Magdy Hassan Balaha

Toxoplasmosis among the pregnant women attending a Saudi maternity hospital: seroprevalence and possible risk factors.

Abstract In a cross-sectional study to determine the seroprevalence of, and possible risk factors for, Toxoplasma gondii infection in the pregnant women of Saudi Arabia, all of the pregnant Saudi women attending the Al Ahsa Maternity Hospital over a 1-year period were invited to participate. In an interview with each subject, the relevant socio–demographic data and information on housing conditions, previous obstetric history and possible risk factors for Toxoplasma infection (e.g.frequency of consumption of undercooked meat, unwashed raw vegetables and/or unwashed raw fruit, contact with soil, and main sources of drinking water) were collected. Each subject was then checked for anti-Toxoplasma gondii IgG and IgM in commercial ELISA. Of the 554 expectant women investigated, 51.4% were found seropositive for anti-Toxoplasma IgG (indicating chronic infection) and 8.8% for anti-Toxoplasma IgM (indicating acute infection), with 6.1% of the women seropositive for Toxoplasma -specific IgM but seronegative for Toxoplasma-specific IgG. Acute infection was most common among the women who were relatively young, lived in rural areas and had relatively low incomes. The results of a multivariate logistic regression indicated that the significant positive predictors for chronic Toxoplasma infection were increasing age, rural residence, low family income, frequent consumption of undercooked meat, and previous obstetric problems (and/or multiparity). Although of questionable accuracy, the results of the present study revealed a relatively high seroprevalence of (possibly primary) acute Toxoplasma infection in the pregnant women, with the potential for transmission of the parasite to the foetuses.

Cytological pattern of cervical papanicolaou smear in eastern region of Saudi Arabia

Background: Cancer of the cervix has been considered as one of the preventable cancers. This study is the first published research addressing the screening of cancer of the cervix in the eastern region of Saudi Arabia. Aim: This study aims to detect the prevalence of abnormal epithelial changes and its types in the eastern region of Saudi Arabia. Settings and Study Design: A retrospective study was designed to evaluate all previously conducted cervical smears examined at a secondary care maternity hospital in Saudi Arabia, during the period from 2003 to 2010. During this period, a total of 1171 smears were reported. Materials and Methods: We analyzed the records of all patients who had undergone Papanicolaou (Pap) smear during this period. After data collection, all cases were recorded as per Bethesda nomenclature. Results: A total of 624 (53.3%) abnormal Pap smears were found, with only 58 cases reported to have epithelial pathological diagnosis (SIL). They represented 4.95% of total taken smears. A majority of the SIL diagnoses in our population were ASCUS, representing 60% of SIL cases. The prevalence of squamous cervical carcinoma was 0.34%. Conclusion: The study has shown a relatively high prevalence of epithelial abnormalities in cervical smears in the studied population. The squamous cell carcinoma represented a higher than the overall prevalence compared to World Health Organization (WHO) factsheets about Saudi Arabia. The mean age of epithelial abnormalities and squamous cell carcinoma was in the reproductive years.

Assessment of Learning Style in a Sample of Saudi Medical Students

CONFLICT OF INTEREST: NONE DECLARED Background By knowing the different students’ learning styles, teachers can plan their instruction carefully in ways that are capitalized on student preferences. The current research is done to determine specific learning styles of students. Method This cross sectional study was conducted in Al Ahsa College of Medicine from 2011 to 2012. A sample of 518 students completed a questionnaire based on Kolb inventory (LSI 2) to determine their learning style. A spreadsheet was prepared to compute all the information to get the cumulative scores of learning abilities and identify the learning styles. Results The mean values of the learning abilities; active experimentation (AE), reflective observation (RO), abstract conceptualizing (AC) or concrete experience (CE) for male students were 35, 28, 30 and 26 respectively while they were 31, 30, 31 and 29 respectively for female students. There were significant difference between male and female students regarding the mean values of AE-RO (6.7 vs 1.5) and AC-CE (4.1 vs 2.1). This indicated that the style of male students were more convergent and accommodating than those of female students. The female had more assimilating and divergent styles. Conclusion Learning style in Saudi medical students showed difference between males and females in the early college years. Most male students had convergent and accommodating learning styles, while the female dominant learning styles were divergent and assimilating. Planning and implementation of instruction need to consider these findings.

A Framework for a Competency Based Medical Curriculum in Saudi Arabia

Background: We recently adopted a competency based curriculum based on the CanMEDs model. This shift required the cross-mapping of all key CanMEDs competencies with the competencies for higher education in Saudi Arabia as per the Saudi National Commission for Academic Accreditation & Assessment (NCAAA) guidelines. Objectives: To formulate competencies for our curriculum and to create a framework aligned with NCAAA, CanMEDs and Saudi Meds. Methods: After finalization of program outcomes, the program goals were cross-mapped with CanMEDs and Saudi Meds competencies and then the CanMEDs competencies were reverse mapped with our outcomes. Finally benchmarking of outcomes with the programs of the Universities of Manitoba and Toronto was done. Results: We were able to cross-map and match major outcomes of our program with both the CanMEDs and the Saudi Meds frameworks, ensuring that the outcomes are in line with NCAAA, CanMEDs and Saud Meds. Also, our program objectives were bench marked with two of the Canadian medical schools. Conclusion: We propose that our framework can be a model for other universities in Saudi Arabia to consider when shifting to a competency based curriculum.

Maternal obesity predict isolated birth defects in live births in Eastern Province of Saudi Arabia

Objective: There is no research on the predictors of birth defects in Al Ahsa Governorate in the Eastern Province of Saudi Arabia. The aim of this research was to detect the predictors of isolated structural birth defects in live births. Methods: We conducted this study from April 2006 to 2010. Live births with isolated birth defects represented our sample for this retrospective case control study. Univariate analysis was done for all possible risk factors. Logistic regression analysis was done for all predictors in relation to different birth defects. Results: Out of 37168 live births, isolated structural birth defects were found in 318 cases. Obesity ( body mass index > 30) was a significant predictor for increased nervous system anomalies ( odds ratio (OR): 7.83, CI: 3.9–15.4), facial defects (OR: 5.92, CI: 2.8–12.4), genitourinary anomalies (OR: 4.6 CI: 1.9–11.1), and cardiac malformations (OR: 2.7 CI: 1.3–5.7). Consanguinity increased the risk for cardiac malformations (OR: 3.32, CI: 1.54–7.17). Low socio-economic status increased the risk for nervous system anomalies (OR: 2.09, CI: 1.18–3.7), facial defects (OR: 2.33, CI: 1.25–4.33) and musculoskeletal anomalies (OR: 2.3, CI: 1.29–4.09). Conclusion: Maternal obesity represented the most common predictor for certain categories of isolated structural birth defects including nervous system, facial, genitourinary and cardiac.