1e:I[23489,["/_next/static/immutable/chunks/0cmb0ng968nlp.js","/_next/static/immutable/chunks/1c7dg80qt12uw.js","/_next/static/immutable/chunks/2bmdwv49ba1qx.js","/_next/static/immutable/chunks/3ld61_1ghpsxn.js"],"ShareMenu"] 1f:I[55078,["/_next/static/immutable/chunks/0cmb0ng968nlp.js","/_next/static/immutable/chunks/1c7dg80qt12uw.js","/_next/static/immutable/chunks/2bmdwv49ba1qx.js","/_next/static/immutable/chunks/3ld61_1ghpsxn.js"],"AuthorMetricsPanel"] 20:I[39060,["/_next/static/immutable/chunks/0cmb0ng968nlp.js","/_next/static/immutable/chunks/1c7dg80qt12uw.js","/_next/static/immutable/chunks/2bmdwv49ba1qx.js","/_next/static/immutable/chunks/3ld61_1ghpsxn.js"],"AuthorPapers"] 4b:I[49310,["/_next/static/immutable/chunks/0cmb0ng968nlp.js","/_next/static/immutable/chunks/1c7dg80qt12uw.js"],"IconMark"] 21:T596,The rising burden of type 2 diabetes is a major concern in healthcare worldwide. This research aimed to analyze the global epidemiology of type 2 diabetes. We analyzed the incidence, prevalence, and burden of suffering of diabetes mellitus based on epidemiological data from the Global Burden of Disease (GBD) current dataset from the Institute of Health Metrics, Seattle. Global and regional trends from 1990 to 2017 of type 2 diabetes for all ages were compiled. Forecast estimates were obtained using the SPSS Time Series Modeler. In 2017, approximately 462 million individuals were affected by type 2 diabetes corresponding to 6.28% of the world's population (4.4% of those aged 15-49 years, 15% of those aged 50-69, and 22% of those aged 70+), or a prevalence rate of 6059 cases per 100,000. Over 1 million deaths per year can be attributed to diabetes alone, making it the ninth leading cause of mortality. The burden of diabetes mellitus is rising globally, and at a much faster rate in developed regions, such as Western Europe. The gender distribution is equal, and the incidence peaks at around 55 years of age. Global prevalence of type 2 diabetes is projected to increase to 7079 individuals per 100,000 by 2030, reflecting a continued rise across all regions of the world. There are concerning trends of rising prevalence in lower-income countries. Urgent public health and clinical preventive measures are warranted.22:T713,Background Ischemic heart disease (IHD) is a leading cause of death worldwide. Also referred to as coronary artery disease (CAD) and atherosclerotic cardiovascular disease (ACD), it manifests clinically as myocardial infarction and ischemic cardiomyopathy. This study aims to evaluate the epidemiological trends of IHD globally. Methods The most up-to-date epidemiological data from the Global Burden of Disease (GBD) dataset were analyzed. GBD collates data from a large number of sources, including research studies, hospital registries, and government reports. This dataset includes annual figures from 1990 to 2017 for IHD in all countries and regions. We analyzed the incidence, prevalence, and disability-adjusted life years (DALY) for IHD. Forecasting for the next two decades was conducted using the Statistical Package for the Social Sciences (SPSS) Time Series Modeler (IBM Corp., Armonk, NY). Results Our study estimated that globally, IHD affects around 126 million individuals (1,655 per 100,000), which is approximately 1.72% of the world's population. Nine million deaths were caused by IHD globally. Men were more commonly affected than women, and incidence typically started in the fourth decade and increased with age. The global prevalence of IHD is rising. We estimated that the current prevalence rate of 1,655 per 100,000 population is expected to exceed 1,845 by the year 2030. Eastern European countries are sustaining the highest prevalence. Age-standardized rates, which remove the effect of population changes over time, have decreased in many regions. Conclusions IHD is the number one cause of death, disability, and human suffering globally. Age-adjusted rates show a promising decrease. However, health systems have to manage an increasing number of cases due to population aging.23:T663,Abstract Background Anxiety disorders comprise some of the most common mental health conditions. This study examined the global and regional burden of anxiety disorders over the last three decades. The study was designed to help accurately target preventative and management efforts by highlighting trends and high-risk groups. Epidemiological data relating to anxiety disorders from the latest Global Burden of Disease dataset were analyzed to determine the prevalence, incidence, and disability adjusted life years (DALYs) rates from 1990 to 2019 for 204 countries and regions. Results An estimated 4.05% of the global population has an anxiety disorder, translating to 301 million people. The number of persons affected has increased by more than 55% from 1990 to 2019. Anxiety disorder metrics show a continuous increase in prevalence, incidence, and DALY rates. Portugal has the highest prevalence (8,671 cases per 100,000), followed by Brazil, Iran, and New Zealand. The prevalence is higher in high-income regions. Women are 1.66 times more likely to be affected by anxiety disorders than men. Age-standardized rates have remained stable, indicating the possible stability of risk factors. Conclusions The prevalence of anxiety disorders has been rising over the last three decades. The prevalence of anxiety appears to increase with socioeconomic development, a higher dependent older population, and urbanization. Future research on this topic could include the development of more accurate cross-cultural metrics to assess anxiety and its correlates, as well as population-based studies to assess trends in anxiety over time.24:T548,Communication skills needed for patient-centered care include eliciting the patient's agenda with open-ended questions, especially early on; not interrupting the patient; and engaging in focused active listening. Understanding the patient's perspective of the illness and expressing empathy are key features of patient-centered communication. Understanding the patient's perspective entails exploring the patient's feelings, ideas, concerns, and experience regarding the impact of the illness, as well as what the patient expects from the physician. Empathy can be expressed by naming the feeling; communicating understanding, respect, and support; and exploring the patient's illness experience and emotions. Before revealing a new diagnosis, the patient's prior knowledge and preferences for the depth of information desired should be assessed. After disclosing a diagnosis, physicians should explore the patient's emotional response. Shared decision making empowers patients by inviting them to consider the pros and cons of different treatment options, including no treatment. Instead of overwhelming the patient with medical information, small chunks of data should be provided using repeated cycles of the "ask-tell-ask" approach. Training programs on patient-centered communication for health care professionals can improve communication skills.25:T750,BACKGROUND: Epstein-Barr virus (EBV) is an oncogenic virus implicated in the pathogenesis of a number of human malignancies of both lymphoid and epithelial origin. Thus, a comprehensive and up-to-date analysis focused on the global burden of EBV-attributable malignancies is of significant interest. METHODS: Based on published studies, we estimated the proportion of Burkitt's lymphoma (BL), Hodgkin's lymphoma (HL), nasopharyngeal carcinoma NPC), gastric carcinoma (GC) and post-transplant lymphoproliferative disease (PTLD) attributable to EBV, taking into consideration age, sex and geographical variations. This proportion was then imputed into the Global Burden of Disease 2010 dataset to determine the global burden of each EBV-attributable malignancy in males and females in 20 different age groups and 21 world regions from 1990 to 2010. RESULTS: The analysis showed that the combined global burden of deaths in 2010 from all EBV-attributable malignancies was 142,979, representing 1.8% of all cancer deaths. This burden has increased by 14.6% over a period of 20 years. All 5 EBV-attributable malignancies were more common in males in all geographical regions (ratio of 2.6:1). Gastric cancer and NPC accounted for 92% of all EBV-attributable cancer deaths. Almost 50% of EBV-attributed malignancies occurred in East Asia. This region also had the highest age-standardized death rates for both NPC and GC. CONCLUSIONS: Approximately 143,000 deaths in 2010 were attributed to EBV-associated malignancies. This figure is likely to be an underestimate since some of the less prevalent EBV-associated malignancies have not been included. Moreover, the global increase in population and life-expectancy will further increase the overall burden of EBV-associated cancer deaths. Development of a suitable vaccine could have a substantial impact on reducing this burden.26:T67e,We aimed to assess global trends in Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) and evaluate progress toward eradication since the inception of the pandemic. Data were extracted from the Global Burden of Disease 2019 update and the UNAIDS Data 2019. The datasets included annual figures from 1990 to 2019 for HIV/AIDS in 204 countries and all world regions. We analyzed rates and trends for prevalence, incidence, mortality and disability adjusted life years. Analysis of age and gender distribution in different regions was used to assess demographic changes. Forecasting was used to estimate disease burden up to 2040. Although many countries have witnessed a decrease in the incidence, for Russia, Ukraine, Portugal, Brazil, Spain and the United States, the rates of new cases are rising since 2010. This trend is present even in age-standardized analysis, indicating a rise in excess of population growth. Over 0.5% of the world's population is infected. About 5000 new infections occur daily, of which 500 are children. Mortality rates are falling globally; currently at 11 deaths per 100,000 population, forecasted to decrease to 8.5 deaths by 2040. Prevalence continues to increase, with South Africa, Nigeria, Mozambique, India, Kenya and the United States having the highest burden. The total number as well as the rates of new HIV infections are rising every year in Europe, South America, North America and other regions over the last decade. Maternal-to-child transmission continues at high rates despite effective preventive regimens. There is an urgent need to develop programs to curb the rising incidence of HIV.27:T7bf,Background: The burden associated with Alzheimer’s disease is recognized as one of the most pressing issues in healthcare. This study aimed to examine the global and regional burden of Alzheimer’s disease and related dementias. Methods : Epidemiological data from the latest Global Burden of Disease (GBD) dataset were analysed to determine the prevalence, incidence and mortality rates from 1990 to 2019 for 204 countries and world regions. This dataset derives estimates for health metrics by collating primary data from research studies, disease registries and government reports. Temporal forecasting was conducted using the GBD Foresight tool. Results : An estimated 0.7% of the global population has dementia, translating to 51.6 million people worldwide. The total number of persons affected has more than doubled from 1990 to 2019. Dementia metrics showed a continuous increase in prevalence, incidence, mortality, and disability adjusted life years (DALYs) rates worldwide during the last three decades. Japan has the highest prevalence (3,079 cases per 100,000), followed by Italy, Slovenia, Monaco, Greece and Germany. The prevalence is higher in high-income regions such as Western Europe compared to Asia and Africa. However, total number of affected individuals is substantial in South and East Asian regions, in particular China, Japan and India. Dementia related deaths are projected to increase from the current 2.4 million per year to 5.8 million by 2040. Women are more likely to be affected by dementia than men. Age-standardized rates have not changed indicating possible stability of risk factors. Conclusions : Alzheimer’s disease and other dementias are rising rapidly and will more than double in mortality burden over the next 20 years. The tremendous burden in high- and middle-income countries can potentially overwhelm communities and health systems. Urgent measures are needed to allocate funding and provide residential care for affected persons.28:T6f2,BACKGROUND: Psoriasis is a common disease that has not only cutaneous manifestations but also causes significant systemic illness and disability. Most epidemiological studies on the burden of psoriasis that are available in literature are regional, and thus a detailed description of the worldwide burden of psoriasis is warranted. METHODS: We analyzed the prevalence, incidence, disability adjusted life years (DALY), and years lived with disability (YLD) related to psoriasis for