxacin (86% were commonly given for diarrhea and UTI, respectively, whereas amoxicillin/clavulanate was dispensed (51% for the other simulated cases. None of the pharmacists asked about antibiotic allergy history or provided information about drug interactions. Only 23% asked about pregnancy status when dispensing antibiotics for UTI-simulated cases. Conclusions We observed that an antibiotic could be obtained in Riyadh without a medical prescription or an evidence-based indication with associated potential clinical risks. Strict enforcement and adherence to existing regulations are warranted.
Khalid Almas; Thamir M. Al-Malik; Al-Shehri, Mohammed A.; Nils Skaug
OBJECTIVES The aim of this study was to find out the knowledge and practices of oral hygiene methods among primary and secondary school teachers in Riyadh, Kingdom of Saudi Arabia (KSA). METHODS The study was carried out using a self-administered questionnaire. Four hundred and seventy teachers, male 236 (50.2%) and female 234 (48.8%) responded with a response rate of 85.5%. The study was conducted during October to December 2001 at primary and secondary schools in Riyadh City, KSA. ...
Al-Faleh Faleh; Al-Jeffri Mohammed; Al-Rashed Rashed; Aref Mohammed
Background: Saudi Arabia used to be hyperendemic for HBV infection. Most of infection occurs in early life. HBV vaccine was, therefore, introduced in 1989 as the seventh primary immunogen of the EPI Program. This study is conducted to evaluate the efficacy of this program in Riyadh and Hail Regions. Method and Patients: A cohort follow-up study of children from Riyadh and Hail, who had been vaccinated in 1989, evaluated in 1991 and tested for HBV markers six years later. Results: The file...
Fagbo, Shamsudeen F; Skakni, Leila; Chu, Daniel K W; Garbati, Musa A; Joseph, Mercy; Peiris, Malik; Hakawi, Ahmed M
We investigated an outbreak of Middle East respiratory syndrome (MERS) at King Fahad Medical City (KFMC), Riyadh, Saudi Arabia, during March 29-May 21, 2014. This outbreak involved 45 patients: 8 infected outside KFMC, 13 long-term patients at KFMC, 23 health care workers, and 1 who had an indeterminate source of infection. Sequences of full-length MERS coronavirus (MERS-CoV) from 10 patients and a partial sequence of MERS-CoV from another patient, when compared with other MERS-CoV sequences, demonstrated that this outbreak was part of a larger outbreak that affected multiple health care facilities in Riyadh and possibly arose from a single zoonotic transmission event that occurred in December 2013 (95% highest posterior density interval November 8, 2013-February 10, 2014). This finding suggested continued health care-associated transmission for 5 months. Molecular epidemiology documented multiple external introductions in a seemingly contiguous outbreak and helped support or refute transmission pathways suspected through epidemiologic investigation. PMID:26484549
Full Text Available Background: Tobacco consumption is associated with considerable negative impact on health. Health professionals, including future doctors, should have a leading role in combating smoking in the community. Objectives: The aims of the study were to assess the prevalence of smoking among medical students of newly established medical colleges in Riyadh city, the capital of Saudi Arabia, as well as to assess students? attitude, practice and their knowledge on the risk factors of tobacco consumption. Methods: A cross-sectional, questionnaire-based study of students from two medical colleges in Riyadh, Saudi Arabia was carried out. The questionnaire used was anonymous, self-administered and developed mainly from Global Adult Tobacco Survey (GATS. Results: A total of 215 students participated in this study. Forty students (19% indicated that they smoke tobacco at the time of the study. All of them were males, which raise the prevalence among male students to 24%. Tobacco smoking was practiced by males more than females (P value < 0.0001 and by senior more than junior students (< 0.0001. About 94% of the study sample indicated that smoking could cause serious illnesses. About 90% of the students indicated that they would advice their patients to quit smoking in the future and 88% thought that smoking should be banned in public areas. Forty-four students (20% thought that smoking has some beneficial effects, mainly as a coping strategy for stress alleviation. Conclusion: Despite good knowledge about the hazards of tobacco consumption, about 25% of the medical students in this study continue to smoke. The main reported reasons should be addressed urgently by policy-makers. Special efforts should be taken to educate medical students on the effective strategies in managing stress during their study as they thought that tobacco smoking could be used as a coping strategy to face such a stress.
AlDughaither, Aida; AlMutairy, Hind; AlAteeq, Mohammed
Objectives Menopause is associated with somatic, vasomotor, psychological, and sexual complaints that may affect quality of life. We determined the prevalence and severity of menopausal symptoms and their impact on the quality of life among Saudi women visiting primary care centers in Riyadh, Saudi Arabia. Methods A cross-sectional study was conducted from October to November 2010. In total, 119 women aged 45–60 years were randomly interviewed using a questionnaire. Participants were divided into three categories: premenopausal (n=31), perimenopausal (n=49), and postmenopausal (n=39). The Menopause Rating Scale (MRS) assessed the prevalence and severity of eleven menopausal symptoms. Mean scores of menopausal categories were compared for different symptoms. Results The mean age at menopause was 48.3±3 years (median, 49 years). The symptoms reported to be most prevalent were joint and muscle pain (80.7%), physical and mental exhaustion (64.7%), and hot flushes and sweating (47.1%). Somatic and psychological symptoms were highly prevalent in perimenopausal women compared to other groups. The mean overall quality-of-life score was higher in perimenopausal women, while the total MRS score indicated that the symptoms were mild in severity (MRS <9). Conclusion The prevalence of menopausal symptoms was comparable to previous studies in Asian women; however, the prevalence of classic symptoms of hot flushes and night sweats was lower than reported in Western studies. Saudi women reported an MRS score indicating milder severity of symptoms, reflecting better quality of life and ability to cope with climacteric symptoms. PMID:26170720
Alsudis, Mona Saleh A
This study discusses the way in which Saudi academic women perceive their role as academic researchers at Princess Nora Bint Abdul Rahman University in Riyadh, Saudi Arabia. My aim is to illustrate and explain the role of women academics who live in a conservative religious culture in Saudi Arabia, and how they fulfil their research obligations. Moreover, I aim to clarify and understand the challenges they face throughout their academic journeys. I have used the method of narra...
Full Text Available Abdullah Mohammed Al-Bedah1, Naseem Akhtar Qureshi21Arabian Center for Tobacco Control, 2General Administration for Medical Research and Mental Health and Social Services, Ministry of Health, Riyadh, Saudi ArabiaBackground: Tobacco use is a major public health problem, and its prevalence is globally increasing, especially among children and adolescents.Objective: The Global Youth Tobacco Survey aimed to explore the epidemiological trends and risk factors of tobacco smoking among intermediate school boys in Riyadh region of the Kingdom of Saudi Arabia.Method: A two-stage cluster sample design was used to produce a representative sample of male students from selected schools. The participants (n = 1830 self recorded their responses on the Global Youth Tobacco Survey questionnaire.Results: Lifetime prevalence of cigarette smoking was 35%, while 13% of students currently used other tobacco products. About 16% of students currently smoked at home, and 84% of students bought cigarettes without any refusal from storekeepers. Thirty-one percent and 39% of students were exposed to secondhand tobacco smoke inside and outside the house, respectively, which was definitely or probably harmful to health as opined by 87% of participants, and 74% voiced to ban smoking from public places. Among current smokers, 69% intended (without attempt to quit and 63% attempted (but failed to quit during the past year. Almost an equal number of students saw antismoking and prosmoking media messages in the last month, and 28% of students were offered free cigarettes by a tobacco company representative. In schools, more than 50% of students were taught about the dangers of cigarette smoking in the last year. Smoking by parents, older brothers, and close friends, watching prosmoking cigarette advertisements, free offer of cigarettes by tobacco company representatives, perception of smoking being not harmful, and continuing smoking which can be easily quit significantly increased the odds of smoking by students.Conclusion: The common use of tobacco in school populations needs to be addressed by, among other tobacco control measures, a strict ban on cigarette selling to minors and intensive regular tobacco control campaigns involving health and religious messages.Keywords: tobacco use, secondhand tobacco smoke, environmental tobacco smoke, intermediate school boys, Global Youth Tobacco Survey, Saudi Arabia
Full Text Available Due to the arid climate of the Saudi Arabia, groundwater is a most precious natural resource, providing reliable water supplies for population of these areas. The main aim of this study is to evaluate the quality of groundwater resources in the selected study areas of Riyadh and Al-Ahsa regions. This study focuses on the chemical analysis of the available groundwater resources in these two areas of Saudi Arabia. The distribution of the chemical constituents (major, minor and trace elements is determined and compared with each other. The groundwater salinity as one primary indicator of water quality for irrigation was found to be moderately high in most studied water samples for both areas. Besides salinity, chloride makes these waters unsuitable for irrigation, affecting agricultural activities. However, boron and trace elements were within acceptable levels. Comparative study revealed that the Al-Ahsa groundwater is generally considered higher in its salinity, chloride, and sodium content than Riyadh groundwater. Generated piper diagrams revealed that the majority of investigated waters types in Al-Ahasa were sodium chloride - sulphate, however, in Riyadh the majorities were to calcium magnesium sulphate - chloride. The most important results of speciation calculations, computed by Phreeq model, are saturation indices for minerals, which indicate whether minerals should dissolve or precipitate. The results indicated that most studied water samples in Al-Ahsa were undersaturated for anhydrite, gypsum, and halite. However, in Riyadh most water samples were undersaturated for anhydrite and halite, and saturated for Gypsum.
Abbas N. Albarq
This paper evaluates the impact of service quality underlying the SERVQUAL model on customer loyalty, with customer satisfaction mediating these variables. This analytical study is mainly based on the primary data collected through a questionnaire that was personally administered to 422 individuals selected from five local banks in Riyadh, Saudi Arabia. The findings indicate that improving service quality can help to enhance customer loyalty. Empathy, assurance, and rel...
This study aimed to evaluate what impact service quality that underlies the SERVQUAL model has on customer satisfaction in Saudi Arabia’s banking sector. The study was quantitative in nature and involved distributing a structured, pre-tested, self-administered questionnaire that was based on a convenience method to 412 customers of various bank in the Saudi capital city of Riyadh, during the fall of 2014. The response rate was 67 percent and the study data was analyzed using SPSS and a reliab...
This study was conducted to determine the microbial and inhabitant of household environment in Riyadh, Saudi Arabia. Overall, a total of 180 samples were collected and analyzed for fungal growth, 160 house samples were obtained on BAP medium and PDA medium. The Eastern Riyadh region turned out with the highest fungal isolates with 15/61 (24.6%). Among the most common fungal isolates from bedroom carpets were Aspergillus niger (21.6%), Alternaria sp. (15.7%), Aspergillus flavus (15.7%) Candida sp. (11.8%), Cladosporium sp. (9.8%) and Rhizopus sp. (9.8%). Other fungal isolates from bedroom carpets included Penicillium sp (5.9%)., Cunninghamella sp.(3.9%), Rhodotorula sp.(3.9%) and Aspergillus terreus (1.9%) Overall relative densities from all specimens obtained from household carpets, bedroom walls and carpet stores showed Alternaria spp. as the most common fungal isolate (55.3%) followed by Aspergillus niger (29%), Aspergillus flavus (19.3%), Rhizopus spp. (9.7%) and Penicillium spp. (7.0%). Other fungal isolates such as Candida spp., Cladosporium spp., Cunninghamella spp., Rhodotorula spp. and Aspergillus terreus had less than 6% overall relative density. From 40 carpet specimens collected for microbial analysis, 20 (50%) showed bacterial growth. Bacillus spp. was the most common isolated organism (35%) followed by Staphylococcus epidermidis (10%), Epiococcus spp. (10%), Corynebacterium spp. (10%) and Bacillus polymyxa (10%). Other bacterial isolates included Bacillus subtilis, Pseudomonas aeruginosa, Bacteroides spp., Clostridium spp. and Staphylococcus aureus .The presence of these fungal and microbial pathogens poses risk for individuals. When possible, floor carpeting in homes should be minimized or avoided since this serves as habitats for opportunistic fungi and infectious agents that pose harm to one's health. (author)
Abolfotouh MA; Alabdrabalnabi AA; Albacker RB; Al-Jughaiman UA; Hassan SN
Mostafa A Abolfotouh,1 Abdullah A Alabdrabalnabi,2 Rehab B Albacker,3 Umar A Al-Jughaiman,4 Samar N Hassan5 1King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2University of Dammam, College of Medicine, Dammam, Saudi Arabia; 3King Saud University, College of Medicine, Riyadh, Saudi Arabia; 4King Faisal University, College of Medicine, Dammam, Saudi Arabia; 5Division of Reproductive Medicine, Department o...
Al Himali Shadia
Full Text Available Background: Budd-chiari syndrome (BCS is rare disorder, varied in etiology, inconsistent in presentation, unpredictable in progression, and challenging in therapy. Aim of study: The aim of this study is to review experience of Budd-Chiari syndrome at KFSH, Riyadh; over a ten-year period. Methods: In a retrospective study using a computer data search of the medical records from May 1990 to May 2000, 43 patients? charts suspected of BCS were reviewed. 29 patients were found to have BCS, diagnosed by Doppler ultrasound, venography, MRI, or CT with or without liver biopsy. Findings: Of the 29 patients, 18 were male (62.1% and I 1 were female (37.9%; mean age was 35.4 (range 17-69 years. Nine patients had Behcet?s disease; seven patients had malignancy (five HCC, one melanoma and one hypernephroma. Eight patients had antiphospholipid syndrome, two patients had no known cause and three (one related to trauma, the other related to protein C deficiency and the third related nephrotic syndrome. Nineteen patients presented acutely with abdominal pain, progressive ascites and hepatomegaly. Ten patients had subacute presentation mimicking cirrhosis of liver. Five patients had web in the intrahepatic IVC or ostium HV and the remaining 24 patients had thrombosis of hepatic veins. Five patients received surgical shunts, three had balloon dilatation of webs, 11 had anticoagulant therapy and seven patients had symptomatic treatment. Eleven patients died, six of them had malignancy, two died while awaiting liver transplantation and three died with fulminant hepatic failure. Fourteen patients are still on follow-up. Conclusion: Budd Chiari syndrome in Saudi Arabia is related to a defined cause in majority of patients (92%. Behcet?s disease is a dominant cause of BCS in Saudi Arabia. This is in contrast to world literature where around 50% of patients are of unknown etiology
N GNP reactor plant adopted a Rank in steam cycle for early deployment and for reducing R and D risk and cost. Original plant design is based on a wet cooling tower with wet bulb temperature of 34 .deg. C. This cooling environment may be sufficient for most area in North America. However, we should consider air temperature of 45 .deg. C and no available cooling water for any site near Riyadh, Saudi Arabia. A plausible option in such arid area is using an air-cooled condenser(ACC) which is widely used in a combined cycle plant in arid region. ACC is also suitable for freezing area such as northern territory or high elevation remote area. We have studied impact of the cooling method on the power generation efficiency and the annual average power production referencing N GNP steam turbine. Even though condenser split is assumed to be the same between ACC and wet cooling tower, large difference in air temperature and wet bulb temperature makes large efficiency loss in the ACC. The ACC efficiency is lower than that of the wet cooling tower by 1.12%. To make up this loss, we proposed the variable steam extraction rates operation. An air cooled condenser is a practical
A randomized sampling of 50 households in Riyadh City, Saudi Arabia was conducted to determine microbial and Aspergillus spp contaminants in domestic kitchens between May and June 2006. Samples were taken from open air in the kitchen and from used kitchen sponges. Inoculation procedures were varied from direct inoculation of the sponge into the medium to dilution of a cut portion of the sponge. A total of 200 samples were taken from which, 700 culture plates were done (BAP and Nutrient agar). Identification by the API system of identification (Analytical Profile Index, BioMerieux) revealed Pseudomonas aeruginosa, Klebsiella pneumonia, Staphylococcus epidermidis, Enterobacter cloacae, Diphtheroids and Bacillus cereus, Aspergillus spp. was isolated and identified microscopically. Among the isolates, Staphylococcus epidermidis , Staphylococcus aureus was isolated in 90% of the plates followed by Pseudomonas aeruginosa (83%) , Klebsiella pneumonia ; Bacillus cereus (63%).and Aspergillus spp (15%) These opportunistic pathogens may be harmful especially in immunocompromised hosts. In this setting, there is a constant risk of contamination and transfer to willing hosts, thus appropriate measures should be implemented such as the use of disposable sponges. (author)
Laila A. Nasser
Full Text Available Forty five species belonging to nineteen genera of terrestrial fungi were recovered on glucose and cellulose Czapek?s media from one hundred and forty drinking water samples which, were collected from different kids (2 schools, primary (77 schools, mediatory (33 schools and secondary (28 schools schools from different regions in Riyadh city, Saudi Arabia. Cellulose Czapek?s (39 species related to 19 genera was rich than glucose Czapek?s (37 species belonging to 15 genera with the species diversity. Water samples collected from primary schools were the most contaminant with fungal populations as compared with other tested samples. Both Aspergillus and Penicillium contributed the broadest spectra of the isolated terrestrial fungal species where they were represented by eight and six species, respectively on the media of isolation. The most prevalent isolated species of terrestrial fungi on the two isolation media were; Cladosporium cladosporoides, Trichoderma viride, Curvularia lunata, Aspergillus niger, Emericella nidulans, Mucor circinelloides and Rhizopus rhizopodiformis. The majority of the isolated genera and species were almost similar on both of isolation media although several species were recorded in only one isolation medium.
Full Text Available Background: Saudi Arabia used to be hyperendemic for HBV infection. Most of infection occurs in early life. HBV vaccine was, therefore, introduced in 1989 as the seventh primary immunogen of the EPI Program. This study is conducted to evaluate the efficacy of this program in Riyadh and Hail Regions. Method and Patients: A cohort follow-up study of children from Riyadh and Hail, who had been vaccinated in 1989, evaluated in 1991 and tested for HBV markers six years later. Results: The files of 303 children from Riyadh and Hail, who were investigated in 1991 retrieved and only 119, were available for testing. Fifty percent of the children have still a protective anti-HBs tittre. One vaccinated child was found to be positive for HBsAg. According to this study, the efficacy rate against HBsAg carriage is 88%. Conclusion: This study demonstrates the tremendous effect of HB vaccine on the HBV infection of Saudi children in these two regions
Full Text Available Background and Objectives :Reports on extended-spectrum b-lactamases (ESBL production by Enterobacteriaceae, and especially in Klebsiella pneumoniae , are few in Saudi Arabia. Therefore, we determined the prevalence of ESBL in K pneumoniae from Riyadh and characterized the predominant b-lactamase gene in these isolates. Methods: A total of 400 K pneumoniae samples were isolated from two hospitals in Riyadh during 2007 and screened for production of ESBL using ESBL-E-strips and combined disk methods. PCR assay was used to detect bla TEM , bla SHV , and bla CTX-M genes. Results: Phenotypic characterization identified a high ESBL rate of 55% of K pneumoniae isolates. ESBL-producing K pneumoniae were PCR positive for SHV, TEM and CTX-M b-lactamase genes with prevalences 97.3%, 84.1% and 34.1%, respectively. Within the CTX-M family, two groups of enzymes, CTX-M-1 and CTX-M-9-like genes were found with prevalences of 60% and 40%, respectively. Conclusions: This study confirms the high rate of ESBL in K pneumoniae clinical isolates in hospitals in Riyadh. This study demonstrates the worldwide spread of bla CTX-M genes. This first report of the presence of the bla CTX-M gene in clincial isolates in Saudi Arabia is evidence of the continuing worldwide spread of this gene.
Al-Agamy Mohammad; Shibl Atef; Tawfik Abdelkader
Background and Objectives :Reports on extended-spectrum b-lactamases (ESBL) production by Enterobacteriaceae, and especially in Klebsiella pneumoniae , are few in Saudi Arabia. Therefore, we determined the prevalence of ESBL in K pneumoniae from Riyadh and characterized the predominant b-lactamase gene in these isolates. Methods: A total of 400 K pneumoniae samples were isolated from two hospitals in Riyadh during 2007 and screened for production of ESBL using ESBL-E-strips and combined...
Saad A. Al-Ghanim
OBJECTIVES To shed light on the willingness to donate deceased organs and tissues among university students in Saudi Arabia. METHODS This cross-sectional survey employed self-administered questionnaires to collect data on demographic characteristics, and knowledge-related aspects of students on organ and tissue donation. The questionnaires were distributed randomly to 600 students, of which 487 (81.2%) completed the questionnaire at King Saud University, Riyadh, Saudi Arabia, from Ma...
Aljuwaiber, Mohammed A.
Technology has improved many educational issues. This is a very exciting time for technology and education. The primary purpose of this study was aimed at understanding the impact of home computer use on academic achievement in the computer curriculum of the 12th grade students in Riyadh, Kingdom of Saudi Arabia. In particular, the study attempted to determine if the use of home computers would be an effective manner for increasing students' academic achievement. The participants of the study were 240 male and female students as a random sample from 12th grade from eight random high schools in Riyadh, Saudi Arabia. An achievement exam and survey were developed by the researcher based on the computer science curriculum topics, the quantitative data was collected in both a single achievement exam and a single survey from a sample of 240 Saudi high school students. Both the survey and an achievement exam were split equally between male and female students. The study sought the answer to 10 questions. Analysis of variance (ANOVA), followed by tests of simple main effects and post hoc comparisons using Scheffe, as well as Pearson Correlation were conducted to answer the research questions. The study results pointed out that home computers were important to support the students in their academic achievement in the computer science curriculum. Therefore, more attention must be given to the use of home computers for all students. Moreover, we should attempt to treat the difficulties which students face for getting computers in their homes.
Al-Gahtany, Abdulrahman Mohammed
The purpose of this study was to describe the present status of geography education in boys' intermediate schools in Riyadh, Saudi Arabia as perceived by geography teachers and supervisors; that is, to investigate the objectives, content, methods of teaching, tools and resources that are available and used in classrooms, evaluation techniques, and problems encountered in the teaching of geography. To collect data from this representative sample population, a questionnaire was developed by the researcher specifically for this study. Questionnaire data was collected from 19 social studies supervisors and 213 geography teachers. Percentages, frequencies, means, and standard deviations were computed for each questionnaire item. Chi Square tests were applied to determine if any significant differences could be identified between the observed and expected responses of supervisors and teachers. Major findings of the study indicated that both supervisors and teachers tend to strongly support the identified geography objectives. Most teachers and supervisors also indicated that the current geography curriculum contains enough information about Saudi Arabia, the Arabic world, and the Islamic world. In addition, the also indicated that geography content promotes a sense of patriotism and cultural pride. Responses indicated that educators see deficiencies in the content: it does not focus sufficiently on current events nor on developing student skills such as research and technical skills like drawing maps. Lecture and discussion are the most commonly used strategies in the teaching of geography. Field trips, role-playing, scientific competitions, scientific games, solving problems, and individual learning are less commonly used. Teaching tools most commonly used are wall maps and earth globes, whereas the use of geographical transparencies, models, and instruments is not common. Most of the teachers do lot use computers in their teaching. Evaluation techniques depend completely on traditional examinations to evaluate the performance of the students. Chi-square test shows that there are significant differences in observed and expected frequencies between teachers and supervisors with respect to geography learning objectives, geography content, methods of teaching, tools and resources, and the problems that geography teachers encounter in their teaching.
Latifah M. AL-Oboudi
The aim of the study was to examine the effect of breakfast eating pattern (between breakfast consumers and non consumers), on nutritional status (body mass index), glucose level, iron status and test grades (school performance) among Saudi school children (girls). A total of 120 female students aged 9-13.9 years from Riyadh city, Saudi Arabia Participated in this cross-sectional study. A pre-designed questioner was used to collect information on their breakfast eating habits. Body weight and...
Al-Khateeb, S. A. H.
This study argues that ideological rather than material constraints are the major obstacles that limit full female participation in the Saudi Arabian labour force and hinder Saudi working women from combining their double roles as mothers and paid workers. As a developing country, Saudi Arabia is facing multiple problems. One of these challenges is the great shortage of human resources. In 1984/85, 59.8 per cent of the labour force in Saudi society was foreign. Female ...
Reem M Nashar
Materials and Methods: A case-controlled study of fifty newly-admitted patients at King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia diagnosed with colorectal cancer were interviewed to collect data on various dietary factors and their nutritional status. Their data were compared with a sex-matched control group aged fifty. Results: The consumption of meat high in fat, fried eggs and whole fat dairy products, and diet low in fibers 2-3 times or above per week increased the risk of colorectal cancer, while the consumption of whole wheat products, vegetables and fruits, and diet low in animal fats at the same rate per week may play a protective role against colorectal cancer in both men and women when compared to controls. Conclusions: The higher consumption of meat and fat from animal sources could increase the risk of colorectal cancer. The high consumption of whole wheat bread, fruits and vegetables with high fiber content could play a protective role against the risk of colorectal cancer in the Saudi society. Additional studies are needed in different regions of the Kingdom of Saudi Arabia to verify or refute these results.
Al-Sadoon, Mohammed K
The present investigation is a retrospective review of snake bites in Riyadh province over the period (2005-2010). A total of 1019 cases of bites admitted to the Ministry of Health medical centers in Riyadh province were analyzed on the basis of age, sex, time of bite and its site on the body, outcome of treatment, antiserum dose and type of snake. Bites occurred throughout the six years with the highest frequency in 2005 and least in 2006 where most of the bite cases were mild and all evolved to cure except four patients who died following the administration of antivenom during 24 h after snake bite. Most of the patients were males (81.7%) and the most attacked age was within the range of 11-30 years (51.5%). All the bites were mainly in the exposed limbs and the most frequently bitten anatomical regions were the lower limbs (427 cases, 41.9%), principally the feet. The study incriminates Cerastes cerastes gasperettii in most of the bites indicating it as the snake of medical importance in Riyadh province. Also, the study indicates low degree of threat in spite of high rate of snake bites as a result of the availability of the medical facilities and the antivenin use in medical centers in Riyadh province. PMID:25737653
Al-Shaikh, Ghadeer K.; Almussaed, Eman M.; Amel A. Fayed; Khan, Farida H.; Sadiqa B. Syed; Al-Tamimi, Tahani N.; Elmorshedy, Hala N.
Objectives: To assess the level of knowledge regarding cervical cancer and the acceptance of the human papilloma virus (HPV) vaccine among Saudi female students in health colleges. Methods: This cross-sectional study of a convenient sample encompassed 1400 students in Health Colleges at Princess Nora Bint Abdul Rahman University, Riyadh, Saudi Arabia was conducted between December 2013 and February 2014. A self-administrated questionnaire was distributed to all participants. Data collected in...
Wafa A.I. Al-Megrin
The present study was carried out to evaluate some of the leafy vegetable plants sold in local markets for human consumption to check whether they harbor different parasites stages. A total of 470 leafy vegetable samples were collected from 12 different plant species randomly from local markets in the Riyadh city during the period April and March 2008. The samples were analysed in the laboratory for parasitic stages contained in these samples after washing them in physiological saline and the...
Al Himali Shadia; Al Osaimi Abdullah; Dahab Saleim; Khuroo Mohammed; Al Ashgar Hamad
Background: Budd-chiari syndrome (BCS) is rare disorder, varied in etiology, inconsistent in presentation, unpredictable in progression, and challenging in therapy. Aim of study: The aim of this study is to review experience of Budd-Chiari syndrome at KFSH, Riyadh; over a ten-year period. Methods: In a retrospective study using a computer data search of the medical records from May 1990 to May 2000, 43 patients? charts suspected of BCS were reviewed. 29 patients were found to have B...
Al-Haqwi Ali I
Abstract Background This study was conducted to examine the perception and views of medical students regarding the extent of alcohol and substance abuse in the community and the possible predisposing factors for this problem. Methods It is a cross-sectional study involving samples from two medical colleges in Riyadh, Saudi Arabia. The students who decided to participate in the study without the offer of any incentives filled an anonymous, self administered questionnaire which had been designe...
Yaseen M Arabi
Full Text Available This paper summarizes the roundtable discussion from the Second International Patient Safety Conference held in April 9-11, 2013, Riyadh, Saudi Arabia. The objectives of the roundtable discussion were to: (1 review the conceptual framework for building capacity in quality and safety in critical care. (2 examine examples of leading international experiences in building capacity. (3 review the experience in Saudi Arabia in this area. (4 discuss the role of building capacity in simulation for patient safety in critical care and (5 review the experience in building capacity in an ongoing improvement project for severe sepsis and septic shock.
Abdullah S. Al-Farraj
Full Text Available This study focuses on the temporal monitoring and chemical analysis of two pathways, unpadded and open drain canal, of the surface industrials effluent on industrial city of Riyadh city, Saudi Arabia. The distribution of the chemical constituents (Major, Minor, and Heavy metals is determined and compared with Saudi Arabia and USEPA standards. The obtained results indicated that most collected water samples exceeded the acceptable limits set by standards used for most parameters determined. The concentrations of total suspended solids, Fe, Mn, Zn, Cd, Ni, Pb, Mo, As, B, NO3-, and NH4+ in industrial effluents decreases away from the point source of pollutions. On the other hand, the SAR , RSC, total hardness, and soluble ions (Ca2+, Mg2+,Na+, K+, Cl-, CO3 2-, HCO3-, and SO4 2-, remained constant. Most heavy metals on wastewater effulent were above permissible limits. On the other hand, the filtration of wastewater decreases the heavy metal concentrations to permissible levels. The highest average metals concentration in digested effluents for deferent locations and sampling periods were Fe (17.1 mg/L followed by Mo (11.6 mg/L, then Co (0.03 mg/L. However the Mo recorded the highest value in filtrated effluents (23.2 ug/L followed by Fe (21.6 ug/L, and then Cd (8.02 ug/L. The monitoring of wastewater heavy metals concentrations (determined on filtrate for both pathway recorded that the concentration of Fe, Mo, Zn, Cd, Pb, As, Ni, and Mn decreased from (60-100 ug/L at point sources to be (5-10 ug/L at 1000 m from point sources, however no clear behavior was recorded for Cu and Co. Moreover the concentrations of all heavy metals by the last sampling point on downstream were remained at 10 ug/L or less. The study emphasis that continuous application of industrial wastewater on Riyadh environment will lead to more accumulation of heavy metals in the soil and natural plants, and also high possibilities of groundwater contamination by nitrate.
Al-Sahhaf, Nasr Abdulhamid
The city of Riyadh, the capital city of the Kingdom of Saudi Arabia, has undergone tremendous urban growth in the last half century. Fueled by social, economic, and political considerations, population and resource usage has grown at a pace that threatens to strain both the resources and the local and regional infrastructure required to support such growth. This dissertation examines the potential of remotely sensed data analyzed with other geospatial data in a geographic information systems (GIS) context to provide information that can be employed by policy makers and persons involved in making decisions concerning the future of urban development in the city of Riyadh. The dissertation research found and recovered a large number of extant aerial images of the city of Riyadh and subjected these to a rigorous photo-interpretation process that characterizes the evolving land uses in the city of Riyadh. The results were compared with an official land use map prepared from other sources, and correlated with available population estimates and water usage. Comparisons revealed the superiority of remotely sensed data to accurately capture land usage, and to reveal the growth patterns that drive resource consumption and degradation of environmental qualities. Classical models of urban structure including the Islamic City model were contrasted with the urban growth pattern in Riyadh in an attempt to capture the dynamics of growth of the city from the turn of the century to the present. Remotely sensed data has in the past been vastly underutilized in guiding urban development in the Kingdom of Saudi Arabia. But new satellite imaging and GIS analysis systems have the spatial resolution and capability to more accurately and economically acquire land use data than by any other means. This dissertation demonstrates the value of these technologies and recommends their adoption in a new spatial data infrastructure initiative for the Kingdom.
Al Tufail, M. A. [???? ??? ???? ??????; Al Araidh, I. A. [??????? ??? ???? ??????
11 honey various samples commercially available in Saudi Arabia, were subjected to chemical, toxicological and bacteriological tests. The samples were checked for As and CN, presence of pollens, and for bacteria contamination. The carbohydrate profile was analyzed with HPLC. Fe, P, Ca, K, and Mg were measured with colorimetry. Toxic metals, As, Pb, Sb, Tl, and Hg were determined with ICP-MS. The samples were investigated by GC-MS. The investigation revealed the presence of syringaldehyde, men...
A medical cobalt-60 facility was opened at King Faisal Specialist Hospital and Research Center in 1984. Features of the facility are that it can be heated to 1200-1900F during irradiation and has an on-line 30 kw microwave oven. It can be used for small scale batch irradiation or large scale conveyor irradiation. Programs under development are the sterilization of hospital supplies, radiation processing of Saudi foods and radiation of infectious hospital wastes. (U.K.)
Abdullah M AlBedah
Full Text Available Background: Complementary and alternative medicine (CAM is a popular treatment option for many populations. The present work is aimed at studying the knowledge and attitude of health professionals in the Riyadh region, Saudi Arabia, toward CAM. Material and Methods: In this cross-sectional survey, a multistage random sample was taken from health professionals working in hospitals in Riyadh city and surrounding governorates. Data were collected through a self-administered questionnaire, from 306 health professionals working in 19 hospitals, on socio-demographic data, knowledge about CAM and their sources, and attitudes toward CAM practices. Results: Of the participants, 88.9% had some knowledge about CAM. Respondents with a doctorate degree (94.74% and 92.53% of those with a bachelor?s degree had significantly higher knowledge of CAM than subjects with a diploma, a fellowship, or a master?s degree (68.75%, 76.67%, and 85.41%, respectively, P = 0.004. Mass media represented 60.1% of sources of the knowledge of CAM followed by family, relatives, and friends (29.08% and health educational organizations (14.71%. Participants estimated that prophetic medicine including prayer, honey and bee products, medical herbs, Hijama, nutrition and nutritional supplements, cauterization, and camel milk and urine were the most commonly used CAM practices (90.5%, 85%, 76.9%, 70.6%, 61.4%, 55.9%, and 52.5%, respectively in addition to medical massage (61.8% and acupuncture (55%. One hundred and fifteen (80% physicians were ready to talk with their patients on CAM. Conclusion: The willingness to improve knowledge and create a positive attitude in health professionals toward CAM has increased. Religious practices, especially those related to prophetic medicine, are more common in the region. Health educational organizations have to play a greater role by being the source of evidence-based knowledge of CAM. Talking on CAM with patients should be improved by rooting them on evidence-based practices.
Wafa A.I. Al-Megrin
Full Text Available The present study was carried out to evaluate some of the leafy vegetable plants sold in local markets for human consumption to check whether they harbor different parasites stages. A total of 470 leafy vegetable samples were collected from 12 different plant species randomly from local markets in the Riyadh city during the period April and March 2008. The samples were analysed in the laboratory for parasitic stages contained in these samples after washing them in physiological saline and then examining the sediment. Results of the present study has shown that 76 out of 470 samples (16.2% contained parasite stages. Depending on the type of leafy plant, examined the prevalence of parasitic stages in these plants, was found to be 27.8% (17/61 in lettuce, 22.8% (13/57 in watercress, 20.6% (7/34 in leek, 19.1% (9/47 in green onion, 17.4% (15/87 in parsley, 15.4% (4/26 in spinach, 13.6% (3/22 in basil, 11.5% (3/26 in coriander, 9.4% (3/32 in radish, 5.3% (1/19 in dill and 4.7% (2/42 in mint. No parasites were detected in 17 samples collected from cabbage. Stages of intestinal parasites detected were Entamoeba coli (35.5%, Giardia lamblia (31.6%, Dicrocoelium sp. (28.9%, Ascaris sp. (26.3%, Taenia sp. (19.7%, Blastocystis hominis (17.1%, Fasciola sp. (14.5%, Hymenolepis sp. (14.5%, Ancylostoma sp. (11.8%, Toxoplasma gondii (6.6% and Trichostrongylus sp. (2.6%. The results indicated a significant seasonal variation (p<0.05, with highest prevalence in spring (23.1%, followed in descending order by Summer (17.9%, Autumn (10.6% and Winter (9.9%.
The determination of the total content of fifteen elements in soil samples collected from 29 different schools playgrounds in Riyadh metropolitan environment was carried out by inductively coupled plasma mass spectrometry (ICP-MS) combined with microwave digestion technique. According to the results of the concentration at 29 school's playgrounds in the selected districts, the average concentrations of the heavy metals were determined at 25.91, 29.36, 147.73, 8.02, 17.45, 9.92, 43.72, 2.83, 0.64, 0.5, 0.12, 0.92, 0.45, 27.95 and 1.04 mg/kg (dry soil) for V, Cr, Mn, Co, Ni, Cu, Zn, As, Mo, Ag, Cd, Sn, Sb, Pb and U respectively. Most school playgrounds with elevated heavy metals concentrations were found in Manfuah, Al Shifa, Al Yamamah, Sultanah, An Namuthajiyah, Al-Wurud and Al-Shimaisi residential districts due to their proximity to main traffic roads, industrial areas and high density residential areas. On the other hand schools playgrounds with lower heavy metals levels were found in An Nuzhah, Al-Aqiq and Al-Jazirah districts which may be attributed to less traffic emissions, low residential density, and their distant location from the industrial areas. The measured concentrations levels of the heavy metals in the soil, except for Pb, were below the allowable concentration limits. The Pb concentration exceeded these limits in Manfuhah school playground. The enrichment coefficient values for V, Cr, Mn, Co, Ni and Cu were less than unity at 0.32, 0.47, 0.25, 0.51, 0.44 and 0.36 respectively, suggesting that the origin of these elements is mostly the local soil. The enrichment coefficient values for Zn and Pb were more than unity at 1.66 and 8.47, respectively, suggesting that these elements are anthropogenic in origin, for example, from the traffic emissions. (author)
Adel M. Ghoneim
Full Text Available This study evaluated the potential of Rhazya stricta L. growing on a surrounding area of the second industrial zone (24°39.8’ N; 46°57’ E, east of Riyadh, Saudi Arabia. Plant and the associated soil samples were collected and analyzed for total Cr, Fe, Ni, Cu, Zn, Cd and Pb concentration. The degree of contamination by those heavy metals in soil and transfer to Rhazya stricta has been estimated. The results showed a medium contamination of soil heavy metal content with respect to Cd and Pb. The total concentration of Fe, Cr, Ni, Zn and Cu in shoots of Rhazya stricta was 275, 5.30, 10.5, 27.5 and 8.30 mg kg-1, respectively. On the other hand, the total concentration of heavy metals in the roots was as follows (mg kg-1: Fe: 0.1; Cr: 0.5; Ni: 3.0; Zn: 0.8 and Cu: 1.6. Heavy metals (Cr, Ni, Cu and Zn tended to be accumulated in the roots Rhazya stricta rather than the stems and leaves expect for Zn. The calculated accumulation coefficient of heavy metals in the roots was higher than that in stems or leaves. The Rhazya stricta plant exhibiting Translocation Factor (TF values less than one except for total Zn (1.10-1.60. The results indicated that, Rhazya stricta plant could not suitable for heavy metals extraction from the contaminated studied soil but can be used as an indicator for soil contamination with some heavy metals (Cd, Cu, Pb and Zn and also to minimize heavy metals mobility in contaminated soils.
Omar N; Bou Chacra CT; Tabbara KF
Nazri Omar,1,2 Charbel T Bou Chacra,1 Khalid F Tabbara1,3,4 1The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia; 2Department of Ophthalmology, Universiti Putra Malaysia, Serdang, Malaysia; 3Department of Ophthalmology, King Saud University, Riyadh, Saudi Arabia; 4The Wilmer Ophthalmological Institute of Johns Hopkins University School of Medicine, Baltimore, MD, USA Background: The aim of this work was to describe the indications, complications, and...
Hussain Abdulrahman Al-Omar
Full Text Available The survey was conducted to explore use, knowledge and attitudes toward complementary and alternative medicine (CAM among pharmacy students at the college of pharmacy, King Saud University. A total of 133 fourth- and fifth-year pharmacy students completed a questionnaire designed to explore their use, knowledge and attitudes toward CAM therapies at the college of pharmacy, King Saud University. Study lasted for 3 months from 1 st of October until 31 st of December in 2007. Nutrition and herbal medicine therapies were the most known therapies by 65% and 53% of the students, respectively. Knowledge about CAM therapies among the students was limited. Thirty-nine percent of the students reported use of some form of CAM at least once in their lifetime. CAM was used for acute, chronic and mild illness as well as nutrition. Herbal medicine, nutrition, massage, relaxation exercises, yoga and mega-dose vitamin were the most CAM used. Lectures were the chief CAM information source. More than one half of the respondents (53-70% believed that five of the 15 CAM modalities were useful, namely massage, herbal medicine, nutrition, yoga and relaxation exercises. Respondents had a positive attitude toward statements that favoured CAM. Most students strongly agreed or agreed that most CAM therapies were efficacious, whereas 52.6% of the respondents did believe that CAM therapies can be harmful to public health. The study showed that the students had positive attitude toward CAM and exhibited relatively high level of self-reported use of CAM therapies. Overall, students? knowledge of CAM is limited. The students perceived interest in learning and training in CAM. A separate course in CAM including its various components is needed. Also, availability of a reliable CAM information sources will aid the students to increase their knowledge of CAM.
Shuaa; Andree; Sandra
This study, undertaken as part of a wider study of Facebook usage in Saudi Arabia, uses a self-report survey to understand Facebook usage by Saudi university students. The participants were 372 students (188 male and 184 female) at one university in Saudi Arabia. The study sorts to understand gender differences and the reasons why students have more than one Facebook account and what this says about Saudi culture. The study has revealed significant issues that contribute to the current knowle...
Al-Haqwi Ali I
Full Text Available Abstract Background This study was conducted to examine the perception and views of medical students regarding the extent of alcohol and substance abuse in the community and the possible predisposing factors for this problem. Methods It is a cross-sectional study involving samples from two medical colleges in Riyadh, Saudi Arabia. The students who decided to participate in the study without the offer of any incentives filled an anonymous, self administered questionnaire which had been designed to meet the purpose of the study. Results Two hundred and fifteen out of three hundred and thirty students (65% response rate participated in this study. About 75% of them believe that alcohol and substance abuse is a common problem in the community. Students' views also correspond with the reported view that the problem is mainly present in young adult males. Married males and senior students perceived the problem as more serious than their other colleagues. Students perceived that alcohol was the most commonly abused drug in the community, followed by amphetamines, heroin, cannabis and cocaine. They believe that influence of friends, life stressors, tobacco smoking and curiosity are the most important predisposing factors for abuse of alcohol and other substances. According to the students' perception, the main beneficial effect of alcohol and substance abuse was stress alleviation. About 3% of the students have also indicated that they may use alcohol or some other substance in the future. Conclusion Despite scarce information on the subject and a strong religious belief in Saudi Arabia against the use of alcohol and other addictive substances, a significant majority of the medical students in Riyadh, the capital of Saudi Arabia, perceived that alcohol and substance abuse is a common problem in the community. Some students appear to perceive the seriousness of the problem less than others. Efforts are needed to educate young men and women at an early stage of their academic life, as a medical student about the existence of this problem in the community, its consequences and predisposing factors. Teaching teenagers and young adults about stress coping strategies may be of special importance in reducing the risk of alcohol and substance abuse.
Al-Ruhaily Atallah; Malabu Usman; Sulimani Riad
Background: Hirsutism among women of fertile age is commonly seen in clinical practice, but the pattern of the disease in Saudi Arabs has not been studied. The aim of the study was to determine the clinical, biochemical and etiologic features of hirsutism in Saudi females. Methods: 101 Saudi Arab women presenting with hirsutism at King Khalid University Hospital, Riyadh, Saudi Arabia, from 1 January 2000 to 31 December 2005 were prospectively assessed using the recently approved diagnostic...
Analysis of written advertising material distributed through community pharmacies in Riyadh, Saudi Arabia / Análisis del material escrito de propaganda distribuido a través de farmacias comunitarias en Riyadh, Arabia Saudita
Sinaa AbdulMohsen, Al-Aqeel; Jawza Fahad, Al-Sabhan; Noha Yahia, Sultan.
Full Text Available Antecedentes: La propaganda es un componente crucial de la promoción de la industria farmacéutica. La investigación indica que la información de los materiales de propaganda puede ser inadecuada, imprecisa, sesgada y engañosa. Objetivo: Analizar y evaluar críticamente la información presentada en lo [...] s anuncios impresos en Arabia Saudita. Métodos: Se recogió propaganda farmacéutica de 280 farmacias comunitarias en la ciudad de Riyadh, Arabia Saudita. Los anuncios fueron evaluados usando los criterios derivados de la reglamentación de la Autoridad Saudita de Medicamentos y Alimentos (SFDA), y de los criterios éticos de promoción de productos medicinales de la Organización Mundial de la Salud (OMS). Los datos fueron extraídos independientemente por dos de los investigadores utilizando un formulario de evaluación estandarizado. Resultados: Se incluyeron en la muestra final 185 anuncios escritos. Aproximadamente la mitad de los anuncios (n=94; 51%) eran de medicamentos OTC y 71 (38%) eran de medicamentos de prescripción. Información tal como nombre de los principios activos estaba disponible en 168 (90,8%) de los anuncios, usos terapéuticos aparecían en 156 (98,7%). Información sobre la seguridad relacionada con los efectos secundarios, precauciones e interacciones serias estaba presente en 53 (28.5%), 58 (31%), y 33 (16.5%) anuncios, respectivamente. Sólo 119 anuncios (64%) proporcionaban referencias para la información presentada. Conclusiones: Nuestro hallazgos sugieren que los anuncios escritos no contienen toda la información necesaria para una prescripción segura. Estos resultados tienen implicaciones para la reglamentación de la propaganda de medicamentos y la formación continuada de los farmacéuticos. Abstract in english Background: Advertising is a crucial component of pharmaceutical industry promotion. Research indicates that information on advertisement materials might be inadequate, inaccurate, biased, and misleading. Objective: To analyse and critically assess the information presented in print pharmaceutical a [...] dvertisements in Saudi Arabia. Methods: Pharmaceutical advertisements were collected from 280 community pharmacies in Riyadh city, Saudi Arabia. The advertisements were evaluated using criteria derived from the Saudi Food and Drug Authority (SFDA) regulation, the World Health Organization (WHO) ethical medicinal drug promotion criteria, and other principles reported in similar studies. The data were extracted independently by two of the researchers using a standardized assessment form. Results: One hundred eighty five printed advertisements were included in the final sample. Approximately half of the advertisements (n = 94, 51%) were for over-the-counter (OTC) medications, and 71 (38%) were for prescription-only medication. Information such as the name of active ingredients was available in 168 (90.8%) advertisements, therapeutic uses were mentioned in 156 (98.7%) of analysed advertisements. Safety information related to side effects, precautions, and major interactions were stated in 53 (28.5%), 58 (31%), and 33 (16.5%) advertisements, respectively. Only 119 advertisements (64%) provided references for information presented. Conclusions: Our findings suggest that print advertisements do not convey all the information necessary for safe prescribing. These results have implications for the regulation of drug advertising and the continuing education of pharmacists.
Al-Omar, Badran A.
OBJECTIVES To determine the knowledge, attitudes, and intention among the Saudi high school students towards the nursing profession. In addition, the study aims to identify students' perception of causes preventing them to become nurses. It also aims to determine the factors influencing the Saudi high school students' choice of nursing profession. METHODS We used the descriptive analytical research design. Stratified random sampling procedures were employed to represent the...
Full Text Available To obtain a more recent and comprehensive insight into the prevalence of glomerular diseases in our patient population, medical records of 200 patients with biopsy proven glomerulonephritis (GN, between January 1994 and June 1999, at the King Khalid University Hospital, Riyadh, Saudi Arabia were analyzed. Primary glomerular disease was found to be the most prevalent, accounting for 63.5% of all glomerular diseases. Among primary glomerular diseases, focal and segmental glomerulosclerosis (FSGS was the most common histological lesion (34.6% and was associated with a high prevalence of hypertension (86.4%, nephrotic syndrome (68.18%, hematuria (63.6% and renal functional impairment (27.3%. Mesangioproliferative GN was the second most common lesion (25.1% followed by mesangiocapillary GN (15.7%, IgA nephropathy (10.2%, and minimal change disease (8.5%. Amongst secondary glomerular diseases, lupus nephritis was the most prevalent (24.5%. In conclusion, primary glomerular diseases constituted the commonest group encountered and the prevalence of FSGS was quite high with male sex and young adults predominating. FSGS was also associated with a high prevalence of end-stage renal disease. Further collaborative studies are necessary to explore the predisposing factors and associations of glomerular disease, especially FSGS.
Alquraini, Turki A.
In Saudi Arabia, the majority of students with severe intellectual disabilities are still educated in special schools that do not meet their unique needs for interaction with their typically developing peers in public schools settings where they could improve social, communication and academic skills. One of the most significant obstacles to…
Reem Alebaikan; Salah Troudi
This study is an attempt to investigate the nature of obstacles and challenges encountered at Saudi universities while implementing a blended learning approach. A literature review of blended learning rationale and designs, and the status of web-based education in Saudi higher education are demonstrated. Three main challenges of applying blended learning in Saudi higher education are addressed. One major challenge to be considered in the implementation of blended learning in Saudi universitie...
In mobile radio systems, path loss models are necessary for proper planning, interference estimations, frequently assignments and cell parameters which are basic for network planning process as well as Location Based Services (LBS) techniques that are not based on GPS system. Empirical models are the most adjustable models that can be suited to different types of environments. In this paper, the Lee path loss model has been tuned using Least Square (LS) algorithm to fit measured data for TETRA system operating 400 MHz in Riyadh urban and suburbs. Consequently, Lee model's parameter (L0, y) are obtained for the targeted areas. The performance of the tuned Lee model is then compared to the three most widely used empirical path loss models: Hat, ITU-R and Cost 231 Walfisch-Ikegami non line-of-sight (CWI-NLOS) path loss models. The performance criterion selected for the comparison of various empirical path loss models are the Root Mean Square Error (RMSE) and goodness of fit (R2). The RMSE and R2between the actual and predicted data are calculated for various path loss models. It turned that the tuned Lee model outperforms the other empirical models. (author)
Full Text Available Anastasia Samara,1 Anne Nistrup,1 Tamader Y AL-Rammah,2 Arja R Aro11Unit for Health Promotion and Research, University of Southern Denmark, Esbjerg, Denmark; 2Faculty of Rehabilitation and Health Sciences, Princess Nora Bint Abdul Rahman University, Riyadh, Kingdom of Saudi ArabiaPurpose: The Kingdom of Saudi Arabia is experiencing a dramatic increase in physical inactivity, with women having higher levels of inactivity than men among all age groups. It is assumed that factors such as dress codes, restrictions on going outdoors, and conservative norms are the main reasons for women’s low physical activity. Our aim was to explore the different parameters related to physical activity, including self-efficacy, as well as the perceived barriers to and benefits of physical activity in young Saudi females.Patients and methods: Ninety-four first-year female Saudi university students in Riyadh, Kingdom of Saudi Arabia, participated in the present study in 2014. The students were from eight bachelor’s programs in health and well-being, and each completed a questionnaire with questions divided into five parts as follows: 1 socioeconomic status, 2 physical activity, 3 self-efficacy 4 social factors, and 5 barriers and facilitators related to physical activity.Results: The students exercised at home and alone, and there was low self-efficacy for physical activity (mean score =42±14. Among social factors, attending university was the only factor that hindered physical activity (32%. Physical activity was positively perceived overall (mean score =131±10. Students showed awareness of the benefits of physical activity for health and well-being. The most important barrier was the lack of designated areas available for physical activity. Students disagreed that family or the Islamic community were barriers to physical activity.Conclusion: The lack of facilities and lack of encouragement from the university, but not a lack of knowledge (a high level of knowledge is to be expected given their health and well-being studies backgrounds and/or restrictions from families and society, seem to hinder female students’ physical activity, at least young Saudi students.Keywords: physical activity, Kingdom of Saudi Arabia, females, barriers and facilitators, self-efficacy
Alfadul, Sulaiman M; Khan, Mujahid A
Nine domestic and three imported bottled water brands were analyzed in Saudi Arabia for various physicochemical water quality parameters. The results of the analysis were compared with the drinking water standards set by different regulatory agencies. The levels of different physicochemical parameters like pH, total dissolved solids (TDS), Ca, Mg, Na, K, NO(3), Cl, and SO(4) of all local and imported bottled water brands met the standards set by different regulatory agencies. Fifteen (15) trace metals viz. Al, As, Ba, Be, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Sr, Pb, and Zn were also analyzed in all the samples. Comparison of analyzed results with the reported label values showed considerable variation for different parameters. Variation was also recorded for the analyzed parameters for 3 bottles of the same bottled water brand, both for local and imported bottled waters. Zamzam water was also collected from Makkah Al Mukarrama from different locations and analyzed for various physical and chemical parameters. Bottled waters were also compared with the city municipal water supply and Zamzam water. PMID:21992118
Alharbi AA; Abdulghani HM
Abeer A Alharbi,1 Hamza Mohammad Abdulghani2 1Department of Family and Community Medicine, 2Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia Introduction: Postpartum depression (PPD) is one of the major psychological disorders worldwide that affects both mother and child. The aim of this study was to correlate the risk of PPD with obstetric and demographic variables in Saudi females. Materials and methods: Data were collected by interviewing fe...
AlQuaiz Aljoharah; Tayel Salwa
Background And Objectives: The occurrence and progress of chronic non-communicable diseases (NCDs) is associated with unhealthy lifestyles and behaviors. Modification of barriers to healthy lifestyle can produce great benefits. The objective of this study was to identify barriers to physical activity and healthy eating among patients attending primary health care clinics in Riyadh city. Patients and Methods: A cross-sectional study was conducted at King Khalid University Hospital (KKUH) in...
THE LEARNERS' SATISFACTION TOWARD ONLINE E-LEARNING IMPLEMENTED IN THE COLLEGE OF APPLIED STUDIES AND COMMUNITY SERVICE, KING SAUD UNIVERSITY, SAUDI ARABIA: Can E-Learning Replace the Conventional System of Education?
Fahad N. AL-FAHAD
The growth of distance education course offerings is an indication of its importance to students. The purpose of this study is to investigate learners' satisfaction toward online e-learning implemented in the College of Applied Studies and Community Service, King Saud University, Riyadh, Saudi Arabia. In the meantime, also, this study was conducted to assess whether substitution of conventional learning with e-learning can improve the educational standard and knowledge of people especially i...
Alebaikan, Reem; Troudi, Salah
This study is an attempt to investigate the nature of obstacles and challenges encountered at Saudi universities while implementing a blended learning approach. A literature review of blended learning rationale and designs, and the status of web-based education in Saudi higher education are demonstrated. Three main challenges of applying blended…
Waleed B. Al Abiky
Recent studies have shown that there has been a continual decline in the average reading ability of college-aged students with approximately one third of a four-year college students considered “at risk” for low academic attainment. The current study assesses English reading comprehension of senior Saudi students majoring in English and Translation in fall 2012 at Qassim University, Saudi Arabia. The study, moreover, investigates the potential impacts of students’ age and GPAs on their readin...
