Tomaso Casoni (1880-1933): A Pioneer Remembered

No abstract Keywords: History of Science, History of Medicine, Tomaso Casoni, Tripolitania, Imola, Libya, Italy, Hydatid disease, Casoni Test, Sassari, Biography, University of Bologna Libyan Journal of Medicine Vol. 3 (4) 2008: pp. 49-5

GÖRAN ROTHMAN (1739–1778): The Swedish Physician, Botanist, Author and North African Explorer

No Abstract. Keywords: Göran Rothman, Carl Linnaeus, Tripoli, Libya, Tunisia, Sweden, History of Science, Expeditions Libyan Medical Journal Vol. 4 (1) 2009: pp. 56-5

Tomaso Casoni (1880-1933): A Pioneer Remembered

No abstract Keywords: History of Science, History of Medicine, Tomaso Casoni, Tripolitania, Imola, Libya, Italy, Hydatid disease, Casoni Test, Sassari, Biography, University of Bologna Libyan Journal of Medicine Vol. 3 (4) 2008: pp. 49-5

Care for People with Diabetes during The Moslem Pilgrimage (Haj) An Overview

Haj is one of the five cardinal components of Islam commonly known as the five pillars of Islam. Approximately two million Muslims perform it each year. Haj involves travel to the holy sites in and around Mecca and Medina during a specified short period of time in a limited space, not usually inhabited by such a large number of people. This article deals with the effects of this event on diabetes and its management. The importance of this arises from the fact during Haj, the person's life routine changes as he travels to a different place of his own for a period of 4–6 weeks where geography, weather, diet, and habits are different. During Haj most people live what is effectively a very basic life in very crowded places. Therefore, medical conditions, such as diabetes, whose management depends on a stable routine, would predictably be affected significantly. People with diabetes should have enough time to consider a management plan for their diabetes. The objectives are to achieve a good control and avoid any complications that may be particularly associated with the conditions faced during Haj

Practical Management of Diabetes during Ramadan Fast

Fasting in Ramadan is obligatory for all healthy Muslim adults. No food or drink may be consumed between dawn and sunset [1]. Strictly speaking, the fast of Ramadan is a period of “intermittent fasting” or daily cycles of “alternating” fasting and feeding periods. The periods of the fasting and feeding vary by the geographical locations and by time of the year. During the month of Ramadan, there are two main meals in most Moslem communities. These are commonly referred to by their Arabic origin, namely the “Iftar” (i.e. break of fast immediately after sunset) and “Sohur or Suhoor” (i.e. pre-dawn meal). As the Islamic calendar year is lunar, Ramadan (the ninth month) therefore starts approximately 10 days earlier each year on the Gregorian calendar. This year, 2007, Ramadan is likely to start between 12th and 14th September

Authors’ Selection of Target Journals and Their Attitudes to Emerging Journals: A survey from two developing regions

Objectives: This study aimed to assess the factors that influence authors' decision when choosing a journal for publication and to assess authors' attitudes and practices regarding emerging journals. Methods:cross-sectional questionnaire-based study was conducted between April and July 2017 at Dubai Medical College, Dubai, United Arab Emirates, on a convenience sample of 2,764 healthcare professionals. Results: A total of 250 responses were received (response rate: 9%) and 152 valid respondents were included in this study (5.6%), of which the majority were male (61.2%) and aged 41–60 years (68%) from the Middle East and Africa. Most respondents (88.8%) had medical and/or dental qualifications and the majority were in senior clinical (55%) and academic (71.5%) positions. More than half of the respondents (62.5%) had published at least one article in the previous five years. Results showed that journal impact factor (JIF), indexation status, free submission and being international were important among respondents. Based on the respondents that shared their encounters with emerging journals (n = 114), 62 respondents (54.4%) regularly read certain emerging journals, 51 (44.7%) had been a peer-reviewer, 48 (42.1%) had cited content from an emerging journal at least once and 45 (39.5%) had published in emerging journals. Only 18 respondents (14.2%) were not convinced with the need for emerging journals and believed that all researchers should compete for publication in the same international journals. Conclusion: Selection of target journals is driven mainly by JIF, indexation status, free submission and a journal’s international status. A diverse range of opinions and attitudes regarding emerging journals were observed in this study.  Keywords: Journal Impact Factor; Open Access Publishing; Editorial Policy; Peer Review; Indexing; Publications; Attitude; United Arab Emirates

Aetiologies of Hyperprolactinaemia: A retrospective analysis from a tertiary healthcare centre

ABSTRACT: Objectives: This study aimed to evaluate the aetiologies of hyperprolactinaemia in the United Arab Emirates (UAE). Methods: This retrospective study used laboratory databases to identify all patients who underwent evaluation for prolactin at Tawam Hospital, Al Ain, UAE, between 2009 and 2015. Of those 2,280 patients, all patients with low or normal prolactin (n = 1,315) were excluded. Subsequently, charts of the remaining patients (n= 965) with hyperprolactinaemia were reviewed and those with incomplete work-ups or insufficient documentation of the hyperprolactinaemia’s aetiology were excluded (n = 458). Results: A total of 507 patients were included in the study. The average age at prolactin evaluation was 36 ± 13.2 years and the majority (67.1%) of patients were female. The most common reasons for requesting prolactin were menstrual disorders (29.5%), infertility (18%),evaluation of sellar masses (14.3%), ruling out seizures (13.4 %) and monitoring while on psychiatric medications (8.7%). The most common causes of hyperprolactinaemia were prolactinoma (17%), transient hyperprolactinaemia(14.6%), drug-induced side effects (14.4%), polycystic ovarian syndrome (11.8%) and seizure disorder (7.7%). In females, common aetiologies were prolactinomas, transient and idiopathic hyperprolactinaemia, while sellar masses, seizures, chronic kidney disease and acute illnesses were common aetiologies of hyperprolactinaemia in males. The prolactin level varied between the different aetiologies and a level of >250 ng/mL was suggestive of macroprolactinoma. Conclusion: A significant proportion of patients with hyperprolactinaemia have transient hyperprolactinaemia. Before further investigations are carried out, prolactin level assessment should be repeated, especially in patients with mild hyperprolactinaemia.Keywords: Hyperprolactinemia; Prolactinoma; Etiology; Epidemiology; United Arab Emirates

Diabetes, driving and fasting during Ramadan:the interplay between secular and religious law

A large proportion of the Muslim population fasts during Ramadan. The risk of hypoglycemia is increased with fasting during Ramadan in people with diabetes who are on insulin and insulin secretagogues. Therefore, the combination of fasting with diabetes and driving presents a challenging situation, with legal implications for such individuals and their healthcare professionals. This novel, narrative, non-systematic review discusses the importance of addressing hypoglycemia in fasting with reference to secular legal guidance on driving with diabetes. We discuss religious aspects relating to fasting and driving in Islam. While there is no clear guidance or legal position on diabetes and driving for individuals who are fasting, Islamic law provides a logical framework to address this. Healthcare professionals need to raise and facilitate discussions on this often-overlooked topic with people with diabetes who are planning on fasting to minimize the potential for public harm. For some individuals fasting perhaps should be avoided when driving and that this religiously compatible position would best be adopted when one is dependent on driving for livelihood. Ultimately further research on glycemic control and management when fasting and driving, as well as a formal legal guidance on this topic, is required to safeguard healthcare professionals and the public from the potential dangers of driving with diabetes and fasting