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Search Results: 1 - 10 of 19631 matches for " Salim Al-Maskari "
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Accessory mitral valve tissue causing severe left ventricular outflow tract obstruction in a post-Senning patient with transposition of the great arteries
Prashanth Panduranga,Thomas Eapen,Salim Al-Maskari,Abdullah Al-Farqani
Heart International , 2011, DOI: 10.4081/hi.2011.e6
Abstract: Accessory mitral valve tissue is a rare congenital anomaly associated with congenital cardiac defects and is usually detected in the first decade of life. We describe the case of an 18-year old post-Senning asymptomatic patient who was found to have accessory mitral valve tissue on transthoracic echocardiography producing severe left ventricular outflow tract obstruction.
Assessment of the direct medical costs of diabetes mellitus and its complications in the United Arab Emirates
Fatma Al-Maskari, Mohammed El-Sadig, Nicholas Nagelkerke
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-679
Abstract: A sample of 150 DM patients were enrolled during 2004-2005, and their medical costs over the ensuing 12 months was measured, quantified, analyzed and extrapolated to the population in Al-Ain and UAE, using conventional and inference statistics. The costs were converted from UAE Dirhams to US Dollar, using the official conversion rate of US$ (1 USD = 3.68 AED).The total annual direct treatment costs of DM among patients without complications in Al Ain-UAE, was US $1,605 (SD = 1,206) which is 3.2 times higher than the per capita expenditure for health care in the UAE (US$ 497) during 2004 (WHO, 2004). However, this cost increased 2.2 times with the presence of DM related complications for patients with microvascular complications, by 6.4 times for patients with macrovascular complications and 9.4 times for patients with both micro and macrovascular complications. Likewise, the annual direct hospitalization costs of DM patients increased by 3.7 times for patients with microvascular complications, by 6.6 times for patients with macrovascular complications and by 5 times for patients with both micro and macrovascualr complications. Overall, costs increased with age, diabetes duration and were higher for patients treated with insulin compared to those treated with oral hypoglycemic agents or with diet control only.DM direct treatment costs increased with the presence and progression of chronic DM related complications. Hospitalisation costs constituted a large proportion and were increasingly higher with the presence and progression of DM related complications. To reduce the impact on healthcare resources, efforts should be made to prevent progression to DM complications, by implementing guidelines for diabetes care, screening for complications and better management.Diabetes Mellitus (DM) is a major cause of morbidity, disability and mortality worldwide [1]. In addition, the economic burden on patients and society in the form of direct and indirect costs is enormous [1].
Prevalence of risk factors for diabetic foot complications
Fatma Al-Maskari, Mohammed El-Sadig
BMC Family Practice , 2007, DOI: 10.1186/1471-2296-8-59
Abstract: The study was part of a general cross-sectional survey carried out to assess the prevalence of DM complications in Al-Ain district, UAE. A sample of 513 diabetic patients with a mean age of 53 years (SD: ± 13) were randomly selected during 2003/2004. All completed an interviewer-administered questionnaire and underwent medical assessment including foot examination and assessment of presence of peripheral neuropathy (PN) and peripheral vascular disease (PVD).Forty nine percent of the study populations were diagnosed to have DM without presenting with symptoms of diabetes and 35% had hypertension. The majority (86%) had type 2 DM. Of the total sample, 39% (95% CI: 35.1-43.7%) had PN and 12% (95% CI: 8.8–14.4%) had PVD. There were no cases of amputation and only one case had previous history of lower extremity ulceration. Significant risk factors for PN and PVD were: male gender, poor level of education, UAE nationality, increased duration of diabetes, type 2 DM, presence of hypertension and microalbuminuria (MA).Despite the low prevalence of foot ulceration and amputation among the study population, nevertheless, a substantial proportion had potential risk factors for foot complications.Peripheral