the period 1990 to 2017, from the Global Burden of Disease dataset (developed by the Institute of Health Metrics, University of Washington). We also searched the PubMed MEDLINE for quality of life and economic burden of psoriasis for a comprehensive evaluation of the burden of psoriasis. RESULTS: In 2017, the global age-standardized prevalence rate of psoriasis was 811 per 100,000 population, approximating to 0.84% of world population or about 64.6 million individuals. The incidence of new cases increased from 92 per 100,000 in 1990 to 99 in 2017. The highest rates were recorded in North America and Western Europe, while the lowest rates were found in Asia and Western Pacific regions. The age distribution shows a rising rate of incidence from the second decade, peaking at 55-60 years. Women are slightly more likely to be affected. CONCLUSIONS: The global incidence of psoriasis has been rising over the last three decades. The burden of the economic and psychosocial suffering caused by psoriasis calls for resource allocation and a multidisciplinary approach to address this common medical condition. KEY MESSAGE: The prevalence, incidence, and the burden of suffering caused by psoriasis have been rising over the past 17 years, despite efforts at improving diagnosis and treatment.29:T57b,Death rates due to COVID-19 pandemic vary considerably across regions and countries. Case Mortality Rates (CMR) per 100,000 population are more reliable than case-fatality rates per 100 test-positive cases, which are heavily dependent on the extent of viral case testing carried out in a country. We aimed to study the variations in CMR against population risk factors such as aging, underlying chronic diseases and social determinants such as poverty and overcrowding. Data on COVID-19 CMR in 93 countries was analyzed for associations with preexisting prevalence rates of eight diseases [asthma, lung cancer, Chronic Obstructive Pulmonary Disease (COPD), Alzheimer's Disease (AD), hypertension, ischemic heart disease, depression and diabetes], and six socio-demographic factors [Gross Domestic Product (GDP) per capita, unemployment, age over 65 years, urbanization, population density, and socio-demographic index]. These data were analyzed in three steps: correlation analysis, bivariate comparison of countries, and multivariate modelling. Bivariate analysis revealed that COVID-19 CMR were higher in countries that had high prevalence of population risk factors such as AD, lung cancer, asthma and COPD. On multivariate modeling however, AD, COPD, depression and higher GDP predicted increased death rates. Comorbid illnesses such as AD and lung diseases may be more influential than aging alone.2a:T5ac,BACKGROUND: The epidemiology of multiple sclerosis (MS) is complex due to the interaction of various risk factors. This study assesses the global, regional, national and sub-national burden of MS and predicts future trends. METHODS: Data from the Global Burden of Disease Study 2021 was analyzed to assess the epidemiology of MS from 1990 to 2021. Data from the World Bank was used to determine the socio-demographic predictors of MS prevalence using multivariate analysis. RESULTS: Globally, 1.89 million people live with MS, with over 62,000 new cases diagnosed in 2021. The global prevalence of MS is 23.9 cases per 100,000 population, with a continuous increase over the past three decades. North America and Western Europe had the highest prevalence, incidence, disability-adjusted life-years (DALYs), and mortality rates. Countries with the highest prevalence were Sweden (219 /100,000 population), Canada (182), Norway (176), Ireland (163), and the UK (158). Analysis of subnational level data from US revealed that northern states such as Utah, Montana, and Rhode Island had incidence rates double those of southern states such as Hawaii, Mississippi and Louisiana. CONCLUSIONS: The burden of MS is rising worldwide, especially in developed countries. To reduce this burden, it is essential to understand the distribution and risk factors of MS, and to address healthcare disparities in early diagnosis, access to treatment and social services.2b:T4c3,BACKGROUND: Clinic appointments in which patients do not appear (no-show) result in loss of provider time and revenue. Previous studies have shown variable effectiveness in telephone and mailed reminders to patients. METHODS: We conducted a randomized controlled trial of telephone reminders 1 day before the scheduled appointments in an urban family practice residency clinic. Patients with appointments were randomized to be telephoned 1 day before the scheduled visit; 479 patients were telephoned and 424 patients were not telephoned. RESULTS: The proportions of patients not showing up for their appointments were 19% in the telephoned and 26% in the not-telephoned groups (P = .0065). Significantly more cancelations were made when telephoning patients before their visit, 17% compared with 9.9%. The opened scheduling slots were used for appointments for other patients. This additional revenue offset the cost of telephone intervention in our cost analysis. CONCLUSION: Reminding patients by telephone calls 1 day before their appointments yields increased cancelations that can be used to schedule other patients. Telephone reminders provide substantial net revenue, but the results may be population specific.2c:T60a,BACKGROUND: Ethics and professionalism are an integral part of medical school curricula; however, medical students' views on these topics have not been assessed in many countries. OBJECTIVE: The study aimed to examine medical students' perceptions toward ethics and professionalism teaching, and its learning and assessment methods. DESIGN: A self-administered questionnaire eliciting views on professionalism and ethics education was distributed to a total of 128 final-year medical students. RESULTS: A total of 108 students completed the survey, with an 84% response rate. Medical students reported frequently encountering ethical conflicts during training but stated only a moderate level of ethics training at medical school (mean = 5.14 ± 1.8). They noted that their education had helped somewhat to deal with ethical conflicts (mean = 5.39 ± 2.0). Students strongly affirmed the importance of ethics education (mean = 7.63 ± 1.03) and endorsed the value of positive role models (mean = 7.45 ± 1.5) as the preferred learning method. The cohort voiced interest in direct faculty supervision as an approach to assessment of knowledge and skills (mean = 7.62 ± 1.26). Female students perceived greater need for more ethics education compared to males (p = < 0.05). Students who claimed that they had experienced some unprofessional treatment had a more limited view of the importance of ethics as a subject (P = 0.001). CONCLUSION: Medical students viewed ethics education positively and preferred clinically attuned methods for learning.2d:T50d,Epidemiology of breast cancer in the Arab region is understudied as compared with Western countries. We aimed to examine breast cancer epidemiology in Arab countries from 1990 to 2016. We analyzed the Global Burden of Disease, 2016 data for breast cancer among women in 22 Arab countries. Epidemiological measures including incidence, mortality, and disability adjusted life years (DALYs) were analyzed for breast cancer in women from 1990 to 2016. We also measured the burden of breast cancer stratified by the sociodemographic index (SDI). Our analysis indicates that the incidence of breast cancer in Arab women has risen over the past 26 years, but is still lower than global averages. In 2016, there were 45,980 new cases (28/100,000) and 20,063 deaths (11/100,000) in the region. The burden of breast cancer as estimated by DALYs was also lower than the global rates and tended to increase with increasing SDI. Although some studies have reported that Arab women present with breast cancer at a younger age, our analysis of age-specific rates, indicates that this is not statistically significant. Our findings indicate that a comprehensive plan to improve public awareness, screening, diagnosis, and treatment is required to reduce the growing burden of breast cancer in the Arab world.2e:T71d,ABSTRACT The principles of general practice and family medicine are the defining characteristics of the speciality. The five principles are: compassionate care – a caring attitude towards patients and their families shown as kindness and a desire to help; generalist approach – a perspective on the whole person and the context of illness including family, culture and society; continuity of relationship – the interpersonal bond of trust and respect between family physicians, patients, and their families that develops over the life course; reflective mindfulness– doctors’ awareness of their thoughts and emotions manifested as a sense of presence and attentiveness towards self and others; and lifelong learning – a commitment to personal and professional development by participating in learning activities and practice-based research that leads to better patient outcomes. Concepts such as care coordination, preventive care, access to care, professional competence, resource management and community-based care, are part of the principles above. The term ‘comprehensive care’ is should be avoided as it misinterprets the scope of family medicine. The principles of general practice and family medicine characterise the speciality’s core values. These guidelines form the basis of clinical practice as well as the identity of family medicine as a discipline. Aiming to extract the principles from current literature, I searched MEDLINE and Google Scholar for the term ‘principles of family medicine’ with results sorted by relevance, and without limits on language or date of publication. Major textbooks of family medicine and general practice were consulted as well.1–6 As supported by academic literature, the terms ‘general practice’ and ‘family medicine’ are used synonymously.72f:T5db,(1) Background: Pedestrian injuries (PIs) represent a significant proportion of road traffic injuries. Our aim was to investigate the incidence and mortality of PIs in different age groups and sociodemographic index (SDI) categories between 1990 and 2017. (2) Method: Estimates of age-standardized incidence and mortality along with trends of PIs by SDI levels were obtained from the Global Burden of Disease from 1990 to 2017. We also forecasted the trends across all the SDI categories until 2040 using the Statistical Package for the Social Sciences (SPSS Statistics for Windows, version 23.0, Chicago, IL, USA) time series expert modeler. (3) Results: Globally, the incidence of PIs increased by 3.31% (-9.94 to 16.56) in 2017 compared to 1990. Men have higher incidence of PIs than women. Forecasted incidence was 132.02 (127.37 to 136.66) per 100,000 population in 2020, 101.52 (65.99 to 137.05) in 2030, and reduced further to 71.02 (10.62 to 152.65) by 2040. Globally across all SDI categories, there was a decreasing trend in mortality due to PIs with the global estimated percentage reduction of 37.12% (-45.19 to -29.04). (4) Conclusions: The results show that PIs are still a burden for all SDI categories despite some variation. Although incidence and mortality are expected to decrease globally, some SDI categories and specific vulnerable age groups may require particular attention. Further studies addressing incidence and mortality patterns in vulnerable SDI categories are needed.30:Tb62,Aim To quantify the global incidence and mortality of adverse effects of medical treatment (AEMT) and forecast the possible emerging trends of AEMT. Materials and methods We analyzed the latest data from the Global Burden of Disease (GBD) 2017 study. We describe the burden of AEMT based on age- and region-specific incidence and mortality rates between 1990 and 2017. Additionally, we evaluated the change of burden due to AEMT by different periods between 1990 and 2017, and compared the age-standardized incidence and mortality rates among different World Health Organization (WHO) regions. Results Globally, AEMT incidence rates varied across WHO regions and countries. The estimated age-standardized average incidence rates of AEMT were 309 [95% uncertainty interval (UI), 270 to 351], 340 (298 to 384), 401 (348 to 458), and 439 (376 to 505) per 100,000 population across the world in 1990, 2000, 2010, and 2017, respectively, showing an increasing trend in the new occurrence of adverse events. The incidence rate among women (469/100,000) was higher compared to men (409/100,000) in 2017. Between 1990 and 2017, we observed an upward trend in the incidence rates of AEMT across global regions, with a substantial increase in the incidence by 42% (27 to 57) between the years 1990 and 2017, translated to an annualized rate of incline of 1.5%. In the age group of 60-64 years, the incidence rates increased by 96% in 2017 compared to 1990. The global incidence rate due to AEMT is forecasted to increase to 446.94 (433.65 to 460.22) by 2020, 478.49 (376.88 to 580.09) in 2030, and to reach 510.03 (276.58 to 743.49) per 100,000 by 2040. We observed a decline in mortality rates due to AEMT across global regions, and the annualized rate of mortality change was -0.90 percentage points between 1990 and 2017. Overall, the AEMT mortality rate was higher in men (1.73/100,000) than in women (1.48/100,000), and age-specific mortality rates showed a bimodal increase between the age group of birth to one year, and an increase in the age group of 65 years and above. The global mortality rate due to AEMT is expected to be 1.55 (1.48 to 1.61) in 2020, 1.37 (0.88 to 1.86 ) in 2030 and 1.2 deaths per 100,000 (0.08 to 2.32) by 2040. Conclusion Using the GBD 2017 study data, we found an increase in the incidence of AEMT, and an overall decrease in the mortality rate between 1990 and 2017, with varying estimates between different countries and regions, gender and age groups. The forecast analysis displayed the same trends - an increase in AEMT incidence and a decline in mortality between 2020 and 2040. The high burden of AEMT warrants the implementation of robust policies in the healthcare system including appropriate patient safety training for the healthcare professionals, and safe culture of feedback with the implementation of electronic medical records to achieve WHO patient safety strategy goals.31:T47d,Definitions of general practice and family medicine have tended to be difficult to understand. We propose a new definition that is brief and clear. General practice / family medicine is defined as the medical specialty that manages common and long-term illnesses in children and adults, focusing on overall health and well-being. The definition should be followed by local examples of diseases within the scope of primary care such as asthma, diabetes as well as end-of-life care. This definition is based on the concept of common illnesses, reflecting the reality that family physicians manage most health conditions in a community. Unlike 'comprehensive care', common illnesses is a scope of practice that is familiar and credible to laypersons. The new definition focuses on a unique and enduring attribute of the specialty: holistic care. This core characteristic of general practice encompasses patient-centred care and continuity across the family lifecycle. By being sharply focused, the definition can guide the nature of clinical care in general practice as well as the content of undergraduate and postgraduate training in family medicine.32:T48a,INTRODUCTION: Communications skills curricula and pedagogy for medical students are often exported to non-English speaking settings. It is assumed that after learning communication skills in English, doctors will be able to communicate effectively with patients in their own language. METHODS: We distributed a questionnaire to third year Emirati students at a medical school within the United Arab Emirates. We assessed their confidence in interviewing patients in Arabic after communication skills training in English. Of the 49 students in the sample, 36 subjects (73.5%) completed and returned the questionnaire. RESULTS: Nearly three-quarters (72.2%) of students said they felt confident in taking a history in English, while 27.8% of students expressed confidence in taking a history in Arabic. Half of students anticipated that after their training they would be communicating with their patients primarily in Arabic, and only 8.3% anticipated they would be communicating in English. CONCLUSIONS: Communication skills training purely in English can leave Arab medical students ill equipped to communicate with patients in their own communities and tongue.33:T6e8,INTRODUCTION: Nigeria is the most populous country in the African continent. The aim of this study was to analyze risk factors for COVID-19 prevalence and deaths in all 6 geopolitical regions and 37 States in Nigeria. METHODS: we analyzed the data retrieved from various sources, including Nigeria CDC, Nigeria National Bureau of Statistics, Unicef-Nigeria multiple indicator cluster survey and the Institute of Health Metrics and Evaluation, University of Washington. We examined 4 clinical risk factors (prevalence of TB, HIV, smoking and BCG vaccination coverage) and 5 sociodemographic factors (age ≥65, population density, literacy rate, unemployment and GDP per capita). Multivariate modeling was conducted using generalized linear model. RESULTS: our analysis showed that the incidence of confirmed COVID-19 cases differed widely across the 37 States, from 0.09 per 100,000 in Kogi to 83.7 in Lagos. However, more than 70% of confirmed cases were concentrated in just 7 States: Lagos, Abuja, Oyo, Kano, Edo, Rivers and Delta. Case mortality rate (CMR) also varied considerably, with Lagos, Abuja and Edo having CMR above 9 per million population. On bivariate analysis, higher CMR correlated positively with GDP (r=0.53) and to a lesser extent with TB (r=0.36) and population density (r=0.38). On multivariate analysis, which is more definitive, States with higher HIV prevalence and BCG coverage had lower CMR, while high GDP States had a greater CMR. CONCLUSION: this study indicates that COVID-19 has disproportionately affected certain States in Nigeria. Population susceptibility factors include higher economic development but not literacy or unemployment. Death rates were mildly lower in States with higher HIV prevalence and BCG vaccination coverage.34:T605,Hepatocellular carcinoma (HCC) is amongst the top three cancer causes of death worldwide with hepatitis B and C viruses (HBV/HCV) as the main etiological agents. An up-to-date descriptive epidemiology of the burden of HBV/HCV-associated HCC in the Arab world is lacking. We therefore determined the burden of HBV/HCV- associated HCC deaths in the Arab world using the Global Burden of Disease (GBD) 2010 dataset. GBD 2010 provides, for the first time, deaths specifically attributable to viral-associated HCC. We analyzed the data for the 22 Arab countries by age, sex and economic status from 1990 to 2010 and compared the findings to global trends. Our analysis revealed that in 2010, an estimated 752,101 deaths occurred from HCC worldwide. Of these 537,093 (71%) were from HBV/HCV-associated HCC. In the Arab world, 17,638 deaths occurred from HCC of which 13,558 (77%) were HBV/HCV-linked. From 1990 to 2010, the burden of HBV and HCV-associated HCC deaths in the Arab world increased by 137% and 216% respectively, compared to global increases of 62% and 73%. Age-standardized death rates also increased in most of the Arab countries, with the highest rates noted in Mauritania and Egypt. Male gender and low economic status correlated with higher rates. These findings indicate that the burden of HBV/HCV-associated HCC in the Arab world is rising at a much faster rate than rest of the world and urgent public health measures are necessary to abate this trend and diminish the impact on already stretched regional healthcare systems.35:T6e8,INTRODUCTION: Nigeria is the most populous country in the African continent. The aim of this study was to analyze risk factors for COVID-19 prevalence and deaths in all 6 geopolitical regions and 37 states in Nigeria. METHODS: we analyzed the data retrieved from various sources, including Nigeria CDC, Nigeria National Bureau of Statistics, Unicef-Nigeria multiple indicator cluster survey and the Institute of Health Metrics and Evaluation, University of Washington. We examined 4 clinical risk factors (prevalence of TB, HIV, smoking and BCG vaccination coverage) and 5 sociodemographic factors (age ≥65, population density, literacy rate, unemployment and GDP per capita). Multivariate modeling was conducted using generalized linear model. RESULTS: our analysis showed that the incidence of confirmed COVID-19 cases differed widely across the 37 states, from 0.09 per 100,000 in Kogi to 83.7 in Lagos. However, more than 70% of confirmed cases were concentrated in just 7 states: Lagos, Abuja, Oyo, Kano, Edo, Rivers and Delta. Case mortality rate (CMR) per million population also varied considerably, with Lagos, Abuja and Edo having CMR above 9. On bivariate analysis, higher CMR correlated positively with GDP (r=0.53) and to a lesser extent with TB (r=0.36) and population density (r=0.38). On multivariate analysis, which is more definitive, states with higher HIV prevalence and BCG coverage had lower CMR, while high GDP states had a greater CMR. CONCLUSION: this study indicates that COVID-19 has disproportionately affected certain states in Nigeria. Population susceptibility factors include higher economic development but not literacy or unemployment. Death rates were mildly lower in states with higher HIV prevalence and BCG vaccination coverage.36:T1a84,Knowledge of diabetes among patients with the disease in the United Arab Emirates is essential for effective self-management.We assessed the level of diabetes-related knowledge among patients and compared it with that found in previous studies in the same city.A cross-sectional study, using an interviewer-administered questionnaire, was conducted at two clinics in Al Ain, United Arab Emirates.The Michigan Diabetes Knowledge Test, translated into Arabic, was used to assess knowledge of diabetes.Of 165 participants with diabetes, 130 (78.8%) were women.The mean knowledge score was low at 55% (6.6 out of a maximum possible score of 12, standard deviation 1.8).This is comparable to levels found in previous studies: 55.5% in 2001 and 68.2% in 2006.Misconceptions about the diabetic diet and blood testing were common.The level of diabetes-related knowledge has remained low since 2001.These results are of concern in view of the substantial investments made in diabetes care and health education in the region.‫ـيجان‬ ‫ميتشـ‬ ‫ـار‬ ‫اختبـ‬ ‫ـتخدام‬ ‫باسـ‬ ‫ـة‬ ‫دراسـ‬ :2001 ‫ـام‬ ‫عـ‬ ‫ـذ‬ ‫منـ‬ ‫ـدة‬ ‫املتحـ‬ ‫ـة‬ ‫العربيـ‬ ‫ـارات‬ ‫اإلمـ‬ ‫يف‬ ‫ـكري‬ ‫السـ‬ ‫ـن‬ ‫عـ‬ ‫ـرىض‬ ‫املـ‬ ‫ـات‬ ‫معلومـ‬ ‫ـكري‬ ‫بالسـ‬ ‫ـة‬ ‫املتعلقـ‬ ‫ـات‬ ‫للمعلومـ‬ ‫عيل‬ ‫حبيبة‬ ‫مصطفى،‬ ‫هالة‬ ‫هاشم،‬ ‫جواد‬ ‫حممد‬ ‫ـتوى‬ ‫مسـ‬ ‫ـا‬ ‫قيمنـ‬ ‫ـد‬ ‫لقـ‬ ‫ـة.‬ ‫الذاتيـ‬ ‫ـة‬ ‫للرعايـ‬ ‫ـى‬ ‫اساسـ‬ ‫ـل‬ ‫عامـ‬ ‫ـدة‬ ‫املتحـ‬ ‫ـة‬ ‫العربيـ‬ ‫ـارات‬ ‫االمـ‬ ‫ىف‬ ‫ـرىض‬ ‫املـ‬ ‫ـدى‬ ‫لـ‬ ‫ـكرى‬ ‫السـ‬ ‫ـرض‬ ‫بمـ‬ ‫ـة‬ ‫املعرفـ‬ ‫إن‬ : ‫ـة‬ ‫اخلالصـ‬ ‫ـرى‬ ‫جيـ‬ ‫ـتبيان‬ ‫اسـ‬ ‫ـتخدمني‬ ‫مسـ‬ ‫ـة‬ ‫مقطعيـ‬ ‫ـة‬ ‫دراسـ‬ ‫ـا‬ ‫اجرينـ‬ ‫ـة.‬ ‫املدينـ‬ ‫ـس‬ ‫نفـ‬ ‫ىف‬ ‫ـابقة‬ ‫سـ‬ ‫ـات‬ ‫دراسـ‬ ‫ـع‬ ‫مـ‬ ‫ـة‬ ‫مقارنـ‬ ‫ـة‬ ‫دراسـ‬ ‫ىف‬ ‫ـكرى‬ ‫السـ‬ ‫ـرىض‬ ‫مـ‬ ‫ـد‬ ‫عنـ‬ ‫ـة‬ ‫املعرفـ‬ ‫ـدى‬ ‫مـ‬ ‫ـم‬ ‫لتقييـ‬ ‫ـجان‬ ‫ميتشـ‬ ‫ـار‬ ‫الختبـ‬ ‫ـة‬ ‫املرتمجـ‬ ‫ـخة‬ ‫النسـ‬ ‫ـتخدمت‬ ‫اسـ‬ ‫ـدة.‬‫املتحـ‬ ‫ـة‬ ‫العربيـ‬ ‫ـارات‬ ‫االمـ‬ ‫ـني،‬ ‫العـ‬ ‫ـة‬ ‫منطقـ‬ ‫ىف‬ ‫ـني‬ ‫عيادتـ‬ ‫ىف‬ ‫ـات‬ ‫مقابـ‬ ‫ـطة‬ ‫بواسـ‬ ‫ـة‬ ‫للمعرفـ‬ ‫ـرزة‬ ‫املحـ‬ ‫ـات‬ ‫الدرجـ‬ ‫ـط‬ ‫متوسـ‬ ‫إن‬ .)78.8%( 130 ‫ـاء‬ ‫النسـ‬ ‫ـدد‬ ‫عـ‬ ‫كان‬ ‫ـكرى‬ ‫بالسـ‬ ‫ـاب‬ ‫مصـ‬ ‫ـارك‬ ‫مشـ‬ 165 ‫ـل‬ ‫اصـ‬ ‫ـن‬ ‫مـ‬ ‫ـكرى.‬‫السـ‬ ‫ـرض‬ ‫ملـ‬ ‫ـة‬ ‫املعرفـ‬ ‫ـى‬ ‫التـ‬ ‫ـتويات‬ ‫للمسـ‬ ‫ـابه‬ ‫مشـ‬ ‫ـتوى‬ ‫املسـ‬ ‫ـذا‬ ‫وهـ‬ .)1.8 ‫ـارى‬ ‫املعيـ‬ ‫ـراف‬ ‫االنحـ‬ ‫ـا،‬ ‫احرازهـ‬ ‫ـن‬ ‫ممكـ‬ ‫ـة‬ ‫درجـ‬ ‫ـى‬ ‫اعـ‬ ‫ـى‬ ‫وهـ‬ 12 ‫ـن‬ ‫مـ‬ 6.6( 55% ‫اىل‬ ‫ـا‬ ‫منخفضـ‬ ‫كان‬ ‫ـرض‬ ‫ملـ‬ ‫ـدم‬ ‫الـ‬ ‫ـص‬ ‫وفحـ‬ ‫ـى‬ ‫الغذائـ‬ ‫ـام‬ ‫النظـ‬ ‫ـول‬ ‫حـ‬ ‫ـة‬ ‫اخلاطئـ‬ ‫ـم‬ ‫املفاهيـ‬ ‫إن‬ .2006‫ـام‬ ‫عـ‬ ‫ىف‬ 68.2% ‫و‬ 2001 ‫ـام‬ ‫عـ‬ ‫ىف‬ 55.5% ‫ـابقة‬ ‫سـ‬ ‫ـات‬ ‫دراسـ‬ ‫ىف‬ ‫ـدت‬ ‫وجـ‬ ‫اىل‬ ‫ـر‬ ‫بالنظـ‬ ‫ـق‬ ‫القلـ‬ ‫ـى‬ ‫عـ‬ ‫ـث‬ ‫تبعـ‬ ‫ـج‬ ‫النتائـ‬ ‫ـذه‬ ‫هـ‬ ‫إن‬ .2001‫ـام‬ ‫عـ‬ ‫ـذ‬ ‫منـ‬ ‫ـى‬ ‫متدنـ‬ ‫ـكرى‬ ‫السـ‬ ‫ـرض‬ ‫بمـ‬ ‫ـة‬ ‫املعرفـ‬ ‫ـتوى‬ ‫مسـ‬ ‫ـل‬ ‫ظـ‬ ‫ـد‬ ‫وقـ‬ ‫ـائعة.‬‫شـ‬ ‫ـر‬ ‫تعتـ‬ ‫ـكرى‬ ‫السـ‬ ‫ـة.