June 2023 -
Volume 21, Issue 5

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From the Editor



Original Contribution

Exclusive breastfeeding for the first six months after birth: A cross-sectional study in health care centers in Khartoum, Sudan
Walid Tawfig, Lateefa Othman Aldakhil
DOI: 10.5742/MEWFM.2023.95256105

Prevalence and ultrasound features of polycystic ovaries in young females examined by pelvic ultrasound in primary health care in Qatar. Electronic Medical record-based study
Tamer F. Ali, Abdelwahed Samir Abougazia
DOI: 10.5742/MEWFM.2023.95256106

Venous Thromboembolism Awareness among Saudis Risk Group at Primary Health Care Centers in Riyadh
Afaf Hakami, Hessa Almutairi, Mashael Alqwaiee, Fatemah Altheyab, Hanan Abuhaimid, Wejdan makrami, Maryam Almatrafi, Nadiah Alanazi, Huda Almofrih, Nora Alheleel, Nouf Al-Helail
DOI: 10.5742/MEWFM.2023.95256107

Prevalence of Colonic Diverticulosis among Adult patients with Obesity and metabolic syndrome conditions, a Retrospective Study at a University Hospital in Saudi Arabia
Hani Jawa, Mohammed Alfawaz, Waleed Alghamdi, Almoutaz Hashim, Enad Alsolami, Faisal Aljehani Meshari Abdulaziz Althobaiti, Fayafi Nidhal Alghazzawi, Reem Abdulraouf Ghaza, Lama Abdulmuti Alharbi, Muath Saeed Alharbi
DOI: 10.5742/MEWFM.2023.95256108

Acute painful crises may be causes of sudden deaths in sickle cell diseases
Mehmet Rami Helvaci, Mehpare Camlibel, Burcu Yuksek, Alper Sevinc,
Celaletdin Camci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2023.95256109

Use of Uterine and Ovarian Arteries Doppler Parameters for the Prediction of Infertility in Females
Syed Muhammad Yousaf Farooq, Nazish Zulfiqar, Meryem Zulfiqar,
Syed Amir Gilani, Zareen Fatima, Asif Hanif, Amer Akhter
DOI: 10.5742/MEWFM.2023.95256113


Role of glucagon-like peptide-1 analogues in weight management
Bilal Hasan Chaudhry, Laith AlMarsomi
DOI: 10.5742/MEWFM.2023.95256110

Helicobacter Pylori infection; the challenging task of improving eradication rates in light of rising antibiotic resistance, a literature review
Asad Islam
DOI: 10.5742/MEWFM.2023.95256112

Regional Covid

Effect of COVID-19 lock down on development of infants and toddlers
Muhammad Qaisar Jamal Khattak, Bilal Hasan Chaudhry
DOI: 10.5742/MEWFM.2023.95256114

Middle East Quality Improvement Program

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


Publisher -
Lesley Pocock
medi+WORLD International

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June 2023- Volume 21, Issue 5
This is the fifth issue this year that is rich with papers from the region of interest to primary care physicians. Tawfig, et al., did a cross-sectional survey on 128 mothers who came for children's vaccination at primary health care centers using a structured questionnaire in form of dichotomous, multiple choice, and open and scaling questions. The aim to analyze mothers' breastfeeding knowledge, attitudes, and practices, as well as factors that impact EBF at 6 months. Of all mothers, 80.5% previously received information about breastfeeding. Of them, 38 (29.7%) initiated breastfeeding within 1 h of delivery. The authors concluded that EBF for up to 6 months was not recommended despite the high percentage of mothers who initiated breastfeeding right after birth or within a few hours. Sustained health and community-based nutritional education are recommended for pregnant and lactating mothers to promote optimal breastfeeding for the initiation and continuation of breastfeeding practices. More counseling and support are needed for working mother

Chaudry & Almarsomi, reviewed the role of glucagon-like peptide-1 analogues in weight management. They stressed that obesity is a growing concern in all parts of the world. It carries major health concerns which are in turn translated to financial costs. Alongside patient education and guidance, both surgical and pharmacological methods are being employed to control weight. A major breakthrough in this regard has been introduction of glucagon-like peptide-1 analogues (GLP-1), which have now been approved for use in weight management.

