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Search Results: 1 - 10 of 4369 matches for " Subish; Ibrahim "
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Pattern and quality of scientific communications on drug safety produced by a regional pharmacovigilance center in Nepal
Palaian,Subish; Ibrahim,Mohamed I.; Mishra,Pranaya;
Pharmacy Practice (Internet) , 2010, DOI: 10.4321/S1886-36552010000300005
Abstract: analyzing the pattern and quality of scientific communications on pharmacovigilance can help the regional centers in nepal and other developing countries to develop approaches for communicating effectively medicine safety issues. this kind of research is lacking in developing countries. objectives: to analyze the pattern and quality of scientific communications on drug safety produced by the regional pharmacovigilance center at western nepal. methods: various conference abstracts and journal publications produced by the center during its initial four years of establishment (14th september 2004 till 13th september 2008) were identified. these communications were categorized in to case reports, review articles, conference presentations, short communications, newsletter and bulletin articles, original research and case series. in addition, the quality of the case reports were evaluated as per international society of pharmacovigilance/international society of pharmacoepidemiology (isop/ispe) guidelines on the requirements for submitting case reports on adverse event reports in biomedical journals. results: during the study period, 53 scientific communications were produced by the staff of the regional pharmacovigilance center in relation with drug safety. among these, 18 (34%) were related to case reports and letters. the median (interquartile range) age of the patients described in the case reports was 46.5 (21.7-51.2) years. among the total 18 adrs, four were fixed drug eruptions, followed by contact dermatitis (n=2). majority of the published case reports were related to skin (n=13; 72.2%). antimicrobials were responsible for 27.8% (n=5) of the case reports. among the 18 case reports published by the pharmacovigilance center, a majority followed the isop/ispe guidelines. few parameters like physical examination of the patient experiencing adr, patient disposition, dosage and administration of the suspected drugs, and drug-reaction interface were missing in few of th
Pattern of adverse drug reactions reported by the community pharmacists in Nepal
Palaian,Subish; Ibrahim,Mohamed I.M.; Mishra,Pranaya;
Pharmacy Practice (Internet) , 2010, DOI: 10.4321/S1886-36552010000300008
Abstract: the pharmacovigilance program in nepal is less than a decade old, and is hospital centered. this study highlights the findings of a community based pharmacovigilance program involving the community pharmacists. objectives: to collect the demographic details of the patients experiencing adverse drug reactions (adr) reported by the community pharmacists; to identify the common drugs causing the adrs, the common types of adrs; and to carry out the causality, severity and preventability assessments of the reported adrs. methods: the baseline knowledge-attitude-practices (kap) of 116 community pharmacists from pokhara valley towards drug safety was evaluated using a validated (cronbach alpha=0.61) kap questionnaire having 20 questions [(knowledge 11, attitude 5 and practice 4) maximum possible score 40]. thirty community pharmacists with high scores were selected for three training sessions, each session lasting for one to two hours, covering the basic knowledge required for the community pharmacists for adr reporting. pharmacist from the regional pharmacovigilance center visited the trained community pharmacists every alternate day and collected the filled adr reporting forms. results: altogether 71 adrs, from 71 patients (37 males) were reported. antibiotics/ antibacterials caused 42% (n=37) of the total adrs followed by non steroidal anti-inflammatory drugs [25% (n=22)]. ibuprofen/paracetamol combination accounted for ten adrs. the most common type of adr was itching [17.2 % (n=20), followed by generalized edema [8.6 % (n=10)]. in order to manage the adrs, the patients needed medical treatment in 69% (n=49) of the cases. over two third (69%) of the adrs had a "possible" association with the suspected drugs and a high percentage (70.4%) were of "mild (level 2)" type. nearly two third [64.7 % (n=46)] of the adrs were "definitely preventable". conclusion: the common class of drugs known to cause adrs was antibacterial/ antibiotics. ibuprofen/ paracetamol combination use
Parent′s knowledge and management of their children′s ailments in Malaysia
Dawood,Omar T.; Ibrahim,Mohamed I.M.; Palaian,Subish;
Pharmacy Practice (Internet) , 2010, DOI: 10.4321/S1886-36552010000200003
