Contents - Middle East Journal of Family Medicine

From the Editor
From the Editor
Abdul Abyad, MD, MPH, MBA, AGSF,
AFCHSE (Chief Editor)
Abyad Medical Center & Middle East
Longevity Institute
Azmi Street, Abdo Center, 2nd Floor
PO Box 618, Tripoli LEBANON
Tel & Fax: 961 6 443684/5/6
Email: aabyad@cyberia.net.lb
Web: www.amc-lb.com
I would like to start by announcing that the January 2008
edition will be a special issue on the development of Family
Medicine in the region. We would like to encourage authors to
submit papers on the special theme for January 2008.
In the Focus on Quality Section Dr Bener A & Afifi M
discussed the issue of research and policy in the Arab World.
They stressed that research alone is no silver bullet for health
development. In our countries, health research is fragmented
where there is little communication between research
producers, users, and policy makers. It is long debated whether
policy processes run well ahead of research-based evidence or
that researchers are not selecting the appropriate “horses for
courses”. The authors attempted to answer several important
issues including how do the medical journals constitute a
crucial part of the research process And how could medical
journals ensure the quality of the published research as well as
the effectiveness of its peer review process
This issue has a number of papers dealing with metabolic
disorders. A cross sectional study of patients with diabetic
foot ulcers seen in 2 hospitals in Basrah, stressed that diabetic
foot ulceration is a serious and expensive complication with
considerable morbidity that affects up to 15% of diabetic patients
during their lifetime. Nerve conduction studies were performed
using standard protocols. The authors concluded that clinical
findings correlated with the severity of electrophysiological
changes in patients with diabetic foot ulcers.
A second study from Kuwait looked at the Prevalence of
Metabolic Syndrome in primary Health Care. The authors
utilized a cross-sectional study of consecutive Kuwaiti
participants aged between 20-60 years during March, April,
May, and June 2006. Four-hundred and ninety five participants
were interviewed in detail about their social, demographic,
socio-economic, lifestyle and health and disease status was
done by using the WHO stepwise approach to surveillance of
non communicable diseases steps after translation to Arabic.
The authors stressed that the prevalence of metabolic syndrome
is high among Kuwaiti participants attending primary health
clinic in Kuwait. They recommended that doctors in the primary
care setting should be aware of the five risk factors related
to metabolic syndromes with a view to offering appropriate
treatment.
A study from Jordan, on Chronic Headache, investigated the
role of the Nasal Septum Deformity in chronic headache . A
total of fifty eight patients were studied . Twenty-five patients
(43%) had headaches preoperatively occurring at least once a
month for 1 to 10 years (mean 4.5 years). After surgery, eighteen
of the 25 patients with headaches (72%) experienced relief of
their headaches at a mean follow-up period of 13 months. The
authors concluded that nasal septum deformity is presented as
an easily diagnosed and readily correctable cause of chronic
headache.
Immunization practices were discussed in two papers from
the region. A study from Pakistan looked at vaccination practices
and factors influencing an expanded program of immunization
in the rural and urban areaa. A cross sectional observational
survey was conducted for a total of 440 respondents. The
authors concluded that starting immunization of infants in
urban and rural areas is satisfactory but full immunization of
infants is not as satisfactory, especially in the rural setup and
that they are often missed in the repeated doses of vaccination.
They stressed that maternal education and occupation are the
main factors that strongly affect the immunization of children
and EPI program goals. A second paper from Bangladesh
discussed immunization coverage among slum children. The
authors attempted to identify important effects of some selected
variables in complete child immunization coverage. With
regard to immunization coverage for the children under age
five who were still alive at the time of the survey, the figure for
full immunization was higher (92.3%) in the higher ages (24+
months) than the age 12-23 months (89.5%). The results show
that the partial immunization coverage among the children is
gradually decreasing when the age of the child increases.
A study from Bangladesh discussed the issue of rising
caesarean section rate in developed countries. The authors
stressed that the steady rise in CS rate is an emerging issue of
concerned workers in mother-child health care and a matter of
international attention. The authors stressed that unnecessary
CS has resulted in increased infection, hemorrhage, organ
damage, drug complications, prematurity, increased neonatal
illness, and longer hospitalization. The authors stressed that
national CS rates do not reflect what is happening locally,
supporting the trend toward monitoring rates at the level of
individual hospitals or physicians.
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MEJFM - Volume 5 Issue 6 - September 2007