General public knowledge, perceptions and practice towards pharmaceutical drug advertisements in the Western region of KSA

AbstractThis study aims to examine general public knowledge and behavior toward pharmaceutical advertisements in the Western part of KSA. A cross sectional convenience sampling technique was used in this study. A total of 1445 valid questionnaires were received and analyzed using SPSS version 16 at alpha value of 0.05. Majority of respondents were aware of different types of drugs to be advertised and drug advertisements should seek approval from the health authorities. Television and Internet showed the highest effect on consumers. Almost half of the participants preferred an advertised drug over non-advertised one. Most of the respondents indicated that the quality of frequently advertised drugs is not better than those prescribed by the doctors. Majority of participants had positive beliefs toward advertised drugs concerning their role in education and spreading of awareness among the public. Pharmaceutical advertisements harm the doctor–patient relationship as evidenced by one-third of the investigated sample. Moreover, majority of the participants mentioned that they would consult another doctor or even change the current doctor if he/she refused to prescribe an advertised medication. Results of this study could be used to develop awareness programs for the general public and try to enforce the regulations and policies to protect the general public and patients from the business oriented pharmaceutical companies and drug suppliers

Prevalence and Classification of Amphistomes in Cattle and Buffaloes

Amphistomes are snail-borne trematodes infect rumens and reticulums capable of causing acute and chronic disease in cattle and buffaloes. A total of 897 of cattle and buffaloes were examined by faecal examinations and by postmortem examinations in Giza and Garbia governourates. The collected Amphistomes were morphologically and histologically classified. We found that the incidence of Amphistomes in totally examined animals was 4.9%. The incidence was higher in the oldest animals(than young), in the spring (than other seasons) and in Garbia (than Giza). But the incidence was the same in males and females. The collected Amphistomes were classified as Paramphistomum microbothrium, Paramphistomum cervi and Carmyerius gergaerius. We concluded that Amphistomes are prevalent among the examined cattle and buffaloes in Giza and Garbia governorates.

Statin associated necrotizing autoimmune myopathies in the Indigenous population: a case series from North Queensland

Aim: To describe clinical and histopathological features of statin associated necrotizing autoimmune myopathies (NAM) in Indigenous Australians and increase awareness of this condition amongst treating physicians. Methods: Cases were collected through the Rheumatology Department at The Townsville Hospital between March 2012 and January 2015. A chart review was performed to obtain retrospective information about each case. We detail patient demographics, presenting features, histopathological findings, autoimmune profile, treatment and outcomes. Results: 4 Indigenous Australians were identified as having a biopsy confirmed statin associated NAM. All patients had been on atorvastatin for at least 2 years and had significant proximal weakness with average CK level on presentation 16,820 U/L. Predisposing factors for myopathy included vitamin D deficiency and diabetes mellitus (all cases), with primary hypothyroidism and liver cirrhosis identified in two other cases. Two individuals were positive for the auto-antibody anti-HMGCR. Histopathological findings included muscle necrosis with varying degrees of inflammation, membrane attack complex (MAC) deposition and MHC-1 upregulation. Treatment involved various combinations of prednisolone, IVIG, methotrexate and mycophenolate. Recovery was slow but favourable in all cases with an average length of inpatient stay of 54 days. There was a significant delay in diagnosis of 1–3 months in two of the cases. Conclusions: The statin associated necrotizing autoimmune myopathies are rare but important disorders that cause significant morbidity to affected individuals. Given the prevalence of cardiovascular disease in Indigenous Australians, further research is required to facilitate earlier diagnosis and improved treatment outcomes

Statin associated necrotizing autoimmune myopathies in the Indigenous population: a case series from North Queensland

Aim: To describe clinical and histopathological features of statin associated necrotizing autoimmune myopathies (NAM) in Indigenous Australians and increase awareness of this condition amongst treating physicians. Methods: Cases were collected through the Rheumatology Department at The Townsville Hospital between March 2012 and January 2015. A chart review was performed to obtain retrospective information about each case. We detail patient demographics, presenting features, histopathological findings, autoimmune profile, treatment and outcomes. Results: 4 Indigenous Australians were identified as having a biopsy confirmed statin associated NAM. All patients had been on atorvastatin for at least 2 years and had significant proximal weakness with average CK level on presentation 16,820 U/L. Predisposing factors for myopathy included vitamin D deficiency and diabetes mellitus (all cases), with primary hypothyroidism and liver cirrhosis identified in two other cases. Two individuals were positive for the auto-antibody anti-HMGCR. Histopathological findings included muscle necrosis with varying degrees of inflammation, membrane attack complex (MAC) deposition and MHC-1 upregulation. Treatment involved various combinations of prednisolone, IVIG, methotrexate and mycophenolate. Recovery was slow but favourable in all cases with an average length of inpatient stay of 54 days. There was a significant delay in diagnosis of 1–3 months in two of the cases. Conclusions: The statin associated necrotizing autoimmune myopathies are rare but important disorders that cause significant morbidity to affected individuals. Given the prevalence of cardiovascular disease in Indigenous Australians, further research is required to facilitate earlier diagnosis and improved treatment outcomes

Adaptive transaction scheduling for transactional memory systems

Transactional memory systems are expected to enable parallel programming at lower programming complexity, while delivering improved performance over traditional lock-based systems. Nonetheless, there are certain situations where transactional memory systems could actually perform worse. Transactional memory systems can outperform locks only when the executing workloads contain sufficient parallelism. When the workload lacks inherent parallelism, launching excessive transactions can adversely degrade performance. These situations will actually become dominant in future workloads when large-scale transactions are frequently executed. In this thesis, we propose a new paradigm called adaptive transaction scheduling to address this issue. Based on the parallelism feedback from applications, our adaptive transaction scheduler dynamically dispatches and controls the number of concurrently executing transactions. In our case study, we show that our low-cost mechanism not only guarantees that hardware transactional memory systems perform no worse than a single global lock, but also significantly improves performance for both hardware and software transactional memory systems.M.S.Committee Chair: Lee, Hsien-Hsin; Committee Member: Blough, Douglas; Committee Member: Yalamanchili, Sudhaka