Abstract: minor ailments like sore throat, fever, cough and diarrhea can be relieved with over-the-counter (otc) medications such as paracetamol or other traditional remedies, without seeking for consultation from general practitioners. parents usually take the responsibility to come up with some kind of treatment for their children. objective: (1) to evaluate the parents′ medical knowledge about otc medicines which are usually used by the parents to treat their children and (2) to evaluate the parents′ management in dealing with their children′s ailments, and (3) to evaluate the association between medical knowledge and the management of children′s ailments related to medicine use among the parents. methods: a cross-sectional survey was conducted to measure the parents′ knowledge about their children′s ailments. subjects were selected and information was obtained in september 2008. non-probability convenient sampling method was used. parents were recruited from the general public to answer the questionnaires. results: 197 parents filled in the questionnaires. from the total respondents, 48.2% of them were male. this study showed that most respondents have medium knowledge (6.11 sd=3.6) and a moderate management (4.39 sd=2.7). the results showed that there is a significant difference between the knowledge and the management level of ailments (p=0.033). regarding the education level of the parents and the socioeconomic status, the p-value showed there was a significant difference between parents′ knowledge and their education level (p=0.012). conclusion: this study showed that parents have inadequate knowledge and some misconception about how to go about treating their children when they are unwell. it is hoped that by identifying weak areas in parents′ management to their children′s ailments, better planned educational and behavioral modification efforts can be made to elevate the knowledge level among the parents when they medically treat their children.
The role of mothers in the management of childhood diarrhoea in Nepal
Mukhtar Ansari,Subish Palaian,Mohamed Izham Mohamed Ibrahim
Australasian Medical Journal , 2009,
Abstract: Diarrhoea is a leading cause of childhood morbidity andmortality in Nepal, a developing country where the largerproportion of the population live in rural areas. Poverty,illiteracy, lack of health care facilities at local level,demographical distribution and traditional beliefs are themajor obstacles for getting proper and timely healthcare.There is a necessity to consider the cultural beliefs of differentethnic communities before designing any educational protocolor guideline. Educational protocol or guidelines which respectthe local cultural beliefs and stimulate the utilization of theirlocally available facilities can be easily accepted and would bemore suitable to achieve the objectives.
Knowledge and perception about the Medical Humanities before and after a national workshop
PR Shankar,P Subish,R Paudel
Journal of College of Medical Sciences-Nepal , 2011, DOI: 10.3126/jcmsn.v7i2.6688
Abstract: Medical Humanities programs are common in medical schools in developed nations. In Nepal modules have been conducted at Manipal College of Medical Sciences (MCOMS), Pokhara and KIST Medical College (KISTMC), Lalitpur. A workshop was conducted on 26th September 2010 to familiarize participants with MH. Faculty members, medical and nursing students and doctors participated. Pre and post test were administered to study knowledge and perception about MH. Differences in scores among different subgroups of participants and before and after the workshop were explored.
Research on the prevalence of conduct disorders among primary school pupils in Khartoum-Sudan  [PDF]
Ibrahim Abdelrahim Ibrahim Humaida
Health (Health) , 2012, DOI: 10.4236/health.2012.43020
Abstract: The aim of this research was to investigate conduct disorder among pupils of primary schools in Khartoum, the capital of Sudan. School survey descriptive method was used and 384 pupils were selected from primary schools through systematic sampling technique. Age ranged from 5 to 17 years old with a mean of (9.34) years. The tools of data collection consisted of the Sutter-Eyberg Student Behavior Inventory. The statis-tical tests used to analyze the collected data involve frequency and percentage, Pearson co-efficient of correlation, mean, t-test for one sample and t-test for two independent samples. The results of this research revealed that that the prevalence of conduct disorder among pupils of primary schools in Khartoum was low. There were significant differences in conduct disorder between male and females pupils. There were no significant differences between pupils of pre-paratory classes and pupils of elementary classes. There was no significant correlation between conduct disorder and age.
