Selenium status in Saudi Arabia

Selenium (Se) is a naturally occurring trace element that is essential for animal and human nutrition, but the range between dietary requirements and toxic levels is relatively narrow. In this review, we are interested in the beneficial effects of selenium and we report on a number of studies of the selenium status of different populations in Saudi Arabia. The Status reflects the geographical area inhabited by the populations. Apart from the few available studies reviewed here, no data on the human status of Se in Saudi Arabia has been obtained. A further objective of this paper is throw some the light on the direction of future studies.     

Preimplantation genetic diagnosis in Saudi Arabia

Preimplantation genetic diagnosis (PGD) testing is the practice of obtaining a cellular biopsy sample from a developing human oocyte or embryo, acquired via a cycle of in vitro fertilization (IVF); evaluating the genetic composition of this sample; and using this information to determine which embryos will be optimal for subsequent uterine transfer. PGD has become an increasingly useful adjunct to IVF procedures. The ability to provide couples who are known carriers of genetic abnormalities the opportunity to deliver healthy babies has opened a new frontier in reproductive medicine. The purpose of the PGD is enables us to choose which embryos will be implanted into the mother. In the present study 137 families who had undergone IVF at Habib Medical Centre, were enrolled for the PGD analysis. The couple visited the clinic for the sex selection, recurrent fetal loss and with the recurrent IVF failure. 802 embryos were tested by the biopsy method and 512 are found to be normal and 290 were abnormal embryos. In this study only 24% of the embryos were transferred and the remaining was not transferred because of the abnormalities or undesired sex of the embryos. The structural and numerical abnormalities were found to be 16.8%.     

Medicinal plants in southwestern Saudi Arabia

Folk medicine practiced in southwestern Saudi Arabia has helped people prevent and cure various diseases and sicknesses such as rheumatism, asthma, diabetes, stomach problems, constipation, eye and ear problems, colds, fever, measles, bladder and urinary diseases, toothache, epilepsy, and skin allergy. The most common medicinal plants found in the region belong to the Leguminosae, Labiatae, Compositae, and Euphorbiaceae.     

First Dinosaurs from Saudi Arabia

Dinosaur remains from the Arabian subcontinent are exceedingly rare, and those that have been documented manifest indeterminate affinities. Consequently the discovery of a small, but diagnostic, accumulation of elements from Campanian-Maastrichtian (∼75 Ma) deposits in northwestern Saudi Arabia is significant because it constitutes the first taxonomically identifiable dinosaur material described from the Arabian Peninsula. The fossils include a series of possible lithostrotian titanosaur caudal vertebrae, and some isolated theropod marginal teeth that share unique character states and metric parameters (analyzed using multivariate statistical methods) with derived abelisaurids – this is the first justifiable example of a non-avian carnivorous dinosaur clade from Arabia. The recognition of titanosaurians and abelisaurids from Saudi Arabia extends the palaeogeographical range of these groups along the entire northern Gondwanan margin during the latest Cretaceous. Moreover, given the extreme paucity of coeval occurrences elsewhere, the Saudi Arabian fossils provide a tantalizing glimpse into dinosaurian assemblage diversity within the region.     

医务人员服务积极性认知现状调查与分析

?????? 目的 以北京市医院为例,了解现阶段医务人员对积极性的认知现状,探索存在差异的影响因素。方法 问卷调查法并深入访谈法。结果 逾八成的医务人员对积极性至少有一定程度了解,积极性最重要体现前五项为：自觉履行救死扶伤的宗旨;良好的医疗质量;适宜的工作量使患者能得到妥善救治;快捷的服务效率;过度医疗。近八成的医务人员认为员工积极性正在削弱,积极性削弱最重要原因前五项为：付出与所得不相称;医患关系不和谐;缺乏职业安全感;工资待遇低;工作的不到应有的认可、重视、尊重。逾九成的医务人员认为应调动员工积极性,积极性调动最重要措施前五项为：建立健全公平公正、科学合理的薪酬机制;和谐医患关系;营造良好的执业环境;员工意见和建议受认可、重视、尊重的程度;建立健全公平公正、科学合理的绩效考评制度。对积极性认知的主要影响因素有性别、婚姻状况、文化程度、工作年限、岗位、部门、编制、月收入等。结论 积极性认知有较广泛的群众基础,开展医务人员服务积极性认知现状调查,熟悉相关影响因素,有利于从源头上为切实落实“调动积极性”提供一个参考的视角。     

Breastfeeding in Saudi Arabia: a review

Background

Breastfeeding is viewed as the optimal method of infant feeding that provides many benefits to both the infant and the mother. The monitoring and reporting of breastfeeding indicators are essential for any country to plan and implement effective promotion programs for sustainable breastfeeding. The aim of this review is to examine the available studies and data on breastfeeding in Saudi Arabia, and determine the potential factors that affect breastfeeding practices and duration in this country.

Methods

The databases of Web of Knowledge, Science Direct and PubMed were searched using the relevant key words. Only studies that reported breastfeeding practices, rates and indicators in Saudi Arabia were included. Standard WHO definitions for breastfeeding categories were used in this review.