neuropathy (PN) and peripheral vascular disease (PVD) are well known common long-term complications of diabetes, and although a proportion of people with PN and PVD have severe and debilitating pain, many are asymptomatic [1]. However, despite the lack of symptoms, people with PN and PVD are known to be at high risk of foot complications including foot ulceration, infection and amputation [2-4]. PN and PVD are the main causes of non-traumatic lower limb amputation [5-7].Complications affecting the lower limbs are among the most common manifestations of diabetes; it was reported that 15% of diabetic patients will eventually suffer from foot ulceration during their lifetime [8]. These complications are a frequent cause of hospitalization and disability; with 1 in 5 hospitaliza
Prevalence and determinants of microalbuminuria among diabetic patients in the United Arab Emirates
Fatma Al-Maskari, Mohammed El-Sadig, Enyioma Obineche
BMC Nephrology , 2008, DOI: 10.1186/1471-2369-9-1
Abstract: The study was part of a general cross-sectional survey carried out to assess the prevalence of diabetes mellitus (DM) complications in Al-Ain district, UAE and was the first to assess the prevalence of MA among diabetic patients. A sample of 513 diabetic patients with a mean age of 53 years (SD: ± 13) was randomly selected during 2003/2004. All patients completed an interviewer-administered questionnaire and underwent medical assessment. First morning urine collections were obtained and were tested for clinical proteinuria using urine dipsticks and for MA using the single Micral-Test II strips.MA was found in 61% (95% CI: 56.7–65.7) of the sample and the rate was significantly higher among males, positively related to body mass index (BMI), type 2 DM and presence of other DM complications such as diabetic retinopathy and neuropathy. Of the total sample population, 12.5% (95% CI: 8.1-14.1) had clinical proteinuria.The prevalence rate of MA was considerably high ( 61%) among diabetic patients in the UAE. Therefore, regular screening for MA is recommended for all diabetic patients, as early treatment is critical for reducing cardiovascular risks and slowing the progression to late stages of diabetic nephropathy (overt proteinuria and end-stage renal disease).Diabetes mellitus (DM) has long been recognized as a major public health problem with far reaching consequences, not only for its adverse health impact on individuals, but also for its economic burden on the health care system and the society at large [1]. The International Diabetes Federation (IDF) in 2005 confirmed that diabetes is one of the most common non-communicable diseases globally and constitutes the fourth or fifth leading cause of death in most developed countries as well as many developing and newly industrialized countries, such as the United Arab Emirates (UAE) [2]. The IDF in 2003 ranked the UAE's prevalence rate for type 2 DM and IGT as the second highest in the world (20% for DM and 26% for IGT) [
Prevalence of diabetic retinopathy in the United Arab Emirates: a cross-sectional survey
Fatma Al-Maskari, Mohammed El-Sadig
BMC Ophthalmology , 2007, DOI: 10.1186/1471-2415-7-11
Abstract: The study was part of a general cross-sectional survey carried out to assess the prevalence of diabetes (DM) complications including retinopathy among known diabetic patients in Al-Ain District, UAE. Patients were randomly selected during 2003/2004. Patients completed an interviewer-administered questionnaire carried out by treating doctors and underwent a complete medical assessment. All patients were examined for evidence of diabetic retinopathy by ophthalmologist and their fundi were examined using slit lamp examination and fundus photography of each eye through dilated pupils.A sample of 513 diabetic patients was selected with a mean age of 53 years (SD ± 13.01). Retinopathy was present in 19% (95% CI: 15.1–23.5%) of the study population. Most patients (74%) were not aware of their condition. The disease was more common among males (24.2 vs. 13.9%; p = 0.016), increased with increasing age (p = 0.004) and disease duration (p = 0.0001). Type I DM was a highly significantly contributing risk factor (38.3% for type 1, vs. 16.4% for type 2; p < 0.0001). Retinopathy was higher among patients with hypertension, microalbuminuria, peripheral vascular disease, coronary artery disease and neuropathy.The prevalence of DR in the UAE was (19%) and