Synthesis and physico-chemical studies of a novel noncentrosymmetric heptacoordinated cadmium(II) compound containing a tripodal amine, CdCl2[N(C2H6N)3]2

A new noncentrosymmetric Cd(II) complex with thetripodal amine tris(2-aminoethyl)amine, CdCl2[N(C2H6N)3]2, has been prepared and characterized by single crystal X-ray diffraction, solid state NMR and IR spectroscopies. In the complex, the Cd(II) ion is surrounded by sevennitrogen atoms. The organic molecule acts as both a tri-and a tetradentate ligand. The cationic complexes are linked to each other forming layers parallel to the (a, b)plan. The Cl- counter ions occupy the cavities created inside these layers. The 13C CP-MAS NMR spectra are in agreement with the X-ray structure. DFT calculations allow the attribution of the carbon peaks to the differentatoms.The vibrational absorption bands were identified by infrared spectroscopy and DFT calculations allowed their attributions

Prevalence of Staphylococcus aureus in Atopic Dermatitis (Eczema) cases in Al- Najaf City/Iraq

ABSTRACTObjectives: This study was planned to evaluate the prevalence of Staphylococcus aureus in cases of atopic dermatitis (AD) in Najaf city.A total of 100 skin swabs were obtained from the effected skin areas of patients who were attending to AL-Sader Teaching Hospital in AL-Najaf city during the period from May to October 2014.with (AD), along with 50 skin swabs that were obtained from a comparable skin area of 50 persons who were regarded as a control group and comparable in ages and genders with the patient group. All the skin swabs (patients and control) were then immediately streaked on the surface of selective media for isolation and identification of S. aureus preliminary. Then the suspected isolates were confirmed by specific biochemical and enzymatic confirmative tests. The incidence of Staphylococcal isolates was detected according to the age, gender, duration, severity and also according to the family history.Results: From the 100 swab samples of patients, there were 54/100 (54%) showed positive isolation of S. aureus, while only 10/50 (20%) swab samples of the control group showed positive S. aureus isolation. The difference between the two groups was statistically significant (P˂ 0.05). The prevalence of moderate AD cases was higher than that of mild and severe (55.56%> 20.37%˂ 24.07%) respectively. Thirty seven patients (68.52%) were categorized with family history inheritance of AD (Results were statistically significant (P˂ 0.05), with male to female ratio was 1.25:1. Seventeen patients (31.5%) were categorized as acute AD, while 37 patients (68.5%) were diagnosed as chronic.Conclusions: Staphylococcus aureus infection is positively correlated with AD cases, and genetic factors may play an important role in increasing the frequency of AD cases.Recommendations: We recommended to use genetic studies for the monitoring of Staphylococcus aureus virulence factors correlated with AD.Key words: Staphylococcus aureus, atopic dermatitis, SCORAD index

Demographics and Epidemiology of Hepatitis B in the State of Qatar: A Five-Year Surveillance-Based Incidence Study

Background: Expatriates represent >80% of Qatar’s population, mostly arriving from countries in Africa and Asia that are endemic with many diseases. This increases the risk for introducing new pathogens into the country and provides a platform for maintenance of endemic pathogen circulation. Here, we report on the incidence and epidemiological characteristics of hepatitis B in Qatar between 2010 and 2014. Methods: We performed a retrospective epidemiological data analysis using the data available at the surveillance system of the Ministry of Public Health (MOPH) in Qatar. Data were collected from distinctive public and private incorporates around the nation. Reported cases of hepatitis B patients represent those who met the stringent case definition as per World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) guidelines and eventually reported to MOPH. Results: The annual incidence rates of hepatitis B cases were 30.0, 34.2, 30.5, 39.4, and 19.8 per 100,000 population in 2010, 2011, 2012, 2013, and 2014, respectively. There was no specific trend or seasonality for the reported cases. The incidence rates were higher in females compared to males between 2010 and 2012, but similar in 2013 and 2014. The highest incidence rates were reported among individuals between 25 and 34 years of age. No cases were reported in children younger than five years in 2013 and 2014. Rates of hepatitis B cases declined dramatically in 2014, in both Qataris and non-Qataris, as compared to the previous years. Conclusion: Our results indicate a dramatic decline of hepatitis B cases in Qatar but mandate improved surveillance and vaccination efforts in expatriates in the nation. View Full-TextMOP