Results

Seventeen cross-sectional studies were identified and reviewed and five stated they used standard definitions. The self-administered questionnaire as a measurement tool was the predominant method of data collection. Infants' ages range from less than six months up to five years. Initiation rates were high (mostly above 90%), but a few studies reported low rates of timely initiation (within the first hour). The exclusive breastfeeding rate could not be accurately determined as rates range from 0.8% to 43.9% among studies due to the lack of clear definitions and the nature of study design. The partial (mixed) feeding method was common and the category of 'any breastfeeding' has generally high rates. The mean duration of breastfeeding has showed a progressive decline over time from 13.4 months in 1987 to 8.5 months in 2010. Factors associated with a high prevalence of breastfeeding and longer duration include increased maternal age, low educational levels, rural residence, low income, multiparity and avoiding contraceptives. The most common reason for breastfeeding cessation was insufficient breast milk. Other reasons include sickness, new pregnancy and breastfeeding problems.

Conclusions

Breastfeeding indicators in Saudi Arabia could not be monitored or compared relying on the available data because no longitudinal studies have been conducted in this country. A cohort study design would be the most appropriate procedure to rigorously assess and report valid results on breastfeeding practices and patterns in the Saudi society.     

Climate change and animals in Saudi Arabia

Global warming is occurring at an alarming rate and predictions are that air temperature (T_a) will continue to increase during this century. Increases in T_a as a result of unabated production of greenhouse gases in our atmosphere pose a threat to the distribution and abundance of wildlife populations worldwide. Although all the animals worldwide will likely be affected by global warming, diurnal animals in the deserts will be particularly threatened in the future because T_as are already high, and animals have limited access to water. It is expected that Saudi Arabia will experience a 3–5 °C in T_a over the next century. For predicting the consequences of global warming for animals, it is important to understand how individual species will respond to higher air temperatures. We think that populations will not have sufficient time to make evolutionary adjustments to higher T_a, and therefore they will be forced to alter their distribution patterns, or make phenotypic adjustments in their ability to cope with high T_a. This report examines how increases in T_a might affect body temperature (T_b) in the animals of arid regions. We chose three taxonomic groups, mammals, birds, and reptiles (Arabian oryx, Arabian spiny-tailed lizard, vultures, and hoopoe larks) from Saudi Arabia, an area in which T_a often reaches 45 °C during midday in summer. When T_a exceeds T_b, animals must resort to behavioral and physiological methods to control their T_b; failure to do so results in death. The observations of this study show that in many cases T_b is already close to the upper lethal limit of around 47° C in these species and therefore allowing their T_b to increase as T_a increases are not an option. We conclude that global warming will have a detrimental impact on a wide range of desert animals, but in reality we know little about the ability of most animals to cope with change in T_a. The data presented should serve as base-line information on T_b of animals in the Kingdom for future scientists in Saudi Arabia as they explore the impact of global warming on animal species.     

Sickle cell-beta 0-thalassaemia in Saudi Arabia

During an extensive investigation to determine the frequency of sickle cell and thalassaemia genes in the Saudi population, 22 cases with S/beta 0-thalassaemia were identified and the haematological, biochemical and clinical findings were compared with those in patients with sickle cell anaemia. The values of mean cell volume, mean cell haemoglobin and packed cell volume were found to be lower while all other haematological parameters including Hb A2 were higher in the S/beta 0-thalassaemia group. No statistically significant difference in the Hb F level was found between the two groups. Biochemical parameters were grouped according to organ function tests. Only slight differences were seen in the values of some parameters. The clinical data showed that, in general, patients with sickle cell anaemia had a more severe condition than the S/beta 0-thalassaemia.     

Two remarkable newCruciferae from Saudi Arabia

A new genus ofCruciferae, Dolichorhynchus Hedge & Kit Tan (D. arabicus Hedge & Kit Tan) and a new speciesArabidopsis erysimoides Hedge & Kit Tan, both from northern Saudi Arabia, are described and illustrated. An addendum lists new Crucifer generic or species records for the Arabian peninsula.     

Osmophilic fungi of desert soils in Saudi Arabia

100 osmophilic species in addition to two varieties which belong to 38 genera were isolated from desert soils of Saudi Arabia. The most prevalent genera were Asperngillus, Altemaria, Penicillium, Cephalosporium, Acremonium and Botryotrichum which occurred in 55–97.5% of the samples contributing 1.8–45.2% of total fungi. From the preceding genera A. amstelodami, A. fumigatus, A. terreus, A. niger, A. flavipes, A. repens, A. alternata, P. notatum, P. chrysogenum, P. citrinum, C.? racifi, A. strictum and B. atrogriseum were the most common. Five genera were recovered in moderate frequency namely, Ulocladium, Fusarium, Drechslera, Microascus, Syncephalastrum and Cladosporium which emerged in 25–42% of the samples comprising 0.7–2.8% of total fungi. The results obtained in the present investigation reveal that the fungus flora of Saudi Arabian soils is of osmophilic nature.     

