Search PubMed⌕ Search

Biomedical subjects

H S Qublan

Publications and source records attributed to H S Qublan.

10 recordsLinked to original sources
PubMed2003

Medical vs. surgical treatment for clomiphene citrate-resistant women with polycystic ovary syndrome.

This study was conducted to evaluate the efficacy of metformin compared with ovarian drilling in the treatment of clomiphene citrate (CC) resistant women with polycystic ovary syndrome. A total of 161 infertile, CC-resistant women with PCOS aged 22-34 years (mean 25.5 +/- 4.4) were evaluated prospectively during the period between January 2000 and December 2001. Patients were allocated into two groups; group 1 includes 64 women who received metformin, 850 mg twice daily throughout the cycle, and group 2 which includes 97 women who underwent laparoscopic ovarian drilling. If spontaneous ovulation or pregnancy was not achieved within 3 months after treatment, CC was added with increments of 50 mg (up to 150 mg/day) for both groups. Clinical and menstrual characteristics in addition to the hormonal profile were evaluated before and after the treatment. There were no significant differences between the two groups in terms of age, body weight, BMI, duration of infertility and serum hormone levels (androgens, gonadotrophins, insulin) before starting the treatment. A significant improvement in the regularity of menstrual cycles (P < 0.05) and a significant reduction in the serum levels of testosterone(P<0.01), androstenedione (P<0.01), DHEAS (P <0.05), LH (P<0.01) and LH:FSH ratio (P<0.05) were noted after the treatment. There were no significant differences between the metformin group compared with the drilling group in the rates of ovulation (79.7% vs. 83.5%) and pregnancy (64.1% vs. 59.8%). It is concluded that CC-resistant patients with polycystic ovary syndrome can be treated effectively either by metformin or by laparoscopic ovarian drilling. Menstrual cycle pattern and the rates of ovulation and pregnancy are improved significantly, due most probably to the significant decrease in the levels of androgens and luteinising hormone.

Adult↗
PubMed2003

Severe pre-eclampsia and maternal thyroid function.

This study was conducted to determine the thyroid function in severe pre-eclamptic patients compared with healthy controls. Twenty-seven women with severe pre-eclampsia and 26 healthy normotensive controls were studied prospectively. Both groups were matched according to three gestational age subgroups; 30-33,34-37 and 38-41 weeks. Serum concentrations of free thyroxine(Fr4), free triiodothyronine (FT3) and thyroid-stimulating hormone (TSH) were measured by immunochemoluminiscence using an automated analyser (Immulite 2000). Pre-eclamptic women obviously showed a statistically significant increase in terms of systolic BP, diastolic BP, levels of urinary albumin and uric acid compared with the healthy controls. There were no significant differences in the levels of FT4, FT3 and TSH between the two study groups in the various gestational age subgroups. We conclude that the thyroid function is not altered in severe pre-clampsia, therefore it does not reflect the severity of pre-eclampsia.

Adult↗
PubMed2002

Fine needle aspiration cytology compared with open biopsy histology for the diagnosis of azoospermia.

This was a comparative study to determine the diagnostic value of fine needle aspiration of the testis compared with open testicular biopsy in azoospermic men. A total of 34 infertile, azoospermic patients aged from 26-54 years underwent concurrent testicular fine needle aspiration (FNA) and biopsy. The testis was aspirated at three separated sites (upper, middle and lower pole) using a 20 ml syringe and 21-G butterfly needle. A testicular biopsy was taken from the same sites. Samples obtained from FNA were air-dried and stained with Romanowsky-May-Grunwald-Giemsa method. Sections obtained from testicular biopsy were stained with haematoxylin and eosin (H&E). The patient's history, semen analyses, hormonal profile and testicular volume were analysed, and in addition to the histological results azoospermia was classified into obstructive and non-obstructive. A good correlation between cytological smears and histological sections was found in 65 of 68 testes (95.6%). Normal spermatogenesis was diagnosed in seven patients (20.6%), hypospermatogenesis in nine (26.5%), late maturation arrest in five (14.7%), early maturation arrest in three (8.8%) and Sertoli only-cell in 10 (29.4%) patients. Discordance between cytology and histology was observed in three of 68 testes (4.4%) and was related to inadequacy of FNA. Testicular fine needle aspiration is a simple, minimally-invasive procedure that can diagnose accurately testicular function. In addition to the testicular volume and hormonal status, it can differentiate the obstructive from non-obstructive azoospermia. In cases of non-obstructive azoospermia, multiple passes with a fine needle can be performed instead of open testicular biopsy for sperm extraction if present.

Adult↗
PubMed2002

Toxoplasmosis and habitual abortion.

We set out to determine the role of toxoplasmosis, detected by serological tests, in habitual abortion. A total of 280 pregnant women aged 15-46 years with parity ranged from 0-9 were studied prospectively between January 2000 and May 2001 at King Hussein Medical Center. Analyses for IgG and IgM anti-toxoplasma were carried out using indirect fluorescent antibody assay (IFAT) and enzyme-linked immunosorbent assay (ELISA). Titres of the order of 1:16-1:2048 were considered positive. According to the results, women were divided into two groups; seropositive (n=132) and seronegative (n=148). One hundred and thirty-two (47.1%) pregnant women showed seropositivity to IgG anti-toxoplasma; of them, two (1.5%) developed IgM anti-toxoplasma during the second trimester. A statistically significant increase in the rate of seropositivity to toxoplasma with increasing age and parity was found (P<0.05). There was no significant difference in the rate of habitual abortion between seropositive and seronegative women. The seropositivity was higher among women living in rural areas (P<0.02), who are using rainwater to drink (P<0.02), ingesting undercooked meat (P<0.001) and who have contact with soil (P<0.02). Toxoplasma antibodies detected by positive serological tests tend to be higher with increased age and parity. It seems that they have no role in habitual abortion.

