Antenatal diagnosis of a rare fetal syndrome: is this a new syndrome or a variant of Goldston syndrome

Goldston Syndrome is a rare condition characterized by polycystic enlarged kidneys and Dandy-Walker Malformation. It is a rare variant of Meckel Gruber Syndrome. A case with a possible diagnosis of Goldston syndrome is presented; the diagnosis was made by fetal ultrasound at 30 weeks of gestation in 25 years old Saudi mother who had previous pregnancies with congenital malformations. Ultrasound of the fetus showed severe olighydramnios, Dandy-Walker malformation, enlarged echogenic kidneys and fetal ascites. To my knowledge, this is the fifth case of Goldston syndrome diagnosed during intrauterine life or could be a new entity because of fetal ascites

Fetomaternal and neonatal outcome of triplet pregnancy. promising results

To determine the fetomaternal and neonatal outcomes in triplet pregnancy. A retrospective review of 32 triplet pregnancies between January 2007 to December 2009 was carried out. This study was conducted at the Department of Obstetrics and Gynecology, Abha Maternity Hospital, Abha, Kingdom of Saudi Arabia. In this study, the most common complication was preterm labor, while other complications examined were not dramatically increased. The most common complication observed in neonates were respiratory distress syndrome with good neonatal outcome. The study demonstrated high perinatal mortality, mostly due to extreme low gestational age at delivery. We found a good maternal and neonatal outcome in patients who conceived with triplet, although the sample size is small due to a rare incidence of triplet gestation. This finding is helpful in counseling patients who had conceived triplets in terms of preterm delivery, mode of delivery, and the need for embryo reduction at earlier stages of pregnancy, as well as performing a prophylactic cervical cerclage

Prescribing patterns for acute respiratory infections in primary health care, Aseer region, Saudi Arabia

The objective of this study was to identify the patterns of prescribing for Acute respiratory infections in patients attending primary health care centers in the Aseer region, southwestern Saudi Arabia . This study was conducted at primary health care centers in the Aseer region during November 2003. A master sheet designed by the investigator was distributed to all the working physicians in the primary health care center in the Aseer region. The master sheet included the age, sex, complaints, signs, clinical diagnosis and the type of medications prescribed. Physicians were asked to include all patients attending on 17[th]P November 2003, and send the master sheet to the Technical Supervision Unit at Primary Care Department, General Directorate of Health Affairs. Data of the master sheet was entered and analyzed by using SPSS. The total number of patients attending with acute respiratory infections [ARIs] was 3000 which represented 25% of the patients attending primary health care centers that day. Children formed 60% of the total number of cases. Regarding symptoms and signs, it was found that 70% had a cough, 59% had a runny nose, and 43% had a sore throat. The common cold was the most common diagnosis [42%]. Antipyretics, antihistamines, antibiotics and antitussives were prescribed for 78%, 48%, 45% and 25% respectively. Statistical analysis using logistic regression revealed that the higher the temperature, the more severe the throat congestion and the presence of exudates on pharynx, the higher the likelihood to prescribe antibiotics. In this study, it was found that the prescription of all drugs for ARIs was still high in spite of the fact that these conditions are self-limiting. To rationalize prescribing for ARI, implementation of the national protocol for diagnosis and treatment of ARIs is mandatory. Further studies to explore the physician's knowledge, attitudes and behavior concerning prescribing for ARI is strongly recommended