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From
the Editor
..........................................................................................................................
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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A prospective study from Pakistan looked at
the frequency of causes peculiar to secondary
hypertension in a tertiary care hospitals. A
total of 70 patients with confirmed diagnosis
of secondary hypertension were randomly included.
The authors concluded that thyrotoxicosis, pregnancy
induced hypertension and pre-eclampsia, Cushing
syndrome and glomerulonephritis, in their descending
order are major contributors to the development
of secondary hypertension in our patients.
A paper from Qatar looked at the usage of tobacco
products . The author stressed that tobacco
use is a major public health problem with prevalence
of 37% and imposes a huge burden on health care
services. The author described Qatar's approach
in tobacco control, which is based on three
strategies, are: legislative measures to raise
public awareness, and providing smoking cessation
services for smokers. The author stressed that
a tobacco control strategy in Qatar needs to
be modified to tackle a number of challenges
that have appeared recently.
A retrospective descriptive study was submitted
from Jordan on all patients with the confirmed
diagnosis of congenital heart disease referred
for echocardiography .The author concluded that
the majority of patients with CHD detected have
non-cyanotic CHD. TOF is the commonest cyanotic
lesion and VSD non-cyanotic lesion. In order
to avoid complications, early detection of congenital
heart disease is of utmost importance for proper
management. 2D-echo with Doppler examination
forms the gold standard for diagnosis.
A paper from Bangladesh assessed the knowledge
and use of contraception of ever-married women
of a district of Bangladesh namely Naogaon.
The data analysis revealed that the current
use rate of contraception is high enough (above
ninety percent) and most women currently use
modern methods.
A paper from Nepal looked at various GP newly
graduated to looked at their capabilities in
working in rural areas. The authors concluded
that factors affecting GP recruitment in Nepal
are complex and interacting. Addressing these
issues requires a holistic and integrated response
to encourage, place and appropriately use the
skills of GPs.
A paper from Iran Looked at war. According
to the statistics in the year 2000, mortality
caused by war-related injuries has been estimated
to be the 18th leading cause of death in Eastern
Mediterranean Region (EMRO) of the World Health
Organization (WHO), which justifies paying more
attention to it. The author discussed the health
impacts of the most recent war within the region
i.e. the war in Iraq on the above patterns in
order to highlight that this war has enormously
deteriorated the fragile situation within the
region.
A case report from Amman looked at Appendiceal
duplication. The case was discovered incidentally
intraoperatively. A 20-year old male patient
admitted to a surgical ward in our military
field hospital in Iraq, with symptoms and signs
of acute appendicitis. Intraoperatively the
patient was found to have appendiceal duplication.
Appendectomy was performed successfully, with
a smooth post operative course.
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