‬ ‫املنطقـ‬ ‫ىف‬ ‫ـى‬ ‫الصحـ‬ ‫ـف‬ ‫والتثقيـ‬ ‫ـكرى‬ ‫السـ‬ ‫ـرض‬ ‫مـ‬ ‫ـال‬ ‫جمـ‬ ‫ىف‬ ‫ـت‬ ‫وظفـ‬ ‫ـى‬ ‫التـ‬ ‫ـرة‬ ‫الكبـ‬ ‫ـتثامرات‬ ‫االسـ‬ ‫ـم‬ ‫حجـ‬ Connaissance du diabète parmi les patients aux Émirats arabes unis depuis 2001 : étude menée à l'aide du test d'évaluation des connaissances sur le diabète du Michigan RÉSUMÉ La connaissance du diabète parmi les patients atteints de la maladie aux Émirats arabes unis est essentielle pour une auto-prise en charge efficace.Nous avons évalué le niveau de connaissance sur le diabète parmi les patients et l'avons comparé avec celui trouvé dans les études précédentes menées dans la même ville.Une étude transversale, reposant sur un questionnaire administré par un enquêteur, a été conduite dans deux cliniques à Al Ain, aux Émirats arabes unis.Le test d'évaluation des connaissances sur le diabète du Michigan, traduit en arabe, a été utilisé pour évaluer la connaissance du diabète.Sur 165 participants diabétiques, 130 (78,8 %) étaient des femmes.Le score de connaissance moyen était bas (55 %, soit 6,6 sur un score maximum possible de 12, avec un écart-type de 1,8).Ceci est comparable aux taux trouvés dans les études précédentes : 55,5 % en 2001, et 68,2 % en 2006.Des idées reçues sur le régime alimentaire pour diabétiques et les analyses de sang étaient courantes.Le niveau de connaissance sur le diabète reste bas depuis 2001.Ces résultats sont préoccupants compte tenu de l'investissement non négligeable réalisé dans le domaine des soins apportés aux patients diabétiques et de l'éducation sur le diabète dans la région.37:T72a,Although Muslims are a growing population within many non-Muslim countries, there are insufficient Muslim clinicians to care for them. Studies have shown that non-Muslim clinicians have limited knowledge and understanding of Islamic practices affecting health, which may lead to disparities in the quality of healthcare delivery and outcomes when caring for Muslim patients. Muslims come from many different cultures and ethnicities and have variations in their beliefs and practices. This literature review provides some insights which may strengthen therapeutic bonds between non-Muslim clinicians and their Muslim patients resulting in improved holistic, patient-centered care in the areas of cancer screening, mental health, nutrition, and pharmacotherapy. Additionally, this review informs clinicians about the Islamic perspective on childbirth, end of life issues, travel for Islamic pilgrimage, and fasting during the month of Ramadan. Literature was sourced by a comprehensive search in PubMed, Scopus, and CINAHL along with hand screening of citations. Title and abstract screening followed by full-text screening excluded studies including less than 30% Muslim participants, protocols, or reporting results deemed irrelevant to primary care. 115 papers were selected for inclusion in the literature review. These were grouped into the themes of general spirituality, which were discussed in the Introduction, and Islam and health, Social etiquette, Cancer screening, Diet, Medications and their alternatives, Ramadan, Hajj, Mental health, Organ donation and transplants, and End of life. Summarizing the findings of the review, we conclude that health inequities affecting Muslim patients can be addressed at least in part by improved cultural competency in non-Muslim clinicians, as well as further research into this area.38:T639,Patients with stable chronic diseases such as diabetes and hypertension can be safely managed at the primary care level. Yet many such patients continue to follow-up with specialists at a higher expense with no added benefit. We introduce a new term to describe this phenomenon: scope inversion, defined as the provision of primary care by specialist physicians. We aimed to quantify the extent of scope inversion by conducting a systematic review. MEDLINE and five other databases were searched using the keywords 'specialist AND (routine OR primary) AND provi*' as well as other variations. The search was limited to human research without restrictions on language or date of publication. The inclusion criterion was studies on rates of the provision of routine primary care by specialist physicians. Thirteen observational studies met the inclusion criteria. A wide range of primary care involvement was observed among specialists, from 2.6% to 65% of clinic visits. Among children, 41.3% of visits with specialists were routine follow-ups for conditions such as allergic rhinitis and seborrhoeic dermatitis which could be managed in primary care. Data quality was moderate to low across the studies due to limitations of source data and varying definitions of primary care. Specialist physicians provide primary care to patients in a substantial proportion of clinic visits. Scope inversion is wasteful as it diverts patients to more expensive care without improving outcomes. A systems approach is needed to mitigate scope inversion and its harmful effects on healthcare service delivery.39:T48d,Despite major advances in early detection and prognosis, chemotherapy resistance is a major hurdle in the battle against breast cancer. Identifying predictive markers and understanding the mechanisms are key steps to overcoming chemoresistance. Methylation-controlled J protein (MCJ, also known as DNAJC15) is a negative regulator of mitochondrial respiration and has been associated with chemotherapeutic drug sensitivity in cancer cell lines. Here we show, in a retrospective study of a large cohort of breast cancer patients, that low MCJ expression in breast tumors predicts high risk of relapse in patients treated with chemotherapy; however, MCJ expression does not correlate with response to endocrine therapy. In a prospective study in breast cancer patients undergoing neoadjuvant therapy, low MCJ expression also correlates with poor clinical response to chemotherapy and decreased disease-free survival. Using MCJ-deficient mice, we demonstrate that lack of MCJ is sufficient to induce mammary tumor chemoresistance in vivo. Thus, loss of expression of this endogenous mitochondrial modulator in breast cancer promotes the development of chemoresistance.3a:T58b,PURPOSE: Limited information exists regarding students' routine educational needs in support of ethics and professionalism practices faced in real clinical practice. As such the authors aimed to explore medical students learning needs and preferences for informed consent and relevant ethical issues in the clerkship environments. MATERIALS AND METHODS: A cross-sectional study using a self-administered, printed survey distributed to final year clinical clerks. RESULTS: 84% completed the survey. Students indicated the need for more attention to all topics related to informed consent (mean = 7.1 on a scale of 0 to 9; ±1.2). Most additional instructional attention was requested for topics raised in discussions with patients concerning the risks, benefits and alternatives to recommended treatments (7.3 ±1.4). The cohort expressed the need for education in the care of vulnerable patients (7.2 ±1.2) with a maximum score for the care of abused children. Women perceived greater need for education concerning informed consent than male respondents (p>0.05). There were significant differences between students who scored high or low on the item "being treated in professional manner" and "endorsement of educational needs for care of adolescents" (p = 0.05). CONCLUSION: There was heightened perception among final year medical students of the need for greater attention to be paid to informed consent education.3b:T787,Aim To quantify and update the years of life lost (YLL), years lived with disability (YLD) and disability-adjusted life years (DALY) due to the adverse effects of medical treatment (AEMT) between 1990 and 2017. Subject and methods We analyzed the latest dataset from the Global Burden of Disease (GBD) 2017 study. We described the burden of AEMT based on the number of DALY. We additionally evaluated the global age and sex-specific DALY and compared the age-standardized rates of DALY across the World Health Organization (WHO) regions from 1990 to 2017. Results Worldwide, the total DALYs due to AEMT were 84.93 [95% uncertainty interval (UI), 62.52 to 102.21] in 1990 and 62.79 (52.09 to 75.45) in 2017 per 100,000 population. The global percentage of change in DALY showed a negative trend of -26.06 % (-41.52 to -10.59) across all WHO regions between 1990 and 2017. The YLD has increased during the period from 1997 to 2017 by 29.47% (17.87 to 41.06). In 2017, men were affected more than women with a DALY of 66.78 in comparison to 58.91 DALY in women. DALY rates per 100,000 were highest across all the WHO regions in the first years of life. The predicted DALY rates were 59.92 (57.52 to 62.32) in the year 2020, 50.36 (32.03 to 68.70) in 2030, and 40.8 (-1.33 to 82.93) in 2040. Conclusion Using the GBD 2017 study data, we found a decrease in the DALY rate due to AEMT between 1990 and 2017 with a varying range of DALY between different WHO regions. DALY also differed by age and sex. The forecasting analyses showed a decrease in DALY due to AEMTs with a significant drop in the European region when compared to the African and American regions. However, the increasing trend for YLD signifies an increasing burden of people living with poor health due to AEMT. Our study proposes to identify disability due to AEMT as a significant public health crisis and calls for policymakers to create a robust revised policy.3c:T400,BACKGROUND AND OBJECTIVES: Primary percutaneous coronary intervention (pPCI) has been recognized as an effective management strategy for acute ST-segment-elevation myocardial infarction (STEMI). However, there is no first-hand information regarding the quality of pPCI procedures in the Arabian Gulf countries. This study aims to explore the quality of pPCI practice. DESIGN AND SETTINGS: The Gulf Race II was designed as a prospective, multinational, multicentre registry of acute coronary events, focusing on the epidemiology, management practices, and outcomes of patients with acute coronary syndrome. The study recruited consecutive patients aged 18 years and above from 65 hospitals in 6 adjacent Middle Eastern countries (Bahrain, Saudi Arabia, Qatar, Oman, United Arab Emirates, and Yemen). PATIENTS AND METHODS: We used data from the Gulf Registry of Acute Coronary Events (Gulf RACE 2). We analyzed data on patients who received pPCI to assess the guidelines-supported performance measure of door-to-balloon (D2B).3d:T66a,Evidence-based Medicine (EBM) is the process of systematically reviewing, appraising and using clinical research findings to aid the delivery of optimal clinical care to patients. EBM has become popular due to: the need for valid information about diagnosis, prognosis, therapy and prevention during patient care; traditional sources such as textbooks and expert opinion being frequently out-of-date; and knowledge of current best evidence declining with time from graduation from medical college. EBM has become feasible for practicing clinicians due to: new strategies for appraising studies; availability of systematic reviews (summaries) of current best evidence; and information technology (computers with Internet access). In a resource-limited country such as Pakistan, an evidence-based approach can be cost-effective by reducing clinical practices that have no proven benefit. Commonly perceived obstacles to EBM include limited access to computers, the Internet and online resources. Reliable resources of EBM are available (such as The Cochrane Database of Systematic Reviews http://www.cochrane.org) although many of these require paid subscriptions. Another difficulty is the issue of applicability of data from other countries to patients in our setting with different socio-economic factors. Other barriers to EBM in developing countries include: inexperience in small-group learning, limited time to attend workshops, and the lack of role models for practicing EBM. We have also tried to address the common fallacies related to EBM in the hope of greater use of these skills by busy clinicians as well as academic researchers.3e:T7bf,BACKGROUND: Despite substantial resources deployed to curb SARS-CoV-2 transmission, controlling the COVID-19 pandemic has been a major challenge. New variants of the virus are frequently emerging leading to new waves of infection and re-introduction of control measures. In this study, we assessed the effectiveness of containment strategies implemented in the early phase of the pandemic. METHODS: Real-world data for COVID-19 cases was retrieved for the period Jan 1 to May 1, 2020 from a number of different sources, including PubMed, MEDLINE, Facebook, Epidemic Forecasting and Google Mobility Reports. We analyzed data for 18 countries/regions that deployed containment strategies such as travel restrictions, lockdowns, stay-at-home requests, school/public events closure, social distancing, and exposure history information management (digital contact tracing, DCT). Primary outcome measure was the change in the number of new cases over 30 days before and after deployment of a control measure. We also compared the effectiveness of centralized versus decentralized DCT. Time series data for COVID-19 were analyzed using Mann-Kendall (M-K) trend tests to investigate the impact of these measures on changes in the number of new cases. The rate of change in the number of new cases was compared using M-K z-values and Sen's slope. RESULTS: In spite of the widespread implementation of conventional strategies such as lockdowns, travel restrictions, social distancing, school closures, and stay-at-home requests, analysis revealed that these measures could not prevent the spread of the virus. However, countries which adopted DCT with centralized data storage were more likely to contain the spread. CONCLUSIONS: Centralized DCT was more effective in containing the spread of COVID-19. Early implementation of centralized DCT should be considered in future outbreaks. However, challenges such as public acceptance, data security and privacy concerns will need to be addressed.3f:T75b,The teaching of family medicine and general practice should aim to develop an appreciation of the unique nature and role of the specialty. Teachers should relate patient cases to the principles of