First report of Giardia lamblia in different animals in the United Arab Emirates

@#The aim of this study was to detect and characterize Giardia lamblia in animals in the UAE. Eighty-seven fecal samples were tested for G. lamblia using the conserved fragment of small subunit (SSU)-rRNA by nested PCR. Giardia-positive isolates were genotyped for assemblages A and B using assemblage specific primers of the triosephosphate isomerase (tpi) gene. Thirty samples (34.5%) were positive for G. lamblia. Conversely, neither genotype A nor B were detected using tpi genotyping on the studied samples. Further investigations are required using higher number of samples including both human and animals in the country taking into consideration the analysis of other genotypes to provide more detailed understanding about the zoonotic transmission of this parasite.

Assessment of the Knowledge and Self-medication Practices towards Antibiotics among Future Healthcare Professionals in Ajman, United Arab Emirates

Objectives:The aim of the study is to assess the knowledge and self-medication behavior among healthprofessionsstudents regarding antibiotic usage.Methods:A cross-sectional study was performed using a self-administrated questionnaire. A sample of 424 questionnaireswas distributed randomly among health science students of a medical university in Ajman, UAE.The questionnaire is categorized into three sections which are Socio-demographic details of the participant, knowledge and self-medication practice of antibiotic.The data was entered in MS Excel spread sheet and analyzed as per the study objectives Key Findings:Upon assessing the knowledgeof respondents,authors found85.8% of the students were familiar with the term ‘antibiotic resistance’.Half ofthe students agreedthat antibiotics treat common cold quickly.Regarding the self-medication practices,55.6% (n=236) of students reported that they always take antibioticwithout prescription. Cold and flu was the common reason for using antibiotics. Augmentin (amoxicillin and clavulanic acid) was the common medication used among the students. Nearly one third of the respondents (32.78%;n=139)saved theantibiotics in case of reinfection.Conclusions:In conclusion,antibiotic usage was common among study respondents. Preventive strategies, antibiotic stewardship programs, training, education programs and more restriction towards antibiotic dispensing should be implementedto avoid the misuse and antibiotic resistance.

Knowledge, attitude and practice of in-home medication disposal in U.A.E.

Background: Medication disposal is one of the topics overlooked by the population in the United Arab Emirates. The present study aims at assessing the knowledge, attitude and practice of public to appropriate disposal of medications in Sharjah, UAE.Methods: A cross-sectional study on randomly selected subjects was conducted using a pre-piloted questionnaire written in Arabic and English and distributed to 250 subjects. The survey was designed with 22 questions to assess knowledge, attitude and practice on safe disposal of expired medication.Results: More than half (120, 54.8 %) of the participants were females of age 17-25 (100, 45.7%) and with a university or a higher degree (124, 56.6%). A total of 131 (59.8%) of the participants reported that they do not take any precautions when disposing hazardous products and they just throw them in the general waste. Regardless of their educational level, 90 (41.1%) of the respondents believed that throwing medications in the general waste is the safest way of disposal. The majority of participants (202, 92.3%) reported that they never received counselling from pharmacists on safe disposal of expired and unused medications.Conclusions: International guidelines on safe medication disposal need to be adopted by health authorities. Providing secure collection boxes in various residential areas and increasing public awareness of medication抯 safe disposal are important steps that could be implemented in the UAE. Pharmacists should also play a major role in guiding and instructing patients on this topic.

Exploring obstetrical interventions and stratified cesarean section rates using the Robson classification in tertiary Care hospitals in the united arab emirates

Abstract Objective The objective of the present study was to explore obstetric management in relation to clinical, maternal and child health outcomes by using the Robson classification system. Methods Data was collected from obstetrics registries in tertiary care hospitals in Dubai, United Arab Emirates (UAE). Results The analysis of > 5,400 deliveries (60% of all the deliveries in 2016) in major maternity hospitals in Dubai showed that groups 5, 8 and 9 of Robson's classification were the largest contributors to the overall cesarean section (CS) rate and accounted for 30% of the total CS rate. The results indicate that labor was spontaneous in 2,221 (45%) of the women and was augmented or induced in almost 1,634 cases (33%). The birth indication rate was of 64% for normal vaginal delivery, of 24% for emergency CS, and of 9% for elective CS.The rate of vaginal birth after cesarean was 261(6%), the rate of external cephalic version was 28 (0.7%), and the rate of induction was 1,168 (21.4%). The prevalence of the overall Cesarean section was 33%; with majority (53.5%) of it being repeated Cesarean section. Conclusion The CS rate in the United Arab Emirates (UAE) is higher than the global average rate and than the average rate in Asia, which highlights the need for more education of pregnant women and of their physicians in order to promote vaginal birth. A proper planning is needed to reduce the number of CSs in nulliparous women in order to prevent repeated CSs in the future. Monitoring both CS rates and outcomes is essential to ensure that policies, practices, and actions for the optimization of the utilization of CS lead to improved maternal and infant outcomes.

