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From the
Editor
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Abdul Abyad,
MD, MPH, MBA, AGSF, AFCHSE (Chief Editor)
Address correspondence
to:
Abdul Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor)
Abyad Medical Center & Middle East Longevity
Institute
Azmi Street, Abdo Center, 2nd Floor
PO BOX 618, Tripoli LEBANON
Tel & Fax: 961 6 443684/5/6
Email: aabyad@cyberia.net.lb
Web: www.amc-lb.com
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This is the eighth issue this year which has various
topics from the UK , Saudi Arabia , Libya, and
Jordan .
A paper from the UK looked at back pain. The
author stressed that patient-doctor agreement
is believed to promote the quality of interaction
and satisfaction; yet, to date, no study has
attempted to investigate the matching of back
pain patients' and doctors' expectations, nor
is there a valid measurement tool. The study
aims to explore the feasibility of using a newly
designed questionnaire for investigating the
congruence of patients' and doctors' expectations
in relation to back pain consultation. At the
end of the study the authors concluded that
there are some areas of mismatch that might
adversely affect the consultation. Further research
is needed to consolidate these results and to
establish the significance of matched expectations.
A prospective study involving 2000 infants from
Saudi Arabia looked at the increasing concern
about the decline in breastfeeding in Saudi
Arabia. The objective was to describe the pattern
and predictors of infant feeding in Al-Hassa,
Saudi Arabia. The findings revealed a significant
downward trend in breastfeeding and upward trends
in both bottle and mixed feeding rates with
increasing infant's age. The authors concluded
that breastfeeding, whether alone or mixed with
bottle feeding, dropped significantly at the
age of 6 months with further decrease at 12
months of infant's age. Mother's residence,
education and work status had significant effects
on feeding patterns at 4, 6, and 12 months of
age. On the other hand gestational, birth weight
and mode of delivery are significant predictors
of feeding pattern throughout infancy. These
predictors can be used to detect mothers, who
are more likely to stop breastfeeding early,
to be targeted in breastfeeding promotion and
support.
A review paper from Saudi Arabia looked at an
overview of child and adolescent mental health
in the Middle East. Available studies revealed
that prevalence of mental disorders in the Middle
East is similarly high as in other parts of
the world. Many risk factors and constraints
are prevalent in the region. However, there
are supporting factors that need to be promoted.
Situation of child and adolescent mental health
in the region as well as challenges facing any
future program are discussed. The authors are
hopeful that this viewpoint will stimulate debate
on child and adolescent mental health among
professionals and policy makers of the region.
A paper from Jordan looked at evaluation of conservative
management of ingrowing toe nail. Of those who
were treated conservatively stage I patients had
a response rate of 26 (96.2%) of the patients.
The authors concluded that conservative treatment
is a worthy trial for patients with ingrowing
toe nail especially in early stages of the disease
and should be offered to the patient; although
it needs a highly cooperative patient.
A paper from Libya looked at the relationship
between empowering women and domestic violence.
This paper critically re-examines the literature
to identify and apply relevant scientific principles
and evidence to inform regarding effective intervention.
It includes background on demographic data of
ever married Egyptian women between 19-49 years
old, and with an aim to developing an indicator
to assess the probability of empowerment women,
in order to combat domestic violence in the
hope of ending violence against women. Domestic
violence was experienced by 40 per cent of ever
married women in the sample. This paper explored
the relationship between women's empowerment,
and domestic violence, and it found that Women's
empowerment variables were significantly associated
with the degree of domestic violence prevalence.
This would mean promoting gender equality, empowering
women, and ending violence against women.
A second paper from saudi Arabia looks at Stroke
secondary to an unusual cause, dense
right sided hemiplegia aphasia, following blunt
trauma to his neck from repeated non-fatal manual
neck strangulation.
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