Abdulrahman A. Alsanosi
OBJECTIVES To assess the impact of tinnitus on the quality of life of Saudi patients, and to compare the findings with those of other studies. METHODS A retrospective chart review of 100 tinnitus patients, who visited the Otology/Neurotology Clinic at King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia between January 2008 and December 2010, and completed the 25-item Tinnitus Handicap Inventory (THI), was conducted. Age, gender, duration of symptoms, laterality, and a...
Salih, Mustafa A.; Murshid, Waleed R.; Jihad N. Zahraa; Abdel-Gader, Abdel-Galil M.; Ahmed A. Al-Jarallah; Amal Y. Kentab; Alorainy, Ibrahim A; Hassan, Hamdy H.; Giap T. Tjan
OBJECTIVES To explore the role of and report on congenital and genetic cerebrovascular anomalies as risk factors for stroke in a prospective and retrospective cohort of Saudi children. METHODS Children with stroke were evaluated at the Division of Pediatric Neurology (DPN), or were seen as inpatients in the Pediatric Wards at King Khalid University Hospital (KKUH), Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February 2001 to...
To determine the pattern of skin prick test reactivity to aeroallergens in patients with asthma and rhinitis (airway allergy) residing in Riyadh region. This is a retrospective cross sectional study based on data analysis of skin prick test results of individuals with clinical diagnosis of airway allergy. Allergy skin prick test result data of 139 Saudi nationals from Riyadh region tested at King Khalid University Hospital between January 2003 and March 2004 was analyzed retrospectively. This group comprised of 53% females and 47% males, with a mean age of 27 +/- 12 years. A set of aeroallergens extracts for both indoor and outdoor allergens including fungal spores was used to test the patients. Seventy-five percent (105) of patients reacted to one or more allergen extracts. The most frequently reacting indoor allergen was house dust mite (77.8%) followed by the cat (33.6%) and cockroach (19.2%). Among the outdoor allergens Prosopis juliflora was tested positive in 72.1%, Bermuda grass in 53.8%, Chenopodium album in 47.1%, Rye grass in 36.5% and Salsola kali in 36.5%. A significant proportion of patients were also found reacting to Moulds (18.2%) and Aspergillus fumigatus (18.2%) extracts. Sensitivity to one or more aeroallergens was common in patients, indicating high level of aeroallergen sensitization in patients with airway allergy residing in Riyadh region. (author)
Mohamed Ali Al-Khairy
This study attempted to investigate Saudi English-major undergraduates studying at Taif University to identify a) the types of academic writing Saudi English-major undergraduates carry out at English departments, b) Saudi English-major undergraduates' writing problems, c) the reasons behind Saudi English-major undergraduates' writing problems and d) the solutions to overcome Saudi English-major undergraduates' writing problems. To collect data for this purpose, senior faculty members were int...
Abdulghani HM; Irshad M; Al Zunitan MA; Al Sulihem AA; Al Dehaim MA; Al Esefir WA; Al Rabiah AM; Kameshki RN; Alrowais NA; Sebiany A; Haque S
Hamza Mohammad Abdulghani,1 Mohammad Irshad,1 Mohammed A Al Zunitan,1,2 Ali A Al Sulihem,1,2 Muhammed A Al Dehaim,1,2 Waleed A Al Esefir,1,2 Abdulaziz M Al Rabiah,1,2 Rashid N Kameshki,1,2 Nourah Abdullah Alrowais,2 Abdulaziz Sebiany,3 Shafiul Haque1 1Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia; 3Department of Family and Community Medicine, Universit...
Abdulaziz I. Alharrah
Full Text Available E-learning that integrates digital knowledge content, network and information technology has become an emerging learning method. As the e-learning platform approach is becoming an important tool to allow the flexibility and quality requested by such a kind of learning process. There is a new kind of problem faced by organizations consisting in the selection of the most suitable e-learning platform. This paper proposes evaluation model for E-Learning platform in Riyadh City universities (RCU with Applied Geographic Information System (GIS. The E-Learning platform solution selection is a multiple criteria decision-making problem that needs to be addressed objectively taking into consideration the relative weights of the criteria for any organization. We formulate the quoted multi criteria problem as a decision hierarchy to be solved using GIS. AGIS-based evaluation index system and web-based evaluating platform were established. In this paper we will show the general evaluation strategy and some obtained results using our model to evaluate some existing commercial platforms.The results of evaluation model are outlined as follows: Total weights of the proposed framework in management feature is 20.25/25, in collaborative feature is 9.2/10, in adaption learning path is 6.8/10 and in interactive learning object is 5/5. The total weights of all features are 41.25/50. In this study an evaluation model was applied on Riyadh City universities like KSU, IMAMU, NAUSS, YU and FU. Then, the results were compared with each other. The total weighs of KSU was 41. While the total weights of FU, IMAMU, YU and NAUSS was 40, 37, 36 and 32, respectively. Evaluation process shows that the proposed framework satisfied the objectives with applied GIS.
Sand samples from Riyadh and Al-Qasim areas were collected, extracted with a mixture of dichloromethane and methanol (3:1, v: v), and analyzed by gas chromatography-mass spectrometry (GC-MS) in order to characterize the contents and sources of their organic compounds. The major components of the total extracts were the straight chain aliphatic compounds from vegetation waxes, fossil fuel combustion and anthropogenic and agricultural activities. The results showed that the anthropogenic inputs had a significant contribution to the organic content of sands near populated areas. The urban component consisted mainly of n-alkanes, n-alkonic acids, n-alkyl amides, hopane and sterane biomarkers and pesticide residues. Organic inputs from natural sources include n-alkanes, n-alkonic acids, n-alkanols, methyl alkanoates, sterols and n-alkanones. (author)
Al-Kadeeb A. Siham
Full Text Available Twenty soil samples from Eastren, Westren, Northen an Southern directions of Gold and Silver manufactory in second industrial city, Riyadh, Saudia Arabia were collected and analyzed chemically for heavy metal concentrations, total solubal salts and pH and mechanically for composition of soils. Saturation percent were determined also. From soil samples collected thirteen fungal isolates were able to grew in media containing 10 mM of either aluminium or cobalt ions. Aspergillus were predominant and represented by four species. Fusarium and Penicillium were represented by 3 species. While Auerobasidium, Mucor and Monascus were represented by one species each. Intraspecific variability in growth response to Al3+ and Co2+ on agar media was studied among isolated fungi.
Liton, Hussain Ahmed
The focus of this study is to explore EFL teachers' perceptions, evaluations and expectations about English language courses as EFL in Saudi tertiary level. In other words, this article aims at creating a new avenue for effective EFL teaching-learning curriculum techniques and syllabus in the Saudi tertiary context. Saudi universities offer credit…
Full Text Available Ibrahim G Alghamdi,1,2 Issam I Hussain,1 Mohamed S Alghamdi,3 Mansour M Alghamdi,4 Ahlam A Dohal,4 Mohammed A El-Sheemy51School of Life Sciences, University of Lincoln, Brayford Pool, Lincoln, UK; 2Al-Baha University, Kingdom of Saudia Arabia; 3Ministry of Health, General Directorate of Health Affairs, Al-Baha, Kingdom of Saudi Arabia; 4King Fahad Specialist Hospital–Dammam, Kingdom of Saudi Arabia; 5Department of Research and Development, Lincoln Hospital, United Lincolnshire Hospitals, National Health Service Trust, Lincoln, UKPurpose: This study provides descriptive epidemiological data, such as the percentage of cases diagnosed, crude incidence rate (CIR, and age-standardized incidence rate (ASIR of ovarian cancer in Saudi Arabia from 2001–2008. Patients and methods: A retrospective descriptive epidemiological analysis of all ovarian cancer cases recorded in the Saudi Cancer Registry (SCR from January 2001–December 2008 was performed. The data were analyzed using descriptive statistics, analysis of variance tests, Poisson regression, and simple linear modeling.Results: A total of 991 ovarian cancer cases were recorded in the SCR from January 2001–December 2008. The region of Riyadh had the highest overall ASIR at 3.3 cases per 100,000 women, followed by the Jouf and Asir regions at 3.13 and 2.96 cases per 100,000 women. However, Hail and Jazan had the lowest rates at 1.4 and 0.6 cases per 100,000 women, respectively. Compared to Jazan, the incidence rate ratio for the number of ovarian cancer cases was significantly higher (P<0.001 in the Makkah region at 6.4 (95% confidence interval [CI]: 4.13–9.83, followed by Riyadh at 6.3 (95% CI: 4.10–9.82, and the eastern region of Saudi Arabia at 4.52 (95% CI: 2.93–6.98. The predicted annual CIR and ASIR for ovarian cancer in Saudi Arabia could be defined by the equations 0.9 + (0.07× years and 1.71 + (0.09× years, respectively.Conclusion: We observed a slight increase in the CIRs and ASIRs for ovarian cancer in Saudi Arabia from 2001–2008. Riyadh, Jouf, and Asir had the highest overall ASIR, while Jazan and Hail had the lowest rates. Makkah, Riyadh, and the eastern region of Saudi Arabia had the highest incidence rate ratio for the number of ovarian cancer cases. Further analytical studies are required to determine the potential risk factors of ovarian cancer among Saudi women.Keywords: cancer epidemiology, ovarian cancer, Saudi Cancer Registry, incidence rate
Objective was to determine the prevalence of osteoporosis in healthy Saudi men. We randomly recruited 429 Saudi men from the community. The recruited Saudi men were subjected to an interview to reveal their lifestyle parameters, calcium intake and level of activity. Bone densitometry was assessed at lumbar spine (L-4) and the femoral neck. The dual x-ray absorptiometry (DXA) scan was carried out in the Nuclear Medicine at King Khalid University Hospital, Riyadh, Saudi Arabia from September 2002 to December 2004. The World Health Organization definition of low bone mineral density was used. Poor oral calcium intake and low level of daily activity were noted. The overall prevalence of osteopenia for the lumbar spine in the whole group was 35.7% while osteoporosis was present in 21.4% of the subjects. In the femoral neck, osteopenia was noted in 38% and osteoporosis in 11.4%. When either lumbar spine or femoral neck osteoporosis is used for diagnosis, the prevalence of osteoporosis rises to 23.5%. Within the whole group, osteopenia and osteoporosis were more common in individuals above the age of 50 than those below 50 years old. Low bone mineral density occurs with high frequency in Saudi men. Lumbar spine appears to be affected to a higher degree. The reason for the high prevalence of osteoporosis in Saudi men is unclear. Possible underlying causes include nutritional, life style and genetic factors. (author)
Al-Numair, Khalid S
Several studies have indicated a lack of nutritional knowledge among physicians. As there is no published data in nutritional knowledge among physicians in Saudi Arabia, hence the purpose of this current study was to assess the nutrition knowledge of primary care physicians working in Riyadh, Saudi Arabia. Nutrition knowledge questionnaire consisted of 16 multiple-choice questions, was mailed to 105 primary care physicians working in Riyadh, Saudi Arabia. The questionnaire was pre- tested in ...
Ghadah Al Murshidi
The study examines writing challenges Emirati and Saudi students face at U.S. universities. Based on a sample of 219, a mixed methods approach was used to analyze responses from the participants. The results of the questionnaire reveal that Less than 31% Emirati and Saudi students feel “comfortable” in completing written assignments. The interviews results indicate that Emirati and Saudi students have different opinions regarding writing difficulties. An Emirati student, stated: “I am worried...
Hussain Ahmed Liton
The focus of this study is to explore EFL teachers’ perceptions, evaluations and expectations about English language courses as EFL in Saudi tertiary level. In other words, this article aims at creating a new avenue for effective EFL teaching-learning curriculum techniques and syllabus in the Saudi tertiary context. Saudi universities offer credit and non-credit Foundation English courses as a part of their program, which are not being very effective. These courses do not promote the students...
Abdulkader R. Allam; Inass M. Taha; Omar M. Al-Nozha; Intessar E. Sultan
Objectives: To assess the nutrition and health status, nutrients intake, and physical activity among Saudi medical students. Methods: A cross-sectional survey using a questionnaire, anthropometric measurements, and laboratory assessments was conducted from January to May 2011 on 194 randomly selected Saudi medical students at Taibah University, Madinah, Kingdom of Saudi Arabia. The adequacy of nutrient intake was compared with the recommended daily intake (RDI) per the National Research Counc...
Al-Haqwi, Ali I.; Abdullah M Al-Wahbi; Abdulghani, Hamza M; Molen, Henk T. van der
OBJECTIVES To explore the views of undergraduate medical students regarding the presence and sources of barriers to effective feedback in their setting. METHODS This cross-sectional study was conducted at the College of Medicine, Department of Medical Education, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia from April to June 2010. A self-administered questionnaire was used to explore the objectives of the study. RESULTS One hundred an...
Saudi diplomacy seems more active than ever. This has to do with three recent major regional developments: the summer 2006 war between Israel and Hezbollah, the violent clashes between Hamas and Fatah in the occupied Palestinian territories, and the Iraqi quagmire. In each of these, the role of Iran is difficult to overlook and this is troubling Riyadh. Yet Saudi Arabia has difficulty in responding to Iran's assertiveness: it wants to contain Tehran's ambitions, but at the same time it cannot...
Cowan, Michele; Arain, Nasir Nisar; Assale, Tawfic Samer Abu; Assi, Abdulelah Hassan; Albar, Raed Alwai; Ganguly, Paul K.
Alfaisal University is a new medical school in Riyadh, Kingdom of Saudi Arabia that matriculates eligible students directly from high school and requires them to participate in a hybrid problem-based learning (PBL) curriculum. PBL is a well-established student-centered approach, and the authors have sought to examine if a student-centered,…
THE LEARNERS' SATISFACTION TOWARD ONLINE E-LEARNING IMPLEMENTED IN THE COLLEGE OF APPLIED STUDIES AND COMMUNITY SERVICE, KING SAUD UNIVERSITY, SAUDI ARABIA: Can E-Learning Replace the Conventional System of Education?
Fahad N. AL-FAHAD
Full Text Available The growth of distance education course offerings is an indication of its importance to students. The purpose of this study is to investigate learners' satisfaction toward online e-learning implemented in the College of Applied Studies and Community Service, King Saud University, Riyadh, Saudi Arabia. In the meantime, also, this study was conducted to assess whether substitution of conventional learning with e-learning can improve the educational standard and knowledge of people especially in this information world. The target group consists of 201 university students (female from the College of Applied Studies and Community Service. The results of the statistical analysis demonstrate that students’ satisfaction has been very positive toward e-learning as a teaching assisted tool, and provides more benefits than conventional learning.
Full Text Available Studies from developed countries have reported that extra-pulmonary tuberculosis (EPTB is on the rise due to the human immunodeficiency virus (HIV epidemic. However, similar studies from high-burden countries with low prevalence of HIV like Saudi Arabia are lacking. Therefore, we conducted this study to investigate demographic and clinical characteristics of patients with pulmonary and extra-pulmonary tuberculosis. A retrospective analysis was carried out on all patients (n=431 with a culture - proven diagnosis of tuberculosis seen at University teaching hospital, Riyadh, Saudi Arabia from January 2001 to December 2007. A total of 183 (42.5% pulmonary tuberculosis (PTB and 248 (57.5% extra-pulmonary TB (EPTB cases were compared in terms of age, sex, and nationality. There were 372 Saudis (SA (86.3% and the remaining non-Saudis (NSA 59 (13.7%. The age distribution of the PTB patients had a bimodal distribution. EPTB was more common at young age (20-29 years. The proportion of EPTB cases was significantly higher among NSA patients (72.9% compared to SA patients (55.1%. Females had higher proportion (59.5% of EPTB than males (55.6%. The most common site was lymph node tuberculosis (42%. In conclusion, our data suggest that EPTB was relatively common in younger age, female gender and NSA. Tuberculosis (TB control program may target those populations for EPTB case-finding.
Ibrahim M Jomoah, Sreerama Kumar R, Abdulaziz Uthman M. Al-Abdulaziz, Nabil Yassien Abdel-Shafi, Ramzy R Obaid
This paper investigates the effectiveness of the Building Energy Management System (BMS) installed in the typical buildings in the main campus of King Abdulaziz University, Jeddah, in Saudi Arabia. As the domestic electricity and hence the oil consumption in Saudi Arabia is increasing at a very alarming rate compared to the other countries in the world, it is of paramount importance to resort to urgent measures in various industrial, commercial and residential sectors in the country to implem...
Mona H. Al-Sheikh; Ismail, Mona H; Suzan A. Al-Khater
Objectives: The English version of the postgraduate hospital educational environment measure (PHEEM) was evaluated to determine its psychometric properties, validity, and internal consistency. The instrument was used to measure the clinical learning environment in the hospital setting of a Saudi university medical school. Methods: This cross-sectional study was performed in a Saudi medical school between June and August 2012. The postgraduate hospital educational environment measure was admin...
Ghazi A. Alshumrani
Objectives: To assess the awareness of interventional radiology (IR) among final-year medical students and medical interns at a Saudi University. Analysis of such awareness could help to improve the future of IR in Saudi Arabia. Methods: This cross-sectional study was based on anonymous surveys administered over a one month period (1st - 31st December 2012). One hundred and nineteen medical students and interns of King Khalid University, Abha, Saudi Arabia were included. Forty-two (35.3%) ...
Elham E. Bukhari; Fawzia E. Al Otaibi
Objectives: To study the clinical and laboratory characteristics of urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL) producing Escherichia coli (E. coli). Methods: A retrospective clinical and laboratory study was performed at the Bacteriology Unit, Department of Pathology/Microbiology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from June 2009 to June 2011. A total of 339 adults and pediatric patients with UTI was included in the study....
Full Text Available Imran A Siddiqui,1 Khalid A Bin Abdulrahman,2 Mohammed A Alsultan3 1Department of Medical Education and Postgraduate Studies, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia; 2College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University (IMSIU, Riyadh, Saudi Arabia; 3College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia Background: Every year nearly 1,500 students enter into medical program after passing high school and national aptitude exams. However, many students experience frustration, failure, and psychological morbidities like stress, depression, and anxiety because they are not aware of their learning styles or do not have effective learning skills and strategies. The College of Medicine of Al-Imam Muhammad ibn Saud Islamic University has adopted the outcome based, community oriented, Spiral Curriculum. Although the curriculum is innovative, on the other hand, it is very demanding. Objective: The purpose of this paper is to share educational structure and evaluation results of the course on effective learning and study skills for the 1st year medical students. Methods: To prepare our students in order to cope with this demanding but promising curriculum, we conducted an effective and comprehensive learning skills course for 16 weeks in the first semester of year 1 in the medical program. Performance of each student was assessed and the course evaluation was done by students at the end of the course. Results: The attendance of the students throughout the course was over 90%. The average performance of students in the summative assessment was 78% and the course was generally liked by the students. Discussion: Students overall had a positive attitude toward the learning skills course. Majority of the students showed interest in attending the sessions regularly and realized the significance of this course to improve their learning skills. Keywords: medical students, learning skills, Saudi students
Full Text Available Mostafa A Abolfotouh,1,2 Mohammed H Al-Assiri,1 Manar Al-Omani,2 Alwaleed Al Johar,3 Abdulaziz Al Hakbani,3 Ahmed S Alaskar1,2 1King Abdullah International Medical Research Center, 2King Saud bin-Abdulaziz University for Health Sciences, 3College of Medicine, King Saud University, Riyadh, Saudi Arabia Introduction: In Saudi Arabia, voluntary donors are the only source of blood donation. The aim of this study was to assess the level of public knowledge and attitude toward blood donation in Saudi Arabia. Methods: Using a previously validated questionnaire that comprises 38 questions to assess the levels of knowledge, attitudes, and motivations towards blood donation, 469 Saudi adults who attended different shopping malls in Riyadh, Saudi Arabia were surveyed. Multiple regression analyses were used to identify the significant predictors of blood donation, with the significance set at P<0.05. Results: Approximately half of all subjects (53.3% reported that they had previously donated blood, 39% of whom had donated more than once. The knowledge percentage mean score was 58.07%, denoting a poor level of knowledge, with only 11.9% reporting a good level of knowledge. The attitude percentage mean score towards donation was 75.45%, reflecting a neutral attitude towards donating blood, with 31.6% reporting a positive attitude. Donation was significantly more prevalent among males than females (66% versus 13.3%; P<0.001. After adjustment for confounders, a higher knowledge score (t=2.59; P=0.01, a higher attitude score (t=3.26; P=0.001, and male sex (t=10.45; P<0.001 were significant predictors of blood donation. An inability to reach the blood donation centers and a fear of anemia were the main reasons for females not donating blood (49.9% and 35.7%, respectively, whereas a lack of time was the main reason for males (59.5%. Conclusion: Prevalence of blood donation was less than satisfactory among the Saudi public, probably due to misconceptions, poor knowledge, and unfavorable attitude to donation. Educational programs are necessary to increase the level of knowledge and improve the attitude of the Saudi public toward blood donation. Providing mobile blood collection units nearer to individuals' places of work to reduce their time costs of donating is a necessity. Keywords: knowledge, attitude, practice, blood donation, significant predictors, Saudi Arabia
Al Mansour MA
Full Text Available Mohammed Abdullah Al Mansour,1 Abdullah MN Al-Bedah,2 Mohammed Othman AlRukban,3 Ibrahim S Elsubai,2 Elsadiq Yousif Mohamed,4 Ahmed Tawfik El Olemy,2 Asim AH Khalil,2 Mohamed KM Khalil,2 Meshari Saleh Alqaed,2 Abdullah Almudaiheem,2 Waqas Sami Mahmoud,4 Khalid Altohami Medani,4 Naseem Akhtar Qureshi2 1College of Medicine, Majmaah University, Al Majma’ah, 2National Center of Complementary and Alternative Medicine, Ministry of Health, 3Department of Family Medicine and Community Medicine, College of Medicine, King Saud University, Riyadh, 4Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia Background: Evidently, complementary and alternative medicine (CAM is a recognized medical practice that efficiently uses multiple treatment therapies and techniques in the prevention and management of a variety of human disorders. Many medical schools have integrated CAM curriculum in medical education system worldwide. Research in knowledge, attitude, and practice (KAP of diverse health professionals exposed to CAM courses is important from many perspectives including improvement in KAP and teaching skills of faculty, together with capacity building and curriculum development.Objective and setting: This pre- and post-design cross-sectional study aimed to assess CAM-KAP of two intakes of medical students in Majmaah University, Saudi Arabia.Methods: The second-year medical students of the first (year 2012–2013 and second (year 2013–2014 intake (n=26 and 39, respectively were selected for this study. A reliable, 16-item self-administered questionnaire was distributed among all the students for answering before and after the 48-hour CAM course. The data were analyzed using appropriate statistical test of significance.Results: Medical students’ knowledge and attitude toward CAM significantly improved across some subitems of CAM questionnaire with a positive trend in the rest of its items including their views on CAM practices.Conclusion: CAM course tends to have a positive impact on KAP of medical students. The preliminary results of this study call for further research with a larger sample in academic settings across the nation.Keywords: traditional medical system, medical schools, undergraduate medical students, curriculum, Saudi Arabia
Abdul R. Al-Ajlan; Syed R. Mehdi
OBJECTIVES The objective of our study was to examine the effects and a dose response relationship of physical activity on plasma high density lipoprotein cholesterol (HDL-C) levels and body mass index (BMI) among Saudi men and women living in the metropolis of Riyadh, Kingdom of Saudi Arabia (KSA). METHODS The sample population of 474 Saudi men and women visiting the health centers in and around Riyadh was studied from September 2003 to February 2004. The population was classified in...
Al Othman, Zeid A.
This study was carried out to determine lead contamination in 104 of the representative food items in the Saudi diet and to estimate the dietary lead intake of Saudi Arabians. Three samples of each selected food items were purchased from the local markets of Riyadh city, the capital of Saudi Arabia. Each pooled sample was analyzed in triplicate by ICP-AES after thorough homogenization. Sweets (0.011–0.199 ?g/g), vegetables (0.002–0.195 ?g/g), legumes (0.014–0.094 ?g/g), eggs (0.079 ?g/g), mea...
Ensaf S.A. Gawwad
Conclusion : Physical inactivity is common among KSU students. A considerable proportion of them was not ready to become more physically active. The study highlights the need to adapt PA promotion programs to states of readiness for PA. University and public policies as well as environmental changes are necessary to encourage active living within the context of Islamic rules and Saudi culture.
Aldebasi, Yousef Homood; Ahmed, Mohamed Issa
Background: Computer-based training (CBT) and internet-based training (IBT) have become a vital part of the Medical Education. A cross-sectional study was carried out in Qassim University-Kingdom of Saudi Arabia (KSA), with the objective of assessing the pattern of the computer and Internet utilization among both male and female medical students.
Alwalidi, Abdullah; Lefrere, Paul
The authors describe progress at King Khalid University (KKU) in the Kingdom of Saudi Arabia in developing and implementing a user-centered road map for teaching and learning, with pervasive e-learning as a core element. They named the approach "Invisible" e-learning. As part of it, they are investigating ways to capture and share expertise, as in…
Tarek A. Raouf; Hala Hazam AL-Otaibi; Shereen L. Nassef
The purpose of this study was to examine the prevalence of body shape dissatisfaction, weight and physical activity status among university students and predictors for body shape dissatisfaction. A cross sectional study was carried out in a sample comprising of 368 female and male university students aged 18 years or more at King Faisal University, Saudi Arabia. Body weight, height, Body Shape Questionnaire (BSQ) and physical activity level were used as assessment tools. Chi-square and indepe...
L. A. Bashwari; A. M. Mandil; A. A. Bahnassy; M. A. Al-Shamsi; H. A. Bukhari
OBJECTIVES To study the epidemiological, clinical and hematological profile of laboratory-diagnosed malaria cases at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia, during the period from January 1990 to December 1999, and to provide suitable recommendations accordingly. METHODS This was a clinical case series study of confirmed cases presenting to King Fahd Hospital of the University during the period from January 1990 to December 1999. A specially designed form was u...
Hussain Ahmed Liton
Full Text Available The focus of this study is to explore EFL teachers’ perceptions, evaluations and expectations about English language courses as EFL in Saudi tertiary level. In other words, this article aims at creating a new avenue for effective EFL teaching-learning curriculum techniques and syllabus in the Saudi tertiary context. Saudi universities offer credit and non-credit Foundation English courses as a part of their program, which are not being very effective. These courses do not promote the students in dealing with their disciplines or programs oriented courses. Even after completion of the Foundation English courses in consecutive two or three semesters, students fail to grasp comprehensive control over the reading materials of their discipline-oriented courses. This is a common scenario in almost all the universities in KSA. The author of this paper ventured to study the predicament of EFL courses in some universities through survey questionnaires, observation as well as primary and secondary sources. The data were collected through questionnaires from a total of 25 EFL teachers at renowned Saudi universities. The research results revealed that the existing Foundation English Course syllabus is not tailored appropriately to the needs of the students so far as the higher studies concerned, and EFL classroom is not conducive to task-based language teaching (TBLT practice due to large class size (100-140. It, therefore, suggests that university Foundation English Courses should be redesigned in assimilating the learners’ standard and previous learning, and course contents should cover the socio-cultural factors of the learners. The study also concludes with some effective implications and recommendations based on the findings of the present research.
Saeed, S.A.R. [King Saud University, Ryadh (Saudi Arabia). College of Architeture and Planning
The Kingdom of Saudi Arabia is one of the main oil producing countries, yet the latest five year development plan calls for energy conservation. Due to the expansion of the Saudi economy, which is reflected by the challenging and ambitious development in various sectors, such as housing, health, industry, agriculture, education etc., the consumption of electric energy experienced a sharp increase during the last twenty years. In 1983 the Ministry of Education implemented various strategies to conserve energy consumption by school buildings. In the 1990s more attention is geared towards improving the U-value of the external envelope through the use of hollow blocks and thermal insulation. This study is an attempt to investigate the effectiveness of the use of thermal insulation and hollow blocks in reducing energy consumption. This is conducted by the analysis of actual electric energy consumption of some selected examples of school buildings in Riyadh. Also the study will investigate other energy conservation strategies which might yield additional energy savings. This will be carried out using analysis of the Riyadh climate. (author)
Multi-drug carbapenem-resistant Klebsiella pneumoniae infection carrying the OXA-48 gene and showing variations in outer membrane protein 36 causing an outbreak in a tertiary care hospital in Riyadh, Saudi Arabia
Taher uz Zaman
Conclusions: This is probably the first reported outbreak of multidrug/carbapenem-resistant Klebsiella infection involving the OXA-48 gene from Saudi Arabia. Although the presence of ESBLs such as OXA, CTX-M, TEM, and SHV are predictable reasons for resistance, variations in the Omp-36 gene might also have precipitated this phenomenon. Disruption of the Omp-36 sequence by large insertional elements, the insertion of two amino acids in a very crucial part of this protein, and the presence of a premature stop codon in one isolate might have rendered this protein incomplete and non-functional. The study also demonstrated that more than one type of clone was responsible for this reported apparent outbreak and that ST29, a clone not reported from this region before, was the major clone responsible.
Full Text Available Mostafa A Abolfotouh,1 Abdullah A Alabdrabalnabi,2 Rehab B Albacker,3 Umar A Al-Jughaiman,4 Samar N Hassan5 1King Abdullah International Medical Research Center (KAIMRC, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2University of Dammam, College of Medicine, Dammam, Saudi Arabia; 3King Saud University, College of Medicine, Riyadh, Saudi Arabia; 4King Faisal University, College of Medicine, Dammam, Saudi Arabia; 5Division of Reproductive Medicine, Department of Obstetrics and Gynecology, King Abdulaziz Medical City, Riyadh, Saudi Arabia Introduction: Infertility places a huge psychological burden on infertile couples, especially for women. Greater knowledge of the factors affecting fertility may help to decrease the incidence of infertility by allowing couples to avoid certain risk factors. The aim of our study was (1 to assess the knowledge and attitudes of infertile and fertile Saudi participants on infertility, possible risk factors, and social consequences; and (2 to determine the practices of infertile Saudi couples to promote their fertility before having them attend an in vitro fertilization (IVF clinic. Methods and materials: We conducted a cross-sectional study on 277 fertile participants from outpatient clinics and 104 infertile patients from the IVF clinic at King Abdulaziz Medical City between June 24, 2012 and July 4, 2012, using a previously validated interview questionnaire. Descriptive and analytical statistics were applied with a significance threshold of P ? 0.05. Results: A generally poor level of knowledge (59% and a neutral attitude (76% toward infertility were reported by participants. Mistaken beliefs commonly held by the study participants regarding the causes of infertility were Djinns and supernatural causes (58.8%, black magic (67.5%, intrauterine devices (71.3%, and contraceptive pills (42.9%. The healer/Sheikh was reported as the primary and secondary preference for infertility treatment by 6.7% and 44.2% of IVF patients, respectively. Compared with fertile patients, IVF patients were significantly less likely to favor divorce (38.5% versus 57.6%; P = 0.001 or marriage to a second wife (62.5% versus 86.2%; P < 0.001, if the woman could not have a baby. The patients with infertility had more favorable attitudes toward fertility drugs (87.5% versus 68.4%; P = 0.003 and having a test tube baby (92.4% versus 70.3%; P < 0.001. Child adoption was accepted as an option for treatment by the majority of IVF patients (60.6% and fertile outpatients (71.5%. Alternative treatments previously practiced by the IVF patients to improve fertility include practicing Ruqia (61%, using alternative medicine (42%, engaging in physical exercise (39%, eating certain foods (22%, and quitting smoking (12%. Conclusion: These findings have implications for health care providers regarding the reluctance that couples experiencing fertility problems may have, at least initially, to accept some interventions required for the couple to conceive. Keywords: infertility, knowledge, attitude, practice, KAP, misconceptions
Alam, Awatif A.
OBJECTIVES To estimate the prevalence of obesity among elementary school female students and to identify some obesity-associated risk factors. METHODS This cross-sectional study surveyed healthy female school students (grades 4-6) during 2006-2007. Four private schools in North West Riyadh, Kingdom of Saudi Arabia were selected where the majority of high income families enrolled their daughters. One thousand and two hundred students were included. A pre-designed validated questionnai...
Abdulaziz A. Aldakhail; Khan, Mohammad I
OBJECTIVES To investigate and study the management pattern of peritonsillar abscess, the male to female ratio and incidence. Also, to evaluate the causative organism isolated from abscess and reported by culture/sensitivity (C/S). METHODS This study has been designed as a single centered retrospective hospital based study. We carried out this study in the Department of ENT, Riyadh Medical Complex, Saudi Arabia from 2000 to 2004. We gathered the data via survey (5 years). There were 8...
Alhadlaq, Adel M; Alshammari, Osama F; Alsager, Saleh M; Neel, Khalid A Fouda; Mohamed, Ashry G
The aim of this study was to evaluate the ability of admissions criteria at King Saud University (KSU), Riyadh, Saudi Arabia, to predict students' early academic performance at three health science colleges (medicine, dentistry, and pharmacy). A retrospective cohort study was conducted with data from the records of students enrolled in the three colleges from the 2008-09 to 2010-11 academic years. The admissions criteria-high school grade average (HSGA), aptitude test (APT) score, and achievement test (ACT) score-were the independent variables. The dependent variable was the average of students' first- and second-year grade point average (GPA). The results showed that the ACT was a better predictor of the students' early academic performance than the HSGA (?=0.368, ?=0.254, respectively). No significant relationship was found between the APT and students' early academic performance (?=-0.019, p>0.01). The ACT was most predictive for pharmacy students (?=0.405), followed by dental students (? =0.392) and medical students (?=0.195). Overall, the current admissions criteria explained only 25.5% of the variance in the students' early academic performance. While the ACT and HSGA were found to be predictive of students' early academic performance in health colleges at KSU, the APT was not a strong predictor. Since the combined current admissions criteria for the health science colleges at KSU were weak predictors of the variance in early academic performance, it may be necessary to consider noncognitive evaluation methods during the admission process. PMID:26034031
Hanan A. Alfawaz
Fast food has become an important part of our diet and the increase in fast-food consumption is likely to continue. Our aim was to study the relationship between fast food and Body Mass Index (BMI) and the pattern of consumption of fast food in female university students. Total of 141 female students from different study levels of Nutrition and Food Science Department, King Saud University (KSU), Riyadh Saudi Arabia were included. A survey questionnaire which contains three sections was used;...
Nemer, Areej M. Al; Aldamanhori, Reem B.
Objectives: To explore the spectrum of pathologies diagnosed in prostatic biopsies of Saudi men, and test whether the frequency of diagnosing the malignant fraction has been changed over the last 15 years, and assess the association between chronic inflammation (CI) with both benign prostatic hyperplasia (BPH) and cancer (PCa), and investigate the histological findings of cases presented with acute urinary retention (AUR) clinically. Methods: This is a retrospective cohort study including all prostatic biopsies accessed in the files in the Surgical Pathology Laboratory of King Fahd University Hospital, Alkhobar, Kingdom of Saudi Arabia over 15 years (1999-2013) for Saudi men. Age, procedure indication, and final diagnoses were retrieved and slides were reviewed. Results: There were 360 cases included in this study with a median age of 65 year-old. The BPH comprised the most (64.7%), while PCa accounted for 89 cases, 13.5% of which were incidental. Most cases of both BPH and PCa were diagnosed in the seventh decade. The frequency of diagnosing PCa did not show a solid rise or fall over time. Chronic inflammation is more related to BPH than to PCa. Only CI showed a significant statistical association with AUR. Conclusion: Prostatic diseases show a stable trend over time. While CI is a common dominator for both BPH and PCa, it is associated more with BPH. Among all histological findings, only CI is related to the clinical presentation of AUR. PMID:26593165
Al-Daghri, Nasser M.; Abdulaziz Al-Othman; Abdulmajeed Albanyan; Al-Attas, Omar S.; Alokail, Majed S; Shaun Sabico; George P. Chrousos
In this prospective study we wanted to determine whether perceived stress over time among students in the Preparatory Year of King Saud University (KSU) predisposes them to cardiometabolic abnormalities. A total of 110 apparently healthy Saudi students (35 men and 75 women enrolled during the 2010?2011 academic year) were included. Perceived stress was determined at baseline and 1 year later. Anthropometrics were obtained and morning fasting serum glucose, lipid profile and cortisol were meas...
Al-Mu'tassim A. Al-Darayseh
This study aims at activating the use of English language dictionaries by English majors at Al-Imam Mohammad Bin Saud University located in Riyadh, the capital of Saudi Arabia. It mainly tries to find out students' skills in using dictionaries, the difficulties students encounter while using their dictionaries, and the type of the used dictionaries. The population of the study consists of all English majors at Al-Imam University, while the specific sample of the study consists of about 60 mal...
Full Text Available Abdullah Alkhayal,1 Shahla Aldhukair,2 Nahar Alselaim,1 Salah Aldekhayel,1 Sultan Alhabdan,1 Waleed Altaweel,3 Mohi Elden Magzoub,4 Mohammed Zamakhshary1,21Department of Surgery, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2Public Health Section, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 3Urology Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; 4Department of Medical Education, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaBackground: After almost a decade of implementing competency-based programs in postgraduate training programs, the assessment of technical skills remains more subjective than objective. National data on the assessment of technical skills during surgical training are lacking. We conducted this study to document the assessment tools for technical skills currently used in different surgical specialties, their relationship with remediation, the recommended tools from the program directors’ perspective, and program directors’ attitudes toward the available objective tools to assess technical skills.Methods: This study was a cross-sectional survey of surgical program directors (PDs. The survey was initially developed using a focus group and was then sent to 116 PDs. The survey contains demographic information about the program, the objective assessment tools used, and the reason for not using assessment tools. The last section discusses the recommended tools to be used from the PDs’ perspective and the PDs’ attitude and motivation to apply these tools in each program. The associations between the responses to the assessment questions and remediation were statistically evaluated.Results: Seventy-one (61% participants responded. Of the respondents, 59% mentioned using only nonstandardized, subjective, direct observation for technical skills assessment. Sixty percent use only summative evaluation, whereas 15% perform only formative evaluations of their residents, and the remaining 22% conduct both summative and formative evaluations of their residents’ technical skills. Operative portfolios are kept by 53% of programs. The percentage of programs with mechanisms for remediation is 29% (19 of 65.Conclusion: The survey showed that surgical training programs use different tools to assess surgical skills competency. Having a clear remediation mechanism was highly associated with reporting remediation, which reflects the capability to detect struggling residents. Surgical training leadership should invest more in standardizing the assessment of surgical skills.Keywords: objective assessment, program directors, surgical skills, surgical residency
H. M. Al-Hazzaa
OBJECTIVES To provide normative data on maximal cardiorespiratory function for healthy Saudi boys between the ages of 7-15 years. METHODS One hundred and thirty-seven Saudi boys from nearby schools in Riyadh, Kingdom of Saudi Arabia, participated in this study. Cardiorespiratory measurements were obtained during graded treadmill running until exhaustion. Gas exchange variables were assessed continuously throughout the test using open circuit spirometry. RESULTS Normative values...
Mohammed O. Al-Ghobain; Turki M. Al-Drees; Muhannad S. Alarifi; Hala M. Al-Marzoug; Waleed A. Al-Humaid; Abdulaziz M. Asiry
OBJECTIVES To assess Saudi patients' preferences regarding Saudi physicians' attire, and its influence on patients' level of trust and confidence in their physician. METHODS A cross-sectional survey was conducted from May to June 2011 among patients waiting to be seen by their physicians from the outpatient medical clinics of King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. Patients were asked multiple questions, which included their choice of preference r...
Hysterectomy is a common surgical procedure among women with a lifetime prevalence of 10%. The indications and complications of this procedure have not been previously reported from a teaching institution in Saudi Arabia. We examined the indications for hysterectomy and the surgical morbidity for women undergoing hysterectomy at a university hospital in Saudi Arabia. We reviewed the records of women who underwent hysterectomies for benign gynecological conditions between January 1990 and December 2002, at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, comparing patient characteristics, indications for hysterectomy and the rate of complications in women undergoing abdominal hysterectomy (AH) versus vaginal hysterectomy (VH). Of 251 women 199 (79%) underwent AH and 52 (21%) underwent VH. An estimated blood loss of >=500 mL occurred in 104 patients (52.3%) in the AH group and in 20 patients (38.5%) in the VH group (difference not statistically significant). The most common indications for hysterectomy were uterine fibroids (n=107, 41.6%) and dysfunctional uterine bleeding (n=68, 27.1%). The most common indication for VH was uterine prolapsed (n=45, 86.5%). The overall complication rates were 33.5%, 15.4% and 30.4% in women who underwent the AH group and in 51 patients in the VH group (20.3%). Postoperative infection occurred in 42/199 (21.6%) in the AH group and 5/52 (9.6%) in the VH group (difference not statistically significant). We describe a large series of hysterectomies, which provides information for surgeons on the expected of complications following hysterectomy for benign conditions. We describe a large series of hysterectomies, which provides information for surgeons on the expected rate of complications following hysterectomy for benign conditions. We found that the rate of complications was not significantly higher than other centers internationally. (author)
Full Text Available Background: Hirsutism among women of fertile age is commonly seen in clinical practice, but the pattern of the disease in Saudi Arabs has not been studied. The aim of the study was to determine the clinical, biochemical and etiologic features of hirsutism in Saudi females. Methods: 101 Saudi Arab women presenting with hirsutism at King Khalid University Hospital, Riyadh, Saudi Arabia, from 1 January 2000 to 31 December 2005 were prospectively assessed using the recently approved diagnostic guidelines for hyperandrogenic women with hirsutism. Results: Polycystic ovary syndrome (PCOS was the cause of hirsutism in 83 patients (82% followed by id-iopathic hirsutism (IH in 11 patients (11 %. Others causes of hirsutism included late onset congenital adrenal hyperplasia in 4 patients (4%, microprolactinoma in 2 (2% and Cushing?s syndrome in 1 (1% patient. Age at presentation of PCOS was 24.5±6.6 years (mean±SD and 51 % of the subjects were obese. Furthermore, 74 (89% of patients with PCOS had an oligo/anovulatory cycle while the remaining 9 patients (11 % maintained normal regular menstrual cycle. Luteinizing hormone and total testosterone were significantly higher in patients with PCOS than in those with IH (P< .05. Conclusions: The present data show PCOS to be the commonest cause of hirsutism in our clinical practice and PCOS is prominent amongst young obese females. However, further studies on a larger scale are needed to verify our findings.
Al-Ayadhi, Laila Y
OBJECTIVES The relationship between male and female sex hormones (testosterone, estradiol and progesterone), personality characters and professional status was studied. METHODS The study was conducted in Riyadh City, Kingdom of Saudi Arabia between September 2003 and May 2003. The participants completed a questionnaire consisting of personal information regarding age, profession, educational level and medical history. Then the participant went through an adjective checklist. Hormones...
Literature summarizing a study on the Saudi Arabian solar controlled environment agriculture system is presented. Specifications and performance requirements for the system components are revealed. Detailed performance and cost analyses are used to determine the optimum design. A preliminary design of an engineering field test is included. Some weather data are provided for Riyadh, Saudi Arabia. (BCS)
Full Text Available Ibrahim G Alghamdi,1 Issam I Hussain,1 Mohamed S Alghamdi,2 Mohamed A El-Sheemy1,3 1University of Lincoln, Brayford Pool, Lincoln, United Kingdom; 2Ministry of Health, General Directorate of Health Affairs Al-Baha, Kingdom of Saudi Arabia; 3Lincoln Hospital, Research and Development, United Lincolnshire Hospitals, National Health Service Trust, Lincoln, United Kingdom Background: This study presents descriptive epidemiological data related to breast cancer cases diagnosed from 2001 to 2008 among Saudi women, including the frequency and percentage of cases, the crude incidence rate (CIR, and the age-standardized incidence rate (ASIR, adjusted by the region and year of diagnosis. Methods: This is a retrospective descriptive epidemiological study of all Saudi female breast cancer cases from 2001 to 2008. The statistical analyses were conducted using descriptive statistics, a linear regression model, and analysis of variance with the Statistical Package for the Social Sciences version 20 (IBM Corporation, Armonk, NY, USA. Results: A total of 6,922 female breast cancer cases were recorded in the Saudi Cancer Registry from 2001 to 2008. The highest overall percentages (38.6% and 31.2% of female breast cancer cases were documented in women who were 30–44 and 45–59 years of age, respectively. The eastern region of Saudi Arabia had the highest overall ASIR, at 26.6 per 100,000 women, followed by Riyadh at 20.5 and Makkah at 19.4. Jazan, Baha, and Asir had the lowest average ASIRs, at 4.8, 6.1, and 7.3 per 100,000 women, respectively. The region of Jouf (24.2%; CIR 11.2, ASIR 17.2 had the highest changes in CIR and ASIR from 2001 to 2008. While Qassim, Jazan and Tabuk recorded down-trending rates with negative values. Conclusion: There was a significant increase in the CIRs and ASIRs for female breast cancer between 2001 and 2008. The majority of breast cancer cases occurred among younger women. The region of Jouf had the greatest significant differences of CIR and ASIR during 2001 to 2008. Jazan, Baha, and Najran had the lowest average CIRs and ASIRs of female breast cancer, whereas the linear trend upward is a concern in certain regions, such as the eastern region, Makkah, and Riyadh. However, further analytical epidemiological research is needed to identify the potential risk factors involved in the increase in the prevalence of breast cancer among Saudi women. Keywords: epidemiology, breast cancer, morbidity measure, public health, cancer epidemiology
This paper reports on Saudi Arabia which has earmarked about $450 million to clean up Persian Gulf beaches polluted by history's worst oil spills, created during the Persian Gulf crisis. Details of the proposed cleanup measures were outlined by Saudi environmental officials at a seminar on the environment in Dubai, OPEC News Agency reported. The seminar was sponsored by the Gulf Area Oil Companies Mutual Aid Organization, an environmental cooperative agency set up by Persian Gulf governments. Meantime, a Saudi government report has outlined early efforts designed to contain the massive oil spills that hit the Saudi coast before oil could contaminate water intakes at the huge desalination plants serving Riyadh and cooling water facilities at Al Jubail
El Bcheraoui C
Full Text Available Charbel El Bcheraoui,1 Mohammed Basulaiman,2 Mohammad A AlMazroa,2 Marwa Tuffaha,1 Farah Daoud,1 Shelley Wilson,1 Mohammad Y Al Saeedi,2 Faisal M Alanazi,2 Mohamed E Ibrahim,2 Elawad M Ahmed,2 Syed A Hussain,2 Riad M Salloum,2 Omer Abid,2 Mishal F Al-Dossary,2 Ziad A Memish,2 Abdullah A Al Rabeeah,2 Ali H Mokdad1 1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA; 2Ministry of Health of the Kingdom of Saudi Arabia, Riyadh, Saudi Arabia Background: Dietary risks were the leading risk factors for death worldwide in 2010. However, current national estimates on fruit and vegetable consumption in the Kingdom of Saudi Arabia (KSA are nonexistent. We conducted a large household survey to inform the Saudi Ministry of Health (MOH on a major modifiable risk factor: daily consumption of fruits and vegetables. Methods: The Saudi Health Interview Survey is a national multistage survey of individuals aged 15 years or older. It includes questions on sociodemographic characteristics, tobacco consumption, diet, physical activity, health care utilization, different health-related behaviors, and self-reported chronic conditions. We used a backward elimination multivariate logistic regression model to measure association between the Centers for Disease Control and Prevention (CDC-recommended daily consumption of fruits and vegetables and different factors. Results: Between April and June 2013, a total of 10,735 participants completed the survey. Overall, 2.6% of Saudis aged 15 years or older met the CDC guidelines for daily consumption of fruits and vegetables. The likelihood of meeting the CDC guidelines increased with age; among women; among persons who graduated from elementary or high school or had a higher education; among residents of Makkah, Al Sharqia, Ha’il, or Jizan; among those who consumed at least two servings of meat or chicken per day; among those who visited a health care facility for a routine medical exam within the last 3 years; and among those who have been diagnosed with hypertension. Conclusion: We have showed that KSA is in dire need of improving the diet of its population. Our findings call for urgent research to understand the reasons for low fruit and vegetable consumption, focusing on price or preference in order to develop and implement culturally and country-relevant solutions to increase the consumption of fruits and vegetables. Keywords: Kingdom of Saudi Arabia, fruits, vegetables, dietary risks, diet
The present study was conducted to establish cephalometric norms of Saudi boys based on the Steiners analysis, and to compare the results of the present study with similar studies conducted on other racial or ethnic groups. For this purpose, fifty-five healthy Saudi boys, with a mean age of 12.04 years, were selected from different schools of Riyadh. Female Saudis were not used for this study due to social restrictions with respect to the Kingdom's customs and traditions. Selection was made on the basis of normal occlusion, balanced and pleasing profile with no obvious facial asymmetry. None of the boys have undergone orthodontic treatment prior to this study. Lateral skull cephaiograms were taken and traced using a standardized technique. Each cephalogram was traced twice with a one week interval by the authors. All angular and linear measurements were calculated to the nearest 0.5 degree and 0.5 mm, respectively. Steiners method of cephalometric analysis was used to establish cephalometric norms. The result of the study demonstrated that the Saudi boys differed from other racial and ethnic groups in some skeletal and dental measurements. Generally, the Saudi boys revealed a more protrusive maxillary apical base and double dental protrusion. (author)
Jammah, Anwar A.; Alshehri, Anwar S.; Alrakhis, Afaf A.; Alhedaithy, Asma S.; Almadhi, Asma M.; Alkwai, Hala M.; Alhamad, Maram M.; Alzahrani, Saad H.
Objective: To determine the reference intervals for thyroid function tests and the prevalence of thyroid autoimmunity in the Saudi population. Methods: A cross-sectional prospective study was conducted in King Khalid University Hospital, Riyadh, Saudi Arabia from January to June 2013. History and physical examination were obtained. Thyroid-stimulating hormone (TSH), free thyroxine (FT4), and free triiodothyronine (FT3) were measured by Electro-chemiluminescence Immunoassay system-assay. Anti-thyroperoxidase, and anti-thyroglobulin antibodies were measured using enzyme-linked immunosorbent-assay. Subjects with previous or a family history of thyroid disorders, those taking medications affecting thyroid function, pregnant or lactating women, and those with goiter were excluded. Individuals with positive antibodies were excluded from the final analysis of the TSH reference range, but were used to determine the prevalence of thyroid autoimmunity. Results: Out of 337 Saudi subjects initially screened, 132 (aged 13-60 years) were candidates for reference calculation, the mean±standard deviation, and (2.5th-97.5th) percentile of TSH (mIU/L) was 1.96±0.9 (0.59-4.37), for FT4 (pmol/L) was 15.47±1.83 (12.04-19.13), and for FT3 (pmol/L) was 5.22±0.7 (4.07-6.76). The TSH was higher in the antibodies positive group (2.5±1.17 mIU/L) compared with the negative one (1.96±0.9 mIU/L) (p<0.05). Finally, 26% of subjects were tested positive for antithyroid antibodies. Conclusion: The TSH reference range was similar to laboratory references. Thyroid antibodies were prevalent in Saudis, necessitating further work in larger scale studies. PMID:25987111
Objective was to report on the prognosis, neurologic outcome, and recurrence of stroke in Saudi children. We evaluated a cohort of 104 Saudi children with stroke at the Division of Pediatric Neurology at King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia from July 1992 to February 2001 (retrospective study) and February2001 to March 2003 (prospective study). We analyzed the salient clinical, neuroimaging, neurophysiological, neuropsychological and laboratory data following retrieval from a specially designed comprehensive protocol. Of the 104 children in the cohort (aged one month to 12 years), 5 (4.8%) died during the study period and 9(8.7%) were lost to follow-up. The mean duration of follow-up for the remaining 90 children was 40 months (median 33 months). Recovery was judged complete in 6(6.7%) of these 90 children. We detected residual hemiparesis (irrespective of its effect on daily functions) in 73 (81%) and this was combined with other motor deficits in 45 children (50%). Forty-one children (46%) had residual dysphasia or language deficits, whereas 45 (50%) were judged to have had cognitive deficit. Psychometry revealed an abnormal intelligence quotient test (70) in 19 of 26 (73%) children. Other neurologic sequelae included epilepsy in 52 (58%), recurrent headaches in 13 (14%) and hydrocephalus in 4 (4.4%) patients, Six of the 95 (6.3%) children, who were ascertained to have died or kept their follow-up, had one or more occurrences, one month to 5 years after initial stroke (median 23 months). Patients who had recurrent strokes were significantly more likely to be the product of consanguineous marriages (p=0.04). Regarding the group of 23 children with perinatal stroke, neither deaths nor recurrences occurred during the follow-up period. However, 20 (87%) of them had significant delays in their developmental milestones. The toll of stroke in Saudi children is demanding, with most children demonstrating persistent neurologic or cognitive deficits. Primary prevention for recurrences is feasible through informed genetic counseling. (author)
Jomoah, Ibrahim M. [Department of Industrial Engineering, King Abdulaziz University Jeddah-21589 (Saudi Arabia); Kumar, R. Sreerama; Abdel-Shafi, Nabil Yassien [Saudi Electricity Company Chair for DSM and EE, Vice Presidency for Projects, King Abdulaziz University Jeddah 21589 (Saudi Arabia); Al-Abdulaziz, Abdulaziz Uthman M.; Obaid, Ramzy R. [Department of Electrical and Computer Engineering, King Abdulaziz University Jeddah-21589 (Saudi Arabia)
This paper investigates the effectiveness of the Building Energy Management System (BMS) installed in the typical buildings in the main campus of King Abdulaziz University, Jeddah, in Saudi Arabia. As the domestic electricity and hence the oil consumption in Saudi Arabia is increasing at a very alarming rate compared to the other countries in the world, it is of paramount importance to resort to urgent measures in various industrial, commercial and residential sectors in the country to implement energy conservation measures. The major electrical load in the buildings in the University corresponds to air-handling units and lighting. If the Hajj period, during which millions of pilgrims visit Holy Makah, coincides with the summer, the electricity demand in the country further increases. Considering these issues, the university has taken initiatives to minimize energy consumption in the campuses through the various energy conservation measures. Towards this end, BMS is installed in a few of the typical classrooms and office buildings utilizing the existing campus Ethernet TCP/IP. The data analysis is performed over the period from April to September as it is the peak load period due to summer season. The effectiveness of the BMS in the minimization of the energy consumption in these buildings is established by comparing the results of data analysis with BMS against those before the installation of BMS over the peak period. The investigations reveal that appreciable saving in energy consumption can be achieved with the installation of BMS, the magnitude being dependent upon factors such as building characteristics, type of building, its utilization and period of use.
H.A. Bokhary; Bahkali, A.H.; Sarwat Parvez
A total number of 28 species were isolated from different type of hairs including, sheep, goat, cow, rabbit and human hairs, by hair baiting technique. Isolated fungi were tested for hair degradation and also grown on Modified Dermatophyte Test Medium (DTM). A correlation was found between quntity of hair degradation and percent of coloured zone shown on DTM by the fungi tested.
