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Abuzaid MM, Haider F, Al Amry N, Abousalem R, Habib Z. Patient satisfaction with radiology services in the UAE: A comprehensive analysis of care, comfort, service, and accessibility. Radiography (Lond) 2023; 29:1029-1034. [PMID: 37688802 DOI: 10.1016/j.radi.2023.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/23/2023] [Accepted: 08/29/2023] [Indexed: 09/11/2023]
Abstract
INTRODUCTION This paper analyses patient satisfaction with radiology services in the United Arab Emirates (UAE). The study evaluates the care, comfort, service, and accessibility of the services and patient satisfaction with imaging procedures. METHODS The research design employed a descriptive, cross-sectional approach, and data were collected through a survey consisting of eight sections. A total of 444 participants completed the survey, providing valuable insights into their demographics, appointment experiences, waiting times, staff attitudes and overall satisfaction. RESULTS 70.4% of the participants stated that it was easy to make appointments, and 66.1% stated that they were satisfied with the efficiency of check-ins. 54.9% felt they waited the right amount of time to make an appointment, and 56.1% were satisfied with the time waiting to receive the imaging report. The findings indicate that waiting times and staff attitudes significantly influence patient satisfaction, while demographic factors, such as nationality, education, and age, do not significantly impact them. The study concludes that healthcare providers should prioritise efficient appointment scheduling, reduce waiting times and foster positive patient-staff interactions to enhance patient satisfaction. The open-ended feedback provided by the participants also offers valuable suggestions for improving service quality. CONCLUSION This study is a foundation for future research and provides healthcare organisations with valuable insights to enhance patient satisfaction in UAE radiology services. IMPLICATIONS FOR PRACTICE Healthcare providers should focus on patient satisfaction to improve retention and loyalty, attract new patients and enhance their reputation.
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Affiliation(s)
- M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates.
| | - F Haider
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - N Al Amry
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - R Abousalem
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - Z Habib
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
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Alassiri A, AlTayeb A, Alqahtani H, Alyahya L, AlKhashan R, Almutairi W, Alshawa M, Al-Nassar S, Habib Z, AlShanafey S. Implementation of Enhanced Recovery After Surgery protocols for gastrostomy tube insertion in patients younger than 14 years of age: a retrospective cohort study. Ann Saudi Med 2023; 43:227-235. [PMID: 37554026 DOI: 10.5144/0256-4947.2023.227] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/10/2023] Open
Abstract
BACKGROUND Enhanced recovery after surgery (ERAS) protocols have improved treatment outcomes and have standardized patient care. OBJECTIVES Identify the benefit of introducing the ERAS protocol for feeding after gastrostomy insertion with or without Nissen fundoplication, the effects on the time of reaching the full feeds the length of stay single-center experience, and complications associated with early feeding protocols. DESIGN Retrospective cohort study SETTING: Tertiary hospital METHODS: The study review included cases performed between 2015 and 2021 by four surgeons, and cases performed in 2022 by all surgeons using ERAS feeding protocol (P) in a tertiary hospital. MAIN OUTCOME MEASURES Comparison the mean and mode of the length of stay (LOS) and the time until the patient reached full feed (TFF). SAMPLE SIZE 224 patients; 181 by the four surgeons and 43 cases by the ERAS protocol group. RESULTS The difference in the ERAS protocol from the four surgeons in TFF and LOS was statistically significant (P<.001). There was no noticeable difference in postoperative complications after introducing the ERAS protocol. CONCLUSION ERAS improved the TFF and decreased the LOS without any increase in procedure complications. Increasing bed utilization and reducing costs were two benefits of reducing LOS at our hospital. LIMITATIONS Single-center study, which may not be generalizable. Multiple comorbidities. Travel time from different parts of the country could impact LOS. Retrospective and thus dependent on the accuracy of the information in file notes. CONFLICT OF INTEREST None.
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Affiliation(s)
- Ali Alassiri
- From the Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Afaf AlTayeb
- From the College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - Hawazin Alqahtani
- From the Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Lama Alyahya
- From the College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Raghad AlKhashan
- From the College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Waad Almutairi
- From the Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Mohammed Alshawa
- From the Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Saleh Al-Nassar
- From the Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Zakaria Habib
- From the Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Saud AlShanafey
- From the Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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Al-Ameer A, Alsomali A, Habib Z. Incidence, predictors and outcomes of redo pancreatectomy in infants with congenital hyperinsulinism: a 16-year tertiary center experience. Pediatr Surg Int 2023; 39:183. [PMID: 37079145 DOI: 10.1007/s00383-023-05470-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/12/2023] [Indexed: 04/21/2023]
Abstract
PURPOSE Recurrent severe hypoglycemic attacks often persist even after performing pancreatectomy for medically unresponsive congenital hyperinsulinism (CHI). In this study, we present our experience with redo pancreatectomy for CHI. METHODS We reviewed all children who underwent pancreatectomy for CHI between January 2005 and April 2021 in our center. A comparison was made between patients whose hypoglycemia was controlled after primary pancreatectomy and patients who required reoperation. RESULTS A total of 58 patients underwent pancreatectomy for CHI. Refractory hypoglycemia after pancreatectomy occurred in 10 patients (17%), who subsequently underwent redo pancreatectomy. All patients who required redo pancreatectomy had positive family history of CHI (p = 0.0031). Median extent of initial pancreatectomy was lesser in the redo group with borderline level of statistical significance (95% vs. 98%, p = 0.0561). Aggressive pancreatectomy at the initial surgery significantly (p = 0.0279) decreased the risk for the need to redo pancreatectomy; OR 0.793 (95% CI 0.645-0.975). Incidence of diabetes was significantly higher in the redo group (40% vs. 9%, p = 0.033). CONCLUSION Pancreatectomy with 98% extent of resection for diffuse CHI, especially with positive family history of CHI, is warranted to decrease the chance of reoperation for persistent severe hypoglycemia.
