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January 2009 - Volume 7, Issue 1
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From the Editor
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Original Contributon and Clinical Investigation

Analysis of referrals from employee’s health clinic to specialty care, at a teaching hospital in Riyadh city, Saudi Arabia
Dr Rajab Ali Khawaja, Dr Asad Ali Khawaja

An Analysis of High School Students’ Knowledge and Attitudes Towards HIV/AIDS in Saudi Arabia: Implications for Health Education
Dr Saad A Alghanim
Efficiency of Seminal Fructose Estimation Ss a Marker of Seminal Fluid Colonization with Bacteria
Zakeria A.Yaseen AL-KHAYAT, Kawther I. AL-HARMINI, Sardar nouri AHMED
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Medicine and Society
Health Promotion Practice Among Primary Care Physicians in Qatar
Dr. Mohamed Ghaith AL-Kuwari, Dr. Ahmad Essa Al- Muraikhi
Survey of Knowledge, Attitudes and Practices: Enhanced Response to TB ACSM, Iraq
Dr. Thamer Kadum Yousif, Ihasan Mahmoud Al Khayat, Dhafer Hashem Salman
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Education and Training
An Ethical Business Approach to A New Equitable Era in Medical Educationand Healthcare Delivery
Lesley Pocock
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Clinical Research and Methods
How to Visualize Public Health Data? Part Two: Direct and Indirect Standardization Methods
Dr. Mohsen Rezaeian
FNA as an indication for thyroid surgery without the need for further investigations
Mohammed Almulaifi, Khaled Ajarma, Waseem al Mefleh, Ashraf Shabatat, Khaled Khalayleh, Ibtihaj Habashneh, Ali Al-Ebous
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Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
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Phone: +61 (3) 9819 1224
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Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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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.

January 2009 - Volume 7, Issue 1

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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We congratulate Dr. Mona Alshaik Almahmood from Bahrain, who has been selected as MEJFM Middle East Doctor of the Year.

This is the first issue this year and we would like to wish our readers happy start of the year and for all the supporter of the journal. This is the seventh year for the journal and the journal has gained wide success in the region and we look forward for continuous improvement with the help of our editorial team , the production team and our readers.

In this issue a descriptive study from Saudi Arabia used a questionnaire to investigate students' knowledge of and attitudes to HIV/AIDS. A total of 600 questionnaires were distributed randomly to students at four high schools (two girls' and two boys'). Despite the majority of high school students correctly identified the main modes of HIV/AIDS transmission, there was a relative deficiency in their knowledge about the disease. The authors concluded that there is need to provide students with correct information on HIV/AIDS infection.

A paper from Iraq looked KAP Survey of Knowledge, Attitudes and Practices Enhanced Response to TB ACSM, Iraq. The authors stressed that Iraq is one of the high TB burden countries in the eastern Mediterranean region with the highest tuberculosis burden. The estimated incidence of all TB forms accounted for 56/100000 population in 2006(Global TB report 2008). The authors stressed that Iraq has implemented its National TB Program (NTP) according to WHO guidelines since the late seventies. This program included BCG compulsory vaccination for infants, DOTS strategy in treatment of active cases with screening, prophylaxis and treatment of latent TB cases.

A retrospective cross-sectional study from Ministry of health, Kingdom of Saudi Arabia analyzed referrals from employee's health clinic to specialty care, at a teaching hospital in Riyadh city. The authors found that family physicians tend to manage more health related problems by themselves and refer less to specialist care. The results of this study can be used as an aid for decision makers in the health services for determining policy and determine which services are overstaffed or in need of additional resources.

The second statistical paper looked at Direct and indirect standardization methods. The author stressed that Spatial data visualisation is the accurate description of data taking into account the component of space. Although plots of data such as box plot are among the fundamental tools for data visualisation in general, for the spatial data visualising maps are the most important tools. One necessary step in producing a map is to standardise the rates of disease mortality and morbidity. The aim of the present article, which is the second article in a series of two, is to discuss the pros and cons of two most important ways of standardisation i.e. direct and indirect methods using a hypothetical example.

A paper from Hawler medical university looked at the Efficiency of seminal fructose estimation as a marker of seminal fluid colonization with bacteria.

A prospective study was carried out on eighty five infertile men, and the results were compared with twenty six fertile men. The authors concluded that estimation of seminal fluid fructose is not an efficient marker for the presence of bacterial colonization in the semen.

A cross sectional questionnaire attempted to measure the level of health promotion practice among primary care physicians in Qatar. The authors concluded that although health promoting health is one of the key role primary care physicians, the current practice rate remains low. More training and incentives concerning health promotion intervention is required for physicians in order to contribute effectively to health promotion.

A paper from King Hussein Medical Centre looked at FNA as an indication for thyroid surgery without the need for further investigations. A total of 100 patients with clinical thyroid nodules were studied. The authors concluded that F.N.A is reliable, highly accurate and aids in selection of patients for thyroid surgery and decrease also the need for other investigations namely thyroid isotope scan.

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