Ahmed Alissa; Abdulla Al Eisa; Rozeena Huma; Sajeev Mulekar
OBJECTIVES To assess the clinical patterns, epidemiological profile of vitiligo, and its awareness among Saudi nationals. METHODS A retrospective study was conducted among Saudi nationals with a confirmed diagnosis of vitiligo presenting to the National Center for Vitiligo and Psoriasis, Riyadh, Saudi Arabia, from August 2002 to August 2006 using a retrospective questionnaire based on the history and medical records of patients. RESULTS Of the 4134 cases, 53.5% were females. Th...
This prospective study was conducted to demonstrate the role of bone mineral density (BMD) and bone scan in the management of adult Saudi female patients with established diagnosis of osteomalacia. Bone scan using Tc99m methylene diphosphate (MDP) and BMD of the lumbar spine and femoral neck using dual x-ray absorptiometry (DXA) were performed at the time of diagnosis 6 months and one year after therapy in 96 Saudi female patients attending the metabolic bone disease clinic at King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia, between January 1997 through to June 1999, aged between 20 and 73 years (mean 42 years). Alkaline phosphates, calcium and inorganic phosphorus were measured for all patients before and after treatment. 25 Hydroxy vitamin D was only measured with the first BMD measurements. A bone profile showed typical biochemical abnormalities of osteomalacia.The bone scan showed features of superscan in all patients and pseudofractures in 43 patients. BMD measures were compared with that of normal Saudi subjects matched for age and sex. The BMD was low at diagnosis and showed significant improvement after therapy. The improvement of bone density in response to therapy was more evident in lumbar spine than in femoral neck bone.Our results showed that BMD in adult Saudi female patients with osteomalacia was markedly affected probably due to specific constitutional and environmental factors ( inadeqate exercise, lack of sun exposure and lack of intake of milk and dairy products). In addition, lumbar BMD and serum calcium appeared to be better markers to monitor therapy.Bone scan helped in demonstrating disease activity, the presence of pseudofractures. (author)
The Saudi health sector has witnessed a significant progress in recent decades with some Saudi hospitals receiving international recognition. However, this progress has not been accompanied by the same advancement in the health informatics field whose applications have become a necessity for hospitals in order to achieve important objectives such…
The present study highlighted life styles related to coronary artery disease risk factors among patients attending a primary care clinic at King Khalid University Hospital, in Riyadh, Saudi Arabia. We conducted a cross-sectional study at a primary care clinic at King Khalid University Hospital, Riyadh, Saudi Arabia, during the period from 18/4/2006 to 13/6/2006. All adult male patients older than 12 years of age who attended one consultant primary care clinic were included in the study. All patients were interviewed by one consultant in family medicine during the study period. The patients were asked about dietary habits, physical activity and type of exercise, and smoking habits. Weight and height was taken for all patients by the nurse in the clinic and body mass index (BMI) were calculated for all patients. The total number of participants was 246 patients. The data were analyzed using the Statistical Package of Social Science (SPSS) version 11.5. A p value of less than 0.05 was considered statistically significant. Of the 246 male adult patients, 45.4% always consumed vegetables and fruits in their diet, 21.5% exercised on a daily basis, 51.2% exercised sometimes and 26% did not exercise at all. The type of exercise practiced by active participants was walking (76.5%) and sports (22.9%). Sports included football, basketball, swimming and other sports club activity. Only 20.7% of the participants had an ideal body weight (BMI=30). 8.9% of the participants were current smokers. Overweight and obesity is a common health problem among male adult patients attending a primary care setting. Improved dietary habits (consumption of vegetables and fruits and minimization of fat and suits) encouraging exercise and walking and helping current smokers to quit smoking are essential steps towards improving life styles in the community. It is an important health plan priority to concentrate on improving life styles in the Saudi community, to prevent cardiovascular risk factors and to reduce the prevalence of the coronary artery disease in the Kingdom of Saudi Arabia. Further, national community-based studies are recommended to evaluate life style factors related to coronary artery disease among both males and females at different age groups in Saudi Arabia. (author)
Aldebasi, Yousef Homood; Ahmed, Mohamed Issa
Background: Computer-based training (CBT) and internet-based training (IBT) have become a vital part of the Medical Education. A cross-sectional study was carried out in Qassim University-Kingdom of Saudi Arabia (KSA), with the objective of assessing the pattern of the computer and Internet utilization among both male and female medical students. Methods: A total of 500 medical students from 4 different medical colleges of Qassim University participated in this study. A semi-structured, pre-tested questionnaire was used to collect the data and the data analysis was done by using SPSS, Version 17. Results: Forty two percent female and twenty four percent male students used computers to get general information, 80% of the students reported using computers for academic activities and 52% females and 22% males used computers for entertainment. Most of the females preferred using computers at home (84%), while 54% males used computers at cyber cafés. For the information retrieval, 84% males used the internet, followed by journals/library (36%) and textbooks (35%), while the females preferred textbooks (75%) and the internet (14%). Google was found to be most commonly used search engine. Conclusion: The internet creates an educational delivery system; it is highly needed to increase the credit hours for the university requirement courses in computer application and the internet use for both among the male and female students. PMID:23905114
Salma Sa`ad Mohammad Al-Mashi; Amany Mokhtar Abdelhafez
The prevalence of obesity is increasing worldwide at an alarming rate in both developing and developed countries. It has become a serious epidemic health problem, estimated to be the fifth leading cause of mortality at global level. This study was designed to determine the prevalence of obesity among students at Umm Al-Qura University in Makkah, Saudi Arabia and to investigate some of the epidemiologic risk factors contributing to it. A cross sectional study was conducted during the aca...
In view of the risk of infection of dental health care workers and patients, interruption of possible chains of infection is to be demanded. The objective of this study was to assess infection control practice in private dental laboratories in Riyadh City, Kingdom of Saudi Arabia. The study was conducted on thirty-two private dental laboratories in Riyadh City regarding infection control practiced by these laboratories. The instrument of the study consisted of ten open-ended questions that were asked from the laboratories directors. A large percentage of the surveyed laboratories (87.5 %) did not implement any infection control protocol during their practice. The mean number of impressions received per week was 16. Most of the surveyed laboratories (90.6 %) had no way of communication with the clinics regarding the disinfection procedures. The results indicated that 62.5 % of the laboratories reported that they were aware that they may get infection from non-disinfected items. Only a small percentage (6.2%) of the laboratories added disinfecting agent to pumice slurry. Wearing laboratory coats was reported by 75% of the laboratory workers. The use of gloves during work was reported by 59.3% of the laboratories while 56.2% reported the use protective eyewear. Only 21.8% of the laboratories use face masks during work. Construction of infection control manuals that contain updated and recommended guidelines to ensure aseptic practice in private dental laboratories is highly recommended. Also, a way of communication between dentists and dental technicians regarding disinfection of laboratory items should be strongly encouraged. (author)
The aim of the study was to characterize the pattern of radiographic changes in the hands and feet of rheumatoid arthritis in Saudi patients. The radiographs of hands and feet of rheumatoid arthritis patients attending rheumatology outpatient clinics of King Khalid University Hospital in Riyadh, Kingdom of Saudi Arabia, over the period extending from March to June 2001, were examined and reported for the presence of osteopenia, joint space narrowing, and erosions. Fifty-six rheumatoid arthritis patients were studied. Their mean age was 50 + 1.9 years, and mean disease duration was 9.07 + 0.84 years. Generalized osteopenia was seen in 16/56 (29%) and periarticular osteopenia in 38/56 (68%). Joint space narrowing was present in 9/56 (16%) of feet and 35/56 (63%) of hand x-rays. Erosions were seen in 3/56 (6%) of feet and in 22/56 (39%) of hand x-rays. Significant correlation was seen between joints space narrowing, joint erosions, and disease duration. Radiographic changes in hands and feet of Saudi rheumatoid arthritis patients are less severe than those reported from the West, and the pattern is also different with less affection of the feet. (author)
The widespread use of mobile phones has been increased over the past decade; they are now an essential part of business, commerce and society. The use of mobile phones can cause health problems. Therefore, the aim of the present study is to investigate the association of using mobile phones with fatigue, headache, dizziness, tension and sleep disturbance in the Saudi population and provide health and social awareness in using these devices. This study was conducted in the Department of Physiology, College of Medicine, King Saudi University, Riyadh, Kingdom of Saudi Arabia during the year 2002 to 2003. In the present study, a total of 437 subjects (55.1% male and 39.9% female) were invited, they have and had been using mobile phones. A questionnaire was distributed regarding detailed history and association of mobile phones with health hazards. The results of the present study showed an association between the use of mobile phones and health hazards. The overall mean percentage for these clinical findings in all groups were headache (21.6%), sleep disturbance (4.%), tension (3.9%), fatigue (3%) and dizziness (2.4%). Based on the results of the present study, we conclude that the use of mobile phones is a risk factor for health hazards and suggest that long term or excessive use of mobile phones should be avoided by health promotion activities such as group discussions, public presentations and through electronic and print media sources. (author)
Cardiovascular complications in sickle cell disease (SCD) have been well documented but cardiac involvement in Saudi patients with SCD is not known. We sought to identify cardiac abnormalities by electrocardiography in adolescent and adult Saudi patients with stable SCD. Sixty-five consecutive patients with SCD followed at King Khalid University Hospital, Riyadh, were prospectively studied from January 2005 to December 2005. All patients underwent echocardiographic examination to determine chamber dimensions, left ventricular function, valvular anomalies and pulmonary artery pressure. Data were compared to normal age and gender-matched controls. Hematological data were also collected from the patients and correlated with the echocardiographic results. Twenty-eight males and 37 females were evaluated. The mean age of the group was 24.5+-9.2 range (14-44) years. The most common abnormality found was pulmonary hypertension (PH) present in 25 (38%) patients. The majority of these patients had mild PH and only 6 (9%) patients had pulmonary artery systolic pressure (PASP) more than 40 mm Hg. Older age, lower level of fetal hemoglobin and high serum ferritin were associated with increased PASP. Other abnormalities present included dilated left atrium in 17 (26%) patients, dilated right atrium 13 (20%), dilated left ventricle 10(15%), valvular anomalies 21 (32%) and reduced ejection fraction in 4 (6%) patients. Cardiac abnormalities are found in a significant proportion of Saudi patients with SCD. Pulmonary hypertension is the most common finding while other abnormalities are less frequent. (author)
AlQuaiz, Aljoharah M.; Maha A. Almuneef; Hafsa R. Minhas
OBJECTIVES To investigate the knowledge and sources of knowledge among Saudi female adolescent students, attending public and private schools in the city of Riyadh with regard to sexuality and reproductive health. METHODS This cross sectional survey was conducted from January to April 2009. Female adolescents between 11 and 21 years of age were invited to participate in the survey. Five classes of intermediate and secondary levels were randomly selected from 2 schools in Riyadh city....
Zeid A. Al Othman
Full Text Available This study was carried out to determine lead contamination in 104 of the representative food items in the Saudi diet and to estimate the dietary lead intake of Saudi Arabians. Three samples of each selected food items were purchased from the local markets of Riyadh city, the capital of Saudi Arabia. Each pooled sample was analyzed in triplicate by ICP-AES after thorough homogenization. Sweets (0.011–0.199 ?g/g, vegetables (0.002–0.195 ?g/g, legumes (0.014–0.094 ?g/g, eggs (0.079 ?g/g, meat and meat products (0.013–0.068 ?g/g were the richest sources of lead. Considering the amounts of each food consumed, the major food sources of lead intake for Saudi can be arranged as follows: vegetables (25.4%, cereal and cereal products (24.2%, beverages (9.7% sweets (8.2%, legumes (7.4%, fruits (5.4% milk and milk products (5.1%. The daily intake of lead was calculated taking into account the concentration of this element in the edible part of the daily consumption data which were derived from two sources, (a the KSA food sheet provided by the Food and Agriculture Organization (FAO and (b from questionnaires distributed among 300 families in Riyadh city. The results showed that the daily intakes of lead according to the two sources are 22.7 and 24.5 ?g/person/day respectively, which are lower than that mentioned by The Joint Expert Committee on Food Additives (JECFA, whereas it is comprabale with that of other countries.
Full Text Available Abeer A Alharbi,1 Hamza Mohammad Abdulghani2 1Department of Family and Community Medicine, 2Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia Introduction: Postpartum depression (PPD is one of the major psychological disorders worldwide that affects both mother and child. The aim of this study was to correlate the risk of PPD with obstetric and demographic variables in Saudi females. Materials and methods: Data were collected by interviewing females 8–12 weeks postpartum. PPD symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Variables included in this study were age, education, occupation, parity, baby's sex, pregnancy period, delivery type, hemoglobin level, anemia, and iron pills taken during pregnancy. Results: Of the 352 postpartum females, the prevalence of PPD symptom risk was 117 (33.2%. Among the PPD symptomatic females, 66 (39.8% had low hemoglobin levels, and 45 (40.5% females were anemic during pregnancy (P?0.05. These results suggest that early postpartum anemia, indicated by low hemoglobin level, is a significant risk factor for PPD (adjusted odds ratio 1.70, 95% confidence interval 1.05–2.74; P=0.03. Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95, but marginally indicative of the risk of depressive symptoms. Conclusion: Low hemoglobin level and anemia during pregnancy were risk factors for PPD in Saudi females. Many other factors may be considered risk factors, such as age, occupation, and parity. Anemic women need more attention and to be checked regarding their PPD, and treated if necessary. Keywords: postpartum depression, hemoglobin level, anemia, EPDS
Mohammad O. Al-Rukban; Fadi M. Munshi; Abdulghani, Hamza M.; Ibrahim Al-Hoqail
OBJECTIVES To evaluate the ability of preadmission criteria used in most health professional schools in Saudi Arabia to predict the in-program performance. METHODS This retrospective cohort study was conducted at King Fahd Medical City, Faculty of Medicine, Riyadh, Kingdom of Saudi Arabia between July and September 2008. Four sets were used to examine the predictive power of preadmission variables. The variables are the academic abilities (high school grades), aptitude test, achievem...
Abolfotouh, Mostafa A.; Al-Alwan, Ibrahim A.; Mohammed A. Al-Rowaily
Aim. (i) To estimate the prevalence of the metabolic abnormalities among Saudi college students in Riyadh, Saudi Arabia, and (ii) to investigate the association between different indicators of body composition and these abnormalities. Methods. A total of 501 college students participated in a cross-sectional study. Anthropometric assessments, BP measurements, and biochemical assessment were done. Metabolic abnormalities were identified. Results. Applying BMI, 21.9 % and 20.6% of students were...
Zubaidi, Ahmad M.; Nouf H. Al-Saud; Xena A. Al-Qahtani; Shaffi A. Shaik; Maha H. Abdulla; Khayal A. Al-Khayal; Al-Obeed, Omar A.
OBJECTIVES To study bowel patterns (function/habits) and its associated variables in an adult Saudi population. METHODS In a cross sectional study, a 21-item questionnaire on bowel function (habits and frequency) was distributed to 10,000 high school students from all 5 regions of Riyadh City, Saudi Arabia, between February and April 2011. The randomly selected students, and 2 of their household or family members completed the questionnaire. Socio-demographic characteristics, eating ...
Full Text Available Background: We conducted this study to assess knowledge of breast cancer and sources of information about breast cancer among women in Riyadh. We also analyzed whether associations existed between de-mographic variables, knowledge of breast cancer, and the practice of breast self-examination and use of mammography screening. Methods: Women interested in participating in this community-based descriptive study provided data by completing a pre-tested structured questionnaire. Results: Of 864 participating women, 84% were Saudi, 45% were mar-ried and 67.8% had a university level education. Eighty percent were be-tween the ages of 20 to 50 years. Knowledge of breast self examination (BSE was high; 82% (95% confidence intervals [CI], 79.2%-84.4% knew about BSE, while 61% (95% CI: 57.9%-64.5% knew about mammogra-phy, but only 41.2% (95% CI, 37.9%-44.5% had performed BSE and 18.2% (95%CI, 15.5%-20.8% had had mammography screening. Knowledge of breast cancer, risk factors and protective factors for breast cancer was moderate. There was a statistically significant association between the demographic characteristics (marital status, educational status and family history of breast cancer and knowledge and practice of BSE and mammography. Conclusion: Though it has limitations, this study revealed an imbal-ance between the knowledge and practice of BSE among women. It also showed that there is only moderate knowledge of risk and protective factors for breast cancer and that knowledge and practice of BSE and mammograms vary according to marital and educational status. Hence, frequent community-based awareness programs are needed so that all women can know and practice BSE, which in turn helps to prevent breast cancer.
We conducted this study to assess the knowledge of breast cancer and sources of information about breast cancer among women in Riyadh. We also analyzed whether associations existed between demographic variables. Knowledge of breast cancer and, and the practice of breast self examination and use of mammography screening. Women interested in participating in this community based descriptive study provided data by completing a pre-tested structured questionnaire. Of 864 participating women, 84% were Saudi 45% were married and 67.8% had a university level education*0% were between the ages of 20 to 50 years. Knowledge of breast self examination (BSE) was high 82% (95% CI, 79.2%-84.4%) knew about BSE, 61% (95% CI confidence intervals [CI], 79.2%-84.4%) knew about BSE , while 61% [95%CI, 57.9%-64.5%] knew about mammography but only 41.2% [95% CI, 37.9%-44.5%] had performed BSE and 18.2% (95% CI, 15.5%-20.8%)had had mammography screening Knowledge of breast cancer, risk factors and protective factors for breast cancer was moderate. There was a statistically significant association between demographic characteristics (marital status, educational status and family history of breast cancer) and knowledge and practice of BSE and mammography. Though it has limitations, this study revealed an imbalance between the knowledge and practice of BSE among women. It also showed that there is only that there is only moderate knowledge of risks and protective factors for breast cancer and that knowledge and practice of BSE and mammography vary according to marital and educational status. Hence, frequent community based awareness programs are needed so that all women can know and practice BSE, which in turn helps to prevent breast cancer. (author)
Al Eissa, Majid; Almuneef, Maha
Objectives: To describe increased child abuse and neglect (CAN) reporting and the characteristics of the reports in the context of the development of a system of intervention for one of the hospital-based child protection centers in Riyadh, Saudi Arabia aligned with the United Nations Convention on the Rights of the Child (CRC) Article 19.…
The present study highlighted life styles related to coronary artery disease risk factors among patients attending a primary care clinic at King Khalid University Hospital, in Riyadh, Saudi Arabia Methods: We conducted a cross-sectional study at a primary care clinic at King Khalid University Hospital, Riyadh, Saudi Arabia, during the period from 18/4/2006 to 13/6/2006. All adult male patients older than 12 years of age who attended one consultant primary care clinic were included in the study. All patients were interviewed by one consultant in family medicine during the study period. The patients were asked about dietary habits, physical activity and type of exercise, and smoking habits. Weight and height was taken for all patients by the nurse in the clinic and body mass index (BMI) was calculated for all patients. The total numbers of participants were 246 patients. The data were analyzed using the Statistical Package of Social Science (SPSS) version 11.5. A p value of less than 0.05 was considered statistically significant. Results: Of the 246 male adult patients, 45.4% always consumed vegetables and fruits in their diet, 21.5% exercised on a daily bases, 51.2% exercised sometimes, and 26% did not exercise at all. The type of exercise practiced by active participants was walking (76.5%) and sports (22.9%). Sports included football, basketball, swimming, and other sport club activity. Only 20.7% of the participants had an ideal body weight (BMI<25), 37.4% were overweight (BMI 25 to <30), while 37.7% of the participants were obese (BMI ? 30). 8.9% of the participants were current smokers. Conclusion and recommendation: Overweight and obesity is a common health problem among male adult patients attending a primary care setting. Improved dietary habits (consumption of vegetables and fruits, and minimization of fat and sweets), encouraging exercise and walking, and helping current smokers to quit smoking are essential steps towards improving life styles in the community. It is an important health plan priority to concentrate on improving lifestyles in the Saudi community, to prevent cardiovascular risk factors and to reduce the prevalence of coronary artery disease in The Kingdom of Saudi Arabia. Further, national community-based studies are recommended to evaluate lifestyle factors related to coronary artery disease among both males and females at different age groups in Saudi Arabia. (author)
Aljaloud, Sulaiman O.; Ibrahim, Salam A.
The objective of this study was to understand the usage patterns of dietary supplements among professional athletes in Saudi Arabia. The survey consisted of sixteen questions divided into four categories: use of supplements, reason for consumption of supplements, personal beliefs about supplements, and behavior. The questionnaires were given to the three teams residing in Riyadh: Al Hilal, Al Nasr, and Al-Shabab. Out of the 105 athletes surveyed, we found that only 98 are currently taking die...
Mobeireek, A F; al-Kassimi, F A; al-Majid, S A; al-Shimemry, A
OBJECTIVES: To study some ethical problems created by accession of a previously nomadic and traditional society to modern invasive medicine, by assessment of physicians' attitudes towards sharing information and decision-making with patients in the setting of a serious illness. DESIGN: Self-completion questionnaire administered in 1993. SETTING: Riyadh, Jeddah, and Buraidah, three of the largest cities in Saudi Arabia. SURVEY SAMPLE: Senior and junior physicians from departments of internal m...
Khalid Al-Ahmadi; Ali Al-Zahrani
Air pollution exposure has been shown to be associated with an increased risk of specific cancers. This study investigated whether the number and incidence of the most common cancers in Saudi Arabia were associated with urban air pollution exposure, specifically NO2. Overall, high model goodness of fit (GOF) was observed in the Eastern, Riyadh and Makkah regions. The significant coefficients of determination (r2) were higher at the regional level (r2 = 0.32–0.71), weaker at the governorate le...
al Faran, M F
Cataract is the leading cause of blindness in Saudi Arabia. The author studied 1383 patients who had undergone cataract extraction (total of 1520 procedures) from October 1985 to March 1986 at the King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. All patients were observed for at least two months. Of 1520 eyes 555 (37%) achieved a visual acuity of 20/40 or better, 309 (20%) a visual acuity of 20/50-20/60 after surgery, and 656 (43%) eyes a visual acuity of 20/70 or less. The number o...
Mehdi, Syed Riaz; Al Dahmash, Badr Abdullah
BACKGROUND AND OBJECTIVES: Riyadh and central province falls in a moderate prevalent zone of hemoglobinopathies in Saudi Arabia. However, it has been observed that the physicians working in Saudi Arabia invariably advise all cases of anemia for hemoglobin electrophoresis (HE). The present work was carried out to study the yield of the HE in Riyadh and the investigative practices of the physicians advising HE. SETTINGS AND DESIGN: The study was carried out in the hospitals of King Saud University from 2009 to 2011 in order to assess the yield of HE in referred cases of clinical anemia. MATERIALS AND METHODS: A total of 1073 cases divided in two groups of males and females had undergone complete blood count and red blood cell morphology. Cellulose acetate HE was performed and all the positive results were reconfirmed on the high performance liquid chromatography (HPLC). The results were analyzed for the type of hemoglobinopathies. For statistical analysis Statistical Package for Social Sciences 15 version (SPSS Inc., Chicago, IL, USA) was used. RESULTS: A total of 405 males and 668 females blood samples were included in the present study. 116 (28.5%) males and 167 (25%) females showed an abnormal pattern on HE. The incidence of beta thalassemia trait was higher in females while sickle cell trait was predominantly seen in males. Red cell indices were reduced considerably in thalassemias, but were unaffected in sickle cell disorders, except those which had concurrent alpha trait. The total yield of HE was 26.6% which was much less than expected. CONCLUSION: The physicians are advised to rule out iron deficiency and other common causes of anemia before investigating the cases for hemoglobinopathies, which employs time consuming and expensive tests of HE and HPLC. PMID:24339548
Syed Riaz Mehdi
Full Text Available Background and Objectives: Riyadh and central province falls in a moderate prevalent zone of hemoglobinopathies in Saudi Arabia. However, it has been observed that the physicians working in Saudi Arabia invariably advise all cases of anemia for hemoglobin electrophoresis (HE. The present work was carried out to study the yield of the HE in Riyadh and the investigative practices of the physicians advising HE. Settings and Design: The study was carried out in the hospitals of King Saud University from 2009 to 2011 in order to assess the yield of HE in referred cases of clinical anemia. Materials and Methods: A total of 1073 cases divided in two groups of males and females had undergone complete blood count and red blood cell morphology. Cellulose acetate HE was performed and all the positive results were reconfirmed on the high performance liquid chromatography (HPLC. The results were analyzed for the type of hemoglobinopathies. For statistical analysis Statistical Package for Social Sciences 15 version (SPSS Inc., Chicago, IL, USA was used. Results: A total of 405 males and 668 females blood samples were included in the present study. 116 (28.5% males and 167 (25% females showed an abnormal pattern on HE. The incidence of beta thalassemia trait was higher in females while sickle cell trait was predominantly seen in males. Red cell indices were reduced considerably in thalassemias, but were unaffected in sickle cell disorders, except those which had concurrent alpha trait. The total yield of HE was 26.6% which was much less than expected. Conclusion: The physicians are advised to rule out iron deficiency and other common causes of anemia before investigating the cases for hemoglobinopathies, which employs time consuming and expensive tests of HE and HPLC.
Mahmoud F El-Sharkawy
Full Text Available Aim of the Study: The complex hospital environment requires special attention to ensure a healthy indoor air quality (IAQ to protect patients and healthcare workers against hospital-acquired infections and occupational diseases. Poor hospital IAQ may cause outbreaks of building-related illness such as headaches, fatigue, eye, and skin irritations, and other symptoms. The general objective for this study was to assess IAQ inside a large University hospital at Al-Khobar City in the Eastern Province of Saudi Arabia. Materials and Methods: Different locations representing areas where most activities and tasks are performed were selected as sampling points for air pollutants in the selected hospital. In addition, several factors were studied to determine those that were most likely to affect the IAQ levels. The temperature and relative percent humidity of different air pollutants were measured simultaneously at each location. Results: The outdoor levels of all air pollutant levels, except volatile organic compounds (VOCs, were higher than the indoor levels which meant that the IAQ inside healthcare facilities (HCFs were greatly affected by outdoor sources, particularly traffic. The highest levels of total suspended particulates (TSPs and those less than 10 microns (PM 10 inside the selected hospital were found at locations that are characterized with m4ore human activity. Conclusions:Levels of particulate matter (both PM 10 and TSP were higher than the Air Quality Guidelines (AQGs. The highest concentrations of the fungal species recorded were Cladosporium and Penicillium. Education of occupants of HCF on IAQ is critical. They must be informed about the sources and effects of contaminants and the proper operation of the ventilation system.
A pilot study to estimate the prevalence of osteopenia and osteoporosis in postmenopausal Saudi woman. Lumbarspine bone density was measured in 830 postmenopausal Saudi women 50-80 years of age (average 59 years), using dual x-ray absorptiometry (DXA) at the King Khalid University Hospital,Riyadh,Kingdom of Saudi Arabia between 1989 and 1999. The result of the bone mineral density (BMD) in gram/cm2 were compared to the peak bone density (PBD) in healthy young women (T-score). Based on the definition of World Health Organization (WHO),the T-score value was considerd for analysis. Accordingly 248 (29.9%) subjects showed normal results,mean MBD of 1.117+-0.13 and T-score of-0.66SD; whlie 254(30.6%) subjects showed osteopenia ,mean BMD of 0.983+-0.11and T-score of -2.4 SD and 328( 39.5%) subjects showed osteoporosis,mean BMD of 0.767+-0.11and T-score of -3.4SD. when 830 subjects were analyzed by decades ,there were 42.3% normal , 33.4% osteopenia and 24.3% osteoporosis in age 50-59 years; 11% normal, 27% with osteopenia and 62% with osteoporosis in age 60-69 years while in older age 70-79 years only 4.6 had normal BMD, 21.5% had osteopenia and73.8% had osteoporosis. Osteopenia and osteoporosis are common among postmenopausal Saudi women and should be considerd as a matter of public health .Bone densitometry should be used to acess the severity of bone loss, identify those who need therapy and for follow up and early diagnosis of those with osteopenia in order to institute proper therapy and avoid future osteoporosis. (author)
Full Text Available Background: The high prevalence of physical inactivity in Saudi Arabia is a growing challenge to public health. This study aimed to examine the prevalence of physical activity (PA and associated factors among female university students. Methods: This cross-sectional study involved 663 randomly selected female university students who completed the Arab Teens Life Style questionnaire. Data included measurements of anthropometric, socioeconomic and environmental factors, as well as self-reported PA. Ordinal regression was used to identify associated factors with low, moderate and high PA levels. Results: The mean age of participants was 20.4 years (SD 1.5. Mean BMI of the students in relation to PA were 23.0, 22.9, 22.1 for high, moderate and low levels of activity, respectively. The analysis revealed significantly higher PA levels among married students, those with high educated mothers, and those who lived far from parks, and lower activity levels among underweight students. Conclusions: This study raises four important determinants for female university students’ PA levels. These factors could be of great importance in the endeavor to prevent the health-threatening increase in physical inactivity patterns and thus non-communicable diseases and obesity where the focus should be on the specific situation and needs of women in Saudi Arabia.
Nawal A. Al-Harbi; Eman S. Al-Abra; Nasser S. Alabbad
OBJECTIVES To study the effectiveness of utero-vaginal packing in the management of primary postpartum hemorrhage due to placenta previa/accreta. METHODS We conducted this study in the Maternity Hospital, Riyadh Medical Complex, Riyadh, Saudi Arabia. This is a retrospective study covering 7 years from January 2001 to December 2007. Utero-vaginal packing was carried out by placing gauze soaked in normal saline solution approximately 2 meters long and 10 cm in width into the lower uter...
Nasser M. Al-Daghri
Full Text Available In this prospective study we wanted to determine whether perceived stress over time among students in the Preparatory Year of King Saud University (KSU predisposes them to cardiometabolic abnormalities. A total of 110 apparently healthy Saudi students (35 men and 75 women enrolled during the 2010?2011 academic year were included. Perceived stress was determined at baseline and 1 year later. Anthropometrics were obtained and morning fasting serum glucose, lipid profile and cortisol were measured at both times. Perceived stress was noted among 48.2% of subjects at baseline and was not significantly different after follow-up, with 45.4% scoring high. In men, the prevalence of perceived stress was 48.6% at baseline (13 out of 35 and 37.1% at follow-up (13 out of 35, while in women it was 48% at baseline and 49.3% at follow-up. Interestingly, significant improvements in the blood pressure and lipid profiles, with the exception of HDL-cholesterol, were observed in both men and women, while fasting glucose also improved in women. Serum cortisol was inversely associated to fasting glucose, and total- and LDL-cholesterol (p-values 0.007, 0.04 and 0.04, respectively. These data are opposite to findings in students entering Western universities, in whom increasing stress and a deteriorating cardiometabolic profile have been repeatedly noted. Perceived stress and morning cortisol levels among students of the Preparatory Year in KSU remained constant for both genders over time, yet an improved cardiometabolic profile was observed, suggesting good adaptation among our pre-college students in their first year of university life.
Full Text Available Background: Biomedical publications from a country mirror the standard of Medical Education and practice in that country. It is important that the performance of the health profession is occasionally documented. Aims: This study aimed to analyze the quantity and quality of biomedical publications from the Kingdom of Saudi Arabia (KSA in international journals indexed in PubMed between 2008 and 2012. Materials and Methods: PubMed was searched for publications associated with KSA from 2008 to 2012. The search was limited to medical and biomedical subjects. Results were saved in a text file and later checked carefully to exclude false positive errors. The quality of the publication was assessed using Journal Citation Report 2012. Results: Biomedical research production in KSA in those 5 years showed a clear linear progression. Riyadh was the main hub of medical and biomedical research activity. Most of the publications (40.9% originated from King Saud University (KSU. About half of the articles were published in journals with an Impact Factor (IF of < 1, one-fourth in journals with no IF, and the remaining one-fourth in journals with a high IF (?1. Conclusion: This study revealed that research activity in KSA is increasing. However, there is an increasing trend of publishing in local journals with a low IF. More effort is required to promote medical research in Saudi Arabia.
To investigate the knowledge, attitudes and practices of primary care physicians towards prostate cancer counseling and screening. This cross sectional study was conducted in May 2009 to October 2009 through a survey questionnaire, which was distributed to all licensed primary care physicians in Riyadh, Saudi Arabia. The study took place in the Princes Al-Johara Al-Ibrahim Center for Cancer Research, King Saud University, Saudi Arabia. Data was obtained from 204 primary care physicians using self-reports of prostate cancer screening practices, knowledge, attitudes towards prostate cancer screening, and continuous medical education preferences. Respondents' characteristics were also collected. Approximately 54.7% of the respondents were practicing counseling and referring prostate cancer patients. The mean correct knowledge score was 54.3%, their attitude was not strong; the only statement that approximately 70% of physicians agreed upon was about the value of screening, however, the reliability and evidence to support digital rectal examination and prostatic specific antigen were in question. Our primary care physicians had self-confidence in suspecting and referring high-risk patients for screening, but not for management and treatment. Knowledge and attitude were found to be the most significant predictors that determine physicians' self practice. Physicians' practice towards a screening procedures or early detection of diseases should rely on a good background of information, which in turn enhances their self-efficacy and develops a good and positive attitude towards their practice skills (Author).
Objective was to determine the prevalence and regional distribution ofsickle cell disease in Saudi children. A sample size of 45,682 children andadolescents from newborn to 19 years of age was selected by multistage randomprobability sampling of the Saudi households from each of the 13 regions ofthe country. The study is cross-sectional, community based and conducted over2 years from 2004 to 2005. Data including history and clinical examinationwere collected with house-to-house survey of all selected households. Datamanagement and analysis was carried out at King Saud University, Riyadh,Saudi Arabia. Sickle cell disease was detected in 108 of 45,682 children andadolescents with a prevalence of 24 per 10,000. The regional distribution ofsickle cell disease showed eastern region dominance with a prevalence of 145per 10,000, followed by the southern region with a prevalence of 24 per10,000, western region 12 per 10,000and central region with 6 per 10,000. Nocases were found in the northern region. The male to female ratio wasapproximately 1:1. The results of this national wide community-based surveyshow a high prevalence of sickle cell disease. In the community and thedisease is more common in eastern and southern regions of the country.National or regional newborn screening programs for sickle cell disease usinghematological tests should be planned. This study shows that the populationat risk has an uneven geographical distribution. For this reason, selectiverather than universal neonatal screening is likely to be more appropriate inthe country. (author)
Full Text Available Fadia S AlBuhairan,1–3 Tina M Olsson3,4 1Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia; 2King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 3King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; 4School of Social Work, Lund University, Lund, Sweden Background: Adolescent health is regarded as central to global health goals. Investments made in adolescent health and health services protect the improvements witnessed in child health. Though Saudi Arabia has a large adolescent population, adolescent health-care only began to emerge in recent years, yet widespread uptake has been very limited. Health-care providers are key in addressing and providing the necessary health-care services for adolescents, and so this study was conducted with the aim of identifying opportunities for the advancement of knowledge transfer for adolescent health services in Saudi Arabia. Methods: This Web-based, cross-sectional study was carried out at four hospitals in Saudi Arabia. Physicians and nurses were invited to participate in an online survey addressing their contact with adolescent patients, and training, knowledge, and attitudes towards adolescent health-care. Results: A total of 232 professionals participated. The majority (82.3% reported sometimes or always coming into contact with adolescent patients. Less than half (44%, however, had received any sort of training on adolescent health during their undergraduate or postgraduate education, and only 53.9% reported having adequate knowledge about the health-care needs of adolescents. Nurses perceived themselves as having more knowledge in the health-care needs of adolescents and reported feeling more comfortable in communicating with adolescents as compared with physicians. The majority of participants were interested in gaining further skills and knowledge in adolescent health-care and agreed or strongly agreed that adolescents have specific health-care needs that are different than children or adults (82.3% and 84.0%, respectively. With respect to health services, the majority (85.8% believed that adolescents should be hospitalized in adolescent-specific wards. Only 26.7% of health-care providers believed that patients should be transferred from child to adult health-care services at 12–13 years of age, as is currently practiced in the country. Conclusion: A gap exists between the training, knowledge and skills of health-care providers, and the needs to address health-care issues of adolescents in Saudi Arabia. This coupled with the fact that health-care providers are interested in gaining more knowledge and skills and are supportive of changes in the health-care system provides an opportunity for building local capacity and instituting medical and nursing education and health-care reform that can better serve the needs of the country's young population. Keywords: medical education, young population, knowledge transfer
Background: Breast cancer is the first cancer among females in the Kingdom of Saudi Arabia, accounting for 27.4% of all newly diagnosed female cancers in 2010. There are several risk factors affecting the incidence of breast cancer where some factors influence the risk more than the others. Aim: We aimed to identify the different risk factors related to breast cancer among females participating in the breast-screening program in Riyadh, KSA. Methods: Based on data from phase-I of the breast-screening program, a case-control study was conducted on women living in Riyadh, KSA. A sample of 349 women (58 cases and 290 controls) was recruited to examine the different breast cancer correlates. Multivariate regression model was built to investigate the most important risk factors. Results: The mean age of cases was 48.5 ± 7.1 years. Age at marriage, number of pregnancy, age at menopause, oral contraceptive pills, breast feeding and family history of breast cancer in first-degree relative were identified as the most important correlates among the studied cohort. Conclusions: The findings of the current work suggested that age at marriage, age at menopause ?50 years, and 1st degree family history of breast cancer were risk factors for breast cancer, while, age at menopause<50 years, number of pregnancies and practicing breast feeding were protective factors against breast cancer. There was no effect of body mass index or physical inactivity. Further studies are needed to explore the hereditary, familial and genetic background risk factors in Saudi population.
Ali Z Al Watban
Full Text Available Background: Although the prevalence of suspected tuberculosis (TB in the Kingdom of Saudi Arabia remains high, there has been a modest decrease in recent years. In this multi-center cross-sectional study, the prevalence of TB was determined by various techniques with the aim of identifying differences and indicating where there is uniformity in findings. Materials and Methods: A total of 3404 samples were collected from Saudi TB patients from different regions in Saudi Arabia: Riyadh, Dammam, Jeddah, Madinah, Hail, Qassim, Jazan, and Taif. Different techniques including Ziehl-Neelsen (ZN, Mycobacteria growth indicator tube (MGiT, Lowenstein-Jensen (LJ, and polymerase chain reaction (PCR were used to screen for the presence of Mycobacterium tuberculosis (MTB. Results: ZN stain showed that Riyadh and Dammam had the highest prevalence of MTB with 22% and 21%, respectively, while prevalence was lowest in Jazan and Hail with an incidence of 2% and 3%, respectively. MGiT culture showed that Riyadh, Dammam, and Jeddah had the highest prevalence with a rate of 26%, 22%, and 22%, respectively. LJ culture showed the highest prevalence in Riyadh and Dammam with 22% and 21%, respectively. Of all the techniques, the highest detection rate was by PCR which was 10.46% while ZN stain technique was 6.64%, for MGiT culture it was 8.34%, and for LJ culture it was 7.7%. Conclusion: This study is the first in which different methods have been used for detection in the various regions of Saudi Arabia. Collected data are important not only for patients and physicians but for future epidemiological studies to monitor the spread of MTB infection in Saudi Arabia.
To describe the clinical features and presentations of perinatal stroke in a prospective and retrospective cohort of Saudi children and ascertain the risk factors. Patients with perinatal stroke were identified from within a cohort of 104 Saudi children who were evaluated at the Division of Pediatric Neurology at King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia from July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study). Neuroimaging for suspected cases of stroke consisted of cranial CT, MRI, or both. During the study period, 23 (22%) of 104 children (aged one months to 12 years) were diagnosed to have had perinatal stroke. The male: female ratio was 1.6:1. Ten (67%) of the 15 children who had unilateral ischemic involvement had their lesion in the left hemisphere. The presentation of the ischemic result was within 24-72 hours of life in 13 (57%) patients, and in 6 children (26%), motor impairment was recognized at or after the age of 4 months. Nine children (39%) had seizures at presentation. Pregnancy, labor, and delivery risk factors were ascertained in 18 (78%) cases. The most common of these included emergency cesarean section in 5 cases, and instrumental delivery in other 5. Screening for prothrombotic risk factors detected abnormalities in 6 (26%) patients on at least one test carried out between 2 months and 9 years of age. Four children (17%) had low protein C, which was associated low protein S and raised anticardiolipin antibodies (ACA) in one patient, and low antithrombin III in another. Low proteins S was detected in a 42-month-old boy. The abnormality in the sixth child was confined to raised ACA. The present study highlights the non-specific features by which stroke presents during the neonatal period. The data are in keeping with the potential role for inherited and acquired thrombophilia as being the underlying cause. However, the high prevalence of additional acquired antenatal and perinatal risk factors support a multifactorial disorder. (author)
Schiettecatte, Jérémie; Chabrol, Antoine; Gandreau, David; Gavazzi, Bruno; Monchot, Hervé; Moriset, Sébastien; Mouton, Michel; Niveleau, Mathieu; Simeon, Pierre
Report of the archaeological, geophysical, archaeozoological and topographical activities of the French-Saudi mission in the oasis of al-Kharj, 80 km South of Riyadh, in the Central Province of Saudi Arabia carried out from November 11 to December 18 2012. It includes chapters on: - The geographic and historical setting - Description on the Registration system - Report of the exploration of the site of al-Yam?ma (geophysical survey, topographical survey, archaeological sounding, , excavation ...
Full Text Available Background: Medical education & medical profession are among the most challenging and most stressful ones. Anxiety and depression represents an escalating public health problem among medical students. The objective of the study was to determine the prevalence & predictors of anxiety and depression among female medical students in King Abdulaziz University, Jeddah, Saudi Arabia.Methods: A cross- sectional study was carried out during 2010-2011. A stratified random sample method was used to select 450 medical students. A confidential, anonymous & self administered questionnaire included Standardized Hospital Anxiety & Depression Scale was used.Results: The mean scores for anxiety and depression were 9.32 ± 3.77 & 6.59 ± 3.62, respectively. There is a positive correlation between anxiety & depression scores (r= 0.52, P< 0.001. Prevalence of morbid anxiety and depression were 34.9% and 14.7%, respectively. Logistic regression analysis revealed that the first predictor of morbid anxiety was depression (adjusted Odds Ratio (aOR = 3.28; 95% Confidence Interval (CI: 1.85-5.82, P < 0.001. Students complained from condensed academic course, had academic and emotional failures during the 6 months preceded the study were about 2 times more prone to anxiety. Predictors of depression were having anxiety, nationality (being non-Saudi & having emotional failure.Conclusion: Medical students encountered high rates of anxiety & depression compared to others. Academic problems and major life events were the main predictors. Enhancing faculty preventive & curative mental health services is recommended. Initiation of stress management courses & enhancing academic advising services are required since the start of medical education.
An elevated resting heart rate (Rhr) has been linked with adverse cardiovascular outcomes. Obese people have altered autonomic balance that could lead to elevated Rhr and altered responses to postural changes. As no comparative data are available on Rhr in young normal weight (NW) and obese (OB) adults in Saudi Arabia, the present study was aimed at finding out the effect of adiposity on RHR and RHR response to change in posture. Methods: Second-year male students (n=231; age:19-20 years), were recruited from the Dammam University, Dammam, Saudi Arabia, during the period September 2008 to October 2009. Anthropometric measures were obtained and indices of obesity (body mass index [EMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-stature ratio [WSR]) were calculated. RHR in standing and supine positions were obtained from radial pulse. Pearson's correlation (r) between obesity indices and RHR as well as the differences between RHR in NW and OB groups were calculated. Results: General obesity (BMI greater or equal to 25.0 kg/m1 was found in 45.5% students. Central obesity (WC>85 cm or WSR>50.0) was found in 36.8% students. RHR was significantly correlated with BMI, WC and WSR (r=O.305, 0.300, 0.299 respectively, p< O.01) . Subjects above the obesity indices cut-off points had significantly higher values of RHR in both standing and supine positions compared to NW individuals (p<0.05). There was a greater reduction in RHR on changing the posture to supine state in OB group. Conclusion: A significantly higher RHR and a greater change in RHR on changing the posture point towards an altered autonomic balance in OB group of young adolescent males. This underscores the need to implement health education program to combat obesity at school and college levels. (author)
Full Text Available Nazri Omar,1,2 Charbel T Bou Chacra,1 Khalid F Tabbara1,3,4 1The Eye Center and The Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia; 2Department of Ophthalmology, Universiti Putra Malaysia, Serdang, Malaysia; 3Department of Ophthalmology, King Saud University, Riyadh, Saudi Arabia; 4The Wilmer Ophthalmological Institute of Johns Hopkins University School of Medicine, Baltimore, MD, USA Background: The aim of this work was to describe the indications, complications, and outcomes of penetrating keratoplasty (PKP in Saudi Arabia. Methods: In a retrospective, noncomparative interventional case series, the medical records of patients who underwent PKP from January 2000 to December 2008 and had a minimum follow-up of 6 months were reviewed. All corneas were obtained from eye banks in the US. Indications, complications, and outcomes of surgery were recorded. This study was approved by the institutional review board. Results: Eighty-five consecutive eyes were included in this study. There were 52 (61.2% males and 33 (38.8% females. The median age was 35.0 years (range 3–85 years, and the median follow-up period was 24 months (range 6–108 months. The indications for PKP were keratoconus, bullous keratopathy, corneal scars, corneal dystrophy, and corneal regraft. The overall graft survival time was 88.9 months ± 4.9 months (mean ± standard error of mean, 95% confidence interval [CI] 79.4 months -98.4 months while the 3-year and 5-year cumulative survival rates were 90.7% and 84.3%, respectively. Surgical indication (P = 0.038, immune rejection (P < 0.001, preoperative corneal vascularization (P = 0.022, and perioperative high intraocular pressure (P = 0.032 were associated significantly with corneal graft failure in univariate analysis. Multivariate analysis reduced these significant associations to rejection (P < 0.001 and vascularization (P = 0.009. Relative risk for failure in rejected cornea was 16.22 (95% CI 4.99–52.69 and in vascularized cornea was 3.89 (95% CI 1.36–11.09. At last visit following PKP, 34 (40% eyes had best spectacle-corrected visual acuity of 20/40 or better, and 51 (60.0% eyes had 20/80 or better. Best spectacle-corrected visual acuity was worse than 20/400 in 15 (17.6% eyes. Conclusion: The overall corneal graft survival in a private setting in Saudi Arabia can be excellent. Thorough preoperative evaluation and comprehensive postoperative management are crucial for successful corneal transplantation. A larger multicenter study is recommended to portray the outcome of private corneal transplantation in Saudi Arabia in general. Keywords: cornea, corneal transplantation, corneal dystrophy, corneal scars, bullous keratopathy, keratoconus, herpetic keratitis
Al-Saleh, Mohammed A; Amer, Mahmoud A
In 2011-2012, sixty nine samples were collected from alfalfa plants showing viral infection symptoms in Riyadh region. Mechanical inoculation with sap prepared from two collected samples out of twenty five possitive for Alfalfa mosaic virus (AMV) by ELISA were produced systemic mosaic on Vigna unguiculata and Nicotiana tabacum, local lesion on Chenopodium amaranticolor and C. quinoa. Vicia faba indicator plants that induce mosaic and mottle with AMV-Sagir isolate and no infection with AMV-Wadi aldawasser isolate. Approximately 700-bp was formed by RT-PCR using AMV coat protein specific primer. Samples from infected alfalfa gave positive results, while healthy plant gave negative result using dot blot hybridization assay. The nucleotide sequences of the Saudi isolates were compared with corresponding viral nucleotide sequences reported in GenBank. The obtained results showed that the AMV from Australia, Brazil, Puglia and China had the highest similarity with AMV-Sajer isolate. While, the AMV from Spain and New Zealaland had the lowest similarity with AMV-Sajer and Wadi aldawasser isolates. The data obtained in this study has been deposited in the GenBank under the accession numbers KC434083 and KC434084 for AMV-Sajer and AMV- Wadialdawasser respectively. This is the first report regarding the gnetic make up of AMV in Saudi Arabia. PMID:25288969
AL-Saleh, Mohammed A.; Amer, Mahmoud A.
In 2011–2012, sixty nine samples were collected from alfalfa plants showing viral infection symptoms in Riyadh region. Mechanical inoculation with sap prepared from two collected samples out of twenty five possitive for Alfalfa mosaic virus (AMV) by ELISA were produced systemic mosaic on Vigna unguiculata and Nicotiana tabacum, local lesion on Chenopodium amaranticolor and C. quinoa. Vicia faba indicator plants that induce mosaic and mottle with AMV-Sagir isolate and no infection with AMV-Wadi aldawasser isolate. Approximately 700-bp was formed by RT-PCR using AMV coat protein specific primer. Samples from infected alfalfa gave positive results, while healthy plant gave negative result using dot blot hybridization assay. The nucleotide sequences of the Saudi isolates were compared with corresponding viral nucleotide sequences reported in GenBank. The obtained results showed that the AMV from Australia, Brazil, Puglia and China had the highest similarity with AMV-Sajer isolate. While, the AMV from Spain and New Zealaland had the lowest similarity with AMV-Sajer and Wadi aldawasser isolates. The data obtained in this study has been deposited in the GenBank under the accession numbers KC434083 and KC434084 for AMV-Sajer and AMV- Wadialdawasser respectively. This is the first report regarding the gnetic make up of AMV in Saudi Arabia. PMID:25288969
Alwan, Ibrahim A. Al; Ibrahim, Areej A.; Badri, Motasim A.; Dubayee, Mohammed S. Al; Bin-Abbas, Bassam S.
Objectives: To estimate age at menarche and to assess trends in menarcheal age among Saudi women. Methods: A prospective longitudinal study was conducted among healthy prepubertal female school children and adolescents from September 2006 to July 2012 in Riyadh, Kingdom of Saudi Arabia. Study participants were invited from diverse socioeconomic backgrounds. Tanner stage, height, weight, body mass index, and socioeconomic parameters including parent’s level of education were collected. Age at menarche was compared with maternal age at menarche. Results: The study included 265 girls and mothers. Mean±standard deviation (SD) age at menarche for girls was 13.08 ± 1.1 years, and their distribution category across the ?10 years was 4 (1.5%), 11-14 years was 239 (90.2%), and ?15 years was 22 (8.3%) girls. Anthropometric measurements, mother’s level of education, and family income were not statistically significant determining factors associated with age at menarche. Mean ± SD age at menarche for mothers was 13.67 ± 1.4 years, and their distribution category across the ?10 years was 7 (2.6%), 11-14 years was 172 (64.9%), and ?15 years was 86 (32.5%). Girls attained menarche at younger age compared with their mothers (p<0.0001). A downward secular trend in age of menarche was observed (Cuzick test for trend = 0.049). Conclusion: Saudi girls attain menarcheal age earlier than their mothers, reflecting a downward secular trend in menarcheal age. PMID:26593166
Al-Kadri, Hanan M.; Samiha H. Al-Awami; Azza M. Madkhali
OBJECTIVES To investigate whether postmenopausal bleeding (PMB) in our postmenopausal patients is a significant early symptom of uterine cancer (UC) and to assess risk factors for developing the disease in our population. METHODS A retrospective observational study conducted at King Fahad National Guard Hospital (KFNGH), Riyadh, Kingdom of Saudi Arabia. A review of documents was carried out from PMB patients who were admitted to the hospital from January 1990 through to December 2000...
Mohamed, Badreldin A.; Manal M. Samarkandy; Adel A. Al-Hamdan
Objectives: To assess the nutritional status and prevalence of obesity among children with Down syndrome (DS). Methods: The study group comprised pre-pubertal children, with clinically and cytogenetically proven DS. Healthy siblings, closest in age to the DS children, were used as a control group. Body weight, height, body mass index (BMI), triceps skinfold thickness (TSFT), and macro- and micronutrient intakes were measured in both groups. The study was conducted in Riyadh, Kingdom of Saudi ...
Ahmed A. Al-Aqeeli; Guy, Mary L.; Suliman A. Al-Jumaah
OBJECTIVES The proportion of penicillin and ceftriaxone resistant Streptococcus pneumoniae isolates and associated risk factors varies by geographic areas in the world. We conducted a retrospective study to determine the extent of penicillin and ceftriaxone non-susceptible Streptococcus pneumoniae bacteremia in a tertiary care medical center in the city of Riyadh, Kingdom of Saudi Arabia. METHODS We reviewed 172 episodes of Streptrococcus pneumoniae bacteremic diseases involving 160 ...
Omar M. Hijazi; Amr A. Shahin; Nasser A. Haidar; Muna F. Sarwi; Eman S. Musawa
OBJECTIVES To bring to light issues surrounding water safety practices and the impact of such incidents on these practices in our community. METHODS We conducted a prospective observational study at King Abdul-Aziz Medical City, Riyadh, Kingdom of Saudi Arabia of all children <12 years of age presenting with submersion injury in the period between January 1999 through December 2004 noting the demographics and the pattern of water safety practices prior to and after event. RESUL...
Thamir M. Alshammari; Adel A. Alrwisan; Majed I. Aljeraisy; Khaled W. Taher; Faisal M. Alissa; Mahmoud, Mansour A.; Mohamad A. Hassali; Hisham S. Aljadhey
Objective: To assess the knowledge and attitudes of healthcare professionals (HCPs) toward systems used in describing the safety of medications use during pregnancy. Methods: A cross-sectional self-administered survey was conducted in 4 tertiary hospitals in Riyadh, Saudi Arabia between March and May 2012. The targeted HCPs were physicians and pharmacists. The survey was validated and contained 4 main sections. Descriptive statistics were used to report responses to the survey’s questions. Re...
