Kuwait Medical Journal
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VOLUME 39 NUMBER 3 SEPTEMBER 2007 KMJ K M J KUWAIT MEDICAL JOURNAL The Official Journal of The Kuwait Medical Association EDITORIAL Medical Education Changes Should be Evidence Based 213 Raymond M Kirk REVIEW ARTICLE Bioecological Control of Acute and Chronic Diseases: The Role of Pro-, Pre- and Synbiotics 216 Stig Bengmark Depression in Patients with HIV/AIDS 227 Sammod Vardhana M, Bairy Laxminarayana K ORIGINAL ARTICLES Validity and Predictive value of Exercise Induced Inverted T-wave Normalization for Diagnosis of Ischemic Heart Disease 231 Mousa AJ Akbar, Mohamad Hussain Alkandary, Bader A Abdulkader, Aly Hegazy Use of Controller Medications Among Asthmatic Patients: A Family Medicine Centre Based Study 238 Fotooh Ahmed Al-Jarky, Samia Salem Al-Musallam Changing Patterns of Cardiovascular Risk Factors in Hospitalized Patients with Acute Myocardial Infarction in Babol, Iran 243 Karim O Hajian-Tilaki, Farzad Jalali Non-cystic Fibrosis Bronchiectasis: the Experience in Saudi Arabia 248 Hanaa Hasan Banjar Predictive Value of Tests in Screening Urine Samples for Bacterial Culture 253 Prem Anand Nagaraja, El Sayed M M El Aasar Comparison of Human T- cell Leukemia Virus Type-1 (HTLV-1) Seroprevalence in High Risk Patients (Thalassemia and Hemodialysis) and Healthy Individuals from Charmahal - Bakhtiari Province, Iran 259 Ali Karimi, Mohamed-Reza Nafici, Reza Imani Haematological Changes in Malaria: Relation to Plasmodium Species 262 Khaled Taha, Soheir Zein El-Dein, Majid Idrees, Gamal Makboul, Ghassan Baidas CASE REPORTS A Complex Atheromatous Plaque of the Thoracic Aorta: The Role of Transesophageal Echocardiography 268 Muath Alanbaei, Suzanne Morin, Thao Huynh Adult Intussusception: A Radiological Approach 271 Margaret Linny Austin, Venkatanarayana Ravi Hoisala, Majid Ali Jamal A Female Infant with Severe Combined Immunodeficiency 275 Enamul Hoque, Mona Hussain Badawi, Zahra Qabazard Neonatal Presentation of Two Siblings with Pena-Shokeir Syndrome 278 Bhaskar Ramgopal Gupta Cholestatic Jaundice Induced by Carbimazole in Grave’s Disease 281 Ahmed ALDousari, Saleh AL Enezi, Fahad ALEnezi Always Look Beyond the Stones: Hyperoxaluria Overlooked 284 Khalid Al-Ibrahim, Sherif A Sadek Severe Hypereosinophilia in an Asthmatic Young Female 287 Jehan A Qassem, Najat Ashour, Puthusseril PBoby KU ISSN 0023-5776 Continued inside Vol. 39 No. 3 September 2007 KUWAIT MEDICAL JOURNAL C O N T E N T S Continued from cover SELECTED ABSTRACTS OF ARTICLES PUBLISHED ELSEWHERE BY AUTHORS IN KUWAIT 290 FORTHCOMING CONFERENCES AND MEETINGS 292 WHO-FACTS SHEET 298 1. Recent Food Scares Prove Weaknesses in Food Safety Systems Around the World - FAO and WHO Urge for More Vigilance 2. Battle against Chagas the “Kissing Bug” Disease - Strategy Set Out to Eliminate Disease 3. Safe Blood for Safe Motherhood: Global Facts on Blood Safety and Donation 4. New WHO Online Tool to Improve Clinical Trial Transparency ARABIC ABSTRACTS OF ARTICLES PUBLISHED IN THIS ISSUE 303 ❈ ❈ ❈ View these articles at http://www.kma.org.kw/KMJ THE PUBLICATION OF ADVERTISEMENTS IN THE KUWAIT MEDICALJOURNALDOES NOT CONSTITUTE ANYGUARANTEE OR ENDORSEMENT BYTHE KUWAIT MEDICAL ASSOCIATION OR THE EDITORIAL BOARD OF THIS JOURNAL, OF THE ADVERTISED PRODUCTS, OR SERVICES, OR OF CLAIMS MADE BY THE A D V E RTISERS. THE PUBLICATION OF A RTICLES AND OTHER EDITO R I A L M AT E R I A L IN THE JOURNAL DOES NOT NECESSARILY REPRESENT POLICY RECOMMENDATIONS OR ENDORSEMENT BYTHE ASSOCIATION. PU B L I S H E R : The Kuwait Medical Journal (KU ISSN-0023-5776) is a quarterly publication of THE KUWAIT MEDICALAS S O C I AT I O N . Address: P.O. Box 1202, 13013 Safat, State of Kuwait; Telephone: 5316023, 5317972, 5333278 Fax: 5312630, 5333276. E-mail address: kmj @kma.org.kw COPYRIGHT: The Kuwait Medical Journal. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. Printed in Kuwait. INSTRUCTIONS FOR AUTHORS: Authors may submit manuscripts prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals. These Requirements are published in each issue of the Kuwait Medical Journal. CHANGE OF ADDRESS: Notice should be sent to the Publisher six weeks in advance of the effective date. Include old and new addresses with mail codes. KUWAIT MEDICAL JOURNAL is listed in the Index Medicus for the WHO Eastern Mediterranean Region (IMEMR), the IMEMR Current Contents and available at : http://emro.who.int/EMRJorList/online.aspx KUWAIT MEDICAL JOURNAL is added to the list (The Journal of the Kuwait Medical Association) of journals adhering to the “Uniform Requirements for Manuscripts Submitted to Biomedical Journals”, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572, USA, and can be located at http://www.icmje.org/jrnlist.html KMJ Kuwait Medical Journal (KMJ) Published by the Kuwait Medical Association Previously known as The Journal of the Kuwait Medical Association (Est. 1967) Honorary President: Abdulaziz Al-Babtain EDITORIAL BOARD