Bacterial Pneumonia and Pandemic Influenza Planning

Prevention and treatment of secondary bacterial complications are important but neglected areas of planning

Factors affecting the motivation of healthcare professionals providing care to Emiratis with type 2 diabetes

OBJECTIVE: We aimed to identify facilitators of and barriers to healthcare professionals' motivation in a diabetes centre in the United Arab Emirates (UAE). DESIGN: A qualitative research approach was employed using semistructured interviews to assess perception of and attitudes regarding healthcare professionals' motivation in providing good quality diabetes care. SETTING: A diabetes centre located in Abu-Dhabi, UAE. PARTICIPANTS: Healthcare professionals including specialist physicians, dieticians, podiatrists, health educators and nurses were recruited through purposive sampling. MAIN OUTCOME MEASURES: After data collection, the audiotaped interviews were transcribed verbatim and subjected to content analysis. RESULTS: Nine semistructured interviews were conducted with healthcare professionals of various professional backgrounds. Important facilitators and barriers related to patient, professional, organization and cultural factors were identified. Barriers that related to heavy workload, disjointed care, lack of patient compliance and awareness, and cultural beliefs and attitudes about diabetes were common. Key facilitators included the patient's role in achieving therapeutic outcomes as well as compliance, cooperation and communication. CONCLUSION: This qualitative study provides some unique insights about factors affecting healthcare professionals' motivation in providing good quality care. To improve the motivation of healthcare professionals in the management of diabetes and therefore the quality of diabetes care, several steps are needed. Importantly, the role of primary care should be reinforced and strengthened regarding the management of type 2 diabetes mellitus, privacy of the consultation time should be highly protected and regulated, and awareness of the Emirate culture and its impact on health should be disseminated to the healthcare professionals providing care to Emirates with diabetes. Also, greater emphasis should be placed on educating Emiratis with diabetes on, and involving them in, the management of their condition

La comunicazione interculturale e l’approccio comunicativo: dall’idea allo strumento

il saggio si inserisce in un filone di ricerca aperto nel 199 e proseguito con saggi e volumi: in questo caso di descrive e discute la progettazione di un passo fondamentale, dall'elaborazione teorica del modello di riferimento alla traduzione di tale modello in strumento operativo per la consultazione e la didattica

Quality of Type 2 Diabetes Management in the States of The Co-Operation Council for the Arab States of the Gulf: A Systematic Review

Type 2 diabetes mellitus is a growing, worldwide public health concern. Recent growth has been particularly dramatic in the states of The Co-operation Council for the Arab States of the Gulf (GCC), and these and other developing economies are at particular risk. We aimed to systematically review the quality of control of type 2 diabetes in the GCC, and the nature and efficacy of interventions. We identified 27 published studies for review. Studies were identified by systematic database searches. Medline and Embase were searched separately (via Dialog and Ovid, respectively; 1950 to July 2010 (Medline), and 1947 to July 2010 (Embase)) on 15/07/2009. The search was updated on 08/07/2010. Terms such as diabetes mellitus, non-insulin-dependent, hyperglycemia, hypertension, hyperlipidemia and Gulf States were used. Our search also included scanning reference lists, contacting experts and hand-searching key journals. Studies were judged against pre-determined inclusion/exclusion criteria, and where suitable for inclusion, data extraction/quality assessment was achieved using a specifically-designed tool. All studies wherein glycaemic-, blood pressure- and/or lipid- control were investigated (clinical and/or process outcomes) were eligible for inclusion. No limitations on publication type, publication status, study design or language of publication were imposed. We found the extent of control to be sub-optimal and relatively poor. Assessment of the efficacy of interventions was difficult due to lack of data, but suggestive that more widespread and controlled trial of secondary prevention strategies may have beneficial outcomes. We found no record of audited implementation of primary preventative strategies and anticipate that controlled trial of such strategies would also be useful