ORCID Profile
0000-0003-4952-8298
Current Organisation
American University of Sharjah
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Publisher: Springer Science and Business Media LLC
Date: 29-09-2021
DOI: 10.1007/S11096-021-01322-2
Abstract: Background Diabetes distress (DD) has broad-ranging effects on type 2 diabetes (T2DM) management and outcomes. DD research is scarce among ethnic minority groups, particularly Arabic-speaking immigrant communities. To improve outcomes for these vulnerable groups, healthcare providers, including pharmacists, need to understand modifiable predictors of DD. Aim To assess and compare DD and its association with medication-taking behaviours, glycaemic control, self-management, and psychosocial factors among first-generation Arabic-speaking immigrants and English-speaking patients of Anglo-Celtic background with diabetes, and determine DD predictors. Setting Various healthcare settings in Australia. Method A multicentre cross-sectional study was conducted. Adults with T2DM completed a survey comprised of validated tools. Glycated haemoglobin, blood pressure, and lipid profile were gathered from medical records. Multiple linear regression models were computed to assess the DD predictors. Main outcome measure Diabetes distress level. Results Data was analysed for 696 participants: 56.3% Arabic-speaking immigrants and 43.7% English-speaking patients. Compared with English-speaking patients, Arabic-speaking immigrants had higher DD, lower medication adherence, worse self-management and glycaemic control, and poorer health and clinical profile. The regression analysis demonstrated that higher DD in Arabic-speaking immigrants was associated with cost-related medication underuse and lower adherence to exercise, younger age, lower education level, unemployment, lower self-efficacy, and inadequate glycaemic control. Whereas among English-speaking patients, higher DD was associated with both cost- and non-cost-related underuse of medication and lower dietary adherence. Conclusion Results provided new insights to guide healthcare providers on reducing the apparent excess burden of DD among Arabic-speaking immigrants and potentially improve medication adherence, glycaemic control, and self-management.
Publisher: Oxford University Press (OUP)
Date: 28-11-2012
DOI: 10.1111/J.2042-7174.2011.00182.X
Abstract: To identify the type and frequency of services provided through community pharmacies in the United Arab Emirates (UAE). A survey was conducted using an anonymous questionnaire distributed by hand to 700 community pharmacies. Items included information about the pharmacists and pharmacies, type of products sold, type and extent of enhanced services provided and perceived barriers to providing these services. Most pharmacies provided a wide range of medicinal and non-medicinal products. The frequency with which services were provided was assessed on a scale of 1 (never) to 5 (always). Enhanced professional services were not provided to a large extent in most pharmacies. Fewer than one-third (29%) reported they always supplied printed information to patients (mean = 3.37, 95% confidence interval = 3.23–3.52) fewer than one-third (28%) counselled patients on a regular basis (3.25, 3.09–3.40) nearly two-thirds (62%) reported monitoring patients' adherence to therapy at least sometimes (2.96, 2.81–3.10). Most pharmacies (92%) in the UAE did not routinely keep patient records (2.09, 1.96–2.32). While just over a quarter of respondents claimed that they always reported medication errors (27%) and adverse drug reactions (28%), these activities were not often performed in around 40% of pharmacies. This is the first study to explore the type and extent of professional services provided through community pharmacies in the UAE and provides baseline data critical to inform the development of strategies to improve the quality of community pharmacy services.
Publisher: Oxford University Press (OUP)
Date: 28-01-2015
DOI: 10.1111/IJPP.12176
Abstract: No previous studies have investigated patients’ expectations of, or interest in, using primary care pharmacy services in the UAE. The study investigated primary care services that patients would use if they were provided through community pharmacies. A questionnaire was developed in English and translated to Arabic. Participants were asked to rate their likelihood of using future primary care services on a three-point Likert-type scale (very likely–unlikely). Services included screening for disease, monitoring of disease control, health advice and referral, lifestyle and preventive care, supply of printed information, counselling on medication use and side effects, patient record keeping, and pharmacist intervention in chronic disease. The questionnaire was distributed to patrons of public places by hand to eligible participants: ≥21 years, taking at least one scheduled prescription medication and having adequate Arabic or English proficiency. Areas of most interest were as follows: the pharmacist explaining how to use medications (Median = 3, interquartile range (IQR) = 1), the pharmacist advising on side effects of medications (Median = 3, IQR = 1), receiving advice on how to use devices (Median = 3, IQR = 1) and receiving printed information about medications (Median = 3, IQR = 1). Participants were least supportive of pharmacists keeping medication records (Median = 2, IQR = 1) and intervening in chronic disease management (Median = 2, IQR = 1). Participants anticipated a caring professional service by pharmacists and a pharmacy layout that allows private communication. Participants were interested in accessing enhanced primary care services by community pharmacists. Participants were more supportive of receiving information about medications, help in self-management and monitoring, and advice about disease prevention than management of chronic disease.