Alghamdi, Ibrahim G; Hussain, Issam I; Alghamdi, Mohamed S; Dohal, Ahlam A; Almalki, Shaia S; El-Sheemy, Mohammed A
This study provides a descriptive epidemiological data of thyroid cancer cases diagnosed from 2001 to 2008 among Saudi women, including the frequency and percentage of cases, the crude incidence rate (CIR) and the age-standardised incidence rate (ASIR) stratified by the region and year of diagnosis. This is a retrospective descriptive epidemiological analysis of all Saudi thyroid cancer cases recorded in the Saudi Cancer Registry (SCR) between January 2001 and December 2008. The statistical analyses were applied using descriptive statistics with the Statistical Package for the Social Sciences version 20.0. A total of 2,930 cases were recorded in the SCR between January 2001 and December 2008. The region of Riyadh in Saudi Arabia had the highest overall ASIR at 9.43 per 100,000 women, followed by Tabuk at 7.11 and eastern region at 6.5, while Jazan and Jouf had the lowest average ASIRs at 1.97 and at 2.72, respectively. The region of Qassim recorded the greatest changes of ASIR at 5.5 per 100,000 women from 2001 to 2008. There was a slight increase in the CIRs and ASIRs for thyroid cancer in Saudi Arabia between 2001 and 2008. Riyadh, Tabuk and eastern region were the highest overall ASIR in Saudi Arabia. While, Jazan and Hail had the lowest rates. Finally, the region of Qassim had the highest changes in CIR and ASIR from 2001 to 2008. Further analytical studies are needed to determine the potential risk factors of thyroid cancer disease among Saudi women. PMID:24859807
Ibrahim, Nahla Khamis; Alamoudi, Banan Mohammad; Baamer, Wejdan Omar; Al-Raddadi, Rajaa Mohammad
Objectives: To determine the prevalence and predictors of self-medication with analgesics among senior medical students and interns in King Abdulaziz University (KAU), Jeddah, Saudi Arabia. Methods: A cross-sectional study was conducted among 504 participants in 2013. A multistage stratified random sampling was used. A confidential, anonymous & self-administered questionnaire was used to collect personal & socio-demographic data. Data about self-medication and self-medication with analgesics during the preceding 6 months were also inquired. Both descriptive and analytical statistics were done by SPSS version 18 & Epi-Info. Results: During the 6 months preceding the study, 75.2% and 55.4% of participants used self -medication & analgesic self-medication, respectively. The first predictor of utilization of analgesic self-medication was living with family (aOR; 1.96, 95% CI: 1.22-3.14), followed by age >21 years & non- professional jobs of fathers. Conclusion: Alarming high rates of self medication and self-medication with analgesics were observed among medical students and interns. Self-medication needs improvement through educational, regulatory and managerial strategies. PMID:25878607
Mastour S Alghamdy
Full Text Available Background and Aim: Medication Errors can result in drug-related problems (DRPs. Insight into the frequency, type, and severity of DRPs could help reduce their incidence. The aim of the present study was to estimate the prevalence of admissions as a result of DRPs at the Emergency Department (ED of a university hospital in the Kingdom of Saudi Arabia. Materials and Methods: Files of suspected cases of DRPs reporting to ED in the year 2012 were scrutinized. Suspicion arose from the hospital record system based on Diagnosis Code Numbers (ICD-9-CM, Professional 2010 and from triggers, such as some drugs, laboratory tests, and signs and symptoms pointing to DRPs. Results: Of 5574 admissions, 253 (4.5% were DRPs and were categorized as: Overdose toxicity and side effects of drugs 50 (19.8%, drug-interactions 29 (11.5%, accidental and suicidal drug ingestions 26 (10.3%, drug abuse 18 (7.1%, drug allergy 10 (4%, super-infections 8 (3.2%, and noncompliance to treatment 112 (44.3%. About 70% of DRPs were preventable; 67 (26.5% required hospital admission for 7-102 days and 10 (4% died. Conclusions: Noncompliance to treatment, overdose toxicity, drug interactions, and drug abuse are important causes of hospital admissions as a result of DRPs. Awareness of prescribers to the problem and their education would help to prevent them and improve patient care.
Objective was to report on the role of infectious and inflammatory disorders as risk factors for stroke in a prospective and retrospective cohort of Saudi children. Children, who presented with stroke, were evaluated at the Division of Pediatric Neurology or admitted to King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study). Investigations for suspected cases included haemostatic assays, microbiological and serological tests. Neuroimaging included cranial CT, MRI magnetic resonance angiography (MRA), magnetic resonance venography (MRV) and single photon emission computed tomography (SPECT) brain scan. Of the 104 Saudi children with stroke, seen during the combined study periods of 10 years and 7 months, infectious and inflammatory disorders of the circulatory systems were identified risk factors in 18 (17.3%). Five children had stroke following acute bacterial meningitis at ages ranging between 5-21 months. The causative organism was identified in 3 of them and consisted of Haemophilus influenza (in a 5-months-old girl), Streptococcus pneumonia (in a 21-months-old girl complicated by subdural empyema and sinovenous thrombosis), and Staphylococcus aureus in a 6-months-old boy who had an underlying chronic granulomatous disease. Unspecified meningitis/meningoencephalitis affected 4 patients, whereas 3 children had an underlying congenital infection as a cause for their stroke. Two of the latter 3 children were diagnosed to have congenital toxoplasmosis, and the third had congenital rubella syndrome. Two girls had stroke following septicemia at ages of one and 2 months. Neurobrucellosis caused stroke in 2 boys at the ages of 4 1/2 and 4 years. In both patients, neuroimaging revealed lacunar and other infects involving mainly the deep cerebral nuclei, secondary to occlusion of small penetrating end arteries. Two patients presented with cerebrovascular disease following systemic lupus erythematosus. These were a 12-year-old girl and a 5-year-old boy. Several of the infectious diseases that caused stroke in this cohort of Saudi children are children are potentially preventable through childhood immunization programs or other maternity health programs. In particular, immunogenic conjugate vaccines against 3 most common organisms causing acute bacterial meningitis (Haemophilus influenzae type b, Neissaria meningitides and defined serotypes of Streptococcus pneumoniae) are needed to protect the young (<2 years) who are mostly affected. (author)
Aljadhey, Hisham; Assiri, Ghada A.; Mahmoud, Mansour A.; Al-Aqeel, Sinaa; Murray, Michael
Objectives: To determine the prevalence of self-medication and assess the knowledge, attitudes, and perception of consumers toward self-medication. Methods: This cross-sectional survey was conducted over 4 weeks in May 2011 in Riyadh city, Kingdom of Saudi Arabia. Community pharmacies within 5 areas of the city (North, South, West, East, and Middle) were randomly selected for the study. All consumers were approached to participate in the study, with the exception of those buying cosmetic and medicinal equipments. A validated self-administered questionnaire was used to collect the data. Results: A total of 538 out of 707 consumers attending community pharmacies in Riyadh city, agreed to participate in the study. Most responders were male (73%), 23-33 years old (35%), and college graduates (42%). A total of 285 medications were bought without a prescription. Of these, 149 (49%) medications should be dispensed by prescription only, and 155 (51%) were over the counter medications. The most common prescription medications dispensed without prescriptions were antibiotics (22%) and analgesics/antipyretics (19%). The most common reasons for buying medications without a prescription were that the symptoms were too minor to visit a doctor (54%), time saving (40%), and minor illnesses for which the participants knew the required treatment (40%). Overall, most participants had poor knowledge, and negative perceptions regarding self-medication. More than 68% of participants did not know whether the medicine they bought is a prescription-only or over the counter medication. Conclusion: Irresponsible self-medication is common in Saudi Arabia. Future studies should focus on improving the consumers’ awareness of self-medication and the proper use of medications. PMID:25737176
Objective was to estimate the incidence of major and minor congenital malformations among live born infants at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Estimation of risk factors was also evaluated. Between March 2004 and May 2005, a total of 5356 babies born at King Abdulaziz University Hospital, were enrolled in this study for malformations. Details of cases were recorded after parent's interviews, clinical, radiological and laboratory evaluations. One hundred and forty-seven (27.06/1000 livebirth) and 13 (2.39/1000 birth) stillbirth have congenital anomalies. In all livebirth, incidences of major anomalies were 93.9% and minor were 6.1%. Mothers of 95.9% with congenital malformation were healthy, 3.4% were diabetic and 0.7% had cardiac malformation. In 38.8% of cases parents were consanguineous. Among the liveborn births, the most common system involved was cardiovascular (7.1/1000), followed by musculoskeletal/limb (4.1/1000), external genitilia (2.8/1000), urinary (2.6/1000),multiple chromosomal (2.2/1000), orofacial (1.9/1000), central nervous system (1.9/1000), skin (1.7/1000), multiple single gene (1.3/1000), multiple sequence (0.75/1000), eyes (0.56/1000), unclassified (0.19/1000), musculoskeletal/abdominal (0.19/1000), endocrine (0.19/1000). High incidence of major malformation was found in Jeddah. Importance of Genetic Counseling is revealed in our study since more than three quarters of mothers were under 36 years and may well plan future pregnancies. (author)
Esraa M. Al-Maddah
Full Text Available Objectives: Sleep deprivation is common among medical residents of all specialties. This study aimed to determine the prevalence of sleep deprivation and depressive symptoms among medical residents in King Fahd University Hospital (KFUH in Al Khobar, Saudi Arabia. Furthermore, the association between sleep deprivation, sleepiness and depressive symptoms was examined. Methods: This cross-sectional study took place between February and April 2012 and involved 171 KFUH medical residents of different specialties. Data were collected using a specifically designed questionnaire eliciting demographic information, working hours and number of hours of sleep. In addition, validated Arabic versions of the Epworth Sleepiness Scale and the Beck Depression Inventory-2 (BDI-2 were used. Results: The prevalence of acute sleep deprivation and chronic sleep deprivation among residents in KFUH was 85.9% and 63.2%, respectively. The prevalence of overall sleepiness was 52%; 43.3% reported being excessively sleepy in certain situations while 8.8% reported being excessively sleepy regardless of the situation. Based on the BDI-2, the prevalence of mild, moderate and severe depressive symptoms was 43.3%, 15.2% and 4.7%, respectively. Significant associations were found between sleep deprivation and depressive symptoms; depressive symptoms and sleepiness, and depressive symptoms and being a female resident. Conclusion: The vast majority of medical residents had acute sleep deprivation, with more than half suffering from chronic sleep deprivation. The number of hours and quality of sleep among the residents were strongly associated with depressive symptoms. New regulations are recommended regarding the number of working hours and night duties for medical residents. Further studies should assess these new regulations on a regular basis.
Adnan Iqbal; Husam Kokash
Teaching profession was once viewed as a ‘low stress occupation’ and they have been envied for tenure, light workloads, flexibility and other perks such as foreign trips for study and conference. However, some recent studies suggest that university faculty is among the most stressed occupational group. The present study was conducted to explore the faculty perception towards occupational stress using established questionnaire, data collected from five departments in the private university. Re...
Objective was to examine pulmonary function, dyspnea, and exercise capacity in adult Saudi patients with sickle cell disease (SCD) patients. The patients were recruited from the hematology clinic at King Khalid University Hospital in Riyadh from January to December 2005. The study involved 39 patients with stable SCD 20 women and 19 men, with a mean age of 22.7+/- 7.1 years, hemoglobin level of 95.5+/-14.6g/L and hemoglobin F level of 13.7+/08.6. Patients underwent pulmonary function tests PFT forced expiratory volume in first second [FEV1], forced vital capacity [FVC], and diffusion capacity of carbon monoxide [DLco] data are presented as a percentage of the normal prediction, a 6- minute walk test 6MWT and echocardiography. Dyspnea was assessed using the Borg score. The 6MWT data were compared to body mass index matched healthy controls. Forty-one percent of SCD patients had mild dyspnea at rest and this increased to 61% at the end of the 6MWT. Pulmonary function tests were abnormal in 51%, 36% of patients had a restrictive pattern, 10% had isolated decrease in DLco and 5% had a mixed restrictive-obstrutive pattern. The 6MWD was shorter in SCD patients compared to the controls 368+/-67 versus 407+/-47m, p=0.005. No hematological variables correlated with outcome variables. Chronic pulmonary complications in adult Saudi SCD patients are relatively mild but common. Pulmonary function in these patients differs from that published for African-origin SCD patients. The difference may reflect a different natural history of SCD in the 2 populations. (author)
Blood donation and transfusion are remarkably safe medical procedures. However, attitudes, beliefs and level of knowledge associated with blood donation and transfusion may affect such procedures. Therefore, the aim of this study was to determine the attitude, belief and knowledge about blood donation and transfusion in Saudi Population. The present study was conducted in the Department of Physiology, College of Medicine, King Saud University Hospitals, Riyadh, Saudi Arabia. A well structured Arabic questionnaire was used to asses the attitude, belief and knowledge regarding blood donation and transfusion. The sample consisted of 335 male (55%) and 274 female (45%); the majority of the sample (65.84%) were non-donors. These non-donors (78.98%) were between the ages of 15-30 years. The 88.5% of the people who participated in the study believed that blood donation was not harmful, 20% of them stated that they would refuse blood transfusion even if they were in need because of the risk of acquiring infectious disease. 84.5% preferred direct donation, (49%) of the sample stated that they would accept blood donation only from relatives, 55.1% believed that blood transfusion was safe. However, 11.6% claimed to have acquired infectious disease after blood transfusion, 58% female in addition to 11.34% male preferred to receive blood from female donor and 69.5% did not know if the blood banks were in need of blood or not and 17.4% believed that all surgical procedures require blood transfusion. Different fears, mistrust in hospital and lack of information may serve as an important issue to be addressed when developing donors recruitment programs or campaigns to clear misconceptions about blood donation. In addition, public should know that numerous screening measures are implemented to ensure that blood donation is safe for the donor and that transfusion of the donated blood is safe for the recipient. (author)
Studies on fragile X syndrome are scarce in Saudi Arabia and othercountries of the Arabian Peninsula. The few studies previously done haveeither been in the form of case reports or those performed oninstitutionalized mentally retarded patients. The aim of this study was todetermine the prevalence of fragile X syndrome among cases with mentalretardation who have been referred to the pediatric neurology clinics of KingKhalid University Hospital (KKUH) in Riyadh. Cytogenetic studies wereperformed in 94 cases that were referred to the pediatric neurology clinicsof KKUH because of mental retardation and/or delayed milestones ofdevelopment, from July 1995 to December 1997. Six male probands (6.4%) showedthe classic fragile X chromosome and another six (including a four year oldgirl) were detected, following extension of the cytogenetic studies to all 32first-degree relatives. Affection of more than one sibling was ascertained infour families. One family had four brothers with fragile X syndrome, whereasanother formed part of a large kindred with twelve males and five females whowere mentally retarded. A clinical, physical and psychological screeningchecklist was applied to the eleven affected males. Large testicular size,long face and short attention span were the most frequent features and eachwas detected in nine patients (82%). Pes planus and history of delayed speechwere found in eight patients (73%). The study showed that the fragile Xsyndrome clinical screening checklist has been applied in other populationsmight equally valuable and applicable among the population of Saudi Arabia.However, the presence of pale blue eyes can be excluded and more weight givento positive family history of mental to the most common clinical diagnosticfeatures of fragile X syndrome. (author)
Kaka, S. I.
We have carried out a seismic noise study in order to understand the noise level at three selected locations at King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia. The main purpose is to select a suitable site with low seismic noise and good signal-to-noise ratio for our new broadband seismic station. There are several factors involved in the selection of a site location for a new station. Most importantly, we need to strike a balance between a logistically convenient site versus a technically suitable site. As a starting point, we selected six potential sites due to accessibility and proximity to the seismic processing center laboratory in the Department of Earth Sciences (ESD) at KFUPM. We then eliminated two sites that are relatively close to possible low-frequency noise sources. We have considered many possible noise sources which include: vehicle traffic / heavy machinery, the direct path of air flowing from air conditioning vent, tall trees / power poles and metal doorways. One more site was eliminated because the site was located in the open where it experiences maximum wind speed which is considered a major source of noise. All three potential sites are situated within the Dammam Dome where both lower middle and upper Rus Formations are exposed. The upper Rus is mainly made up of fine grained chalky limestone and the lower Rus is made up of alternation of marls and thin dolomitic limestone. The area is not known for any major faults and considered very low seismicity and hence the identification of seismoteconic features is not required. Before conducting the noise study, we calibrated and tested the seismic recording system, which was recently acquired by the ESD at KFUPM. The system includes a seismic recorder and a sensor with a GPS device. We deployed the system in order to measure the low-frequency background noise. Knowing the low frequency noise will help in predicting the high-frequency noise. The recording systems were deployed for twenty eight days (based on the memory available with the recorder) continuously collecting data at all three potential sites. This continuous data collection was done as part of a larger study where microtremor measurements were made to better understand and characterize the origin of various near-surface noises over a non-producing reservoir in Dhahran, Saudi Arabia (Papoola and Kaka, 2011). The new station at KFUPM will be equipped with a 3-component 120s to 50Hz Trillium120 broad band seismometer, Taurus 24-bit data acquisition system along with a large LCD to display the waveform data in real-time. The KFUPM community will have an opportunity to observe daily seismic activity in real-time and to monitor/record both regional and teleseismic events. Moreover, students will gain the opportunity to identify P, S, Love, and Rayleigh waves and learn how to locate an earthquake. The station will also play an important role in providing a source of information about seismic activity for the general public. The new station is expected to be operational in a few months time.
Objective was to study the extent of periodontal disease in diabetic and non-diabetic periodontitis patients and to investigate the relationship of dyslipidemia and periodontal disease, in diabetic and non-diabetic periodontitis patients. This is a cross-sectional study at the Department of Preventive Dental Sciences College of Dentistry and Department of Physiology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia, from February 2003 to June 2004. A total of 90 patients was recruited and divided into 3 equal groups of 30 subjects, with age and gender matched, and divided as follows: group 1 healthy group: periodontally and systemically healthy subjects, group 2 periodontitis group: chronic periodontitis patients with no systemic disease, group 3 diabetic group: chronic periodontitis patients with chronic type 2 diabetes mellitus. Plaque index, bleeding on probing, probing pocket depth PPD, and clinical attachment level CAL were measured at the time of initial examination. The glycated hemoglobin, total cholesterol, low density lipoprotein LDL, triglyceride, high density lipoprotein were also measured. Periodontal parameters PPD and CAL were of significantly higher value in the diabetic patients, when compared to the periodontitis patients p<0.05. The total cholesterol, LDL, and triglyceride were also found to be significantly higher among the periodontitis patients than the healthy subjects p<0.05. This study indicated that type 2 diabetic patients had a higher risk to developed advanced periodontal disease hat the non-diabetic subjects. It also highlighted the association of dyslipidemia in periodontitis patients. (author)
Fahad J. Al-Atawi; Alaa M. Halawa
A field study was conducted to investigate eriophyoid mites associated with some fruit trees in Riyadh, Saudi Arabia. The survey was carried out in four localities (El-Waseel, Al-Beer, Al-Haiyer and El-Deriya) and included seven species of fruit trees, namely olives (Olea europea), fig (Ficus carica), grapes (Vitis vinifera), apple (Malus domestica), citrus (Citrus spp.), pomegranate (Punica granatum) and pear (Pyrus communis). Seven new records of eriophyoid species (Aceria benghalensis Soli...
Alghamdi, Faris S.
The current study investigates the relationship between emotional intelligence and individual performance, namely academic performance. It also aims at determining whether emotional intelligence differs between male and female students. The data were obtained through the Schutte Self-Report Emotional Intelligence (SSREI) questionnaire, which was distributed to undergraduate students in Albaha province, Saudi Arabia. A sample of 191 undergraduate students filled in (SSREI)...
Iqbal, Adnan; Kokash, Husam
Teaching profession was once viewed as a "low stress occupation" and they have been envied for tenure, light workloads, flexibility and other perks such as foreign trips for study and conference. However, some recent studies suggest that university faculty is among the most stressed occupational group. The present study was conducted to…
Al-Fahad, Fahad N.
The main aim of this research study is to better understand and measure students' attitudes and perceptions towards the effectiveness of mobile learning. This paper reports on the results of a survey of one hundred eighty six undergraduate female students at King Saud University about their attitude and perception to the use of mobile technology…
Al-Ahmadi, Khalid; Al-Zahrani, Ali
Little is known about the geographic distribution of common cancers in Saudi Arabia. We explored the spatial incidence patterns of common cancers in Saudi Arabia using spatial autocorrelation analyses, employing the global Moran's I and Anselin's local Moran's I statistics to detect nonrandom incidence patterns. Global ordinary least squares (OLS) regression and local geographically-weighted regression (GWR) were applied to examine the spatial correlation of cancer incidences at the city level. Population-based records of cancers diagnosed between 1998 and 2004 were used. Male lung cancer and female breast cancer exhibited positive statistically significant global Moran's I index values, indicating a tendency toward clustering. The Anselin's local Moran's I analyses revealed small significant clusters of lung cancer, prostate cancer and Hodgkin's disease among males in the Eastern region and significant clusters of thyroid cancers in females in the Eastern and Riyadh regions. Additionally, both regression methods found significant associations among various cancers. For example, OLS and GWR revealed significant spatial associations among NHL, leukemia and Hodgkin's disease (r² = 0.49-0.67 using OLS and r² = 0.52-0.68 using GWR) and between breast and prostate cancer (r² = 0.53 OLS and 0.57 GWR) in Saudi Arabian cities. These findings may help to generate etiologic hypotheses of cancer causation and identify spatial anomalies in cancer incidence in Saudi Arabia. Our findings should stimulate further research on the possible causes underlying these clusters and associations. PMID:24351742
Alghadir, Ahmad; Zafar, Hamayun; Iqbal, Zaheen Ahmed; Anwer, Shahnawaz
[Purpose] To review the physical therapy educational program model, professional curriculum, and gender representation at major universities, as well as the quality and scope of physical therapy practice in Saudi Arabia. [Methods] Information regarding course curriculum, gender representation, and the quality and scope of physical therapy practice was collected from six universities in Saudi Arabia, the Saudi Physical Therapy Association, and the Saudi Health Commission. [Results] The first bachelor's degree course of physical therapy was started in Saudi Arabia more than 30?years ago. In the last 10?years, the number of universities offering a bachelor's degree in physical therapy has risen from 6 to 16, of which 14 are governmental and two are private. The 5- to 6?year bachelor's degree program in physiotherapy includes an internship and preparatory prerequisite courses. Postgraduate study in physical therapy was introduced in 2000. Most universities offer segregated physical therapy courses for male and female students. [Conclusion] The enrollment of students in physical therapy programs in Saudi Arabia is gradually increasing. There are many opportunities to extend the scope of practice and contribute to the health needs of the Arab population and international communities. PMID:26157276
Al-Amri, Ali M.
Objectives: To review the pattern of thyroid tumor, demographic data of the patients, sensitivity, and specificity of fine needle aspiration cytology; Materials and Methods: This is a retrospective analysis of patients who underwent total or near-total thyroidectomy at King Fahad Hospital of the University between 1982 and 2008. Data were analyzed for demographic characteristics, type of thyroid tumors, Fine Needle Aspirations Cytology (FNAC) yields and surgical complications; Results: A tota...
El-Sadig Yahya Ezza
Verbal reports and English teachers’ classroom experience at Community College of Majma'ah University (MU) warn that underachievement is an educational crisis in the making. And in the paucity of research findings to raise the institutional awareness of the phenomenon, coupled with the lack of relevant professional training programs to deal with the situation, the crisis could be further aggravated. This study is an attempt to address underachievement among English students at Community Col...
Endodontic patients treated at a University Dental Clinic over a two year period were studied. A total of 281 patients seen in a beginning endodontic course were analyzed to determine (1) the etiology of the pulpal disease presenting and (2) the signs and symptoms of pulpal disease. Results indicated that caries was the most prevalent reason for endodontic treatment. Most cases (40.6%) were asymptomatic. Lower molars were the most commonly affected and there was no significant difference in endodontic treatment distribution between males and females in the patient population studied. (author)
Abdulrashid C Choudary
Full Text Available Objectives : To explore the prevalent morbidity problems among students at King Faisal University. To identify the nature of referred cases and assess the efficiency of the referral system. Subjects and Methods : This was a retrospective, records-based descriptive study, involving the examination of the health records of students at King Faisal University, who attended the Medical Center for Primary Health Care services in a five-year period. A pre-tested compilation sheet was used for data collection. Results : Out of 2472 consultations, about 58 % of the diagnosed morbidity conditions were of infectious nature, mostly affecting the respiratory (62%, dental (14%, gastrointestinal (7%, and skin infections (5 %, with more prevalence among males. The non-infectious morbidity conditions were recorded more among females and included muscle and joints problems (16 %, allergic conditions (15 %, gastrointestinal (8 %, and trauma (5 %. Some of the encountered morbidity demonstrated seasonal variation. Case referrals were about 6 %, more in the non-infectious conditions, with a deficient feedback system. Conclusion : Quality improvement of the medical records and the establishment of a proper referral system are necessary. Health education on preventable morbid conditions should be organized and implemented.
To report on moyamoya syndrome (MMS) as a risk factor for stroke in a prospective and retrospective cohort of Saudi children. The usual and novel associations of MMS in this cohort will also be described. Children with stroke were evaluated at the Division of Pediatric Neurology at King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February201 to March 2003 (retrospective study). Investigations for suspected cases included hemostatic assays, biochemical, and serological tests. Neuroimaging included CT, MRI, magnetic resonance angiography (MRA), single photon computerized tomography (SPECT) brain scan and conventional cerebral angiography. Moyamoya syndrome was the underlying risk factor for stroke in 6 (5.8%) of the 104 children (aged one month to 12 years). They were 4 females and 2 males. Their first cerebral ischemic event occurred at a mean age of 45 months (median = 44 months, range 17-66 months). In all 6 cases, MMS was associated with an underlying hematologic abnormality or other diseases. Protein C deficiency was identified in one girl and protein S deficiency in another. Two patients had retrospectively, sickle cell disease (SCD) and sickle cell-b-thalassemia (Sb-thalssemia), which had been associated in the latter with membranous ventricular septal defect. Adams-Oliver syndrome (AOS, OMIM 100300) was associated with MMS in an 18-month-old girl. A 4-year-old boy had wrinkly skin syndrome (WWS, OMIM 278250) phenotype. The association of MMS and protein C deficiency was first reported in this cohort of patients, whereas the association of the syndrome with WWS and AOS has not, hitherto, been described. The 3 patients who had MMS associated with protein C deficiency, SCD, and AOS underwent successful revascularization surgery in the form of encephaloduroarteriosynangiosis. Moyamoya syndrome constitutes an important risk factor of stroke in Saudi children. Comprehensive clinical evaluation and investigations, including screening for throphilia and neuroimaging studies are required for the primary diagnosis of the disease and for unraveling other diseases associated with MMS. This will help in managing these patients and in guiding genetic counseling for their families. (author)
El-Sadig Yahya Ezza
Full Text Available Verbal reports and English teachers’ classroom experience at Community College of Majma'ah University (MU warn that underachievement is an educational crisis in the making. And in the paucity of research findings to raise the institutional awareness of the phenomenon, coupled with the lack of relevant professional training programs to deal with the situation, the crisis could be further aggravated. This study is an attempt to address underachievement among English students at Community College; it particularly reports a tripartite teaching strategy comprising three intervention methods: orientation, use of the students' first language (L1 and multiple mid-term exams. This teaching strategy has been devised to achieve two objectives: to motivate the students to improve their performance; and to help them acquire new (college-related study skills. In the light of what has so far been done, it can be concluded that the majority of the students are able to excel academically provided that they are properly informed and guided to discover these abilities.
Sam, George; Seehan, Saad; Al-Shayea, Meshari
Background: The objective of the study is to determine whether there is any correlation between demand and need for orthodontic treatment among patients in Sattam Bin Abdulaziz University (SAU) Dental College Clinic. This study also provides a baseline data on the demand and need for orthodontic treatment among a Saudi population, which is important for planning public orthodontic dental services in the Kingdom. Materials and Methods: An epidemiological descriptive survey was conducted using two sets of questionnaire in the orthodontic clinic of Prince SAU, Al-Kharj among Saudi subjects with angle’s Class I, Class II, and Class III malocclusions, between the ages of 10 and 30 years for a period of 6 months with purposive sampling method. Results: Using Spearman’s rank correlation coefficient a significant correlation (0.482) was observed in male and female patients respectively with orthodontic demand (2) and treatment need (1) at 0.05 level of significance. A significant correlation (0.326) was observed for the study subjects (both males and females) with orthodontic demand (4) and treatment need (1) at 0.05 level of significance. A significant correlation (0.325) was observed in male patients with orthodontic demand (4) and treatment need (5) at 0.05 level of significance. Conclusions: Patients with the higher orthodontic demand required high treatment needs and vice versa.
Al-Hazzaa Hazzaa M
Full Text Available Abstract Background Few lifestyle factors have been simultaneously studied and reported for Saudi adolescents. Therefore, the purpose of the present study was to report on the prevalence of physical activity, sedentary behaviors and dietary habits among Saudi adolescents and to examine the interrelationships among these factors using representative samples drawn from three major cities in Saudi Arabia. Methods This school-based cross-sectional study was conducted during the years 2009-2010 in three cities: Al-Khobar, Jeddah and Riyadh. The participants were 2908 secondary-school males (1401 and females (1507 aged 14-19 years, randomly selected using a multistage stratified sampling technique. Measurements included weight, height, sedentary behaviors (TV viewing, playing video games and computer use, physical activity using a validated questionnaire and dietary habits. Results A very high proportion (84% for males and 91.2% for females of Saudi adolescents spent more than 2 hours on screen time daily and almost half of the males and three-quarters of the females did not meet daily physical activity guidelines. The majority of adolescents did not have a daily intake of breakfast, fruit, vegetables and milk. Females were significantly (p p p p Conclusions The high prevalence of sedentary behaviors, physical inactivity and unhealthy dietary habits among Saudi adolescents is a major public health concern. There is an urgent need for national policy promoting active living and healthy eating and reducing sedentary behaviors among children and adolescents in Saudi Arabia.
...International Trade Administration U.S. Clean Energy and Energy Efficiency Trade Mission...are organizing an Executive-Led Clean Energy and Energy Efficiency Trade Mission...technologies and services in the clean energy sector, with an emphasis on...
... Government resulting in not only reduced export income, but enormous opportunity costs as there is less... objectives with the stated scope of the mission Diversity of company size and location may also be...
Full Text Available Background and Objectives: One out of five Saudi diabetics develops end-stage renal disease (ESRD. Factors associated with progressive loss of renal function have not been extensively studied and reported in our community. We sought to evaluate the pattern and progression in glomerular filtration rate (GFR and investigate the potential risk factors associated with progression to diabetic nephropathy (DN among Saudi patients. Design and Setting: Hospital-based retrospective analysis of type 2 diabetic patients seen between January 1989 and January 2004 at Security Forces Hospital and King Saud University in Riyadh, Saudi Arabia. Patients and Methods: DN was defined as persistent proteinuria assessed by urine dipstick [at least twice for at least two consecutive years and/or serum creatinine >130 ?mol/L; and/or GFR <60 mL/min/1.73m 2 ]. Results: Of 1952 files reviewed, 621 (31.8% met the criteria for DN, and 294 (47% were males. The mean (SD age of the patients at baseline was 66.9 (11.4 years, and mean duration of diabetes was 15.4 (7.5 years. GFR deteriorated from a baseline value of 78.3 (30.3 mL/min/1.73m 2 to 45.1 (24.1 mL/min/1.73m 2 at the last visit, with a mean rate of decline in GFR of 3.3 mL/min/year. Progression of nephropathy was observed in 455 (73.3% patients, with 250 (40.3% patients doubling their first-hospital-visit serum creatinine level in a mean of 10.0 (6.0 years. At the end of the study, 16.5% of the cohort developed ESRD and were dialyzed. GFR >90 mL/min/1.73m 2 at the first hospital visit; duration of diabetes >10 years; persistent proteinuria; systolic blood pressure >130 mm Hg; and presence of retinopathy were significant markers associated with progression of nephropathy. Conclusion: Diabetic nephropathy tends to be progressive among Saudis, with GFR deteriorating at a rate of 3.3 mL/year and with a doubling of serum creatinine level in 40.3% of patients in 9.9 years.
To explore the role of and report congenital and genetic cerebrovascular anomalies as risk factors for stroke in a prospective and retrospective cohort of Saudi children. Children with stroke were evaluated at the Division of Pediatric Neurology (Dpn), or were seen as inpatients in the Pediatric Wards at King Khalid University Hospital (KKUH), Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study). Stroke work-up for each suspected case included hemostatic assays, serological, biochemical and neurophysiological tests. Neuroimaging modalities included routine skill x-rays, CT, MRI, magnetic resonance angiography (MRA) and conventional cerebral angiography. Of 104 children with stroke, congenital and genetic cerebrovascular anomalies were the underlying risk factor in 7 (6.7%). The patients were evaluated at the DPN at a mean age of 66 months (range = 8 months to 11 years, median = 6 years); and they had stroke at a mean age of 48 months (range = 2 months to 10 years, median = 8 months). Four patients had stroke in association with neurocutaneous syndromes. Two had Sturge-Weber syndrome (SWS), one had Klippel-Trenaunay syndrome associated with SWS, and the fourth had neurofibromatosis type 1. Two patients had intracranial hemorrhage secondary to ruptured aneurysm. A girl (aged 9 years and 4 months) had left posterior cerebral artery aneurysm. She was diagnosed to have autosomal dominant polycystic kidney disease following renal ultrasonography. She died 5 months later despite surgical intervention (clipping of aneurysm). The second child was an 8-months-old boy who presented with subarachnoid and intraventricular hemorrhage (IVH) following ruptured anterior communicating artery aneurysm. He recovered with no residual symptoms following successful clipping of the aneurysm. Arteriovenous malformation (AVM) caused IVH in a 7-year-old boy who reported to hospital 5 hours after onset of headache, vomiting, drowsiness, and dizziness. Following drainage of the IVH and stabilization of the patient, the AVM was successfully emboli zed 6 weeks latter. As a group, congenital and genetic cerebrovascular anomalies constitute significant risk factors for stroke in Saudi children. Recognition of these diseases is important since some are treatable and because other family members may be at risk. (author)
A study was designed to determine the red cell values (hemoglobin and hematocrit) of neonates born in the high altitude of Abha and to compare these values with known values of other lowland areas of Saudi Arabia. From the cord blood of 587 normal, appropriate for gestational age and term infants born in 1993 in Abha Maternity Hospital, the ranges of Hb and Hct were 130 to 240 g/L and 0.24 to 0.79 L/L respectively. The mean Hb was 187 g/L. There was no significant difference between the male and female values. Also, 17% of the infants in this study were polycythemic, while no polycythemia was recorded in these lowland areas and only 2% to 4% in the general global newborn population. It was therefore revealed that Abha newborns had higher red cell values at the birth when compared to other newborns in the low altitude areas of Riyadh and Jeddah (P<0.001). We postulate that high altitude (2700 meters above sea level) of Abha, and therefore its relative hypoxia, has induced high red cell values in infants born in the city. The phenomenon therefore warrants the adoption of higher red cell reference values and not necessarily those already documented in other Saudi new born populations. (author)
A quantitative and qualitative study of phytoplankton and zooplankton community and physico-chemical condition of water at two sites in Wa di Haneefah Stream was carried out on a monthly basis from November, 1993 to October, 1994. Water temperature fluctuated between (13.0 deg. - 40.0 deg.) with ph values (7.1 - 7.4). High concentrations (11.3) and 10.13 mgI-1) of dissolved oxygen in two sites were recorded in April. The contents of chloride, carbonate, bicarbonate and sulphate were max mum in March-May. Different phyto planktonic genera present at the two sites belong to the families, Caryophyllaceae, Cacophony, Decasodium and Bacillanophyceae. Bacillariphyceae was the dominating group throughout the study. These plank tons were more prominent in summer and less in winter months. Zoo planktonic genera consisted mainly of protozoa ns, Rotifers and Crustaceans. These zooplankton s were prominent forming a peak in July and trough in January. the distribution of the generic composition of phyto-and-zooplankton was correlated with some of the physico-chemical changes in the environment. (authors). 36 refs., 2 figs., 2 tabs
There are no available data about the prevalence of chronic kidney disease (CKD) and its risk factors in the general population of the kingdom of Saudi Arabia. To estimate the prevalence of CKD and its associated risk factors in the Saudi population, we conducted a pilot community-based screening program in commercial centers in Riyadh, Saudi Arabia. Candidates were interviewed and blood and urine samples were collected. Participants were categorized to their CKD stage according to their estimated Modification of Diet in Renal Disease (MDRD3)-based, the new Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation and the presence of albuminuria. The sample comprised 491 (49.9% were males) adult Saudi nationals. The mean age was 37.4 ± 11.3 years. The overall prevalence of CKD was 5.7% and 5.3% using the MDRD-3 and CKD-EPI glomerular filtration equations, respectively. Gender, age, smoking status, body mass index, hypertension and diabetes mellitus were not significant predictors of CKD in our cohort. However, CKD was significantly higher in the older age groups, higher serum glucose, waist/hip ratio and blood pressure. Only 7.1% of the CKD patients were aware of their CKD status, while 32.1% were told that they had protein or blood in their urine and 10.7% had known kidney stones in the past. We conclude that prevalence of CKD in the young Saudi population is around 5.7%. Our pilot study demonstrated the feasibility of screening for CKD. Screening of high-risk individuals is likely to be the most cost-effective strategy to detect CKD patients (Author).
This presentation reviewed the geopolitics of energy in the Middle East, with particular reference to Saudi Arabia as a potential hotspot. The author examined the question of who actually governs Saudi Arabia and the core relationship between Crown Prince Abdullah and the interior Minister, Prince Nayef. Issues regarding the country's social stability were discussed with reference to the high unemployment rate. The financial security of Saudi Arabia was also discussed with reference to the need for economic and political reform. Expectations for Saudi petroleum output were outlined along with regional spurs for energy competition and OPEC participation
Alahmadi, H A
Context Healthcare organisations in Saudi Arabia are striving to improve patient safety and quality of care through implementation of safety systems and creating a culture of safety. Objective The purpose of this study to evaluate the extent to which the culture supports patient safety at Saudi hospitals. Data Collection A survey questionnaire was distributed hospital-wide in 13 general hospitals in Riyadh city, Saudi Arabia, to 223 health professionals including nurses, technicians, managers and medical staff. Measurement The Hospital Survey on Patient Safety Culture questionnaire was used to identify dimensions of patient safety culture. Results Overall Patient Safety Grade was rated as excellent or very good by 60% of respondents, acceptable by 33% and failing or poor by 7%. More than half of respondents thought that managers overlook safety problems that happen over and over. Areas of strength for most hospitals were organisational learning/continuous improvement, teamwork within units, feedback and communication about errors. Areas with potential for improvement for most hospitals were under-reporting of events, non-punitive response to error, staffing, teamwork across hospital units. Conclusion Leadership is a critical element to the effectiveness of patient safety initiatives. Response to errors is an important determinant of safety culture in healthcare organisations. In order for healthcare organisations to create a culture of safety and improvement, they must eliminate fear of blame and create a climate of open communication and continuous learning. PMID:20430929
Full Text Available Saja Almazrou, Hind Alsahly, Huda Alwattar, Lamya Alturki, Mona Alamri Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia Background: Most liquid medications are packaged with administration devices, which may be used inappropriately or inaccurately, and sometimes are not used at all. Because of the importance of their proper use for children's health, this study was designed to assess Saudi mothers' experiences with measuring cups, syringes, and droppers for oral liquid medications; to compare accuracy of dosing across these devices; and to determine the effects of mothers' education statuses and pharmacist counseling on dosing accuracy. Methods: This was a cross-sectional study in which mothers were observed as they used a set of commonly available dosing devices which are a dosing cup, syringe, and dropper. Interviews were conducted in the outpatient pharmacy waiting area in several tertiary hospitals and primary clinics in Riyadh, Saudi Arabia between March and April 2013. Saudi women who were mothers of children aged 12 years old or younger and who gave their consent were eligible. Caregivers other than mothers and subjects with vision problems or cognitive/physical disabilities were excluded. We gathered demographic information such as age, number of children, and education status. Subjects were asked if they had had counseling on how to use measuring devices and which device they preferred. Then, the mothers were required to demonstrate how to measure 5 mL of paracetamol (acetaminophen syrup using a cup and a syringe and 1 mL of paracetamol syrup using a dropper. Dosing errors were evaluated visually as overdosing, underdosing, or no error (if the dose was accurate. The data were entered into Microsoft Excel and evaluated using Stata 11.1. Logistic regression was employed to determine relationships. Results: The results revealed that 58% of participants measured an accurate dose of paracetamol using the oral dosing syringe versus 50% of participants using the dropper and 51% using the dosing cup. In general, participants measured more than the intended dose with the dosing cup and less than the intended dose with the dropper. Furthermore, we found that dosing accuracy for each type of instrument was significantly influenced by the mothers' education status. Among the study participants, 77% had not had previous counseling on the use of liquid medication measuring devices. However, dosing errors were not affected by previous counseling. Conclusion: Among mothers using measuring devices, the most accurate doses were found to be measured with the use of the oral syringe, whereas the most errors were made with the use of the dropper. Moreover, education status had a significant effect on dosing errors. The use of a pictographic diagram could improve the mothers' dosing abilities and, thus, reduce dosing errors. Keywords: paracetamol, syringe, cup, dropper, accurate, education, counselling
Full Text Available A prospective study of all native kidney biopsies performed over one year at the Riyadh Armed Forces Hospital, Riyadh, Saudi Arabia was conducted. During this period, 52 kidney biopsies were performed of which, 49 had adequate tissue. All biopsies were processed for light microscopy, immunofluorescence and electron microscopy. The indications for biopsy included the nephrotic syndrome (n=28; 53.8%, asymptomatic proteinuria (n=12; 21.2%, acute nephritic presentation (n=7; 13.5% and asymptomatic hematuria (n=7; 13.5%. Primary glomerulonephritis (GN, excluding IgA nephropathy (IgAN was seen in 34 of the 49 patients (77.6%. Focal and segmental glomerulosclerosis and mesangial proliferative GN were the most common histological diagnoses (31% and 20.4% respectively. Surprisingly, we found a high prevalence of IgA nephropathy (IgAN of 14.5% in comparison with other studies. The prevalence of mesangiocapillary glomerulonephritis (MCGN was low (2% and can only be explained as incidental. The study patients were followed-up for an average of 26.3 weeks. At the end of the observation period, 50% has unchanged course, 37.5% had improved their renal function and protein excretion, and 12.5% had deteriorated. The prognosis of different GN groups and renal survival rate cannot be assessed or calculated in this study because of the relatively short duration of follow-up. Our study further emphasizes the need for a national GN registry and long-term follow-up, in order to recognize the common patterns of GN, their natural histories, the appropriate line of management, and to try and arrest their progression to end-stage renal disease.
The Saudi Cabinet of Ministers approved the Saudi General Environment System (SGES) in 2001. This approval is considered a step forward towards preserving the environment in Saudi Arabia. One of the targets of this system is to make environmental planning as an un-replaceable part of every comprehensive development planning in all industrial, agricultural, and architectural sectors. Achieving such a target requires a specialized labor force. Therefore, College of Engineering should act positively and actively in disseminating environmental awareness among engineers since they play a major rule in development projects. A degree in environmental engineering is a must at present, which is not available yet at any university in Saudi Arabia. Details of a B. Sc degree in environmental engineering offered by two universities in USA, are discussed. The syllabus of a degree in environment engineering adapted for the Saudi environment and culture is outlined
Al-Jobair, Asma M; Salwa A. Al-Sadhan; Areej A. Al-Faifi; Reem I. Andijani; Sarah K. Al-Motlag
Objectives: To evaluate the medical and dental health status of orphan children from 4 to 12-years-old, and compare them with children living with their parents. Methods: This analytical, cross-sectional study took place in 3 government orphanages and 3 ordinary schools in Riyadh, Saudi Arabia from July 2011 to January 2012. All orphans aged 4-12 year were selected (N=90). Ninety children living with their parents were selected randomly to serve as the controls. Demographic data, medical, a...
The prevalence of hypertension in Saudi Arabia has been assessed only in preliminary reports. The aim of this study was to determine the degree of control of blood pressure and the prevalence of common hypertension co-morbidities among hypertensive patients attending primary health care (PHC) centers in Riyadh. A cross sectional study was conducted by reviewing medical records of hypertensive patients during May and June 2001. Two hundred fifty-five medical records selected by a stratified randomization process according to the distribution of the 73 PHC centers in the city and the total number of hypertensive patients registered in the mini-clinic of each PHC-center. Trained mini-clinic nurses collected data using a data collection form developed for this purpose. Of 255 patients, 121 (47.5%) were males and 134 (52.5%) were females, the mean age was 57.2+-11.1 years and 8.3% were smokers. The majority 204 (85.7%) had greater than normal body weight. Only 101 (40.4%) had controlled systolic BP. The most common co-morbidity was diabetes mellitus found in 98 (38.4%), followed by dislipidemia in 50 (19.6%), bronchial asthma in 28 (11.0%) and renal diseases in 12 (4.7%). Except for osteoporosis, which was reported by females only (P=0.003), the occurrences of hypertensive co-morbidities did not vary from other demographic characteristics. This study demonstrated poor blood pressure control in the mini-clinics in the PHC-centers. To improve the quality of care for hypertensive patients, we recommend an improvement in PHC physician knowledge of and attitudes toward the importance of achieving targeted blood pressure levels. (author)
Full Text Available Hamza Mohammad Abdulghani,1 Mohammad Irshad,1 Mohammed A Al Zunitan,1,2 Ali A Al Sulihem,1,2 Muhammed A Al Dehaim,1,2 Waleed A Al Esefir,1,2 Abdulaziz M Al Rabiah,1,2 Rashid N Kameshki,1,2 Nourah Abdullah Alrowais,2 Abdulaziz Sebiany,3 Shafiul Haque1 1Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia; 3Department of Family and Community Medicine, University of Dammam, Dammam, Saudi Arabia Background: Medical science is perceived as a stressful educational career, and medical students experience monstrous stress during their undergraduate studies, internship, and residency training, which affects their cognitive function, practical life, and patient care. In the present study, an assessment of the prevalence of self-perceived stress among new medical graduates during their internship training has been performed, and correlations of self-perceived stress with sex, marital status, and clinical rotations have been evaluated.Patients and methods: Interns of the King Khalid, King Abdulaziz, and King Fahd University hospitals in Saudi Arabia were invited to complete a stress inventory known as the Kessler 10, which is used for stress measurement. Apart from stress evaluation, the questionnaire collected personal data, such as age, sex, and marital status, in addition to information relevant to hospital training, assigned duties, and clinical training rotations.Results: Our results showed that nearly 73.0% of interns were under stressed conditions. Most of the interns were affected by a severe level of stress (34.9%, followed by mild (19.3% and moderate (18.8% levels of stress. The stress level was significantly higher (84.0% among female interns in comparison with male interns (66.5% (odds ratio =2.64; confidence interval =1.59–4.39; P<0.0002. There were statistically significant differences between the percentages of male and female interns (P?0.047 at mild, moderate, and severe stress levels. Marital status had no role in causing stress. The highest stress level was reported by interns during the clinical rotations of medicine (78.8%, followed by surgery (74.7%, pediatrics (72.4%, obstetrics and gynecology (70.1%, and emergency (58.3%. The prevalence of stress among the interns and their corresponding clinical rotations in all three hospitals had significant linear correlations (r?0.829, P?0.041. Conclusion: We found a significantly high level of stress among the medical interns. High stress may have negative effects on cognitive functioning, learning, and patient care. Hence, medical interns need support and subsequent interventions to cope with stress. Keywords: medical education, clinical rotation, medicine, surgery, pediatrics
Full Text Available Glomerulonephritis (GN is one of the leading causes of end-stage renal disease. A good understanding of its pattern and prevalence as well as exploration of effective therapeutic strategies for protecting the glomerulus, would have tremendous impact on public health. In the Kingdom of Saudi Arabia (KSA, focal and segmental glomerulo sclerosis (FSGS is the commonest type of primary glomerular diseases (PGD encountered in clinical practice. Its prevalence varies from less than 4% in Gizan, in the southern part of KSA, to approximately 35% in Riyadh, central Saudi Arabia. In our experience, the nephrotic syndrome was the commonest mode of presentation of FSGS. Response to corticosteroid therapy is generally poor and the mortality rate is high. Mesangioproliferative GN is the second most common GN constituting up to 25% of PGD in our experience. Other researchers from different parts of the Kingdom, however, have given prevalence rates ranging from 8 to 57.1%. The reported prevalence of Immunoglobulin-A nephropathy (IgAN in KSA ranges from 5.8% to 13.6%. It is more common in the elderly, and men are affected more often than women. In contrast to KSA, IgAN is the commonest PGD in Japan, China, Hong Kong, Singapore and Taiwan. Membranous GN (MGN is less common in KSA than encountered elsewhere, the prevalence ranging from 3.9 to 21.8%. Nephropathy secondary to systemic diseases are also common in KSA. Lupus nephritis (LN accounted for 48.5% of secondary glomerular diseases (SGD with the combination of WHO classes III and IV (aggressive types of LN accounting for 56% of all patients. LN is another disease where differences in racial susceptibility may account for the uneven distribution. Post-streptococcal GN seems to be declining in frequency in KSA, the reported prevalence ranging from 2.7% to 2.9%.
Syed Shahid Habib
Full Text Available Objectives: This study was aimed to determine plasma levels of total (TFPI-T and free (TFPI-F tissue factor pathway inhibitor, plasminogen activator inhibitor-1 (PAI-1, and tissue plasminogen activator (t-PA in a cohort of Saudi patients with chronic stable angiographically defined coronary artery disease (CAD and to determine its correlation with its severity.Methods: This cross sectional study was conducted in the department of physiology and department of cardiology, College of Medicine, and King Khalid University Hospital and King Saud University, Riyadh. Sixty known cases of CAD who had undergone angiography (35 males and 25 females were selected. A control group included 39 (20 males and 19 females healthy subjects. Fasting venous blood samples were analyzed for total (TFPI-T and free (TFPI-F tissue factor pathway inhibitor, plasminogen activator inhibitor-1 (PAI-1, and tissue plasminogen activator (t-PA. Gensini scores and vessel scores were determined for assessing CAD severity.Results: There were non-significant differences between age, body mass index (BMI and Blood pressure between the controls and CAD subjects. A comparison of hemostatic markers between control and CAD patients showed significantly higher levels of Fibrinogen, PAI-1, TFPI-T and TFPI-F in CAD patients compared to control subjects. But there was no difference in plasma t-PA levels. TFPI-T had a significant positive correlation with severity of disease determined by Gensini Scores (r=0.344; p=0.006 and vessel scores (r=0.338; p=0.015.Conclusion: Plasma levels of total tissue factor pathway inhibitor are significantly related with the presence and severity of CAD. Elevated levels of TFPI-T may be considered as useful diagnostic and prognostic markers in patients with CAD.
Almalak, Haya; Albluwi, Ala’a Ibrahim; Alkhelb, Dalal Ahmed; Alsaleh, Hajar Mohmmed; Khan, Tahir Mehmood; Hassali, Mohamed Azmi Ahmad; Aljadhey, Hisham
Purpose To explore the use of over the counter (OTC) medicines among students during exams in Riyadh City, Kingdom of Saudi Arabia. Method A cross-sectional study was designed; using a self-administered twenty-two item online questionnaire for the students’ convenience and easy response disclosure. Data were analyzed using Statistical Package for Social Science (SPSS) version 13®. Results A total of N = 1596 students participated in this survey, of whom 829 (51.9%) were university students and 767 (48.1%) were high school students. Overall, 80.0% of the respondents disclosed the use of OTC non-steroidal anti-inflammatory drugs for headache and pain relief. In addition, other substances used during the exams were Energy Drinks (5.0%), Flu Medication (5.0%), Vitamins (5.0%) and Antibiotics (5.0%). Female students were found to be more knowledgeable about safety issues concerning the use of OTC medicines (5.11 ± 1.27, p = <0.001) than male students. Ease in access to OTC medicine, availability of pharmacist consultation and advertisement in print and electronic media were the main factors disclosed by the respondents that may result in an increase in the use of OTC products. The use of OTC medicines was generally higher among female students (p = 0.001). Conclusion The use of OTC medication during exams was more among high school and university students. Gender, age and educational institution were found significantly affecting the use of OTC medicines during exams. PMID:24648821
AL-Zaaidi S; AL-Rashaed S,AL-Kahtani E; AL-Harthi E; Abu El-Asrar A
Sultan AL-Zaaidi,1 Saba AL-Rashaed,2 Essam AL-Harthi,3 Eman AL-Kahtani,2 Ahmed M Abu El-Asrar41Prince Sultan Medical Military City, Riyadh, Saudi Arabia; 2King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3AL-Hokama Eye Center, Riyadh, Saudi Arabia; 4King Abdul Aziz University Hospital, King Saud University, Riyadh, Saudi ArabiaPurpose: To study the anatomical and visual outcomes and prognostic factors that may predict the outcomes of rhegmatogenous retinal detachment (RRD) in childr...
Full Text Available Little is known about the geographic distribution of common cancers in Saudi Arabia. We explored the spatial incidence patterns of common cancers in Saudi Arabia using spatial autocorrelation analyses, employing the global Moran’s I and Anselin’s local Moran’s I statistics to detect nonrandom incidence patterns. Global ordinary least squares (OLS regression and local geographically-weighted regression (GWR were applied to examine the spatial correlation of cancer incidences at the city level. Population-based records of cancers diagnosed between 1998 and 2004 were used. Male lung cancer and female breast cancer exhibited positive statistically significant global Moran’s I index values, indicating a tendency toward clustering. The Anselin’s local Moran’s I analyses revealed small significant clusters of lung cancer, prostate cancer and Hodgkin’s disease among males in the Eastern region and significant clusters of thyroid cancers in females in the Eastern and Riyadh regions. Additionally, both regression methods found significant associations among various cancers. For example, OLS and GWR revealed significant spatial associations among NHL, leukemia and Hodgkin’s disease (r² = 0.49–0.67 using OLS and r² = 0.52–0.68 using GWR and between breast and prostate cancer (r² = 0.53 OLS and 0.57 GWR in Saudi Arabian cities. These findings may help to generate etiologic hypotheses of cancer causation and identify spatial anomalies in cancer incidence in Saudi Arabia. Our findings should stimulate further research on the possible causes underlying these clusters and associations.
Salwa B. El-Sobkey
Full Text Available Background Patient’s rights are worldwide considerations. Saudi Patient’s Bill of Rights (PBR which was established in 2006 contained 12 items. Lack of knowledge regarding the Saudi PBR limits its implementation in health facilities. This study aimed to investigate the knowledge of health professions’ students at College of Applied Medical Sciences (CAMS Riyadh Saudi Arabia regarding the existence and content of Saudi PBR as well as their attitude toward its ineffectiveness. Method A 3-parts survey was used to collect data from 239 volunteer students participated in the study. Data were analyzed by descriptive and analytical statistics using SPSS. Results Results showed that although the majority of students (96.7% believe in the ineffectiveness of patient’s rights, half (52.3% of them had perceptual knowledge regarding the existence of Saudi PBR and only 7.9% of them were knowledgeable about some items (1–4 items of the bill. Privacy and confidentiality of patient was the most common known patient’s rights. Students’ academic level was not correlated to neither their knowledge regarding the bill existence or its content nor to their attitude toward the bill. The majority of the students (93% reported that only one course within their curriculum was patient’s rights-course related. About one quarter (23.4% of the students reported that teaching staff used to mention patient’s rights in their teaching sessions. Conclusion The Saudi health professions students at CAMS have positive attitude toward the ineffectiveness of patient’s rights nevertheless they showed limited knowledge regarding the existence of Saudi PBR and its contents. CAMS curriculums do not support the subject of patient’s rights.