Prevalence of obesity among adults in Ras Al Khaimah, United Arab Emirates

Background: There is an increasing prevalence of obesity globally which is associated with Non Communicable Diseases. As this trend continues even in UAE we decided to focus on determining the prevalence of obesity among adults in Ras Al Khaimah (RAK), UAE.Methods: This was a retrospective observational study done in adults between the age group of 18 to 77 years using convenience sampling technique in 544 subjects. Anthropometric, bio chemical, clinical and demographic data was collected by direct interview for four consecutive years, i.e. from 2013 to 2016. Body Mass Index (BMI) was analyzed to classify individuals as overweight (BMI 25.0-29.9kg/m²), Obese grade I (BMI 30.0-34.9kg/m²), Obese grade II (BMI 35.0-39.9kg/m²) and obese grade III (BMI > 40.0kg/m²).Results: Data was obtained from 544 subjects and considered for analysis. Our results showed that the mean age of the study population was 39.29±13.43 years, the mean weight was 75.35±15.65 kilograms and the mean BMI was 27.62±5.43kg/m2. A total of 67.6% of the study population was either overweight or obese. The prevalence of overweight is 36.2% followed by obesity prevalence of 31.4% of which 22.8% were categorized as Grade I obese, 5.5% Grade II obese and 3.1% Grade III obese. We found that higher proportions of males were in overweight and obese category compared to females.Conclusions: The results derived from our study shows that obesity and overweight are widespread among Ras al khaimah population with the obesity prevalence of 31.4%. Hence, policy makers should focus on preparing national nutritional strategies and implement protocols to overcome this burden by giving practical solutions.

Research on the development status and suggestions of traditional Chinese medicine service trade in the United Arab Emirates / 国际中医中药杂志

The United Arab Emirates (UAE) is an important partner in China's The Belt and Road initiative.It has a broad prospect of pharmaceutical market which is an important market for traditional Chinese medicine (TCM)'s development.TCM has existed in UAE's market in a short time,so TCM service trade in UAE has the shortcomings of small scale of the consumption and a large number of unprofessional practitioners.But it also has advantages of the good traditional medicine's inter-communion between two countries and the university jointly organization of building hospitals of TCM.This article analysizes the market opportunities and potential risks traditional Chinese medicine in UAE's market,and puts forward to remote technical power development,medical tourism to stimulate consumption abroad,strengthens the cultural and research communication,sets up guidance department to accelerate the development process of Chinese medicine.

Quality Assessment of community pharmacy services provided in the United Arab Emirates: patient experience and satisfaction.

Whilst a limited number of studies have been conducted in nearby Arab countries to evaluate patients’ experiences and satisfaction with community pharmacy services provided, in the UAE, this area remains unexamined. Therefore, this study assessed patients’ experiences and satisfaction with community pharmacy services in the UAE, which can be used as an indicator to improve services. An online questionnaire was distributed through social media platforms to customers accessing community pharmacies and who are living in the UAE. The study showed that patient satisfaction regarding the two areas, which includes items on communication quality and other aspects of service delivery quality, was more than the average of Likert scale (cut point=3). However, items on satisfaction with consultation quality were a little less than the mentioned cut point. The worst experience, the one with the lowest level of satisfaction, was associated with non-Arabic or non-English speakers and participants over 60 years. The community pharmacy services provided in the UAE are seen to be traditional or product-focused with minimal or negligible pharmaceutical care provided. Therefore, unique structure strategies and health system reforms need to be introduced to follow the trend of extending community pharmacists’ roles and to meet the growing needs of patients.

Effectiveness of premarital screening program for thalassemia and sickle cell disorders in Ras Al Khaimah, United Arab Emirates

PURPOSE: Genetic disorders can be prevented by basic public health measures and activities that focus primarily on education and approaches in Primary Health Care. Premarital screening is one such approach that can identify asymptomatic carriers of hemoglobinopathies and provide genetic counseling to couples for a healthy reproductive life. This study aimed to estimate the prevalence of beta thalassemia and sickle cell disorders in the adult population screened as a part of the United Arab Emirates Premarital Screening Program and to measure the effectiveness of the program in decreasing high-risk marriages in Ras Al Khaimah (RAK). MATERIALS AND METHODS: A retrospective, population-based study was conducted at the RAK Primary Health Care Center, where the National Premarital Screening Program is implemented. The study included data collected from the premarital screening records of all couples who had applied for a marriage license during 2008-2015. RESULTS: Of the 17,826 individuals screened during the studied period, 4.02% (717) were diagnosed as positive for hemoglobinopathies. The prevalence of beta thalassemia and sickle cell disorders among the total study population was 2.98% and 1.05%, respectively. The hemoglobinopathy trait was more prevalent than the disease. Among these 8,913 couples who were issued certificates for compatibility based on screening tests, 28 (0.31%) couples were declared high-risk (unmatched). Seventy percent of these unmatched couples reported consanguineous marriages. CONCLUSION: The program was successful in achieving its objective of identifying high-risk marriages. In spite of the counseling, however, all of the high-risk couples still married each other.

