The predictors to medication adherence among adults with diabetes in the United Arab Emirates.

BackgroundDiabetes is a chronic medical condition and adherence to medication in adults with diabetes is important. Identifying predictors to medication adherence in adults with diabetes would help identify vulnerable patients who are likely to benefit by improving their adherence levels.MethodsWe conducted a cross-sectional study at the Dubai Police Health Centre between February 2015 and November 2015. Questionnaires were used to collect socio-demographic, clinical and disease related variables and the primary measure of outcome was adherence levels as measured by the Morisky Medication Adherence Scale (MMAS-8©). Multivariate logistic regression was carried out to identify predictors to adherence.ResultsFour hundred and forty six patients were interviewed. Mean age 61 year +/- 11. 48.4 % were male. The mean time since diagnosis of diabetes was 3.2 years (Range 1-15 years). Two hundred and eighty eight (64.6 %) patients were considered non-adherent (MMAS-8© adherence score < 6) while 118 (26.5 %) had moderate adherence (MMAS-8© adherence score 6 = <8) and 40 (9.0 %) high adherence (MMAS-8© adherence scores <8) to their medication respectively. The strongest predictor for adherence as predicted by the multi-logistic regression model was the patient's level of education. A technical diploma certificate as compared to a primary school level of education was the strongest predictor of adherence (OR = 66.1 CI: 6.93 to 630.43); p < 0.001). The patient's age was also a predictor of adherence with older patients reporting higher levels of adherence (OR = 1.113 (CI: 1.045 to 1.185; p = 0.001 for every year increase in age). The duration of diabetes was also a predictor of adherence (OR = 1.830 (CI: 1.270 to 2.636; p = 0.001 for every year increase in the duration of diabetes). Other predictors to medication adherence include Insulin use, ethnicity and certain cultural behaviours.ConclusionA number of important predictors to medication adherence in diabetics were identified in this study. Such predictors could help develop policies for improving adherence in diabetics

Evaluation of Different Concentrations And Frequency of Foliar Application of Moringa Extract on Growth & Yield of Onion, Allium cepa Lam

Field trials were conducted between 2010/11 and 2011/12 at the Forestry Research Institute of Nigeria (FRIN) of Federal College of Forestry Mechanization Afaka, Kaduna experimental site, 10o 031N, 07o 211 E and 644m above sea level in the Northern guinea savanna agro-ecological zone during 2011 to 2012 dry season. The objective was to evaluate the effect  of different concentration and frequency of foliar application of Moringa extract on growth and yield of Onion (Allium cepa Lam). Fresh Moringa oleifera shoots were obtained from experimental site of the College when it was 35 days old, air dried for some days and crushed with water (10kg of dry material in water) in a household blender for 10 minute. The solution was filtered through a filter paper (Whattman No 42) and the liquid extracts obtained were diluted with water to produce the treatments. The treatments consisted of four concentration 2% (1 litre of extract/50 litre of water), 4% (1 litre of extract/25 litre of water), 3.2% (litre of extract/31 litre of water), 3.7% (1 litre of extract/27 litre of water) and a control (no extract) and two frequency of foliar application once (3weeks) and twice 3 and 6 weeks after transplanting. The trial was laid in a Randomized Complete Block Design(RCBD) and replicated three times. Data were collected on number of leaves/plant, plant height and crop vigour score at 5, 7 and 9 WAT. The data collected were subjected to analysis of variance. Result obtained showed a significant (P = 0.05) effect of the treatments on the characters measured with moringa extract concentration ratio of 1:2 (50%) and frequency periods of foliar application at 3, and 6 weeks after transplanting manifesting the highest effect. Based on the result, application of Moringa extract concentration ratio of 1:2(50%) and frequency period of foliar application at 3, and 6 weeks after transplanting of onion should be adopted for use in Northern guinea savannah ecological zone on the variety of onion tested, since it is easier to get Moringa all year round and in large quantities for large hectare of farm land.Key words: Moringa, Extract, Onion bulb and Concentratio

A study of retrograde degeneration of median nerve forearm segment in carpal tunnel syndrome of variable severities

Introduction: Carpal tunnel syndrome (CTS) is a disorder of the hand which results from compression of the median nerve within its fibro-osseous tunnel at the wrist. The slowing in the forearm motor conduction velocity suggests the presence of retrograde degeneration. Existing studies conflict regarding a correlation between the severities of the entrapment neuropathy in CTS and slowing of median motor nerve conduction velocity in the forearm.Aims: The objective of this work was to study retrograde degeneration (RGD) of the median nerve forearm segment in patients with CTS and its relation to variable severity of CTS in Egyptian patients.Patients and methods: Twenty-four patients with CTS were included in this study. The Forearm mixed nerve conduction is presumed to be indicative of the conduction of the median nerve over the forearm and is used widely to assess the causes of slowing forearm conduction velocity in CTS. In addition to conventional nerve conduction studies of the upper limb, forearm median mixed conduction studies were performed. Median motor forearm amplitudes and nerve conduction velocities (NCVs) as well as forearm median mixed amplitudes and NCVs were considered as parameters of RGD. Results: There were statistically significant differences as regards forearm mixed nerve action potential (MNAP) amplitude and median motor amplitude in the forearm segment but there were no statistically significant differences as regards forearm median mixed peak latency and NCV. There was no statistically significant relation between grades of severities of CTS in the studied hands and both forearm median motor NCV and forearm MNAP amplitude using Monte Carlo test (MCp = 0.323 and 0.464).Conclusions: Retrograde degeneration exists in patients with CTS. Forearm median motor NCV and median mixed conduction study are valid electrophysiologic tools for the assessment of RGD in patients with CTS. Retrograde degeneration is not related to grade of severity of CTS.KEYWORDS Carpal tunnel syndrome; Electrodiagnosis; Forearm median mixed study; Retrograde degeneratio

