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1996| October-December | Volume 7 | Issue 4
Online since
March 5, 2008
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ORIGINAL ARTICLES
Hospital Acquired Acute Renal Failure
Mohammed El-Lozi, Nabil Akash, Mohammed Gneimat, I Smadi, M Nimri, Ma'an Hadidi
October-December 1996, 7(4):378-382
PMID
:18417766
This study was performed to evaluate hospital-acquired renal insufficiency with special reference to the causative factors, clinical course and patient management. A total of 100 patients who were admitted to medical and surgical wards at the King Hussein Medical Center, Amman, Jordan over a 15-month period and who developed renal failure during their hospital stay, were referred to, and seen at the nephrology department. The patients ages varied from 18 to 77 years; there were 59 males and 41 females. Reduced renal perfusion, major surgery and administration of nephrotoxic drugs accounted for the majority of episodes of renal failure (77%). In general, non-oliguric patients fared better, they required dialysis less frequently and had lower mortality compared to the oliguric patients. Severity of renal failure and multi-organ involvement adversely affected the prognosis. However, age of the patient had no influence on the outcome.
[ABSTRACT]
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Endoscopic Suspension of Bladder Neck for Treatment of Female Stress Urinary Incontinence
Ghalib Al-Tayyeb, Khalaf Al-Jader, Said Al-Ajlouni, Zahran Budair, Faisal Musa, Hakem Al-Kadi
October-December 1996, 7(4):387-390
PMID
:18417768
Between the years 1984 and 1993, a total of 72 female patients underwent endoscopic suspension of bladder neck for treatment of stress urinary incontinence at the King Hussein Medical Center and Hamad General Hospital, Amman, Jordan. The age of the study patients ranged between 32 and 75 years (mean: 46.5 years). Fifteen (20.8%) had history of previous operations for incontinence. The overall success rate achieved was 93.1%. Postoperative complications were encountered in seven (9.8%) patients within follow-up period of 4 to 43 months. Treatment failure occurred in five patients (6.9%). Our experience further confirms that endoscopic suspension of the bladder neck is a simple and reliable procedure in the treatment of female stress urinary incontinence.
[ABSTRACT]
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[PubMed]
5,084
221
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COUNTRY REPORT
Renal Replacement Therapy in Pakistan
SA Rizvi, SA Anwar Naqvi
October-December 1996, 7(4):404-408
PMID
:18417773
[FULL TEXT]
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[PubMed]
4,947
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EDITORIAL
History of Development of Nephrology
Besher A Al-Attar
October-December 1996, 7(4):373-377
PMID
:18417765
[FULL TEXT]
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[PubMed]
3,230
312
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ORIGINAL ARTICLES
Prevalence of Genital Disorders in Jordanian School Boys
Bassam H Shahin, Muin S Habashneh, Issa A Hazza, Taleb A Switty, Samih S Aqqad, Adnan M Ammoura
October-December 1996, 7(4):383-386
PMID
:18417767
A prospective field study was conducted to determine the prevalence rate of cryptorchidism, hypospadias and other genital disorders in school children in the eastern part of Jordan. A total of 2495 school boys from 10 different schools were examined in May-June, 1995. Standardized examination and classification criteria were used. Two general practitioners and two pediatricians carried out the study. The various genital disorders detected during the screening were as follows: Undescended testis, 1.96%; Inguinal hernia, 0.80%; Varicocele, 1.08%; Hydrocele, 0.52%; Hypospadias, 0.92%. The prevalence rates of genital disorders in this study were similar to those reported by others. Early recognition and treatment of genital disorders in school children is mandatory in order to prevent potentially adverse effects.
[ABSTRACT]
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[PubMed]
3,030
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CASE REPORTS
Rifampicin-Induced Acute Renal Failure: A Case Report
Saleh H Abu-Romeh, Sameer O Huraib, MK Quadri, Ziad Memish, Salman Al-Mahmood, Abdel-Kadir Abdulla, Ahmad Flaiw
October-December 1996, 7(4):401-403
PMID
:18417772
Acute oliguric renal failure (ARF) developed in a patient two weeks after he was started on intermittent anti-tuberculous therapy including rifampicin. The clinical picture was compatible with acute allergic interstitial nephritis. Renal histology revealed mainly acute tubular necrosis with mild tubulo-interstitial mononuclear cellular infiltrate. Intermittent therapy, as in our patient, has been the major factor in the development of rifampicin induced ARF in cases reviewed in the literature.
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2,597
319
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An Unusual Cause of Recurrent Bacteriuria in a Kidney Transplant Recipient
Waleed Al Khudair, Saleh Abu-Romeh, MK Mansi, Sameer Huraib
October-December 1996, 7(4):398-400
PMID
:18417771
A 17-year old Saudi male presented to the transplant clinic of the King Fahad National Guard Hospital, Riyadh two weeks after undergoing a living unrelated kidney transplant in India. Graft function was normal and routine urine culture grew Pseudomonas aeruginosa for which he was treated; a follow-up urine culture was negative. Five months later, routine urine culture again documented the presence of Pseudomonas while the patient continued to be asymptomatic with normal graft function. Abdominal ultrasound showed shrunken native kidneys and a normal graft. A slightly echogenic mass was detected in the bladder. Cystocopy showed a retained nonabsorbable suture at the area of the uretero-vesical anastomosis. Cystoscopic removal of the suture was carried out following which urine cultures have remained persistently negative.
[ABSTRACT]
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2,357
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BRIEF COMMUNICATION
Relationship of Cyclosporine and Gingival Overgrowth
Mohammed A Omari, Nabil A Al-Akash, Marwan M Maani
October-December 1996, 7(4):391-393
PMID
:18417769
Cyclosporine is used as an immunosuppressive agent in organ transplantation. It has several side effects including gingival overgrowth. We evaluated 30 renal transplant patients on cyclosporine for the degrees of the gingival overgrowth. All the patients were males with mean age of 37.5 years. Eighteen patients (60%) had moderate to severe degrees of gingival overgrowth. No correlation was found with the trough levels of cyclosporine in blood. We conclude that gingival overgrowth is associated with cyclosporine immunosuppressive therapy but may not be dose related. The effect of other factors such as dental plaque and oral hygiene should be further studied.
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2,055
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SHORT REVIEW
Skin Cancer and HLA Association in Renal Transplant Recipients
BH Qureshi
October-December 1996, 7(4):394-397
PMID
:18417770
Mismatching for HLA antigens in renal transplant recipients effects the graft survival and may also be responsible for the development of malignancy including skin cancer due to the intensive immunosuppression, continuous antigenic stimulation or both. In this article, available data are reviewed and an attempt is made to show that some specific immunologic and immuno-genetic factors like the HLA system also play a role in the development of skin cancer in renal transplant recipients.
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LETTER TO THE EDITOR
Medical Complications Following Live Related Renal Transplantation: A Single Center Experience
Muna Al-Nimri, Nabil Akash, Mohammed Gneimat, Mohammed El-Lozi
October-December 1996, 7(4):409-411
PMID
:18417774
[FULL TEXT]
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[PubMed]
1,397
207
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