Editor-in-Chief: Fuad Abdulla M Hasan Editor: Adel Khader Ayed International Editor: Pawan K Singal Associate Editors: Adel A Alzayed Mousa Khoursheed Mustafa M Ridha Nasser Behbehani Noura Al-Sweih INTERNATIONALADVISORY BOARD Ananda S Prasad, USA Graeme RD Catto, UK Oleg Eremin, UK Anders Lindstrand, Sweden Giuseppe Botta, Italy Peter RF Bell, UK Andrew J Rees, UK Jan T Christenson, Switzerland Philip M Moody, USA Belle M Hegde, India Jasbir S Bajaj, India Raymond M Kirk, UK Bengt Jeppsson, Sweden John V Forester, UK Samuel Dagogo-Jack, USA Charles A Dinarello, USA Julian Little, Canada S Muralidharan, India Christian Imielinski, Poland Kostadin L Karagiozov, Japan Tulsi D Chugh, India Elizabeth Dean, Canada Lubomir Karagiosov, Bulgaria William ATweed, Canada Fiona J Gilbert, UK Lewis D Ritchie, UK William B Greenough, USA Frank D Johnston, UK Neva E Haites, UK Zoheir Bshouty, Canada George Russell, UK Nirmal K Ganguli, India REGIONAL ADVISORY BOARD Abdulla Behbehani Habib Abul Mustafa Al-Mousawi Abeer K Al-Baho John F Greally Nasser J Hayat Alexander E Omu Joseph C Longenecker Nebojsa Rajacic Ali Al-Mukaimi Kamal Al-Shoumer Sami Asfar Ali Al-Sayegh Kefaya AM Abdulmalek Soad Al-Bahar Asmahan Al-Shubaili Khalid Al-Jarallah Sukhbir Singh Uppal Chacko Mathew Mazen Al Essa Waleed Alazmi Eiman M Mokaddas Mohamed AA Moussa Waleed A Aldhahi Faisal A Al-Kandari Mousa Khadadah ARABIC TRANSLATION: Arabization Centre for Medical Science (ACMLS), Kuwait EDITORIAL OFFICE Editorial Manager : Babichan K Chandy Language Editor : Abhay U Patwari EDITORIALADDRESS P.O. Box: 1202, 13013-Safat, Kuwait Telephone: (00-965) 5316023, 5317972, 5333278 - Fax: (00-965) 5312630, 5333276 E-mail: [email protected] - website: www.kma.org.kw/KMJ KUWAIT MEDICAL JOURNAL KUWAIT MEDICAL JOURNAL (KMJ) Instructions for Authors INTRODUCTION with a scanned copy of the signed consent letter of Formerly known as ‘The Journal of the Kuwait the author(s). The consent letter could otherwise be Medical Association’, the Kuwait Medical Journal faxed to the journal office at (00965) 5312630 or (KMJ) was established in the year 1967. It is the 5333276. Figures other than Excel presentations o fficial publication of the Kuwait Medical shall be submitted as separate attachments in Association and published quarterly and regularly .jpg/.jpeg/.bmp format with 300 dpi resolution in March, June, September and December. (but not larger). Incomplete submissions will not be considered for processing, and will be returned. AIMS AND SCOPE Following a peer review process, the KMJ aim to publish peer-reviewed manuscripts corresponding author will be advised of the status; of international interest. Submissions on clinical, a c c e p t a n c e / recommendation for revision or scientific or laboratory investigations of relevance rejection of the paper, in a formal letter sent to medicine and health science come within the through post and/or e-mail. A galley proof will be scope of its publication. Original articles, case f o r w a rded to the corresponding author before reports, brief communications, book re v i e w s , publication of the accepted papers which must be insights and letters to the editor are all considered. returned to the journal office within 48 hours with Review articles are solicited. Basic medical science specific comments, if any. Corrections in the galley articles are published under the section proof, in case any, must be limited to typographical ‘Experimental Medicine’. errors, or missing contents only. GENERAL ETHICAL CONSIDERATIONS The Kuwait Medical Journal is a signatory W h e re human investigations or animal journal to the Uniform Requirements for experiments are part of the study, the journal Manuscripts Submitted to Biomedical Journals, the assumes that the design of the work has been fifth (1997) revision of a document by the approved by local ethics committee. international Committee of Medical Journal Editors. A description of important features of this PREPARATION OF THE MANUSCRIPT document is available on the Lancet website at The manuscript should be typed as ‘normal http://www.thelancet.com. Alternatively, you may text’ with no hyphenation and no hard returns consult the following: N Engl J Med 1997; 336:307- within paragraphs (use automatic wordwrap) on 315 or order the leaflet “Uniform Requirements for one side of A4 size (29.7 x 21 cm) paper in single Manuscripts Submitted to Biomdical Journals” by column format, preferably in font size no.12. No writing to the Editor of the British Medical Journal artwork and/or special effect/format are acceptable (BMJ), BMA House, Tavistock Square, London for the text. Italics should not be used other than for WC1H 9JR, UK. foreign/Latin expressions/terminologies. Maintain To present your original work for consideration, a minimum of 2 cm margin at both sides of the text one complete set of the manuscript, written in and a 3 cm margin at the top and bottom of each English (only), accompanied by tables, and three page.