The future physicians of United Arab Emirates: how do they self-medicate.

Background: Health professions have been a predictive factor for self-medication (SM). SM practices of medical students, the future practitioners will have a bearing on their impending professional practice. The aims were to identify prevalence and practice of SM among the medical students of Gulf Medical University (GMU), United Arab Emirates and to assess the associating factors. Methods: The study was planned as a cross-sectional descriptive survey among 247 medical students of GMU. Students from 1st to 5th year were included in the study. Data were analyzed using SPSS version 19. Associations were tested with Chi-square test. Results: SM with both over-the-counter medications and prescription-only medicines was practiced by 65% of students. The prevalence of SM was associated with the year of study and age. The most common sources of drugs were private pharmacies and stocks at home. The students mostly relied on themselves and parents for drug selection. The self-reliance significantly increased with year of study. Common indications for SM were headache and flu symptoms and correspondingly, analgesics and antipyretics were frequently used. A high prevalence of misuse of antibiotics was also reported. SM was 2.9 times higher (95% CI=1.502-5.620) among students belonging to families practicing SM. Conclusion: The study revealed a fairly high rate of prevalence of SM among the medical students of GMU, which was associated with age and year of study. There is a need to emphasize responsible SM practices among the medical students by accentuating rational drug use in the curricula.

Incidence of Type 2 Diabetes Mellitus among Emirati Residents in Ajman, United Arab Emirates / 가정의학회지

BACKGROUND: Diabetes mellitus (DM), particularly type-2 is a major public health concern worldwide. Not much information is available with regard to the incidence of DM in United Arab Emirates (UAE). This study aimed at determining the incidence rate of diabetes mellitus among Emirati population in Ajman, UAE. This is a retrospective cohort study. METHODS: This study was conducted in all primary health care centers and Shaikh Khalifa and GMC Hospitals, Ajman, UAE where the Emirati population primarily go for diagnosis and treatment. The incident cases of diabetes mellitus were collected during the period 2010 January to December. RESULTS: A total of 158 cases newly detected in 2010, 54 were among non-Emiratis and one was type-1 diabetes. Eliminating these, the remaining 101 were included in the analysis. The age of the patients ranged from 23 years to 78 years; 35 (34.7%) males and 66 (65.3%) were females. The overall incidence observed was 4.8/1,000 person-years (PY) with a female predominance of 6.3/1,000 PY against incidence among males of 3.3/1,000 PY. With regard to age specific incidence rate among males, it increases with age till 60 years and then showed a decreasing trend. Among females also the same trend was observed but not as similar to males. CONCLUSION: The highest incidence rate was observed in the 55-59 age group among males, 23.4/1,000 PY and females, 32.4/1,000 PY. Among males the incidence rate was much less compared to females in-the age groups older than 59 years.

Congenital Anomalies at Birth: A Hospital Based Study in UAE.

Introduction: It is widely acknowledged that congenital anomalies heavily contribute to infant morbidity and mortality worldwide, with an estimated 9 million infants (7% of all births) born annually having a serious congenital anomaly that result in death or lifelong disability. The objective of our study was to estimate the frequency of congenital anomalies at the Gulf Medical College Hospital and Research Center, Ajman and to estimate the proportion of births with congenital anomalies per 1,000 live births. Materials and Methods: It was a Hospital-Record based descriptive study of the 1,222 consecutive live births from December 2007 to June 2008. Results: There were 84 cases of congenital anomalies among the 1,222 live births; the rate of anomalous births was 68.7 per 1,000 live births or 6.9%. Anomalies of the genitourinary system (40.5%) were the most common, followed by musculoskeletal (28.6%) and cardiovascular (10.7%). Gastrointestinal, chromosomal and multiple system anomalies accounted for 3.6% each and miscellaneous anomalies were seen in 7.1%. Central Nervous system (2.4%) anomalies were the least. Congenital hydrocele (19.0%) was seen to have the highest frequency amongst all recorded anomalies, followed by Talipes or Clubfoot (14.3%). 9.3% of the male and 4.3% of the female population of live births had a congenital anomaly. Birth Weight (p=0.005) and Gender (p=0.001) were found to have significant association with the frequency of birth defects. Maternal Age, gravidity, parity, previous abortions, VDRL and Hepatitis B status, Gestational Diabetes, Pregnancy Induced Hypertension, gestational age, maternal and infant blood group, nationality and consanguinity showed no statistically significant association with congenital anomalies. Conclusion: The proportion of congenital anomalies found in our study is alarmingly high and emphasizes the need for more accessible nationwide screening, counseling and surveillance systems.