Health professionals' perceptions of cultural influences on stroke experiences and rehabilitation in Kuwait

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Informa UK Ltd.Purpose: The aim of this study was to investigate the perceptions of health professionals who treat stroke patients in Kuwait regarding cultural influences on the experience of stroke and rehabilitation in Kuwait. Health professionals interviewed were from a variety of cultural backgrounds thus providing an opportunity to investigate how they perceived the influence of culture on stroke recovery and rehabilitation in Kuwait. Method: Semi-structured interviews were carried out with 12 health professionals with current/recent stroke rehabilitation experience in Kuwait, followed by thematic analysis of the verbatim transcripts. Results: The health professionals identified several features of the Kuwaiti culture that they believed affected the experiences of stroke patients. These were religious beliefs, family involvement, limited education and public information about stroke, prevailing negative attitudes toward stroke, access to finances for private treatment, social stigma and the public invisibility of disabled people, difficulties identifying meaningful goals for rehabilitation, and an acceptance of dependency linked with the widespread presence of maids and other paid assistants in most Kuwaiti homes. Conclusion: To offer culturally sensitive care, these issues should be taken into account during the rehabilitation of Kuwaiti stroke patients in their home country and elsewhere

Clinicopathological features of extranodal lymphomas: Kuwait experience

A total of 935 patients with extranodal non-Hodgkin lymphoma (NHL) diagnosed in the period between January 1985 and December 2000 in Kuwait Cancer Center, serving the whole population of Kuwait, were used to describe the clinicopathological and epidemiological features of extranodal lymphomas in Kuwait. Extranodal lymphomas accounted for 45% of all NHL observed during this time. All NHL cases from Kuwait Cancer registry were analyzed and pathologically reclassified using the latest WHO ( 2000) classification. The most common lymphoma observed was diffuse large B-cell lymphoma (58.60%) followed by Burkitt's lymphoma (BL) (3.80%). In the pediatric group, BL comprises more than two thirds of all patients (77.20%). The most common extranodal sites were stomach (19.70%) and skin (17.80%) in the adult group, large intestine (29.80%) and small intestine (19.30%) in the pediatric age group. The majority (73.40%) of adult extranodal lymphomas was in stage IE - IIE and had a very good prognosis. On the contrary, the majority of pediatric extranodal lymphomas were found to be in stage III and IV. Variations in treatment policies ( single agent or combined chemotherapy, radiotherapy, combined modality treatment) adopted and changed during the time period of 16 years of this retrospective study were documented. Copyright (C) 2004 S. Karger AG, Basel

Tilapia culture in Kuwait: constraints and solutions

Tilapia farming in Kuwait is in its early stages. Slow growth, high production cost and poor demand are the major constraints to the expansion of tilapia culture in Kuwait. This article presents some suggestions for overcoming these problems to improve the economic feasibility of tilapia culture in Kuwait

The effect of national culture on information flow

The primary purpose of this paper is to test the effect of national culture on service provision within Islamic Insurance(Takaful). This paper seeks to incorporate the following constructs: Power distance, information gap and information flow as an observed variable represented by hierarchical driven information gathering and sharing or functional driven information gathering and sharing. The secondary purpose, is to investigate Hofstede’s claim regarding the homogeneity of Arab culture in which he believes dominated by the religion of Islam. The sample (n=462) were employees of Takaful operators in Kuwait and Egypt, and they completed the questionnaires in a self administrated method. To test the hypotheses, structural equation modelling using Analysis of Moments structure (AMOS) was employed. It was found that there is differences in information flow between Kuwait and Egypt. Kuwait was found low power distance and functional driven information gathering and sharing mediated by low information gap, whereas Egypt was found high power distance provide information in hierarchical driven information gathering and sharing mediated by high information gap. Another finding, was the significant evidence that is not supporting Hofested’s claim of homogeneity of all Arab culture. Result show clearly how two different Arab countries varies in the services they provide within a sector that unique to the Arab cluster. This paper confirms an existing theory that to the best of the researcher knowledge has never been tested which adds to the body of knowledge in general and Takaful industry in particular how national culture may affect service provision. Secondly, it disconfirm Hofstede’s claim of homogeneity of the Arab culture as it evidently proves the cultural differences between Kuwait and Egypt

Medical errors : Healthcare professionals’ perspective at a tertiary hospital in Kuwait

Medical errors are of economic importance and can contribute to serious adverse events for patients. Medical errors refer to preventable events resulting from healthcare interactions, whether these events harm the patient or not. In Kuwait, there is a paucity literature detailing the causes, forms, and risks of medical errors in their state-funded healthcare facilities. This study aimed to explore medical errors, their causes and preventive strategies in a Kuwait tertiary hospital based on the perceptions and experience of a cross-section of healthcare professionals using a questionnaire with 27 open (n = 10) and closed (n = 17) questions. The recruited healthcare professionals in this study included pharmacists, nurses, physicians, dentists, radiographers, hospital administrators, surgeons, nutritionists, and physiotherapists. The collected data were analysed quantitatively using descriptive statistics. A total of 203 participants filled and completed the survey questionnaire. The frequency of medical errors in Kuwait was found to be high at 60.3% ranging from incidences of prolonged hospital stays (32.9%), adverse events and life-threatening complications (32.3%), and fatalities (20.9%). The common medical errors result from incomplete instructions, incorrect dosage, and incorrect route of administration, diagnosis errors, and labelling errors. The perceived causes of these medical errors include high workload, lack of support systems, stress, medical negligence, inadequate training, miscommunication, poor collaboration, and non-adherence to safety guidelines among the healthcare professionals.Peer reviewe

