November 2016 -
Volume 9 Issue 3

Click the icon to view and download PDF of this journal issue

Current Issue
........................................

Original Contributon and Clinical Investigation

Renoprotective evaluations of different angiotensin inhibitors on Diabetic Nephropathy in Rats
[pdf version]
Kawa F. Dizaye, Asmaa A. Ahmed

Digital clubbing may be a pioneer sign of cirrhosis in sickle cell patients
[pdf version]
Mehmet Rami Helvaci, Orhan Ayyildiz, Orhan Ekrem Muftuoglu, Lesley Pocock

........................................

Community Care

Cutaneous Leishmania in Wadi Hadramout, Yemen
[pdf version]
S Amer Omer Bin Al-Zou

........................................

Office based medicine

Obesity Management in Primary Health Care
[pdf version]
Abdulrazak Abyad
........................................

Chief Editor:
Ahmad Husari MD FCCP D'ABSM
........................................

Publisher:
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesley@mediworld.com.au

........................................

Editorial enquiries:
editor@me-jim.com

........................................

Advertising Enquiries:
lesley@mediworld.com.au
........................................

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 - August 2016, Volume 9, Issue 2

From the Editor
......................................................................................................................................................................


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

.........................................................................................................................
.
............................................

This is the last issue this year of the journal. The issue has papers from various countries in the region dealing with various topics. In addition with this issue we are Introducing the Middle East Primary Care Quality Improvement program (MEQUIP). See www.mejfm/MEQUIP/index.htm

A paper from Yemen attempt to describe epidemiological and clinical features of cutaneous leishmana cases. It was a retrospective descriptive records review of all patients with cutaneous leishmaniasis diagnosed at the Seiyun general hospital from January to December 2013.

A total of 122 patients were diagnosed with cutaneous leishmaniasis. The age of patients ranged between 1 to 62 years and the mean age is 26.5 ± 18.1 years. Most of the patients 56(45.9%) were of age group less than 20 years. The most common type of lesions were nodulo-ulcerated 52(42.7%) followed by nodular 45(36.9%). The distribution of sex, in which males and females of age group less than 20 years, were predominant 38 (31.1%) and 18 (14.8%) respectively. The authors concluded that that Wadi Hadramout is an endemic region of leishmaniasis and our findings will be of great interest to the public health authorities in Hadramout.

A paper from Turkey investigated the possibility that t Digital clubbing may be a pioneer sign of cirrhosis in sickle cell patients. All patients with SCDs were taken into the study. The study included 397 patients (193 females and 204 males). There were 36 patients (9.0%) with digital clubbing. The male ratio was significantly higher in the digital clubbing group (66.6% versus 49.8%, p<0.05). The author concluded that SCDs are chronic catastrophic processes on endothelium particularly at the capillary level, and terminate with accelerated atherosclerosis induced end-organ failures in early years of life. Digital clubbing may show an advanced disease and be a pioneer sign of cirrhosis in such patients.

A paper from Iraq was designed to compare the effectiveness of different angiotensin inhibitors; direct rennin inhibitor (Aliskiren), angiotensin-converting enzyme inhibitors (Ramipril) and angiotensin II receptor blocker (Irbesartan) in prevention and treatment of nephropathy in a group of rat diabetic nephropathy in rats. Diabetic nephropathic rats showed a significant increase in blood glucose level, blood pressure, heart rate, serum urea, serum creatinine, in addition to deteriorating renal functions including (urine flow, glomerular filtration rate, Na+ and K+ excretion rate, albumin and creatinine in the urine). The administration of (Ramipril, Irbesartan, and Aliskiren) caused a significant reduction in blood pressure, blood glucose, serum urea, Na+ and K+ excretion rate, with a significant improvement in urine flow and glomerular filtration rate. All three drugs induced a significant elevation in serum K+ concentration. The authors concluded that administration of different angiotensin inhibitors (ramipril, irbesartan, & aliskiren) could slow the progression of nephropathy in alloxan induced diabetic rats. Both ramipril and irbesartan have the same renoprotective effects for most parameters.

A review paper form Lebanon looked at obesity Management in Primary Health Care. The author stressed that Obesity is a key public health problem across the world. Easy solutions are unlikely, given the complex interaction between the abundant availability of energy dense food, the ever decreasing demand for energy expenditure in the modern world. This review paper address the issues of overweight and obesity in primary health care.

 

 

 

 
 


Home
: About MEJFM : Journal : Advertising :
Author Information : Editorial Board : Resources : Contact Details
Disclaimer © Copyright 2007 medi+WORLD International Pty. Ltd. All rights reserved