Ajman, United Arab Emirates

Gulf Medical University

Ajman, United Arab Emirates

Gulf Medical University , formerly known as Gulf Medical College, established in 1998, is a private university in the United Arab Emirates. It offers undergraduate and post graduate education in various fields of medicine.Gulf Medical University is the first medical school in the U.A.E to offer admission to both males and females of all nationalities.Mr. Thumbay Moideen is the Founder President, Board of Governors of Gulf Medical University. It is owned and promoted by Thumbay GroupGMU was listed in Asia’s 100 best and fastest growing private education institutes by WCRC Leaders-Asia magazine. Wikipedia.

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In patients with normal lung and reasonable cardiac function such as head injury patients, the PETCo2 can be used as a surrogate for partial pressure of Carbon dioxide (PaCO2) in mechanically ventilated patients. Thus early interpretation and accurate assessment of capnogram is crucial in neurocritical care patients. Here we present and discuss a scenario where in connection of a jet nebulizer to the ventilator lead to abrupt decrease in end tidal carbon dioxide leading to a diagnostic dilemma. Also this report highlights and discusses the importance of the proper placement of breathing circuit components to ensure accurate CO2 readings in particular the use of a jet nebulizer. © 2017 Springer Science+Business Media Dordrecht

Jacob S.,Gulf Medical University | Nair A.B.,King Faisal University
Drugs in R and D | Year: 2016

Given the distinctive characteristics of both epilepsy and antiepileptic drugs (AEDs), therapeutic drug monitoring (TDM) can make a significant contribution to the field of epilepsy. The measurement and interpretation of serum drug concentrations can be of benefit in the treatment of uncontrollable seizures and in cases of clinical toxicity; it can aid in the individualization of therapy and in adjusting for variable or nonlinear pharmacokinetics; and can be useful in special populations such as pregnancy. This review examines the potential for TDM of newer AEDs such as eslicarbazepine acetate, felbamate, gabapentin, lacosamide, lamotrigine, levetiracetam, perampanel, pregabalin, rufinamide, retigabine, stiripentol, tiagabine, topiramate, vigabatrin, and zonisamide. We describe the relationships between serum drug concentration, clinical effect, and adverse drug reactions for each AED as well as the different analytical methods used for serum drug quantification. We discuss retrospective studies and prospective data on the serum drug concentration–efficacy of these drugs and present the pharmacokinetic parameters, oral bioavailability, reference concentration range, and active metabolites of newer AEDs. Limited data are available for recent AEDs, and we discuss the connection between drug concentrations in terms of clinical efficacy and nonresponse. Although we do not propose routine TDM, serum drug measurement can play a beneficial role in patient management and treatment individualization. Standardized studies designed to assess, in particular, concentration–efficacy–toxicity relationships for recent AEDs are urgently required. © 2016, The Author(s).

The shortage of a competent health workforce is a global challenge. However, its manifestations and proposed solutions are very much context related (i.e., local). In addition to the shortage of health professionals, the quality of health professions education programs, institutions, and graduates, and how to measure quality, are also problematic. Commonly used metrics like the Credit Hours System and the European Credit Transfer and Accumulation System have limitations (e.g., being more focused on quantity than quality).In this Commentary, the author discusses the need to revisit quality measurements in health professions education and the issue of whether the private sector has a role to play in narrowing the ever-increasing gap between the demand for health care professionals and the health care workforce shortage. © 2017 by the Association of American Medical Colleges

Saad F.,Bayer Pharma | Saad F.,Gulf Medical University
Asian Journal of Andrology | Year: 2015

It is no exaggeration to say that our conceptualization of the (patho-) physiological functions of testosterone has undergone a revolutionary development over the last three decades. The traditional thinking was that the biological functions of testosterone were restricted mainly to the area of reproduction and male sexuality. However, scientific research has clearly demonstrated that testosterone is a multi-system hormone serving a wide range of hitherto unsuspected biological functions.

Das R.,Gulf Medical University
Italian Journal of Public Health | Year: 2011

Background: The medical ramification of fasting among patients with diabetes is largely unknown; the purpose of the review is to find out how diabetes mellitus is managed during the month of Ramadan. Methods: Literature published on diabetes management during the month of Ramadan in the Middle-East are aimed at getting a global picture of this condition at a time when diabetes is having an adverse effect on health care delivery. I hope the review will be a useful and comprehensive source on the subject (diabetes mellitus) for researchers, academics and clinicians who care for the increasing number of diabetic patients and help health care providers curb the tide of the diabetes epidemic. The search includes available articles published, by using the keywords "Diabetes Mellitus", "Ramadan" and "fasting" covering epidemiology, clinical, management and complication profile. Results: Studies have shown that fasting among diabetic patients carries the potential risk of dangerous hypoglycaemia and hyperglycaemia, diabetic ketoacidosis and thrombosis. The EPIDIAR study was the largest study where 50% of the whole sample changed their treatment and hypoglycemia was the only observed event. There are also few studies which evaluated specific management modalities. Conclusion: It follows from this review that Ramadan fasting is acceptable for well balanced diabetic patients, conscious of their disease and compliant with their diet and drug intake. Patients willing to fast must be advised to undertake control of their glycaemia several times a day to prevent hypoglycemia risks during daytime fasting or hyperglycemia during the night.