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Affiliation(s)
- Ali Al-Ameer
- Department of Pediatric Surgery, King Fahad Medical City, PO Box 59046, Riyadh, 11525, Kingdom of Saudi Arabia.
| | - Afrah Alsomali
- Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, 11211, Kingdom of Saudi Arabia
| | - Zakaria Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, 11211, Kingdom of Saudi Arabia
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Siah TH, Habib Z, McWilliams RG, Chan TY. Implications for patient follow-up of changes in inferior vena cava filter removal plan practices. Clin Radiol 2022; 77:794-799. [PMID: 35985844 DOI: 10.1016/j.crad.2022.06.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 06/23/2022] [Accepted: 06/29/2022] [Indexed: 11/29/2022]
Abstract
AIM To assess the improvements during patient follow-up after implementing a proactive plan for retrieval of inferior vena cava (IVC) filters. MATERIALS AND METHODS A retrospective study was undertaken including all patients who had a temporary IVC filter inserted over a 10-year period. Patient demographics, insertion dates, retrieval dates, retrieval rates, and complications were recorded. Patients were categorised into three groups as follows: group A, no intervention where retrieval was not suggested; group B, passive intervention where retrieval was suggested but no appointment made; and group C, proactive intervention where a retrieval date was booked by the radiologist. RESULTS Five hundred and nine patients had a temporary IVC filter inserted at Royal Liverpool University Hospital over the study period. One per cent of patients in group C were lost to follow-up compared to 41% and 29% in groups A and B respectively (p<0.001). The number of patients who had an IVC retrieval attempt also increased to 80% in group C compared to 53% and 64% in groups A and B (p<0.001). CONCLUSION Incorporation of a proactive retrieval booking system has significantly reduced the number of patients lost to follow-up to 1%, leading to an increased number of IVC filter retrieval attempts.
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Affiliation(s)
- T H Siah
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK.
| | - Z Habib
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
| | - R G McWilliams
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
| | - T Y Chan
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
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Nasser A, Nassir R, Awan MY, AlShawa MA, Habib Z. Esophageal Perforation into the Pericardium in a 3-Year-Old Child with Esophageal Stricture: A Rare Complication Following Esophageal Dilatation. European J Pediatr Surg Rep 2022; 10:e131-e134. [PMID: 36060616 PMCID: PMC9439882 DOI: 10.1055/s-0042-1756207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 05/19/2022] [Indexed: 11/26/2022] Open
Abstract
Perforation of the esophagus during dilatation is a rare complication that might cause mortality. We present the report of a 3-year-old girl who was diagnosed with B cell acute lymphoblastic leukemia at 17 months of age. She experienced a complicated clinical course after chemotherapy was initiated, which included mucositis and acute pericarditis. She later developed an acquired esophageal stricture and tracheoesophageal fistula, which were managed with resection and primary anastomosis when she was in remission. Postoperatively, the patient developed a leak, which was treated conservatively. She subsequently developed a stricture that was treated successfully. On the fourth dilatation attempt and after she was sent home, she presented with persistent vomiting and low-grade fever and became vitally unstable on the same day, after stabilization, upper gastroenterology contrast revealed contrast filling the pericardium. She was managed conservatively with close observation and serial echocardiograms and then discharged home on day 18 in good condition after complete resolution of the pericardial effusion.
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Affiliation(s)
- Abdulrahman Nasser
- College of Medicine, Taibah University, Al Madinah Al Monawrrah, Saudi Arabia
| | - Raif Nassir
- Department of Pediatric Surgery, King Salman Medical City, Al Madinah Al Monawrrah, Saudi Arabia
| | - Muhammad Younas Awan
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Mohammad Anas AlShawa
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Zakaria Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Habib Z, Hafeez Y, Mbarek I, Haque MU. A revolutionary step; Role of Qatar`s central hubs in managing the Covid-19 Pandemic. J Med Res 2021. [DOI: 10.31254/jmr.2021.7201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
WHO declared Corona Virus disease 2019 (COVID-19) as a public health emergency on the 30th of January 2020. Soon afterward, COVID-19 cases started to emerge from all parts of the world. The state of Qatar was extremely vigilant from the very outset. Special measures were introduced immediately to restrict the influx of people from high-risk countries such as China and Iran. The Ministry of public health (MOPH), Qatar started preparing for an impending pandemic in the meantime. The first cluster of COVID-19 positive cases was declared on March the 11th 2019. A total of 238 cases were declared positive on this day. It raised the alarm to roll over all those preparations on the ground into practice
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Agada AA, Kwaghe V, Habib Z, Adebayo FO, Anthony B, Yunusa T, Ekele BA. COVID-19 and Mycobacterium Tuberculosis Coinfection: A Case Report. West Afr J Med 2021; 38:176-179. [PMID: 33641155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
COVID-19 is a global pandemic, with attendant high morbidity and mortality. There is no previous documentation of its coinfection with Mycobacterium tuberculosis; the single most common cause of death from an infectious disease. Management and survival from this "cruel duel" in a low resource country will be daunting. We report the case of a middle-aged man who survived and the lessons learned from a COVID-19 treatment centre in the north-central of Nigeria. The patient presented with symptoms and clinical features of COVID-19 and Mycobacterium tuberculosis was confirmed with laboratory investigation. The patient commenced anti-tuberculous medications, received nutritional support and other supportive treatment for COVID-19 infection. He was discharged home to continue follow up at the medical outpatient and the DOTS clinic. Early recognition and prompt treatment are critical for a favourable clinical outcome.