Publisher: Elsevier BV
Date: 11-2013
DOI: 10.1016/J.SAPHARM.2012.10.002
Abstract: Patient satisfaction has become an integral component of the quality of healthcare services. It has been used for the purpose of performance assessment, reimbursement, and quality management of health service delivery. It has been suggested that patient satisfaction could be a predictor of health-related behavior. To develop and validate a tool for use within the Arabic context to assess patient satisfaction. To assess patient satisfaction with current community pharmacy services in the UAE using the validated tool. A systematic process was used to develop an assessment tool that could be used within the Arabic context and establish its validity and reliability. Survey participants assessed their satisfaction with the services based on a 5-point Likert-type scale: Poor = 1, Fair = 2, Good = 3, Very good = 4, Excellent = 5. The anonymous questionnaire was distributed over a 5-month period to eligible participants in public places such as malls and shopping markets, in various emirates across the UAE. Those who were 21 years or older, taking at least one scheduled (regular) medication and having adequate Arabic or English language proficiency were included. The instrument comprised four dimensions: Information, Relationship, Accessibility and Availability. Participants required more information about medications and self-management (Mean = 2.49 ± 1.19). Measures of competence, i.e., care, interest, time, confidence and trust, could also be improved (Mean = 3.05 ± 1.07). Accessibility scores measuring physical, geographical and financial items were lowest (Mean = 2.80 ± 1.33). Overall scores on availability of medications indicated relative satisfaction with this dimension (Mean = 3.51 ± 0.7). This study is the first to use a patient satisfaction tool specifically developed for the Arabic context. Patient satisfaction scores in all dimensions were significantly lower than published data, suggesting patients have unmet expectations of community pharmacy services in the UAE. Stakeholders could utilize this information to help in the design and delivery of improved services that could lead to increased demand.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 15-02-2022
DOI: 10.1097/MAT.0000000000001669
Abstract: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) supports patients with severe respiratory failure not responding to conventional treatments. Single-site jugular venous cannulation with dual-lumen cannulas (DLC) have several advantages over traditional single-lumen cannulas, however, bleeding and thrombosis are common, limiting their clinical utility. This study numerically investigated the effects of DLC side holes on blood flow dynamics since the maximum wall shear stress (WSS) occurs around the side holes. A DLC based on the Avalon Elite 27Fr model was implanted into an idealized 3D model of the vena cava and right atrium (RA). Eight DLCs were developed by changing the number, diameter, and spacing of side holes through an iterative design process. Physiologic flow at the inferior vena cava (IVC) and superior vena cava (SVC) were applied along with a partial ECMO support of 2 L/min. The SST k-ω turbulent model was solved for 6.4 seconds. WSS, washout, stagnation volume, and recirculation were compared. For all DLCs, no stasis region lasted more than one cardiac cycle and a complete washout was obtained in less than 4 seconds. Due to the IVC and SVC backflows, maximum WSS occurred around the DLC side holes at late systole and late diastole. A DLC with 16 and three side holes within the IVC and SVC, respectively, reduced the maximum WSS by up to 67% over the Avalon Elite 27Fr. Improved DLCs provided a more uniform WSS distribution with lower WSS around the side holes, potentially reducing the chance of thrombosis and bleeding.
Publisher: Oxford University Press (OUP)
Date: 09-06-2011
DOI: 10.1111/J.2042-7174.2011.00134.X
Abstract: To determine the characteristics and workforce issues of community pharmacy practice in the United Arab Emirates (UAE). Data collection was by anonymous cross-sectional survey. Questionnaires were distributed by hand to 700 community pharmacies to collect information about the participating pharmacists, pharmacy characteristics, the types of products and professional pharmacy services available to patients, and the barriers to offering professional services. A total of 344 pharmacists (49%) responded. Most were male (64%), had been in practice for less than 10 years (mean = 9.3, 95% confidence interval (CI) = 8.4–10.0) and were trained in India (35%) or Egypt (15%). The pharmacies were open for business 7 days/week (mean = 6.8, 95% CI = 6.7–8.8) with an average working day of 13 h (mean = 12.9, 95% CI = 12.7–13.2) and were mostly owned by independent non-pharmacists (70%). The pharmacies employed on average 2.6 full-time-equivalent (FTE) pharmacists (95% CI = 2.3–2.8) with 74% employing 1.8 FTE pharmacy assistants (95% CI = 1.7–2.0) and 47% employing trainee pharmacists (mean = 1.8 FTE, 95% CI = 1.6–2.0). Around three-quarters of the pharmacies dispensed fewer than 100 prescriptions (75%) and responded to fewer than 100 requests for over-the-counter medicines (69%) per day. Most pharmacists encountered limited immediate access to up-to-date resources. This is the first study to explore the characteristics of community pharmacy practice in the UAE. The study provides baseline data which are critical to inform the development of strategies to improve the quality of community pharmacy services in the UAE.
No related grants have been discovered for Hana Sulieman.