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May 2019 -
Volume 17, Issue 5

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From the Editor

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Original Contribution

Job satisfaction in PHC Kuwait
[pdf]
Huda Youssef Al-Ghareeb, Rihab Abdullah Al-Wateyan
DOI: 10.5742MEWFM.2019.93640

Falls in Older People with Diabetes Mellitus: a study from Kurdistan of Iraq
[pdf]
Asso Amin, Zana A Mohammed, Osama Shukir Muhammed Amin, Raed Thanoon, Saman H Shareef, Thomas James Oakley, Teshk Shawis
DOI: 10.5742MEWFM.2019.93641

Effects of oxytocin therapy on amount of breast milk in postpartum period in Maternity Teaching Hospital

[pdf]
Ismail Bilal Ismail
DOI: 10.5742MEWFM.2019.93642

Case Report

The crescent trachea: a new radiological sign of subclinical tracheal compression in patients with large goitres
[pdf]
Jason Toppi, Yik Seng Tham, Stephen Kleid
DOI: 10.5742MEWFM.2019.93643

What is the relationship between irritable bowel syndrome, smoking, hypertriglyceridemia, and fasting plasma glucose?
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2019.93644

Prevalence and Risk Factors of Childhood Abuse among Hadhramout University Students in Yemen
[pdf]
Fauzia Faraj Bamatraf DOI: 10.5742MEWFM.2019.93645

Announcement

The Wael Al-Mahmeed & IAS Research Training Grants and Fellowships for the MENA Region
[pdf]



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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Advertising Enquiries -
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.

May 2019 - Volume 17, Issue 5

From the Editor

period in Maternity Teaching Hospital. The author followed a control-case study design. It was carried out on 40 breastfeeding mothers immediately after delivery. They were divided into two groups, a case group and a control one. The case group received oxytocin 10 IU during the third stage of labor, while the control group did not receive it. The results of the present study indicated that although the case group were given oxytocin 10 IU during the third stage of labor, they did not differ from the control group that received nothing regarding the normal amount of their breast milk 2 hours after delivery. One week after the delivery; however, the normal amount of breast milk was higher in the case group than the control group, such that 6 mothers in the case group, while 3 in the control group had a normal amount of breast milk, respectively. The authors concluded that the mothers who had received oxytocin had a significantly higher level of breast milk than the control group; therefore, mothers who are diagnosed with probable low amount of breast milk are recommended to consume it.

A paper from Australia provides the first published description of a previously unrecognised radiological sign. Failure to recognise a crescent trachea can result in erroneous under-classification of high-grade goitres. This is important to establish, as tracheal compression may not be obvious on clinical examination nor history, but can result in significant tracheal narrowing.
Recognition of subclinical tracheal compression, based on a positive crescent trachea sign, is a relative indication for surgery, and can help optimise peri-operative management as well as patient safety.

A cross-sectional analytical study from Yemen looked at the prevalence and risk factors of childhood abuse among Hadhramout University Students in Yemen. The study was conducted in five colleges at Hadhramout university in the educational year 2015-2016.
Overall, 395 students, (57.5%) were males. Of the students (88.4 %) reported exposure to some form of child abuse in the form of emotional (79.2%), physical (75.7%) or sexual abuse (35.2%) of which 12.7 were reported to have been forced into sexual assault. Parents were the main perpetrators of physical and emotional abuse, while persons outside the home were the main perpetrator of sexual abuse. The results showed significant association between child abuse, sex of students and the family environment. Male students were significantly more likely to be physically, emotionally and sexually abused. Child abuse was also significantly more prevalent among students coming from homes with domestic violence and psychological problems among parents. The authors concluded that Child abuse is a common phenomenon, with long-term adverse effects among Hadhramout university students. Early diagnosis and preventive educational interventions can play a critical role in reducing the prevalence of child abuse and its harmful consequences.

Helvaci MR et al tried to understand whether or not there are some significant relationships between irritable bowel syndrome (IBS), smoking, and metabolic parameters. The study included 936 patients with the IBS and 346 control cases. Mean age of the IBS patients was 41.0 ± 14.7 (13-86) years. Interestingly, 63.2% of the IBS patients were female. Prevalence of smoking (35.2% versus 20.8%, p<0.001), chronic gastritis (CG) (80.4% versus 15.0, p<0.001), antidepressants use (46.4% versus 16.1%, p<0.001), hemorrhoids (37.1% versus 7.2%, p<0.001), and urolithiasis (22.0% versus 9.5%, p<0.001) and mean values of fasting plasma glucose (FPG) (111.9 versus 105.4 mg/dL, p= 0.002) and triglycerides (167.0 versus 147.3 mg/dL, p= 0.013) were all higher in patients with the IBS, significantly. The authors concluded that IBS may be a low-grade inflammatory process being initiated with infection, inflammation, anxiety, depression, sleep disorders, cancer fear, death fear, and smoking-like stresses, and eventually terminates with dysfunctions of the gastrointestinal and genitourinary tracts. There may be some significant associations between female sex, IBS, CG, depression, hemorrhoids, urolithiasis, smoking, higher FPG, and hypertriglyceridemia. FPG and triglyceride values may be sensitive acute phase reactants indicating some inflammatory processes like smoking and IBS in the body.

A second paper from Kurdistan in collaboration with the United Kingdom looked at Falls in Older People with Diabetes Mellitus. The authors followed a cross-sectional study that analyzed factors associated with higher incidence of falls among 150 older people with diabetes mellitus in Kurdistan. The results showed that incidence of falls were positively associated with increased age, longer duration of diabetes, treatment with insulin therapy and sulfonylureas, poor diabetes control, polypharmacy, decreased mobility, peripheral neuropathy, osteoarthritis, retinopathy, living alone, living in a care home, smoking and excess alcohol consumption.

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

 




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