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Biomedical subjects

A S Azab

Publications and source records attributed to A S Azab.

10 recordsLinked to original sources

Glycemic control among diabetic patients.

OBJECTIVE: This study was carried out to assess control of blood glucose among diabetic patients attending Primary Health Care Centers in Riyadh. METHODS: It is a retrospective study where fasting blood glucose reading for all diabetic patients attending 3 randomly selected Primary Health Care Centers in Riyadh was taken during the months of March and April 2000. The patients were divided into 3 categories: those with excellent, those with acceptable and those with poor glycemic control (Fasting blood sugar 4-7, 7-10 and more than 10 mmol/litres). RESULTS: A total of 991 diabetic patients were involved in the study (83% men and 62% women). Those with excellent glycemic control represent 21% of patients in the first reading and 25% of the patients in the second readings, while those with poor control represent 49% and 44% of the patients in the two readings. The remaining are in the acceptable category. CONCLUSION: Diabetes mellitus is poorly controlled in a large proportion of diabetic patients attending Primary Health Care Centers in Riyadh. Public education and awareness programs should be encouraged. Such programs must include the importance of appropriate life style changes and of self monitoring of blood glucose at home.

Blood Glucose↗

The syringe skin hook.

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Dermatologic Surgical Procedures↗

Radical cure of pilonidal sinus by a transposition rhomboid flap.

A new operation for pilonidal sinus is described. This utilizes a rhomboid transposition flap to cover the defect left after radical excision. The results show healing by first intention in 29 out of 30 patients. No patient remained in hospital for more than ten days. Minor infection took place in five cases and major infection in one case. Patients have been followed for up to three years. No recurrence has yet been encountered. The reasons for the success of this operation are discussed.

Adult↗

Early surgical treatment of cutaneous leishmaniasis.

Cutaneous leishmaniasis, treated or untreated, is known to leave disfiguring scars. These scars are usually on exposed parts, for which plastic surgery may be required. The present work deals with the treatment of cutaneous leishmaniasis using surgical techniques from the onset. In 20 patients, 35 lesions were excised down to the deep fascia. To cover the resulting defect, subcuticular sutures were used in 7 small lesions. Dufourmental (LLL flap) and Limberg flaps were used in 23 lesions of moderate size. Free grafting was resorted to in five large lesions. Using these techniques, morbidity was reduced and cosmetic results were satisfactory.

Adolescent↗

Leg repairs with an island flap from the dorsum of the foot, based on the anterior tibial vessels.

We report 20 chronic leg ulcers successfully treated by rotating an anterior tibial flap, which is a modification of the dorsalis pedis flap. The sizes of the flaps ranged from 6 x 6 cm up to 15 x 13 cm; the largest ones are not recommended, for fear of development of persistent lymphedema of the foot. These flaps are dissected upward through the leg and pedicled on the anterior tibial vessels, so they can be rotated to any site on the anterior, lateral, or medial side of the leg.

Adult↗

Fragile X syndrome: a clinico-genetic study of mentally retarded patients in Kuwait.

In a prospective study in Kuwait, 182 mentally retarded male patients who fulfilled 5 or more clinical criteria of fragile X syndrome were screened using polymerase chain reaction (PCR) testing. Twenty patients (11%) were highly suspected of having fragile X syndrome due to mutation at the FRAXA locus; none had mutation at the FRAXE locus. Of these, 11 (55%) were confirmed fragile-X-positive by both cytogenetic and PCR techniques. The most frequent clinical features were: prominent forehead, high arched palate, hyperextensible joints, long ears, prominent jaw, height > 10th centile and attention-deficit hyperactivity. Less common were avoidance of eye contact (45%), autism (45%) and seizures (30%). Large testes were found in 55% of cases. Pre-pubertal and post-pubertal clinical criteria were different.

Age Factors↗