MISUSE AND ABUSE OF DRUGS: A CROSS-SECTIONAL SURVEY AMONG PHARMACY PROFESSIONALS IN SAUDI ARABIA
Prescription and non-prescription medication misuse or abuse is a global problem that has a negative impact on all human life aspects, including health, social, economic, and security status. According to the United Nations Office on Drug and Crime reports, over 5% of adult people used drugs at least once in the year 2015, and 29.5 million of them were suffered from the consequences of inappropriate use of drugs. Information on the knowledge and perception among pharmacists regarding the misuse and abuse medications in Saudi Arabia are limited, and therefore, a study was conducted among pharmacy staff to assess their knowledge and awareness on drug misuse and abuse. A cross-sectional study was carried out in Eastern Province, Saudi Arabia. Pharmacy professionals with more than three months of experience were included in the study. A structured questionnaire was used to obtain the participant's responses. A Chi-square test was used to evaluate the association of sociodemographic factors with the participant's responses. Ninety pharmacy professionals were responded. Overall, 69 (76.7%) participants agreed that misuse and abuse are two different terms. In addition, the study showed different responses for patients who suspected to be medication abusers. In conclusion, this study provides an initial picture of pharmacy staffs' knowledge and opinion regarding the misuse and abuse of medicines in Saudi Arabia. Participants' reactions toward such behaviors were different and not consistent. Therefore, there should be a clear policy to define the role of the pharmacy staff toward the misuse and abuse of medication in Saudi Arabia.
Read ArticlePOTENTIAL EFFECTS OF KETOGENIC DIETS, A NARRATIVE REVIEW
Background: Ketogenic diets have a long history of therapeutic use and have recently attracted significant attention due to their promising effects on a variety of disorders. However, no definitive links have been identified. This review aims to highlight the possible impacts of ketogenic diets as well as the mechanisms involved in metabolic processes and related non-communicable metabolic diseases. Methods: For our analysis, a bibliographic review of articles about ketogenic diets and their therapeutic effect on chronic pathologies was carried out, retrieved from the scientific literature. Results and discussion: These studies found both positive and negative outcomes for the effects and implications of ketogenic diets on metabolism. Significant differences in metabolic markers such as weight, glycemia, serum lipids and lipoproteins, anthropometric measures, and hormones such as insulin, leptin, and adiponectin have been reported. In addition to changes in the microbiome that have modest to moderate concurrent effects, changes in metabolism indicate the significance of dietary changes in treating and preventing chronic non-communicable diseases. Conclusions: In this review, we present the available scientific evidence on the effects of the ketogenic diet, and thus ketone bodies, on metabolism and related chronic diseases.
Read ArticleINVESTIGATING THE EFFECT OF COLD TEMPERATURE STRESS ON UNOPENED MALE CATKINS AND INOCULATED FEMALE FLOWERS OF IRANIAN NATIVE HAZELNUT CULTIVARS
In many low-temperature areas, the environmental factor is an important limiting factor for the production and distribution of horticultural plants. This study aimed to investigate the cold tolerance of the male catkins and inoculated female flowers to screen the popular native hazelnut cultivars in Qazvin under low-temperature stress. A completely randomized factorial block design with three replications was used in this experiment with eight cultivars (Nakhnroud, Khandan, Mish-Pestan, South of Qarabagh, Asl-e-Qarabagh, Rasmi, and Gerdashkevar). After removing each of the treated samples at the end of the experiment, the samples were examined morphologically (appearance) and compared with the control. The changes were recorded as qualitative traits. To understand the influence of cold stress on reproductive organs, hydrogen peroxide and proline were measured. The results showed the onset of freezing in unopened male catkins at -7 and -9 °C and in inoculated female flowers at -3 °C. Damage to unopened male catkins' tissue occurred at -11 °C and in female flowers at -5 °C. The highest value observed among cultivars in the case for proline content of male catkins was in Mish-Pestan and Khandan cultivars with 0.816 and 0.660 µmol/ g FW, respectively. In inoculated female flowers, Mish-Pestan and Tabestaneh cultivars with 0.185 and 0.168 µmol/ g FW, respectively, showed the highest statistically significantincrease in proline content. Interestingly, the cultivars with the highest proline content in male catkins indicated the most increase in H2O2; Mish-Pestan and Khnadan with 0.569 and 0.541 ug/g FW, respectively. Asl-eQarabagh was observed to have the least H2O2 content (0.042 ug/g FW) among cultivars. Again, in inoculated female flowers, those with the highest concentration of proline (Mish-Pestan and Tabestaneh) were found to have the highest H2O2 content (0.335 and 0.331 ug/g FW, respectively
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