January 2019 - Volume 13, Issue 1

A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor)

A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (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

This is the first issue this year and we would like to start by wishing all our authors and readers a happy new year. In addition we would to inform that MEJN is now indexed with Scopus.

Elbilgahy A.A et al; evaluate the effect of implementing an evidence-based educational program on nurses’ knowledge, practice and attitude about CLABSI prevention in critically ill child. A quasi-experimental research design using one group (pre-test & post-test measures) was used. The study involved a convenient sample of 120 nurses working in the Pediatric Intensive Care Unit (PICU) affiliated to Mansoura University Children’s Hospital, Egypt. The results of the current study showed improvement in nurses’ knowledge, observed practice and attitude after completion of short term evidence-based educational program about CLABSI. Our study provide a well-rounded picture of prevention of CLABSI in Egypt suggested that PICU nurses’ knowledge, practice & attitude were improved significantly after the implementation of evidence based educational program. Therefore, the nurses’ knowledge and practice should periodically updated and evaluated regarding guidelines for CLABSI.

Therefore, the nurses’ knowledge and practice should periodically updated and evaluated regarding guidelines for CLABSI.

Jonson J et al ; looked at the growing landscape of elder care in Qatar and the necessity of a skilled nursing work force. The authors stressed that though Qatar has one of the youngest populations in the region, life expectancy in Qatar is increasing and the local population is aging. An increase in the population over the age of 65, particularly for those having pre-existing chronic health conditions, poses challenges in providing high quality healthcare. One of these challenges is in securing a nursing workforce knowledgeable about the special health needs of the aged, and skilled in providing their care within the cultural context of an Arab Muslim country. One strategy to address this challenge is to make a conscious shift in nursing education that highlights the need to equip student nurses with adequate knowledge and developed skills to care for the aging population of Qatar. Nurses who teach in this context must be prepared to deliver a curriculum that is evidence based and culturally sensitive to the norms and practices that are prevalent in the country. This article discusses the current population trends in Qatar, culture specific challenges to providing high quality aged care, and the subsequent necessity of educating a nursing workforce that is knowledgeable and skilled in geriatric care.

Helvaci M.R et al; looked at the possibility that smoking may end up with irritable bowel syndrome. The authors stressed that smoking induced chronic vascular endothelial inflammation may be found among several underlying causes of irritable bowel syndrome (IBS). IBS is diagnosed according to Rome II criteria in the absence of red flag symptoms.
The study included 331 patients with the IBS and 334 control cases. The mean age of the IBS patients was 41.8 years. Interestingly, 65.2% of the IBS patients were female. Prevalence of smoking was significantly higher in patients with the IBS (37.7% versus 20.6%, p<0.001). Similarly, prevalence of antidepressants use was also higher in the IBS cases (51.3% versus 15.8%, p<0.001). As an important component of the metabolic syndrome, prevalence of white coat hypertension (WCH) was significantly lower among the IBS patients (26.5% versus 31.7%, p<0.05). Similarly, mean values of triglycerides (p= 0.011) and low density lipoproteins (LDL) (p<0.05) were significantly lower and mean value of high density lipoproteins (HDL) was significantly higher in the IBS patients (p<0.05).

The authors concluded that IBS may be a low-grade inflammatory process being initiated with infections, inflammations, psychological disturbances - like stressesand eventually terminated with dysfunctions of the gastrointestinal and genitourinary tracts, and many other systems of the body. Although there may be several underlying causes of IBS, smoking induced chronic vascular endothelial inflammation all over the body may even terminate with IBS. The lower prevalence of WCH, lower values of triglycerides and LDL, and higher value of HDL in the IBS patients may be caused by smoking induced loss of weight gain secondary to chronic endothelial inflammation in whole body.

Sheykhi, M.T investigates how food accessibility is currently observed in developing world where majority of the world population live. People in those parts of the world while facing numerous shortcomings need to be nursed as far as their food provision is concerned. The necessary institutions must be prioritized and provided to be able to supply enough food for the increasing population with changing values, new patterns of food demand and changing lifestyles. While increasing migration in developing world is underway followed by decreasing agricultural products, food supply is emerging as problematic with ever increasing prices. The issue needs more inputs, more technologies and high supervision from the government side. UN also has positively recommended that the food issue in developing world could be solved only if improved technologies are used. Increasing urban people are in need of more varieties of food in a competitive manner much more than ever before. People in this part of the world demand more food in quantity and quality. Under the present circumstances, efforts must be made to obtain more yields to feed the increasing people. However, their food nursing is felt today more than ever before. The paper points to the hungry people in many parts of Asia, Africa and other corners of the developing world—facing malnutrition and emerging challenges. They urgently need solutions and remedies.


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