TWO INTERESTING CASES OF FILARIASIS AT UNCOMMON SITES

Filariasis is a condition resulting from filarial parasites that affects both humans and animals.There are several hundreds of filarial parasites which have been mentioned in medical literature, out of which only eight species are known to cause natural infections in humans. Repeated episodes of inflammation and lymphedema cause lymphatic damage, persistent edema, and elephantiasis of the legs, arms, scrotum, vulva, and breasts. We have reported two cases of filariasis at unusual sites

Attention deficit hyperactivity disorder [ADHD]: Is it a health problem among male primary school children

The aim of this study was to determine the prevalence of Attention Deficit Hyperactivity Disorder [ADHD] among male primary school children. Cross-sectional study. Male primary schools, Dammam, Saudi Arabia. One thousand two hundred and eighty-seven students, aged 6-13 years, in 67 government and 10 private primary schools were selected by multistage systematic random sampling. Data were collected using two types of questionnaires: the modified Arabic version of the Attention Deficit Disorders Evaluation Scale [ADDES] school version, and Parents' questionnaire to diagnose the three main subtypes of ADHD namely: inattention, hyperactivity-impulsivity, and combined ADHD. It was found that the majority of the boys were from government schools [83.0%], aged 6-<9 years [40.5%] and of Saudi nationality [80.7%]. One thousand two hundred and sixty-eight out of 1287 completed all parts of the questionnaire concerned with diagnosing all the three types of ADHD. The overall prevalence of combined ADHD was 16.4% [208], 12.4% [157] hyperactivity-impulsivity and 16.3% [207] inattention disorders respectively. The study also revealed a variety of socioeconomic factors to be significantly associated with the development of ADHD. These included parents' low level of education, mother's occupation, and low socioeconomic status. In this study, the overall prevalence of ADHD was higher than previous studies in Saudi population. ADHD prevention and control should be an integral part of the primary health care [family medicine] system. Education and training programs for parents, school teachers, and caregivers regarding different aspects of ADHD should be established

Successful treatment of pyogenic granuloma complicating motility peg hydroxyapatite orbital implant using topical steroids alone a case report

Pyogenic granuloma is a known complication of case of pyogenic granuloma involving the base of motility peg hydroxyapatite orbital implants, motility peg hydroxyapatite orbital implant, that Treatment options including invasive surgical was successfully treated using topical steroids procedures and topical applications of mitomycin alone. C have been reported in the literature. We present a case of pyogenic granuloma involving the base of the motility peghydraxy appatiteorbital implant that was successfully treated using topical rteroids alone

Magnetic resonance imaging of normal lumbar intervertebral foraminal height

To study the pattern and changes of lumbar intervertebral foraminal heights in an asymptomatic Jordanian sample relative to age, sex, level, and correlate values with midpoint vertebral and disc heights. One hundred and fifty-three patients [87 male and 66 female] were selected during the study period. The study was carried out at the Jordan University Hospital, Amman, Jordan from June 1999 to June 2000. Parasagittal magnetic resonance images were used to measure intervertebral foraminal heights at all lumbar levels. Values were statistically analyzed and the significance of differences in the means of foraminal heights at different levels in every age group and among age groups was determined. Foraminal height indices and correlation coefficients with midpoint vertebral and disc heights were calculated. The study revealed that the mean foraminal height measured is 20.9 mm +/- 1.7 with a range of 17.1-24 mm. Foraminal heights increased significantly in a craniocaudal pattern reaching a maximum at lumber [L]2/3 in females and at L3/4 in males followed by continuous significant decrease reaching their minimum at L5/sacral [S] 1. In relation to age, foraminal heights decreased significantly in females reaching their minimum in the 7th decade. In males, foraminal heights at L3/4 until L5/S1 increased significantly reaching their maximum in the 5th decade followed by significant decrease reaching their minimum in the 7th decade. Foraminal height indices remained relatively constant. A fair degree of correlation of foraminal heights with intervertebral disc heights and vertebral body heights was evident. Foraminal heights show different level and age-dependent characteristic pattern of change between asymptomatic males and females. Changes of foraminal heights seem to directly reflect changes of vertebral body heights. These changes are considered normal age-dependent changes, and are discussed under consideration of adaptation to physical activity and changing hormonal levels