family medicine. These principles include (1) compassionate care; (2) a generalist/holistic approach focusing on the whole person, family, and community; (3) continuity of relationship, i.e., building a patient-physician bond of trust; (4) reflective mindfulness; and (5) lifelong learning. The curriculum, instructional strategy, and assessment should be carefully aligned. Core competencies include patient-centered communication, physical examination skills, clinical procedures, palliative care, humanities in medicine, holistic care, shared decision-making, family therapy, home and community visits, chronic disease care, problem-based documentation, team-based care, data-driven improvement, information mastery, ethics and professionalism, and work-life balance. Family medicine/general practice is defined as the medical specialty that manages common and long-term illnesses, focusing on overall health and well-being. Hence, clerkship schedules should maximize clinical exposure and opportunities for self-reflection. A learner-centered approach should begin with a self-identified inventory of learning needs based on the curriculum; next, these needs should be chosen as topics for student presentations. Teaching methods should include mini-workshops: a combination of didactic lectures and small-group exercises. Individual face-to-face formative feedback should occur at midcourse and culminate in a group reflection on the learning experience. Clinical supervision should gradually decrease as each resident demonstrates safe patient care. Procedure skills training should be closely supervised, formally documented, and constitute about one-fourth of learning sessions.40:T58d,Newborn infants may be transferred to a special care nursery because of conditions such as prematurity (gestation less than 37 weeks), prolonged resuscitation, respiratory distress, cyanosis, and jaundice, and for evaluation of neonatal sepsis. Newborn infants' core temperature should be kept above 36.4 degrees C (97.5 degrees F). Nutritional requirements are usually 100 to 120 kcal per kg per day to achieve an average weight gain of 150 to 200 g (5 to 7 oz) per week. Standard infant formulas containing 20 kcal per mL and maternal breast milk may be inadequate for premature infants, who require special formulas or fortifiers that provide a higher calorie content (up to 24 kcal per mL). Intravenous fluids should be given when infants are not being fed enterally, such as those with tachypnea greater than 60 breaths per minute. Hypoglycemia can be asymptomatic in large-for-gestational-age infants and infants of mothers who have diabetes. A hyperoxia test can be used to differentiate between pulmonary and cardiac causes of hypoxemia. The potential for neonatal sepsis increases with the presence of risk factors such as prolonged rupture of membranes and maternal colonization with group B streptococcus. Jaundice, especially on the first day of life, should be evaluated and treated. If the infant does not progressively improve in the special care nursery, transfer to a tertiary care unit may be necessary.41:T489,OBJECTIVE: To demonstrate that evidence-based medicine (EBM) training can be imparted in developing countries using minimal resources. DESIGN: Development of a minimal cost workshop with validation of gain in EBM skills using the Berlin questionnaire. SETTING: Teaching hospital in Pakistan. PARTICIPANTS: Multidisciplinary faculty from The Shifa College of Medicine and Nursing, Pakistan. INTERVENTION: A 14-hour locally-tailored McMaster-style workshop, using a problem-based, learner-focused small group format, with pre- and post-workshop evaluation of EBM skills. RESULTS: Analysis of the pre- and post-Berlin questionnaires of the participants revealed that the pre-workshop Berlin questionnaire score for the group was 4.7+/-2.3, with a post-workshop Berlin score of 7.6+/-1.0 (p<0.001). CONCLUSION: EBM workshops can be locally-tailored in developing countries, where access to such workshops is generally not available. Workshops can serve to promote EBM skills in faculty, who can then help to disseminate and model concepts. The process increases awareness and interest in EBM, which in this case resulted in formation of a national platform for EBM.42:T867,Background: Childhood obesity is most prevalent nutritional disorder worldwide. Studies on clinical correlations between body fat (BF) composition, lipid profile, inflammatory biomarkers, and endothelial dysfunction (ED) parameters in children from United Arab Emirates (UAE) are limited. Therefore, we aimed to study obesity pattern in children and determine clinical correlations with biomarkers. Methods: Children (6-13 years) from different schools were divided into obese, overweight, and normal groups based upon Centers for Disease Control and Prevention weight-for-age centiles study (n=166). Anthropometric, BF composition, lipid profile, inflammatory, and ED biomarkers were determined and analyzed using SPSS software. Results: The mean age and weight ± SD of participants were 10.6 ± 2.6 years and 48.2 ± 19.5 kg with 65% as overweight or obese. In normal, overweight, and obese group male were 40 (70.2%), 35 (67.3%), and 40 (70.2%) and female were 17 (29.8%), 17 (32.7%) and 17 (29.8%). There was significant difference in age (p<0.01), height (p< 0.01), weight (p< 0.01) among groups. Obesity markers (MCP-1, leptin, adiponectin) showed positive correlation with age, height, weight, WC, BF%, body fat mass (BFM), body muscle mass (BMM). A significant correlation (all p<0.01) of BMM with SBP (r=0.412), DBP (r=0.255), MCP-1 (r=0.558), adiponectin (r=0.635), hs-CRP (r=0.263), IL-6 (r=0.348), TNF-alpha (r=0.370), ICAM-1 (r=0.237), and VCAM-1 (r=0.343). The inflammatory markers (ICAM-1, VCAM-1) showed significant correlations with age, height, weight, WC, BF%, BFM, BMM. Leptin significantly (all p<0.01) correlated with age (r=0.470), height (r=0.423), weight (r=0.677), WC (r=0.606), BF (r=0.700), BFM (r=0.752), and BMM (r=0.524) and negatively correlated with TBW (r=-0.701). Adiponectin also showed a significant (all p<0.01) positive correlation with age, height, weight, WC, BF, BFM, and BMM. Conclusion: A strong association between BF composition, lipid profile, and inflammatory and ED biomarkers was observed in the study. Thus, immediate measures should be implemented to reduce risk of obesity and associated diseases.43:T798,PURPOSE: Chronic disease services may be improved if care management processes (CMPs), such as disease-specific flowsheets and chronic disease registries, are used. The newly industrialized Gulf state health service has underdeveloped primary care but higher diabetes prevalence. This paper's aim is to investigate care management processes in United Arab Emirates (UAE) primary care clinics to explore these issues. DESIGN/METHODOLOGY/APPROACH: A cross-sectional survey using self-administered questionnaires given to family physicians and nurses attending a UAE University workshop was used to collect data. FINDINGS: All 38 participants completed the questionnaire: 68 per cent were women and 81 per cent physicians. Care management processes in use included: medical records, 76 per cent; clinical guidelines, 74 per cent; chronic disease care rooms, 74 per cent; disease-specific flowsheets, 61 per cent; medical record audits, 57 per cent; chronic disease nurse-educators, 58 per cent; electronic medical records (EMR), 34 per cent; and incentive plans based on clinical performance, 21 per cent. Only 62 per cent and 48 per cent reported that flowsheets and problem lists, respectively, were completed by physicians. Responses to the open-ended question included using traditional quality improvement (QI) approaches such as continuing education and staff meetings, but not proactive systems such as disease registries and self-management. RESEARCH LIMITATIONS/IMPLICATIONS: The study used a small, non-random sample and the survey instrument's psychometric properties were not collected. PRACTICAL IMPLICATIONS: Chronic disease care CMPs are present in UAE clinics but use is limited. Quality improvement should include disease registries, reminder-tracking systems, patient self-management support and quality incentives. ORIGINALITY/VALUE: This report highlights the lag regarding adopting more effective CMPs in developing countries.44:T51c,OBJECTIVE: To investigate the content and design preferences of printed health education leaflets among Arab patients. MATERIALS AND METHODS: A survey questionnaire to 17 subjects (women: n = 8, men: n = 9; age range 17-70 years) and three focus-group discussions (total 16 participants) were used to assess preferences by showing samples of Arabic health education materials. The questionnaire was administered by interviewers. For the focus-group discussions, the sessions were conducted by a trained interviewer, audio recorded and analyzed thematically. The subjects' educational level was from no formal schooling to university level. RESULTS: In survey component, all patients preferred photographs over clipart. Typeface ('font') preferences were for Simplified Arabic in 8 subjects (47%) and Mudir MT in 7 (41%); the 16-point font size was favored by 14 (82%) patients. In the three focus-group discussions, themes that participants expressed included use of standard Arabic with local dialects, short sentences, and culturally appropriate advice with practical and quantifiable examples. CONCLUSIONS: The participants preferred health education materials to be color trifold brochures illustrated with pictures and not clipart and written in Arabic using the Simplified Arabic font in 16-point size.45:T612,Introduction Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide. The prevalence of human papillomavirus (HPV) in HNSCC varies across regions. Objective This study aimed to determine the prevalence of high-risk HPV (hrHPV) among patients with HNSCC in the Middle East region. Methods Samples from patients with oropharyngeal or laryngeal lesions who underwent biopsy or resection at a tertiary care hospital from 2010 to 2015 were collected. Those confirmed as squamous cell carcinoma (SCC) on histopathology were identified as cases (n = 61), whereas benign lesions were used as controls (n = 83). Immunohistochemistry (IHC) for p16, p53, Ki-67, and in situ hybridization (ISH) for hrHPV genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 66 were performed on all cases. Results A total of 154 cases were studied: 61 squamous cell cancers (cases), 83 benign lesions (control), and 10 dysplasia specimens. Among the cases, only five (8.6%) were positive for hrHPV, whereas only one control specimen tested positive. The SCC group had higher mean age, male sex, and history of cigarette smoking and alcohol usage. Among the hrHPV-positive SCC cases, 80% had a tumor in the oropharyngeal region. All hrHPV-positive cases were positive for p16 and p53 immunostains. Conclusion Among HNSCC cases, hrHPV was detected at a lower rate compared to other regions of the world. This study suggests that hrHPV plays a minor role in the pathogenesis of HNSCC in this region, compared to tobacco use and alcohol consumption.46:T514,Healthcare professionals such as physicians, nurses, pharmacists, therapists, and other caregivers including traditional healers share a remarkable calling i.e. healing.While the human body has an innate capacity for self-repair, the process can be aided by practitioners skilled in the art of healing.This art rests upon core values of kindness, compassion, and a desire to help others.Healers respect the patient as a person.Certain essential skills are needed to render this craft.The journey towards becoming a healer begins with learning.Sustained by a spark of curiosity, the apprentice never stops acquiring knowledge.Lifelong learning is the hallmark of a true professional.No external forces such as licensure or recertification are needed to compel the healer to read.Self-directed learning comes from a desire to provide best possible care.Treatments and tests are chosen from carefully conducted research.Clinical decisions should not be based on personal opinions, anecdotal experience, case reports or chart reviews without control groups.Systematic reviews and meta-analyses of randomised controlled trials can keep us from repeating the tragic history of medicine.Shunning bizarre and brutal 'remedies', such as bloodletting, we now seek treatments that are proven effective and safe.47:T5f4,BACKGROUND AND OBJECTIVE: Several case reports have noted basal ganglia calcification (BGC) as an incidental radiologic finding in patients presenting with psychiatric manifestations. In this study, we examined the clinical correlates of mental disorders in two groups of psychiatric patients, one with BGC and one with normal radiologic studies. METHODS: In a retrospective cross-sectional case-control study of patients admitted to the psychiatric ward in Al Ain Hospital between January 2011 and December 2013, we compared