Abortion, Habitual↗
PubMed2001

The effect of antenatal corticosteroid therapy on pregnancies complicated by premature rupture of membranes.

UNLABELLED: This study was carried out to examine the effect of antenatal corticosteroid therapy on pregnancies complicated by premature rupture of membranes (PROMs). For this purpose, 139 patients with a singleton pregnancy (27-34 weeks of gestation) complicated by PROMs were evaluated prospectively during the period January 1997 to February 1999 at two Jordanian military hospitals (Prince Rhashed and Prince Zaid). Patients were allocated into two groups; Group 1 included 72 patients treated with dexamethsone (24 mg divided into 4 doses 12 hours apart), and Group 2 which included 67 patients whoreceived no treatment (control group). All women were examined clinically and the diagnosis of PROMs was demonstrated using vaginal speculum, nitrazine paper examination and ultrasonography. All neonates were evaluated clinically, radiologically, and by laboratory investigations. Pearson's Chi-square and Fisher's exact tests were used to assess the significance of differences between the two study groups. Respiratory distress syndrome (RDS), necrotizing enterocolitis (NEC), intraventricular haemorrhage (IVH), and days of hospital stay were significantly reduced in premature infants of the corticosteroid treated women compared with the controls (p<0.04, p<0.04, p<0.04, and p<0.05, respectively). The perinatal mortality was significantly decreased among the corticosteroid treated group in the gestational subgroups 31-32 and 33-34 weeks (p<0.04), and in all birth weight subgroups (p<0.03). RDS was statistically a significant factor which resulted in increased perinatal mortality in the control group (p=0.02). Regarding the occurrence of postpartum endometritis there was a statistically significant increase among the corticosteroid treated group compared with the controls (p<0.04). CONCLUSION: Antenatal corticosteroid therapy in pregnancies complicated by PROMs has a positive influencing effect on premature infants between 31 and 34 weeks of gestation, decreasing significantly the perinatal morbidity and mortality. It should be used with particular relevance to the developing world where surfactant is not available or where neonatal intensive care units are lacking.

Adult↗
PubMed2001

Spinal versus general anesthesia for elective cesarean delivery: a prospective comparative study.

OBJECTIVE: To study the efficacy and safety of spinal anesthesia for elective cesarean section as compared with general anesthesia. PATIENTS AND METHODS: 175 women undergoing elective cesarean section were studied prospectively. They were allocated into two groups; the first group (n=60) received spinal anesthesia, and the second one (n=115) received general anesthesia for elective cesarean section. Preoperative and intraoperative BP and IV fluids were recorded. Chi-Square and Fisher's exact tests were used to compare differences between the two groups; p < 0.05 was considered significant. RESULTS: There were no differences between the two groups in terms of demographics, indication for elective cesarean section, operative time, gestational age, 1 and 5-min Apgar scores, and the means of preoperative and postoperative systolic and diastolic BP. A statistically significant increase was observed in terms of hypotension, postoperative analgesia, pre-induction and intraoperative IV fluids in the spinal group as compared to the general anesthesia group (p < 0.001, p < 0.01, and p < 0.01, respectively). CONCLUSION: Spinal anesthesia is as effective as a general anesthesia. Maternal and fetal outcome are favorable. Maternal hypotension can be managed successfully with modest doses of ephedrine and IV fluid infusions. It provides sufficient postoperative analgesia allowing the mother to have more vitality and comfort than those who receive general anesthesia.

Adult↗
PubMed2000

Intrapartum common peroneal nerve compression resulted in foot drop: a case report.

This case report is to illustrate a case of a 24-year-old Jordanian woman, gravida 1, para 0 who developed intrapartum foot drop due to compression injury of the common peroneal nerve behind the head of fibula. Diagnosis was based on history, clinical examination and electrophysiological studies. Treatment included daily sessions of physiotherapy. Complete recovery of the condition took place within 2 months.

Adult↗
PubMed2000

Simple ovarian cysts: frequency and outcome in girls aged 2-9 years.

Many studies have examined the sonographic appearance of human ovary in the childhood period and showed the presence of heterogenecity in the ovary due to cyst formation which may be age-related or because of hormonal stimulation. These studies classified these simple cysts into microcyst (< 9 mm) and macrocyst (> 9 mm). Also some of the studies reported that these cysts are frequent during childhood while others did not. We conducted this study to examine the prevalence and outcome of these simple ovarian cysts in girls aged between 2 and 9 years. One-hundred and eight girls aged 2 to 9 years were studied prospectively at Prince Zaid Hospital (PZH) in south Jordan during the period from 1 April, 1998 to 30 May, 1999. Simple cysts (micro- and macrocysts) were the aim of the study. Visualization of the ovaries was performed using a 5-MHz transducer with monthly follow-up. Among 108 girls examined, 183 ovaries were imaged and 65 simple ovarian cysts were seen with an incidence of 35.5%. Microcysts accounted for 83.1% and macrocysts for 16.9%. There was no significant difference regarding the visualization of the right or left ovary and the distribution of ovarian cysts (p > 0.2); 89.1% of ovarian cysts resolved within 6 months, and 10.9% persisted more than 6 months. Interestingly, all persisting ovarian cysts were macrocysts. No adverse consequences for these ovarian cysts were noted. We have concluded that simple ovarian cysts can be seen in all age groups between 2 to 9 years. They are not clinically significant, and the majority resolve within 6 months.

Child↗