JOURNAL
Current Issue
Journal Archive
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July 2018 -
Volume 16, Issue 7

View this issue in pdf format

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From the Editor

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Original Contribution / Clinical Investigation

Primary care physicians’ barriers to initiate insulin in Type 2 diabetes mellitus. A survey from the Eastern Province, Saudi Arabia
[pdf]
Alshoalah Qasim M, Alfaraj Nada A, Krishanani Mukesh K, Khamis Amar H
DOI: 10.5742MEWFM.2018.93470

Alarming consequences of the sickle cell diseases
[pdf]
Mehmet Rami Helvaci, Bekdas Tekin, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2018.93472

Prevalence and Determinants of Burnout among Primary Healthcare Physicians in Qatar
[pdf]
Mohamed Salem, Muna Taher, Hamda Alsaadi, Abdulla Alnema, Samya Al-Abdulla
DOI: 10.5742MEWFM.2018.93474

Diagnosis of Pulmonary Tuberculosis by measurement of ADA, CEA and PCR in Bronchoalveolar lavage and compare with smear and culture of BK in the patient with pulmonary infiltration
[pdf]
Parinaz Koohi Habibi Dehkordi, Sayed Mahdi Ayat, Maryam Sharifzadeh, Hamid Rouhi Broujeni, Foroozan Ganji , Roya Habibian
DOI: 10.5742MEWFM.2018.93477

The effect of opioid use on pulmonary function test in advanced COPD patients
[pdf]
Parinaz Koohi Habibi Dehkordi, Hamid Rouhi Boroujeni, Hamid Sohrabpour, Abbas Fadaei
DOI: 10.5742MEWFM.2018.93478

Population and Community Studies


Relationship between life skills with functional impairment and sexual satisfaction in women
[pdf]
Farideh Mohsenzadeh-Ledari, Afsaneh Keramat, Ahmad Khosravi
DOI: 10.5742MEWFM.2018.93476

The effect of FIFA 11+ injury prevention program on dynamic balance and knee Isometric Strength of Female players in soccer super league
[pdf]
Maedeh Taghizadeh Kerman, Ahmad Ebrahimi Atri, Seyed Ali Akbar Hashemi Javaheri
DOI: 10.5742MEWFM.2018.93475

Comparison of Sexual Behavioral Patterns and Mental Health in male and female Victims of Betrayal in Family courts of Tehran city
[pdf]
Negar Razeghi, Nasrollah Ansarinejad, Masoud Navidi Moghadam
DOI: 10.5742MEWFM.2018.93471

Basic Research

Investigating the cytotoxic effect of chamomile aqueous extract on 4T1 and 47D cells and level of caspase3 protein in breast cancer cells T-47D
[pdf]
Farkhondeh Mohammadzadeh Ghaleghazi, Fatemeh Safari, Narges Baharifar, Abdolkarim Sheikhi
DOI: 10.5742MEWFM.2018.93473


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

July 2018 - Volume 16, Issue 7

From the Editor

In this issue various papers from the region deal with important issues in primary health care.

Qasim M, A et al ; explored barriers that PHC physicians in the Eastern Province, KSA, face in initiating insulin therapy for type 2 diabetes mellitus. A self-administered questionnaire was used among PHC physicians in the Eastern Province (Dammam and Qatif) during January and February 2014. A total of 194 primary care physicians were surveyed, with an overall response rate of 84%. Half of the physicians reported that they have no experience with the initiation of insulin. This study showed that PHC physicians faced many problems in initiating insulin for type 2 diabetic patients. Organizing focused CPD sessions and implementing clear guidelines supported with insulin initiating algorithm will make insulin initiation easier. The PHC system should provide supporting staff such as chronic care nurses, dieticians, diabetic educators and pharmacists to work in a collaborative team with PHC physicians.

Helvaci, M,R et al; looked at some alarming consequences of sickle cell diseases (SCDs). The study included 434 patients (212 females) with similar ages in males and females (30.8 versus 30.3 years, respectively, p>0.05). Chronic obstructive pulmonary disease (25.2% versus 7.0%, p<0.001), ileus (7.2% versus 1.4%, p<0.001), cirrhosis (8.1% versus 1.8%, p<0.001), coronary heart disease (CHD) (18.0% versus 13.2%, p<0.05), chronic renal disease (CRD) (9.9% versus 6.1%, p<0.05), and stroke (12.1% versus 7.5%, p<0.05) were also higher in males. There were 31 mortality cases (17 males) with similar ages in males and females (30.2 versus 33.3 years, respectively, p>0.05). The authors concluded that SCDs are severe inflammatory processes on vascular endothelium at the capillary level, terminating with an accelerated atherosclerosis induced end-organ failures and a shortened survival in both genders. Leg ulcers, digital clubbing, CHD, DVT and/or varices and/or telangiectasias, cirrhosis, CRD, and BPH may be the alarming consequences of SCDs indicating an advanced disease.