all 15 patients diagnosed with BGC and 30 control patients who had normal radiologic findings. RESULTS: The BGC group's psychiatric symptoms began when they were aged in their 30s and 40s, later than the controls' 20s and 30s (P=0.001). More of the BGC group than the controls had cognitive symptoms (60% versus 6.7%, P=0.001). The BGC group was more likely to have chronic medical comorbidities (66.7% versus 20%, P=0.003). The BGC group's mean serum calcium was lower than the controls' (P=0.003) and the C-reactive protein was higher (P=0.049). We did not find significant differences between the groups in psychiatric diagnoses; five of the 15 patients with BGC had mood disorders and four of the 15 had psychotic disorders. CONCLUSIONS: Patients with BGC tend to develop psychiatric symptoms later in life than other psychiatric patients, and have higher rates of medical comorbidities. Many patients with BGC have cognitive symptoms, which can be concurrent with a mood or psychotic disorder.48:T419,OBJECTIVES: Communications skills (CS) training for medical interviewing is increasingly being conducted in English at medical schools worldwide. In this study, we sought to identify whether Arabic-speaking medical students experienced difficulty with the different components of the CS training that were conducted in English. METHODS: Individual third-year preclinical medical students (N = 45) were videotaped while interviewing simulated patients. Each student assessed his/her performance on a 13-item (5-point scale) assessment form, which was also completed by the tutor and other students in the group. RESULTS: Of the 13 components of their CS training, tutors awarded the lowest marks for students' abilities to express empathy, ask about patients' feelings, use transition statements, ask about functional impact, and elicit patients' expectations (P <0.001). CONCLUSION: The expression of empathy and the ability to elicit patients' feelings and expectations are difficult to develop in medical students learning CS in a second language.49:T55b,CONTEXT: Clinical clerkships in medical colleges are increasingly relying on teaching by community physicians in ambulatory clinics. OBJECTIVES: The aim of the study was to determine the attitudes and perceptions of community physicians towards teaching medical students at their clinics. METHODS: A focus group discussion with 14 and a survey questionnaire of 23 community-based physicians were conducted. FINDINGS: The focus group discussion session yielded insight into the expectations of community physicians about student attachments, including: the need for learning objectives; continuity; feedback; ongoing communication; and planned placement of students. The answers to the survey questions showed willingness to teach medical students (mean score=4.7 on a scale of 1 to 5) and the view that medical students added value to the clinics (mean=4.4). However, the respondents gave lower ratings to the questions about students being able to independently evaluate patients in the beginning of their clerkship (mean=3.3). CONCLUSIONS: Community physicians request clear learning objectives, assessment criteria and advance planning for teaching medical students. 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Center","institutionId":"I4210128654","institutionUrl":"https://ror.org/03nk1j814","affiliations":["Academic Family Medical Center, Ventura County Family Medicine Residency Program, 300 Hillmont Ave, Building 340, Suite 201, Ventura, CA, USA"]},{"name":"Moien AB Khan","id":"openalex:A5104108994","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates","Health and Wellness Research Group, Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates","Primary Care, NHS North West London, London TW3 3EB, United Kingdom"]},{"name":"Romona Devi Govender","id":"openalex:A5024090460","orcid":"https://orcid.org/0000-0003-3393-9594","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates"]}],"venue":"Health Policy OPEN","venueId":"S4210236858","publisher":"Elsevier BV","publisherId":"P4310320990","year":2023,"publishedDate":"2023-03-24","type":"article","citationCount":20,"referenceCount":119,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.1016/j.hpopen.2023.100092","oaUrl":"https://doi.org/10.1016/j.hpopen.2023.100092","topics":[{"id":"T12194","name":"Cultural Competency in Health Care","score":0.9970999956130981,"subfieldId":"3312","subfield":"Sociology and Political Science","fieldId":"33","field":"Social Sciences"},{"id":"T10509","name":"Religion, Spirituality, and Psychology","score":0.0019000000320374966,"subfieldId":"3306","subfield":"Health","fieldId":"33","field":"Social Sciences"},{"id":"T14132","name":"Medical Research and Islamic Perspectives","score":0.00019999999494757503,"subfieldId":"1212","subfield":"Religious studies","fieldId":"12","field":"Arts and Humanities"}],"sources":["openalex"],"id":"openalex:W4360819934"},{"ids":{"openalex":"W3007197599","doi":"10.1136/fmch-2019-000247","pmid":"32148734"},"title":"Provision of primary care by specialist physicians: a systematic review","abstract":"$38","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates","Department of Family Medicine","United Arab Emirates University"],"corresponding":true}],"venue":"Family Medicine and Community Health","venueId":"S2764498025","publisher":"BMJ","publisherId":"P4310319945","year":2020,"publishedDate":"2020-02-01","type":"review","citationCount":20,"referenceCount":43,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.1136/fmch-2019-000247","oaUrl":"https://fmch.bmj.com/content/fmch/8/1/e000247.full.pdf","pdfUrl":"https://fmch.bmj.com/content/fmch/8/1/e000247.full.pdf","topics":[{"id":"T12918","name":"Healthcare Systems and Technology","score":0.7310000061988831,"subfieldId":"1407","subfield":"Organizational Behavior and Human Resource Management","fieldId":"14","field":"Business, Management and Accounting"},{"id":"T11590","name":"Primary Care and Health Outcomes","score":0.24719999730587006,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"},{"id":"T13555","name":"Healthcare cost, quality, practices","score":0.01600000075995922,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"}],"sources":["openalex"],"id":"openalex:W3007197599"},{"ids":{"openalex":"W2401350638","doi":"10.1172/jci.insight.86873","pmid":"27275014"},"title":"Deficiency of mitochondrial modulator MCJ promotes chemoresistance in breast cancer","abstract":"$39","authors":[{"name":"Maria J. Fernández-Cabezudo","id":"openalex:A5019686956","orcid":"https://orcid.org/0000-0002-3850-0807","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Biochemistry, College of Medicine & Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"]},{"name":"Issam Faour","id":"openalex:A5031206460","affiliation":"Johns Hopkins Medicine","institutionId":"I2799853436","institutionUrl":"https://ror.org/037zgn354","affiliations":["Department of Surgery, Tawam Hospital-Johns Hopkins Medicine, Al-Ain, United Arab Emirates"]},{"name":"Kenneth L. Jones","id":"openalex:A5103183161","orcid":"https://orcid.org/0000-0002-7735-7935","affiliation":"University of Colorado Anschutz","institutionId":"I51713134","institutionUrl":"https://ror.org/03wmf1y16","affiliations":["Department of Biochemistry and Molecular Genetics, University of Colorado School of Medicine, Aurora, Colorado, USA"]},{"name":"Devin Champagne","id":"openalex:A5057843920","orcid":"https://orcid.org/0000-0002-1958-7433","affiliation":"University of Vermont","institutionId":"I111236770","institutionUrl":"https://ror.org/0155zta11","affiliations":["Department of Medicine/Immunobiology Division, University of Vermont, Burlington, Vermont, USA"]},{"name":"Mohammed Jaloudi","id":"openalex:A5053217377","affiliation":"Johns Hopkins Medicine","institutionId":"I2799853436","institutionUrl":"https://ror.org/037zgn354","affiliations":["Department of Medical Oncology, Tawam Hospital-Johns Hopkins Medicine, Al-Ain, United Arab Emirates"]},{"name":"Yassir A. Mohamed","id":"openalex:A5051365010","orcid":"https://orcid.org/0000-0003-4629-4350","affiliation":"Department of Medical Microbiology & Immunology,","affiliations":["Department of Medical Microbiology & Immunology"]},{"name":"Ghada Hassan Bashir","id":"openalex:A5077313767","affiliation":"Department of Medical Microbiology & Immunology,","affiliations":["Department of Medical Microbiology & Immunology"]},{"name":"Saeeda Saleh Almarzooqi","id":"openalex:A5016680398","orcid":"https://orcid.org/0000-0002-5147-0657","affiliation":"Department of Pathology, and","affiliations":["Department of Pathology, and"]},{"name":"Alia Saeed Albawardi","id":"openalex:A5072145550","orcid":"https://orcid.org/0000-0002-0815-3891","affiliation":"Department of Pathology, and","affiliations":["Department of Pathology, and"]},{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Family Medicine, College of Medicine & Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"]},{"name":"Thomas S. Roberts","affiliation":"University of Vermont","institutionId":"I111236770","institutionUrl":"https://ror.org/0155zta11","affiliations":["Department of Medicine/Immunobiology Division, University of Vermont, Burlington, Vermont, USA"]},{"name":"Haytham El Salhat","id":"openalex:A5071237817","affiliation":"Johns Hopkins Medicine","institutionId":"I2799853436","institutionUrl":"https://ror.org/037zgn354","affiliations":["Department of Surgery, Tawam Hospital-Johns Hopkins Medicine, Al-Ain, United Arab Emirates"]},{"name":"Hakam El Taji","id":"openalex:A5029135231","affiliation":"Johns Hopkins Medicine","institutionId":"I2799853436","institutionUrl":"https://ror.org/037zgn354","affiliations":["Department of Surgery, Tawam Hospital-Johns Hopkins Medicine, Al-Ain, United Arab Emirates"]},{"name":"Adnan Kassis","id":"openalex:A5075670120","affiliation":"Johns Hopkins Medicine","institutionId":"I2799853436","institutionUrl":"https://ror.org/037zgn354","affiliations":["Department of Clinical Imaging, Tawam Hospital-Johns Hopkins Medicine, Al-Ain, United Arab Emirates"]},{"name":"Dylan Edmund O'Sullivan","id":"openalex:A5049554341","orcid":"https://orcid.org/0000-0002-2562-0017","affiliation":"Dartmouth College","institutionId":"I107672454","institutionUrl":"https://ror.org/049s0rh22","affiliations":["Departments of Epidemiology, Pharmacology and Toxicology, and Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA"]},{"name":"Brock C. 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The aim of the study was to evaluate gender-related differences in ACS patients in the United Arab Emirates (UAE). We analyzed a subset (n = 1697) of the Gulf Registry of Acute Coronary Events (Gulf RACE) data collected in 2007 of patients with ACS from 18 UAE hospitals. Women were significantly older (mean age: 64.0 ± 12.4 years for females and 50.9 ± 10.6 years for males, P < .001), more often had cardiac risk factors and were significantly less treated with β-blockers and reperfusion therapy. The adjusted mortality rate of women was 4.6% versus 1.2% in men (P < .001). Heart failure was higher in females compared with men (24.6% vs 12.5%; P < .001). Reasons for the high in-hospital mortality in women need to be investigated further.","authors":[{"name":"Abdulla Shehab","id":"openalex:A5103177898","orcid":"https://orcid.org/0000-0001-8533-9174","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Internal Medicine, UAE University, Al Ain, UAE","#N# 1Department of Internal Medicine, UAE University, Al Ain, UAE"],"corresponding":true},{"name":"Javed Yasin","id":"openalex:A5110229342","orcid":"https://orcid.org/0000-0002-5867-2833","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Internal Medicine, UAE University, Al Ain, UAE","#N# 1Department of Internal Medicine, UAE University, Al Ain, UAE"]},{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, UAE University, Al Ain, UAE","#N# 2Department of Family Medicine, UAE University, Al Ain, UAE"]},{"name":"Bayan Al-Dabbagh","id":"openalex:A5111787575","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Internal Medicine, UAE University, Al Ain, UAE","#N# 1Department of Internal Medicine, UAE University, Al Ain, UAE"]},{"name":"Wael A. Almahmeed","id":"openalex:A5062034086","orcid":"https://orcid.org/0000-0003-0312-9910","affiliation":"Shaikh Khalifa Medical City","institutionId":"I2801466683","institutionUrl":"https://ror.org/03gd1jf50","affiliations":["Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE","#N# 3Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE"]},{"name":"Nazar Bustani","id":"openalex:A5082650885","affiliation":"Shaikh Khalifa Medical City","institutionId":"I2801466683","institutionUrl":"https://ror.org/03gd1jf50","affiliations":["Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE","#N# 3Heart and Vascular Institute, Sheikh Khalifa Medical City, Abu Dhabi, UAE"]},{"name":"Amrish Agrawal","id":"openalex:A5000545032","orcid":"https://orcid.org/0000-0003-1863-2455","affiliation":"Department of Cardiology, Fujairah Hospital, Fujairah, UAE","affiliations":["Department