Documenting Administration System on RT 012 Pinang Ranti Using Visual Basic 6.0.

Science and computer technology is more sophisticated now and spread so rapidly, so it is very helpful in the process of data processing still using manual systems. Certainly be very useful and more effective and efficient in terms of time and effort, if the data collection activities of citizens in environmental Neighborhood (RT) can be done with a computerized system. In connection with these authors are interested in making an administrative program design of computerized data collection citizen. And discuss also the Data Flow Diagrams (DFD), Entity Relationship Diagram (ERD), Normalization and the appearance of the Visual Basic 6.0 program

Perceptions, Experiences and Expectations of Physicians Regarding the Role of the Pharmacist in an Iraqi Hospital Setting

Purpose: To investigate the perceptions, expectations, and experiences of physicians regarding hospital-based pharmacists in some Iraqi government hospitals.Methods: A cross-sectional study was conducted at four government hospitals in Baghdad and Erbil, Iraq from March to July 2012. A validated, self-administered questionnaire was hand-delivered to a random sample of 200 physicians. The questionnaire comprised four sections that probed the physicians' demographic characteristics as well as their perceptions of, expectations of, and experiences with hospital pharmacists.Results: Most participants (69.4 %) reported rarely interacting with pharmacists and that enquiring about the availability of medications was the main purpose (74.9 %) of any interactions. Physicians reported being comfortable with pharmacists preventing prescription error, treating minor illness, and suggesting prescription medication to physicians of 74, 75 and 67 %, respectively, but only 47 % were comfortable with pharmacists providing patient education. The perspective of physicians in Erbil differed from that of physicians in Baghdad (p < 0.05).Conclusion: Interactions between Iraqi physicians and pharmacists are still not optimal. Physicians are much more comfortable with traditional pharmacist functions than with the extended, patient-oriented pharmacy services currently being promoted. Great efforts are needed to enhance the Iraqi physician's attitude regarding the clinical services provided by pharmacists which in turn would result in more collaboration among healthcare professionals.Keywords: Physician, Pharmacist, Perception, Experience, Expectation, Patient-oriented, Pharmacy servic

Chromosomal study in newborn infants with congenital anomalies in Assiut University hospital: Cross-sectional study

In 40–60% of congenital malformations, the cause is unknown. Genetic factors account for approximately 15%; environmental factors produce approximately 10%; a combination of genetic and environmental influences produces 20–25%. The study aims to document prevalenceand patterns of congenital malformations detected at birth in Assiut University hospital and clarify underlying chromosomal abnormalities of such malformations. Also possible predisposing factors will be studied.Newborns with apparent congenital anomalies were selected from 5000 newborn infants delivered consecutively at the department of Obstetrics and Gynecology within 7 months. Full maternal history, family history, perinatal history, pedigree construction as well as clinical examinations andinvestigations including karyotype were done. Congenital anomalies were found in 103 cases with a prevalence of 2.06% with male to female ratio of 1.7:1. Skeletal system anomalies had the highestfrequency (37.9%), followed in descending order by chromosomal abnormalities (27.2%), circulatory system anomalies (22.3%), central nervous system (CNS) anomalies (19.4%), genital organs anomalies (16.5%), gastrointestinal tract (GIT) anomalies (14.6%), eye and ear anomalies (8.7%), and lastly urinary system and others anomalies in 3.9% each. Breech presentation, perinatal asphyxia, incubator admission and the need for resuscitation were significantly associated with the presence of congenital anomalies. Higher prevalence of congenital anomalies was observed in neonatesof grand multiparous women, diabetic mothers delivery by CS, cases with oligohydramnios and with positive consanguinity. Chromosomal abnormalities were found in 28 cases (27.18% of malformed cases) (5.6/1000). Numerical abnormalities were found in 22 cases (21.35%) (4.4/1000), Down syndrome in 16 cases, Edward syndrome in two cases, Patau syndrome in one case and Turner syndrome (monosomy) inthree cases. Structural abnormalities were present in six cases (5.83%) (1.2/1000), Down syndrome in two cases, Turner syndrome in two cases, balanced translocation [(12;13)(q15;q34)] with dysmorphic features and undescended testis in one case and deletion 9(q11;q31) with disorder of sex development in one case. To conclude karyotype should not be done routinely for all malformed cases as many of them are due to genetic syndromes. So, it is more useful to consult expert dysmorphologists for proper syndrome identification and for the decision to use more recent molecular techniques for diagnosis

Influence of Planting methods and Pinching on growth and vegetative yield of drumstick (Moringa oleifera Lam).