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Affiliation(s)
- A A Agada
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - V Kwaghe
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - Z Habib
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - F O Adebayo
- Department of Obstetrics & Gynecology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - B Anthony
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - T Yunusa
- Department of Medical Microbiology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - B A Ekele
- Department of Obstetrics & Gynecology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
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AlFawaz I, Ahmed B, Ali A, Ayas M, AlKofide A, Habib Z, Siddiqui K. Experience of treating pediatric hepatoblastoma at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia - Timely surgical intervention playing a key role. Int J Pediatr Adolesc Med 2020; 8:39-43. [PMID: 33718576 PMCID: PMC7922831 DOI: 10.1016/j.ijpam.2020.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 09/10/2020] [Accepted: 11/05/2020] [Indexed: 12/04/2022]
Abstract
Background Many studies have demonstrated that outcome in patients with hepatoblastoma is determined by tumor resectability and the presence or absence of metastatic disease. Purpose To evaluate and disseminate information on diagnosis, treatment, and outcome of hepatoblastoma patients at a tertiary care hospital in Saudi Arabia. Patients and methods Twenty-four pediatric patients with hepatoblastoma were treated at our institution between January 2005 and December 2012. The majority of our patients were stage III and above, while one-third of them presented with metastatic disease. Four (16.7%) had vascular invasion. Two-thirds of our patients (n = 16, 66.7%) had alpha-fetoprotein (AFP) level above 100,000 ng/mL. Twenty-one patients underwent surgery; two had upfront surgery before getting any chemotherapy, and 15 had surgery on schedule after pre-operative chemotherapy. Four patients had delayed surgery as the tumor was not resectable and received extra cycles of chemotherapy. Chemotherapy regimens used were based on SIOPEL study protocols until 2011 and Children’s Oncology Group (COG) protocol from 2012 onwards. Relapse, progressive disease, or death from any cause were defined as events. Results Five-year overall survival (OS) of the cohort over a median follow-up time of 56.1 months was 70.6% ± 9.4% with seven (29.2%) events of mortality. No significant difference was found for age at diagnosis (less than 2 years vs. more), stage of disease, AFP levels (less than 100,000 vs. more), vascular invasion, or presence of metastatic disease at presentation in terms of OS. However, children receiving upfront or scheduled as-per-protocol surgery fared better than those who had delayed surgery (as the tumor was not resectable and they received extra cycles of chemotherapy) or did not undergo any surgery (P-Value .001). Conclusion Favorable survival outcome could be achieved with complete tumor excision and adjuvant chemotherapy. Inability to perform surgical excision was the single most important predictor of mortality in our patients.
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Affiliation(s)
- Ibrahim AlFawaz
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Basheer Ahmed
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Afshan Ali
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Mouhab Ayas
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Amani AlKofide
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Zakaria Habib
- Department of Surgery King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Khawar Siddiqui
- Department of Pediatric Hematology/Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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Elimian KO, Ochu CL, Ilori E, Oladejo J, Igumbor E, Steinhardt L, Wagai J, Arinze C, Ukponu W, Obiekea C, Aderinola O, Crawford E, Olayinka A, Dan-Nwafor C, Okwor T, Disu Y, Yinka-Ogunleye A, Kanu NE, Olawepo OA, Aruna O, Michael CA, Dunkwu L, Ipadeola O, Naidoo D, Umeokonkwo CD, Matthias A, Okunromade O, Badaru S, Jinadu A, Ogunbode O, Egwuenu A, Jafiya A, Dalhat M, Saleh F, Ebhodaghe GB, Ahumibe A, Yashe RU, Atteh R, Nwachukwu WE, Ezeokafor C, Olaleye D, Habib Z, Abdus-Salam I, Pembi E, John D, Okhuarobo UJ, Assad H, Gandi Y, Muhammad B, Nwagwogu C, Nwadiuto I, Sulaiman K, Iwuji I, Okeji A, Thliza S, Fagbemi S, Usman R, Mohammed AA, Adeola-Musa O, Ishaka M, Aketemo U, Kamaldeen K, Obagha CE, Akinyode AO, Nguku P, Mba N, Ihekweazu C. Descriptive epidemiology of coronavirus disease 2019 in Nigeria, 27 February-6 June 2020. Epidemiol Infect 2020; 148:e208. [PMID: 32912370 PMCID: PMC7506173 DOI: 10.1017/s095026882000206x] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/18/2020] [Accepted: 08/28/2020] [Indexed: 02/06/2023] Open
Abstract
The objective of this study was to describe the epidemiology of COVID-19 in Nigeria with a view of generating evidence to enhance planning and response strategies. A national surveillance dataset between 27 February and 6 June 2020 was retrospectively analysed, with confirmatory testing for COVID-19 done by real-time polymerase chain reaction (RT-PCR). The primary outcomes were cumulative incidence (CI) and case fatality (CF). A total of 40 926 persons (67% of total 60 839) had complete records of RT-PCR test across 35 states and the Federal Capital Territory, 12 289 (30.0%) of whom were confirmed COVID-19 cases. Of those confirmed cases, 3467 (28.2%) had complete records of clinical outcome (alive or dead), 342 (9.9%) of which died. The overall CI and CF were 5.6 per 100 000 population and 2.8%, respectively. The highest proportion of COVID-19 cases and deaths were recorded in persons aged 31-40 years (25.5%) and 61-70 years (26.6%), respectively; and males accounted for a higher proportion of confirmed cases (65.8%) and deaths (79.0%). Sixty-six per cent of confirmed COVID-19 cases were asymptomatic at diagnosis. In conclusion, this paper has provided an insight into the early epidemiology of COVID-19 in Nigeria, which could be useful for contextualising public health planning.
