Vol 39 # 2 June 2007 - Kma.org.kw

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June 2007KUWAIT MEDICAL JOURNAL 195measure adherence and barriers of complying with lifestyle recommendations among patients withhigh cardiovascular risk factors.Design of Study: Prospective study.Setting: Six family-practice health centres in Kuwait.Method: Data are from 334 Kuwaiti adult males and females with hypertension, type 2 diabetes, orboth, who completed a routine clinic visit in one of six family practice centres. Trained staff used astructured questionnaire to obtain a detailed medical history regarding exercise habits and barriers tocompliance with diet and exercise programmes. Clinical criteria assessed were height, weight, and thecontrol of blood pressure and blood sugar.Results: From the study sample, 63.5% of patients reported that they were not adhering to any dietregimen, 64.4% were not participating in regular exercise, and 90.4% were overweight and obese. Themain barriers to adherence to diet were unwillingness (48.6%), difficulty adhering to a diet differentfrom that of the rest of the family (30.2%), and social gatherings (13.7%). The main barriers toadherence to exercise were lack of time (39.0%), coexisting diseases (35.6%), and adverse weatherconditions (27.8%). Factors interfering with adherence to lifestyle measures among the total samplewere traditional Kuwaiti food, which is high in fat and calories (79.9%), stress (70.7%), a highconsumption of fast food (54.5%), high frequency of social gatherings (59.6%), abundance of maids(54.1%), and excessive use of cars (83.8%).Conclusion: The majority of individuals in the sample were overweight, did not engage inrecommended levels of physical activity, and did not follow dietary recommendations. Additionalcultural and demographic variables need to be considered to improve adherence to lifestylemeasures.Outcome and Survival in Different Peritoneal Dialysis ModalitiesAl-Hilali N, Al-Humoud H, Nampoory M, Ninan A, Johny KDivision of Nephrology, Department of Medicine, Mubarak Al-Kabeer Hospital, KuwaitE-mail: dralhilali@yahoo.comTher Apher Dial 2007; 11:101-106Peritoneal dialysis (PD) has been accepted as a treatment option for patients with end-stage renaldisease, yet experience with PD in Arab countries is limited. This study was undertaken to evaluatethe outcome and survival of different PD modalities. All patients managed at the Mubarak Al-KabeerHospital Kuwait between August 1982 and December 2003 using PD for three months or more wereincluded in the study. Demographic features, outcome and survival of the patients were analyzed.Four hundred and fifteen patients with end-stage renal failure were admitted into the PD program.Their mean age was 52.06 +/- 16.43 years. Hospital-based intermittent peritoneal dialysis (IPD),continuous ambulatory peritoneal dialysis (CAPD), nightly intermittent peritoneal dialysis (NIPD)and continuous cycling peritoneal dialysis (CCPD) were preferred by 203 (48.9%), 176 (42.4%), 30(7.2%) and 6 (1.4%) patients respectively. The mean duration of follow up was 12.7 +/- 11.7 months.Fifty-five (13.3%) patients were continuing on PD, 55 (13.3%) had shifted to hemodialysis, 73 (17.6%)underwent renal transplantation, 114 (27.5%) died, 34 (8.2%) returned to their native countries, 79(19%) transferred to other centers and follow up was lost for 5 (1.45%) patients. Patient survival at twoyears was 56%, 72% and 87% in IPD, CAPD and NIPD respectively. Technique survival at two yearswas 60.6%, 75.4% and 100% in IPD, CAPD and NIPD respectively. Peritoneal dialysis modalitiesprovide a feasible modality of renal replacement therapy. The overall outcome and patient andtechnique survival in home PD modalities were better than hospital-based PD.
KUWAIT MEDICAL JOURNAL June 2007Forthcoming Conferences and MeetingsCompiled and edited byBabichan K ChandyKuwait Medical Journal 2007, 39 (2):196-202Applying Heart Failure Guidelines in the RealWorld: A Case Based ApproachJun 01-02, 2007Baltimore, MD, United StatesContact: Blackwell Futura Media Services, OneResearch Drive, Suite 400 A, Westborough, MA,01581Tel: 508-614-1415; Fax: 508-616-5568E-mail: media@blackwellfuturacourses.com2 n d International Congress of Gender Medicine 2007Jun 02-04, 2007Vienna, AustriaContact: Ingrid DobiasTel: 43-69-917-038-916; Fax: 43-180-400-634E-mail: ingrid.dobias@gendercongress.comSociety of Nuclear Medicine (SNM) 2007 AnnualMeetingJun 02-06, 2007Washington, DC, United StatesContact: Erica GoughTel: 703-708-9000; Fax: 703-709-9274E-mail: MeetingInfo@snm.org11 th Congress of the Movement Disorder SocietyJun 03-07, 2007Istanbul, TurkeyContact: The Movement Disorder Society, 611 EastWells Street, Milwaukee, WI 53202 USATel:1-414-276-2145; Fax: 1-414-276-3349E-mail: congress@movementdisorders.orgWorld Congress on Hyperhomocysteinemia - 6 thConference on Homocysteine MetabolismJun 05-09, 2007Saarbruecken, GermanyContact: Mr. KnappTel: 49-68-411-630-708; Fax: 49-68-411-630-703E-mail: contact@homocysteine-conference.orgInternational Pharmceutical Regulatory andCompliance CongressJun 06-07, 2007Brussells, BelgiumContact: Paul TunnecliffTel: 800-864-4549; Fax: 760-418-8084E-mail: registration@hcconferences.comHIV/AIDS 2007Jun 06-11, 2007Kololi, GambiaContact: Anthony F. England, Ph.D.Tel: 31-302-145-715; Fax: 31-302-145-715E-mail: england@mangosee.com3 rd International Workshop on HIV and HepatitisCo-infectionJun 07-09, 2007Paris, FranceContact: Jo-Els van der WoudeTel: 31-302-307-147; Fax: 31-302-307-148E-mail: jo-els.vanderwoude@vironet.comHeart Valve SummitJun 07-09, 2007Washington, DC, United StatesContact: Heart House, 2400 N Street NW,Washington DC, 20037Tel: 202-375-6000; Fax: 202-375-70002 n d International Congress on Neuropathic C o n g ressJun 07-10, 2007Berlin, GermanyContact: Ilana EliavTel: 41-229-080-488; Fax: 41-227-322-850E-mail: neuropathic@kenes.comHeart Failure 2007Jun 09-12, 2007Hamburg, GermanyContact: Heart Failure 2007 Congress SecretariatE-mail: HFsecretariat@escardio.org4 th World Congress of the International Society ofPhysical and Rehabilitation MedicineJun 10-14, 2007Seoul, Korea, Republic of KoreaContact: 4th ISPRM SecretariatTel: 82-2-566-6339; Fax: 82-2-565-2434E-mail: isprm2007@intercom.co.kr2 nd National Medicaid CongressJun 13-15, 2007Washington DC, United StatesContact: Paul TunnecliffTel: 800-684-4549; Fax: 760-418-8084E-mail: registration@hcconferences.com
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Vol 39 # 2 June 2007 - Kma.org.kw

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