Halophilic fungi of desert soils in Saudi Arabia

Twenty-five genera and sixty-eight species, in addition to one variety of each of A. chevalieri, A. flavus and A. nidulans were isolated from 40 soil samples collected from desert in Saudi Arabia on 5% sodium chloride-Czapek's agar. The most frequent genera were Aspergillus (20 species + 3 varieties), Penicillium (14 species), Drechslera (2 species) and Ulocladium (3 species), followed by Stemphylium (1 species), Scopulariopsis (2 species), Trichoderma (1 species) Botryotrichum (2 species), Cladosporium (3 species), Myrothecium (1 species) and Alternaria (1 species). From these genra A. amstelodami, A. chevalieri, A. ruber, A. ochraceus, P. brevi-compactum, P. ?cyano-fulvum, P. notatum, D. spicifera, U. consortiale, S. botryosum, S. brevicaulis, T. viride, B. piluliferum, C. herbarum, M. verrucaria and A. alterata were the most common. The results obtained in this investigation reveal that the fungus flora of Saudi Arabian soils is of halophilic nature.     

Sickle beta 0 thalassemia in Eastern Saudi Arabia

The sickle cell (beta s) gene occurs at a high frequency in the oasis populations of Eastern Saudi Arabia. However, as compared with the disorder in Africans, sickle cell anemia runs an unusually benign clinical course in this populations; this has been attributed in part to the relatively high levels of fetal hemoglobin (Hb F) which characterize Saudi Arabians with this condition [1, 2]. As yet, there is no satisfactory explanation for this remarkable phenomenon. To learn more about the expression of the beta s gene in Eastern Saudi Arabia, we examined its interaction with beta 0 thalassemia. We found that remarkably high levels of Hb F in this population are not restricted to individuals with sickle cell anemia but also occur in compound heterozygotes for the beta s and beta 0 thalassemia (beta 0 thal) genes. Additionally, this study has characterized sickle cell-beta 0 thalassemia (S-beta 0 thal) in Eastern Saudi Arabia for the first time.     

Awareness and Acceptance of Evolution and Evolutionary Medicine Among Medical Students in Pakistan

Evolutionary medicine is a perspective on medical sciences derived through application of theory of evolution to aid in therapeutics. This study sought to determine the level of knowledge and acceptance of evolutionary theory in medical students along with their attitude toward teaching evolutionary medicine as a part of their undergraduate course. Factors that are likely to cause difficulty in teaching evolutionary medicine were also identified. A cross-sectional study was carried out at Army Medical College, National University of Sciences and Technology, Pakistan in which 299 medical students were selected by nonprobability convenient sampling technique to participate in the study. Participants’ views were obtained by a structured questionnaire comprised of three sections: appreciation of evolutionary medicine, acceptance of evolutionary theory, knowledge of evolutionary theory. Medical students had a low acceptance [mean measure of acceptance of theory of evolution (MATE) = 58.32] and a low knowledge (mean score of 5.20 out of a total ten marks). Students believed that religious beliefs, lack of resources, and an existent extensive medical curriculum would cause difficulty in imparting such an education despite its potential to improve medical research and clinical practice. Only 37.2% agreed that the subject should be taught in medical schools as an individual subject.     

Viable airborne fungi in Riyadh, Saudi Arabia

An aerobiological study to identify and quantify allergenic fungi and their seasonal fluctuations was conducted at two different sites, (Al-Batha, a more developed area in the south and Al-Ulia, a less developed area in the north) in Riyadh city, using portable Personal Volumetric Air Sampler (Burkard Manufacturing Co., England). Sampling was conducted twice a week in both the morning and in the afternoon at both sites, for a period of 12 months. Airborne fungi were grouped into major and minor components depending upon their frequency of appearance and catch percentage in the air. Cladosporium spp., Penicillium spp., Aspergillus spp., Alternaria spp. and Ulocladium spp. were included as major components. Minor components included Drechslera spp., Rhizopus spp., Fusarium spp. and Stachybotryis spp. In general, higher concentrations of fungi were found at the developed (Al-Batha) site than at the less developed (Al-Ulia) site, both in the morning and in the afternoon.     

Cellulose-decomposing fungi of desert soils in Saudi Arabia

Seventy-five species in addition to 5 varieties of cellulose-decomposing which belong to 27 genera were collected during this investigation. Aspergillus (12 species + 4 varieties), Alternaria (4 species), Stachybotrys (3 species + 1 variety), and Penicillium (12 species) were of high frequency of occurrence, of which A. fumigatus, A. niger, A. terreus, A. alternata, A. tenuissima, S. atra, P. citrinum and P. corylophilum were the most common. Six genera were of moderate frequency and these were Botryotrichum (2 species), Macrophomina (1 species), Drechslera (5 species), Ulocladium (4 species), Chaetomium (7 species) and Curvularia (4 species) of which B. atrogriseum, D. spicifera, D. sativus, Ubotrytis, C. spirale and C. lunata were the most prevalent. Five and twelve genera were recovered on cellulose-Czapek's agar plates in low and rare frequency of occurrence, respectively.