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Affiliation(s)
- K. O. Elimian
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Department of Microbiology, Faculty of Life Sciences, University of Benin, Edo State, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
| | - C. L. Ochu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
| | - E. Ilori
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - J. Oladejo
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - E. Igumbor
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - L. Steinhardt
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
| | - J. Wagai
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Arinze
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - W. Ukponu
- Georgetown University, Abuja, Nigeria
| | - C. Obiekea
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - O. Aderinola
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - E. Crawford
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Olayinka
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- World Health Organization, Abuja, Nigeria
- Ahmadu Bello University, Zaria, Nigeria
| | - C. Dan-Nwafor
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - T. Okwor
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Y. Disu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Yinka-Ogunleye
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - N. E. Kanu
- African Field Epidemiology Network, Abuja, Nigeria
- Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria
| | | | - O. Aruna
- Public Health England's International Health Regulations Strengthening Project, Abuja, Nigeria
| | | | - L. Dunkwu
- Tony Blair Institute for Global Change, Abuja, Nigeria
| | - O. Ipadeola
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
- University of Ilorin, Ilorin, Nigeria
| | - D. Naidoo
- World Health Organization, Abuja, Nigeria
| | - C. D. Umeokonkwo
- African Field Epidemiology Network, Abuja, Nigeria
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
| | - A. Matthias
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
| | - O. Okunromade
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - S. Badaru
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Jinadu
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - O. Ogunbode
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Egwuenu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Jafiya
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - M. Dalhat
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Resolve to Save Lives, Abuja, Nigeria
| | - F. Saleh
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - G. B. Ebhodaghe
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Ahumibe
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - R. U. Yashe
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - R. Atteh
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - W. E. Nwachukwu
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Ezeokafor
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- National Agency for the Control of AIDS, Abuja, Nigeria
| | - D. Olaleye
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- Department of Virology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Z. Habib
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- University of Abuja Teaching Hospital, Abuja, Nigeria
| | | | - E. Pembi
- Ministry of Health and Human Services, Adamawa State, Nigeria
| | - D. John
- Department of Public Health, Health and Human Services Secretariat, FCT, Abuja, Nigeria
| | | | - H. Assad
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
- Ministry of Health, Kebbi State, Nigeria
| | - Y. Gandi
- Department of Disease Control and Immunisation, Bauchi State Ministry of Health, Bauchi, Nigeria
| | - B. Muhammad
- Department of Public Health, Kano State Ministry of Health, Kano State, Nigeria
| | - C. Nwagwogu
- Department of Public Health, Abia State Ministry of Health, Abia State, Nigeria
| | - I. Nwadiuto
- Department of Public Health, Rivers State Ministry of Health, Rivers State, Nigeria
| | - K. Sulaiman
- Department of Epidemiology and Disease Control, Katsina State Ministry of Health, Katsina, Nigeria
| | - I. Iwuji
- Epidemiology Unit, Department of Public Health, Ministry of Health, Bayelsa State, Nigeria
| | - A. Okeji
- Epidemiology Unit, Department of Public Health, Ministry of Health, Imo State, Nigeria
| | - S. Thliza
- Epidemiology Unit, Department of Public Health, Ministry of Health, Borno State, Nigeria
| | - S. Fagbemi
- Department of Epidemiology and Disease Control, Ministry of Health, Ondo State, Nigeria
| | - R. Usman
- Department of Public Health, Zamfara State Ministry of Health, Zamfara State, Nigeria
| | - A. A. Mohammed
- Department of Public Health Services, Ministry of Health, Sokoto State, Nigeria
| | - O. Adeola-Musa
- Department of Public Health, Ministry of Health, Osun State, Nigeria
| | - M. Ishaka
- Department of Public Health, Yobe State Primary Healthcare Management Board, Yobe State, Nigeria
| | - U. Aketemo
- Department of Public Health, Taraba State Ministry of Health, Taraba State, Nigeria
| | - K. Kamaldeen
- Department of Public Health, Kwara State Ministry of Health, Kwara State, Nigeria
| | - C. E. Obagha
- Anambra State Ministry of Health, Anambra State, Nigeria
| | - A. O. Akinyode
- Directorate of Public Health, Oyo State Ministry of Health, Oyo State, Nigeria
| | - P. Nguku
- African Field Epidemiology Network, Abuja, Nigeria
| | - N. Mba
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Ihekweazu
- Office of the Director General, Nigeria Centre for Disease Control, Abuja, Nigeria
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Skaff C, Al Awadhi H, Habib Z, Al-Dekhail W. Intramural esophageal foreign body in a child. Int J Pediatr Adolesc Med 2016; 3:34-37. [PMID: 30805465 PMCID: PMC6372402 DOI: 10.1016/j.ijpam.2015.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Revised: 11/13/2015] [Accepted: 11/19/2015] [Indexed: 11/26/2022]
Abstract
Foreign body ingestion is a common problem in the pediatric population. The majority of cases occur between 6 months and 3 years of age. Major complications, including bowel perforation and obstruction, have been reported. Forty percent of ingested foreign bodies are unwitnessed, and in fact, many are asymptomatic. We report the case of a 2-year-old girl who was referred to King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia (KFSH&RC) with suspected congenital esophageal stenosis. Upon investigation, she was diagnosed with intramural esophageal foreign body.