significantly affected elderly males. Regular screening to detect DR is highly recommended as with the early detection of proliferative retinopathy and timely laser photocoagulation which are known to prevent most of the diabetes related blindness.Diabetic retinopathy (DR) is a complication of diabetes mellitus (DM) that affects the blood vessels of the retina and leads to blindness. The progression of retinopathy is gradual, advancing from mild abnormalities, characterized by increased vascular permeability, to moderate and severe non-proliferative diabetic retinopathy, characterized by the growth of new blood vessels on the retina and posterior surface of the vitreous [1].DR is one of the most serious complications of diabetes. F
HbA1c Levels among Primary Healthcare Patients with Type 2 Diabetes Mellitus in Oman
Jawad A Al-Lawati,Mohammed N. Barakat,Masoud Al-Maskari,Medhat K. Elsayed
Oman Medical Journal , 2012,
Abstract: Objectives: To investigate whether younger patients with type 2 diabetes mellitus have higher glycated hemoglobin A1c (HbA1c) levels compared to older patients, and to determine the factors associated with higher HbA1c levels.Methods: Data from 1,266 patients from all over Oman were used to obtain the mean HbA1c level, odds ratios (OR), and 95% confidence intervals (CI) from multiple logistic regression models with age groups, sex, duration of diabetes, diabetes treatment, body mass index, estimated glomerular filtration rate (eGFR), tobacco use, and healthcare index as predictors of good (HbA1c <7%) vs.poor (≥7%) glycemic control.Results: Mean HbA1c levels were 8.9, 8.3, and 7.8 in the age groups 20-39, 40-59 and 60+ years, respectively. After controlling for all other covariates, the OR of good glycemic control increased with age, 40-59 years old (OR=1.7; 95% CI 1.1 to 2.6) and 60+ year (OR=2.5; 95% CI 1.6 to 4.0), female gender (OR=1.5; 95% CI 1.2 to 2.0) and in patients with eGFR ≥60 mL/min/1.73 m2 (OR=1.9; 95% CI 1.1 to 3.3). Longer duration of diabetes (≥5years) and treatment with oral agents or insulin were inversely related to good glycemic control.Conclusion: Younger Omani adults exhibit worse glycemic levels compared to older adults posing a formidable challenge to diabetes care teams.
The prevalence of macrovascular complications among diabetic patients in the United Arab Emirates
Fatma Al-Maskari, Mohammed El-Sadig, John N Norman
Cardiovascular Diabetology , 2007, DOI: 10.1186/1475-2840-6-24
Abstract: The study was part of a general cross-sectional survey carried out to assess the prevalence of diabetes (DM) complications among known diabetic patients in Al-Ain District, UAE. Patients were randomly selected during 2003/2004. Patients completed an interviewer-administered questionnaire carried out by treating doctors and underwent a complete medical assessment including measurement of height, weight, blood pressure and examination for evidence of macrovascular complications. A standard ECG was recorded and blood samples were taken to document fasting blood sugar, glycosylated haemoglobin (HbA1C) and lipid profile.A sample of 513 diabetic patients was selected with a mean age of 53 years (SD ± 13.01). Overall, 29.5% of DM patients had evidence of macrovascular complications: 11.6% (95% CI: 8.8–14.4) of patients had peripheral vascular disease (PVD), 14.4% (95% CI: 11.3–17.5) had a history of coronary artery disease (CAD) and 3.5% (95% CI: 1.9–5.1%) had cerebrovascular disease (CVD). Of the total population surveyed 35% (95%CI: 30.8–39) had hypertension. The analysis showed that macrovascular complications in diabetic patients were more common among males, increased with age, were more common among hypertensive patients and its prevalence increased steadily with duration of DM.Our data revealed a significant association between hypertension and presence of macrovascular disease among diabetic patients. However, the risk of CAD in the UAE was relatively low compared to that seen in patients in other geographical settings. In addition, a lack of correlation between macrovascular disease and glycemic control among patients with DM was observed.DM is known to be associated with a high risk of developing vascular complications which can lead to premature death and/or disability mainly by increasing the risk of myocardial infarction, stroke and peripheral vascular disease [1]. Patients with DM are two to four times more likely to develop cardiovascular disease than those
