Annals of Saudi medicine
-
Annals of Saudi medicine · Sep 2005
Malignant lymphoma in Jordan: a retrospective analysis of 347 cases according to the World Health Organization classification.
Most studies describing the subtypes of lymphoma in Jordan were carried out in the 1980s at a time when immunohistochemical facilities were unavailable. Using a database established after immunohistochemical studies were introduced, we determined the frequency of the various types of nodal and extranodal lymphomas in the adult and paediatric Jordanian population. We also assessed the incidence of bone marrow involvement at the initial presentation for each lymphoma type. ⋯ There is a higher incidence of NHL in Jordan compared with other series in the Middle East. Among the various lymphomas, diffuse large B-cell lymphoma is the most commonly encountered lymphoma in adults. Burkitt's lymphoma and Hodgkin's disease are the most frequent childhood lymphomas, followed closely by lymphoblastic lymphoma.
-
Annals of Saudi medicine · Sep 2005
Cyclosporine monotherapy for severe aplastic anemia: a developing country experience.
Immunosuppression is the most effective treatment for aplastic anemia after hematopoietic stem cell transplantation. Although the combination of cyclosporine and antithymocyte globulin (ATG) is superior to either agent alone, cyclosporine monotherapy is an easily available, safe and cheap immunosuppressive therapy (IST) option. These advantages are particularly valuable in developing countries where ATG is frequently not available. ⋯ Our results support findings that cyclosporine monotherapy is an effective and safe immunosuppressive therapy for SAA, and that it could be a reasonable IST option for patients in developing countries.
-
Medical malpractice claims in Turkey have increased. We evaluated the problem by describing medical malpractice cases assessed by the Higher Health Council between 1993 and 1998. Our recommendations should help to improve care and decrease medical malpractice claims. ⋯ We think it is necessary to revise the health system and working conditions in hospitals and to develop clinical practice guidelines. We are of the opinion that an emphasis on the use of diagnosis and therapy protocols, standards, post-graduation education, clear and informed patient consent, and improved communication with patients will drastically decrease medical malpractice claims.
-
Annals of Saudi medicine · Sep 2005
Childhood obesity in Iraq: prevalence and possible risk factors.
Childhood obesity is increasing in prevalence in developing countries. We conducted this study to assess the prevalence of overweight and obesity in primary school children age 7 to 13 years in central Iraq and to identify possible risk factors. ⋯ The prevalence of obesity and overweight is relatively high in children in central Iraq. Modern dietary habits are an important influence in the development of childhood obesity that should be watched carefully and controlled.
-
Annals of Saudi medicine · Sep 2005
Mycophenolate mofetil in children with steroid-dependent and/or frequently relapsing nephrotic syndrome.
Mycophenolate mofetil (MMF) has emerged as a new agent for treatment of a variety of glomerular diseases. This study examines the safety and efficacy of MMF in treating pediatric patients with steroid-dependent (SD) and/or frequently relapsing (FR) nephrotic syndrome (NS). ⋯ We conclude that MMF is a safe and effective option for treatment of children with SDNS and/or FRNS.