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Affiliation(s)
- Chahdah Skaff
- Department of Pediatrics, King Faisal Specialist Hospital & Research Centre, Saudi Arabia
| | - Haifa Al Awadhi
- Pediatric Gastroenterology Department, King Faisal Specialist Hospital and Research Centre, Saudi Arabia
| | - Zakaria Habib
- Pediatric Surgery Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Wajeeh Al-Dekhail
- Pediatric Gastroenterology Department, King Faisal Specialist Hospital and Research Centre, Saudi Arabia
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Habib Z, Kolar M. Duodenotubular Flap-New Biliary Reconstructive Procedure. J Laparoendosc Adv Surg Tech A 2015; 25:608-11. [PMID: 26134070 DOI: 10.1089/lap.2014.0388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Although Roux-en-Y hepaticojejunostomy is considered the gold standard of biliary reconstruction after excision of a choledochal cyst, there is increasing popularity of hepaticoduodenostomy, as it is easier to perform laparoscopically and provides physiologic bile drainage into the duodenum. Our animal research study had the goal to develop and test a new biliary reconstructive procedure (the duodenotubular flap [DTF]), with the advantages of providing physiological bile flow into the duodenum, technical simplicity of duodenal conduit construction, and ability of endoscopic assessment in case of complications. MATERIALS AND METHODS The DTF procedure consists of transection of the common bile duct (CBD), construction of the DTF from the second part of the duodenum, and biliary-enteric anastomosis. The first group of 6 dogs underwent reconstruction as a single surgical procedure. The second group of 4 dogs underwent the DTF procedure after the preparatory step of laparoscopic clipping of the CBD (for 7 days), to simulate the pathology of the choledochal cyst (extrahepatic biliary obstruction) and to ease the anastomosis. Laboratory analyses were performed pre- and postoperatively. RESULTS From the first group, 3 dogs developed a postoperative leak at the biliary-enteric anatomosis. The leak was recognized on postoperative day 4 in 2 dogs. They underwent an emergency abdominal exploration with redo anastomosis and had a complete recovery. The third dog died suddenly on postoperative day 10. Autopsy revealed incomplete disruption of the biliary-enteric anastomosis. In the second group, 3 dogs had an uneventful recovery, but 1 died on postoperative day 3. Autopsy revealed intraperitoneal bleeding with intact anastomotic and staple sites. None of the dogs in either group experienced leak at the staple lines, and none of the 8 surviving dogs developed postoperative cholangitis during the follow-up period from 15 to 20 months. CONCLUSIONS The DTF procedure is feasible, simple, and quick, simulating physiological anatomy. Regarding the safety, a wide anastomosis seems to be the core of success.
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Affiliation(s)
- Zakaria Habib
- Division of Pediatric Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre , Riyadh, Kingdom of Saudi Arabia
| | - Mila Kolar
- Division of Pediatric Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre , Riyadh, Kingdom of Saudi Arabia
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Abstract
The insertion of sewing needles into the abdominal cavity is an uncommon form of child abuse. We report a 2-and-a-half-year-old boy with 2 intra-abdominal sewing needles that were discovered during the evaluation of chronic abdominal pain and vomiting. This case report illustrates the wide range with which abusive injury can present in children. Pediatricians need to be alerted to this newly-recognized and the increasing form of child abuse so that they examine and diagnose their patients appropriately.
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Affiliation(s)
- Hussain Alshamrani
- Dr. Hussain Alshamrani, Department of Pediatrics, King Faisal Specialist Hospital & Research Centre,, PO Box 3354 Riyadh 11211 MBC 58, Saudi Arabia, T: +966-11-4647272 Ext. 27763, F: +966-11-4427784,
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Habib Z, Abdulla M. Plasma levels of zinc, copper, magnesium and calcium during early weeks of gestation. Acta Pharmacol Toxicol (Copenh) 2009; 59 Suppl 7:602-5. [PMID: 3776635 DOI: 10.1111/j.1600-0773.1986.tb02835.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Habib Z. Cleft lip and cleft palate. A family with two affected daughters. Hereditas 2009; 89:255-7. [PMID: 730542 DOI: 10.1111/j.1601-5223.1978.tb01280.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Al-Shanafey S, Habib Z, AlNassar S. Laparoscopic pancreatectomy for persistent hyperinsulinemic hypoglycemia of infancy. J Pediatr Surg 2009; 44:134-8; discussion 138. [PMID: 19159730 DOI: 10.1016/j.jpedsurg.2008.10.120] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2008] [Accepted: 10/07/2008] [Indexed: 10/21/2022]
Abstract
BACKGROUND Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is considered the most common cause of persistent neonatal hypoglycemia. Management of PHHI involves use of medical agents and its failure is an indication of surgical intervention. Traditionally, an open pancreatectomy was the standard of care but recently laparoscopic pancreatectomy was described. We report our experience with laparoscopic pancreatectomy for PHHI for the period from March 2004 to February 2008. METHODS A retrospective chart review was conducted for patients managed for PHHI with laparoscopic pancreatectomy for that period. Demographic and clinical data were retrieved. Descriptive data were generated, and SPSS version 10 statistical package (SPSS, Chicago, Ill) was used. RESULTS Twelve patients diagnosed with PHHI were managed with laparoscopic pancreatectomy for that period. Median age at procedure was 11.5 months (range, 0.5-89 months). Median extent of pancreatectomy was 90% (range, 85%-95%). There were 2 (16%) conversions to open technique. One patient (8%) required reoperation 3 months after the procedure. Patients were followed up for a median of 23.5 months (range, 3-48 months). Four (33%) were euglycemic with no medications. Three patients remained on octreotide postoperatively to be euglycemic, and 3 patients needed a combination of octreotide and diazoxide. One patient remained euglycemic for 10 months then started on octreotide because of recurrence of hypoglycemia. One patient remained hypoglycemic postoperatively and required reoperation 3 months later to control symptoms. He became diabetic 4 months after reoperation on insulin. CONCLUSIONS Our data suggest that laparoscopic pancreatectomy for medically unresponsive PHHI is feasible and safe. Longer follow-up is needed to ascertain effectiveness.
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Affiliation(s)
- Saud Al-Shanafey
- Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.
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Abstract
Situs viscerum inversus is a rare embryologic anomaly with a mirror-image transposition of the normal anatomy of organs. The coexistence with the duodenal atresia is extremely rare. This report describes a newborn with duodenal atresia and situs inversus totalis who was managed laparoscopically. According to our knowledge, this is the first report of this type of associated anomaly to be successfully managed by the laparoscopic approach.
