medicine is a science and art. In a number of countries in
the world the medical school is under the school of art. Medicine
is a science when we try to solve and differentiate the problem
and an art when dealing with the patient as a human being.
This issue of the journal deals with various
issues in Family Medicine from surgical problems to behavioral
A special editorial that will appear in a number
of medical journals by the Ian Roberts the editor, of the
Cochrane Injuries Group and Clinical Co-ordinator of the CRASH-2
trial. In this editorial
In this editorial the author stressed that in
people at between the ages of 5 to 45 years, trauma is second
only to HIV/AIDS as a cause of death. He added that Anti-fibrinolytic
agents have been shown to reduce blood loss in patients with
both normal and exaggerated fibrinolytic responses to surgery.
There is a need to do a large randomised trial of the use
of a simple, inexpensive, widely practicable anti-fibrinolytic
treatment such as tranexamic acid. The author finally stressed
the importance to recruit enough patients for the Crash 2
trial that will be a large international, placebo controlled
trial of the effects of the early administration of the anti-fibrinolytic
agent tranexamic acid on death, vascular events and transfusion
Dr Al-Eisa et al. presented presents a paper
on risk factors, diseases and sociodemographic background
distribution among attendants of the Health Promotion Clinic
at in the Capital Health Region, Kuwait. The authors reviewed
700 subjects attending the clinic. They showed that 9.1% of
subjects were smokers, 34.7% were obese, 11.3% had hypertension,
10.0% had diabetes, and 21.3% had hyper-cholestrolaemia. The
authors stressed at the end the importance of the Health Promotion
Clinic for early detection of diseases and risk factors.
A research paper on "Neurodevelopmental
Outcome at 12 months in Preterm Infants with Post-Haemorrhagic
Ventriculomegaly, Hydrocephalus and Periventricular Echodensities"
by Owaidha et al. studied prospectively the outcome at 12
months of age in four different groups of infants with intraventricular
haemorrhage. They carried out follow up assessments at 12
months. The authors revealed that neuromotor outcome is more
a function of parenchymal damage than of ventriculomegaly
per sec and hydrocephalus following haemorrhage should be
managed aggressively to prevent severe neurological damage.
The study by Prof Kavari SH analyzed the The
results of requesting C.C.U. Beds by the hospital Emergency
emergency ward from the Emergency Medical Services (EMS) in
Shiraz university University of Medical Sciences in year 2003.
The paper on radiofrequency surgery reviewed
the modalities and discussed the advantages of such an approach
to ano-rectal diseases. Treatment of a child who has Bartter's
syndrome with ibuprofen was reported from Kuwait. In addition
there are a number of regional news and development articles.