of Cardiology, Fujairah Hospital, Fujairah, UAE","#N# 4Department of Cardiology, Fujairah Hospital, Fujairah, UAE"]},{"name":"Afzalhussein Yusufali","id":"openalex:A5076763843","orcid":"https://orcid.org/0000-0003-3378-2646","affiliation":"Dubai Hospital","institutionId":"I2802257478","institutionUrl":"https://ror.org/04czxss33","affiliations":["Dubai Heart Centre, Dubai Hospital, Dubai, UAE","#N# 5Dubai Heart Centre, Dubai Hospital, Dubai, UAE"]},{"name":"Adel Wassef","affiliation":"Ministry of Health","institutionId":"I4210127754","institutionUrl":"https://ror.org/030atj633","affiliations":["Obaidallah Hospital (Saif Hospital), MOH, Ras Al-Khaimah, UAE","#N# 6Obaidallah Hospital (Saif Hospital), MOH, Ras Al-Khaimah, UAE"]},{"name":"Abdulla Alnaeemi","id":"openalex:A5017783626","affiliation":"Zayed Military Hospital","institutionId":"I4210117408","institutionUrl":"https://ror.org/02ehrn304","affiliations":["Zayed Military Hospital, Abu Dhabi, UAE","#N# 7Zayed Military Hospital, Abu Dhabi, UAE"]}],"venue":"Angiology","venueId":"S153867169","publisher":"SAGE Publishing","publisherId":"P4310320017","year":2012,"publishedDate":"2012-05-07","type":"article","citationCount":17,"referenceCount":30,"isOpenAccess":false,"sourceUrl":"https://doi.org/10.1177/0003319712443891","topics":[{"id":"T10292","name":"Acute Myocardial Infarction Research","score":0.7803000211715698,"subfieldId":"2705","subfield":"Cardiology and Cardiovascular Medicine","fieldId":"27","field":"Medicine"},{"id":"T13252","name":"Sex and Gender in Healthcare","score":0.21310000121593475,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T10193","name":"Coronary Interventions and 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University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE"]},{"name":"Rabah Almahmoud","id":"openalex:A5036704072","orcid":"https://orcid.org/0000-0002-4694-0888","affiliation":"University of Sharjah","institutionId":"I29891158","institutionUrl":"https://ror.org/00engpz63","affiliations":["Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, UAE"]},{"name":"Frank James Branicki","id":"openalex:A5113825542","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE"]},{"name":"Margaret Ann Elzubeir","id":"openalex:A5110693256","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Medical Education, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE"]}],"venue":"PLoS ONE","venueId":"S202381698","publisher":"Public Library of Science","publisherId":"P4310315706","year":2018,"publishedDate":"2018-10-03","type":"article","citationCount":15,"referenceCount":41,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.1371/journal.pone.0202466","oaUrl":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0202466&type=printable","pdfUrl":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0202466&type=printable","topics":[{"id":"T13147","name":"Ethics and bioethics in healthcare","score":0.6693999767303467,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T10254","name":"Innovations in Medical 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ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. H. Chan School of Public Health, Boston, USA","Epidemiology and Public Health, Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Ambulatory Health Services, Al Ain, ARE 10. Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Elpidoforos Soterakis Soteriades","id":"openalex:A5048311569","orcid":"https://orcid.org/0000-0001-6224-421X","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Epidemiology and Public Health, Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. 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Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Jeff King","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Family Medicine, United Arab Emirates University, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. H. 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Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Romona Devi Govender","id":"openalex:A5024090460","orcid":"https://orcid.org/0000-0003-3393-9594","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Family Medicine, United Arab Emirates University, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. H. 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Chan School of Public Health, Boston, USA","Epidemiology and Public Health, Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Ambulatory Health Services, Al Ain, ARE 10. Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Syed Fahad Javaid","id":"openalex:A5031686746","orcid":"https://orcid.org/0000-0001-6467-8150","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. 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Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Shamma Dahi Al Sheryani","id":"openalex:A5058467302","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Family Medicine, Ambulatory Health Services, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. H. 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Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"]},{"name":"Javaid Nauman","id":"openalex:A5039523910","orcid":"https://orcid.org/0000-0003-1347-2448","affiliation":"National Health Service","institutionId":"I125671874","institutionUrl":"https://ror.org/02wnqcb97","affiliations":["Epidemiology and Public Health, Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Environmental Health, Environmental and Occupational Medicine and Epidemiology, Harvard T. 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Circulation and Medical Imaging, Faculty of Medicine and Health Sciences","Family Medicine, College of Medicine and Health Sciences, Al Ain, ARE","Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Family Medicine, Parchmore Medical Centre, London, GBR","Family Medicine, United Arab Emirates University, Al Ain, ARE","Primary Care, National Health Service (NHS) North West London, London, GBR","Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE","Norwegian University of Science and Technology, Trondheim, NOR"],"corresponding":true}],"venue":"Cureus","venueId":"S2738950867","publisher":"Cureus, Inc.","publisherId":"P4310316779","year":2020,"publishedDate":"2020-03-12","type":"article","citationCount":13,"referenceCount":30,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.7759/cureus.7250","oaUrl":"https://www.cureus.com/articles/28049-global-trends-and-forecast-of-the-burden-of-adverse-effects-of-medical-treatment-epidemiological-analysis-based-on-the-global-burden-of-disease-study.pdf","pdfUrl":"https://www.cureus.com/articles/28049-global-trends-and-forecast-of-the-burden-of-adverse-effects-of-medical-treatment-epidemiological-analysis-based-on-the-global-burden-of-disease-study.pdf","topics":[{"id":"T11943","name":"Pharmacovigilance and Adverse Drug Reactions","score":0.5092999935150146,"subfieldId":"3005","subfield":"Toxicology","fieldId":"30","field":"Pharmacology, Toxicology and Pharmaceutics"},{"id":"T10508","name":"Patient Safety and Medication Errors","score":0.21310000121593475,"subfieldId":"3604","subfield":"Emergency Medical Services","fieldId":"36","field":"Health Professions"},{"id":"T12339","name":"Medical Malpractice and Liability Issues","score":0.033799998462200165,"subfieldId":"3611","subfield":"Pharmacy","fieldId":"36","field":"Health Professions"}],"sources":["openalex"],"id":"openalex:W3011539052"},{"ids":{"openalex":"W345609412","doi":"10.5144/0256-4947.2014.482","pmid":"25971820"},"title":"Quality of care in primary percutaneous coronary intervention for acute ST-segment -elevation myocardial infarction: Gulf RACE 2 experience","abstract":"$3c","authors":[{"name":"Abdulla Shehab","id":"openalex:A5103177898","orcid":"https://orcid.org/0000-0001-8533-9174","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, United Arab Emirates","A Shehab, MD, Department of Internal Medicine,, College of Medicine and Health Sciences,, UAE University, Al Ain, United Arab Emirates, T: +971506161028,, F: +97137672 995"]},{"name":"Khalid F. AlHabib","id":"openalex:A5054535416","orcid":"https://orcid.org/0000-0002-6692-3874","affiliation":"King Saud University","institutionId":"I28022161","institutionUrl":"https://ror.org/02f81g417","affiliations":["King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia"]},{"name":"Ahmed Hersi","id":"openalex:A5111969037","orcid":"https://orcid.org/0000-0001-5991-5318","affiliation":"King Saud University","institutionId":"I28022161","institutionUrl":"https://ror.org/02f81g417","affiliations":["King Fahd Cardiac Center, King Saud University, Riyadh, Saudi Arabia"]},{"name":"Husam AlFaleh","id":"openalex:A5086607020","affiliation":"King Khalid University Hospital","institutionId":"I4210138988","institutionUrl":"https://ror.org/046gga527","affiliations":["Department of Cardiology, King Khalid University Hospital, Riyadh, Saudi Arabia"]},{"name":"Alawi A.A. 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Guangdong 523120, China"]},{"name":"Abao Xing","id":"openalex:A5024638693","affiliation":"Southern Medical University","institutionId":"I58200834","institutionUrl":"https://ror.org/01vjw4z39","affiliations":["Dongguan Institute of Reproductive and Genetic Research, Guangdong 523120, China","Affiliated Dongguan Maternal & Child Healthcare Hospital, Southern Medical University, Guangdong 523120, China"]},{"name":"Shui Shan Lee","id":"openalex:A5035437706","orcid":"https://orcid.org/0000-0003-1448-765X","affiliation":"Chinese University of Hong Kong","institutionId":"I177725633","institutionUrl":"https://ror.org/00t33hh48","affiliations":["Stanley Ho Centre for Emerging Infectious Diseases, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China"]},{"name":"Ziad Ahmed Memish","id":"openalex:A5042044329","orcid":"https://orcid.org/0000-0002-5099-0714","affiliation":"Alfaisal University","institutionId":"I134359838","institutionUrl":"https://ror.org/00cdrtq48","affiliations":["Research & Innovation Centre, King Saud Medical City, Ministry of Health & College of Medicine, AlFaisal University, Riyadh, Saudi Arabia"]},{"name":"Guozhi Jiang","id":"openalex:A5073188505","orcid":"https://orcid.org/0000-0002-2795-714X","affiliation":"Sun Yat-sen University","institutionId":"I157773358","institutionUrl":"https://ror.org/0064kty71","affiliations":["School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong 518107, China"]},{"name":"Gulfaraz Khan","id":"openalex:A5034566394","orcid":"https://orcid.org/0000-0001-6836-1783","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Microbiology and Immunology, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. Electronic address: g_khan@uaeu.ac.ae","Department of Microbiology and Immunology, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"],"corresponding":true}],"venue":"Journal of Infection and Public Health","venueId":"S53706017","publisher":"Elsevier BV","publisherId":"P4310320990","year":2022,"publishedDate":"2022-04-29","type":"article","citationCount":12,"referenceCount":56,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.1016/j.jiph.2022.04.012","oaUrl":"https://www.sciencedirect.com/science/article/pii/S1876034122000983/pdf","pdfUrl":"https://www.sciencedirect.com/science/article/pii/S1876034122000983/pdf","topics":[{"id":"T10410","name":"COVID-19 epidemiological studies","score":0.8842999935150146,"subfieldId":"2611","subfield":"Modeling and Simulation","fieldId":"26","field":"Mathematics"},{"id":"T12943","name":"COVID-19 Digital Contact Tracing","score":0.10570000112056732,"subfieldId":"1710","subfield":"Information Systems","fieldId":"17","field":"Computer Science"},{"id":"T13032","name":"COVID-19 Prevention and Impact","score":0.0032999999821186066,"subfieldId":"3312","subfield":"Sociology and Political Science","fieldId":"33","field":"Social Sciences"}],"sources":["openalex"],"id":"openalex:W4225131079"},{"ids":{"openalex":"W4220744297","doi":"10.4082/kjfm.20.0223","pmid":"35320894"},"title":"Teaching Family Medicine and General Practice","abstract":"$3f","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE"],"corresponding":true}],"venue":"Korean Journal of Family Medicine","venueId":"S3223038","publisher":"Korean Academy of Family Medicine","publisherId":"P4366721409","year":2022,"publishedDate":"2022-03-17","type":"article","citationCount":12,"referenceCount":36,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.4082/kjfm.20.0223","oaUrl":"https://www.kjfm.or.kr/upload/pdf/kjfm-20-0223.pdf","pdfUrl":"https://www.kjfm.or.kr/upload/pdf/kjfm-20-0223.pdf","topics":[{"id":"T10254","name":"Innovations in Medical Education","score":0.9965999722480774,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T11590","name":"Primary Care and Health Outcomes","score":0.0017999999690800905,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"},{"id":"T12413","name":"Health and Medical Education","score":0.00039999998989515007,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"}],"sources":["openalex"],"id":"openalex:W4220744297"},{"ids":{"openalex":"W2345770375","doi":"10.12816/0003202"},"title":"Medical