Periodicity and Solution of Rational Recurrence Relation of Order Six  [PDF]
Tarek F. Ibrahim Ibrahim
Applied Mathematics (AM) , 2012, DOI: 10.4236/am.2012.37107
Abstract: Difference equations or discrete dynamical systems is diverse field whose impact almost every branch of pure and ap- plied mathematics. Every dynamical system an+1=f(an) determines a difference equation and vise versa. We ob-tain in this paper the solution and periodicity of the following difference equation. xn+1=(xnxn-2xn-4)/(xn-1xn-3xn-5, (1) n=0,1,... where the initial conditions x-5,x-4,x-3,x-2,x-1 and x0 are arbitrary real numbers with x-1,x-3 and x-5 not equal to be zero. On the other hand, we will study the local stability of the solutions of Equation (1). Moreover, we give graphically the behavior of some numerical examples for this difference equation with some initial conditions.
Relationship between Stress and Psychosomatic Complaints among Nurses in Tabarjal Hospital  [PDF]
Ibrahim Abdelrahim Ibrahim Humaida
Open Journal of Medical Psychology (OJMP) , 2012, DOI: 10.4236/ojmp.2012.13003
Abstract: This research was conducted to examine the relationship between stress and psychosomatic complaints among nurses in Tabarjal hospital. To achieve this aim, the researcher used the descriptive method and selected a sample consisting of (56) nurses working in hospital through the simple random sampling technique. The respondents were requested to complete a questionnaire for rating of stress and the most common psychosomatic diseases. The collected data were analyzed statistically by using SPSS. The results revealed that the stress was dominant among nurses in Tabarjal hospital, the prevalence of psychosomatic complaints was significantly higher in nurses, and there was significant correlation between stress and psychosomatic complaints among nurses. Conclusion: This research confirmed the effect of strains on the prevalence of psychosomatic symptoms among nurses in Tabarjal hospital. Further, implications of the results were discussed on the light of some related researches.
Fairness Creams in South Asia—A Case of Disease Mongering?
P. Ravi Shankar ,Bishnu Rath Giri,Subish Palaian
PLOS Medicine , 2006, DOI: 10.1371/journal.pmed.0030315
GenMed 010: a one day workshop on generic medicines
Shankar PR,Hassali MA,Subish P,Piryani RM
Australasian Medical Journal , 2011,
Abstract: This report outlines the content of a one-day workshop onGeneric Medicines that was held at KIST Medical College,Lalitpur, Nepal on 13th December 2010, which was attendedby 32 delegates from different institutions in Nepal, includingpharmacists, pharmacologists and medical doctors. Rightmedicine, right patient, right dose, right frequency andduration, right information and right monitoring areconditions to be fulfilled for the rational use of medicine(RUM). The World Health Organization (WHO) defines genericmedicine as ‘a pharmaceutical product, usually intended to beinterchangeable with the innovator product, marketed afterthe expiry of patent or other exclusivity rights’. Economicfactors, supportive legislation and regulation, public andprofessional acceptance and quality assurance are keyenabling factors promoting use of generics. Increased patentprotection for medicines and removing process patents is akey feature of new trade agreements and newer medicines fordiseases like HIV/AIDS, tuberculosis and infectious diseasesare likely to be more expensive. The Medicine andTherapeutics Committee (MTC) can play a key role inpromoting generic medicine use in institutions.Nepal being among the Least Developed Countries (LDCs)need not provide patent protection for medicines until 31stDecember 2015. Only a few ‘true’ generics are available inNepal and there is huge cost variation in the price of differentbranded generics. Clinicians have concerns about the qualityof medicines in general, substitution of poor quality brands bypharmacists and about therapeutic substitution. Genericshave to meet the same regulatory requirements and bebioequivalent to reference preparations assuring their quality.
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