Salem, M et al carried a Descriptive cross-sectional study, this study was conducted at the Primary Health Care Corporation (PHCC) in Qatar and it included all physicians from seven health centers affiliated to primary health care in Qatar. The sample size was 144 physicians from both genders male and female. With response rate 90%. The prevalence of burnout in the study sample reaches 16.08% among primary health care physicians. No significan

Ledari, F,M et al; examined the relationship between life skills with functional dysfunction and sexual satisfaction in women referred to health centers of Shahroud University of Medical Sciences. The data collection tool was four questionnaires of demographic, General Health (GHQ-28), Life Skills and Sexual Function Index (FSFI).Data were analyzed using SPSS. Mean score of sexual function was 58.07 ± 10.63 and sexual satisfaction was 4.38 ± 0.99. The average total score of life skills was 508.99±46.82, which was ranged from lowest amount in the professional skills as 10.42 ± 2.13 and the highest amount in mental health as 81.93 ± 9.10. There was a significant relationship between life skills and sexual satisfaction and functional dysfunction. (p0.05). The findings of the study indicated a relationship between life skills and sexual satisfaction and functional dysfunction, so that an increased functional dysfunction and sexual dissatisfaction was observed in people with low life skills.

Ghaleghazi, D, M et al; Investigated the cytotoxic effect of chamomile aqueous extract on 4T1 and 47D cells and level of caspase3 protein in breast cancer cells T-47D. Breast cancer cells 4T1 and T-47D were treated by blue extract of Chamomile with various concentrations for 24 hours and then using MTT method, the rate of cytotoxic effect of Chamomile was checked on abovementioned cells. This study showed that Chamomile extract significantly reduced breast cancer cells survival concentration-dependent compared to control group. Dependent on concentration and time, the Chamomile extract also increased caspase3 protein, indicating induction of apoptosis in mentioned cells. The authors concluded that chamomile extract, dependent on concentration and time, was able to remove breast cells that can be arising from increasing the level of caspase3 protein. These results can be used in future studies on the anti-cancer effect of Chamomile extract.

Negar Razeghi, N et al;compared the sexual behavioral patterns and mental health in women and men victims of identity in the family courts of Tehran. In order to achieve this purpose, 100 cases of women and men (50 males and 50 females) were referred to courts and cluster couples who were referred to the court or to family counseling centers through ministry of justice. Data of findings showed that the difference between mean obsessive-compulsive disorder, interpersonal sensitivity, depression, and anxiety was significant in both male and female victims. According to the men’s mean in obsessive-compulsive indices, anxiety was significantly higher than women, and in depression, aggression and interpersonal sensitivity in women is more than men, and also the difference in mean sexual function in two groups of women and men are not victims of betrayal.
Kerman, M, T et al; surveyed the effect of FIFA 11+ injury prevention program on on dynamic balance and knee isometric strength of female players in soccer super league.

Sample of study were included 30 subjects of female players of Shahrdari Bam, super league soccer team. 11+ injury prevention training protocol should be completed within eight weeks, at least two times a week and approximately 20-25 minutes. Research finding indicates that 11+ injury prevention training program led to significant increase in flexion and extension strength of knee joint and dynamic balance in the posterior and poster-lateral directions in experimental group (p>0/05). The authors concluded that because 11+ injury prevention program includes special soccer movements, plyometric, strength and balance trainings, it has effect on muscular strength and dynamic balance in posterior and poster-lateral directions in professional soccer players. It can also be preventive factor in lower extremity injuries because of increasing knee strength.

Dehkordi, P,K, H et al; looked at the role of opium in the management of patients with advanced COPD remains undefined. They studied two groups of patients with COPD who were attending the chest clinic of Labaffinejad hospital. Group A- consists of COPD patients with history of smoking alone and group B- patients who consume opium in addition to cigarette smoking. Results shows that there is significant difference (p = 0) between two groups for FVC and FEVl. We conclude that opium may have an beneficial effect to improve Jung function in patients with sever COPD.

Dehkordi, P,K,H et al; looked at the Diagnosis of Pulmonary Tuberculosis by measurement of ADA.CEA and PCR in Bronchoalveolar lavage. They did a cross sectional study conducted in Shahrekord Hajar hospital and then 100 patients enrolled in our study (62 female,38male). These patients admitted in hospital and we done bronchoscopy with BAL and then fluid analysed for ADA,CEA , PCR and sputum smear for TB .from 100 patient that evaluated in this study 9 patient had TB , 39 patient had pneumonia, 11 patient had primary lung malignancy, 9 patient had metastases to lung and 8 patient had bronchitis. In Patients with TB the level of ADA were not significantly elevated in BAL. ADA increased significantly in patients with pneumonia (P: 0/95). In patients with metastases to lung & primary lung cancer &combination of both group compared to other patient without malignancy there were not relationship between CEA . PCR was positive in TB and other patients, but significantly increased in TB. (p=0/021). The authors concluded that although thought that CEA may be elevated in BAL of patients with malignancy and ADA in tuberculosis we did not found correlation in these patients. this study show that ADA and CEA levels in BAL fluid do not help us in diagnosis of TB or cancer. it may be has false positive in pneumonia ,COPD ,and other disease ,but PCR for TB may by help us for TB diagnosis but not alone.

Chief Editor:
A. Abyad
MD, MPH, AGSF, AFCHSE
Email: aabyad@cyberia.net.lb

 




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