Articles: patients.
-
Annals of Saudi medicine · Jul 1994
Helicobacter pylori infection in gastric cancer: A study of 84 cases from Asir Region.
Gastric cancer can be divided into three histologic types: intestinal and diffuse adenocarcinoma, and malignant lymphoma. To determine whether Helicobacter pylori was associated with either cancer type, we reviewed histologic sections from stomachs of 84 patients with the diagnosis of gastric. Of 63 patients with histologic evidence of intestinal adenocarcinoma, 53 (84%) contained H. pylori n noncancerous tissue compared with six (66.7%) of nine patients with diffuse adenocarcinoma (odds ratio = 2.65; Z=1.048; P>0.05) and with eight (66.7%) of 12 patients with non-Hodgkin malignant lymphoma of the stomach (odds ratio = 2.65; Z=0.826; P>0.05). Our findings are compared with reported data from other countries and we are not aware of similar reports from the Kingdom of Saudi Arabia.
-
Annals of Saudi medicine · Jul 1994
Retrospective analysis of assisted conception techniques: A three year experience.
In this retrospective survey, we present the results of infertility treatment by various assisted conception techniques at the assisted conception unit, New Jeddah Clinic Hospital, Jeddah, Saudi Arabia. During a three year period from January 1990 to December 1992, a total of 249 treatment cycles were started in patients with long-standing infertility. There were 107 ovulation induction cycles carried out in patients with chronic anovulation and patent tubes and normal spermogram using rigorous ovulation induction therapy with intensive ultrasound monitoring. ⋯ A total of 54 pregnancies resulted from these treatments, giving an overall pregnancy rate of 21.6%. The highest pregnancy rate of 32.35% is seen in the CSO and intrauterine insemination (IUI) in the GIFT. The pregnancy rate in the IVF/ET group was 22.2%/oocyte pickup and 30.8%/embryo transfer.
-
Despite its importance for chronic pain diseases, pain-related disability is a poorly defined concept with theoretical deficits. The distinction between impairment, disability, and handicap proposed by the WHO is an important contribution to clarification of the disability construct. With reference to four criteria (underlying disability construct, degree of behaviour generalization, assessment mode, scope) different assessment procedures of pain-related disability are presented and the advantages and disadvantages of each are discussed. ⋯ The results from four data sets concerning different aspects of reliability and validity confirm the good psychometric properties of the instrument. The instrument can be used in chronic pain research as well as in clinical contexts. It is recommended that subjective disability data be complemented by behavioral observation and additional data sources (e.g. assessment of disability by the spouse/partner).
-
For diagnosis of the pain origin in reflex sympathetic dystrophy (RSD), sympathetic blocks, including the intravenous regional guanethidine (IVRG) block after Hannington-Kiff, are recommended. Since the results obtained with this kind of block are sometimes unsatisfactory, modifications were made to increase its technical efficacy. ⋯ The modified IVRG block seems to have a high diagnostic value with respect to the presence of a sympathetic contribution to the pain in RSD. As a reduced GA dose/block is used, this form of the block appears to be safer than other kinds of sympathetic blocks.
-
The number of AIDS patients is steadily increasing. According to the literature these patients are often in severe pain. ⋯ The high incidence of complicated neuropathic pain syndromes in AIDS patients requires a sophisticated therapeutic approach. Closer cooperation between AIDS specialists and pain specialists, comparable to that already existing for other patient groups, is therefore desirable.