This is the fourth issue
this year and has various papers from the Region
which includes collaborative work of some authors
ALhasan M.Z et al investigated mass causality
training by Jordanian level 3 hospital in Liberia.
The authors stressed that mass casualties had
associated with high risk of violence and injuries.
They adapted guidelines from whos community
emergency preparedness : a manual for managers
and policy makers(who 1999). They analyzed the
situation through breaking the problem into
its components to examine risks, their causes,
possible preventive strategies, response and
recovery strategies and trigger events for these
strategies. They identified the required resources
for response and recovery strategies , resources
available ,discrepancy between requirement and
availability, and responsibility roles and responsibilities
designation: to individuals and organizations.
The final written emergency plan will consist
of outputs of each step of the process.
Alqahtani, S investigated the perception and
parents Knowledge about High Body Temperatures
in Children and Treatment Methods at Home. The
objective of the study was to gauge the knowledge
of parents about fever in their children and
what treatment methods they do at home to treat
it through a questionnaire. The study involved
random selection of Saudi parents who have encountered
having febrile children. A total of 353 parents
completed the questionnaires. The study sample
consisted mainly of mothers (62.3%). Fifty four
percent of the parents are working (192) while
the other forty five percent are not (161).
A total of 38% of the parents believed that
the best place to take the temperature of child
is the ear (tympanic) followed by armpit (axilla)
37.1%. The rest of the parents took temperature
orally (21%) and rectally (4%) respectively.
In this study, about 43% believed that 37 degrees
Celsius is the normal body temperature of a
child followed by 36 degrees Celsius (20.4%).
Approximately 30% of the parents considered
a child with a temperature of 38-38.4 degrees
Celsius as feverish followed by 38.5-39.90 degrees
Celsius (26.3%).This study shows that parents
should be more aware about high body temperatures
and its consequences. There should be more health
teaching among parents to correct the misconceptions
they have about fever. Also, parents should
be informed about different home treatments
and its consequences. There is a need to develop
programs that educate parents and provide them
with information they need to better address
the fever of their children.
Helvaci MR et al; tried to understand whether
or not there are some relationships between
rheumatoid arthritis (RA) and systemic lupus
erythematosus (SLE) according to mean age of
onset, frequency, and gender distribution in
society. The study was performed in Medical
Faculty of the Mustafa Kemal University between
March 2007 and April 2016. All patients applying
to the Internal Medicine Policlinic were included
into the study. The study included 223 males
and 210 females, totally. Mean ages of them
were 30.4 versus 30.3 years, respectively (p>0.05).
SLE was diagnosed in 6.0% of them (24 females
and two males), and 92.3% of the SLE patients
were female. Mean age of the SLE cases was 37.0
± 13.6 (17-58) years. On the other hand,
RA was diagnosed in 2.7% of them, so SLE was
much more frequent in the society (p<0.001).
Beside that 50.0% of the RA patients were female
(six females and six males), so female predominance
of the SLE was higher than RA (p<0.001).
Mean age of the RA patients was 44.5 ±
7.6 (30-57) years, so RA patients were significantly
elder than the SLE patients (p= 0.038). The
authors concluded that because of the similar
clinical presentation types, similar treatment
agents, similar prognosis, and difficulties
in differential diagnosis, RA may be one step
further of the SLE due to its lower prevalence
in the society (2.7% versus 6.0%, p<0.001),
similar prevalences in both genders (50.0% versus
92.3% in females, p<0.001), and higher mean
age of onset (44.5 versus 37.0 years, p= 0.038).
Helvaci MR et al; tried to understand effects
of hydroxyurea on sexual performance in sickle
cell diseases (SCDs). The study was performed
between March 2007 and September 2013.The study
included 337 patients (169 females). Mean number
of painful crises per year was decreased with
hydroxyurea (10.3 versus 1.7 crises per year,
p<0.000). Mean severity of painful crises
was decreased, too (7.8/10 versus 2.2/10, p<0.001).
Although mean body weight, hematocrit (Hct)
value, and mean corpuscular volume (MCV) increased,
white blood cell (WBC) and platelet (PLT) counts
and direct bilirubin, total bilirubin, and lactate
dehydrogenase (LDH) values of serum decreased
(p<0.000 for all). Parallel to these improvements,
the mean number of sexual intercourse per month
increased, significantly (2.0 versus 6.8, p<0.001).
We detected hepatotoxicity in 13 acute painful
crises among 1.211 episodes, totally (1.0%).
All of them healed completely with withdrawal
of all of the medications but not hydroxyurea
alone. The solitary adverse effect of hydroxyurea
was prominent anemia in higher dosages in 16
patients (4.7%), and they completely healed
with transient withdrawal and decreased dosages
thereafter. The authors concluded that Hydroxyurea
decreases frequency and severity of painful
crises, WBC and PLT counts, direct and total
bilirubin, and LDH values of serum, whereas
it increases mean body weight, Hct value, and
MCV. Parallel to these physical and clinical
improvements, mean number of sexual intercourse
per month and chance of fertility increase in
both genders in hydroxyurea users.
MD, MPH, AGSF, AFCHSE