Field trials were conducted during the 2010 and 2011 cropping seasons at Federal College of Forestry Mechanization farm, Afaka located (10o 371N and 74o 71E) in the Northern Guinea savannah ecological zone of Nigeria to study the influence of planting method and pinching on growth and vegetative yield of drumstick (Moringa oleifera Lam). The experiment consisted of six treatments, viz direct sowing+ pinching at 2 weeks after sowing (WAS); direct sowing + pinching at 2 and 4 WAS; direct sowing+ no pinching; transplanting at 2 WAS +pinching at 2 weeks after transplanting (WAT); transplanting at 2 WAS + pinching at 2 and 4 WAT; transplanting at 2 WAS + pinching at 2WAT; transplanting at 4 WAS + pinching at 2 and 4 WAT. The treatments were laid out in Randomized Complete Block Design replicated three times. The plant had significantly vigorous plant with stem diameter at 3 and 9 WAS. However, numbers of leaves, canopy spread and number of branches were not significantly affected by planting methods. Fresh vegetative yield were obtained with direct sowing + pinching at 2 and 4 WAS and transplanting at 2 WAT and pinching at 2 WAT respectively

A Review of Rabbit Diseases in Egypt

Promising approaches of the Egyptian governmental as well as non-governmental society to rabbit industry to overcome the unemployment of youth in the society required more efforts from scientific institutes to help in development of such industry. Epidemiological studies are of outmost importance to highlight disease nature and to help in meantime implement of successful preventive and control measures. The aim of this paper is to review the situation of rabbit diseases of economic impact in Egypt (1952 to 2013). The review will highlight the viral infection of rabbit hemorrhagic disease, bacterial disease of colibacillosis, clostridiosis, salmonellosis, pasteurellosis, staphylococcosis and listeriosis and parasitic infection of coccidiosis and mange.   Key words: Rabbit, disease, bacteria, viral infectio

Detection of Trypanosoma brucei gambiense and T. b. rhodesiense in Glossina fuscipes fuscipes (Diptera: Glossinidae) and Stomoxys flies using the polymerase chain reaction (PCR) technique in southern Sudan

Ethanol-fixed entire bodies of the tsetse fly, Glossina fuscipes fuscipes, and unidentified stable flies, Stomoxys spp., collected from near Juba town, southern Sudan, were  tested for Trypanozoon trypanosomes infections using polymerase chain reaction (PCR) technique for the first time in Sudan. The crude target DNA sequences were extracted by incubation of entire flies in Nonindet PCR template buffer containing proteinase-K. The DNA amplification sets of conditions were adjusted for each pair of primers employed. The oligonucleotide primers used included TBR1-2, SRAA-E, SRAB537-B538 and TgsGPFOR-REV. The results showed that 74.4% of G. f. fuscipes and 39.36% of Stomoxys spp. were infected with Trypanozoon trypanosomes. Out of the 117 examined G. f. fuscipes, 46.2, 24.8, 35.04, 17.09 and 10.26% were due to T. b. gambiense (TgsGPFOR-REV), T. b. rhodesiense (SRAA-E), T. b. rhodesiense (SRA3537-3538), mixed infection with T. b. gambiense and T. b. rhodesiense and T. b. brucei, respectively. However, infections in Stomoxys spp. of 2.13 and 37.2% were due to T. b. rhodesiense and T. b. brucei, respectively.Key words: Glossina fuscipes fuscipes, T. b. gambiense, T. b. Rhodesiense, vectoral capacity, infection rate, PCR technology

Growth Rate Evaluation of the Alcyonacean Soft Coral Sinularia polydactyla (Ehrenberg, 1834) at Hurghada, Northern Red Sea, Egypt

Growth rate of Sinularia polydactyla has been studied to determine the changes of surface area using 2D method as modified method for measuring growth increasing. The measurements indicate to that restricted and slow growth rates in the big samples under the variable oceanographic conditions. Summer recorded the highest rates of growth. The mean growth rate of the biggest colonies recorded 51.83±4.90mm2 while the small colonies recorded 20.8±6.25 mm2 in summer. On contrary, autumn showed the lowest and restricted rates during. The annual growth reached 116.28±10.57 and 33.78±12.45mm2/y in the big and small colonies respectively. The growth ratio in relation to the original colonies size appears to grow with a relatively faster ratio in the small colonies (9.73±1.62% with a range of 6.67-12.68%) than the elder one (5.79±0.34% with a range of 4.37-6.72%). The temperature changes, gonads and gametes maturation, sedimentation rates are major controlling factors affect the growth rates. ANOVA Bivariate correlation illustrated a positive relationship (without significant difference) between the growth and temperature (ºC) (at P=0.38 and R2=0.62). By comparing the present study and the available growth data of Sinularia sp., we found that, the annual growth of S. polydactyla is higher (116.28±10.57 - 33.78±12.45mm2/yr) than the previous studies. Keywords: Growth Rate Sinularia polydactyla, Hurghada, Red Se