Religious faith and psychosocial adaptation among stroke patients in Kuwait: A mixed method study

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Springer Science+Business Media.Religious faith is central to life for Muslim patients in Kuwait, so it may influence adaptation and rehabilitation. This study explored quantitative associations among religious faith, self-efficacy, and life satisfaction in 40 female stroke patients and explored the influence of religion within stroke rehabilitation through qualitative interviews with 12 health professionals. The quantitative measure of religious faith did not relate to life satisfaction or self-efficacy in stroke patients. However, the health professionals described religious coping as influencing adaptation post-stroke. Fatalistic beliefs were thought to have mixed influences on rehabilitation. Measuring religious faith among Muslims through a standardized scale is debated. The qualitative accounts suggest that religious beliefs need to be acknowledged in stroke rehabilitation in Kuwait

Financial Integration of GCC Capital Markets:Evidence of Nonlinear Cointegration

This paper employs a nonparametric test to investigate nonlinearity in the long-run equilibrium relationship between GCC stock markets returns. The results in the paper show strong evidence of bivariate and multivariate cointegration between five of GCC stock markets. However, Bahrain stock market is evidenced segmented from the group of GCC markets. It is indicated that there is bivariate nonlinear cointegrating relationship linking Kuwait stock market with each of Saudi, and Dubai markets. Nonlinearity also realized between Saudi market and each of Dubai and Abu-Dhabi markets, as well as between Muscat and Kuwait stock markets.Cointegration;nonlinear,unit roots

Book Review: Farah Al-Nakib’s ‘Kuwait Transformed’

Kuwait Transformed traces the history of Kuwait’s urban development, in a well-researched account of the interplay between economic transformation, the built environment and everyday life in the Gulf nation of four million. While Kuwait Transformed is an urban history, Farah Al-Nakib grounds her writing in the present to reflect on Kuwait’s current challenges. The book retells the city’s history and also sets out a vision for Kuwait to reclaim its urbanity, with greater citizen involvement in planning and a more vibrant public life. Acknowledging her own perspective as a Kuwaiti, the author provides both critical reflection on the city she was raised in, as well as a keen interest in restoring a new kind of urbanism. Kuwait Transformed critiques urban planning in Kuwait since the discovery of oil in 1932. The pursuit of modernity, and adoption of both Western planning practices and lifestyles, are criticised for creating a built environment where private life is valorised above the shared, public life of pre-oil Kuwait. This text extends in many ways on the seminal work of Saba George Shiber, a former planner in the Kuwait Ministry of Public Works, who published The Kuwait Urbanization in 1964. Shiber witnessed Kuwait’s rapid transformation first-hand, and produced a comprehensive critique of the ‘meteoric, radical, ruthless’ effects of oil revenue, removing all physical evidence of the city’s past and causing social upheaval. Fifty years on, Kuwait Transformed reflects on the longevity of these impacts and continued urban change

Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study

This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2012 Informa Healthcare USA, Inc.Life satisfaction and self-efficacy are important aspects of stroke rehabilitation. Previous research focuses on Western stroke survivors, neglecting the stroke experience in the Middle East. This research was conducted in Kuwait and entailed both quantitative and qualitative phases to obtain a more comprehensive, clinically relevant understanding of self-efficacy and life satisfaction during stroke rehabilitation in this culture. The aims were to: 1) investigate the relationships between self-efficacy and life satisfaction in female patients affected by stroke (Phase 1); and 2) explore health professionals' views regarding the importance of self-efficacy and possible strategies for enhancing self-efficacy during rehabilitation, through semi-structured interviews (Phase 2). Significant correlations were found between patients' general self-efficacy, and psychosocial adaptation self-efficacy following stroke. Self-efficacy (both general and psychosocial adaptation) showed significant correlations with life satisfaction post-stroke. Health professionals (more than half of whom were physiotherapists) recognised the importance of self-efficacy within stroke rehabilitation and identified five main ways to increase self-efficacy during stroke rehabilitation. These were to: 1) motivate and encourage patients; 2) provide more education about stroke and rehabilitation; 3) identify change; 4) offer a high-quality environment and therapy; and 5) set goals. In conclusion, psychosocial self-efficacy was identified as having a stronger relationship to life satisfaction compared with general self-efficacy within this sample of Kuwaiti female patients. Health professionals suggested various strategies for enhancing self-efficacy and thereby life satisfaction post-stroke during the rehabilitation process in Kuwait. Despite the collectivist culture of Kuwait, the findings indicate that the patient's own confidence and sense of responsibility for progress may be relevant to rehabilitation

Shock and volatility spillovers among equity sectors of the Gulf Arab stock markets

Upon examining own volatility dependency for the three major sectors, namely Service, Industrial and Banking, in four GCC economies (Kuwait, Qatar, Saudi Arabia and UAE), the empirical findings suggest that Banking seems to be the least sensitive among the sectors to past own volatility, while Industrial is the most volatile to the onset of past shocks or news. Sector volatility spillovers show that Saudi Arabia has the least inter-sector spillovers, while tiny Qatar has the most. Saudi Arabia seems to be the most sensitive to geopolitics, while Kuwait is the least affected. The constant conditional correlations between the three sectors for all four GCC markets echo different economic advantages and varying roles in the economy. We also provide two examples using the estimates of the GCC equity sector markets for portfolio designs and hedging strategies.