Abudari, Gassan; Zahreddine, Hassan; Hazeim, Hassan; Assi, Mohammad Al; Emara, Sania
Background Palliative care is not yet integrated into the health-care system in Saudi Arabia. King Faisal Specialist Hospital and Research Centre-Riyadh (KFSH&RC-Riyadh) is a tertiary care facility and regional cancer centre in Saudia Arabia with a highly multinational nursing workforce. Little is known about these nurses' knowledge of and attitudes towards palliative care. Aim To determine the palliative care knowledge and attitudes of the nursing workforce of KFSH&RC-Riyadh and any influencing factors. Method A questionnaire including demographic data, the Palliative Care Quiz for Nurses (PCQN), and Frommelt Attitude Toward Care of the Dying scale (FATCOD) was completed by 395 staff nurses from 19 countries. Results The nurses scored a mean of 111.66 out of 150 on the FATCOD scale and of 9.06 out of 20 on the PCQN. These scores indicate moderate attitudes towards but a knowledge deficit regarding palliative care. The nurses' palliative care training and years of nursing experience significantly affected the scores. The level of palliative care integration in the nurses' home countries was the most significant factor in multiple regression tests. Conclusion Palliative care integration into the health-care system of the country in which nurses train significantly influences their knowledge of and attitudes towards palliative care. Incorporating palliative care into nursing education might promote positive attitudes towards palliative care in nurses while enhancing their knowledge and skills. PMID:25250548
To assess the prevalence of multi-drug resistant (MDR) bacteria causing infections in patients at the intensive care units (ICUs) of Riyadh Military Hospital (RMH), as well as their antimicrobial resistance patterns for one year. A retrospective, cohort investigation was performed. Laboratory records from January to December 2009 were studied for the prevalence of MDR Gram-negative and Gram-positive bacteria and their antimicrobial resistance in ICU patients from RMH, Riyadh, Kingdom of Saudi Arabia. A total of 1210 isolates were collected from various specimens such as: respiratory (469), blood (400), wound/tissue (235), urinary (56), nasal swabs (35), and cerebro-spinal fluid (15). Regardless of the specimen, there was a high rate of nosocomial MDR organisms isolated from patients enrolled in the General ICU (GICU) in Riyadh. Acinetobacter baumannii (A. baumannii) comprised 40.9%, Klebsiella pneumonia (K. pneumonia) - 19.4%, while Pseudomonas aeruginosa (P. aeruginosa) formed 16.3% of these isolates. The P. aeruginosa, A. baumannii, K. pneumoniae, Escherichia coli, Staphylococcus aureus (methycillin sensitive and methycillin resistant), and Staphylococccus coagulase negative are the most common isolates recovered from clinical specimens in the GICU of RMH. Respiratory tract specimens represented nearly 39% of all the specimens collected in the ICU. The most common MDR organisms isolated in this unit were A. baumannii, and K. pneumoniae (Author).
Z Alotaibi, Abdullah
Vision is the ability of seeing with a definite understanding of features, color and contrast, and to distinguish between objects visually. In the year 1999, the World Health Organization (WHO) and the International Agency for the Prevention of Blindness formulated a worldwide project for the eradication of preventable loss of sight with the subject of "Vision 2020: the Right to Sight". This global program aims to eradicate preventable loss of sight by the year 2020. This study was conducted to determine the main causes of low vision in Saudi Arabia and also to assess their visual improvement after using low vision aids (LVD).The study is a retrospective study and was conducted in low vision clinic at Eye World Medical Complex in Riyadh, Saudi Arabia. The file medical record of 280 patients attending low vision clinics from February 2008 to June 2010 was included. A data sheet was filled which include: age, gender, cause of low vision, unassisted visual acuity for long distances and short distances, low vision devices needed for long distances and short distances that provides best visual acuity. The result shows that the main cause of low vision was Optic atrophy (28.9%). Retinitis pigmentosa was the second cause of low vision, accounting for 73 patients (26%) followed by Diabetic retinopathy and Macular degeneration with 44 patients (15.7%) and 16 patients (5.7%) respectively. Inter family marriage could be one of the main causes of low vision. Public awareness should be embarked on for enlightenment on ocular diseases result in consanguineous marriage. Also, it is an important issue to start establishing low vision clinics in order to improve the situation. PMID:26652071
To review the results of 137 living donor pediatric liver transplants performed at Riyadh Military Hospital (RMH). Retrospective analysis of the in- and out-patient case notes was carried out. Data were collected regarding age, gender, nationality, diagnosis, type of procedure, complications and survival of the grafts and the recipients. The first 137 living donor pediatric liver transplants were performed in 113 months. The age range was 4.5 months to 14 years. Eighty-four recipients (61%) were male. One hundred and twelve children were Saudi. Left lateral segment was used as allograft in 135 cases. One child each received full left lobe and full right lobe. Six auxiliary partial orthotopic liver transplants were carried out. Familial metabolic liver disorders made the largest group of children needing transplant. The most common indications were progressive familial intrahepatic cholestasis and biliary atresia (45 cases each). The numbers of major complications are: hepatic artery thrombosis (n=8); portal vein thrombosis (n=3); portal vein stenosis (n=3); hepatic vein stenosis (n=3) and biliary strictures (n=4). Fifteen patients died. Three further allografts have been lost. Thus, the overall patient survival rate is 89% and graft survival rate is 86.8%. Living donor liver transplantation is a viable option for children with end-stage liver disease. Metabolic liver disease is the most common indication in Saudi Arabia. The cadaveric donor supply is in shortage and living donation is a practical alternative. The incidence of complications and recipient and graft survival rates of the program at RMH are acceptable, (author)
Prevalence information is lacking on human papillomavirus type 16 and 18 (HPV-16/18) infections in cervical tissues of women in Riyadh, Saudi Arabia. In addition, there are no observations on progression to cervical intraepithelial neoplasia (CIN). Pap smear and HPV-16/18 detection by PCR followed by Southern blotting was performed on 120 subjects (Saudi and other Arab nationals) during routine gynecological examination. Some HPV-positive was followed for 4 years by Pap smears at every 6 months and by HPV DNA detection at the end of four years. Overall HPV-16/18 prevalence was 31.6%. HPV-16 prevalence alone was 13.3%, HPV-16 as a mixed infection with HPV-18 was 15% and all HPV-18 was 18.3%. Ten subjects had cervical abnormalities with the Pap smear test, six of whom were HPV-16/18 positive, 1 with HPV-16, 1 with HPV-18 and 4 with a mixed infection of HPV-16/18. Of all 23 HPV-16/18-positive subjects, either as individual or mixed infection, followed for years, 7 showed abnormal cytology, 6 at initial examination and 1 during follow-up. Of these 7, 6 reverted to normal without treatment and 1 was treated and became normal after 3 years. None of the subjects progressed to CIN-III. A high prevalence of HPV-16/18 was found, but with low rate of progression to CIN. A significant association with abnormal cytology was found only in patents with HPV-16/18 mixed infection. (author)
Full Text Available Background and Aims: Blood donation from glucose-6-phosphate dehydrogenase (G6PD-deficient and sickle cell trait (SCT donors might alter the quality of the donated blood during processing, storage or in the recipient?s circulatory system. The aim of this study was to determine the prevalence of G6PD deficiency and SCT among blood donors coming to King Khalid University Hospital (KKUH in Riyadh. It was also reviewed the benefits and risks of transfusing blood from these blood donors. Materials and Methods: This cross-sectional study was conducted on 1150 blood samples obtained from blood donors that presented to KKUH blood bank during the period April 2006 to May 2006. All samples were tested for Hb-S by solubility test, alkaline gel electrophoresis; and for G6PD deficiency, by fluorescent spot test. Results: Out of the 1150 donors, 23 (2% were diagnosed for SCT, 9 (0.78% for G6PD deficiency and 4 (0.35% for both conditions. Our prevalence of SCT and G6PD deficiency is higher than that of the general population of Riyadh. Conclusion: We recommend to screen all units for G6PD deficiency and sickle cell trait and to defer donations from donors with either of these conditions, unless if needed for special blood group compatibility, platelet apheresis or if these are likely to affect the blood bank inventory. If such blood is to be used, special precautions need to be undertaken to avoid complications in high-risk recipients.
Sadat-Ali, M; Sankaran-Kutty, M
Saudi Arabia has now a wealth of sporting facilities of which the youth of the country is making full use. A prospective study of sports related injuries was conducted during the twelve months of 1983. We present an analysis of 846 such injuries seen at the King Fahd University Hospital, Al Khobar. These injuries formed 8.36% of those who attended after an accident for emergency treatment, of which 63% were under 20 years. The majority was sustained during soccer games. The most frequent site...
Aleissa, Khalid Abdulaziz; Alghamdi, Abdulrahman Sayeed; Almasoud, Fahad Ibrahim; Islam, Md Shafiqul
A national groundwater surveillance programme was started for investigation of natural radioactivity levels in the year 2007. This paper presents (222)Rn radioactivity concentration levels in well waters located in and around the city of Riyadh in Saudi Arabia. Water samples were collected from 171 wells in six different locations. Most of these deep wells have an approximate depth of 1000 m, while shallow wells have a depth of 300 m. The analyses were performed by an ultra-low level liquid scintillation spectrometer equipped with an alpha-beta discrimination device. Efficiency and background calibrations were performed with a (226)Ra aqueous standard homogeneously mixed with a cocktail (high efficiency mineral oil scintillator) which was used after a certain period of time to assure radon equilibrium. The measured (222)Rn activities of deep wells ranged from 0.34±0.05 to 3.52±0.30 Bq l(-1) (average: 1.01±0.10 Bq l(-1)), whereas those of shallow wells ranged from 0.72±0.08 to 7.21±0.58 Bq l(-1) (average: 2.74±0.24 Bq l(-1)). The (222)Rn concentrations levels were found to be in compliance with the proposed national limits of 11.1 Bql(-1) and depend on the water source. PMID:22887118
Full Text Available Objective: Data on Hormone Receptor and Her-2/neu expression in breast cancers from Saudi Arabia and Gulf Region is sparse. We undertook this study to describe the patterns of hormone receptor and Her-2/neu protein expression in breast carcinoma and compared them with the histological grade at a University Hospital in Riyadh.Material and Method: We conducted a retrospective study on 164 invasive ductal carcinoma of breast between the year 2002 and 2008. Immunohistochemical analysis for Estrogen and Progesterone Receptor and Her-2/neu was done in all the cases. Fluorescent in situ hybridization for Her-2/neu gene amplification was performed in all 2+ cases and few equivocal 1+ and 3+cases by immunohistochemistry. Correlation between Estrogen and Progesterone Receptor and Her-2/ neu amplification and grade of tumor was calculated.Results: The expression of Estrogen Receptor, Progesterone Receptor were significantly correlated (p<0.001. Also, there was a significant negative correlation between expression of hormone receptor and Her-2/neu amplification. The histologic grade of the tumor was significantly correlated to the expression of both Estrogen and Progesterone Receptor. However, the relationship between Her-2/ neu amplification and grade was not significant and many of the grade III tumor were Her-2/neu negative. In addition, Her-2/neu gene amplification by fluorescent in situ hybridization was observed in 84.6% of breast cancer that were 3+ and in 18.75 % cases that were 2+ by immunohistochemistry.Conclusion: Prevalence of Estrogen and Progesterone Receptor expression and Her-2/neu amplification in breast cancer in the Saudi Arabian population is similar to that reported internationally. There is a negative correlation between hormone receptors expression and Her-2/neu amplification. However not all of the high-grade breast cancers showed Her-2/neu positive status.
Ohoud S. Al-Humaidan
Full Text Available Objectives: To investigate possible risk factors of Staphylococcus aureus (S. aureus and methicillin-resistant S. aureus (MRSA nasal carriage associated with various health troubles among healthcare workers (HCWs at King Khalid University Hospital (KKUH. Method: This prospective study was conducted between May 2012 and January 2013 in KKUH, Riyadh, Saudi Arabia. A total of 200 nasal swabs were collected from HCWs. Identification was carried out based on morphology, Gram stain, catalase and coagulase test, Staphaurex PlusH test, chromogenic medium, oxacillin, and cefoxitin test using disc diffusion method. Characterization was carried out using disk diffusion method and E-test. Polymerase chain reaction was carried out to confirm using GeneXpert® Dx System (Cepheid to detect mecA gene. Results: Among the 200 isolates, 80 (40% were S. aureus carriers, and 36 (18% of all HCWs were identified as MRSA carriers. There was a significant difference of S. aureus according to gender with male carriers (p=0.012, occupation particularly among nurses (p=0.006, and duration of working years in the hospital among 4-6 years group (p=0.002. Moreover, none of the risk factors assessed were significantly associated with the carriage rate of MRSA (p>0.05. Conclusion: The current study revealed that nursing staff was the potential colonizers of S. aureus and MRSA compared with other HCWs. Regular screening of carriers is required for prevention of nosocomial infections.
With the evolution of health services in Saudi Arabia, there has been increase in the number of medical practice litigations. The author analyzed the medical malpractice litigation that was referred to the National Medico-Legal Committee (MLC) in order to evaluate the magnitude and underlying factors of the problem in Saudi Arabia. A retrospective analysis of the official records of Medico-Legal malpractice over the period 1420H-1424H (199-2003) was performed. The incidence among different medical specialties, location, and final resolution of each claim were identified. Data analysis revealed an increasing trend in the total number of claims over the study period, with a sharp increase in the transition between 1422H and 1423H (2001-200). The distribution of claims over different medical specialties showed that obstetrical practice took the lead with 27%, followed by general surgery and subspecialties, represented by 17% each, internal medicine 13%, while pediatrics contributed 10% of claims: the fewest claims were in dentistry with 2.5%. The majority of claims were referred to the Ministry of Health and private sectors medical facilities. Most claims were from the Riyadh region over the period between 1420H to 1422H (1999-2001), while thereafter, during 1423 and 1424H (2002 and 2003), the Holy Capital had the highest number of claims referred to the MLC. Adherence to standards of medical practice is by far the best approach to avoid or reduce the incidence of litigation. (author)
Al-Omran, Abdulrasoul M; El-Maghraby, Salem E; Aly, Anwar A; Al-Wabel, Mohammed I; Al-Asmari, Zafer A; Nadeem, Mahmoud E
This study focuses on the chemical analysis of the available brands of domestic bottled water in Riyadh City, Saudi Arabia. The distribution of the chemical constituents (major, minor, and trace elements) is determined and compared with the chemical content labeled on the bottles and with drinking water standards of Saudi Arabian, World Health Organization, and U.S. Environmental Protection Agency. The obtained results indicated that except for fluoride and bromate, the concentrations of dissolved salts, soluble cations and anions, nitrate, and trace elements of most bottled waters on sale were within the permissible limits set by standards used. On the other hand, the comparison between determined and reported label values recorded a substantial variation in some parameter values. Results indicated that more than 18 % of the sampled bottled waters exceeded the allowable limits for drinking water. Generated Piper diagrams revealed that the majority of investigated waters were sodium chloride-sulfate type; however, the hydrochemical modeling indicated that all water samples were undersaturated for anhydrite, gypsum, and halite. PMID:23232848
Denman, Brian D.; Hilal, Kholoud T.
Globalisation is often thought to advocate for a single set of beliefs and customs and for a rejection of the need to protect regional cultures and traditions. In the aftermath of 9/11, the rift between Western and Arab cultures has deepened, and there is a patent need for cultural bridges to be built. The government of Saudi Arabia has, by increasing funding for higher education through grants and scholarships, enabled Saudi students to study at overseas universities. A number of non-Saudi students are also enrolled at Saudi Arabian universities. After a brief introduction to the cultural and educational history of the Arab region and Saudi identity, this article turns to contemporary higher education in Saudi Arabia. It introduces the King Abdullah Scholarship Programme and then goes on to present detailed enrolment data for 2006-2009, demonstrating trends and policy changes and identifying patterns in student mobility.
Nasser M. Al-Daghri
Full Text Available During the last decade, the rapid economic development in Saudi Arabia resulted in an unbalanced dietary intake pattern within the general population. Consequently, metabolic syndrome was also documented to be highly prevalent in the Middle-East region. We aimed to examine the relationship between selected dietary nutrient intakes and the prevalence of metabolic syndrome in the general adult population of Riyadh, Saudi Arabia. In this cross-sectional study, 185 adult Saudis aged 19 to 60 years (87 males and 98 females (mean age 35.6 ± 13.2 and 37.6 ± 11.7 years, respectively were included. The criteria for metabolic syndrome were based on the International Diabetes Foundation (IDF criteria, and the dietary food intake was assessed by two 24-h dietary recall methods. The odd ratios (ORs of metabolic syndrome risk across quartiles of selected dietary nutrients were significantly lower for carbohydrates and proteins, as well as for vitamins A, C, E and K, calcium, zinc and magnesium (p < 0.05 for all in the female group with metabolic syndrome than those without. The pattern of daily dietary intake of selected nutrients among the general population of Saudi Arabia raises concern, and this dietary imbalance could increase the risk of metabolic syndrome, particularly in adult Saudi females.
Al-Daghri, Nasser M.; Khan, Nasiruddin; Alkharfy, Khalid M.; Al-Attas, Omar S.; Alokail, Majed S.; Alfawaz, Hanan A.; Alothman, Abdulaziz; Vanhoutte, Paul M.
During the last decade, the rapid economic development in Saudi Arabia resulted in an unbalanced dietary intake pattern within the general population. Consequently, metabolic syndrome was also documented to be highly prevalent in the Middle-East region. We aimed to examine the relationship between selected dietary nutrient intakes and the prevalence of metabolic syndrome in the general adult population of Riyadh, Saudi Arabia. In this cross-sectional study, 185 adult Saudis aged 19 to 60 years (87 males and 98 females (mean age 35.6 ± 13.2 and 37.6 ± 11.7 years, respectively)) were included. The criteria for metabolic syndrome were based on the International Diabetes Foundation (IDF) criteria, and the dietary food intake was assessed by two 24-h dietary recall methods. The odd ratios (ORs) of metabolic syndrome risk across quartiles of selected dietary nutrients were significantly lower for carbohydrates and proteins, as well as for vitamins A, C, E and K, calcium, zinc and magnesium (p metabolic syndrome than those without. The pattern of daily dietary intake of selected nutrients among the general population of Saudi Arabia raises concern, and this dietary imbalance could increase the risk of metabolic syndrome, particularly in adult Saudi females. PMID:24284611
Al-Turki, Haifa A
OBJECTIVES To find out the prevalence of Burnout syndrome (BS) in Saudi nurses. METHODS This is a cross-sectional study involving 60 female Saudi nurses in the workforce of King Fahd University Hospital, Al-Khobar, which is a tertiary care center for the eastern province. Between May and August 2009, Maslach Burnout Inventory (MBI) individual-based questionnaire was distributed after modification to include age, marital status, unit working and number of years in service. We used the...
Al-Turki Haifa; Al-Turki Rasha; Al-Dardas Hiba; Al-Gazal Manal; Al-Maghrabi Ghada; Al-Enizi Nawal; Ghareeb Basema
Background : Nursing Staff is reported to be under extreme state of stress, leading to burnout syndrome (BS). Most of the studies have been conducted among the nurses working in their home countries. This study was conducted to assess the prevalence of BS among a multinational nursing workforce in Saudi Arabia. Materials and Methods : King Fahd University Hospital, AlKhobar, Saudi Arabia, is a tertiary care hospital employing 510 nurses of multinational workforce. Two hundred and fifty Masla...
Shahida Banu Shamsuddeen; Suneetha Epuru; Bushra Fatima Syeda; Wedad Flyyh Mtlk Al Rashedi
Obesity is alarmingly raising in young people necessitating foridentification of precise causes specific for populations. The aim of the present study is to determine independent contribution of parental socioeconomic variables and self-life style factors to obesity in Saudi female college students. We performed a cross-sectional study using a random selection of 300 women aged 18–26 years recruited from the female campus of University of Hail, Saudi Arabia and collected self-reported informa...
Jomoah, Ibrahim M.
The present study was conducted to investigate the prevalence of musculoskeletal disorders and eye and vision complaints among the computer users of King Abdulaziz University (KAU), Saudi Arabian Airlines (SAUDIA), and Saudi Telecom Company (STC). Stratified random samples of the work stations and operators at each of the studied institutions were selected and the ergonomics of the work stations were assessed and the operators' health complaints were investigated. The average ergonomic score ...
Objective was to determine the prevalence of hyperlipidemia among Saudis of both genders in rural and urban communities. Selected Saudis in the age group of 30-70 years were studied over a 5-year period between 1995 and 2000 in Saudi Arabia. Data were obtained from history, physical examination and analysis of fasting plasma lipids. The data were analyzed to classify individuals with hypercholesterolemia (HC) (total cholesterol >=5.2 mmol/l) and hypertriglyceridemia (HT) (total triglycerides >=1.69 mmol/l). Logistic regression analysis was performed to provide a risk assessment model and correlation with other coronary artery disease (CAD) risk factors. The number of study samples included in the final analysis was 16,819. The prevalence of HC was 54% with mean cholesterol level of 5.4+-1.52 mmol/l. Prevalence of HC among males was 54.9% and 53.2% for females, while 53.4% among urban Saudis and 55.3% for rural Saudis. Hypertriglycemia prevalence was 40.3% with mean triglycerides level of 1.8+-1.29 mmol/l. Males had statistically significant higher HT prevalence of 47.6% compared to 33.7% in females (p<0.0001). Hyperlipidemia is reaching higher prevalence rates in KSA. This finding may suggest that CAD will soon be a major health problem. Reduction in obesity by adopting healthier eating problem habits and increasing physical activity are of considerable importance to our community. (author)
Full Text Available Objective: To examine self-reported knowledge, attitude, and preventive practices on cancer among Saudis. Materials and Methods: Data was collected from Saudis aged 15 years or more, who attended one of the randomly selected 20 Primary Health Centers (PHC or the four major private hospitals located in the Riyadh region, either as patients or their escorts. The association between the variables was evaluated by the Chi square test. Results: The study population consisted of 618 males and 719 females. Among the female respondents 23.1% reported that they practiced breast self-examination (BSE; 14.2 and 8.1%, respectively, had clinical breast examination (CBE and mammography. However, 10.0 and 16.1% of the females, aged 40 years and older, reported having had mammograms and CBE, respectively. The BSE performers were more educated, knew someone with cancer, and had heard of the cancer warning signal. Both educational level and ?heard of cancer warning signal? were significantly related to CBE. Cancer information was received from television / radio by 65.1% and from the physician by 29.4%. Even though 69.4% believed that cancer could be detected early, a vast majority (95.8% felt early detection of cancer was extremely desirable and 55.1% said their participation was definite in any screening program. A majority of the respondents (92.6% insisted on the need for physician recommendation to participate and 78.1% expected that any such program should be conducted in the existing hospitals / clinics. Conclusion: Culturally sensitive health education messages should be tailored to fulfill the knowledge gap among all population strata. Saudis will benefit from partnerships between public health educators and media to speed up the dissemination of cancer information.
Al-Hazzaa Hazzaa M
Full Text Available Abstract Background A better understanding of the relationships between obesity and lifestyle factors is necessary for effective prevention and management of obesity in youth. Therefore, the objective of this study was to evaluate the associations between obesity measures and several lifestyle factors, including physical activity, sedentary behaviors and dietary habits among Saudi adolescents aged 14–19?years. Methods This was a school-based cross-sectional study that was conducted in three cities in Saudi Arabia (Al-Khobar, Jeddah and Riyadh. The participants were 2906 secondary school males (1400 and females (1506 aged 14–19 years, who were randomly selected using a multistage stratified cluster sampling technique. Measurements included weight, height, body mass index (BMI, waist circumference, waist/height ratio (WHtR, screen time (television viewing, video games and computer use, physical activity (determined using a validated questionnaire, and dietary habits (intake frequency per week. Logistic regression was used to examine the associations between obesity and lifestyle factors. Results Compared with non-obese, obese males and females were significantly less active, especially in terms of vigorous activity, had less favorable dietary habits (e.g., lower intake of breakfast, fruits and milk, but had lower intake of sugar-sweetened drinks and sweets/chocolates. Logistic regression analysis showed that overweight/obesity (based on BMI categories or abdominal obesity (based on WHtR categories were significantly and inversely associated with vigorous physical activity levels (aOR for high level?=?0.69, 95% CI 0.41–0.92 for BMI and 0.63, 95% CI 0.45–0.89 for WHtR and frequency of breakfast (aOR for? Conclusions The present study identified several lifestyle factors associated with obesity that may represent valid targets for the prevention and management of obesity among Saudi adolescents. Primary prevention of obesity by promoting active lifestyles and healthy diets should be a national public health priority.
Long term measurements of radon's concentrations inside Saudi houses being studied using CR-39 Plastic Track Detectors fixed inside sealed plastic cups. The cups were left for about 7 months in the houses. The measurements were done in different cities of different provinces in the country. The analysis of 636 cups showed that the radon concentration in different cities was ranging from 0.27 pCi/l (in Khobar) to 0.98 pCi/l (in Taif). In exceptional places in Eastern Province, it is found that the lowest concentration was in the University offices (0.13 pCi/l) and the highest was in the University unoccupied houses (0.81 pCi/l). It is found that the ventilation is the main factor affecting the radon concentration in houses. (author)
Bawazeer, Naif A.; Najmah A. AlSobahi
Background: Energy drinks are freely available at markets and shops on the university campus without regulation or proper education regarding its side effects. The caffeine amount within energy drinks is high and could become an addictive substance or cause intoxication. Therefore, this study aims to assess the prevalence of energy drink consumption and its reported side effects among medical students. Methods:A total number of 257 medical students from Umm Al-Qura University completed a ques...
Full Text Available This is a study performed to identify the risk factors for gallstones in Saudis, taking the patient population of King Khalid University Hospital as a sample. Only Saudis with symptomatic gallstones were studied, the parameters being age, sex, weight, body mass index, fertility, age at menarche and age at marriage. The results showed that sex, weight, body mass index and fertility all appeared to be important factors in the development of gallstones and that the condition affects more Saudi females and at a younger age than reported in the literature, probably due to overweight and factors related to reproductivity. We conclude that gallstones are common in Saudi women and affect them at a younger age than western women, weight and fertility appear to be important risk factors.
Mansour I. Almansour
Full Text Available This investigation was conducted to determine lead accumulation in feathers of wild white-cheeked bulbul (Pycnonotus leucogenys and wild palm dove (Streptopelia seneglenses in order to find which is more suitable to monitor the lead environmental pollution. Feather samples of 270 of Pycnonotus leucogenys and 309 of Streptopelia seneglenses were collected from three different cities of Saudi Arabia (Jeddah, Riyadh and Al-Kharj and were analyzed for lead by atomic absorption spectroscopy. The results obtained in this study revealed that the feathers of Streptopelia seneglenses have more capacity to retain lead than Pycnonotus leucogenys in Jeddah and Riyadh (pStreptopelia seneglenses is more suitable as a biological monitor for environmental lead exposure than Pycnonotus leucogenys.
A Comparative Study of the Relationships between Conflict Management Styles and Job Satisfaction, Organizational Commitment, and Propensity to Leave the Job among Saudi and American Universities' Faculty Members
This study used Rahim Organizational Conflict Inventory-II, Form C to examine the preference for conflict management styles among Saudi and American faculty members. Additionally, the study examined the relationships between conflict management styles and job satisfaction, organizational commitment, and propensity to leave the job. A random sample…
Projektbüroo AS Resandi osalusel on rajatud Saudi Araabiasse Jiddahi kaheksa puidust jalgteesilda: kuus talasilda ja kaks kaarsilda. Ideekavandi valmistab ette Risto Mäkipuro, OÜ NuvoEst. Inseneriarvutused ja silla projekt tehakse AS-s Resand (insenerid Ragnar Pabort, Alar Just). Silla detailid valmistatakse Soomes. Ill: 2 joonist, värv. foto
Arbuscular mycorrhizal fungi (AMF) regarded as ubiquitous soil fungi which help in improving plant growth under harsh conditions. Petunia hybrida is one of the most favorite ornamental plants growing all over the Riyadh city of Saudi Arabia. In the present study, we would like to highlight the Petunia as a mycotrophic plant for the management of mycorrhizal fungi under field conditions. Roots along with rhizosphere soils of P. hybrida were collected from various sites in Riyadh, Saudi Arabia to study AM colonization and biodiversity of AMF. The data obtained in this study indicated that P. hybrida is a very highly mycotrophic plants, and all the samples produced very high colonization with mycelium, vesicles, coiled hyphae and arbuscules. The significant variation was found with the occurrence of mycelium and vesicles among the locations but in case of arbuscules more or less same range of occurrence was found. Only different species of Glomus were observed in all the locations. Glomus showed diversity in all the locations as indicated by the Shanon Diversity Index. As the P. hybrida is a highly mycotrophic plant, so this plant may be grown under harsh condition of Saudi Arabia to manage the plant growth under different stresses viz., water stress, saline soils and heavy metal toxicity conditions. (author)
Alshammari, Thamir M; Alamri, Khaled K; Ghawa, Yazeed A; Alohali, Noura F; Abualkol, Shaza A; Aljadhey, Hisham S
Background Drug safety has major implications for patients' lives. However, this concept is still considered new to some healthcare professionals. Objective This study aims to investigate the knowledge and awareness of Saudi healthcare professionals to pharmacovigilance (PV). Setting Governmental and private hospitals at three main cities in Saudi Arabia (Riyadh, Jeddah, and Dammam). Methods A cross-sectional survey among healthcare professionals (pharmacists, physicians, and nurses) within 12 Saudi hospitals was conducted between November and December 2012. The questionnaire consisted of 18 questions assessing the knowledge, awareness, and attitude of healthcare professionals (HCPs) towards science and the concept of PV. Descriptive statistics were used to analyze the data. The data were analyzed using Statistical Analysis Software (SAS 9.3). Main outcome measure Knowledge, attitude and practice of HCPs toward pharmacovigilance. Results Three-hundred and thirty-two healthcare professionals completed the survey (response rate 72 %), 110 (34 %) physicians, 106 (33 %) pharmacists, and 104 (32 %) nurses. More than half of the participants (55 %) did not know the correct definition of PV. Two-thirds of the respondents, 207 (65.5 %), had knowledge of the aim of post-marketing surveillance, yet only 113 (36.9 %) were aware that the National Pharmacovigilance and Drug Safety Center is the official body for monitoring adverse drug reaction in Saudi Arabia. In addition, 34.7 % agreed that lack of time could be a major barrier for reporting. The majority of the respondents (78.4 %) believed that reporting was a professional obligation and hospitals should have a drug safety department. Conclusions There was a limited knowledge of pharmacovigilance that could have affected reporting incidence. Educational intervention and a practical training program need to be applied by the drug regulatory body as well as health authorities to enhance the pharmacovigilance and drug safety culture in Saudi Arabia. PMID:26216270
Reem L. Al-Mutairi
Full Text Available Objectives: The incidence of type 2 diabetes mellitus (T2DM is growing rapidly in the Saudi population. The purpose of this study was to assess the constructs of the health belief model (HBM as they relate to T2DM lifestyle and prevention behaviours among adolescents. Methods: A cross-sectional study was conducted between May and October 2013 among 426 non-diabetic secondary school students from randomly selected schools in Riyadh, Saudi Arabia. An Arabic version of an adapted English language questionnaire was used to assess knowledge and attitudes related to the severity and prevention of T2DM. A preventative behaviour assessment was also conducted to assess physical activity and dietary habits. Results: The majority of the students (63.4% had at least one diabetic family member. Obesity was more frequent in males compared to females (P = 0.013. Awareness about the importance of maintaining a healthy body weight to prevent T2DM was lower in males than females (P = 0.037, although males engaged in routine exercise more often (P = 0.001. Males were less likely than females to recognise the risks for T2DM, including obesity (P = 0.030, heredity (P = 0.013 and high fat intake (P = 0.001. Conclusion: An alarmingly high number of Saudi students were unaware of T2DM severity and associated risk factors. Female students were more aware of the benefits of T2DM preventative lifestyle behaviours than males, although males engaged in routine exercise more often. Raising adolescents’ awareness about the primary prevention strategies for T2DM should be a public health priority in Saudi Arabia. The HBM could inform further research on diabetes prevention among Saudi adolescents.
Montasser Mohamed AbdelWahab Mahmoud
Full Text Available Cooperative language learning (CLL approach was used to encourage second-year university students at the college of languages and translation, at Al-Imam University to learn from their peers so that they could develop their writing skills. Students in CLL-based groups were trained to be more responsible for their learning through developing their personal interaction as well as their linguistic competence in a more relaxed social context. This treatment included sophomore students enrolled in EN 211 course in the second semester of 2013 academic year. Two instruments were used in this study; a pre-post writing test, and an attitude questionnaire. The pre- and post- scores from the test were calculated for descriptive statistics and compared using a Wilcoxon Test. The process of evaluating students’ writings focused mainly on analyzing their mistakes with regard to spelling, using of vocabulary, grammar, punctuation as well as coherence. The findings revealed that the students’ scores in writing were higher for the post-test than the pre-test at the significance level of .001 after being subject to this kind of treatment. However, it must be stated that the degree of improvement was not extremely high as students still made some mistakes with regard to the previously mentioned points. As for the attitude scale, the results obtained proved that the students developed positive attitudes towards using the cooperative learning approach to develop language skills in general and to develop their writing skills in particular.
Alshammari, Thamir M.; Al-Kathiri, Wa’ad H.; Louet, Hervé Le; Aljadhey, Hisham S.
Objectives: To assess completeness of reports in the Saudi Adverse Event Reporting System (SAERS), which is a part of the Saudi Food and Drug Authority pharmacovigilance system for monitoring the safety of medications. Methods: A cross-sectional study was conducted in Riyadh, Saudi Arabia using the reports that were received between December 2009 and June 2012 in the SAERS. The completeness was assessed by reviewing the components of the adverse drug reactions (ADRs) form, and how many fields were completed. Descriptive statistics are reported. Result: There were 14,783 reports during the study period. Eighty percent of these reports were spontaneous reports. Information related to the drug (99%) and adverse events (98%) of the reports were completed. While the patient’s demographic data were completed only in 38% of all reports, the least completed item in the ADRs form was the reporter information (15%). The most reported drug class was tumor necrosis factor inhibitors (7%), whereas events involving the respiratory organ system were the most frequently reported (4.5%). Conclusion: Although the SAERS is considered new, it has a high number of reports. More efforts are needed to improve the completeness of the SAERS to be a good source to assess the signals between events and suspected drugs, especially when there is a high number of reports. PMID:26108586
Because reports of bronchiolitis obliterans organizing pneumonia (BOOP) are lacking from the Middle East, we conducted a retrospective review of all histopathologically proven cases of BOOP over 10-year period at three tertiary care hospitals in Riyadh and describe the clinical features and outcome. Charts at the three hospitals were searched using a specific code for BOOP or cryptogenic organizing pneumonia (COP). Lung specimens have to show histological proof of BOOP with a compatible clinical picture. Chest radiographs and high resolution CT scans were reviewed. Twenty cases of biopsy-proven BOOP had well documented clinical and radiograph data. There were 11 males and 9 females (mean age 58 years; range 42-78). The clinical presentation f BOOP was acute or subacute pneumonia-like illness with cough (85%), fever (70%) dyspnea, (85%) and crackles (80%). The most frequent radiological pattern was a bilateral alveolar infiltrate. The most common abnormality on pulmonary function testing (n=14) was a restrictive pattern (11 patients). Most patients (70%) had no underlying cause (idiopathic BOOP). Other associations included thyroid cancer, rheumatoid arthritis, syphilis and Wegner's granulomatosis. Ten patients (50%) had a complete response to steroids, 6 (30%) had a partial response and 3 (15.8) with secondary BOOP had rapid progressive respiratory failure and died. The clinical presentation of BOOP in our patients is similar to other reported series. A favorable outcome occurs in the majority of cases. However, BOOP may occasionally be associated with a poor prognosis, particularly when associated with an underlying disease. (author)
Naif A. Bawazeer
Full Text Available Background: Energy drinks are freely available at markets and shops on the university campus without regulation or proper education regarding its side effects. The caffeine amount within energy drinks is high and could become an addictive substance or cause intoxication. Therefore, this study aims to assess the prevalence of energy drink consumption and its reported side effects among medical students. Methods:A total number of 257 medical students from Umm Al-Qura University completed a questionnaire about energy drinks that was administrated electronically from September through November, 2012. Results:Out of the 257 participants, 27.2% (n=70 reported consuming at least one energy drink per month, with 61.5% (n=48 being males. Males consume significantly more energy drinks than females (p=0.0001. The students consumed energy drinks to get energy in general (32.8% and while studying for exams or finishing a project (31.4%. Other reasons given include, lack of sleep (12.8%, just to be like friends (11.4%, or driving (8.5%. Heart palpitations are the most common side effect in our sample (20%, followed by insomnia (10%, headache and tremors (5.7%, nausea and vomiting (4.2% and nervousness (2.8%. Conclusion: Energy drinks consumption is common practice among medical students and the main reason cited for consumption is the need for energy during general activities. Approximately one-third of the consumers manifested some side effect after consumption. We recommend the need to create public awareness about energy drinks. Further studies are recommended to assess the educational level of students consuming energy drinks, about the dangerous side effects.
Full Text Available Objectives: Menstruation, although a natural process, is often linked with different types of misconceptions and social taboos, such as treating the menstruating girls as dirty, and not allowing them to discuss the menstruation related problems with other family members. All of this will eventually lead to adverse health outcomes. Keeping these facts in mind the present study was formulated to find out the knowledge and practice of university females in the area of reproductive health and hygiene. Materials and Methods: The study was carried out using a pretested and modified questionnaire. Leaflets explaining the objectives of the study were distributed in different departments of the university and subjects were invited to participate in the study. After getting an informed consent, those who agreed to fill the questionnaire were included in the study. Data were entered into SPSS-17.0 for the purpose of statistical analysis. Results: The present study shows mean age at menarche as 12.91±1.65 years. 62.5% of the subjects were aware of the menstrual cycle before their first menarche. Although 80% of the girls knew that maintaining personal hygiene can prevent problems and pain, only 62% followed satisfactory routines of hygiene. The overall score for knowledge regarding reproductive health and hygiene was found to be 54%. Conclusion: Results of the study concluded that menstrual hygiene, as a very important aspect of reproductive health, is often neglected and should be given utmost importance in the education curriculum, especially from the higher secondary levels. However, more research with strong evidences is further needed.
Hazzaa M. Al-Hazzaa
Full Text Available This study investigated the cross-cultural differences and similarity in health behaviors between Saudi and British adolescents. A school-based cross-sectional study was conducted at four cities in Saudi Arabia (Riyadh and Al-Khobar; N = 1,648 and Britain (Birmingham and Coventry; N = 1,158. The participants (14–18 year-olds were randomly selected using a multistage stratified cluster sampling technique. Measurements included anthropometric, screen time, validated physical activity (PA questionnaire and dietary habits. The overweight/obesity prevalence among Saudi adolescents (38.3% was significantly (p < 0.001 higher than that found among British adolescents (24.1%. The British adolescents demonstrated higher total PA energy expenditure than Saudi adolescents (means ± SE = 3,804.8 ± 81.5 vs. 2,219.9 ± 65.5 METs-min/week. Inactivity prevalence was significantly (p < 0.001 higher among Saudi adolescents (64% compared with that of British adolescents (25.5%. The proportions of adolescents exceeding 2 h of daily screen time were high (88.0% and 90.8% among Saudis and British, respectively. The majority of Saudi and British adolescents did not have daily intakes of breakfast, fruit, vegetables and milk. MANCOVA showed significant (p < 0.05 gender by country interactions in several lifestyle factors. There was a significant (p < 0.001 gender differences in the ratio of physical activity to sedentary behaviors. In conclusion, Saudi and British adolescents demonstrated some similarities and differences in their PA levels, sedentary behaviors and dietary habits. Unhealthy lifestyle behaviors among adolescents appear to be a cross-cultural phenomenon.
Abdullah Saleh Al Sadaawi
Full Text Available To provide a universal basic education, Saudi Arabia initially employed a rapid quantitative educational strategy, later developing a qualitative focus to improve standards of education delivery and quality of student outcomes. Despite generous resources provided for education, however, there is no national assessment system to provide statistical evidence on students’ learning outcomes. Educators are querying the curricula and quality of delivery for Saudi education, especially following low student performances on the Trends in International Mathematics and Science Study (TIMSS in 2003 and 2007. There is a growing demand for national assessment standards for all key subject areas to monitor students’ learning progress. This study acknowledges extant research on this important topic and offers a strategy of national assessment to guide educational reform.
People have different cultural characteristics that affect the way they do business. Using compelling ways to categorize major cultural differences, this paper helps the reader understand how different concepts of time, the relevance of status and power in shaping organizational structure, communication methods, and ways to conduct meetings and social gatherings, all influence how interactions with a specific culture in Saudi Arabia can be made effective.
Energy and the Saudi economy were discussed with reference to reserves, oil prices, gross domestic product co-movements, and gas resources and development. In particular, this presentation reviewed the emergence and prospects of the petrochemical industry of Saudi Arabia using statistical, institutional and economic analyses relying on a wide range of data sources. Saudi Arabia has the world's largest oil reserves, at 263 billion barrels. In the 1990s, more than 54 Tcf of non-associated gas reserves were added to Saudi Arabia's resource base, more than doubling its proven non-associated gas reserves to approximately 97 Tcf. With 138 Tcf of associated gas reserves, Saudi Arabia holds the fourth largest gas reserves in the world at nearly 235 Tcf. First, this presentation identified and evaluated the endowments as well as the institutional and strategic forces that are driving the growth of the petrochemical industry in Saudi Arabia. Some of the economic, technical and geopolitical factors that influenced the increase in oil prices between 2003 and 2005 were also identified. The dual relationship between the Saudi petrochemical industry and long term economic performance of the Saudi economy were illustrated within a broad domestic economic diversification policy objective. The future growth prospects and challenges facing the Saudi petrochemical industry were also evaluated with respect to the evolving economic reform policies and Saudi international commitments. Potential implications for the petrochemical industry in North America were also identified, in terms of technology transfer and having Saudi Arabia secure the markets in order to meet its commitment to the World Trade Organization. tabs., figs
Griffin, Tim D.; Algren, Mark S.
Religion pervades all aspects of Saudi Arabia, the conservative home of Islam, where the constitution is the Quran and law is interpreted by religious scholars. A formal adult basic education program was initiated in 1960. As part of the country's modernization since the early 1970s, the Saudi government has begun an enormous nation-building plan…
Full Text Available Background: Because reports of bronchiolitis obliterans organizing pneumonia (BOOP are lacking from the Middle East, we conducted a retrospective review of of all histopathologically proven cases of BOOP over a 10-year period at three tertiary care hospitals in Riyadh and describe the clinical features and outcome. Methods: Charts at the three hospitals were searched using a specific code for BOOP or cryptogenic orga-nizing pneumonia (COP. Lung specimens had to show histological proof of BOOP with a compatible clinical picture. Chest radiographs and high-resolution CT scans were reviewed. Results: Twenty cases of biopsy-proven BOOP had well-documented clinical and radiographic data. There were 11 males and 9 females (mean age, 58 years; range, 42-78. The clinical presentation of BOOP was acute or subacute pneumonia-like illness with cough (85%, fever (70% dyspnea, (85% and crackles (80%. The most frequent radiological pattern was a bilateral alveolar infiltrate. The most common abnormality on pulmonary function testing (n=14 was a restrictive pattern (11 patients. Most patients (70% had no underlying cause (idio-pathic BOOP. Other associations included thyroid cancer, rheumatoid arthritis, syphilis and Wegner?s granulo-matosis. Ten patients (50% had a complete response to steroids, 6 (30% had a partial response and 3 (15.8% with secondary BOOP had rapid progressive respiratory failure and died. Conclusion: The clinical presentation of BOOP in our patients is similar to other reported series. A favorable outcome occurs in the majority of cases. However, BOOP may occasionally be associated with a poor prognosis, particularly when associated with an underlying disease.
Nasser, A. E. M.
Solar and wind data averages gathered for five years and plans for a 1.2-1.4 kW solar wind energy plant at Riyadh, Saudi Arabia are presented. Wind speeds were gathered at 2 m height averaging 3.9 m/sec, and extrapolated to 22 m and 5.45 m/sec; average solar intensity was found to be 600 W/sq m between 6 a.m. and 6 p.m. The generator system comprises a 5.5 m diameter multiblade windpowered turbine on a 10 meter tower and photovoltaic modules generating 500 W. The NACA 0018 blade tips will be enclosed within a conical duct, augmenting the wind velocity by an expected 10%. Lead-acid batteries will be used for storage; initial applications of the system are targeted for remote villages and military outposts.
Ziad A Memish
Full Text Available Objectives: To study the knowledge, attitudes, and practices with regard to human immunodeficiency virus infection / acquired immune deficiency syndrome (HIV/AIDS in illegal residents, in the Kingdom of Saudi Arabia (KSA. Materials and Methods: A questionnaire study was conducted among the illegal residents from four regions in Saudi Arabia: Jeddah, Makkah, Riyadh, and Jazan. Results: The survey enrolled 5,000 participants, 79%male (39.6% from Jeddah; 20% from Riyadh; and 20% from Jazan, aged between 15 and 45 years. Of the total, 1288 (25.8% had not heard about HIV/AIDS. Knowledge of HIV transmission was poor in 90% of the respondents. Of the total, 737 had read about HIV/AIDS materials and 649 participants had been previously tested for HIV. The majority of participants (85% held a negative attitude toward people living with HIV/AIDS. Those who were knowledgeable about HIV/AIDS expressed more a positive attitude. One-fifth (968, majority were men; single 55%, married 45% had engaged in non-marital sexual activity. The largest proportion of the individuals who had engaged in non-marital sex were single (54.9% followed by the married ones (40.4%. Men cited pleasure as the main reason for such activity (84.6%, whereas women (73.4% cited financial gain. Of the respondents, 53.9 and 32.1% believed that TV and schools were the best media through which information with regard to HIV/AIDS could be imparted. Conclusions: Knowledge of HIV/AIDS, its mode of transmission, and prevention measures was poor. Educational programs specifically targeted toward this group were required.
Al-Ahmadi, Khalid; Al-Zahrani, Ali
Air pollution exposure has been shown to be associated with an increased risk of specific cancers. This study investigated whether the number and incidence of the most common cancers in Saudi Arabia were associated with urban air pollution exposure, specifically NO2. Overall, high model goodness of fit (GOF) was observed in the Eastern, Riyadh and Makkah regions. The significant coefficients of determination (r2) were higher at the regional level (r2 = 0.32-0.71), weaker at the governorate level (r2 = 0.03-0.43), and declined slightly at the city level (r2 = 0.17-0.33), suggesting that an increased aggregated spatial level increased the explained variability and the model GOF. However, the low GOF at the lowest spatial level suggests that additional variation remains unexplained. At different spatial levels, associations between NO2 concentration and the most common cancers were marginally improved in geographically weighted regression (GWR) analysis, which explained both global and local heterogeneity and variations in cancer incidence. High coefficients of determination were observed between NO2 concentration and lung and breast cancer incidences, followed by prostate, bladder, cervical and ovarian cancers, confirming results from other studies. These results could be improved using individual explanatory variables such as environmental, demographic, behavioral, socio-economic, and genetic risk factors. PMID:24192792
Full Text Available Air pollution exposure has been shown to be associated with an increased risk of specific cancers. This study investigated whether the number and incidence of the most common cancers in Saudi Arabia were associated with urban air pollution exposure, specifically NO2. Overall, high model goodness of fit (GOF was observed in the Eastern, Riyadh and Makkah regions. The significant coefficients of determination (r2 were higher at the regional level (r2 = 0.32–0.71, weaker at the governorate level (r2 = 0.03–0.43, and declined slightly at the city level (r2 = 0.17–0.33, suggesting that an increased aggregated spatial level increased the explained variability and the model GOF. However, the low GOF at the lowest spatial level suggests that additional variation remains unexplained. At different spatial levels, associations between NO2 concentration and the most common cancers were marginally improved in geographically weighted regression (GWR analysis, which explained both global and local heterogeneity and variations in cancer incidence. High coefficients of determination were observed between NO2 concentration and lung and breast cancer incidences, followed by prostate, bladder, cervical and ovarian cancers, confirming results from other studies. These results could be improved using individual explanatory variables such as environmental, demographic, behavioral, socio-economic, and genetic risk factors.
This paper investigates the impact of 9/11 on the educational system in Saudi Arabia. In particular, it discusses how this phenomenon took its course to influence the English teaching system in Saudi Arabia, and the attitude and the impact of this new phenomenon in the Saudi society, in light of the current debate between Arab linguists on the issue of more English less Islam. It also presents a case study on a group of Saudi freshmen students studying English at King Abdul Aziz University, ...
El-Gilany Abdel-Hady; Amr Mostafa; Hammad Sabry
Background and Objectives: In Arab countries, epidemiological data about psychological morbidity among medical undergraduate students are scarce. This study sought to determine whether there was a difference in perceived stress levels of male medical students at Mansoura University, Egypt, compared with male medical students at King Faisal University, Saudi Arabia. Methods: The sample consisted of 304 male medical students in Egypt and and 284 male medical students in Saudi Arabia. The s...
Alakeel, Ali M.
Learning computer programming is one of the main requirements of many educational study plans in higher education. Research has shown that many students face difficulties acquiring reasonable programming skills during their first year of college. In Saudi Arabia, there are twenty-three state-owned universities scattered around the country that…
Objective was to assess the serum level of 25 hydroxyvitamin D (25OHD)among healthy Saudi Arabian women living in the eastern province. Across-sectional randomized study was conducted between February 1st 2008 andMay 31st at the King Fahd University Hospital, Al-Khobar, Kingdom of SaudiArabia in 200 Saudi women between 25-35 years (group 1) and women of >=50years (group 2). Clinical examination, laboratory tests, a complete bloodpicture, serum calcium, phosphorous, alkaline phosphatase, parathromone, andthe serum levels of 25 OHD levels were carried out. Data on life style,dietary and demographic questionnaires were collected. Vitamin D was definedas deficient with serum level =50 years. This study indicates that hypovitaminosis D is commonin young and postmenopausal women. Efforts are required augment andencouraged women for adequate exposure to sunlight and increased intake offortified vitamin D products to maintain skeletal health. (author)
Full text: Undoubtedly, easy availability of radiopharmaceuticals is a key element in application of radioisotopes in health care. And, creating self-sufficiency within the country and the geographical region in manufacturing these time-limited products further enhances this prospect. For obvious reasons, on demand availability and timely distribution of products bodes well for a regional programme. At King Faisal Specialist Hospital and Research Centre in Riyadh, Saudi Arabia, one such programme began in early 1980s with the installation of the CS-30 (26.4 MeV) cyclotron, with an intention not only to make available the cyclotron products for medical imaging, but also to establish a contemporary research programme in radiotracer development as exemplified by simultaneous installation of a Tomogram (PET scanner) at the time when PET scanning was in its infancy. The first beam on target in 1982 produced the first batch of 67Ga citrate radiopharmaceutical, followed by an addition of various other cyclotron based products over the years. Presently, the Cyclotron Facility routinely produces six cyclotron isotopes (201Tl, 67Ga, 81mKr, 123I, 18F and 13N) which are subsequently formulated into nine different radiopharmaceuticals. Weekly, approximately 25 batches of radiopharmaceuticals are manufactured supporting 35 nuclear medicine facilities within the country and the geographical region. A key motivating and driving force for our Centre has been the goal of becoming a comprehensive radiopharmaceuticals manufacturing facility. Consequently, we introduced in Year 2000 the 131I based products for diagnosis as well as for therapy, including on-request manufacturing of 131I labeled mIBG. Good Manufacturing Practice is the cornerstone of any radiopharmaceuticals manufacturing program. KFSH and RC is a perfect example of how this operational and guiding principle has been applied and evolved over the years, culminating into an effective quality management system for manufacturing radiopharmaceutical products consistently conforming to specifications. The programme building has been 'work in progress' from the onset and continues to be so, particularly in establishment and implementation of strict operational philosophy of GMP and ISO quality management system. We also realized that people are the most important component of any viable program. For efficient functioning, the staff must be well qualified and appropriately trained to achieve the mission of the organization. This has been achieved through staff selection based upon educational background, followed by extensive on-the-job training, as well as didactic education. Consequently, our facility has had a good mix of young and experienced staff. Furthermore, we have availed of the various IAEA's programmes in specific training and fellowships for in depth exposure to other centres. With embarkation upon new programs, continuing education remains a central theme in ultimate success of the entire program. The experience gained over two decades of continuous operation breeds confidence in the staff to achieve the goal of making Saudi Arabia self-sufficient in all its radiopharmaceuticals needs. Continuing with our commitment to make available to the peoples of the country the most contemporary imaging modality, PET scanner was installed at KFSH and RC in 1995. Along with the routine PET work, we have established a team of scientists to perform research work in developing new radiotracers. KFSH and RC's cyclotron facility has continually focused on an overwhelming goal of becoming a comprehensive radiopharmaceuticals manufacturing facility. To this end, the year 2005 is the beginning of establishing just one such facility through expansion of the program that entails: a new building; a state-of-the-art cyclotron (30 MeV; plus a small cyclotron dedicated for PET isotopes production); advanced clean rooms; more importantly, the establishment of the Tc-99m Generators and Cold Kits manufacturing programs. Presentation will entail past, present and future of radiopharmaceuticals manufa
Full Text Available Objective: Data on hormone receptor and Her2/neu expression in breast cancers from Saudi Arabia and Gulf Region is sparse. We undertook this study to describe the patterns of hormone receptor and Her2/neu protein expression in breast carcinoma and compared them with the histological grade at a university hospital in Riyadh.Material and Method: We conducted a retrospective hormone receptor and Her2/neu study on 164 histologically confirmed invasive ductal carcinoma of the breast between the year 2002 and 2008. Immunohistochemical analysis for estrogen receptor, progestrone receptor and Her2/neu was done in all the cases. Fluorescent in situ hybridization (FISH for Her2/neu gene amplification was performed in all 2+ cases and a few equivocal 1+ and 3+cases by immunohistochemistry. The results were then compared in a blinded fashion. Correlation between Estrogen Receptor, Progesterone Receptor and Her2/neu amplification and grade of tumour were calculated.Result: The prevalence of estrogen receptor, progestrone receptor and Her2/neu overexpression were 64.6%, 57.3% and 35.3% respectively. The expression of estrogen receptor and progestrone receptor were significantly correlated (p<0.001. There was also a significant negative correlation between expression of hormone receptor and Her2/neu amplification. The histological grade of the tumour was also significantly correlated to the expression of both estrogen receptor and progestrone receptor. However, the relationship between Her2/neu amplification and grade of tumour was not significant and many of the grade III tumours were Her2/neu negative. In addition Her2/neu gene amplification by FISH was observed in 84.6% of breast cancers that were 3+ and in 18.75% of the cases that were 2+ by immunohistochemistry.Conclusion: The revalence of estrogen receptor, progestrone receptor expression and Her2/neu amplification in breast cancers in Saudi Arabian population is similar to that reported internationally. There is a negative correlation between hormone receptors expression and Her2/neu amplification. However, not all high-grade breast cancers showed Her2/neu positive status.