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Affiliation(s)
- Zakaria Habib
- Section of Pediatric Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
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Al-Shanafey S, Habib Z. Feasibility and Safety of Laparoscopic Adrenalectomy in Children: Special Emphasis on Neoplastic Lesions. J Laparoendosc Adv Surg Tech A 2008; 18:306-9. [DOI: 10.1089/lap.2007.0166] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Saud Al-Shanafey
- Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Zakaria Habib
- Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Abstract
BACKGROUND Short bowel syndrome (SBS) develops after massive small bowel resections. Patients with less than 12 cm of jejunoileum have a slim possibility of being weaned from parenteral nutrition (PN). PATIENTS AND METHODS In a retrospective review of records of consecutive patients with SBS, 8 patients were evaluated for treatment by adaptation and weaning from PN. These included 4 patients with class I SBS (0-10 cm of small bowel), one with class II SBS (>10-25 cm), one with class III SBS (>25-50 cm), and 2 with class IV SBS (>50-75 cm). Adaptation was assessed by measuring growth in the small bowel and the ability to be weaned from PN. RESULTS Adaptation was achieved primarily by extending the length of jejunoileum by approximately 450% over the first 2.5 years after resection and by increasing the degree of colonic fermentation and absorption of nutrients. As of July 1, 2005, all of the patients were off PN, with the exception of 2 patients with class I-A SBS: patient 3 had a remaining jejunoileum of only 2.5 cm and patient 4 had a remaining jejunoileum of 9 cm but developed eosinophilic enterocolitis. These 2 patients continued with PN on alternate months. CONCLUSIONS Bowel growth after massive small bowel resection provides an objective parameter of adaptation and a means of predicting ability to be weaned from PN. Aggressive nutritional support makes even patients with class I SBS, whose disease was previously considered hopeless, likely candidates to achieve freedom from PN.
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Affiliation(s)
- Ljubomir Rossi
- Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
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Affiliation(s)
- David A. Borenstein
- Division of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada
| | - Brian H. Cameron
- Division of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada
| | - J. Mark Walton
- Division of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada
| | - Peter G. Fitzgerald
- Division of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada
| | - Zakaria Habib
- Division of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada
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Al Fawaz IM, Ayas M, Rifai S, Khafaga Y, Al Shabanah M, Habib Z. Outcome of favorable histology Wilms' tumor: Experience at KFSH&RC, Saudi Arabia. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.8557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- I. M. Al Fawaz
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - M. Ayas
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - S. Rifai
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Y. Khafaga
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - M. Al Shabanah
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Z. Habib
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Abstract
PURPOSE The aim of this study was to review the authors' experience with laparoscopic adrenalectomy in the pediatric age group. METHODS This is a retrospective analysis of laparoscopic adrenalectomies performed in children at King Faisal Specialist Hospital & Research Centre, between June 1997 and March 2003. Ten children had laparoscopic adrenalectomies during this period. They were between 3 weeks to 12 years of age and there was an equal number of boys and girls. Case selection was based mainly on the size of the lesion and its localized nature as seen on the imaging studies. The transperitoneal approach was used in all cases. RESULTS Eleven laparoscopic adrenalectomies were performed in 10 children (1 was bilateral adrenalectomy). Presenting features were virilization (n = 3), Cushing's syndrome (n = 1), antenatally detected adrenal cyst (n = 1), hypertension (n = 1), hepatomegaly (n = 1), loin pain with hematuria (n = 1) and an incidental adrenal mass (n = 1). One was a child with stage IV adrenal neuroblastoma postchemotherapy for resection of the residual tumor. On imaging studies, the tumors were between 2.8 and 7 cm in their largest dimension. Operating time ranged from 118 to 180 minutes in the unilateral resections, whereas the bilateral laparoscopic adrenalectomy required 330 minutes. Two had to be converted to open procedures. Postoperative hospital stay was between 2 and 15 days. Pathologic diagnoses were as follows: adrenal cortical adenoma (n = 3), adrenal medullary hyperplasia (n = 2), adrenal cortical carcinoma (n = 1), ganglioneuroma (n = 1), and neuroblastoma (n = 3). There were no complications. Follow-up ranged from 3 months to 6 years. The only mortality in our study group was in the child with stage IV neuroblastoma who died of disseminated disease 9 months later. In the rest, there has been no local recurrence or metastases, and the biochemical and hormonal parameters have remained normal in the functional tumors. CONCLUSIONS We believe that in a select group of pediatric adrenal lesions, laparoscopic adrenalectomy is a safe and effective procedure with the potential benefits of minimally invasive procedures.
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Affiliation(s)
- P Kadamba
- King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
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Habib Z, Akram S, Ibrahim S, Hasan B. Febrile seizures: factors affecting risk of recurrence in Pakistani children presenting at the Aga Khan University Hospital. J PAK MED ASSOC 2003; 53:11-7. [PMID: 12666845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
OBJECTIVES To (a) describe the effect of temperature rise on seizure recurrence in the ER (b) investigate the effect of age, gender, family and developmental history, type, duration and multiple seizures, past history and number of seizures and treatment given (either late or early) on seizure recurrence in the ER and (c) explore prognostic indicators for seizure recurrence. METHODS Data from 352 children [ages 3-84 months; 220 males (62.5%) 132 females (37.5%)] was taken using chart reviews for the years January 1998-August 2000 inclusive, from the Pediatric department of the Aga Khan University Hospital. Descriptive statistics, Chi-square, and Discriminant Analysis were used. RESULTS Of the 52 (16%) cases that had seizure recurrence in the ER, majority (36.5%) occurred in > 38.5 degrees < or = 39.5 degrees C temperature range. The percentage declined to 15% at higher temperatures. Bivariate tests showed that age, family and developmental history, type of seizure and treatment given did not affect seizure recurrence in the ER. Past history number of seizures (p = .006), duration of seizure (p < 0.001), past history of seizures (p = 0.004) and multiple seizure (p = 0.024) were factors significantly associated with seizure recurrence in the ER at the bivariate level of analysis. Duration of seizure was the most important prognostic indicator for FS recurrence in the ER at the multivariate level with beta = .79. CONCLUSION Duration of seizure (> 5 minutes) was the most important prognostic factor for FS recurrence. Early treatment did not affect recurrence,suggesting timely anti-pyretic vs. anti-leptic medication use.