Jawa et al., looked at the prevalence of colonic diverticulosis among adult patients with obesity and metabolic syndrome conditions. 342 patients diagnosed with diverticulosis and confirmed by colonoscopy and CT scan were included with age above 18 years old receiving a health examination, measurement of percentage of body fat, blood test and colonoscopy. Women with body mass index (BMI ? 30) had a greater risk developing diverticulosis (PR, 1.58; 95% CI, 1.05-2.06) when compared to women with normal BMI. by gender, in patients less than fifty-one, occurrence of colonic diverticulosis was less in female patients compared to male ones (29% vs 45%, P=.06). The authors concluded that the risk of colonic diverticulosis has an obvious correlation to obesity specially in women whose BMI ?30. When comparing by age, colonic diverticulosis was less predominant in premenopausal-age women compared with similar-age men. These findings may be due to female sex hormones that enhance diverticulosis development.

Ali et al., followed a multi-center retrospective descriptive electronic record-based study for all subjects with a valid ultrasound of the ovaries done in PHCC health centers from 1 January 2021 to 31 December 2021. The aim of this study is to estimate the prevalence and ultrasound features of PCOS among young females. The current study showed prevalence of PCO among young female with age ranging from 15 to 35 years to be 6.85% with majority of cases being bilateral. While unilateral cases were more at right ovary. The authors concluded that Ultrasound plays a major role in PCO diagnosis. The assessment of the ovaries has been greatly improved by sonographic diagnostic criteria of PCO. In addition to demonstration of ovarian size, ultrasonography can evaluate the characteristic patterns of follicles distribution and ovarian stromal changes.

Hakami, et al., reviewed Venous Thromboembolism Awareness Among Saudis Risk Group at Primary Health Care Centers in Riyadh. VTE is an outcome from an inequity of hemostasis and thrombosis. It is important to note that VTE is a disease of complex nature that occurs within families. Genetic as well as acquired risk factors play an important role in its occurrence. VTE risk assessment and prophylaxis constitute part of the preventive tools that can be utilized at health care providers level. Therefore, reviewing whether VTE risk status has been established and administering approved VTE prophylaxis are accepted to be the central healthcare provider role [. Healthcare practitioners are ought to identify patients at risk of developing VTE and select the appropriate therapy, thus reducing its incidence .In addition, to the PE's risk of death, DVT frequently results in a post-thrombotic syndrome that lowers quality of life. Therefore, VTE prevention is an area that could be targeted to promote health and safety not only in healthcare settings, but also community.

Dr. Islam., reviewed the challenging task of improving eradication rates of heclicobacter pylori in light of rising antibiotic resistance. Helicobacter pylori (H. pylori) infection continues to be a major public health issue worldwide. A global systematic review shows that in 2015, approximately 4.4 billion individuals worldwide were estimated to be positive for H. pylori. Factors such as density of housing, overcrowding, number of siblings, sharing a bed, and lack of running water have all been linked to a higher acquisition rate of H. pylori infection. The problem of recurrence of H. pylori infection after successful treatment also appears closely associated with socioeconomic and sanitary conditions.

Farooq, et al., conducted a cross-sectional analytical study for a duration of 9 months in Lahore, Pakistan. Study included 150 fertile and 150 infertile females aged 18-45. The aim is to evaluate the Doppler indices of uterine and ovarian arteries in fertile and infertile women and help clinicians develop more effective diagnostic and treatment strategies for infertility. Age of participants range between 19 to 43 years. Independent sample test showed statistical significance between RI and PI of right ovarian artery of both groups (P < 0.05). However, in left ovarian artery the values of PI in both groups showed a significance (P< 0.05) were as values RI are found to be insignificant (P > 0.05). Independent sample test showed statistical significance between RI and PI of right and left uterine artery of both groups (P < 0.05). The mean + SD endometrial thickness in fertile group was 11.0 + 2.6 mm it was 9 + 1.6 mm in infertile group (Table 3). Indicating a significant difference between the two groups (P < 0.05). The authors concluded that Uterine and Ovarian artery hemodynamics plays an important role in fertility. Findings from this study revealed that a high RI and PI and thin endometrium significantly affects fertility.

Khattak et al., looked at the Effect of COVID-19 lock down on development of infants and toddlers. The COVID-19 lockdowns played a major role in restricting growth of disease(1) and that saved many lives.(2) However, COVID-19 lockdowns had some major drawbacks too. There was a significant impact on economy (2) and it undoubtedly affected the development of infants and toddlers in multiple ways. This paper looks at impact of COVID-19 lockdown on infants and toddlers.