Biomedical subjects
F H Hasanain
Publications and source records attributed to F H Hasanain.
Hope for clomiphene citrate resistant ovaries.
OBJECTIVE: To assess the presentation, different surgical modalities and their outcome in the treatment of polycystic ovarian disease. METHODS: A retrospective study was carried out on 66 patients with polycystic ovarian disease. The majority of the cases had a history of infertility for at least 2 years and were known to be clomiphene citrate resistant in the Saudi German Hospital, Jeddah between 1994 and 1998 undergoing laparoscopic ovarian drilling. RESULTS: More than 80% of the patients were below 30 years of age. The majority of cases below 30 years had primary infertility. Irregular cycle was the main clinical presentation in 75% of cases; ovarian volume was more than 5.5cm3 in all of the cases. Diathermy drilling was carried out for 50 patients, laser for 12 patients and wedge resection for 4 patients. The follow-up treatment showed that pregnancy rate was 23%, 38% and 0% in the 3 groups. Cases that failed to conceive had significantly higher luteinizing hormone level. CONCLUSION: Laparoscopic ovarian drilling using diathermy or laser is effective during the induction of ovulation and increases the pregnancy rate in cases of polycystic ovarian disease resistant to clomiphene citrate.
Infant and child safety practices of parents.
OBJECTIVE: Accidental injuries are the leading cause of death among children. Many of these injuries could be prevented if the parents took additional safety precautions. We aimed to study the parent's safety practices and explore the possible correlating and contributing factors to unfavorable safety behaviors. METHOD: Prospective interviews with the parents of infants seen consecutively during a routine well baby clinic visit were conducted using a structured 38-item questionnaire. RESULTS: Two hundred and eighty nine structured interviews were conducted and the mother was interviewed in 88% of cases. Only 4% of families had a smoke detector at home and 8% reported using an infant car seat. Most families owned an infant crib, however, 75% of the mothers reported sleeping next to the infant in the mother's bed. Most families (74%) had other older children. Up to 74% of the families reported keeping detergents and medications in a high or locked cabinet. Only 10% of the parents reported that their children use bicycle helmets and 24% use car seat belts. Use of car seat belts was more common in higher income families or if the father's age was >30 years (p=0.01). Twenty four percent of the parents reported allowing their children to play unsupervised in the street. These mothers were more likely to be non-educated (29% versus 5%, p=0.009) and 3 times more likely to have 4 or more children (95%, confidence interval 1.5-6, p=0.001). CONCLUSION: The infant and child safety practices of many families living in Jeddah needs further improvements. Our data identifies certain areas that can be targeted by health promotion interventions including education, environmental modification, and legislation.