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Affiliation(s)
- Z Habib
- Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan
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Ibrahim S, Habib Z, Hyder S, Azam IS, Ahmed R. Parental [correction of Perinatal] consanguinity: a risk factor for developmental delay in Pakistani children. J PAK MED ASSOC 2001; 51:418-22. [PMID: 11850977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To investigate the association of parental consanguinity and delayed development in terms of gross motor, fine motor, speech and social aspects in their children. METHODS One hundred and seventy seven children (age 15 days--72 months) were evaluated for their developmental status utilizing the Denver Developmental Screening Test (DDST). An unmatched case-control study design was used. Case group consisted of 94 children and control group 83 children. Odds ratios were calculated for parental consanguinity and delay in gross and fine motor, speech and social development in their children, for cases and controls, utilizing Binary Multiple Logistic Regression Analysis. Acquired delay was excluded through detailed birth history in both cases and control group respectively. RESULTS Univariate analysis showed high significant Odds ratios for all areas of developmental delay (viz. gross and fine motor, speech and social development), between cases and controls (p < .001). At the multivariate analysis level however, our results showed no increased risk of parental consanguinity on delayed gross and fine motor, speech and social development in their children. CONCLUSION Our results show no increased risk of parental consanguinity on delayed gross and fine motor, speech or social development (as measured by the DDST), in their children.
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Affiliation(s)
- S Ibrahim
- Department of Pediatrics, Aga Khan University Hospital, Karachi
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Dean E, Frownfelter D, Wong WP, Al-Basarah K, Fagevik-Ols N M, Gosselink R, Habib Z, Hopkins-Rosseel D, Jones A, Lomi C, Pryor JA, Ravindra S, Skinner M. Cardiovascular/cardiopulmonary physical therapy sinks or swims in the 21st century: addressing the health care issues of our time. Phys Ther 2000; 80:1275-8. [PMID: 11087309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Abstract
BACKGROUND No survival data have yet been published from the Kingdom of Saudi Arabia for patients with rectal cancer. The present paper reports experience with these patients over an 8-year period. METHODS All patients referred to the King Faisal Specialist Hospital (KFSH) between March 1990 and February 1998 for the primary management of rectal cancer were entered into a computerized database. Prior to 1993 patients did not receive adjuvant therapy. Kaplan-Meier survival curves and the log-rank test were used to compare outcome data. RESULTS There were 70 men (average age: 55.6 years) and 75 women (average age: 52.8 years). Twelve per cent of patients admitted a family history of colorectal carcinoma (CRC). Twenty-seven per cent of tumours were circumferential. Most tumours were larger than 4 cm and the lowest edge of the majority of tumours was less than 6 cm from the anal verge. Fifty-four per cent of tumours were fixed; 69% of patients received either pre-operative or postoperative radiotherapy. A total of 106 patients underwent 'curative' surgery. Equal numbers of patients had abdomino-perineal resection (APR) and anterior resection (AR) of the rectum. Thirty-five patients received blood peri-operatively (APR, 34%; AR, 12%). Major anastomotic leakage following AR occurred in two patients. Two patients died within 30 days of surgery. Ten patients were lost to follow-up. Following curative AR, eight patients had a distal resection margin of < 2 cm and two patients (Dukes' C) developed local recurrence (25%); 37 patients had a margin > 2 cm and seven developed local recurrence (18.9%). A total of 48 patients underwent curative APR, and four patients developed local recurrence (8.3%). Overall local recurrence was tumour stage-dependent (Dukes' B, 8.8%; Dukes' C, 29.3%). Recurrence was local in 13 patients. Pre-operative radiotherapy seemed to reduce average tumour size (3.6 vs 4.3 cm). The crude overall 5-year survival rate was 39%. The 5-year survival rate for patients with Dukes' stage C cancers following 'curative' surgery was 25%. CONCLUSION Curative surgery can be performed with a relatively low requirement for blood transfusion, a low mortality and morbidity, and comparable outcomes to Western studies in spite of the large, low and often advanced stage of the tumours managed. Local recurrence rates following curative resection and re-anastomosis for low rectal cancers may be reduced by resisting patient pressure to avoid stomata.
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Affiliation(s)
- W H Isbister
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
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Abstract
In young children hepatitis A virus (HAV) infections are usually subclinical events. However, HAV is also associated with progressive hepatic failure and even death in some patients. This study was undertaken to characterize the course of hepatitis A-related acute liver failure in children from a developing country where hepatitis A is endemic and produces significant morbidity. Patients <15 years of age with confirmed hepatitis A, seen at the Aga Khan University Hospital between January 1991 and August 1998 were identified using the patient registry. Of the 2735 patients seen with hepatitis A, 232 were admitted to the hospital. Of these 30 patients developed progressive hepatic dysfunction and liver failure. During this period, 45 children were admitted with liver failure attributable to other causes. Of the patients admitted with hepatitis A-related liver failure, 25 (83.3%) were encephalopathic at presentation and 36.7% of the patients died. The prothrombin time was the most significant predictor of survival. There was a significant difference between those who survived and those who died on discriminant analysis with respect to age, grade of hepatic encephalopathy, duration of hospitalization, prothrombin time, and duration of jaundice when taken as a group. There is a striking prevalence of liver dysfunction progressing to hepatic failure among children seen at a hospital in Karachi, Pakistan. This study demonstrates the significant morbidity and mortality that can attend HAV infections in children in a developing country despite tertiary medical facilities. The risk of HAV and its sequelae could probably be effectively reduced in these settings with improved sanitation and universal immunization.
