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October 2019 -
Volume 17, Issue 10

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From the Editor

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Original Contribution

Abstract: Prevalence of Anemia among Saudi children aged 6 months to 5 years in a low altitude Area, Aseer Region, Saudi Arabia
[pdf]
Ayed A. Shati
DOI: 10.5742MEWFM.2019.93683

Abstract: The lowest is the safest value of plasma triglycerides
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2019.93684

Population and Community Studies

Abstract: Epidemiology of Depression Among Internally Displaced Secondary School Students in Tikrit
[pdf]
Nariman Mohammad Ahmed, Ahmed Mahmood Younus, Islam AR Zaradwy
DOI: 10.5742MEWFM.2019.93685


Clinical Research and Methods

Abstract: Is there a Relation between Left Ventricular Ejection Fraction by conventional Simpson’s method and Systolic Myocardial Velocity by Tissue Doppler in Heart Failure Patients?
[pdf]
Faida Ahmed Obeid
DOI: 10.5742MEWFM.2019.93686


Education and Training

Abstract: The Role of Self-Awareness, Augmented Artificial Intelligence and Enhanced Leadership Competencies in Developing Future Academic Physicians
[pdf]
Mansour, N., Rafeh, W., Afram, G.,
Zaatari, G.
DOI: 10.5742MEWFM.2019.93687

Continuing Medical Education

Abdominal wall - large ventral hernias and incisional hernia:
(Recent developments - the use of imaging and Botox injection)

[pdf]
Morry Brygel



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.

October 2019 - Volume 17, Issue 10

From the Editor

This is the tenth issue this year that has various papers dealing with anemia, depression , community issues and leadership strategies.

Shati A did a retrospective study to explore the prevalence of anemia among children done in Muhayel, Aseer region which located at the southwestern of Saudi Arabia. The study population included all children aged 6 month to 59 month seen in emergency room (ER) and underwent sampling for complete blood count for whatever the reason. Hemoglobin level (Hb), mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH) where taken.The study included 1,033 children aged between 6 and 59 months with a mean of 27.81±13.9 months. More than half of them were males 683 (66.1%). The prevalence of anemia was 29.3%; mostly mild 254(24.6%) or moderate 48(4.6%). Severe anemia was observed only in 1 child representing 0.1% of the sample. Microcytic hypochromic anemia was observed among 36.0% of the study sample, based on the WHO cut of levels of MCV and MCH. The author concluded that anemia, particularly microcytic hypochromic anemia is relatively still a public health problem among children in Saudi Arabia, despite the improvement in socio-economic status. Further research is recommended for deep investigation of the underlying factors, particularly nutritional habits.

Ahmed N.A et al, attempt to evaluate the prevalence of depression in secondary schools students in Tikrit city. This is a descriptive study with analytic component carried out on secondary schools, students in Tikrit district. Questionnaire were presented to all students in the schools that day, in the classroom, depending on the help and cooperation of the school's administration and teachers during spare time. The students filled out the questionnaires after explanation of each item by the researcher in about 35 minutes and returned them to researcher at the end of the session. Study revealed that 31 (19.4%), 19 (11.9%) of males and 91(56.9%), 30 (18.8%) are of females were of moderate and high depression score. Study revealed that 58 (25.1%), 23 (10%) of IDPS were of moderate and high depression score respectively as shown in table 2. Study revealed that 27 (23.3%), 13 (11.2%) of males IDPS were of moderate and high depression score respectively Study revealed that 31 (27%), 10 (8.7%) of females IDPS were of moderate and high depression score respectively. The authors concluded that that 58 (25.1%), 23 (10%) of IDPS were of moderate and high depression score respectively. The current study has found that the prevalence of depression by using the Columbia scale among secondary schools students aged (12-18) in Tikrit district was 81 (35.1%) %. Gender of the students has a significant effect on the occurrence of depression which is more in female.

Obeid F.A et al looked at the correlation between systolic myocardial velocity (Sm) obtained by Tissue Doppler imaging (TDI) and left ventricular ejection fraction (LVEF) measured by conventional Simpson's method in patients with heart failure. This study involved 85 patients with heart failure whose LVEF < 50% (mean age 58 (11) years), LV EF measured by conventional Simpson's method correlating with average Sm measured at septal, lateral, anterior and inferior side of mitral annulus by tissue Doppler echocardiography. The mean age of the 85 patients in the study was 58.48(11) years. The mean LVEF was 33.53 (9.94). A significant correlation was detected between systolic mitral annulus velocity Sm and LV ejection fraction EF (R: 0.609, p: 0.000). LV mean Sm obtained by TDI is a parameter that is easily obtained and practical, can be used to evaluate LV systolic function in patients with HF. The authors concluded that the assessment of average systolic myocardial velocity (Sm) could be used as an alternative to LVEF. This approach may be useful especially when the image quality is poor and maintain high accuracy in prediction LV systolic dysfunction.

Helvaci M.R et al ; tried to understand the safest value of triglycerides in the plasma. The study included 669 cases (393 females), totally. Mean age increased up to triglycerides value of 200 mg/dL, and there was an increase of triglycerides about 8.1 mg/dL for each year of aging. Male ratio increased parallel to increased triglycerides, gradually (32.3% versus 50.0%, p<0.001). Mean body mass indexes were 24.4, 27.0, 29.3, 29.9, and 30.1 kg/m2 in the five groups, respectively, and it was normal only in cases with the plasma triglycerides values of lower than 60 mg/dL. Fasting plasma glucose, hypertension, diabetes mellitus, smoking, and chronic obstructive pulmonary disease increased parallel to increased triglycerides, gradually, whereas low density lipoproteins and white coat hypertension increased just up to triglycerides value of 200 mg/dL. The greatest number of deteriorations (seven components, significantly) was observed just during passage from the first into the second groups. They concluded that Plasma triglycerides may actually be some acute phase reactants indicating disseminated endothelial damage, inflammation, fibrosis, and eventual atherosclerosis all over the body. There may be some significant relationships between plasma triglycerides and aging, excess weight, and smoking. The greatest number of deteriorations of components of metabolic syndrome were observed just above triglycerides value of 60 mg/dL.

Mansour, N et al; stressed that providing quality and cost-effective healthcare is a primary objective of healthcare systems globally. Published literature shows that healthcare quality is greatly dependent on the wellbeing of physicians; however, the latter has been scarcely reported among the key performance indicators (KPIs) of healthcare systems and perhaps has not received the needed attention from both healthcare systems and physicians. Recent literature reports that physicians' burnout rates and depression disorders have reached alarming levels that necessitate immediate attention and intervention by the healthcare systems at large. In parallel, there is growing evidence pertaining to the positive impact of developing leadership qualities, self-awareness, and embracing technology on physicians' wellbeing and overall performance. Such educational and training programs help them identify their personal and professional goals and eventually work towards achieving them. Thus, a Leadership Programs for Academic Physicians and Scientists (LeAPS) has been developed at the Faculty of Medicine and Medical Center at the American University of Beirut aiming at improving physicians' wellbeing through developing their self-awareness, augmented/artificial intelligence (AI) and leadership competencies.



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

 




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