Full Text Available The complex, designed and built for the Finance Ministry of the Kingdom of Saudi Arabia, is located on a 78,000 m2 lot, close to the intersection of highways crossing the Arabian desert, which connect the location directly with the area of public buildings of the city and with the airport as well.
The complex situates the Convention Hall, with 23,230 m2 of constructed surface, in the southeast half of the lot; the Hotel, with 14,860 m2 of constructed surface, Is on the other half. Each has independent accesses, as is the case of the Mosque which is located at one end of the lot. Individual dwellings three-storeys high, gardens, parking areas, service roads an auxiliary buildings have been constructed next to the Mosque.
El conjunto, diseñado y construido para el Ministerio de Finanzas del Reino de Arabia Saudita, está situado en una parcela de 78.000 m2, próxima a la intersección de carreteras que cruzan el desierto arábigo y que conectan directamente la parcela con el área de edificios públicos de la ciudad y con el aeropuerto. El complejo sitúa en la mitad sudoeste el Centro de Conferencias, de 23.230 m2 de edificabilidad, y el Hotel, de 14.860 m2 de superficie construida, en la otra mitad; cada uno de ellos con accesos independientes, al igual que la Mezquita emplazada en un extremo de la parcela. Junto a ésta se han construido viviendas unifamiliares de tres plantas, así como jardines, aparcamientos, carreteras de servicio y locales auxiliares.
Mehdi, Syed Riaz; Al Dahmash, Badr Abdullah
BACKGROUND AND AIMS: Saudi Arabia falls in the high prevalent zone of ?? and ? thalassemias. Early screening for the type of thalassemia is essential for further investigations and management. The study was carried out to differentiate the type of thalassemia based on red cell indices and other hematological parameters. MATERIALS AND METHODS: The study was carried out on 991 clinically suspected cases of thalassemias in Riyadh, Saudi Arabia. The hematological parameters were studied on Coulter STKS. Cellulose acetate hemoglobin electrophoresis and high-performance liquid chromatography (HPLC) were performed on all the blood samples. Gene deletion studies were carried out by restriction fragment length polymorphism (RFLP) technique using the restriction endonucleases Bam HI. STATISTICAL ANALYSIS: Statistical analysis was performed on SPSS 11.5 version. RESULTS: The hemoglobin electrophoresis and gene studies revealed that there were 406 (40.96%) and 59 (5.95 %) cases of ? thalassemia trait and ? thalassemia major respectively including adults and children. 426 cases of various deletion forms of ? thalassemias were seen. Microcytosis was a common feature in ? thalassemias trait and (-?/-?) and (--/??) types of ? thalassemias. MCH was a more significant distinguishing feature among thalassemias. ? thalassemia major and ? thalassemia (-?/??) had almost normal hematological parameters. CONCLUSION: MCV and RBC counts are not statistically significant features for discriminating between ? and ? thalassemias. There is need for development of a discrimination index to differentiate between ? and ? thalassemias traits on the lines of discriminatory Indices available for distinguishing ? thalassemias trait from iron deficiency anemia. PMID:22345994
Salih Bin Salih
Full Text Available Objective: The objective of this study was to assess the prevalence of polypharmacy (PP and the associated factors in medical outpatients. Materials and Methods: A cross-sectional, observational, descriptive study was carried out in adult medical outpatients attending internal medicine clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia from 1 March 2009 to 31 December 2009. PP was defined as the concomitant use of ?5 medications daily. The number of medications being currently taken by patient was recorded. Effect of patients? age, gender, educational level, number of prescribers, disease load and disease type on PP was assessed by multivariate analysis using Statistical Package for Social Sciences Incorporated (SPSS Inc Version 18. Results: Out of 766 patients included in the study, 683 (89% had PP. The mean number of prescribed medications, oral pills and doses was 8.8, 9.6 and 12.1, respectively. Factors significantly associated with PP included age (?61 years, disease load and the number of prescribers. Gender had no impact on PP while education beyond primary education significantly decreased PP. Hypertension, diabetes mellitus and dyslipidemia alone and as a cluster increased PP. Conclusion: We found an extremely high level of PP in medical outpatients at our tertiary care center. The impact of PP on medication compliance and control of underlying diseases in Saudi Arabia is unknown and needs to be studied at different levels of care.
Almutairi, Khalid M; Al Helih, Eyad M; Moussa, Mahaman; Boshaiqah, Ahmad E; Saleh Alajilan, Abdulrahman; Vinluan, Jason M; Almutairi, Abdulaziz
New cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) were reported in Gulf countries in 2014, and to date, it has reportedly infected 837 people and killed 291 globally. Awareness of an individual's knowledge and being able to predict his or her behavior is crucial when evaluating clinical preparedness for pandemics with a highly pathogenic virus. The aim of this study was to identify awareness, attitudes, and practices related to MERS-CoV among the public in Saudi Arabia. A cross-sectional study of 1147 adult subjects recruited from various shopping malls in Riyadh was conducted. All the subjects were interviewed using a questionnaire that tested their knowledge, attitudes, and use of precautionary measures in relation to the MERS-CoV pandemic. The majority of the participants showed high levels of concern and had utilized precautionary measures. After adjusting for other variables, gender was the only significant predictor of the level of concern (P < .001), while knowledge was the significant predictor of both the level of concern and precaution (P < .001). High concern translated into a higher compliance with precautionary recommendations. Frequent communication between health care providers and the public is recommended to help dispel myths about the disease and to empower the public with the information needed to help the Saudi government in containing the disease outbreak. PMID:26291193
Mohamed Abd El Fatah Mahmoud
Full Text Available Aim: Four viral pathogens, bovine viral diarrhea virus (BVDV, and bovine herpes virus type 1 (BHV-1, bovine parainfluenza type 3 virus (PI-3V, bovine respiratory syncytial virus (BRSV are mainly associated with bovine respiratory diseases that cause major economic losses in the dairy cattle industry. This study aimed to document exposure of cattle in Saudi Arabia to infectious BVDV, BHV-1, PI-3V and BRSV viruses in non vaccinated cattle in order to obtain epidemiological and immunological information. Materials and Methods: In the present study, 460 random serum samples obtained from non vaccinated cattle in five districts (Riyadh, Eastern Province, Jizan, Najran, Asir of Saudi Arabia between January to March 2011. These samples were tested for presence of antibodies against BVDV, BHV-1, BRSV and PIV-3 by commercial indirect ELISA kits. Results: Our findings displayed that Seropositivity rates were 26 % for BVD, 17.4 % for BHV-1, 69.1 % for PI-3V and 75.6 % for BRSV in the sampled population. In addition, coinfections with more than one virus were considerably common among non-vaccinated dairy cattle. Conclusion: These results indicate that exposure to these agents is common within the study areas. Preventive and control measures against these infectious agents should therefore be adopted. [Vet World 2013; 6(1.000: 1-4
Aldayel Maha; Bukhari Iqbal
Tinea capitis is a dermatophyte infection of the scalp the purpose of this study was to define the demographic features, clinical patterns and associated symptoms and signs of tinea capitis in Saudi Arabia. All patients who attended the dermatology clinic of king Fahad Hospital of the University (KFHU) at Al-Khobar, Saudi Arabia and who were diagnosed as tinea capitis between January 1991 and December 2001 were reviewed. The collected data were analyzed using statistical package for social sc...
Rafat M. Al Rousan; Noor Hashima binti Abdul Aziz; Anne Christopher
The widespread use of the mobile phone service has greatly contributed to the proliferation of text messaging, particularly among young people. The main objective of this study is to examine the communicative functions of the text messaging of young Saudi university students. Thurlow’s (2003) theoretical framework is used in this study. The study has a straightforward research question: What are the communicative functions of young Saudi students’ text messaging? 750 text messages were collec...
Faten A. Al-Braiken
OBJECTIVES To determine the possible health risk associated with intestinal parasite infections among children with gastroenteritis in Jeddah, Kingdom of Saudi Arabia. METHODS This cross-sectional study was undertaken between March and August 2007 in Jeddah, Kingdom of Saudi Arabia, to detect the prevalence of intestinal parasite infections in children aged 0-10 years. Two major public hospitals took part in the study. These hospitals are King Abdulaziz University Hospital (KAUH), an...
Alzolibani, Abdullateef A.
Objectives: To assess the impact of atopic dermatitis (AD) on the quality of life (QoL) of Saudi infants and children using a validated/culturally adapted Arabic version of the infants’ dermatitis quality of life (IDQoL) index, and to investigate the correlation between IDQoL and disease severity. Methods: This study was performed in the Dermatology Clinics and Hospitals affiliated to Qassim University, Buraidah, Saudi Arabia between September 2012 and August 2013. The study was designed to...
This study investigates the type and frequency of language learning strategies used by Saudi EFL students. The subjects were 701 male and female Saudi EFL students enrolled in an intensive English language program at the University of Ha’il. The Oxford Strategies Inventory of Language Learning (SILL) was used with some modifications. The study seeks to extend our knowledge by examining the relationship between the use of language learning strategies (LLS) and gender and proficiency level. The...
Alzahem AM; Van der Molen HT; De Boer BJ
Abdullah M Alzahem,1 Henk T van der Molen,2 Benjamin J de Boer31Advanced Education in General Dentistry (AEGD) Residency Program, King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences/National Guard Health Affairs, Riyadh, Saudi Arabia; 2Institute of Psychology, Faculty of Social Sciences, Erasmus University, Rotterdam, The Netherlands; 3Clinical Psychology, Princess Nora University, Riyadh, Saudi ArabiaObjective: Stress among dental studen...
Background: We conducted this study to assess knowledge of breast cancer and sources of information about breast cancer among women in Riyadh. We also analyzed whether associations existed between de-mographic variables, knowledge of breast cancer, and the practice of breast self-examination and use of mammography screening. Methods: Women interested in participating in this community-based descriptive study provided data by completing a pre-tested structured questionnaire. Results: Of 864 ...
Al-Saleh, Mohammed A; Mahmoud A. Amer
In 2011–2012, sixty nine samples were collected from alfalfa plants showing viral infection symptoms in Riyadh region. Mechanical inoculation with sap prepared from two collected samples out of twenty five possitive for Alfalfa mosaic virus (AMV) by ELISA were produced systemic mosaic on Vigna unguiculata and Nicotiana tabacum, local lesion on Chenopodium amaranticolor and C. quinoa. Vicia faba indicator plants that induce mosaic and mottle with AMV-Sagir isolate and no infection with AMV-Wad...
Full Text Available Hadeel A Mokhtar, Layla W Abuljadayel, Reem M Al-Ali, Mohammed Yousef Department of Operative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia Abstract: Parameters of dental beauty change across time for varying reasons. Thus, an understanding of the factors that help or harm the attractiveness of a smile is an important step in creating attractive smiles. This study aimed to identify factors that affect smile perception and attractiveness among the Saudi population. A cross-sectional study was conducted among the Saudi population. Questionnaires were distributed to 130 dentists and final-year dental students, and to 130 laypersons. The questionnaire contained six smile photographs created by Photoshop® software. There was a statistically significant difference in scale ratings, based on participant background, for the “gummy: smile picture (P-value =0.003, diastema picture (P-value =0.000 and the “Reverse” smile picture (P-value =0.004. As for sex, males significantly underscored the gummy picture (P-value =0.009. Older people accepted the gummy smile less than did younger people, but diastema was considered as one of the variations that spoiled the attractiveness of the smile. “Dental background” participants significantly identified the ideal smile better than the “nondental” group. The perception of diastema as a sign of beauty among Saudi population in the past has definitely changed, according to the results of our study, where diastema and reverse smile received the lowest score in this survey. Keywords: diastema, gummy, reverse
- Data collection is difficult to any network analysis because it is difficult to create a complete network. It is not easy to gain information on terrorist networks. It is fact that terrorist organizations do not provide information on their members and the government rarely allows researchers to use their intelligence data (Ressler S., 2006). Very few researchers (Krebs, V., 2002, Sageman, M., 2004 and Rodriguez, J. A., 2004) collected data from open sources, and to the best of our knowledge, no knowledge base is available in academia for the analysis of the terrorist events. To counter the information scarcity, we at Software Intelligence Security Research Center, Aalborg University Esbjerg Denmark designed and developed terrorism knowledge base by harvesting information from authenticated websites. In this paper we discuss data collection and analysis results on our on-going research of Investigative Data Mining (IDM). In addition, we present iMiner Information Harvesting System and describe how intelligence agencies could be benefited from detecting hierarchy in non-hierarchical terrorist networks. In this paper we present results of detection of hidden hierarchy of Riyadh Bombing Terrorist Network as a test bed.
Alabdulaaly, Abdulrahman I.; Al-Zarah, Abdullah I.; Khan, Mujahid A.
The presence of elevated levels of fluoride in groundwater is considered a global problem. Fluoride in water derives mainly from dissolution of natural minerals in the rocks and soils with which water interacts. The most common fluorine-bearing minerals are fluorite, apatite and micas. Anthropogenic sources of fluoride include agricultural fertilizers and combustion of coal. In the present research, a survey of wells ( n = 1,060) was undertaken in all the 13 regions of the Kingdom of Saudi Arabia to assess the contained fluoride (F) levels. The results indicated variation in fluoride levels from 0.10 to 5.4 mg/L as F throughout the kingdom. The average fluoride levels in milligrams per liter as F were as follows in descending order: 1.80 (Hadwood Shamalyah), 1.37 (Hail), 1.33 (Eastern Province), 1.16 (Al Jouf), 1.11 (Qassim), 1.01 (Riyadh), 0.90 (Madina Al Munnawara), 0.81 (Tabouk), 0.74 (Makkah Al- Mukaramma), 0.73 (Jizan), 0.66 (Asir), 0.64 (Najran), and 0.60 (Al Baha). The results indicated that fluoride levels exceeded the USEPA maximum contaminant limits for drinking water (4 mg/L) in several wells ( n = 7) in different regions of the kingdom and that 13.96 % of the wells exceeded the World Health Organization recommended levels (1.5 mg/L). The results were also compared with the secondary USEPA contaminant standards of 2.0 mg/L for fluorides.
Al-Mozaini, Maha A.; Mansour, Michael K.; Al-Hokail, Abdullah A.; Mohmed, Magid A.; Daham, Munirah A. Bin; Al-Abdely, Hail M.; Frayha, Husn H.; Al-Rabiah, Fahad A.; Alhajjar, Sami H.; Keshavjee, Salmaan; Adra, Chaker N.; Alrajhi, Abdulrahman A.
Background Clinical characteristics of HIV-1 infection in people inhabiting Western, Sub-Saharan African, and South-East Asian countries are well recognized. However, very little information is available with regard to HIV-1 infection and treatment outcome in MENA countries including the Gulf Cooperation Council (GCC) states. Methods Clinical, demographic and epidemiologic characteristics of 602 HIV-1 infected patients followed in the adult Infectious Diseases Clinic of King Faisal Specialist Hospital and Research Centre, in Riyadh, Kingdom of Saudi Arabia a tertiary referral center were longitudinally collected from 1989 to 2010. Results Of the 602 HIV-1 infected patients in this observation period, 70% were male. The major mode of HIV-1 transmission was heterosexual contact (55%). At diagnosis, opportunistic infections were found in 49% of patients, most commonly being pneumocysitis. AIDS associated neoplasia was also noted in 6% of patients. A hundred and forty-seven patients (24%) died from the cohort by the end of the observation period. The mortality rate peaked in 1992 at 90 deaths per 1000 person-year, whereas the mortality rate gradually decreased to <1% from 1993-2010. In 2010, 71% of the patients were receiving highly active retroviral therapy. Conclusions These data describe the clinical characteristic of HIV-1-infected patients at a major tertiary referral hospital in KSA over a 20-year period. Initiation of antiretroviral therapy resulted in a significant reduction in both morbidity and mortality. Future studies are needed in the design and implementation of targeted treatment and prevention strategies for HIV-1 infection in KSA. PMID:25750760
Karar, Tarig; Alhammad, Rayan Ibrahim S.; Fattah, Mohamed Abdel; Alanazi, Abdullah; Qureshi, Shoeb
Background: The main objectives of this study were to: (1) Evaluate the levels of thyroid hormones and glycosylated hemoglobin (HbA1c) among patients, (2) correlate between thyroid hormones and HbA1c and different types of lipids and HbA1c among diabetic patients. Materials and Methods: A retrospective chart review study was conducted at Department of Clinical Chemistry, King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia, during the period from August 2014 to December 2014, including 100 male and female patients diagnosed with diabetes mellitus (DM) type 2 and excluding patients with DM type 1. These patients were admitted to the hospital in 2013. Biochemical laboratory results were retrieved from biochemistry laboratory database while age and sex of patients were retrieved from patient files. Statistical analysis was performed using SPSS software conducting frequency analysis and correlation test. Results: The result showed increased mean levels of HbA1c (8.4%) and normal level of thyroid stimulating hormone (TSH) (4.5 mlU/L) and T4 (14.1 pmol/L). The results also showed a weak positive correlation between HbA1c and TSH (r = 0.212, P = 0.034) and insignificant correlation with thyroxin T4 (r = ?0.018, P = 0.855). There was a weak positive correlation between HbA1c and total cholesterol and low density lipoprotein (r = 0.258, P = 0.001), (r = 0.297, P = 0.003), respectively. Conclusion: It is concluded that increased blood glucose could trigger anterior pituitary gland to increase secretion of TSH, whereas there was no direct correlation between increased glycemic index and the rate of thyroxine secretion. Furthermore, it is concluded that there is an association between blood glucose and some lipid markers.
Alosaimi FD; Alkharboush FA; Altuwariqi MH
Fahad D Alosaimi,1 Feras A Alkharboush,2 Maram H Altuwariqi11Department of Psychiatry, King Saud University, Riyadh, Kingdom of Saudi Arabia; 2College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaAbstract: Miliary tuberculosis (TB) is a serious infection with various presentations that can perplex even the most experienced clinicians. To our knowledge, there is a lack of published reports that link psychiatric symptoms directly with miliary TB (either alone or co-occurrin...
Alzahem AM; Van der Molen HT; Alaujan AH; De Boer BJ
Abdullah M Alzahem,1 Henk T Van der Molen,2 Arwa H Alaujan,3 Benjamin J De Boer4 1King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia; 2Institute of Psychology, Faculty of Social Sciences, Erasmus University, Rotterdam, the Netherlands; 3Dental Services, Central Region, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia; 4Clinical Psychology, Princess Nora...
...poured into Saudi Arabia's housing sector...mega-commerce and tourism projects, and...construction firms. Saudi Arabia's transport...take part in business matchmaking appointments...already doing business in Saudi Arabia as well as...
On 9 May 2008, Mohammed I. Al Suwaiyel, President of the King Abdulaziz City of Science and Technology, representing the Government of Saudi Arabia, and CERN Director-General, Robert Aymar, signed a protocol to the 2006 cooperation agreement between CERN and Saudi Arabia. Members of the Saudi Arabian Government visit ATLAS.The purpose of the protocol is to define the operational framework needed to carry out various specific tasks provided for in the cooperation agreement in order to promote the development of a high energy particle physics community in Saudi Arabia and its ultimate visible participation as a member of the global CERN community. Signing the protocol, Mohammed I. Al-Suwaiyel said: "The Saudi Arabian Government has taken a number of initiatives to promote R&D in the interests of our country’s development and the advancement of science. Thanks to this protocol, Saudi scientists will be able to work towards this go...
Different degrees of temperature and salinity have been studied to evaluate their effects on the seed germination of Calligonum comosum L Her grown in two different populations in Saudi Arabia. These two sites have been chosen in Saudi Arabian deserts, one in Nefoud El-Shakika south Onyza city on Najd plateau and the second west El-Dahnaa in the way between El-Riyadh and El-Damam cities, Kingdom of Saudi Arabia. Each of these locations were dominated by Calligonum comosum L Her beside other species such as Artemisia monosperma, Ephedra elata and Haloxylon ammodendron. These two deserts are completely deferent in their climatic and edaphic factors, since climatic diagrams and soil chemical analyses have been investigated. Twenty plants, with plenty of fruits, from each site have been chosen and collected from each site during April 2003. Germination was in two variables, the number of days to start germinating and the final percentage of germination. The most favorable temperature was 10/20 degree C at seed depth 0.5 cm. and irrigation system every 48 hours 50 ml. dist. water supply. Meanwhile, the seeds in the two locations prefer non-saline media, as the best results obtained at salt concentration 0.0. Whereas the germination start again in Nefoud El-Shakika seeds only at salty media by the concentration of 150 mlmol. Nacl. The results have been discussed according to both differences in climatic and soil characters. (author)
Full Text Available The Saudi Initiative for Asthma (SINA provides up-to-date guidelines for healthcare workers managing patients with asthma. SINA was developed by a panel of Saudi experts with respectable academic backgrounds and long-standing experience in the field. SINA is founded on the latest available evidence, local literature, and knowledge of the current setting in Saudi Arabia. Emphasis is placed on understanding the epidemiology, pathophysiology, medications, and clinical presentation. SINA elaborates on the development of patient-doctor partnership, self-management, and control of precipitating factors. Approaches to asthma treatment in SINA are based on disease control by the utilization of Asthma Control Test for the initiation and adjustment of asthma treatment. This guideline is established for the treatment of asthma in both children and adults, with special attention to children 5 years and younger. It is expected that the implementation of these guidelines for treating asthma will lead to better asthma control and decrease patient utilization of the health care system.
Abdullah Al Rubaish
We appraise comparatively and analytical data under Student Experience Survey (SES) to discuss the possible generalizability of related College level differentials in Saudi Arabia. For this, data collected from students of two academic programs namely Bachelor of Dental Surgery, College of Dentistry; and B.Sc. Nursing, College of Nursing, University of Dammam, Dammam, Saudi Arabia, were considered. These data relate to experience of students halfway of respective academic program. The percent...
Sait KH; Gazzaz FS
Khalid H Sait1, Faten S Gazzaz21Obstetrics and Gynecology Department, 2Medical Virology Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaPurpose: The aim of this study was to determine the actual human papillomavirus (HPV) subtype that presents in cervical dysplasia and invasive carcinoma in the Saudi population, and the feasibility of using Hybrid Capture 2 technique (HC2) on biopsy specimens to detect certain HPV subtypes.Patients and methods: A prospective st...
Al-Daghri, Nasser M.
OBJECTIVES From the emergence of different definitions of metabolic syndrome (MS) we aim to determine the prevalence of such a condition among hypertensive Saudi population and to identify which definition can best assess the risk of hyperhomocysteinemia, coronary heart disease (CHD), and diabetes mellitus. METHODS In this cross-sectional study, we studied 581 hypertensive Saudis, aged 21-70, at the King Abdul-Aziz University Hospital, from June 2005 to December 2005 Each participant...
Mamoun K. Kremli; Ahmed H. Alshahid; Khoshhal, Khalid I.; Mohammed M. Zamzam
OBJECTIVES This study was conducted to enlarge the knowledge of developmental dysplasia of the hip (DDH) in the Kingdom of Saudi Arabia (KSA), and to compare its presentation among Saudi population to known international figures. METHODS A prospective study of Saudi patients with DDH that presented to King Khalid University Hospital, Riyadh, KSA over 5 years starting September 1996. The information needed was obtained directly from one or both parents. RESULTS Six hundred Saudi...
Sameer H Al-Ghamdi
Full Text Available Background: There is little information on the association between watching Television (TV and obesity in the Arabian Peninsula. Aim of the Study: The aim of this study was to explore the association between the watching of television and obesity in Saudi children of school-age. Materials and Methods: A case-controlled study was conducted with students between the ages of 9 and 14 years who attended the school health clinic in King Abdulaziz Housing for National Guard (Iskan, Riyadh, Saudi Arabia, during the study period (February to April 2012. During each clinic, children were selected by simple random sampling (five obese and five non-obese. For data collection, two trained physicians interviewed the participants using a 20-item Arabic questionnaire. Well-trained nurses collected the anthropometric measurements of weight and height. Results: The study included 397 students. Higher (body mass index BMI was associated with a higher number of televisions at home (P < 0.001, watching TV for more than three hours per day at the weekend (P = 0.047, eating more than three snacks per day (P = 0.005, watching TV at night (P = 0.026, and siblings? decisions on how much TV to watch (P = 0.025. The prevalence of childhood obesity was significantly lower among those whose mothers determined how much TV they could watch (P = 0.03. In logistic regression analysis, the increase in the child?s age, the presence of more than one TV at home, having his or her own TV, and an increase in the number of hours of watching TV over the weekend were significantly associated with an increased risk of childhood obesity. Personal computers and the Internet were not significantly associated with an increased risk of childhood obesity. Conclusion: The present investigation revealed that watching TV represents an important risk factor for obesity in children of school-age.
Almuneef, Maha; Qayad, Mohammed; Aleissa, Majid; Albuhairan, Fadia
Adverse childhood experiences (ACEs) have been linked with risky health behaviors and the development of chronic diseases in adulthood. This study examined associations between ACEs, chronic diseases, and risky behaviors in adults living in Riyadh, Saudi Arabia in 2012 using the ACE International Questionnaire (ACE-IQ). A cross-sectional design was used, and adults who were at least 18 years of age were eligible to participate. ACEs event scores were measured for neglect, household dysfunction, abuse (physical, sexual, and emotional), and peer and community violence. The ACE-IQ was supplemented with questions on risky health behaviors, chronic diseases, and mood. A total of 931 subjects completed the questionnaire (a completion rate of 88%); 57% of the sample was female, 90% was younger than 45 years, 86% had at least a college education, 80% were Saudi nationals, and 58% were married. One-third of the participants (32%) had been exposed to 4 or more ACEs, and 10%, 17%, and 23% had been exposed to 3, 2, or 1 ACEs respectively. Only 18% did not have an ACE. The prevalence of risky health behaviors ranged between 4% and 22%. The prevalence of self-reported chronic diseases ranged between 6% and 17%. Being exposed to 4 or more ACEs increased the risk of having chronic diseases by 2-11 fold, and increased risky health behaviors by 8-21 fold. The findings of this study will contribute to the planning and development of programs to prevent child maltreatment and to alleviate the burden of chronic diseases in adults. PMID:24974249
Mesozoic oil in Saudi Arabia exists in north/south-oriented anticlines. Such anticlines are usually studied using subsurface data. The present study introduces, for the first time in Saudi Arabia, a surface analog for these anticlines. The study covers two northerly oriented anticlines located in the Jinadriyah area at 15 km to the northeast of the Riyadh city. They are named herein the North and South Jinadriyah anticlines. The outcrops in both anticlines belong to the Lower Cretaceous Yamama Formation which consists of limestone in its lower part and limestone with shale in its upper part. The study included initially detailed interpretation of Google Earth and Landsat TM images to map the structural pattern of the anticlines. Detailed field mapping confirmed the satellite image interpretation and helped describe the geometry of the two anticlines in detail. The 3.5-km-long South Jinadriyah anticline is an open doubly plunging asymmetric anticline. The western flank is dissected by 13 minor reverse faults of north-south orientation. The North Jinadriyah anticline is about 5.5 km long and is relatively more complex than the South Jinadriyah anticline. It consists of northern, central, and southern segments that differ from each others in orientation and style. The anticline is dissected by 18 minor faults of different orientations and sense of displacement. Two perpendicular fracture sets with one being parallel to the anticline axes were recorded in the two anticlines. Both anticlines are interpreted as fault-propagation folds that were formed during the Late Cretaceous first Alpine orogeny. The mid-Late Tertiary second Alpine orogeny and Late Tertiary eastward tilting of the Arabian Plate increased the degree of folding and faulting. (author)
Stroke after coronary by-pass grafting (CABG) is often disabling. The incidence of ischemic stroke may approach 3% to 5%. Several risk factors have been identified including previous history of stroke, prolonged cardiopulmonary bypass time, and postoperative atrial fibrillation. Objective was to determine the incidence and risk factors of neurological deficit after open heart surgery. Retrospective study was done during the period 1992-1995 at the King Khalid University Hospital, Riyadh, Saudi Arabia. There were 350 patients who were subjected to (CABG), 10 patients (2.8%) found to suffer from cerebrovascular accidents (CVA) following open-heart surgery. In 8 patients, the complaint lasted more than 24 hours (stroke), while 2 patients developed transient ischemic attacks (TIA). Five factors were found to be associated with increased risk of post cardiac surgery CVA. These factors are postoperative atrial fibrillation, carotid bruit, past history of heart failure, past history of CVA and smoking. The authors concluded that it is necessary to start a prospective study to verify the area of improvement with regards to technique, selection of patients and mode of perfusion during cardiopulmonary bypass (CPB) Arabia. (author)
Majeed-Saidan, Muhammad Ali; Ammari, Amer N
BACKGROUND: The role of consanguinity in the etiology of structural birth defects outside of chromosomal and inherited disorders has always been debated. We studied the independent role of consanguinity on birth defects in Saudi women with a high prevalence of consanguineous marriages. METHODS: This case and control study was nested within a 3-year prospective cohort study to examine patterns of fetal and neonatal malformations in Saudi women at Prince Sultan Military Medical City (PSMMC), Riyadh -Saudi Arabia. Consanguineous marriages were defined as marriages with first or second cousins (related); unions beyond second cousins (distant relatives) were considered unrelated for this study. RESULTS: During the 3-year study (July 2010 through June 2013), there were 28,646 total births; of these, we included 1,179 babies with major birth defects, and 1,262 babies as their controls. The consanguinity prevalence for all included women was 49.6%. The consanguinity among babies with major Birth Defects (BDs) was 54.5% and 45.2% for controls (P?0.0002). The prevalence of major birth defects was 41.1 per 1000 total births. Univariate analysis showed that consanguinity had a statistically significant contribution in babies born with genetic syndromes, isolated renal defects, and isolated other defects (P?0.05). Multivariate logistic regression analyses showed that consanguinity was an independent risk factor for this high prevalence of birth defects in the study population (P?0.0002). CONCLUSION: The prevalence of major birth defects in the study population is higher than what is reported from European countries. Consanguinity is a significant independent risk factor for the high prevalence of birth defects. Birth Defects Research (Part A), 2014. © 2014 Wiley Periodicals, Inc.
Allergenicity Prosopis juliflora pollen antigen has been reported fromonly a few countries, including the US, South Africa, India and Kuwait. Insome parts of Saudi Arabia, species of Prosopis have been introduced by themillions as roadside ornamentation. There appear to be four flowering seasonsduring which pollen grains float in all directions. However, the role ofProsopis pollen as the sensitizing and/or rhinitis in the Kingdom has neverbeen evaluated. A total of 473 allergic patients suffering from the bronchialasthma in four different geographical regions (Abha, Qassim, Hofuf, Gizan),and attending allergy clinics and chest disease centers of university andMinistry of Health hospitals in the region were tested for immediatehypersensitivity reaction to Prosopis Juliflora allergens. Airborne pollengrains at one center were also studied for one full year, using volumetricsampling techniques. A total of 76.1% patients in Qassim, 37.5% in Gizan, 29%in Abha and 11% in Hofuf reacted positively to Prosopis antigen. Multiplesensitivities to other pollen antigens were detected in all patients. Thelevel of airborne Prosopis pollen detected in Gizan exceeded 90 grains m ofair. In view of documented evidence of Prosopis pollen as a sensitizingfactor in Saudi Arabia has been confirmed. However the cause of elicitationof symptoms in many multiple sensitive patients, together with the questionof cross-reactivities, needs thorough and detailed investigation. In vitroconfirmation of all positive results is also required to incriminate Prosopisas one of the major allergens in parts of Saudi Arabia. (author)
Little attention has been paid to the problem of male osteoporosis in Saudi Arabia. In this prospective study we assessed the prevalence of male osteoporosis among Saudi Arabs. We studied Saudi Arabian males > 50 years of age attending outpatient clinics at King Fahd Hospital of the University, Al-Khobar, between 1st May 2005 and 30th January 2006. We determined body mass index (BMI) and tests were done to rule out secondary osteoporosis. All subjects had a bone mineral density (BMD) measurement of the hip area and the lumbar spine using dual energy x-ray absorptiometry (DEXA). A T-score of<=-2.5 SD that of young, healthy adults was taken as osteoporotic and scores between -1 to -2.5SD were taken as osteopenic. One hundred fifteen patients (mean age 61.8+-0.75 years; range 50 to 76 years) had a mean BMI of 24.7+-0.35 (range 18.5 to 31). Based on hip scans, the prevalence of osteoporosis was 24.3%. Sixty four percent were osteopenic. Based on scans of lumbar spine, the prevalence of osteoporosis was 37.4% and 33.9% were osteopenic. Spinal osteoporosis was more common than hip osteoporosis. Our study indicates that the prevalence of osteopoprosis among Saudi Arabain males is higher than among Western males. More studies are needed to determine the national prevalence of male osteoporosis. It is recommended that serious measures to be undertaken to prevent male osteoporosis to stop any future epidemic of catastrophic osteoporosis-related fractures. (author)
Al-Jumah Mohammad A
Full Text Available Abstract Background During an infectious disease outbreak, it is critical to learn as much as possible about the concerns, knowledge, attitudes, and behavior of the public. Such information can be crucial to the improvement of communication efforts by public health officials and clinicians. The aim of this study was to identify awareness, attitudes, and practices related to influenza A (H1N1 among the Saudi public. Methods A cross-sectional study of 1,548 adult subjects recruited from various shopping malls in Riyadh and Jeddah was conducted. All of the subjects were interviewed using a questionnaire that tested their knowledge, attitudes, and use of precautionary measures in relation to the H1N1 influenza pandemic. Results More than half (54.3%, 840/1548 of the participants showed high concern, 43.7%(677/1548 showed a low level of knowledge, and 60.8%(941/1548 had taken minimal or no precautionary measures. After adjusting for other variables, education level was the only significant predictor of the level of concern (p Conclusions High concern did not translate into a higher compliance with precautionary recommendations, possibly due to the low level of knowledge about the disease among the public. Frequent communication between physicians and the public is recommended to help dispel myths about the disease and to spread better information about the role that the public can play in limiting the spread of the disease.
Mohssen Mohammed Alabbadi
Full Text Available A mobile learning system, called MobiQiyas, for preparing Saudi Arabian students for one of the standardized tests, given by the National Center for Assessment in Higher Education (NCAHE, has been developed, using ready-made commercial products and tools. The learning material of MobiQiyas consists of practice questions with their answers, both provided by NCAHE, to be loaded by the students into their own mobile phones; after installation, the students can interact with MobiQiyas any number of times, as desired, without incurring any additional cost, other than the initial airtime cost for downloading. From total number of students taken the test, 20,000 students were randomly selected to use MobiQiyas and information was collected from them to measure their attitudes and participation of MobiQiyas. It was found that 36.1% of students had actually downloaded MobiQiyas successfully. Furthermore, a telephone survey was conducted, after the test period, on a class of 40 students in a secondary school in Riyadh, taking the same test, to measure their acceptance of MobiQiyas, using a 9-item questionnaire based on a 5-point Likert scale. The responses of the 40 students reflected high acceptance and satisfaction levels of MobiQiyas as an effective test prep tool.
Abbas N. Albarq
Full Text Available This study examines the applicability of theory of reasoned action (TRA in a context of internet banking intention using structural equation modeling (SEM, hence it is intended to test whether the theory is acceptable or not in a newly context among none western culture, thus, emic measures of etic latent constructs are required. The simplified theory is tested using survey data from 350 respondents. Out of these, only 304 questionnaires are found to be usable whilst the rest are omitted owing to the incomplete responses or due to statistical circumstances. Results suggest that Compared to the TRA model, our generating model can create a much better understanding of actual internet banking behavior among Saudi consumers in Riyadh. The results indicated that direct paths from attitude to actual behavior and when adding a path from SN to attitude would improve the predictive power of the model and convincing improvement in fit, more so than what had been established by the original TRA model.
Khalid Al Saran
Full Text Available Khalid Al Saran1, Alaa Sabry2, Mamdouh Abdulghafour1, Ahmed Yehia11Prince Salman Center for Kidney Disease, Riyadh, Kingdom of Saudi Arabia; 2Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, EgyptIntroduction: Ad equate delivered dose of solute removal (as assessed by urea reduction and calculation of Kt/V is an important determinant of clinical outcome in chronic hemodialysis (HD patients. This requires both prescription of an adequate dose of HD and regular assessment that the delivered treatments are also adequate. Online conductivity monitoring using sodium flux as a surrogate for urea allows the repeated noninvasive measurement of Kt/V on each HD treatment.Methods: We prospectively studied 17 (9 males, 8 females established chronic HD patients over an eight-week period (408 treatments. A pre- and post-dialyzer measurement of the conductivity is performed by two mutually independent temperature-compensated conductivity cells equipped with Fresenius 4008 S® dialysis machines. Urea reduction was measured (once a week by a single pool calculation using immediate post-treatment sampling. No changes were made to any of the dialysis prescriptions over the study period. Values of calculated Kt/V and simultaneously obtained online Kt/V were compared.Results: There was a statistically significant difference between calculated Kt/V and online Kt/V over the study period. The mean calculated Kt/V was 1.37 ± 0.09, and mean online Kt/V 1.02 ± 0.15 (P = 0.000, calculated Kt/V ? 1.2 was achieved in all our patients while online Kt/V ? 1.2 was achieved in only 17.64 %. Yet there was moderate correlation between calculated Kt/V and online Kt/V (r2 = 0.48.Conclusions: Online conductivity monitoring results underestimates dialysis efficiency compared to calculated Kt/V readings. This difference has to be considered when applying Kt/V to clinical practice.Keywords: Kt/V, hemodialysis, online conductivity monitoring
Al-Almaie, Sameeh M.
OBJECTIVES To determine the prevalence of obesity and overweight among Saudi adolescents, using the 2 most widely used international references. METHODS A cross-sectional study conducted towards the end of 2001 on a random sample of third grade intermediate and all 3 grades of secondary school Saudi students of both genders in Al-Khobar area, Eastern Saudi Arabia. The body mass index (BMI) was calculated. The American National Health and Nutrition Examination Survey (NHANES) growth c...
Ali M Al-Amri
Full Text Available Objective: To assess the attitude of future physicians regarding the disclosure of diagnosis, prognosis, benefits, and adverse effects of therapeutic intervention if they happen to have cancer. It also examined the differences if any between regions or gender. Materials and Methods: A total of 332 medical students from University of Dammam, in the Eastern Province of the Kingdom of Saudi Arabia were surveyed using a self-administered questionnaire. The questionnaire consisted of nine questions on the attitudes to disclosure of information on cancer. This self-administered questionnaire was completed by the students in the presence of an investigator. Results: The vast majority of Saudi medical students stated that they would like to know about diagnosis of cancer (92.8% and only 7.2% wanted information withheld from them. Further, 67% of the males and 74.1% of the females wanted family members to know (P = 0.01, but one-third (33% did not want their family to know. Only 24.1% of the male and 21.1% of female students wanted their friends to know. In addition, -97% of the males and 98.8% of the females wanted to know the diagnosis, and 97% and 95.8% of females and males, respectively, would like to know the side effects of the therapy. Almost 95% of male and 93.4% of female students wanted to know the prognosis. Also, 98% of medical students from the Eastern Region would want the diagnosis of cancer to be disclosed compared to 73.6% of those from other regions (P = 0.01. There is no difference between the genders in attitudes toward the disclosure of the diagnosis, 94.6% and 92.2% (P = 0.38. Conclusions: There was a consensus among Saudi medical students on the knowledge of the benefits of treatment, adverse effects of therapy, and prognosis. Female students significantly more than males would like their families to be informed. Significantly more medical students from the Eastern Region than those from other regions would like the diagnosis of cancer to be disclosed.
Hashem Ahmed Alsamadani
Full Text Available This study explores the attitudes of Saudi EFL teachers toward explicit instruction of readingstrategies. The study also compares actual practices of Saudi teachers with their beliefs and attitudes towardreading strategy instruction. In this study, quantitative data were collected using an attitude questionnaire,while qualitative data were collected using observation and semi-structured interviews. The quantitative dataobtained were analyzed by using means, standard deviations, and the Pearson product-moment correlationcoefficient. Qualitative data from a semi-structured interview were also analyzed to explore teachers'knowledge about reading strategy instruction. The results of this study show that Saudi teachers believestrongly in the importance of cognitive reading strategies and that they have insufficient knowledge of theimportance of metacognitive reading strategies. The study ends with recommendations for training Saudi EFLteachers in some of the most effective metacognitive reading strategies to help students plan, monitor, evaluate,and regulate their learning.
Conclusion: This study showed that certain factors were significant predictors of interbirth spacing for the Saudi women. This should lead to the encouragement of longer intervals between births. However, further studies are needed to ascertain a cause-effect association..
F. R. Pazheri
The expansion of power generation in Saudi Arabia is essential in order to meet the expected growth of its electricity demand. Due to the availability of high solar irradiation, vast rainless area and longtime sun light, Saudi Arabia is one of the most suitable countries to utilize solar energy resources in greater extend. Kingdom has planned to increase the production of solar power in order to meet a considerable share of country’s future energy demand. Numerous installation...
In this article is described the economic situation of Saudi Arabia. In a first time, Saudi Arabia drew from external reserves to finance gulf war and covered its budget deficits, then the internal debts took over. The actual strategy in order to transfer from state to private national and foreign sector a great part of new projects financing is become a necessity to control the deficits in a country where state is strongly got in debt. (N.C.). 2 tabs
Al-Mazrou, Yagob Y.; Nasser A. Alhamdan; Abduelelah I. Alkotobi; Osman M. Nour; Farag, Mohamed A.
OBJECTIVES To estimate levels and trends, gender differentials, effect of modes of living, regional differentials, and the effect of parental educational on infant and child mortality. METHODS A nationwide stratified random sample was used to estimate levels, trends and differentials of infant and child mortality in Saudi Arabia. The study was executed during the period February 2006 to June 2006 and covered all the 20 health regions of Saudi Arabia. The randomly selected sample was ...
In Arab countries, epidemiological data about psychological morbidity among medical undergraduate students are scarce. This study sought to determine whether there was a difference in perceived stress levels of male medical students at Mansoura University, Egypt, compared with male medical students at King Faisal University, Saudi Arabia.The sample consisted of 304 male medical students in Egypt and and 284 male medical students in Saudi Arabia. The self-reported questionnaire covered four categories, including 15 items, on sources of stress (stressors). The perceived stress scale and hospital anxiety and depression scale were used to measure stress, anxiety and depression.There was no significant difference between the two groups in number of stressors. However, Egyptian students were more likely to cite relationship, academic and environmental problems than Saudis. The prevalence of high stress was nearly equal in both groups. However, anxiety and depression were significantly higher among Egyptian than Saudi students. A logistic regression analysis of independent predictors of severe stress among both groups combined revealed that a satisfactory family income and university-graduated father were independent protective factors. The independent risk predictors were anxiety and number of stressors.Stress, anxiety and depression are frequent among medical students. Counseling and preventive mental health services should be an integral part of the routine clinical facilities caring for medical students (Author).
Full Text Available Background and Objectives: In Arab countries, epidemiological data about psychological morbidity among medical undergraduate students are scarce. This study sought to determine whether there was a difference in perceived stress levels of male medical students at Mansoura University, Egypt, compared with male medical students at King Faisal University, Saudi Arabia. Methods: The sample consisted of 304 male medical students in Egypt and and 284 male medical students in Saudi Arabia. The self-reported questionnaire covered four categories, including 15 items, on sources of stress (stressors. The perceived stress scale and hospital anxiety and depression scale were used to measure stress, anxiety and depression. Results: There was no significant difference between the two groups in number of stressors. However, Egyptian students were more likely to cite relationship, academic and environmental problems than Saudis. The prevalence of high stress was nearly equal in both groups. However, anxiety and depression were significantly higher among Egyptian than Saudi students. A logistic regression analysis of independent predictors of severe stress among both groups combined revealed that a satisfactory family income and university-graduated father were independent protective factors. The independent risk predictors were anxiety and number of stressors. Conclusions: Stress, anxiety and depression are frequent among medical students. Counseling and preventive mental health services should be an integral part of the routine clinical facilities caring for medical students.
In Arab countries, epidemiological data about psychological morbidityamong medical undergraduate students are scarce. This study sought todetermine whether there was a difference in perceived stress levels of malemedical students at Mansoura University, Egypt, compared with male medicalstudents at King Faisal University, Saudi Arabia. The sample consisted of 304male medical students in Egypt and 284 male medical students in Saudi Arabia.The self-reported questionnaire covered four categories, including 15 items,on sources of stress (stressors). The perceived stress scale and hospitalanxiety and depression scale were used to measure stress, anxiety anddepression. There was no significant difference between two groups in numberof stressors. However, Egyptian students were more likely to citerelationship, academic and environmental problems than Saudis. The prevalenceof high stress was nearly equal in both groups. However, anxiety anddepression were significantly higher among Egyptian than Saudi students. Alogistic regression analysis of independent predictors of severe stress amongboth groups combined revealed that a satisfactory family income anduniversity-graduated father were independent protective factors. Theindependent risk predictors were anxiety and number stressors. Stress,anxiety and depression are frequent among medical students. Counseling andpreventive metal heath services should be an integral part of the routinefacilities caring for medical students. (author)
O.Z., Al-Abdin; D.M., Rabah; G., Badr; A., Kotb; A., Aprikian.
Full Text Available Few studies have addressed racial differences in prostate cancer (PCa) detection between Western and Arabian countries, although PCa has a significantly lower prevalence in Arabic populations compared to Western populations. Therefore, an explanation of this difference is lacking. Ser [...] um prostate-specific antigen (PSA) is a valuable marker used to select patients who should undergo prostate biopsies, although the manner in which it is used may require adjustments based on the ethnic population in question. We investigated racial differences in the PCa detection rate between Canadian and Saudi populations. A retrospective analysis was performed of data collected prospectively over 5 consecutive years in urology clinics at the McGill University Health Center (MUHC) and King Saud University Hospital (KSUH). Men who had high (>4'ng/mL) or rising PSA levels and a negative digital rectal examination were eligible. A total of 1403 Canadian and 414 Saudi patients were evaluated for the study; 717 and 158 men, median age 64 and 68 years, were included in the MUHC and KSUH cohorts, respectively, P
Kholoud T. Hilal; Brian D. Denman
Since 9/11, Saudi Arabia has made significant attempts to change its public image because of its alleged association with global terrorism. Given its charitable interests in promoting education as a tool for peace within the Arab region, it has established the King Abdullah Scholarship Program (KASP), considered to be the most heavily endowed overseas scholarship program ever offered by a nation-state. Since 2005, over 120,000 Saudi university students have been financed by this scholarship t...
Ahmad A. Abu-Musa
Full Text Available Control Objectives for Information and Related Technology (COBIT has become one of the most important guidelines for information technology governance (ITG, which provides organizations with a useful tool to start evaluating their own ITG systems. COBIT introduces an ITG framework and supporting toolset that allows IT managers to bridge the gap between control requirements, technical issues and business risks. The objective of this study is to investigate the formality, auditing, responsibility and accountability of implementing COBIT processes for ITG in Saudi organizations. An empirical survey, using a self-administered questionnaire, was conducted to achieve these objectives. Five hundred questionnaires were distributed to a sample of Saudi organizations in a selected number of Saudi cities. One hundred and twenty seven valid questionnaires – representing a 25.4 percent response rate –were collected and analyzed using the Statistical Package for Social Sciences (SPSS version 16. While the results of the study reveal that the majority of respondents reported that implementing ITG COBIT processes and domains is the responsibility of IT departments in Saudi organizations, most of the respondents reported that the COBIT processes and domains are neither audited nor formally conducted in their organizations. From a practical standpoint, managers and practitioners alike stand to gain from the findings of this study. The study provides useful information for senior management, IT managers, accountants, auditors, and academics to understand the implementation phase and the impact ofCOBIT on ITG in Saudi organizations.
Thirty seven samples of marble and twenty samples of granite from both local and foreign locations were collected from different factories in Riyadh Region. The samples were crushed, dried in controlled furnace for around twenty four hours, and then stored for four weeks in 1/2 plastic Marinelli beakers. The gamma radiation of the samples was measured, employing high resolution gamma ray spectroscopy with an accumulating time for about 80000 sec. each. From the measured gamma ray spectra, activity concentrations were determined for marble samples 238U (0.71- 44.1 Bq/kg), 232Th (0.10-32.0 Bq/kg), 226Ra (0.36-32.4 Bq/kg) and 40K (0.68-897.1 Bq/kg) while for granite 238U (0.03-314.4 Bq/kg) , 232Th (0.02-186.4 Bq/kg), 226Ra (0.03-147.0 Bq/kg) and 40K (0.28 - 1531.7 Bq/kg). The radium equivalent activity, radiation hazard indices and absorbed dose rate for all samples were estimated
Al-Saleh, F S; Al-Harshan, G A
Recent concern has been devoted to the hazard arising from naturally occurring radioactive materials (NORM) in oil and gas facilities. Twenty-seven petroleum samples were collected from Riyadh Refinery. Fourteen samples were products and 13 were waste samples; three of them were scale samples and 10 were sludge samples. The specific radioactivities of (238)U, (232)Th, (226)Ra, (224)Ra, (40)K, and (235)U for all samples were determined using high-resolution gamma-ray spectrometry. The radium equivalent activity, radiation hazard indices and absorbed dose rate in air for all waste samples were estimated. The radon emanation coefficient of the waste samples was estimated. It ranged between 0.574 and 0.154. The age of two scale samples was determined and found to be 2.39 and 3.66 years. The chemical structure of the waste samples was investigated using X-ray florescence analysis (XRF) and Mg, Al, Si, S, Cl, Ca and Fe were found in all samples. From this study, it was noticed that the concentrations of the natural radionuclides in the petroleum wastes were higher than that of the petroleum products. PMID:18207291
Full Text Available The main objective of this research is to study the role of energy consumption in economic growth in Saudi Arabia over the period of 1971–2012 using the autoregressive distributed lag (ARDL cointegration procedure, and based on neoclassical growth, endogenous growth, and ecological-economics viewpoints. Our empirical results show the existence of a cointegrating relationship between the different variables investigated. In addition, all the inputs (conventional and non-conventional Granger cause economic growth in both the short and long runs. Our findings confirm the energy-led growth hypothesis in the case of Saudi Arabia. Hence, energy conservation policies may deteriorate economic growth in Saudi Arabia if they are not followed by measures that improve energy efficiency, energy saving technologies and encourage the investment and use of renewable energy sources such as solar and wind energies that can participate in the attenuation of climate changes.
Looney, R E
Demographic movements likely to be taking place in Saudi Arabia were hypothesized on the basis of general knowledge. The discussion reports on population size, general Arab demographic patterns, general determinants of fertility, Arab fertility patterns, Saudi fertility patterns, mortality in general, mortality in the Middle East, mortality in Saudi Arabia, Saudi Arabian population growth, immigration, the changing composition of the work force, and third plan targets. Some doubt exists as to the size of Saudi Arabia's population, but there is little question that the total is growing rapidly. This expansion is taking place through stepped up immigration and a relatively high natural growth of indigenous Saudis, but statistics on population size, structure, and on the number of births and deaths leaves the magnitude of a number of important demographic trends in doubt. Yet, considerable evidence exists that several of the Arab countries in the region with fairly good demographic data are likely to have similar demographic patterns. In depth analysis of the demographic dynamics of these countries, particularly Jordan and Kuwait, identified several common elements bearing on several key parameters. Using what Saudi data is available and making comparisons with these neighboring countries, one can, based on expected levels of birth and death rates, indirectly infer the natural growth of Saudi Arabia's population. With several notable exceptions, Saudi Arabia's demographic patterns show a marked similarity to those experienced in the region as a whole. The average rate of population growth in both Saudi Arabia and the Arab region is about 3% a year and in both instances fertility rates are high. The demographic structure of these countries is characterized by the youthfulness of the population. In most of the Arab countries, the population aged 15 years or under accounts for over 48% of the population. The rate of the economically active population is low, ranging from 22% to 32% of the total population, with the female participation rate varying from 3.5% to 18.5%. In the nonagricultural sector, the average activity rate of women over the age of 15 usually does not exceed 6%. Arab countries are also characterized by their high infant mortality rates. In 1975 these rates ranged from 60 to 200/1000. Illiteracy rates for the group, as a whole, are also high, and they are significantly higher among women than among men. A multipurpose survey conducted in Saudi Arabia during 1976 and 1977 reported a live birthrate of 54.2/1000. This is somewhat above the UN figure of 49.5 for the country and over the average for Arab countries of 46.6 for 1975. The mortality rate for the Saudi population is 14.1/1000. If one accepts the birth and death rates indicated by the multipurpose survey, the population is growing at a national rate of 3% or more per year. PMID:12340437
Mahmoud S. Babiker
Full Text Available Background: Smoking has been found to be associated with carotid atherosclerotic disease. Since smoking is an important public health problem, because it may be an essential risk factor for carotid artery plaques. Therefore the researchers tried to explore the powerful of this association, the researchers investigated smokers as unique suspected risk factor for carotid plaques beside the age. Methods: In observational cross-sectional study, 31 smokers with mean age of 56, were studied by B- mode ultrasound. Carotid arteries for all participants were examined by using 7MHrz linear transducer. Both saggital and transverse views were applied to evaluate the right and left common carotid arteries. Results: The frequency of carotid plaque was 35.5%. 54.5 % of these occurred in population group that smoke > 20 cigarettes per day. All plaques were presented in population of age above 53 years old. There was association between smoking frequency and age with the increases of plaque size. Conclusion and recommendations: The study suggested that there is a significant association between carotid plaques and smoking in Saudi smokers. In addition it showed that carotid plaque may present at age of 54 years old in smokers. The researchers recommended that further studies were needed. Moreover intensive health promotion against smoking in the KSA. represents an essential issue.
Al-Akloby Omar M Al-Amro
Full Text Available The occurrence of atopic diathesis in hereditary ichthyosis (HI has not been documented in Saudi patients. The atopic manifestations in histopathologically confirmed HI patients attending the dermatology clinic of king Fahad Hospital of the University at Al-Khobar city, Saudi Arabia is discussed in this study. From the dermatology OPD logbook, all Saudi patients with confirmed HI seen between January 1990 to December 1995 were included in the study. The findings regarding atopic manifestations were extracted into data collection forms and analyzed. During the 5 year study period, 10,455 new cases were seen in our dermatology OPD. Of these, 61 had hereditary icthyosis, with 37 males and 24 females with a male to female ratio of 1.5:1. Thus, the frequency of HI among Saudi hospital attendees was 6 per 1000 new cases. The type of HI was ichthyosis vulgaris in 25 (41% patients, X-linked recessive ichthyosis in 11 (18%, lamellar ichthyosis in 4(7%, bullous ichthyosiform erythroderma in 2 (3% and nonbullous ichthyosiform erythroderma was seen in 19 (31%. Generalized pruritus was present in 49 (80% cases, atopic dermatitis in , elevated serum IgE level was noted in 27 and bronchial asthma in 3 cases. Dandruff was reported in 24 cases, keratosis pilaris in15, recurrent skin infection in 7. Combination of hereditary ichthyosis, generalized pruritus and high serum IGE level was reported in 27 (44.3% patient.
