Quality improvement programme for diabetes care in family practice settings in Dubai

A continuous quality improvement programme for the care of registered diabetes patients was introduced in 16 government-affiliated primary health care centres in Dubai. Quality improvement teams were formed, clinical guidelines and information systems were developed, diabetes nurse practitioners were introduced and a team approach was mobilized. Audits before and after the introduction of the scheme showed significant improvements in rates of recording key clinical indicators and in their outcomes. For example, the proportion of patients with glycosylated haemoglobin levels < 7% increased from 20.6% to 31.7% and with LDL cholesterol < 100 mg/dL increased from 20.8% to 33.6%. Mean systolic blood pressure of registered patients fell from 135.3 mmHg to 133.2 mmHg

Detection of Epstein Barr Virus [EBV] in oral hemangioendothelioma [HE]

Oral HEs are exceedingly rare tumors. Six cases were included in the present study. All Patients were females and the tumors arise mostly from the gingiva, appeared as a large epulides; misdiagnosed as pyogenic granuloma or peripheral giant cell granuloma. No radiolucencies were observed except in three cases which recurred after surgical removal. These recurred three cases showed malignant criteria of pleomorphism, hyperchromatism and brisk mitotic figures more than the other three cases. All the patients were serologically positive to EBV, denoting previous infection. Biopsies were taken from all cases and stained for histochemical and histopathological examination. Immunohistochemical analysis was done using monoclonal antibodies for the demonstration of [1] Factor VIII related antigen,[2] Epstein -Barr virus [EBV]. Histological examination showed that three of the haemangioendotheliomas were of the epithelioid type, while the other three cases were of the spindle-cell type. All cases showed positive linear reaction to Gomori's stain surrounding the endothelidal cells and differentiating HE from haemangiopericytoma. The six cases showed the miniature luminae present intracytoplasmically by factore VIII R-AG, excluding epitheleoid haemangioma and squamous cell carcinoma. Expression of EBV in five cases out of the six immunoanalyzed cases, was detected for the first time in the literature

Changes in the integument of nymphal and adult hyalomma [hyalomma] dromedarii koch[Acari: Ixodoidea: Ixodidae] II the effect of 20-hydroxy ecdysone

The exogenous doze of 20-Hydroxy Ecdysone [20-HE] used in the present study did not accelerate moulting in nymphal Hyalomma dromedarii. However, histological observations exhibit an increase in epidermal cell activity and in the deposition of the endocuticular lamellae

Induction of labour in toxaemia of pregnancy with oral prostaglandin E tablets

The methods of induction of labor have been the subject of considerable debate. Twenty cases of severe preeclampsia were subjected to induction of labor using either oxytoxin infusion with amniotomy [group I, n=10] or PGE tablets [prostin ER2] [group II, n=10]. Both methods significantly improved the Bishop score and were effective in inducing labor. The induction establishment interval was significantly shorter in group I, however, there was no significant difference in the duration of labor or induction delivery interval between the two groups. One and five minutes Apgar scores were 8.4 +/- 1.3 and 10, respectively. PGE2 tablets, without amniotomy represent an attractive and safe method of induction of labor