Students Learning Communication Skills in a Second Language : Empathy and Expectations = تعلم مهارات التواصل بلغه ثانية عند طلاب الطب : التعاطف و التوقعات","abstract":"Communications skills (CS) training for medical interviewing is increasingly being conducted in English at medical schools worldwide. In this study, we sought to identify whether Arabic-speaking medical students experienced difficulty with the different components of the CS training that were conducted in English.","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Stella C. Major","id":"openalex:A5088981918","orcid":"https://orcid.org/0000-0001-7481-6473","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Deen M Mirza","id":"openalex:A5113837327","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Engela Adriana Margrietha Prinsloo","id":"openalex:A5010131394","orcid":"https://orcid.org/0000-0001-9789-8272","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Ossama T. Osman","id":"openalex:A5109180163","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Leena Amiri","id":"openalex:A5066655744","orcid":"https://orcid.org/0000-0002-3359-4920","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Psychiatry, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Michelle McLean","id":"openalex:A5032872917","orcid":"https://orcid.org/0000-0002-9912-2483","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Medical Education, United Arab Emirates University, Al Ain, United Arab Emirates"]}],"venue":"Sultan Qaboos University medical journal","venueId":"S2737955359","publisher":"Sultan Qaboos University","publisherId":"P4310319258","year":2013,"publishedDate":"2013-02-01","type":"article","citationCount":12,"referenceCount":26,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.12816/0003202","oaUrl":"https://doi.org/10.12816/0003202","topics":[{"id":"T10254","name":"Innovations in Medical Education","score":0.5098000168800354,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T11999","name":"Empathy and Medical Education","score":0.3140000104904175,"subfieldId":"2738","subfield":"Psychiatry and Mental health","fieldId":"27","field":"Medicine"},{"id":"T10827","name":"Patient-Provider Communication in Healthcare","score":0.11339999735355377,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"}],"sources":["openalex"],"id":"openalex:W2345770375"},{"ids":{"openalex":"W4319660032","doi":"10.1152/advan.00237.2022","pmid":"36759147"},"title":"LecturePlus: a learner-centered teaching method to promote deep learning","abstract":"We developed a new structured teaching format, the LecturePlus, to promote deep learning. A LecturePlus session consists of a brief lecture, followed by small-group problem-solving exercises, ending with a closing discussion moderated by the teacher. During the small-group exercises, students were divided into groups of three (triads) and given case-based problems. One faculty tutor supervised the entire session. LecturePlus resulted in improved learning outcomes and was rated highly by medical students.","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"],"corresponding":true},{"name":"Romona Devi Govender","id":"openalex:A5024090460","orcid":"https://orcid.org/0000-0003-3393-9594","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Nadirah Ghenimi","id":"openalex:A5041859673","orcid":"https://orcid.org/0000-0003-0897-2587","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Alexander Kieu","id":"openalex:A5091454665","orcid":"https://orcid.org/0000-0002-5434-9705","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"]},{"name":"Moien AB Khan","id":"openalex:A5035968420","orcid":"https://orcid.org/0000-0003-4970-4618","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates"]}],"venue":"AJP Advances in Physiology Education","venueId":"S95725323","publisher":"American Physical Society","publisherId":"P4310320261","year":2023,"publishedDate":"2023-02-10","type":"article","citationCount":10,"referenceCount":22,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.1152/advan.00237.2022","oaUrl":"https://doi.org/10.1152/advan.00237.2022","topics":[{"id":"T11526","name":"Innovative Teaching Methods","score":0.5741999745368958,"subfieldId":"3304","subfield":"Education","fieldId":"33","field":"Social Sciences"},{"id":"T10254","name":"Innovations in Medical Education","score":0.30399999022483826,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T11299","name":"Problem and Project Based 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Pakistani institution.","abstract":"$41","authors":[{"name":"Zareen Zaidi","id":"openalex:A5017504448","orcid":"https://orcid.org/0000-0003-4328-5766","affiliation":"Shifa College of Medicine, H-8/4, Islamabad. zareenmd@yahoo.com","affiliations":["Shifa College of Medicine, H-8/4, Islamabad. zareenmd@yahoo.com"]},{"name":"Mobeen Iqbal","id":"openalex:A5107174314","affiliation":"Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan","affiliations":["Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan"]},{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan","affiliations":["Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan"]},{"name":"Khaja H Mujtaba Quadri","id":"openalex:A5110282785","affiliation":"Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan","affiliations":["Shifa College of Medicine, Pitrus Bukhari Road, Islamabad, Pakistan"]}],"venue":"PubMed","venueId":"S4306525036","publisher":"National Institutes of Health","year":2009,"publishedDate":"2009-05-01","type":"article","citationCount":9,"referenceCount":8,"isOpenAccess":false,"sourceUrl":"https://pubmed.ncbi.nlm.nih.gov/19953437","topics":[{"id":"T11744","name":"Health Sciences Research and Education","score":0.9984999895095825,"subfieldId":"3600","subfield":"General Health Professions","fieldId":"36","field":"Health Professions"},{"id":"T10254","name":"Innovations in Medical Education","score":0.0005000000237487257,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T12168","name":"Health and Medical Research Impacts","score":0.00039999998989515007,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational 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Emirates University, Al Ain, 15551, United Arab Emirates"]},{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Departments of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, 15551, United Arab Emirates"]},{"name":"Sania Al Hamed","id":"openalex:A5008548350","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, 15551, United Arab Emirates"]},{"name":"Juma Alkaabi","id":"openalex:A5069604882","orcid":"https://orcid.org/0000-0003-2477-0408","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, 15551, United Arab Emirates"]},{"name":"Elhadi Husein Aburawi","id":"openalex:A5058934344","orcid":"https://orcid.org/0000-0001-5200-9048","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, 15551, United Arab Emirates"]}],"venue":"Diabetes Metabolic Syndrome and Obesity","venueId":"S176615914","publisher":"Dove Medical Press","publisherId":"P4310320348","year":2023,"publishedDate":"2023-02-01","type":"article","citationCount":8,"referenceCount":45,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.2147/dmso.s390071","oaUrl":"https://www.dovepress.com/getfile.php?fileID=87574","pdfUrl":"https://www.dovepress.com/getfile.php?fileID=87574","topics":[{"id":"T10528","name":"Adipokines, Inflammation, and Metabolic Diseases","score":0.5820000171661377,"subfieldId":"2713","subfield":"Epidemiology","fieldId":"27","field":"Medicine"},{"id":"T10010","name":"Obesity, Physical Activity, Diet","score":0.38670000433921814,"subfieldId":"2739","subfield":"Public Health, Environmental and Occupational Health","fieldId":"27","field":"Medicine"},{"id":"T10027","name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.008899999782443047,"subfieldId":"2712","subfield":"Endocrinology, Diabetes and Metabolism","fieldId":"27","field":"Medicine"}],"sources":["openalex"],"id":"openalex:W4321254725"},{"ids":{"openalex":"W2136802010","doi":"10.1108/09526861311288604","pmid":"23534102"},"title":"Quality improvement tools for chronic disease care – more effective processes are less likely to be implemented in developing countries","abstract":"$43","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, UAE University, Al Ain, United Arab Emirates. jhashim@uaeu.ac.ae","Department of Family Medicine, UAE University, Al Ain, United Arab Emirates"]},{"name":"Adrianna Prinsloo","id":"openalex:A5048729729","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family 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We aimed to study reflective writing as a means to nurture empathy among medical students. An interventional study was conducted among 73 final-year medical students using the Toronto Empathy Questionnaire. The questionnaire was administered anonymously before and after a clinical clerkship. Reflective writing generated strong emotional responses but did not improve Empathy Questionnaire scores. Reflective writing about patient care experiences may be useful in clinical clerkships to develop certain constructs of empathy such as perspective taking and compassion among medical students, but it may not raise empathy scores in the short term.","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al Ain"],"corresponding":true},{"name":"Moien AB Khan","id":"openalex:A5035968420","orcid":"https://orcid.org/0000-0003-4970-4618","affiliation":"Université du Québec à Montréal","institutionId":"I159129438","institutionUrl":"https://ror.org/002rjbv21","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al Ain","College of Medicine and Health Sciences, UAE University, Al Ain","College of Medicine and Health Sciences, United Arab Emirates University (UAEU) PO Box 17666, Al Ain, United Arab Emirates","Revue canadienne de l'éducation médicale","Université Laval, and the Université du Québec à Montréal","of the Université de Montréal"]},{"name":"Alexander Kieu","id":"openalex:A5091454665","orcid":"https://orcid.org/0000-0002-5434-9705","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al Ain","Department of Family Medicine, Kanad Hospital, Al Ain"]},{"name":"Fatima Mohammed Khalfan Alkaabi","id":"openalex:A5113193502","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["College of Medicine and Health Sciences, UAE University, Al Ain"]},{"name":"Fakhra Khalifa Abdulla Al 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University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al Ain"]}],"venue":"Canadian Medical Education Journal","venueId":"S2764494900","publisher":"Canadian Medical Education Journal","publisherId":"P4310312917","year":2024,"publishedDate":"2024-03-18","type":"article","citationCount":7,"referenceCount":6,"isOpenAccess":true,"sourceUrl":"https://doi.org/10.36834/cmej.77172","oaUrl":"https://journalhosting.ucalgary.ca/index.php/cmej/article/download/77172/57326","pdfUrl":"https://journalhosting.ucalgary.ca/index.php/cmej/article/download/77172/57326","topics":[{"id":"T11999","name":"Empathy and Medical Education","score":1,"subfieldId":"2738","subfield":"Psychiatry and Mental health","fieldId":"27","field":"Medicine"},{"id":"T12500","name":"Reflective Practices in 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Nature","publisherId":"P4310319965","year":2023,"publishedDate":"2023-01-01","type":"book-chapter","citationCount":7,"referenceCount":23,"isOpenAccess":false,"sourceUrl":"https://doi.org/10.1007/978-3-031-25879-4_6","topics":[{"id":"T13522","name":"Cardiovascular Health and Risk Factors","score":0.9491999745368958,"subfieldId":"2705","subfield":"Cardiology and Cardiovascular Medicine","fieldId":"27","field":"Medicine"},{"id":"T12935","name":"Healthcare Systems and Public Health","score":0.04859999939799309,"subfieldId":"2713","subfield":"Epidemiology","fieldId":"27","field":"Medicine"},{"id":"T10027","name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.0006000000284984708,"subfieldId":"2712","subfield":"Endocrinology, Diabetes and Metabolism","fieldId":"27","field":"Medicine"}],"sources":["openalex"],"id":"openalex:W4366069028"},{"ids":{"openalex":"W1968091729","doi":"10.1159/000346276","pmid":"23343625"},"title":"Health Education Materials for Arab Patients: Content and Design Preferences","abstract":"$44","authors":[{"name":"Muhammad Jawad Hashim","id":"openalex:A5049689595","orcid":"https://orcid.org/0000-0002-9280-9709","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates. jhashim@uaeu.ac.ae","Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"]},{"name":"Halla Mustafa","id":"openalex:A5110750658","affiliation":"United Arab Emirates University","institutionId":"I201726411","institutionUrl":"https://ror.org/01km6p862","affiliations":["Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates"]},{"name":"Amani Obaid Al Abdouli","id":"openalex:A5038388540","affiliation":"United Arab Emirates 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