Saggu, Shalini; Rehman, Hasibur; Abbas, Zahid K.; Ansari, Abid A.
Objectives: To review and analyze the pattern of breast cancer (BC) in the Kingdom of Saudi Arabia (KSA). Methods: A retrospective descriptive epidemiological review of BC of all diagnosed Saudi female cases from January 1990 to December 2014 was conducted at the Faculty of Sciences, Department of Biology, University of Tabuk, Tabuk, KSA. This report contains information obtained from the Saudi Cancer Registry and from King Faisal Specialist Hospital and Research Center. Results: The number of women with BC increased steadily from 1990-2010. On the basis of the number of cases, the percentage distribution of BC appears to be increasing. There were 1152 female BC cases in 2008 in comparison with 1308 in 2009, and 1473 in 2010. Breast cancer ranked first among females accounting for 27.4% of all newly diagnosed female cancers (5378) in the year 2010. The average age at the diagnosis of BC was 48; weighted average was 49.8, and range 43-52. Conclusion: Among Saudi patients, there was a significant increase in the number of cases of BC, which occurs at an earlier age than in Western countries. Continued vigilance, mammographic screening, and patient education are needed to establish early diagnosis and perform optimal treatment. PMID:26446327
Full Text Available Objectives: To review and analyze the pattern of breast cancer (BC in the Kingdom of Saudi Arabia (KSA. Methods: A retrospective descriptive epidemiological review of BC of all diagnosed Saudi female cases from January 1990 to December 2014 was conducted at the Faculty of Sciences, Department of Biology, University of Tabuk, Tabuk, KSA. This report contains information obtained from the Saudi Cancer Registry and from King Faisal Specialist Hospital and Research Center. Results: The number of women with BC increased steadily from 1990-2010. On the basis of the number of cases, the percentage distribution of BC appears to be increasing. There were 1152 female BC cases in 2008 in comparison with 1308 in 2009, and 1473 in 2010. Breast cancer ranked first among females accounting for 27.4% of all newly diagnosed female cancers (5378 in the year 2010. The average age at the diagnosis of BC was 48; weighted average was 49.8, and range 43-52. Conclusion: Among Saudi patients, there was a significant increase in the number of cases of BC, which occurs at an earlier age than in Western countries. Continued vigilance, mammographic screening, and patient education are needed to establish early diagnosis and perform optimal treatment.
To assess the breast cancer knowledge level of Saudi female school students.A detailed questionnaire on cancer breast was designed with all the needed information. Using a map of the Jeddah area of Saudi Arabia, schools were identified in each area and permission was sought from the Ministry of Education to distribute the questionnaire to the students. A team of volunteers was instructed on how to distribute and collect the questionnaires. The collected questionnaires were then statistically analyzed. This Pilot study of 500 students was performed in King Abdul-Aziz University Hospital using high schools from the city of Jeddah between April and June 2009. The results were used to build up a base for designing a community educational program. Analysis of the data from 337 questionnaires from high school and college students showed that the level of knowledge of young females on breast cancer is limited. However, it also indicated that the students are very enthusiastic to learn about cancer breast, and its prevention. The limited knowledge level of breast cancer in the younger generation might be an obstacle to screening programs and early diagnosis. Awareness programs should be developed including lectures, seminars workshops, and on hands training (Author).
Ashraf E.M. Khater
Full Text Available The quality of drinking water is a universal health concern and access to safe water is a fundamental human right. Many national and international organizations set certain parameters and levels for Bottled Drinking Water (BDW to ensure their quality. The present work aims to analyze the quality of various brands of BDW used in Saudi Arabia and to compare the quality levels to the BDW standards. One hundred and twenty six samples of 54 different BDW brands were collected from the Saudi market. The quality level parameters were analyzed using portable meters for pH, EC and TDS; spectrophotometer, HACH DR-2800 for F, SO4 and NO3; Inductively Coupled Plasma (ICP Mass Spectrometer (MS and atomic emission spectrometer (AES for elemental analysis. To evaluate the quality level parameters of BDW, the parameters were classified as following: (1 Parameters and substances affect the quality of BDW (pH, EC, TDS, HCO3, F, NO3 and SO4. (2 Macronutrients (Ca, K, Mg and Na. (3 Micronutrients-trace elements (Co, Cr, Cu, Fe, Mo, Se and Zn, (4 Potentially essential elements that have some beneficial health effects (B, Mn, Ni and V and (5 Toxic elements (Al, As, Cd, Hg, Pb, Th and U using Inductively coupled plasma-mass spectrometry, ICP-MS. The concentrations of the detected elements were compared with the Golf and international standard like World Health Organization.
Dhaifallah A Alenizi
Full Text Available Context: Epidemiological studies have shown that vitiligo is a complex trait, involving combinations of pathogenic effects of multiple susceptibility genes as well as environmental risk factors. Aim: To observe whether consanguinity increased the incidence of vitiligo in Saudi patients from Arar. Patients and Methods: This study included 69 Saudi patients with vitiligo and their families. These patients, selected from the experience specialist dermatology center in Arar, from April 2011 to 2012, were interviewed by a dermatologist to confirm the diagnosis and complete a questionnaire. Results: A total of 69 patients, 40 males and 29 females were selected. Their mean age was 34.5 ± 11.8 years with the median age of 23 years. The mean age at onset of disease was 27.9 ± 12.9 years. The mean duration of the disease was 9.7 ± 5.3 years. The frequency of focal, vulgaris, universal, and acrofacial subtypes was 22 (31.9%, 21 (30.4%, 8 (11.6%, and 18 (26.1%, respectively. A positive family history of vitiligo was obtained in 45 (65.2% cases. A comparison of the frequency of vitiligo among siblings in relation to the general population was more in accord with the multifactorial model. Conclusion: Consanguinity in marriage increases the incidence of the disease. Therefore, genetic counseling and premarital examination would be important contributions to lower the prevalence of vitiligo.
Dahab, A.S. (King Saud Univ., Riyadh (SA))
Experiments have shown that formation damage from waterflooding of the Aramco and Alkhafji sandstones of Saudi Arabia will not occur if the salinity of the injected brines is higher than 20% NaCl. Because the connate water in these reservoirs has a high salt content of up to 231,000 ppm, Saudi oil fields are almost always susceptible to formation damage when flooded with seawater (about 38,500 ppm). The productive behavior of a reservoir can be affected by clay crystals developed within rock pores.
Objective was the evaluation of asthma control using the Asthma Control Test (ACT). The ACT was used to assess asthma control among patients with bronchial asthma visiting pulmonary clinics in 5 major tertiary care hospitals in Riyadh, Kingdom of Saudi Arabia. Each hospital had target of 300 patients to recruit over the period of the study from 1st September to 30th November 2006. The total number of patients studied was 1060 patients. Males constituted 442 (42%) and the females constituted 618 (58%), the median age was 38.56 years range 15-75. One-third of the patients had no formal education. The ACT score revealed uncontrolled asthma in 677 (64%), well controlled asthma in 328 (31%) and complete controlled in 55 (5%). There were no significant correlation between the age below 40 and above 40 years and level of asthma control p=0.12. However, the younger age group less than 20 had better control of asthma in comparison with older patients p=0.0001. There was significant correlation between level of asthma control and gender, males 44% had better asthma control than females (30%, p=0.0001). Control of bronchial asthma is still major concern in our population. Further studies are needed to explore the factors leading to poor asthma control. (author)
AlBuhairan, Fadia; AlMutairi, Alanoud; Al Eissa, Majid; Naeem, Mohammed; Almuneef, Maha
Adolescence is known to be a time of exploration and initiation of risky behaviors. Much attention has been given to risk behaviors such as smoking, violence, and sexual promiscuity; other serious behaviors such as self-strangulation or the choking game, which is carried out by adolescents in response to peer pressures or to gain a transient sense of euphoria, have received little attention, with the available literature coming from the developed world. This is the first report of cases of non-suicidal self-strangulation from the Arab World. In this case series, we report 5 cases of non-suicidal self-strangulation that presented to the Emergency Department of a tertiary care hospital in Riyadh, Saudi Arabia during 2010-2012. All of the 5 cases were young male adolescents aged 10-13 years. This activity resulted in the death of 2 boys; one boy sustained hypoxic ischemic insult to the brain with clinical deficits; and the remaining 2 were fortunate to be discharged home in healthy condition. None of the cases had underlying mental health problems, and multidisciplinary involvement ruled out suicide and homicide activities. Non-suicidal self-strangulation is a fatal behavior that adolescents engage in. Increased efforts are needed to address this serious and preventable public health issue. Awareness and education of adolescents and their parents is crucial. Awareness of healthcare providers is also necessary in order to avoid misdiagnosis of such cases. PMID:25623195
Dubis, Snaa; Bernadowski, Carianne
The purpose of this study, by Snaa Dubis from Salman Bin Abdu Aziz University, Saudi Arabia, and Robert Morris University, USA, and Carianne Bernadowski from Robert Morris University, was to investigate parents' and special education teachers' perceptions of using email as a component of parental involvement in the academic and/or behavioural…
Darwish, Magdy A.; Al-Saif, Ghadeer; Albahrani, Suha; Sabra, Amr A.
Objective. To study life styles and dietary behaviors among Saudi preschool children (1–5 years) attending primary health care centers (PHCCs) in Dammam and Qatif areas, eastern province, Saudi Arabia. Material and Methods. Cross-sectional study. Data were collected using structured, interviewer-filled questionnaire. Children and their mothers were encountered during their well-baby clinic visits. A total number of 300 preschool children and their mothers were interviewed during study period....
Al Gelban Khalid
Background and Objectives :Adolescence is characterized by rapid physiological, social and cognititive changes. Aim of the present work is to study mental health of Saudi adolescent secondary school girls in Abha city, Aseer region, Saudi Arabia. Methods: A cross-sectional study was conducted in 10 secondary schools for girls using the Arabic version of the symptom-revised checklist 90 (SCL 90-R), a mental health questionnaire that was administered to the girls by fourth-year female medical...
CERN-HI-0804043 05: from left to right 1st row Mrs. Ibtesam Badhrees, ATLAS Collaboration user Mr. Nadhmi Al-Nassr, Interim President, King Abdullah University of Science and Technology, KAUST H.E. Dr. Khaled S. Al-Sultan, Rector, King Fahd University for Petroleum and Minerals Mr. Abdallah S. Jum’ah, President and Chief Executive Officer, Saudi Aramco H.E. Dr. Ibrahim A. Al-Assaf, Minister of Finance H.E. Dr. Abdul Rahman Al-Tuwaijri, Chairman of Capital Markets Authority H.E. Dr. Mohammed I. Al-Suwaiyel, President, King Abdul Aziz City for Science & Technology KACST; 2nd row Mr. Salim S. Al-Aydh, Senior Vice President – Engineering & Project Management, Saudi Aramco Mr. Khalid A. Al-Falih, Executive Vice President – Operations, Saudi Aramco Mr. A. Othman, Saudi Aramco Mr. Peter Woicke, Member of the Saudi Aramco Board of Directors Mr. Abdulaziz F. Al-Khayyal, Senior Vice President – Industrial Relations, Saudi Aramco Mr. James W. Kinnear, Retired President & Chief Executive Office...
To evaluate the etiology of extremely elevated erythrocyte sedimentation rate (ESR) in adolescents and adults at a tertiary care center. This retrospective, cross-sectional, observational study was carried out at King Abdulaziz Medical City, Riyadh, Saudi Arabia using the Westergren method of determining ESR in adolescents and adults aged >/=12 years. The patients included inpatients and outpatients with medical, surgical, and gynecological problems. During a period from June 2007 to October 2008, consecutive, non-repetitive patients with ESR >/=100 mm/hour were evaluated for possible etiology by checking the electronic and paper data file of each patient. During the study period, out of the 44,366 ESR tests carried out at this center, 1864 (4.2%) had an ESR >/=100 mm/hour belonging to 567 patients. Out of 508 patients fulfilling the study criteria, the main associated causes included: infections (38.6%), autoimmune diseases (15.9%), malignancy (15.4%), miscellaneous causes (10.2%), ischemic tissue injury or trauma (8.7%), and renal diseases (8.4%). Ten common individual causes included: rheumatoid arthritis (7.3%), osteomyelitis (6.9%), tuberculosis (5.5%), trauma (5.3%), lymphoma and sepsis of unknown origin (5.1%) each, urinary tract infection (4.7%), septic arthritis (3.1%), abscesses (2.8%), and pregnancy (2.2%). Fourteen (2.4%) patients had no known cause. Most of the patients with extreme ESR elevation have an underlying cause and a focused evaluation of such patients needs to be carried out to reach a diagnosis.
To investigate cerebral venous thrombosis (CVTR) clinical presentations, risk factors, and response to treatment in Saudi Arabia. Retrospective analysis of the King Farad Medical City, Riyadh, acute stroke database from April 2005 through February 2008 revealed 22 patients with CVTR. Hyper coagulable work-up and neuroimaging were performed. Sixteen patients were female (72.7%), and the median age was 35 years. Clinical presentations included: headache (77.3%), seizures (54.5%), focal neurological signs (54.5%), and decreased level of consciousness (50%). Over two-thirds (n=11; 69%) of female patients had a history of oral contraceptive use, which was the most common risk factor. Protein S deficiency (n=3), anti phospholipid antibody syndrome secondary to systemic lupus erythematosus (SLE) (n=1), rhinocerebral mucormycosis (n=1), leukemia (n=1), non-Hodgkin's lymphoma (n=1), sepsis (n=1), and unknown (n=6) were causes. Affected areas included superior sagittal (n=13), transverse (n=16), sigmoid (n=14), straight (n=6), and cavernous sinus (n=1); internal cerebral vein (n=2); vein of Galen (n=3); cortical veins (n=10); and internal jugular vein (n=12). Two patients had quadriparesis, and 2 patients died. The remainder (n=18, 81.8%) improved. Bilateral hemorrhagic presentation or venous infarction, deep venous system thrombosis, and underlying malignancy had less favorable results. Presentations in our series were similar to those in other reports, although altered consciousness and seizures were more common. Cortical vein involvement was also higher than commonly reported. Oral contraceptive use was a primary risk factor in female patients. Outcomes were favorable in 81.8% of patients. (author)
Full Text Available The purpose of this study was to investigate serological prevalence and titers of anti-Toxoplasma gondii antibodies in ewes following waves of abortion and stillbirths in a commercial flock in Riyadh, Saudi Arabia. Serum samples from 168 aborted ewes and 52 breeding rams, were tested for toxoplasmosis using an indirect enzyme-linked-immunosorbent assay (ELISA and indirect haemagglutination test (IHA. 71 randomly sampled sheep from an abortion-free flock (60 ewes and 11 rams were also tested, which served as controls. 149 (88.7% ewes and 42 (80.8% breeding rams from the flock where abortions and stillbirths occurred were positive for anti-T. gondii antibodies by ELISA. 155 ewes (92.3% and 44 rams (84.6%, including all of the ELISA positive cases, were also positive by indirect haemagglutination test (IHA. More than 80% of the ELISA positive ewes had O.D. exceeding 100% and nearly 25% of them had O.D. of ?150%. The IHA results, on the other hand, indicated that more than 75% of the seropositive ewes had antibody titers ?1:1024, including 58 (37.4% ewes with IHA titer ranging between 1:4096-1:8192 Pyrexia, depression and vaginal discharge were recorded in some ewes shortly prior to abortion. Post-mortem examination of 5 aborted fetuses revealed blood-stained fluid in the abdominal and thoracic cavities and small inflammatory and necrotic foci in the brain, liver and lungs while the placenta was reddish and friable, and its cotyledons were speckled with small whitish foci of necrosis and mineralization. T. gondii tachyzoites were demonstrated in placental sections of two ewes. By contrast, only 7 (9.9% out of 71 randomly sampled sheep from an abortion-free flock (60 ewes and 11 rams, were positive for anti-T. gondii antibodies by ELISA and 6 (8.5% by indirect haemagglutination (IHA test and most of these had significantly lower titers compared to the flock where abortions and stillbirths were recorded. These results constitute the first detailed serological study of ovine toxoplasmosis in Saudi Arabia and strongly implicate toxoplasmosis as the cause of the abortions and stillbirths in these sheep.
Al Shanafey Saud
Full Text Available Background: The satisfaction of surgical residents with their training programs plays an important role in dictating its output. This survey was conducted to explore the satisfaction of surgical residents with their training programs in the Riyadh area. Methods: A survey questionnaire was distributed in four major hospitals to explore the view of surgical residents regarding their training programs. Frequency tables were generated for each question in the survey. Results: About 78 survey forms were distributed and 52 were retrieved (67%. About 45% of residents had a comprehensive orientation on admission to the program, but only 20% felt it was helpful. Only 40% of residents felt that their trainers were committed to training and that the consultants who were trained abroad were more committed than those trained locally (62% vs 36%, P =.01. Only 15% felt the residents themselves had enough bedside teaching or operative experience. Seventy-eight percent of the residents felt that current training does not meet their expectations. However, 85% felt that training abroad was better than local training, and 60% felt it should be mandatory. While 90% felt that training programs should be unified nationally and controlled by one organization, only 6% felt that the current governing body was capable of monitoring the training. Moreover, only 28% felt that current reviews of programs by the governing body are effective. Conclusions: These results show that surgical residents are generally dissatisfied with current training programs. The study suggests that there are significant weaknesses in the current programs and the governing body may be ineffective in monitoring the programs. We feel that a national review of surgical training programs is warranted in view of these results.
Classic homocystinuria is an autosomal recessive disorder due to cystathionine beta-synthase deficiency. The clinical, radiological and neurophysiological findings of classic homcystinuria diagnosed at King Faisal Specialist Hospital and Research Centre (KFSH and RC) are presented in this report. Twenty-four patients (15 females and 9 males) were referred to KFSH and RC for work-up of mental retardation, seizures, thrombo-embolic episodes and dislocation of the ocular lenses. The common clinical findings included ectopia lentis (20 patients), skeletal system involvement (18 patients), vascular system involvement (9patients), and mental retardation (all patients to varying degrees). Unusual findings consisted of a patient who developed severe lower gastrointestinal bleeding, a patient with insulin-dependent diabetes mellitus, probably due to vasculopathy, and other having severe bronchiectasis, which may have been due to fibrillin disruption, and required the resection of a lobe of lung. The parents of 21 patients were first-degree relatives, and 19 patients had one or more family members affected by the same disease. All patients had markedly elevated plasma levels of methionine. Cystathionine synthase activity in the fibroblast was measured in 25% of the patients and was deficient. Only four patients responded to pyridoxine and their methionine level decreased to almost normal range. The aim of this study was to increase the awareness of this disease in the scientific and medical community, in particular in the general pediatrician working in Saudi Arabia who first encounters the clinical manifestations of disease. Early detection through tandem mass spectrometry of blood spot screening and treatment are important and may prevent the major complications of this disease. (author)
Salama, Hediat M.H.; Al-Rumaih, M.M.; Al-Dosary, M.A.
Cement factory emissions into air cause serious air pollution and affect the plant and animal life in the environment. Herein, we report the effects of cement industry emissions (O3, SO2 and NO2) in air, as pollutants, at Riyadh City on Datura innoxia Mill. plant. Morphological characters including plant height, leaves area and number, fresh and dry weight of shoot and root systems of D. innoxia showed a significant reduction from their normal control plants as a response to exposure to pollu...
...Tubular Goods From India, Korea, the Philippines, Saudi Arabia, Taiwan, Thailand...of imports from India, Korea, the Philippines, Saudi Arabia, Taiwan, Thailand...tubular goods from India, Korea, the Philippines, Saudi Arabia, Taiwan,...
Abdel-Salam, Ahmed Saad
This is a research study conducted on 17 teachers who teach English in Saudi international schools. It mainly aims at exploring teaching practices in these schools in terms of the principles of communicative language teaching (CLT). It also investigates the appropriateness of CLT in this context from the point of view of teachers. Two research…
Alwadie, Adnan D.
As the largest country in the Middle East, Saudi Arabia and its health care system are well positioned to embark on an online learning intervention so that health care providers in all areas of the country have the resources for updating their professional knowledge and skills. After a brief introduction, online continuing medical education is…
This podcast looks at the epidemiologic characteristics of Alkhurma Hemorrhagic Fever in humans in Najran City, Saudi Arabia. CDC epidemiologist Dr. Adam MacNeil discusses the severity and risk factors for the illness. Created: 10/28/2010 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID). Date Released: 11/17/2010.
The subject-matter is intriguing as Saudi Arabia is perceived as the incarnation of Islam. In fact, it has no constitution since the Quran is regarded as its constitution. Moreover, Islam was instrumental in its state building. But Dr. Lacroix is, after his field work, well-placed to discuss the issue. His talk is based on his Ph.D from Paris, his French book and its English edition that is to be published soon by Harvard University Press.
Al-Binali, Ali M.; Cornelius S. Bello; Khalid El-Shewy; Salah E. Abdulla
OBJECTIVES To determine the degree of contamination caused by parasites in commonly used leafy vegetables in Abha, Kingdom of Saudi Arabia (KSA). METHODS We carried out the study in the Department of Clinical Microbiology and Parasitology, King Khalid University, Abha, KSA, during the period September 2004 to May 2005. Five commonly used leafy vegetables, namely, green onion, radish, watercress, lettuce and leek, were washed each in water and Tris-buffer-saline (TBS). The washing sol...
Mo’ez Al-Islam Ezzat Faris
Caffeinated energy drinks have become more popular in the last decades, especially amongst adolescents and young adults in different parts of the globe. The study aims to investigate the frequency of energy-drink consumption and associated factors in an arbitrary group of adults and adolescents living in Hail/Saudi Arabia. A cross-sectional study was conducted and included which randomly selected 1062 participants (867 males and 195 females) from universities, colleges, mi...
Deema M. Hussein; Sana H. Alorf; Yasmeen S. Al-Sogaih; Sheikha H. Alorf; Reem S. Alaskar; Ashgan M. Al-Mahana; Waad F. Alsalhowb; Anfal K. Alibrahim; Mohammad Y. Saka; Awdah M. Alhazimi; Arzu Baghirova; Salwa I. Hindawi
Objectives: To elicit knowledge of breast cancer, perception of occurrence, and behavior in relation to breast self-examination (BSE). Methods: A cross-sectional survey was carried out at the Department of Pathology, Medical College, University of Hail, Hail, Kingdom of Saudi Arabia for local occupants from Hail city and its rural neighborhood between September 2010 and February 2012. A personal interview-administered descriptive questionnaire and both descriptive and inferential statistics w...
Mohammed D. Ayoub; Radi, Suhaib A.; Abdulrahman M. Azab; Abdulrahman A. Abulaban; Abdulrahman H. Balkhoyor; Seif-eleslam W. Bedair; Soad K. Ajlaouni; Kari, Jameela A
Objectives: To assess the quality of life among children and adolescents with thalassemia major. Methods: This cross-sectional study used the Pediatric Quality of Life Inventory (PedsQL). Children and adolescents with beta-thalassemia major who attended the Day Care Unit at King Abdulaziz University Hospital, Jeddah, Saudi Arabia from October 2012 to February 2013 were surveyed. The questions highlighted 4 health status scales, namely physical functioning (PF), emotional functioning (EF), sch...
Al-Shafei, Ahmad I; Bin Abdulrahman, Khalid; Al-Qumaizi, Khalid I; El-Mardi, Abdelmoniem S
The field of higher education has been progressing at a rapid pace in the Kingdom of Saudi Arabia over the past decade, with doubling the number of government and private universities and colleges. Quality and accreditation are of great importance to higher education institutes world-wide. Thus, developing a generic model for quality management in higher education is badly needed in the country. PMID:25803588
Al-Mohaimeed, Abdulrahman A.; Nauman Z. Khan
Objectives: To identify the attributes of an effective medical teacher that students value the most. Methods: A quantitative survey was performed in the College of Medicine, Qassim University, Buraidah, Kingdom of Saudi Arabia, between April and May 2012, using a pretested self-administered questionnaire distributed to all students. It captured their opinions on the qualities and attributes of good teachers. Each item was measured on a 5-point Likert scale. Data were entered and analyzed usi...
Omar I Saadah; Aburiziza, Abdullah J.; Abu Shakra, Rafat I.
Background and Purpose. Eosinophilic esophagitis (EE) is an evolving allergic disease with an accelerated incidence. The purpose of this study was to delineate the relative frequency and clinicopathological characteristics of EE in children from western Saudi Arabia. Methods. Children with EE were studied retrospectively between October 2002 and December 2011 at King Abdulaziz University Hospital and International Medical Center. Results. The relative frequency of EE was 0.85% of 2127 upper g...
Mona. M. Hamad
This study investigated factors negatively affect English language speaking skills in Saudi colleges for girls in the South in terms of: a) Instructors. b) Students. c) Curriculum and textbook. d) English Language teaching methods and exercises. e) Teaching and learning environment. To collect data for the study, a questionnaire papers were distributed to 150 students studying at Mhayeal and Almajardah colleges of King Khalid University (KKU) at English languages department, and 10 female ins...
Ayman Sabry Daif-Allah; Abdulaziz Saleh Alsamani
This study aims at investigating the demotivating factors that discourage Preparatory Year Program (PYP) students from learning the English language. It also proposes and tests the effectiveness of a set of academic and administrative approaches on enhancing English language acquisition of 102 Saudi PYP Students taking an EFL summer course in the Deanship of Educational Services, Qassim University. The quantitative and qualitative data were collected by means of questionnaire, analysis of tes...
Al-Sisi A; Shawky N; El-Bab MF; Akhtar M
Mohamed F El-Bab1, Nashaat Shawky2, Ali Al-Sisi3, Mohamed Akhtar31Department of Physiology, Faculty of Medicine, Suez Canal University, Ismailia; 2Department of Ophthalmology, College of Medicine, Taibah University, Faculty of Medicine, El-Mansoura University, El-Mansoura, Egypt; 3Department of Ophthalmology, Ohud Hospital, Al-Madinah Al-Munawarah, Kingdom of Saudi ArabiaBackground: Diabetes mellitus is accompanied by chronic and dangerous microvascular changes affecting most body systems, es...
Full Text Available Innovation and entrepreneurship are critical elements in the transition to the knowledge-based economy and future competition. Unfortunately, innovation tends to be absent in Arab states for many reasons. To promote innovation in Saudi Arabia, for instance, it is necessary to support inventors’ ideas to turn inventions into start-up companies, which are companies in their early stage. At the same time, it seems that there is a need for more academic research to study the success factors of Saudi information and communication technology (ICT start-up companies. ICT start-ups are important to the economy because they are needed for the progress of all industries. Therefore, this study will identify the factors that lead to successful ICT start-up projects. Then, it will develop a model for the best practices in the interplay among the defined factors that will increase the opportunity to initiate successful start-ups. This research involves a factor analysis study based on a quantitative method to measure the interdependences among the success factors for ICT start-ups. The identified factors are verified using a sample of Saudi start-up companies. The study will contribute to enhancing the technological content to diversify the Saudi economy in order to prepare for the post-oil era. The study result is a survivability model for Saudi-incubated ICT startups. The resulting model has two phases, as follows: (1 the incubation period, which includes the relationships among three factors leading to constant and successful updates and upgrades of the ICT startup business model; and (2 the postincubation period, which include relationships among the three factors that help to deal with the changing nature of the market and the emergence of competing products. This solution can be applied within startups with similar conditions.
The aims of the present survey were to determine whether differences existed between male and female dentists in Saudi Arabia in career development, positions occupied within their employment, and to analyze the effect of different variables on their career development in some of the provinces in Saudi Arabia. A self-conducted questionnaire was distributed among male and female dentists, general practitioners as well as specialists, working at several governmental hospitals in Saudi Arabia. The questionnaires consisted of 40 questions in the format of multiple choices and yes/no answer. Data were analyzed by gender with the significant difference level set at (P < 0.05). The response rate was 40.8% of which 51.9% were females and 48.1% males with 70% of them below 45 years of age. No significant difference was found between males and females in having higher education or additional degrees. The specialty that was highly reported among females was pedodontics and in males, orthodontics. Males were more likely to hold authorized administrative positions (63%), while females held administrative positions which were internally arranged by their departments (57%). Eighty-three percent of female respondents thought that there was favouritism towards males in appointment to administrative positions, while only 5.5% of male respondents reported that there was favouritism to females in occupying the same positions. There was no significant difference between male and female dentists in Saudi Arabia with respect to job opportunities, working hours and relationships with their colleagues. In addition, there is evidence of an intensifying determination of female dentists in Saudi Arabia, to pursue their chosen career while coping with the diverse demands of being a professional, a wife and mother. (author)
Herbig, U.; Jäger-Klein, C.; Mayer, I.; Mortada, H.; Styhler-Ayd?n, G.
Saudi Arabia has a rich architectural heritage that can be found in all regions of the vast country. Except for a small number of publications the recording and documentation of the traditional built environment was not content of detailed scientific investigations so far. But with the increasing decay of the architectural heritage the interest for this kind of research is rising. A mirror of this efforts is the National Built Heritage Forum, annual conference, launched in 2010 by his excellency Prince Sultan bin Salman bin Abdulaziz Al Saud and the Saudi Commission for Tourism and Antiquities (SCTA). In that frame Saudi universities are intensifying research and educational programs for the research of traditional architecture. In 2008 the Department of Architecture of the College of Environmental Design at the King Abdulaziz University established a cooperation with the Department of History of Architecture and Building Archaeology of the Vienna University of Technology with the aim to start an exchange of knowledge and experience in building archaeology and building survey. An important part of this cooperation was a workshop for staff and students in the historic centre of Jeddah. The aim was to train methods and techniques on typical examples in the old town of Jeddah, Al Balad. This paper is describing the layout of the workshop, the process of the work and examples of the results.
Sebai, Zohair A; Milaat, Waleed A.; Al-Zulaibani, Abdulmohsen A.
Health services in Saudi Arabia have developed enormously over the last two decades, as evidenced by the availability of health facilities throughout all parts of the vast Kingdom. The Saudi Ministry of Health (MOH) provides over 60% of these services while the rest are shared among other government agencies and the private sector. A series of development plans in Saudi Arabia have established the infra-structure for the expansion of curative services all over the country. Rapid development i...
Abstract Background Bullying and sexual harassment of medical students by their teachers appears to be widespread phenomenon. However, nothing is published about its prevalence in conservative countries such as Saudi Arabia. This survey aims to ascertain the extent of these mistreatments among students in a Saudi medical school. Findings A cross-sectional questionnaire survey was conducted on a group of 542 clinical years’ medical students in a Saudi medical school to explore students' percep...
Khalid O. Bawakid; Rajaa M. Al-Raddadi; Sameer S. Sabban; Khalid A. Alturky; Mahmoud S. Mohamed
OBJECTIVES To estimate the prevalence of chronic venous insufficiency (CVI) in the Saudi adult population and to identify the association of CVI with possible risk factors. METHODS Sixteen Primary Health Care (PHC) centers have been randomly selected in various districts of 3 major cities of Kingdom of Saudi Arabia, including Jeddah, Makkah and Dammam during the year 2001. Every Saudi patient, of both sexes and aged >18 years, visiting the selected PHC centres for any reason, was ...
Khan, Javed H.; Lababidi, Hani M. S.; Al-Moamary, Mohamed S.; Zeitouni, Mohammed O.; Hamdan H. Al-Jahdali; Al-Amoudi, Omar S.; Wali, Siraj O; Idrees, Majdy M; Al-Shimemri, Abdullah A.; Al Ghobain, Mohammed O.; Alorainy, Hassan S.; Mohamed S. Al-Hajjaj
The Saudi Thoracic Society (STS) launched the Saudi Initiative for Chronic Airway Diseases (SICAD) to develop a guideline for the diagnosis and management of chronic obstructive pulmonary disease (COPD). This guideline is primarily aimed for internists and general practitioners. Though there is scanty epidemiological data related to COPD, the SICAD panel believes that COPD prevalence is increasing in Saudi Arabia due to increasing prevalence of tobacco smoking among men and women. To overcome...
Suurkask, Heiki, 1972-
Saudi Araabias keelati igasugused protestimeeleavaldused, samas on 11. märtsiks välja kuulutatud "raevupäev". Veebruaris tegid 10 islamistliku intelligentsi esindajat katse luua opositsioonijõud, mõni päev hiljem nad vangistati
Michelsen, Nils; Dirks, Heiko; Schulz, Stephan; Kempe, Stephan; Schüth, Christoph
The Dahl Hith cave is located approximately 30 km southeast of Riyadh, the capital of Saudi Arabia. In the past decades, the groundwater table exposed inside the cave became subject to appreciable changes. After a decline due to agricultural water abstraction for irrigation purposes, the water table exhibited a rapid rise in the last few years. Considering that most of the aquifers of the country show a depletion of the largely fossil groundwater, the mentioned rise is quite unusual. The area does not host an observation well, i.e., reliable data on the piezometric changes is hitherto not available. Hence, two uncommon data sources were used to reconstruct the water level changes: (1) YouTube videos and (2) graffiti inscriptions. (1) The cave is frequently visited by locals and expats from Riyadh and many visitors are willing to share their cave adventures on YouTube. Identifying certain reference points in the uploaded videos (e.g. specific boulders, cave graffiti) and estimating their position relative to the water table allows for an approximate reconstruction of the recent groundwater rise. Information on the observation time is derived from the uploading date. Occasionally, also the exact date of the visit is provided as part of the footage description. (2) Some people documented their visit by graffiti inscriptions. These do not only serve as a marker in the videos, but also contain genuine data on historic water levels: if written on parts of the cave wall, which are only accessible from the water, they indicate the water level at the time of their creation. Fortunately, some graffiti also feature the date of the visit. In order to improve the reliability of the water level estimations, measurements conducted in the course of own site visits in the past few years were considered for the evaluation. Also photographs taken during these surveys helped to improve the quality of the water level reconstruction. The described "Youtube Approach" could be interpreted as a citizen science project with citizens being unaware of their participation. It illustrates the occasional need for creative solutions in data-scarce settings.
Maghrabi, A.; Alharbi, B.; Tapper, N.
On 10th March 2009 a widespread and severe dust storm event that lasted several hours struck Riyadh, and represented one of the most intense dust storms experienced in Saudi Arabia in the last two decades. This short-lived storm caused widespread and heavy dust deposition, zero visibility and total airport shutdown, as well as extensive damage to buildings, vehicles, power poles and trees across the city of Riyadh. Changes in Meteorological parameters, aerosol optical depth (AOD), Angstrom exponent ?, infrared (IR) sky temperature and atmospheric emissivity were investigated before, during, and after the storm. The analysis showed significant changes in all of the above parameters due to this event. Shortly after the storm arrived, air pressure rapidly increased by 4 hPa, temperature decreased by 6 °C, relative humidly increased from 10% to 30%, the wind direction became northerly and the wind speed increased to a maximum of 30 m s -1. AOD at 550 nm increased from 0.396 to 1.71. The Angstrom exponent ? rapidly decreased from 0.192 to -0.078. The mean AOD at 550 nm on the day of the storm was 0.953 higher than during the previous clear day, while ? was -0.049 in comparison with 0.323 during the previous day. Theoretical simulations using SMART software showed remarkable changes in both spectral and broadband solar radiation components. The global and direct radiation components decreased by 42% and 68%, respectively, and the diffuse components increased by 44% in comparison with the previous clear day. IR sky temperatures and sky emissivity increased by 24 °C and 0.3, respectively, 2 h after the arrival of the storm. The effect of aerosol loading by the storm on IR atmospheric emission was investigated using MODTRAN software. It was found that the effect of aerosols caused an increase of the atmospheric emission in the atmospheric window (8-14 ?m) such that the window emissions resembled those of a blackbody and the atmospheric window was almost closed.
Full Text Available The Khaled Alfaisal Administrative leadership Development Program which was conducted in the early part of 2014 had provided a global exposure blended with experiential learning for select graduate university students in Saudi Arabia. The key role of the assessment centre was to observe, evaluate and eventually rate each participant’s performance. The assessment centres was conducted with the aim of creating new opportunities for Saudi graduate students by developing them as leader and make them more marketable. In the program, the students had undergone a series of activities under the observation of university faculties and outside consultants. The competencies examined were intricately related to leadership behaviour which was to be identified for the leadership program and future assignments. The paper also analysed the effectiveness of the assessment centre against the unique Saudi context and discussed the suggestions and future research implications. m, as well as the distribution rate of the dividends and profitability which are reputed in explaining significantly the differences in the indebtedness rate as far as the SME of our sample are concerned.
Alkhareif Ryadh M.
Full Text Available This paper constructs and analyzes core inflation indicators for Saudi Arabia for the period of March 2012 to May 2014 using two alternative approaches: the exclusion method (ex food and housing/rent and the statistical method. The findings of the analysis suggest that the ex food and housing/ rent inflation is more volatile than the overall CPI inflation over the sample period. In contrast, the statistical core inflation is relatively more stable and less volatile. Moreover, the ex food and housing/rent inflation is only weakly correlated with headline inflation, whereas the statistical core inflation exhibits a stronger correlation. This combination of lower volatility and higher correlation with headline inflation makes the statistical method a much better choice for policymakers. From a monetary policy standpoint, using a bundle of core inflation measures, including both properly constructed exclusion and statistical methods, is more desirable, especially when variation across measures is widespread, as is the case in Saudi Arabia.
Malik F. Saleh
Full Text Available A review of the literature on successful implementation of ERP reveals that there are many case studies undertaken by researches, but very few have empirically examined the success factors of ERP implementation. While most of those empirical studies were undertaken in Western countries, very few had examined the implementations in Middle Eastern countries and none in Saudi Arabia. Factors and challenges of ERP implementation in developing countries differ from those of Western countries. Hence a gap in the literature that examines Middle Eastern countries exists. This study is motivated to fill such gap by going beyond case study and boundaries of Western counties to empirically examine the determinants of successful ERP implementation in Saudi Arabia. The main purpose of this study is to examine the influence of some critical factors on successful implementation of ERP.
The argument for and against the application of peaceful nuclear energy in Saudi Arabia is discussed in terms of the country's industrial development and power requirement for electricity and desalination. The discussion leads to the conclusion that due to its large oil reserve, Saudi Arabia may tolerate a considerate approach to nuclear energy up to the year 2000. Beyond this date, nuclear energy should be used in order to achieve the desired industrial maturity in the country. The introduction of nuclear energy, however, will be faced with three constraints, namely man power availability, cooling water requirement, and the size of the electrical grid. The period 1980-2000 is thus most suitable for important preparation steps, among which are the adoption of regulatory provisions, establishment of nuclear facilities with necessary equipments, and staff training for regulatory, organizational, and technical activities. The paper outlines a scheme for the initiation steps and efforts to meet these requirements. (orig.)
On Aug. 2, 1990, Iraqi forces invaded Kuwait and triggered one of the most severe crises in the world's oil supplies since World War II. Within a few days of the invasion, Iraqi and Kuwaiti oil exports were embargoed, and almost 4.6 million b/d oil of production was removed from world markets. This shortfall amounted to about 20% of total Organization of Petroleum Exporting Countries production at the time and could have proven disastrous to the world's industrial and financial well-being. However, there was no disruption to the major economies of the world. This paper reports that the primary reason for the cushioning of this impact was the massive expansion in production undertaken by Saudi Arabian Oil Co. (Saudi Aramco)
Full Text Available Background and Objectives : The inclusion of detailed basic science courses in medical school curricula has been a concern of students. The main objective of this study was to explore the attitudes of medical students towards basic sciences courses taught to them in the preclinical years and the applicability of these courses to current clinical practice. Design and Setting : A cross-sectional survey was conducted during 2008-2009 among medical students in their clinical years at King Saud University, Riyadh, Saudi Arabia. Methods : Thirty percent of all students (n=314 were randomly selected to receive a questionnaire designed to evaluate their opinions about course load, ability to recall information, value of practical sessions, availability of references and course guidelines, and the applicability of individual courses to clinical practice. Results : Students identified anatomy and pathology as the courses most overloaded with content (76% and 70%, respectively. Half of the students felt they retained the most knowledge of physiology (50%, while less than a quarter of students (19% felt they retained the most information from biochemistry coursework. The role of practical sessions in facilitating theoretical understanding was more evident in anatomy (69%. Physiology was perceived as the subject with the highest applicability to clinical practice (66%, while pathology (29% was identified as the subject with the least practical application. Students became increasingly negative in their opinions about basic science courses as they progressed through their medical education. Conclusion : Current attitudes of medical students towards their basic science courses indicate a need to reform the curricula so as to maximize the benefit of these courses.
Samira M. Fallatah; Adekunle J. Oduloju; Saad N. Al-Dusari; Yisa M. Fakunle
OBJECTIVES Analysis of the clinical features, laboratory findings, treatment given and complications seen in brucellosis patients at the Northern Area Armed Forces Hospital, Hafr Al-Batin, Kingdom of Saudi Arabia. METHODS We retrieved and reviewed the record charts of all patients from January 1995 to December 2001 with a clinical diagnosis of brucellosis whose brucella agglutination titre was 1:160 or greater from the Medical Records Department of Northern Area Armed Forces Hospital...
Khan, Haseeb A; Arif, Ibrahim A.; Joseph B. Williams; Champagne, Alex M.; Shobrak, Mohammad
Skin lipids play an important role in the regulation of cutaneous water loss (CWL). Earlier studies have shown that Saudi desert birds exhibit a tendency of reduced CWL than birds from temperate environment due to adaptive changes in composition of their skin lipids. In this study, we used thin-layer chromatography (TLC) for separation and detection of non-polar and polar lipids from the skin of six bird species including sooty gull, brown booby, house sparrow, Arabian waxbill, sand partridge...
Madani Tariq A
Abstract Background Data on sexually transmitted infections (STIs) in Saudi Arabia (SA) and other Islamic countries are limited. This study describes the results of a five-year surveillance for STIs in SA. Methods This is a case series descriptive study of all confirmed STIs diagnosed in SA from January, 1995 through December, 1999. Results A total of 39049 STIs were reported to the Ministry of Health. Reported STIs included nongonococcal urethritis (14557 infections, 37.3%), trichomoniasis (...
Al-Saleh, Iman; Abduljabbar, Mai; Al-Rouqi, Reem; Eltabache, Chafica; Al-Rajudi, Tahreer; Elkhatib, Rola; Nester, Michael
A total of 1016 healthy Saudi mothers and their respective infants (aged 3-12 months) were recruited from 57 Primary Health Care Centers (PHCCs) in Riyadh, Saudi Arabia, to evaluate the extent of mercury (Hg) exposure and predict its sources in the healthy Saudi population. Total Hg levels were measured in maternal urine, breast milk, blood, and hair and in the infants' urine and hair. Only 1.9 % of the mothers had urinary Hg (UHg) >10 ?g/l, the limit for asymptomatic adults recommended by the World Health Organization, but the median (0.99 ?g/l) was higher than in other countries. Also, 49.3 % of the mothers had UHg >1 ?g/l, the German reference value for adults. Median infant UHg was 0.729 ?g/l, and 77 and 93 % of the infants had levels higher than 0.4 and 0.1 ?g/l, the reference values of the Centers for Disease Control and Prevention and for Germany, respectively. The median Hg level in breast milk was 0.884 ?g/l. Even though 43.2 % of the milk samples were above the background level for Hg in human milk (1 ?g/l), our results were lower than those reported from other countries. Median maternal total Hg in blood was 0.637 ?g/l, and only 0.4 and 6.9 % of samples were higher than the Hg reference levels of 5.8 ?g/l of the Environmental Protection Agency (EPA) and of 2 ?g/l for Germany, respectively. Total Hg levels in hair (HHg) varied widely among mothers and infants, but only 3.9 % of the mothers and 2.8 % of the infants had HHg >1 ?g/g (the EPA reference level). Median HHg values were 0.117 ?g/g dry weight in mothers and 0.1 ?g/g dry weight in infants; both were lower than in other countries. The Hg levels in mothers and their respective infants were relatively low, but our results were consistent with other studies indicating that dental amalgam fillings and fish consumption were the main predictors of maternal Hg exposure. Among the several biomarkers of Hg exposure, Hg levels in maternal hair and urine were the strongest predictors of infant exposure. The lack of an association between Hg in breast milk and Hg in infant urine and hair suggested that the infants were exposed to Hg predominately during pregnancy rather than during breastfeeding. We expect that our data can serve as a baseline for further biomonitoring and follow-up studies, particularly of the long-term impact of Hg on childhood neurodevelopment. PMID:26450688
Bahammam, Maha A
Purpose This study aimed to examine diabetic patients in Jeddah, Saudi Arabia, regarding their general diabetic and oral health-related awareness and practices, their awareness of the association of diabetes with periodontal disease, and their sources of diabetes-related information. Methods Diabetic patients (n=454) who were receiving care at the diabetes clinic in King Abdulaziz University Hospital, Jeddah, Saudi Arabia, from October 2013 to May 2014, completed a six-part questionnaire assessing their sociodemographic characteristics, general and oral health awareness and practices, and sources of diabetes-related information. Descriptive statistics were used to report the results. Results The responses indicated inadequate health-related practices in the surveyed group: 22.2% brushed their teeth twice daily, 73.6% never flossed their teeth, and while 80.2% visited a physician in the past year, only 12.6% visited a dentist during the same year. Of the respondents, 94.8% reported that they had never received advice on oral hygiene tasks in relation to diabetes from a health professional. Awareness about the diabetes and periodontal disease association was limited: 46.7% knew that diabetics have gum problems more often if their blood sugar stays very high, and only 21.8% knew that gum disease makes it harder to control blood sugar in diabetic patients. A significant association (Pdental visits and both periodontal disease and diabetes awareness. Family and friends were the main source of diabetes-related information, and the Internet was the least likely source. Conclusion Customized educational programs should be planned for diabetic patients according to community needs. PMID:25673974
Autor vaatleb, kes võiks enim olla huvitatud Põhjala pangandusturu ümberkorraldamisest ja kellel oleks selleks kõige rohkem vahendeid. Autori hinnangul on võimalik, et Investori ja SEB juhtide kohtumisel Saudi Araabia printsi Alwaleed bin Saudiga oli kõne all Saudi printsi kaasamine strateegilise investorina SEB kõrvale Nordeat ostma
Payne, Mark; Almansour, Maram
This paper presents findings from an exploratory study of foreign language planning in Saudi Arabia. In terms of official policy, the sole foreign language taught in Saudi public schools is English. Therefore, researching foreign languages there is often limited to researching the area of English as a Foreign Language. However, evidence shows that…
Simmons, Cyril; Simmons, Christine
Reports on surveys comparing personal and moral values of 89 Saudi Arabian and 96 British adolescents. Finds that Islam has a profound impact on the values of the Saudi students, whereas religious views have only a limited effect on the British students. Also finds that the British students place a higher value on friends and family. (ACM)
Hazzaa M Al-Hazzaa
Full Text Available Background: Adequate sleep has been considered important for the adolescent?s health and well being. On the other hand, self-imposed sleep curtailment is now recognized as a potentially important and novel risk factor for obesity. The present study aimed to assess the prevalence of short sleep duration and its association with obesity among Saudi adolescents. Methods: This is a school-based cross-sectional study with self-reported sleep questionnaires. It was conducted during the years 2009/2010 in three cities in Saudi Arabia; Al-Khobar, Jeddah, and Riyadh. Participants were 2868 secondary-school males (1379 and females (1389 aged 15 to 19 years, randomly selected using a multistage stratified sampling technique. Measurements included weight, height, waist circumference, BMI, and sleeping duration. Logistic regression analysis while adjusted for age, gender, and location was used to examine the associations between sleep duration and obesity measures. Results: The mean (SD of sleep duration was 7.2 (1.6 hours/day with no significant differences between males and females. About 31% of the participants obtain less than 7 hours of sleep per day, while approximately 50% of the sample gets less than 8 hours of daily sleep. Two-way ANCOVA results while controlling for the effect of age revealed a significant gender by school-type interaction (P<0.001. In addition, adequate sleep duration increased the odds of having normal weight (adjusted odds ratios = 1.28, 95% CI = 1.08-1.50, P = 0.003. Conclusion: The present study observed a high prevalence of short sleep duration among Saudi adolescents 15- to 19-year olds and that short sleep duration was significantly associated with increased risk of overweight and obesity. Future interventions should investigate whether adopting a healthy lifestyle by adolescents with short sleep duration would improve their sleeping habits or not.
Full Text Available Only few studies regarding glomerulonephritis, with relatively small numbers of patients, have so far been published from different centers in Saudi Arabia, and have reported conflicting results regarding the patterns, even in the same city. The possible reasons for these differences include the small number of patients in the different studies, differences in the indications for renal biopsies, referral bias, geographical differences, and, sometimes, the non-availability of the necessary diagnostic facilities in the reporting centers. In order to overcome these problems, a registry for glomerulonephropathy was attempted in Saudi Arabia. Six large referral hospitals from different regions of Saudi Arabia participated in this registry. Biopsy reports and clinical information of 1294 renal biopsies were obtained. There were 782 renal biopsies due to glomerulonephritis (GN accounting for 77.2% of the total biopsies. Five hundred eighty seven (72.6% were primary glomerulonephritidis. Focal and segmental glomerulosclerosis (FSGS (21.3% and membrano-proliferative glomerulonephritis (MPGN (20.7% were the most common types found in the primary glomerulonephritidis. Membranous glomerulonephritis (MGN was present in only 10.6% of the cases. IgA nephropathy was found in 6.5% of the cases. Of the secondary glomerulo-nephritides, systemic lupus erythematosus (SLE was the most common indication for biopsy (57.0% and amyloidosis was found in only 3.2% of the biopsies. In conclusion, FSGS and MPGN were the most common forms of primary glomerulonephritis in adult patients in Saudi Arabia. MGN was not as common as in the western world. SLE was the commonest cause of secondary GN. Amyloidosis was not as common as in other Arab countries. There is a need for more centers from Saudi Arabia to join this national GN registry. Similar registries can be established in different Arab countries, which all would, hopefully, lead to a Pan-Arab GN registry.
Renal transplantation is the treatment of choice for most patients with end stage renal disease (ESRD). This procedure provides a survival benefit compared to hemodialysis and is also cost effective. The aim of this study is to identify the types and incidence rates of complications that effect renal transplant recipients admitted to the intensive care unit (ICU) during long-term follow-up and to examine the impact of these complications on the length of hospital stay as well as mortality in a tertiary closed ICU in Saudi Arabia. We reviewed the data of all adult renal transplant recipients who were admitted to the ICU at the King Abdulaziz Medical City, Riyadh between May 1999 and October 2006. During the stay period, 80 patients had a total of 96 ICU admissions; 49% were females. The admission APACHE II score and expected mortality was 25+7 and 48+23 respectively. The hospital mortality rate was 42%. Sepsis was major indication for ICU admission and pneumonia was the main cause of sepsis. In multivariate analysis the following variables were introduced in the model: APACHE II score, age, Glasgow Coma Score and need for hemodialysis in the ICU. We found only the need for hemodialysis during the ICU as an independent risk factor for mortality (P<0.02). We found in this study that the main reason for ICU admissions among renal transplant recipients was infections. Mortality rates for this particular population are relatively high and are primarily linked to the need for dialysis. (author)
Abdulkarim K Alhowaish
Full Text Available Background: Diabetes imposes a large economic burden on the individual, national healthcare systems, and countries. Objective: To determine the economic impact of diabetes mellitus on Saudi healthcare system, both now and in the future. Materials and Methods: This research study uses a prevalence-based approach that combines the demographics of the population (classified by nationality, sex and age group with and without diagnosed diabetes in 1992 and 2010. The economic impact of diabetes is estimated in this study, using secondary sources of information provided by Ministry of Health, Ministry of Finance and Central Department of Statistics and Information databases. Results: People diagnosed with diabetes, on average, have medical healthcare expenditures that are ten times higher ($3,686 vs. $380 than what expenditures would be in the absence of diabetes. Over 96% of all medical healthcare expenditures attributed to diabetes are incurred by persons of Saudi nationality, with the remaining 4% incurred by persons of non-Saudi nationality. The population age 45-60 incurs 45% of diabetes-attributed costs, with the remaining population under age 15 incurs 3.8%, age 15-44 incurs 27.5%, and age 60 and above incurs 23.8%. Conclusion: The actual national healthcare burden because of diabetes is likely to exceed the $0.87 billion estimated in this study, because it omits the indirect costs associated with diabetes, such as absenteeism, lost productivity from disease-related absenteeism, unemployment from disease-related disability, lost productivity due to early mortality by disease. The social cost of intangibles such as pain and suffering and care provided by non-paid caregivers as well as healthcare system administrative costs, cost of medications, clinician training programs, and research and infrastructure development is also omitted from this research study. Further studies are needed to confirm the present findings and to improve our understanding of economic costs of diabetes and its related complications.
Lindsay, Jan Marie; Rashad Moufti, Mohammed
The Kingdom of Saudi Arabia has numerous large monogenetic volcanic fields, known locally as "harrats." The largest of these, Harrat Rahat (Figure 1), produced a basaltic fissure eruption in 1256 C.E. with lava flows traveling within 20 kilometers of the city Al-Madinah, which currently has a population of 1.5 million plus an additional 3 million pilgrims annually. With more than 950 visible vents and periodic seismic swarms, an understanding of the risk of future eruptions in this volcanic field is vital.
Al-Haj, Abdalla N; Lobriguito, Aida M; Al-Gain, Ibrahim
A 5-y retrospective analysis of the cardiology staff eye doses was performed on 34 staff from different categories (cardiologists, nurses and technologists) at King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh, Saudi Arabia. KFSHRC is a tertiary medical centre with 800-bed capacity having more than 5000 cardiac catheterisation procedures performed annually. The aim of the study is to derive staff doses to the lens of the eyes using the personal dose equivalent Hp(0.07) values from the annual TLD dose report for the years 2008-2012 and determine the category of staff with high estimated eye doses. The study also aims to investigate the causes for high doses and recommend dose-reduction techniques. The dose to the lens of the eye was estimated by using the ratio Hp(0.07)slab/Hlens of 1.1 where Hp(0.07) values are the reported doses read from TLD badge worn at the collar level. The average annual eye dose of each category for the 5-y monitoring period was determined. Cardiologists tend to receive higher doses than the nurses by a factor of 2-4 and can exceed 5 mSv y(-1). No correlation exists between the eye doses of nurses and the cardiologists. There is a need to use a conversion coefficient in terms of eye lens dose per dose-area product for faster estimation of eye lens doses. However, there is a limitation on the use of the conversion coefficient because it will depend on the clinical procedure and the X-ray tube angulation. Further investigation on this limitation is needed. PMID:25848104
Pósfai, Mihály; Axisa, Duncan; Tompa, Éva; Freney, Evelyn; Bruintjes, Roelof; Buseck, Peter R.