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Abstract
We report a case of a bladder-wall abscess in a patient with myelodysplasia and a neurogenic bladder. The aetiology of the abscess was obscure, but the patient had recurrent urinary tract infections and was being managed by clean intermittent catheterisation.
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Affiliation(s)
- F Bamehriz
- Department of Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia
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Abstract
Fanconi's anemia is an autosomal recessive disease, the main feature being pancytopenia secondary to bone-marrow hypoplasia. However, multiple congenital abnormalities may be encountered, urogenital malformations being common. We describe a patient with solitary crossed renal ectopia, vesicoureteric reflux, hypospadias, and unilateral undescended testis with absent vas deferens.
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Abstract
A 1-year old girl with clitorimegaly was investigated for an intersex disorder before surgical referral. Examination revealed a normal introitus and the clitoral lesion proved to be a dermoid cyst.
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Affiliation(s)
- J Abudaia
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Pandit SK, Kaul A, Habib Z, Zarger HU. Childhood appendicitis. A clinical profile. Indian Pediatr 1993; 30:97-100. [PMID: 8406725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
A study to assess the reliability of clinical symptoms and signs in 50 patients with a presumptive diagnosis of acute appendicitis is presented. The male to female ratio was 3: 2, with age ranging from 2 to 15 years. Abdominal pain was present in 42; tenderness was localized in 35, generalized in 11 and diffuse in 4 patients. Total leucocyte count was above 11,000/cu mm in 31, below 11,000/cu mm in 17 and above 18,000/cu mm in 2. Of the 48 operated patients, 8 had normal appendices and the diagnosis in them was Meckel's diverticulitis 3, ruptured ovarian follicle 2, mesenteric adenitis 2, and salpingo-oophoritis 1. Abdominal pain and right iliac fossa tenderness with contributory investigations are the most reliable indicators of acute appendicitis with a false positive rate of 16.66% only.
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Affiliation(s)
- S K Pandit
- Department of Surgery, Government Medical College, Srinagar, J & K, India
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Abstract
In 505 random serum samples from unrelated healthy genuine Egyptians, haptoglobin 2-2 phenotypes were most prevalent, though statistically were as common as haptoglobin 2-1 phenotypes. High inbreeding with average inbreeding coefficient of 0.0145 explains the deviation of Egyptian haptoglobin phenotypes from the Hardy-Weinberg equilibrium.
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Habib Z. Haematological parameters in the healthy adult Egyptian population. Ann Hum Biol 1982; 9:85-7. [PMID: 7065642 DOI: 10.1080/03014468200005511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Haemoglobin parameters, serum iron and the levels of haemoglobins A2 and F were examined in normal unrelated adult Egyptians (60 males and 142 females). The mean red cell volume and the mean red cell haemoglobin are low. Haemoglobin A2 in Egyptian adult males is slightly less than that in females.
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Abstract
In the majority of cases, neonatal hydrocephalus is a genetic disease. The obstetrician's role in antenatal diagnosis of this disease is important. It is essential to take an accurate family history and to perform autopsies on affected infants if successful genetic counselling is to be pursued. Every woman, at her first antenatal visit, should be asked if she had a positive family history of hydrocephalus. Advanced experience in sonography will make the detection of hydrocephalus possible before the 20th week of gestation.
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Abstract
Maternal plasma alpha-fetoprotein (AFP) levels in 8 pregnancies, which several weeks later ended as missed abortions, were evaluated. In 7 patients, blood sampling before or after the death of their fetuses revealed almost normal maternal AFP values. The relatively viable placenta of missed abortion probably hampers the eventual leakage/transudation of fetal AFP into maternal circulation.
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Habib Z. Inappropriate terminology: "incompetent cervical os". Am J Obstet Gynecol 1978; 131:916. [PMID: 686099 DOI: 10.1016/s0002-9378(16)33152-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Abstract
Modern neonatal care and advanced plastic surgical correction have led to the survival of most newborns with oral clefts. These children are likely to reproduce. A slight increase in the incidence of oral clefts may be expected in the future. The genetics of cleft lip and cleft palate is reviewed. The inheritance is usually multifactorial. With normal parents the risk of having a first affected child with cleft lip is about one per thousand, the risk of having a second affected child 4 per cent and the risk of having a third affected child 10 per cent. If a parent has already a cleft lip, the risk of having a first affected child now is 4 per cent, while the risk of having a second affected child is 10 per cent. The methodology of genetic counseling is given.
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Abstract
The value of measuring maternal α-feto-protein in predicting an eventual pregnancy wastage was assessed. When pregnancies terminated in spontaneous abortion, maternal plasma α-feto-protein levels were statistically lower than in pregnancies with viable, healthy offspring.
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Habib Z. Factors determining occurrence of cleft lip and cleft palate. Surg Gynecol Obstet 1978; 146:105-10. [PMID: 337543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The modern care of newborn infants with oral clefts renders their survival possible. Since they will eventually reproduce, a slight increase in the incidence may be expected and genetic counseling will be requested on occasion. The cleft lip with or without cleft palate has a different genetic inclination from isolated cleft palate and the risk of recurrence is different. Drugs, such as antiepileptics, salicylates, benzodiazepines and cortisone, have a role in causing oral clefts. When an oral cleft is a part of a syndrome, the genetics of the particular syndrome must be outlined and genetic counseling is given accordingly. Oral clefts alone are usually multifactorial.
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