Knowledge, Attitude and Practices of Diabetic Patients in the United Arab Emirates
Fatma Al-Maskari, Mohamed El-Sadig, Juma M. Al-Kaabi, Bachar Afandi, Nicolas Nagelkerke, Karin B. Yeatts
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0052857
Abstract: Introduction Diabetes self-management education is a cornerstone of diabetes care. However, many diabetics in the United Arab Emirates (UAE) lack sufficient knowledge about their disease due to illiteracy. Thus, before considering any possible intervention it was imperative to assess present knowledge, attitudes, and practices of patients towards the management of diabetes. Methods A random sample of 575 DM patients was selected from diabetes outpatient's clinics of Tawam and Al-Ain hospitals in Al-Ain city (UAE) during 2006–2007, and their knowledge attitude and practice assessed using a questionnaire modified from the Michigan Diabetes Research Training Center instrument. Results Thirty-one percent of patients had poor knowledge of diabetes. Seventy-two had negative attitudes towards having the disease and 57% had HbA1c levels reflecting poor glycemic control. Only seventeen percent reported having adequate blood sugar control, while 10% admitted non-compliance with their medications. Knowledge, practice and attitude scores were all statistically significantly positively, but rather weakly, associated, but none of these scores was significantly correlated with HbA1c. Conclusions The study showed low levels of diabetes awareness but positive attitudes towards the importance of DM care and satisfactory diabetes practices in the UAE. Programs to increase patients' awareness about DM are essential for all diabetics in the UAE in order to improve their understanding, compliance and management and, thereby, their ability to cope with the disease.
Proposing a Systematic Approach to Verify Software Requirements  [PDF]
Zuhoor Abdullah Salim Al-Khanjari
Journal of Software Engineering and Applications (JSEA) , 2014, DOI: 10.4236/jsea.2014.74023
Abstract:


Identifying stakeholder’s needs, eliciting, categorizing and translating them into specifications is the requirement analysis process. Requirement analysis can be a long and arduous process during which many delicate psychological skills are involved. For any software, it is important to identify all stakeholders, collect their requirements and ensure they understand the implications of the software. The gap between stakeholders’ vision of the proposed software and the analysis's depiction of that software is the cause of shortcomings in analysis. If the requirements specified by analysts can be tested against stakeholders' expectations, then this gap might be narrowed, and better solutions might be resulted. This paper discusses the impact of the activities of the analysis phase on the development process and on the software itself. It describes the development of the ReqVerifier tool and proposes a systematic approach on how to test software requirements and verify them against stakeholders’ vision in order to develop a good software requirement for a quality software.


Game Theory Based Network Security  [PDF]
Yi Luo, Ferenc Szidarovszky, Youssif Al-Nashif, Salim Hariri
Journal of Information Security (JIS) , 2010, DOI: 10.4236/jis.2010.11005
Abstract: The interactions between attackers and network administrator are modeled as a non-cooperative non-zero-sum dynamic game with incomplete information, which considers the uncertainty and the special properties of multi-stage attacks. The model is a Fictitious Play approach along a special game tree when the attacker is the leader and the administrator is the follower. Multi-objective optimization methodology is used to predict the attacker’s best actions at each decision node. The administrator also keeps tracking the attacker’s actions and updates his knowledge on the attacker’s behavior and objectives after each detected attack, and uses it to update the prediction of the attacker’s future actions. Instead of searching the entire game tree, appropriate time horizons are dynamically determined to reduce the size of the game tree, leading to a new, fast, adaptive learning algorithm. Numerical experiments show that our algorithm has a significant reduction in the damage of the network and it is also more efficient than other existing algorithms.
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