Aerosol particles from desert dust interact with clouds and influence climate on regional and global scales. The Riyadh (Saudi Arabia) aerosol campaign was initiated to study the effects of dust particles on cloud droplet nucleation and cloud properties. Here we report the results of individual-particle studies of samples that were collected from an aircraft in April 2007. We used analytical transmission electron microscopy, including energy-dispersive X-ray spectrometry, electron diffraction, and imaging techniques for the morphological, chemical, and structural characterization of the particles. Dust storms and regional background conditions were encountered during four days of sampling. Under dusty conditions, the coarse (supermicrometer) fraction resembles freshly crushed rock. The particles are almost exclusively mineral dust grains and include common rock-forming minerals, among which clay minerals, particularly smectites, are most abundant. Unaltered calcite grains also occur, indicating no significant atmospheric processing. The particles have no visible coatings but some contain traces of sulfur. The fine (submicrometer) fraction is dominated by particles of anthropogenic origin, primarily ammonium sulfate (with variable organic coating and some with soot inclusions) and combustion-derived particles (mostly soot). In addition, submicrometer, iron-bearing clay particles also occur, many of which are internally mixed with ammonium sulfate, soot, or both. We studied the relationships between the properties of the aerosol and the droplet microphysics of cumulus clouds that formed above the aerosol layer. Under dusty conditions, when a large concentration of coarse-fraction mineral particles was in the aerosol, cloud drop concentrations were lower and droplet diameters larger than under regional background conditions, when the aerosol was dominated by submicrometer sulfate particles.
A 5-y retrospective analysis of the cardiology staff eye doses was performed on 34 staff from different categories (cardiologists, nurses and technologists) at King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh, Saudi Arabia. KFSHRC is a tertiary medical centre with 800-bed capacity having more than 5000 cardiac catheterisation procedures performed annually. The aim of the study is to derive staff doses to the lens of the eyes using the personal dose equivalent Hp(0.07) values from the annual TLD dose report for the years 2008-2012 and determine the category of staff with high estimated eye doses. The study also aims to investigate the causes for high doses and recommend dose-reduction techniques. The dose to the lens of the eye was estimated by using the ratio Hp(0.07)slab/Hlens of 1.1 where Hp(0.07) values are the reported doses read from TLD badge worn at the collar level. The average annual eye dose of each category for the 5-y monitoring period was determined. Cardiologists tend to receive higher doses than the nurses by a factor of 2-4 and can exceed 5 mSv y-1. No correlation exists between the eye doses of nurses and the cardiologists. There is a need to use a conversion coefficient in terms of eye lens dose per dose-area product for faster estimation of eye lens doses. However, there is a limitation on the use of the conversion coefficient because it will depend on the clinical procedure and the X-ray tube angulation. Further investigation on this limitation is needed. (authors)
Full Text Available Abstract Background Autism is a biological disorder with clearly defined phenomenology. Studies from the Middle East on this topic have been particularly rare. Little is known about the influence of culture on clinical features, presentations and management of autism. The current study was done to compare characteristics of autism in two groups of Egyptian as well as Saudi children. Methods The sample included 48 children with Autism Spectrum Disorder. They were recruited from the Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt and Al-Amal Complex for Mental Health, Dammam, Kingdom of Saudi Arabia. They were grouped into an Egyptian group (n = 20 and a Saudi group (n = 28. They were assessed both clinically and psychometrically using the GARS, the Vineland adaptive behavioral scale, and the Stanford Binnet IQ test. Results Typical autism was more prevalent than atypical autism in both groups. There were no statistically significant differences in clinical variables like regression, hyperactivity, epilepsy or mental retardation. Delayed language development was significantly higher in the Egyptian group while delay in all developmental milestones was more significant in the Saudi group. The Vineland communication subscale showed more significant severe and profound communication defects in the Saudi group while the Gilliam developmental subscale showed significantly more average scores in the Egyptian group. Both groups differed significantly such that the age of noticing abnormality was younger in the Saudi group. The age at diagnosis and at the commencement of intervention was lower in the Egyptian group. The Saudi group showed a higher percentage of missing examinations, older birth order and significantly higher preference to drug treatment, while the Egyptian group showed a high preference to behavioral and phoniatric therapies, higher paternal and maternal education, higher employment among parents and higher family concern. Conclusion Cultural context may significantly influence the age of noticing abnormality, the age of starting intervention, developmental and perinatal problems, family concerns about managing the problem as well as familial tendency for neurodevelopmental disorders, all of which have important impact on clinical symptomatology and severity of autism. Culture also influences significantly the ways of investigating and treating autism.
The objective of this study was to identify various stress factors affecting dentists and to evaluate their stress manifestations and stress management. A questionnaire was distributed among dentists residing in Jeddah, Saudi Arabia. The questionnaire classified stress factors into professional, patient-related, dental procedure-related, and office management factors. Sign and symptoms of stress manifestations and management were also evaluated. The sample included 80 females and 75 males, with 47% of them below the age of 30 years. Out of the total sample, the largest percentage (60.6%) were general practitioners, 47.7% had experience of less than 5 years and 32.2% had 11 years of experience. The highest mean scores of stress were related to professional factors and dental procedure-related factors. Among those, the main significant factors that caused stress in the surveyed sample were lack of time in relation to workload (76.1%), limited visibility and accessibility (67.7%). The most common manifestations of stress were nervousness (95%), musculoskeletal fatigue (72%) and anger (58%). Dentists predominantly managed their stress by praying and reading holy books (80%) and by spending time alone (75%) or with family and friends (70%). The most prevalent and significant causes of stress among dentists working in Jeddah, Saudi Arabia were professional in nature. Stress has been manifested by nervousness and musculoskeletal problem and was mainly managed by praying and spending time alone or with family and friends. (author)
Mohammad Mazhar Alam Nudwi a
Full Text Available Islamic trend in Saudi Arabic poetry is distinct from others due to several reasons. It includes the influence of imam, preacher and reformer Mohammad bin Abdul Wahab on whose call different geographical areas like Najd and Hejaz were unified and the state/kingdom came into existence 84 years ago. The constitution of the country is based on the doctrine of Islam and Sharia (Islamic law since its inception and Islamic culture is still valid, explicit and rigorous. The unified kingdom, since the days of its founder King Abdul Aziz Al-Saud, has been protected from the evil of the colonialists who were resisted not only in exporting their arms and men but their ideas were also fought tooth and nail. They were unable to spread the missionary schools, through which they preach their philosophy. The Orientalists were also kept at bay and the so-called liberals did not publish their ideas boldly and openly and were unable to influence the thought process of Saudi intellectuals.
To examine the liver size in Saudi children and adolescents. A large sample of children was selected from the general population by multistage random probability sampling for the assessment of physical growth. A random subsample of children-newborns to 18 years old-was taken from this larger sample for this study. Liver size below the costal margin and liver span along the midclavicular line were determined by physicians. Data were analyzed using SPSS software and medians and standard deviations were calculated. Between 2004 and 2005, 18 112 healthy children up to 18 years of age were examined. All were term and appropriate for gestational age. There were 9 130 boys and 8 982 girls, yielding a nearly 1:1 male to female ratio. The maximum palpable liver size below the costal margin was 2.4 cm. The median and + 2 SD liver span at birth were 4 and 6.9 cm, respectively. There was no difference in the liver span between boys and girls of up to 60 months of age. Thereafter, a difference could be seen increasing with age, with girls having smaller liver spans than boys. This manuscript reports the liver size in Saudi children and adolescents. The data should help physicians in the interpretation of liver size determined by physical examination of children and adolescents. (author)
Cryptosporidium is a coccidian protozoan parasite of the intestinal tract that causes severe and sometimes fatal watery diarrhea in immunocompromised patients and self-limiting but prolonged diarrheal disease in immunocompetent individuals. It exists naturally in animals and can be zoonotic. Although cryptosporidiosis is a significant cause of diarrheal disease in both developing and developed countries, it is more prevalent in developing countries and in tropical environments. We examined the epidemiology and disease burden of Cryptosporidium in Saudi Arabia and neighboring countries by reviewing 23 published studies of Cryptosporidium and etiology of diarrhea in between 1986 and 2006. The prevalence of Cryptosporidium infection in human's ranged from 1% to 37% with a median of 4%, while in animals it was for different species of animals and geographic locations of the studies. Most cases of cryptosporidiosis occurred among children less than 7 years of age and particularly in the first two years of life. The seasonality of Cryptosporidium varied depending on the geographic locations of the studies but it generally most prevalent in the rainy season. The most commonly identified species was Cryptosporidium parvum while C.hominis was detected only in one study from Kuwait. The cumulative experience from Saudi Arabia and four neighboring countries (Kuwait, Oman, Jordan and Iraq) suggest that Cryptosporidium is an important cause of diarrhea in human and cattle. However, the findings of this review also demonstrate the limitations of the available data regarding Cryptosporidium species and strains in circulation in these countries. (author)
Samia M. Al-Amoudi; Hassan S. Abduljabbar
OBJECTIVES To identify men's knowledge and attitude towards early detection of breast cancer. METHODS This cross-sectional study was conducted at the outpatient clinics of King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. Five hundred and fifty participants were selected by systemic randomization. The distributed questionnaire included: demographics, knowledge and its source on breast cancer, beliefs and practice regarding breast self-examination (BSE), mammog...
Altaf, Fadwa J; Shagufta T. Mufti
OBJECTIVES To evaluate Pap smear (PS) diagnoses at a tertiary care hospital using the revised Bethesda system, and to compare the results with other similar studies. METHODS We designed a retrospective study to review all PS from the Cytopathology Department of King Abdulaziz University Hospital, Jeddah, Saudi Arabia from January 2005 to December 2009. RESULTS Of the 7297 cases reviewed, 1254 cases (17.3%) had epithelial cell abnormalities. The categories included: atypical squ...
Wahabi Hayfaa A; Alziedan Rasmieh A
Abstract Background The prevalence of childhood bronchial asthma in Saudi Arabia has increased in less than a decade from 8% to 23%. Innovations in the management of asthma led to the development of evidence based clinical practice guidelines and protocols to improve the patients’ outcomes. The objectives of this study are to examine the compliance of the healthcare providers in the Pediatrics Emergency Department, in King Khalid University Hospital, with the recommendations of the Pediatrics...
Khalefah A. K. Al-Masaud
This paper presents the real reasons which constraint the application of the E-learning in higher education institutions in Saudi Arabia (Case study: Qassim University)and some suggested solutions. A questionnaire has been designed for the study include 48 paragraphs, divided into 5 parts, the first include the principle information, the second define how the technology can be used in the E-learning, the third deals with how to support the E-learning idea, the fourth part, asking the difficul...
OBJECTIVES 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 ...
...digital infrastructure, the Saudi market will present excellent opportunities for U.S. manufacturers/suppliers of: --DSL access switches, enabling multi-service transmission equipment. --Fiber-optic satellite links. --Wideband...
Laane, Marek, 1969-
Saudi Araabia esitatud Lähis-Ida rahuplaan on ajanud Iisraeli juhtkonna tülli: peaminister Ariel Sharon on selle vastu, president Moshe Katsar on aga valmis saudidega kohtuma. Kaart: Iisraeli muutuvad piirid
Full Text Available Abstract Background Medical education in Saudi Arabia is facing multiple challenges, including the rapid increase in the number of medical schools over a short period of time, the influx of foreign medical graduates to work in Saudi Arabia, the award of scholarships to hundreds of students to study medicine in various countries, and the absence of published national guidelines for minimal acceptable competencies of a medical graduate. Discussion We are arguing for the need for a Saudi national medical licensing examination that consists of two parts: Part I (Written which tests the basic science and clinical knowledge and Part II (Objective Structured Clinical Examination which tests the clinical skills and attitudes. We propose this examination to be mandated as a licensure requirement for practicing medicine in Saudi Arabia. Conclusion The driving and hindering forces as well as the strengths and weaknesses of implementing the licensing examination are discussed in details in this debate.
Abeer Abdullah Al Saud
Full Text Available Literature is ripe with the scholarly contributions on brand development from all aspects. The new marketing tools and techniques are introduced frequently. However, the impact social media has had on brand development is no match to traditional promotion in 4Ps. The information about Saudi Arabia is specially rare. This article based on a survey of 200 social media users on www.surveymonkey.com evaluates the role of social media in brand development in Saudi Arabia. The results from this Saudi example show that social media including Facebook and Twitter are among the most effective tool to develop a brand as compared to traditional promotional methods. It has also been found that these media are more successful in Saudi Arabia to develop the brand recall and image.
Al-Rubeaan, Khalid; Siddiqui, Khalid; Abu Risheh, Khaled; Hamsirani, Roderick; Alzekri, Abdulmajeed; Alaseem, Abdulrahman; Saleh, Saleh M; Al-Yami, Ziad; Al-Ghamdi, Ali; Alayed, Khalid
In subjects with impaired insulin action, alterations of the serum sodium and potassium concentrations have been reported. The resulting cationic imbalance, along with the osmotic effect of the elevated sugar levels, could influence the course of diabetes mellitus management. Therefore, this study was conducted to compare the fasting blood glucose and HbA1c levels with those of the serum electrolytes. Blood samples were collected for assessment of HbA1c, fasting blood glucose (FBS), and electrolytes using different automated methods. A significant association between the serum sodium and FBS levels among types 1 and 2 insulin-treated patients, and type 2 oral agent patients was observed. A total of 138 diabetic subjects were randomly selected from any gender aged between 25 and 65 years at the University Diabetes Center, King Saud University, Riyadh KSA. The subjects were classified into types 1 or 2 DM using ADA criteria. Blood samples were collected for assessment of HbA1c, FBS, and electrolytes using different automated methods. It showed a significant association between serum sodium, FBS among type 1, type 2 insulin treated, and type 2 oral agent groups. However, the association of sodium and HbA1c was insignificant when analyzed individually. A statistically significant association (P?diabetic patients especially among insulin-treated patients. No significant association was demonstrated by serum potassium with FBS and degree of diabetes control. PMID:21818670
Al-Mobeeriek Azizah; AlDosari Abdullah
Background and Objectives: Few studies have been conducted in the Saudi population on oral mucosal lesions. The purpose of this study was to evaluate the type and extent of oral lesions in a study among dental patients at a college of dentistry in Saudi Arabia. Patients and Methods: Over a 3-year period, 2552 dental outpatients were interviewed and investigated clinically for the presence of oral mucosal conditions. A thorough oral clinical examination was performed, including a radiographi...
Mohammed A. Al-Fredan
A study was conducted during 2006 and 2007 in Eastern Saudi Arabia to provide the needed information about the vegetation of sand dunes and sabkhas in the region and to provide insight into the factors controlling community distribution. Eastern Saudi Arabia with arid climatic conditions has sparsely distributed sand dune and sabkha vegetation cover. The vegetation comprises of perennial herbs, dwarf shrubs and few tree species. Seven major plant communities were recognized according to their...
Abdulaziz A. Al-Kheraif; Shaikhah A. Al-Bejadi
OBJECTIVES To evaluate the oral hygiene habits and utilization of professional dental health services by all the children in the primary schools, and to compare the differences in oral hygiene awareness (OHA) and dental health status of schoolchildren who are exposed to dental health education and those who are not. METHODS Participants included 400 Saudi children, randomly selected from the primary female schools in Al-Kharj, Kingdom of Saudi Arabia on April 2007. Two hundreds child...
Sickle cell disease (SCD) is an autosomal recessive disorder characterized by production of abnormal hemoglobin S and is associated with high morbidity and mortality. Information about the prevalence of SCD in Saudi Arabia is patchy and probably underestimated, but studies have reported that SCD is a relatively common genetic disorder in this part of the world. The prevalence of SCD in Saudi Arabia varies significantly in different parts of the country, with the highest prevalence is in the E...
Al-Abidi, Abdul Aziz; Bello, Cornelius; Al-Ahmari, Mohammed; Fawehinmi, Yinka
We report here the case of myiasis of the mastoid cells in a 50-year old Saudi farmer. Eight larvae of suspected Calliphorid fly were extracted from his right mastoid at examination in the clinic. The larvae almost ate into his brain, using their powerful screw-shaped mouth parts. It is the first report of Calliphorid larvae affecting the mastoid cells from Saudi Arabia. The epidemiological and clinical implications of this finding are discussed below. PMID:15008312
Mokhtar, Hadeel A; Abuljadayel, Layla W; Al-Ali, Reem M; Yousef, Mohammed
Parameters of dental beauty change across time for varying reasons. Thus, an understanding of the factors that help or harm the attractiveness of a smile is an important step in creating attractive smiles. This study aimed to identify factors that affect smile perception and attractiveness among the Saudi population. A cross-sectional study was conducted among the Saudi population. Questionnaires were distributed to 130 dentists and final-year dental students, and to 130 laypersons. The quest...
Abbas N. Albarq
The country of origin or where a given product was designed or assembled has been found to be influential inseveral consumer studies. With the differentiation between the country of assembly and the country of design,the aim of this study was to examine the effect of country of origin (COO) factors on the purchasing decisionsmade by purchasing Saudi managers in Saudi Arabia. The study identifes COO for two types of products,machine tools and component parts. Using convenience sampling method,...
The expressions of dissent in contemporary Saudi Arabia, whether through violent action or ideological and theological constructions, are well documented today. The very contexts within which violence appears and develops are less well known. If it is essential to read and analyse the Islamic discourses and to observe and interpret the history of Islamic activism in Saudi Arabia, such an elitist focus may overlook more discrete events that might explain the way ordinary people refer to state ...
Al-Baghli, Nadira A.; Aqeel J. Al-Ghamdi; Al-Turki, Khalid A.; Ahmad G. El-Zubaier; Mahmood M. Al-Ameer; Al-Baghli, Fadel A.
OBJECTIVES To describe anthropometric characteristics of participants and the influence of sociodemographic and cardiovascular risk factors involved in the prevalence of obesity in the eastern province of Saudi Arabia. METHODS In the year 2004, all Saudi residents in the Eastern province aged 30 years and above, were invited to participate in a community screening campaign for early detection of diabetes and hypertension. Demographic data, medical history, life habits, weight, height...
Dhafer A. Al-Qahtani; Mohammed L. Imtiaz; Mohammed M. Shareef
OBJECTIVES To examine the relationship between obesity and cardiovascular risk factors among men aged 20 years and above. METHODS The study involved a cross-sectional survey of 2,250 Saudi male soldiers aged between 20 and 60 years residing in a military city in northern Saudi Arabia conducted in 2004. Anthropometric measurements, blood pressure, and a brief medical history were obtained in a pre-set questionnaire. Serum lipid profile and fasting plasma sugar were requested for all t...
Khalid Al-Ahmadi; Ali Al-Zahrani
Little is known about the geographic distribution of common cancers in Saudi Arabia. We explored the spatial incidence patterns of common cancers in Saudi Arabia using spatial autocorrelation analyses, employing the global Moran’s I and Anselin’s local Moran’s I statistics to detect nonrandom incidence patterns. Global ordinary least squares (OLS) regression and local geographically-weighted regression (GWR) were applied to examine the spatial correlation of cancer incidences at the city leve...
Jafar M. EL-Qudah; Hasan Al-Omran; Bassam Abu-Alsoud; Tasnim O. I. Al-Shek Yousef
Nutritional habits and health behaviors have been a major concern for public health, especially among vulnerable groups such as teenage and college students. This study aims to assess nutritional status of a sample of Saudi college students and their dietary behaviors. A multi-stage sample was obtained from a private college in the north-western region of the Kingdom of Saudi Arabia (KSA). Descriptive statistics was used to assess the frequency of some nutritional habits and their correlation...
Sleep medicine is a relatively new specialty in the medical community. The practice of sleep medicine in Saudi Arabia (KSA) began in the mid to late nineties. Since its inception, the specialty has grown, and the number of specialists has increased. Nevertheless, sleep medicine is still underdeveloped in the KSA, particularly in the areas of clinical service, education, training and research. Based on available data, it appears that sleep disorders are prevalent among Saudis, and the demand f...
Ghoneim RA; Omar AK; Sebastian VJ; Kassab R; Akijian G; Hafiz M; Schmidt B.
Raafat AL Ghoneim,1 Abdalla Kamal Omar,2 VJ Sebastian,3 Roland Kassab,4 George Akijian,5 Meryem Hafiz,6 Birgit Schmidt7 1Department of Nephrology, Dr Bakhsh Hospital, Jeddah, Saudi Arabia; 2Open Specialist Clinics, Dallah Hospital, Riyadh, Saudi Arabia; 3Department of Cardiology, International Modern Hospital, Dubai, United Arab Emirates; 4Department of Cardiology, St Joseph University School of Medicine, Beirut, Lebanon; 5Internal Medicine (private clinic), Marka, Amman, Jordan; 6Medical Dep...
Sedrani, S H; Elidrissy, A W; El Arabi, K M
Serum levels of the circulating form of vitamin D3, 25-hydroxycholecalciferol [25-(OH)D3], were determined in 59 university students, 26 males and 33 females, aged 18 to 26 yr and in 24 elderly subjects, 13 males and 11 females, with a mean age of 62 +/- 13 yr. The level of 25-(OH)D3 was significantly lower in the elderly persons (p less than 0.001) than in young students of both sexes, and was significantly higher in females than in males. Serum levels of 1, 25- and 24, 25-dihydroxycholecalciferol were measured in adult males and found to be within the normal range. A group of elderly patients were exposed to natural uv light, and the circulating levels of 25-(OH)D3, serum phosphorus, and alkaline phosphatase were determined both before and 1 day after the last exposure. The exposure to natural uv light resulted in a 2 1/2-fold increase in the level of 25-(OH)D3 and a significant decrease in the activity of alkaline phosphatase, but no significant change in serum phosphorus concentrations was observed. It is concluded that the low vitamin D3 status in Saudis is mainly due to avoidance of sunlight exposure and other factors discussed below. PMID:6602540
Elsadig Mohamed Khalifa Gawi
The purpose of this study is to investigate the effect of age on learning English in Saudi Arabia. It aims at encouraging the learning of English as a foreign language at an early age in KSA. The populations of the study are English language teachers and Saudi students in elementary schools compared with intermediate school students in Dawadmi town. The study found out that age affects EFL learning because early exposure to language instructions constantly results in better performance. The r...
Saudi Arabia is the largest country in the region and it is the largest oil producing country in the world. It is one of the few countries in the world which was not affected significantly by the global economic crisis. Health care spending is led mainly by governmental expenditure. Private sector share of the health care services is supported by the government and increasing. The demands for pharmaceutical products, medical devices and health care services is fueled by the rapidly growing population and the wide spread of chronic diseases. Publications and expertise in the field of pharmacoeconomics is scarce within the country. There is an urgent need to establish a national center for pharmacoeconomics to lead the country efforts in controlling the cost of health care services. Such a center is needed to promote pharmacoeconomics research and train health care professionals in this field. PMID:24953076
Fadia Y. Abdel-Megeid; Hala M. Abdelkarem; Aisha M. El-Fetouh
OBJECTIVES To evaluate the relationship between the nutritional habits of university students with health parameters related to cardiovascular risk. METHODS Three hundred and twelve students (180 females and 132 males; mean age 21.1 +/- 2.8 years) attending King Saud University, Riyadh, KSA were randomly selected from the university register and invited to participate in the study during 2008-2009. Students who consented to participate completed a self-reported questionnaire includin...
...Certain Oil Country Tubular Goods From India, Korea, Philippines, Saudi Arabia, Taiwan, Thailand, Turkey, Ukraine, and...materially retarded, by reason of imports from India, Korea, Philippines, Saudi Arabia, Taiwan, Thailand, Turkey, Ukraine,...
Alghamdi, Rayed; Drew, Steve; Al-Ghaith, Waleed
This paper presents the preliminary findings of a study researching the diffusion and the adoption of online retailing in Saudi Arabia. It reports new research that identifies and explores the key issues that positively and negatively influence retailers in Saudi Arabia regarding the adoption of electronic commerce. Retailers in Saudi Arabia have been reserved in their adoption of electronically delivered aspects of their business. Despite the fact that Saudi Arabia has the ...
A. O. Al-Radi; M. Ayyub; F. M. Al-Mashat; S. M. Barlas; N. A. Al-Hamdan; Ajarim, D. S.; H. M. Ghafouri; O. M. Koriech; H. Y. Alidrissi; A. A. Alsonossi
OBJECTIVES To determine the age, sex and relative frequencies of various gastrointestinal malignancies in patients registered with the National Cancer Registry from the Western Region of Saudi Arabia from January 1994 till December 1997, and compare this data with previous hospital based studies about the pattern of these malignancies in Saudi Arabia. METHODS A National Cancer Registry was established in Saudi Arabia in 1992, and since 1st January 1994 all cancer cases in Saudi Arabi...
Jamjoom, Mounira; Childs, Ann
The purpose of this study is to investigate how intermediate and secondary female Islamic studies teachers in Jeddah, Saudi Arabia, make sense of their teaching. The overarching aim was to produce a descriptive and interpretive account of what is it like to be an IS teacher teaching in Jeddah, Saudi Arabia today. The key questions that frame this study are: 1) How do female Saudi Arabian Islamic studies teachers teach in the classroom? 2) How do female Saudi Arabian Islamic studies teachers m...
Chromosomal instability (CIN) is a feature of human neoplasm. The p53 mutation has been shown to be associated with CIN in many human dysplastic and neoplastic lesions. The objective of this study was to examine CIN and p53 mutations in prostate carcinoma (Pca) resected from Saudi patients. Testing of p53 alterations using immunohistochemistry was performed on 28 archived prostatic carcinoma specimens containing Pca foci from Saudi patients seen at King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia. Chrosomal instability was evaluated in the same tissues by interphase in situ hybridization (IFISH) using centromere probes for chromosomes 7 and 8. Immunochemistry and IFISH were performed at Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada in 2001. The p53 immunoreactivity was found in 29% in Pca and 0% in benign epithelium. Interphase in situ hybridization revealed numerical chromosomal alterations in keeping with CIN in 63% of p53 positive and 20% p53 negative Pca. No evidence of CIN was seen in non-neoplastic epithelium. We concluded that CIN as determined by IFISH is present in Pca from Saudi patients similarly to those reported in western countries. The p53 mutation occurs relatively infrequently in Pca and associated with the presence of CIN at least in a subset of Pca. (author)
Alkahtani, Zuhair M; Stark, Paul C; Loo, Cheen Y; Wright, Wanda G; Morgan, John P
This study was conducted to compare the attitudes of senior dental students at the Faculty of Dentistry at King Abdulaziz University (KAU) in Jeddah, Saudi Arabia, and at Tufts University School of Dental Medicine (TUSDM) in Boston, Massachusetts, about providing dental care to individuals with developmental disabilities (DD). Two subsequent classes of senior dental students at both universities were surveyed using a pretested, validated, online questionnaire. The students' demographic and educational data were collected, along with information about their experience, training, and attitudes toward this population. Two hundred and fourteen students responded to the online survey, for a response rate of 35 percent (51 percent for KAU students and 21 percent for TUSDM students). Students at TUSDM had more training, more experience, and more positive attitudes toward individuals with DD compared to KAU students (pspecial needs and having positive attitudes toward providing oral health care to individuals with DD. PMID:25086147
...pilgrimage and tourism that stretches...concern to the Saudi authorities...Mission to Saudi Arabia offers an...take part in business matchmaking...already doing business in Saudi Arabia as well as...potential for business in Saudi Arabia,...
Salama, Hediat M H; Al-Rumaih, M M; Al-Dosary, M A
Cement factory emissions into air cause serious air pollution and affect the plant and animal life in the environment. Herein, we report the effects of cement industry emissions (O3, SO2 and NO2) in air, as pollutants, at Riyadh City on Datura innoxia Mill. plant. Morphological characters including plant height, leaves area and number, fresh and dry weight of shoot and root systems of D. innoxia showed a significant reduction from their normal control plants as a response to exposure to pollutant emissions. Chlorophyll and carotenoid contents recorded reductions in values compared to control plant, and the lowest values of chlorophyll A, B, total chlorophyll, carotenoids and total pigments were 0.431, 0.169, 0.60, 0.343 and 0.943 mg/g respectively at a distance of 1-5 m from the cement factory in fruiting stage. These changes in values may be attributed to a probable deceleration of the biosynthetic process rather than degradation of pigments. Further D. innoxia showed a significant (P f. wt.), non-reducing sugars (0.116 mg/g f. wt.), total sugars (0.466 mg/g f. wt.), protein content (0.931 mg/g f. wt.) and total lipids content (0.669 mg/g f. wt.) in fruiting stage at a distance of 1-5 m from the cement factory. The peroxidase activity of shoot and root systems of the studied plant was also significantly higher than those of control plant. Thus a highest value of (29.616 units/g f. wt.) peroxidase activity was recorded in vegetative stage of shoot system at a distance 1-5 m from the cement factory. Results of the study indicated that cement industry emission strongly influence the physiology and morphology of date palm D. innoxia which contribute date fruits, a staple food in the Arab world. PMID:23961129
Mobaraki, A E H; Söderfeldt, B
In Saudi Arabia, local interpretations of Islamic laws and social norms have a negative impact on the health and well-being of women. The objective of this literature review was to discuss gender inequity in Saudi Arabia and its relation to public health. Despite the scarcity of recent statistics and information regarding gender inequity in Saudi Arabia, this review is an attempt to explore this sensitive issue in this country. Women's roles and rights in Saudi society were examined, including education, marriage, polygamy, fertility, job opportunities, car driving and identification cards. Further research to assess knowledge, attitudes and practices towards health care of Saudi men and women is recommended. PMID:20214168
Full Text Available The diagnosis of deep venous thrombosis (DVT may be challenging due to the inaccuracy of clinical assessment and diversity of diagnostic tests. On one hand, missed diagnosis may result in life-threatening conditions. On the other hand, unnecessary treatment may lead to serious complications. As a result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia (KSA, an expert panel led by the Saudi Association for Venous Thrombo-Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society with the methodological support of the McMaster University Working Group, produced this clinical practice guideline to assist healthcare providers in evidence-based clinical decision-making for the diagnosis of a suspected first DVT of the lower extremity. Twenty-four questions were identified and corresponding recommendations were made following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE approach. These recommendations included assessing the clinical probability of DVT using Wells criteria before requesting any test and undergoing a sequential diagnostic evaluation, mainly using highly sensitive D-dimer by enzyme-linked immunosorbent assay (ELISA and compression ultrasound. Although venography is the reference standard test for the diagnosis of DVT, its use was not recommended.
Adolescence is characterized by rapid physiological, social and cognititive changes. Aim of the present work is to study mental health of Saudi adolescent secondary school girls in Abha city, Aseer region, Saudi Arabia. A cross-sectional study was conducted in 10 secondary schools for girls using the Arabic version of the symptom-revised checklist 90 (SCL 90-R), a mental health questionnaire that was administered to the girls by fourth-year female medical students. The most prevalent mental symptoms in the 545 female students were phobic anxiety (16.4%), psycchoticism (14.8%), anxiety (14.3%), and somatization (14.2%). The prevalence of depression, paranoid ideation and interpersonal sensitivity amounted to 13.9%, 13.8% and 13.8%, respectively. The least prevalent mental symptoms were hostility (12.8%) and obsessive-compulsive behavior (12.3%). Overall, psychological symptoms (in terms of a positive global severity index) were found in 16.3% of the girls. In a multivariate logistic regression analysis, no significant relationship was found with sociodemographic factors. Psychological symptoms and disorders are prevalent in secondary school girls and health professionals need to be able to recognize, manage and follow-up mental health problems in young people. Further research is needed to explore the magnitude of the problem at the national level. (author)
Al Gelban Khalid
Full Text Available Background and Objectives :Adolescence is characterized by rapid physiological, social and cognititive changes. Aim of the present work is to study mental health of Saudi adolescent secondary school girls in Abha city, Aseer region, Saudi Arabia. Methods: A cross-sectional study was conducted in 10 secondary schools for girls using the Arabic version of the symptom-revised checklist 90 (SCL 90-R, a mental health questionnaire that was administered to the girls by fourth-year female medical students. Results: The most prevalent mental symptoms in the 545 female students were phobic anxiety (16.4%, psychoticism (14.8%, anxiety (14.3%, and somatization (14.2%. The prevalence of depression, paranoid ideation and interpersonal sensitivity amounted to 13.9%, 13.8% and 13.8%, respectively. The least prevalent mental symptoms were hostility (12.8% and obsessive-compulsive behavior (12.3%. Overall, psychological symptoms (in terms of a positive global severity index were found in 16.3% of the girls. In a multivariate logistic regression analysis, no significant relationship was found with sociodemographic factors. Conclusion: Psychological symptoms and disorders are prevalent in secondary school girls and health professionals need to be able to recognize, manage and follow-up mental health problems in young people. Further research is needed to explore the magnitude of the problem at the national level.
Full Text Available This study intends to identify factors that may affect consumer behavior in Saudi Arabia while shopping online. Although Saudi Arabia has the largest and fastest growing ICT in the Middle East and the online shopping activities in Saudi are increasing rapidly, it is still lagging behind the global development. The four factors–website design quality, perceived trust, perceived convenience and advertisements & promotions were selected from the available literature. A survey was conducted and questionnaire that includes 25 questions was distributed randomly to a sample of 107 participants in Dammam city (in the Eastern Province of the kingdom. The collected data was analyzed by using SPSS software. The result indicates one hypothesis has been accepted. The findings of the study are analyzed and discussed further at the end of this paper.
Tubaigy, Salah M; Hassan, H M
In the course of applying to become a soldier, a 23-year-old Saudi Arabian man was found to have no fingerprints. Further medical examination has been carried out for the young man and for the rest of family members including two sisters, mother, and brothers except the father who had died sometime previously. Subsequent medical investigations suggested that he and his two brothers displayed most of the features of the Naegeli-Franceschetti-Jadassohn (NFJ) syndrome. These features included skin changes with hypo- and hyperpigmentation, hypohidrosis, dystrophy of the nails, diffuse thickening of the palms and feet, a lack of fingerprints (dermatoglyphics), and atrophic changes in the skin of the face; there were also dental anomalies. A typical feature of the Naegeli-Franceschetti-Jadassohn syndrome was found in a Saudi Arabian family. The aim of this study was to present this rare condition affecting a Saudi Arabian family and review the current literature on the subject. PMID:24261749
Ziad A. Memish
Full Text Available Rabies is endemic in animals in the Arabian Peninsula. Although Saudi Arabia is the largest country in the Peninsula, little has been published about the rabies situation in the country. A total of 11 069 animal bites to humans were reported during 2007–2009, and 40 animals suspected of rabies were examined for rabies infection from 2005 through 2010. Results suggest that animal-related injuries in Saudi Arabia remain a public health problem, with feral dogs accounting for the majority of bites to humans and for the majority of animals found to be rabid. Over the last 10 years, no confirmed human rabies case has been reported. More detailed information about the epidemiology of animal bites and that of animal rabies in Saudi Arabia would be of great interest, notably to provide a basis on which vaccination recommendations could be made for the numerous international travellers visiting the country.
Almansori, Mohammed Atiq; Elsayed, Hisham Ali
Introduction Coronary artery ectasia is an uncommon disease that has been increasingly noticed as the increase in utilization of coronary angiograms. The aim of this study is to characterize coronary artery ectasia in the population of Saudi Arabia. Methods This is a retrospective study involved all patient with invasive coronary angiogram that was done at a tertiary hospital in Saudi Arabia from January 2011 to December 2013. Results A total of 1115 coronary angiograms were reviewed. Coronary artery ectasia was found in 67 patients (6% of all coronary angiograms). The right coronary artery was involved in 73% of cases. And 43% of the cases had severe ectasia. Conclusion The prevalence of coronary artery ectasia in Saudi Arabia among patient who went for coronary angiography is higher than what has been published in previous studies and a significant number of patients have severe disease. PMID:26136630
Blood pressure levels may vary in children because of genetic, ethnic and socioeconomic factors. To date, there have been no large national studies in Saudi Arabia on blood pressure in children. Therefore, we sought to establish representative blood pressure reference centiles for Saudi Arabian children and adolescents. We selected a sample of children and adolescents aged from birth to 18 years by multi-stage probability sampling of the Saudi population. The selected sample represented Saudi children from the whole country. Data were collected through a house-to-house survey of all selected households in all 13 regions in the country. Data were analyzed to study the distribution pattern of systolic (SBP) and diastolic blood pressure (DBP) and to develop reference values. The 90th percentile of SBP and DBP values for each age were compared with values from a Turkish and an American study. A total of 16 226 Saudi children and adolescents from birth to 18 years were studied. Blood pressure rose steadily with age in both boys and girls. The average annual increase in SBP was 1.66 mm Hg for boys and1.44 mm Hg for girls. The average annual increase in DBP was 0.83 mm Hg for boys and 0.77 mm Hg for girls. DBP rose sharply in boys at the age of 18 years. Values for the 90th percentile of both SBP and DBP varied in Saudi children from their Turkish and American counterparts for all age groups. Blood pressure values in this study differed from those from other studies in developing countries and in the United States, indicating that comparison across studies is difficult and from that every population should use their own normal standards to define measured blood pressure levels in children. (author)
Colet, Paolo C.; Cruz, Jonas P.; Cruz, Charlie P.; Al-otaibi, Jazi; Qubeilat, Hikmet; Alquwez, Nahed
Objective With the growing recognition of the significance of patient safety (PS) in educational institutions and health organizations, it is essential to understand the perspective of nursing students on their own PS competence. This study analyzed the self-reported PS competence of nursing students at a government university in Saudi Arabia. Methodology A cross-sectional self-reported survey of 191 respondents, using the Health Professional Education in Patient Safety Survey (H-PEPSS) was conducted. The survey tool reflected 6 key socio-cultural dimensions assessing competence in classroom and clinical setting. Results Female nursing students reported higher PS competence in both the classroom and clinical settings along the dimensions ‘working in teams’ and ‘communicating effectively’ while males reported higher competence in both settings as to the ‘managing safety risks’ and ‘understanding human and environmental factors’ dimensions. The respondents’ academic level and self–reported PS competence have weak negative correlation in the classroom while a strong negative correlation between the 2 variables existed in the clinical setting. Self-reported PS competence for the dimensions ‘working in teams’, ‘recognize and respond to remove immediate risks of harm’, and ‘culture of safety’ is significantly higher in classroom than in the clinical setting. Conclusion Generally, the Saudi nursing students reported varying levels of competence in the six dimensions of patient safety. Significant gap between the perceived PS competence was observed between learning settings. Educational and training interventions are suggested for implementation to bridge this gap. PMID:26715921
Full Text Available Tinea capitis is a dermatophyte infection of the scalp the purpose of this study was to define the demographic features, clinical patterns and associated symptoms and signs of tinea capitis in Saudi Arabia. All patients who attended the dermatology clinic of king Fahad Hospital of the University (KFHU at Al-Khobar, Saudi Arabia and who were diagnosed as tinea capitis between January 1991 and December 2001 were reviewed. The collected data were analyzed using statistical package for social sciences (SPSS. A p value of less than 0.05 was considered as the statistical level of significance. The patients with tinea capitis composed 0.14% of the study population and male to female ratio was 1.8:1. The mean age at presentation was 6.4 + 5.2 years. The most frequent sign was alopecia and the predominant morphological type was the non inflammatory tinea capitis. Micorporum canis was the predominant dermatophyte followed by Trichophyton violaceum.
Full Text Available Despite the recognition of Task-Based Language Teaching (TBLT in English language learning classes in different contexts, its successful implementation in EFL contexts has attracted insufficient attention. As an offshoot of communicative language teaching, TBLT can provide EFL language learners with ample opportunities to embark on using language for more communicative purposes through interaction and engaging in collaborative tasks. The present study adopts an action research approach to implementing TBLT in a traditional language learning context at a major international university in Saudi Arabia. In particular, it intends to determine the students’ (N = 25 learning styles using Felder-Silverman Learning Style Model (FSLSM and to use varying tasks to tackle the common learning problems such as lack of participation in learning activities and low motivation. The analysis of data from different data collection instruments revealed that applying TBLT approach in this context helped students enhance their interaction with their classmates and teacher and used English for more authentic purposes while performing a series of learning tasks. In addition, the implementation of TBLT in this context motivated students to engage in different learning activities. At the end, implications of the findings for further research are discussed.Keywords: TBLT; FSLSM; action research; EFL; Saudi Arabia
Wali, Siraj O.; Alsharif, Muath A.; Albanji, Mohammed H.; Baabbad, Murad S.; Almotary, Haneen M.; Alama, Nabil; Mimish, Layth; Alsulami, Adil; Abdelaziz, Muntasir M.
Background Despite the association between obstructive sleep apnea (OSA) and coronary artery disease (CAD), few studies have investigated this issue in Saudi Arabia. Objectives This study aimed to identify the prevalence of OSA among CAD patients. Subjects and methods This was a cross-sectional (descriptive) study conducted at King Abdul-Aziz University Hospital in Jeddah, Saudi Arabia from April 2012 to December 2013. All consecutive patients referred to the cardiac catheterization lab for coronary angiography who exhibited evidence of CAD were included in this study. This study was conducted in two stages. During the first stage, each participant was interviewed individually. The administered interview collected data pertaining to demographics, comorbidities, and the STOP-BANG questionnaire score. The second stage of this study consisted of a diagnostic overnight polysomnography (PSG) of 50% of the subjects at high risk for OSA according to the STOP-BANG questionnaire. Results Among the patients with CAD (N = 156), 128 (82%) were categorized as high risk for developing OSA. PSG was conducted on 48 patients. The estimated prevalence of OSA in the study sample was 56.4%. Approximately 61% of the documented sleep apnea patients suffered from moderate to severe OSA. Conclusion This local study concurs with reports in the literature indicating that OSA is very common among CAD patients.
Almutairi, Khalid M
This review aims to determine the prevalence of smoking among Saudi students and to study and to identify, synthesize and summarize the predictors that initiate smoking among students in different ages in Saudi Arabia. Different databases were searched (Web of Science, Google Scholar, Pub Med and Science Direct) with keywords. This search was carried out in October 2013. Studies that included were evaluated for methodological soundness by giving a quality score based on Russell and Gregory's criteria. A total 12 relevant articles were included in this review. The findings show that the prevalence of smoking is still in higher rates. The age of smoking was started among adolescents ranged from 10 to 15 years old while from university students were from 16 years old. The main reason for smoking among adolescents was influenced by friends. Among college students were peer pressure followed by the stress, media and imitation of others. Curiosity was a reason for having tried smoking and parents was perceived to be the first source for smoking. Religion was considered the main factor against smoking among the adolescent non-smokers and health consideration among college students. Appropriate smoking control programs on adolescent should be initiated they become the future professionals of the society. Smoking control programs should be considered in this group. PMID:24984600
Polyoma virus nephropathy (BK virus) is being recognized as an important cause of graft failure. It is usually confused with acute rejection. No cases have been reported from the kingdom of Saudi Arabia. We report a case of a Saudi gentleman, who was transplanted outside the country, with persistently elevated creatinine and urethral stenosis. He was treated for acute rejection on more than one occasion with no significant improvement in his renal function. Polyoma virus nephropathy was diagnosed by detecting the virus DNA by the polychain reaction techniques (PCR). The patient's renal function stabilized after the calcineurin inhibitors were discontinued. (author)
Establishment of a nuclear research facility should be the first step in planning for introducing the nuclear energy to Saudi Arabia. The fuzzy set decision theory is selected among different decision theories to be applied for this analysis. Four research reactors from USA are selected for the present study. The IFDA computer code, based on the fuzzy set theory is applied. Results reveal that the FNR reactor is the best alternative for the case of Saudi Arabian nuclear research facility, and MITR is the second best. 17 refs
Full Text Available Purine nucleoside phosphorylase (PNP deficiency is a rare autosomal recessive metabolic disorder that results in combined immunodeficiency, neurologic dysfunction and autoimmunity. PNP deficiency has never been reported from Saudi Arabia or in patients with an Arabic ethnic background. We report on two Saudi girls with PNP deficiency. Both showed severe lymphopenia and neurological involvement. Sequencing of the PNP gene of one girl revealed a novel missense mutation Pro146>Leu in exon 4 due to a change in the codon from CCT>CTT. Expression of PNP (146L cDNA in E coli indicated that the mutation greatly reduced, but did not completely eliminate PNP activity.
Patients in the ICU have encountered an increasing emergence and spread of antibiotic-resistant pathogens. We examined patterns of antimicrobial susceptibility in gram-negative isolates to commonly used drugs in an adult ICU at a tertiary care hospital in Riyadh, Saudi Arabia.A retrospective study was carried out of gram-negative isolates from the adult ICU of King Fahad National Guard Hospital (KFNGH) between 2004 and 2009. Organisms were identified and tested by an automated identification and susceptibility system, and the antibiotic susceptibility testing was confirmed by the disk diffusion. The most frequently isolated organism was Acinetobacter baumannii, followed by Pseudomonas aeruginosa, Escherichia coli, Klebsiella pnemoniae, Stenotrophomonas maltophilia, and Enterobacter. Antibiotic susceptibility patterns significantly declined in many organisms, especially A baumannii, E coli, S marcescens, and Enterobacter. A baumannii susceptibility was significantly decreased to imipenem (55% to 10%), meropenem (33% to 10%), ciprofloxacin (22% to 10%), and amikacin (12% to 6%). E coli susceptibility was markedly decreased (from 75% to 50% or less) to cefuroxime, ceftazidime, cefotaxime, and cefepime. S marcescens susceptibility was markedly decreased to cefotaxime (100% to 32%), ceftazidime (100% to 35%), and cefepime (100% to 66%). Enterobacter susceptibility was markedly decreased to ceftazidime (34% to 5%), cefotaxime (34% to 6%), and pipracillin-tazobactam (51% to 35%). Respiratory samples were the most frequently indicative of multidrug-resistant pathogens (63%), followed by urinary samples (57%).Antimicrobial resistance is an emerging problem in the KFNGH ICU, justifying new more stringent antibiotic prescription guidelines. Continuous monitoring of antimicrobial susceptibility and strict adherence to infection prevention guidelines are essential to eliminate major outbreaks in the future (Author).
Alshalaan, Nasser A.
Studies indicate that many teachers have negative beliefs about science, which translates into low teacher efficacy, resulting in avoidance of science teaching or in ineffective science teaching behaviors. Highly efficacious teachers have been found to be more likely to use inquiry and student-centered teaching strategies, while teachers with a low sense of science-teaching efficacy are more likely to use teacher-directed strategies, such as didactic lectures and reading from the textbook (Czemiak, 1990). The purpose of this study was to investigate preservice science teachers' science-teaching self-efficacy changes and their correlation to teaching environment factors during the student teaching semester. Moreover, it explains how teaching environment factors and preservice teachers' science-teaching self-efficacy beliefs may relate to their use of teaching strategies in the science classroom during their student teacher training at teachers' colleges in Saudi Arabia. The population of this study is consisted of 184 middle and elementary preservice science teachers who were doing their student teaching at nine teachers' colleges (i.e., teachers' colleges of Riyadh, Dammam, Alrras, Almadinah, Alihsa, Jeddah, Makah, Altaief, and Abha) in Saudi Arabia during the spring semester of 2005. Three instruments were used to collect data for this study: (1) to measure science teaching self-efficacy, the researcher adapted the Science Teaching Efficacy Belief Instrument form B designed specifically for preservice teachers (STEBI-B); (2) to measure the school environment, the researcher adapted the Organizational Health Inventory (OHI), developed by Hoy, Tarter & Kottkamp (1991); and (3) to measure the type and frequency of instructional strategies that preservice science teachers use in the classroom, the researcher adapted the teaching practice subscale from The Local Systemic Change through Teacher Enhancement Science K-8 Teacher Questionnaire (Horizon Research, Inc., 2000). Descriptive statistics, simple correlation, t-test, multiple regression, and content analysis procedures were used to analyze research questions. Findings of this study revealed that both dimensions of teaching efficacy, PSTE and STOE, were increased significantly during the student teaching semester. Certain school factors were related to preservice science teachers' teaching efficacy and their use of instructional strategies. Only personal science teaching efficacy was found to affect preservice science teachers' use of instructional strategies. Implications for the findings of this study, as well as recommendations for future research, are discussed.
Full Text Available Background: The author analyzed the anesthesia medical malpractice closed claims that were referred to the Legal Health Organization (LHO in order to evaluate the magnitude and underlying factors of the problem in Saudi Arabia. Materials and Methods: Annual reports covering the period from 1420H-1429H (1999-2008 were statistically analyzed to give mean figures and percentages in each annual report, and then demonstrated all together to run the differential analysis together with the trend along the studied period. Results: Data analysis showed an escalating trend for the total number of claims over the study period being started with 440 cases on 1420H and ended with 1356 cases by the year 1429H. The annual percentage of the final verdicts of accusation to the total number of claims presented to all committees ranges between 45.5%?60.2% with a mean value of 49.9%. Distribution of final verdicts among different clinical specialities showed that obstetrics takes the lead with a mean percentage of 25.5% along the studied period (1420H-1429H, followed by the practice of general surgery with a mean percentage of 13.8%. The sector of health care service showed a significant variation in relation to the mean number of final verdicts with accusation along the studied period, being the highest in the Ministry of Health sector with a mean number of 216.8 claims, followed by the private sector with a mean number of 197.3 claims. Conclusion: Adherence to the standards of medical practice is by far to the best approach to avoid and reduce the incidence of litigation.
Abed, Mohaned; Pearson, Susan; Clarke, Paula; Chambers, Mary
Attention Deficit Hyperactivity Disorder (ADHD) is considered one of the most frequently diagnosed psychiatric childhood disorders. It affects 3-7% of school-aged children, interfering with their academic performance and social interactions. This study explored the knowledge and beliefs of teachers in Saudi Arabia about children with ADHD. The…
El Mouzan Mohammad
Full Text Available Background and Objective : There is limited information on overweight and obesity in Saudi children and adolescents. The objective of this study was to establish the national prevalence of overweight and obesity in Saudi children and adolescents. Methods : The 2005 Saudi reference data set was used to calculate the body mass index (BMI for children aged 5 to 18 years. Using the 2007 WHO reference, the prevalence of overweight, obesity and severe obesity were defined as the proportion of children with a BMI standard deviation score more than +1, +2 and +3, respectively. The 2000 CDC reference was also used for comparison. Results : There were 19 317 healthy children and adolescents from 5 to 18 years of age, 50.8% of whom were boys. The overall prevalence of overweight, obesity and severe obesity in all age groups was 23.1%, 9.3% and 2%, respectively. A significantly lower prevalence of overweight (23.8 vs 20.4; P < .001 and obesity (9.5 vs 5.7; P < .001 was found when the CDC reference was used. Conclusions : This report establishes baseline national prevalence rates for overweight, obesity and severe obesity in Saudi children and adolescents, indicating intermediate levels between developing and industrialized countries. Measures should be implemented to prevent further increases in the numbers of overweight school-age children and adolescents and the associated health hazards.
Al-Jarf, Reima Sado
This paper describes a cross-cultural online writing project in which three English-as-a foreign language (EFL) college instructors in Ukraine, Russia and Saudi Arabia and their undergraduate students participated. The aim of the project was to develop students' writing skills in EFL, to develop their awareness of local and global cultural issues…
Aina, Yusuf Adedoyin
Geospatial technology has been identified as one of the three most important emerging fields along with nanotechnology and biotechnology. The application of the technology is expected to grow and become more diversified in the coming years. In Saudi Arabia, the utilization of geotechnology is growing but still limited compared to the Western…
Morris, Carla; Schneider, Erin
Following a year of study of Saudi Arabian Sign Language (SASL), we are documenting our findings to provide a grammatical sketch of the language. This paper represents one part of that endeavor and focuses on a description of selected morphemes, both manual and non-manual, that have appeared in the course of data collection. While some of the…
Young, Lesa; Palmer, Jeffrey Levi; Reynolds, Wanette
This combined paper will focus on the description of two selected lexical patterns in Saudi Arabian Sign Language (SASL): metaphor and metonymy in emotion-related signs (Young) and lexicalization patterns of objects and their derivational roots (Palmer and Reynolds). The over-arcing methodology used by both studies is detailed in Stephen and…
Tomita, Nozomi; Kozak, Viola
This paper focuses on two selected phonological patterns that appear unique to Saudi Arabian Sign Language (SASL). For both sections of this paper, the overall methodology is the same as that discussed in Stephen and Mathur (this volume), with some additional modifications tailored to the specific studies discussed here, which will be expanded…
Sprenger, Kristen; Mathur, Gaurav
This article focuses on the syntactic level of the grammar of Saudi Arabian Sign Language by exploring some word orders that occur in personal narratives in the language. Word order is one of the main ways in which languages indicate the main syntactic roles of subjects, verbs, and objects; others are verbal agreement and nominal case morphology.…
With the actual development of petroleum and petrochemical industry it is obvious that Saudi Arabia goes on to take an important place on the worldwide market; with its part in world reserves but with its determination to keep its place of first world exporter. From the point of view of its petroleum production, financial constraints can delay its expansion
This article sets out to analyse the Saudi gas initiative in the context of the decision-making process in Saudi Arabia between 1998 and 2002. It describes the overall context in which the initiative was made. It focuses on the personalities and institutions that were important in its birth and its evolution. The article argues that a mixture of personalities (especially that of Crown Prince Abdullah and foreign minister Saud al-Faisal) and institutions (especially a clutch of new bodies formed in 1999 and 2000) were pivotal in the emergence of the initiative. It also looks at the obstacles that were placed in the way of the initiative, arguing that Saudi Aramco and the minister of oil, Ali Naimi, were key blocking players. Over time, the Saudi gas initiative has come to be seen as a benchmark of the wider cause of economic liberalization in the Kingdom. The lack of progress in the initiative since the initial indicative contract awards in June 2001 has reflected the lack of movement in the general reformist strategy
Ahmed, Khalid A
Odontomas are odontogenic tumors formed of various dental tissues. They are classified into: central odontomas that are common, eruption odontomas that are rare with only 23 cases reported to date, and peripheral odontomas that are also rare. We present a case of a large complex eruption odontome in a 24-year-old Saudi male. PMID:25719590
Full Text Available Abstract Background Bullying and sexual harassment of medical students by their teachers appears to be widespread phenomenon. However, nothing is published about its prevalence in conservative countries such as Saudi Arabia. This survey aims to ascertain the extent of these mistreatments among students in a Saudi medical school. Findings A cross-sectional questionnaire survey was conducted on a group of 542 clinical years’ medical students in a Saudi medical school to explore students' perceptions of their educational environment including exposure to different kinds of bullying. Bullying was defined as “a “persistent behaviour against a medical student that is intimidating, degrading, offensive or malicious and undermines the confidence and self- esteem of the recipient”. Results revealed that more than one quarter (28.0% of the surveyed students reported exposure to some sort of bullying during their clinical. Ninety percent of the reported insults were verbal, 6% sexual and 4% physical. Males were more exposed but difference was not statistically significant. Conclusions Bullying among Saudi medical students is an existing problem. A policy against bullying and harassment should be adopted in all of medical colleges to monitor this phenomenon and support students who have been bullied.