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Biomedical subjects

M A Shaheen

Publications and source records attributed to M A Shaheen.

8 recordsLinked to original sources

Small-community-based surveys.

Rapid, small surveys are routinely done in much of the developing world but are less common in the United States. We present as an example a rapid survey of immunization status and other factors in a predominantly Hispanic region in Los Angeles. The survey united county employees, students, and community volunteers, first to enumerate the eligible population and then to conduct in-person interviews. Sampling was done in two stages in a downtown region of Los Angeles. Over the course of two weekends and during clean-up the following week, volunteers and others enumerated 718 eligible children in 30 clusters (i.e. groups of blocks). At the second stage, also in two weekends with midweek clean-up, we selected by simple random sample 10 children per cluster. The parents or legal guardians of 270 children were interviewed about vaccination issues, including home presence of an immunization card. Nearly one fourth of the respondents did not have a home telephone number and thus would have been underrepresented in a telephone survey. Information from such rapid surveys is important for local program planning and evaluation.

Child, Preschool↗

Immunization coverage among predominantly Hispanic children, aged 2-3 years, in central Los Angeles.

PURPOSE: To assess the immunization status of young children in a predominantly Hispanic region in and around downtown Los Angeles, and factors associated with complete immunization by age 24 months. METHODS: The information was gathered in a two-stage cluster survey with probability proportionate to estimated size (PPS) sampling of 30 clusters at the first stage, and simple random sampling of a constant number of children at the second stage. Vaccination coverage was determined by a review of the home immunization (HI) card, or of clinic records. RESULTS: Of the 270 sampled children, 91.5% were Hispanic and 6.7% were Black. Home telephone numbers were not available in 24.8% of the homes, and 34.1% reported having no health insurance. Vaccination coverage was over 90% for the first three doses of Diphtheria, tetanus toxoids and pertussis/ diphtheria, tetanus toxoids and acellular pertussis vaccine (DTP/DTaP)/Diphtheria and tetanus toxoids vaccine (DT), first two doses of poliovirus (Polio) vaccine, first dose of measles, mumps and rubella (MMR) vaccine, and first two doses of hepatitis B (Hep B) vaccine. Yet, by age 24 months, only 72.2% of the children had received the combined series of 4:3:1 (i.e., four DTP/DTaP/DT, three Polio, one MMR). This was further reduced to 64.4% for the combined series of 4:3:1:3:3 (i.e., four DTP/DTaP/ DT, three Polio, one MMR, three Haemophilus influenzae type b (Hib), three Hep B). Factors associated with completed on-time vaccination were having an HI card available during the interview and being enrolled in Supplemental Nutrition Program for Women, Infants and Children (WIC). CONCLUSIONS: While vaccination levels for individual antigens were found to be high, more emphasis needs to be placed on getting preschool children vaccinated on-time according to the Recommended Childhood Immunization Schedule.

Child, Preschool↗

Patterns of hand fractures and dislocations in a district general hospital.

In a retrospective survey of patients with fractures and dislocations attending the Accident department of a District General hospital, comparison was made between patients with fractures and dislocations in the hand and fractures and dislocations of other sites. Patients with hand injuries accounted for 28% of the total patients seen. They were more likely than other fracture patients to be male and between the ages of 10 and 40 years. Almost a quarter of hand injuries attended on Monday. Leisure activities outside the home formed the commonest aetiological factor. Only 66% of patients with hand injuries attended the Accident department within 24 hours of injury. The little finger was the commonest site of injury. This survey emphasizes the differences between hand injuries and injuries of other sites, identifies the risk factors for hand injuries and has implications for the management of hand injuries in a District General Hospital.

Adolescent↗

Patterns of accidental fractures and dislocations in Saudi Arabia.

A study of 4320 confirmed cases of accidental fractures and dislocations was conducted. The aims were to study and analyse the patterns of fractures and dislocations, age and sex distribution, and the cause of injury. It was found that dislocations are relatively uncommon, upper limb injuries are more frequent than lower limb and axial skeleton injuries, and the radius and ulna were the most commonly fractured bones. A young adult male was found to be the person most at risk of an injury, and children of both sexes were the second age group most commonly involved. The overall results showed that road traffic accidents accounted for 14 per cent of the cases, but this incidence increased in the young adult and the over 40 years age group, and this cause was more evident with the more serious fractures, such as those of the axial skeleton and lower limbs.

Accidents↗

Lumbosacral plexus avulsion injury: clinical, myelographic and computerized tomographic features.

A rare case of lumbosacral plexus avulsion studied with computerized tomography (CT) in a 5-year old Saudi involved in a vehicular accident with resultant left lower limb monoparesis is presented. Myelography and CT were superior to electromyographic findings in this case. Such cases should be closely followed and surgical exploration and decompression offered if any evidence of cauda equina compression develops.

Child, Preschool↗

Bilateral simultaneous fracture of the femoral neck following electrical shock.

Simultaneous, bilateral fracture of the neck of the femur is rare; the number of reported cases does not exceed 10. Those fractures which occur as a result of electric shock, whether accidental or controlled, i.e. electroconvulsive therapy (ECT), account for almost 50 per cent of reported cases, while violent injury and epilepsy account for the remainder. This study combines a report of 1 case of bilateral fracture of the neck of the femur due to accidental electric shock with a review of the literature to discover the frequency of these fractures.

Adult↗