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  Citation statistics : Table of Contents
   2015| September-October  | Volume 7 | Issue 5  
    Online since July 12, 2017

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The profile of diabetic children in Benghazi, Libya 2013
Ekram Abdelrahman Ben Sauod, Mohamed Kamal Elfasi
September-October 2015, 7(5):164-168
Background and Objectives: Diabetes is a public health challenge and its prevalence appears to be increasing worldwide. We aimed to assess the epidemiological characteristics of diabetes mellitus in children, and to describe its effect of on health. Materials and Methods: Descriptive cross sectional study was conducted in Benghazi pediatric diabetic clinics by interviews questionnaires to the parents of the patients based on published international and national guidelines. Results: Female to male ratio was 1:1.2. History of parental consanguinity was 32.7%. Positive family history of diabetes was 48%. Glycosylated hemoglobin and random blood glucose clinic values indicated suboptimal control. No psychological support in the clinics, but nutritional education was present. Delayed growth or pubertal development reported in 38% of the children. Conclusions: Patients with T1DM do attend on fairly regular follow-up to the clinics, families share the children in healthy diet but health education does not seem adequate and formal psychological support is non-existing whereas it should have been an integral part of standard management. Metabolic control in this convenience sample was poor. There is an amble room for improvement to bring practices to the internationally and nationally accepted standards.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 641 86
Perceptions of health care professionals of the medical aspects of driving safety: An electronic survey
Salem A Beshyah, Waleed S Beshyah, Salim Yaghi, Anas S Beshyah, Muhammad H Farooqi, Abdulfattah Lakhdar
September-October 2015, 7(5):169-175
Background: Driving a motor vehicle is a highly coordinated process involving a series of learned reflexes and carefully made conscious decisions. The evaluation of an individual's ability to drive is a legal and safety necessity. Various factors such as age and illnesses can affect individual's ability to drive. Objectives: The aims of the current survey were to ascertain the level of awareness among medical professionals of fitness to drive and to evaluate their perception of some select medical aspects of fitness to drive and regulatory aspects of driving. Materials and Methods: This is a survey of 520 health care professionals addressing select clinical and regulatory issues regarding medical aspects of driving. A de novo questionnaire of four domains was developed based on the study objectives. The target population was identified from pooled lists of health care contacts. A widely used web-based commercial survey management service was utilized. Results: Out of the 520 respondents, males and females constituted 63.5% and 36.5% respectively. Country of residence of respondents include: UAE (55.2%), other Arabian Gulf countries (13.3%), rest of MENA region (14.8%), Western Europe and North America (12.3%) and other regions (1.9%). 47.4% of the respondents were hospital doctors while 16.4% were primary care physicians. 57.3% of the respondents thought the age threshold which requires medical assessment ranged between 60-70 years. There was a wide range of intervals of reissuing licenses (1-5 years) in countries where restrictions apply above a certain age. 92.5% identified a list of conditions as declarable to authorities. More than half of respondents considered the following conditions as relevant and declarable to the authorities in a descending order of frequency: epilepsy, visual impairment, alcoholism and drug dependency, blackouts and syncope, dementia, stroke with hemiplegia and insulin-treated Diabetes. The principal safety concerns for driving with diabetes were addressed by 94.6% of respondents. 79.3% identified hypoglycemia and 18.1% identified visual impairment (diabetic retinopathy) as major barriers to safe driving. 85.1% of respondents thought that the driving risks to be higher in insulin-treated (85.1%) than in sulphonylurea-treated (9.6%) diabetic patients. The majority of respondents believe that doctors have an obligation to alert their patients about diseases that risk their driving abilities and drivers have an obligation to provide all required details to their insurance companies. Confidentiality issues were addressed in the questionnaire and 316 (68.4%) thought that both physicians and diabetic patients need to report relevant information to regulatory driving authorities and insurance companies. Conclusion: This survey indicates that there is a considerable awareness among health care professionals regarding medical conditions that may affect an individual's ability to drive. Furthermore, it seems that confidentiality issues were not considered a major barrier by health professionals when driving becomes a major threat to patients and public.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 694 98
Pulmonary manifestations of adult polycystic kidney disease: Case report and literature review
Wanis H Ibrahim, Fatema A Rasoul
September-October 2015, 7(5):169-172
Adult polycystic kidney disease (ADPKD) is an autosomal dominant condition that can be associated with several extrarenal manifestations including hepatic and pancreatic cysts, cardiac valve abnormalities, intracranial aneurysms, diverticulosis, and abdominal wall hernias. Pulmonary manifestations of ADPKD are scarcely described in literature. Only a couple of retrospective reports have described increased prevalence of radiographic bronchiectasis in patients with ADPKD. In this paper, we describe a young man with bronchiectasis as the sole presentation who was incidentally discovered to have ADPKD. A point of strength in this report is that other causes of bronchiectasis have been excluded by detailed history and extensive laboratory investigations.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 778 105
Manuscript peer review for emerging journals: Where we go from here?
