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  Citation statistics : Table of Contents
   2016| January-February  | Volume 8 | Issue 1  
    Online since July 11, 2017

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Patients' gifts: Should physicians accept them?
Mohsen Eledrisi, Abdel-Naser Elzouki
January-February 2016, 8(1):1-2
Full text not available  [PDF] [CITATIONS]
  1 266 70
Glycemic control for type 1 diabetic children in Tripoli children Hospital, Tripoli, Libya
Faten Ben Rajab, Salha Gliwan, Asma Moktar
January-February 2016, 8(1):15-18
Background: Management of type 1 DM (T1DM) has changed dramatically over the past 30 years. Newer insulin regimens improved the ability to maintain nearnormal glycaemia safely. We aimed to audit our experience with two different strategies of insulin therapy namely premixed insulin (BD) and multiple daily injections (MDI) by assessment of well being, glycemic control and risk of acute complications. Patients and Methods: Patients T1DM for at least 1year who are attending at the endocrine clinic in Tripoli Children's Hospital between 2006 and 2007 were studied. Patients who were on BD insulin and got changed to MDI insulin were reviewed (20 patients) and those who on BD insulin and poor diabetic control (HbA1C > 9) were switched to MDI and were followed up for 1 year. The age of patients at the time of diagnosis of DM ranged from 2-16 years (mean 8.2±3.2 years). Results: 88% of patients were on twice daily therapy for about 1-6 years before they were switched to MDI; when we reviewed patient's age at starting MDI, our patients can be divided in 2 groups, 1st group includes patients aged from 2-7yrs (younger age group) and they were on twice daily therapy and second group patients aged from 8-16 years with mean age 13yrs±2.4years on MDI. After one year of follow up, 70% had normal weight, 24% were underweight and 6% were overweight. 2% of patients on BD insulin had HbA1c <7% improved to 26% after one year on MDI. 30% of those on BD insulin had acceptable HbA1c 7-9% which improved to 56%after one year on MDI. 68% of those on BD insulin with poor glycemic control (HbA1c>9%) improved to 18% on MDI for one year (P<0.001 for all groups). Hypoglycemia occurred in 26% of patients on BD insulin therapy reduced to only 2% after they were switched to MDI. Diabetic ketoacidosis (DKA), occurred in 14% of patients on BD insulin therapy reduced to none in children on MDI therapy. Conclusion: Most of our patients who has received MDI have better growth, glycemic control and experienced less hypoglycemia and DKA. We recommend generalization of intensive insulin therapy as the standard of care to all our patients.
[ABSTRACT]   Full text not available  [PDF]
  - 437 65
Nurses' and doctor's attitude to patient education barriers in Najran armed forces Hospital, Saudi Arabia
Imed Harrabi, Saad Al Ghamdi, Xilavi Alinah
January-February 2016, 8(1):19-22
Objective: We aimed to assess nurses' and doctor's attitude to patient education barriers in Najran Armed Forces Hospital (NAFH). Materials and methods: This is a cross-sectional study targeting health care professionals in NAFH. The study was conducted during April 2015. The studied participants were all nurses and doctors who work in NAFH. Anonymous self-administered questionnaires were used to obtain information on sociodemographic background including age, gender, marital status and professional category. The questionnaire collected data on attitudes to barriers of participation in patient education. Descriptive statistics were used to analyze the main qualitative and quantitative variables. Chi-square was used to compare percentages. P-value < 0.05 was considered significant. Results: A total of 128 nurses (n= 106) and doctors (n= 22) participated in the study. Most of the participants (71.9%) were female. The mean age was 33.8±8.1 years with statistical difference between males and females (36.2±8.8 years among males vs. 32.7 ±7.6 years among females; p=0.03). Participants believed that shortness of time (68.8%), lack of common language and culture for communication with patient (91.6%) and the lack of patient's motivation for learning (85.7%) were the most important causes of insufficiency of patient education. Conclusion: the exploration of health professional attitudes concerning patient education issues is an essential precursor to a debate about how barriers may be overcome, and about the appropriate skill mix and employment arrangements required to manage health care services in the future.
[ABSTRACT]   Full text not available  [PDF]
  - 425 75
Acquired hypogonadotrophic hypogonadism and bipolar disorder in a middle-aged man: Unresolved and perplexing management issues
Ali El-Houni, Ian M O'Connell
January-February 2016, 8(1):23-25
A case of acquired hypogonadotropic hypogonadism (AHH) associated with bipolar disorder in a middleaged man is presented and the unresolved and perplexing management issues are discussed. The area of care in endocrinology is immensely neglected and currently understudied. We hope to attract attention, focused care and perhaps research to look into the etiologic approach for managing such cases with this considerable amount of complexity, which endocrinologists and psychiatrists commonly encounter in their practice.
[ABSTRACT]   Full text not available  [PDF]
  - 424 70
New editorial arrangements: More involvement of authors and recognition of peer-reviewers
Elmahdi A Elkhammas, Salem A Beshyah
January-February 2016, 8(1):26-27
Full text not available  [PDF]
  - 222 59
Measuring obesity: Fat or fit!
Nasr Anaizi
January-February 2016, 8(1):3-14
Obesity is widely recognized as a major global health challenge because of its strong association with multiple cardiometabolic risk factors including diabetes, hypertension, and coronary artery disease. It compromises the quality of life and shortens life expectancy. This minireview discusses firstly the physiological mechanisms involved in energy homeostasis including peptidergic signalling of hunger and satiety from the GI tract mediated by the gut hormones (ghrelin, CCK, PYY, GIP, GLP-1,), and the status of energy stores from the adipose tissue mediated primarily by leptin, secondly, the field methods used in clinical practice to estimate the degree of obesity and lastly, management of the obese patient.
[ABSTRACT]   Full text not available  [PDF]
  - 412 91