The Middle East Journal of Internal Medicine

August 2015 -
Volume 8 Issue 3

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Current Issue
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From the Editor
Editorial

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Original Contributon and Clinical Investigation

Poor adherence to inhaler therapy in patients with bronchial asthma: Rates and causes
[pdf version]
Sultan K. AlSureehein, Rakan M. Haddad, Ghaith Abu Alsamen Khaled M. Alnadi, Wafa S. Alsyoof

Leg ulcers in severity of sickle cell diseases
[pdf version]
Mehmet Rami Helvaci, Cumali Gokce, Ramazan Davran,Seckin Akkucuk, Mustafa Ugur, Ali Ozcan

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Medicine and Society

Virology vigilance - an update on MERS and viral mutation and epidemiology for family doctors
[pdf version]
Lesley Pocock, Mohsen Rezaeian

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Models and Systems of Care

Art of Killing?
[pdf version]
Safaa Bahjat

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Travel Medicine: A Case of Multiple Sclerosis

Travel Medicine: A Case of Multiple Sclerosis
[pdf version]
Hassan N. Ayyoub

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Chief Editor:
Ahmad Husari MD FCCP D'ABSM
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Publisher:
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesley@mediworld.com.au

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Editorial enquiries:
editor@me-jim.com

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Advertising Enquiries:
lesley@mediworld.com.au
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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.

Journal Edition - Volume 8, Issue 1

From the Editor
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Ahmad Husari
Editor, Middle-East Journal of Internal Medicine
Director, American University of Beirut Sleep Disorders Center
Director, American University of Beirut outpatient clinical care services
Assistant Professor
Division of Pulmonary and Critical Care Medicine
American University of Beirut Medical Center
Beirut Lebanon
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In this issue we have papers on the causes and rate of adherence to inhaler therapy in patients with bronchial asthma in Jordan. The authors found non-adherance was found to be significant and due to non-drug related causes and mainly caused by poor patient understanding of their condition and treatment. Education of patients is required to improve rates of adherence.

A paper from turkey looks at whether or not there are some positive correlations between leg ulcers and severity of sickle cell diseases (SCDs). The authors concluded that SCDs are chronic destructive processes on capillaries initiating at birth, and terminate with early organ failures in life. Probably leg ulcers are found among the terminal consequences of the inflammatory processes that may indicate shortened survival.

A joint paper from Australia and Iran looks at virus mutation and spread. When there is still so little known about viruses it is important to know patterns of spread and mutation so that medical practitioners remain alert for new mutations and outbreaks and the global spread of existing viruses.

A paper from Iraq looks at the burden of war and particularly the use of degraded uranium during regional conflicts, causing short term and long term genetic damage to populations where it has been used.