Salem A Beshyah, Elmahdi A Elkhammas
September-October 2015, 7(5):155-157
Full text not available  [PDF] [CITATIONS]
  1 433 119
Eosinophilic esophagitis: A brief review
Basil Michael Kahwash, Vinay Prasad
September-October 2015, 7(5):158-163
Eosinophilic esophagitis (EoE) is an emerging disease. It is defined as a chronic hypersensitivity disease characterized by localized inflammation of the esophagus. Here we present a focused summary of current medical understanding of the disease, including the diagnostic criteria, management approaches and future directions of research.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 623 94
The third clinical congress of the gulf chapter of the American Association of Clinical Endocrinologists, October, 29th-31st 2015, Dubai, UAE
Salem A Beshyah, Nasreen Alsyed, Ebaa Al-Ozairi, Jumaa Al Kaabi, Mohamed Lamki, Ali Al Zahrani, Aly B Khalil, Ahmed Hassoun, Mahmoud Zirie
September-October 2015, 7(5):184-210
These are the advance abstracts of the third clinical congress of the Gulf Chapter of the American Association of Clinical Endocrinologists to be held on 29-31 of October 2015. The educational objective of the congress is to give a “state of the art in endocrine practice”. International and regional key opinion leaders were invited to address topical issues relating to the practice of diabetes care and clinical endocrinology. We present the abstracts of the congress as submitted by the authors after minimal restyling and editing to suit the publication requirements of the journal. Several major issues and topical themes with wide interests in the profession were addressed in 9 plenary lectures. Six clinical practice symposia were developed to target the specific educational needs of the target audience subgroups. In addition to, 16 practical issues will addressed in “Meet the Expert”- type of interactive workshops. Free communications from abstracts submitted by delegates, reflecting mostly the regional epidemiology and clinical practice in diabetes care and endocrinology, were selected for presentations as either oral (10) or poster presentations (30). By publishing the proceedings of our third annual congress in this open access journal, we hope to extend the benefit to those who could not make it to the live presentations and give a safe home for all the abstracts for future reference. Making them permanently available may facilitate regional and international networking and collaboration between clinicians and academics of shared interests.
[ABSTRACT]   Full text not available  [PDF]
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Colchicine poisoning: A case of deliberate self poisoning, late presentation and fatal outcome
Elham A Draa, Ali S Arebi, Safwan Alarabi
September-October 2015, 7(5):180-183
Colchicine poisoning is relatively uncommon, but potentially life threatening event due to the high toxicity of the drug and ability to precipitate severe multi-organ failure in overdose. Colchicine is used primarily in the treatment of acute attacks of gout and inflammatory diseases. We report a the first case of a 18 -year-old Libyan female who presented to the emergency department approximately 20-28 hours after ingesting 30 mg of colchicine in a suicide attempt. In spite of gastric lavage, use of activated charcoal and supportive measures, multi-organ system failure developed over the following two days, and patient died on the third day after admission. Salient toxicological and clinical aspects of colchicine poisoning are discussed.
[ABSTRACT]   Full text not available  [PDF]
  - 681 96