Saad F.,Bayer AG | Saad F.,Gulf Medical University | Saad F.,Hang Tuah University
Diabetes/Metabolism Research and Reviews | Year: 2012

Obesity, hypertension, insulin resistance (IR), dyslipidaemia, impaired coagulation profile and chronic inflammation characterize cardiovascular risk factors in men. Adipose tissue is an active endocrine organ producing substances that suppress testosterone (T) production and visceral fat plays a key role in this process. Low T leads to further accumulation of fat mass, thus perpetuating a vicious circle. In this review, we discuss reduced levels of T and increased cardiovascular disease (CVD) risk factors by focusing on evidence derived from three different approaches. (i) epidemiological/ observational studies (without intervention); (ii) androgen deprivation therapy (ADT) studies (standard treatment in advanced prostate cancer); and (iii) T replacement therapy (TRT) in men with T deficiency (TD). In epidemiological studies, low T is associated with obesity, inflammation, atherosclerosis and the progression of atherosclerosis. Longitudinal epidemiological studies showed that low T is associated with an increased cardiovascular mortality. ADT brings about unfavourable changes in body composition, IR and dyslipidaemia. Increases in fibrinogen, plasminogen activator inhibitor 1 and C-reactive protein have also been observed. TRT in men with TD has consistently shown a decrease in fat mass and simultaneous increase in lean mass. T is a vasodilator and in long-term studies, it was shown to reduce blood pressure. There is increasing evidence that T treatment improves insulin sensitivity and lipid profiles. T may possess anti-inflammatory and anti-coagulatory properties and therefore TRT contributes to reduction of carotid intima media thickness. We suggest that T may have the potential to decrease CVD risk in men with androgen deficiency. © 2012 John Wiley & Sons, Ltd.

Shehnaz S.I.,Gulf Medical University | Sreedharan J.,Gulf Medical University
Medical Teacher | Year: 2011

Background: Gulf Medical College, UAE, underwent a major curriculum change from a discipline-based to an organ-based integrated curriculum. Aim: To compare students' perception of the educational environment in the discipline-based curriculum with that in the integrated curriculum. Methods: Data was collected from second-year students (Group 1) in the discipline-based curriculum and in the subsequent year from second year students in the integrated curriculum (Group 2). The instrument used was Dundee Ready Education Environment Measure (DREEM). Scores were compared using Wilcoxon Rank Sum test. Data from second, third and fourth year students in the discipline-based curriculum were used to determine the total DREEM score for the school. Results: The total DREEM score was significantly higher (p<0.001) for Group 2 (135/200) when compared to Group 1(116/200). Both groups unanimously perceived a positive educational environment. Although Group 2 showed significantly more satisfaction, they perceived an over-emphasis of factual learning and a problem of cheating. Total DREEM score for the school was 120/200. Conclusion: This study shows that the organ system-based integrated curriculum is perceived to provide better educational environment than the discipline-based curriculum. However, areas like curriculum load and assessment strategies still require further fine tuning. © 2011 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.

Saad F.,Bayer Pharma | Saad F.,Gulf Medical University | Doros G.,Boston University | Traish A.,Boston University
Obesity | Year: 2013

Objective This study analyzed the effects of normalization of serum testosterone (T) levels on anthropometric parameters in hypogonadal men. Design and Methods Open-label, single-center, cumulative, prospective registry study of 255 men (aged 33-69 years, mean 58.02 ± 6.30 years), with T levels below 12.13 nmol/L (mean: 9.93±1.38). 215 men for at least 2 years, 182 for 3 years, 148 for 4, and 116 for at least 5 years were studied. They received parenteral T undecanoate 1,000 mg/12 weeks after an initial interval of 6 weeks. Results Body weight (BW) decreased from 106.22 ± 16.93 kg to 90.07 ± 9.51 kg. Waist circumference (WC) reduced from 107.24 ± 9.14 cm to 98.46 ± 7.39 cm. BMI (m/kg2) declined from 33.9 ± 5.51 m/kg2 to 29.13 ± 3.09 m/kg2. All parameters examined were statistically significant with P < 0.0001 versus baseline and versus the previous year over 5 years indicating a continuous weight loss over the full observation period. The mean per cent weight loss after 1 year was 4.16 ± 0.31%, after 2 years 7.54 ± 0.32%, after 3 years 9.23 ± 0.33%, after 4 years 11.42 ± 0.35% and after 5 years 13.57 ± 0.37%. Conclusions In an uncontrolled, observational cohort, normalizing serum T to normal physiological levels produced consistent loss of BW, WC, and BMI. These improvements were progressive over the full 5 years of the study. Copyright © 2013 The Obesity Society.

Sreedharan J.,Gulf Medical University
Journal of injury & violence research | Year: 2010

Motorcycles account for a large proportion of road traffic accidents in India and the riders of these vehicles run a high risk of injuries or death. This study aims to explore the determinants of helmet use among motorcyclists in Kerala, India. A cross-sectional study conducted in Kerala, India, over a period of six months. 309 motorcyclists in Kerala were interviewed for this study using a pretested structured questionnaire. Among 309 motorcyclists, 80% were less than 40 years of age, and only 24% were females. Among the total, only 31.4% used a helmet. There was a statistically significant association between the use of helmet and gender, marital status, drunken driving, use of alcohol and attitude towards implementing legislative measures. Odds Ratios observed were 5.3 for female gender compared to male, 4.5 for those with a positive attitude towards the implementation of legislative measures on helmet use, 3.7 for those who were not drunk while driving and 2.3 for unmarried compared to married persons. The study concludes that the determinants associated with the practice of helmet use were gender, drunken driving, marital status and positive attitude towards legal measures.

News Article | December 28, 2016
Site: www.prlog.org

A brand new family practice opened on Lake Mary Blvd in Lake Mary, offering urgent care services to patients of all ages and needs. -- It's late in the day, and you have a broken ankle, a severe cough and throat infection, or maybe a bad case of poison ivy. Or, maybe you need a quick physical for work, or your kid needs a checkup before their field trip in the Lake Mary area. Go to an urgent care Lake Mary provider.What do you do? Where do you go?Primary care doctors usually require at least two weeks' notice for an appointment. And the last thing you want to do is make an expensive, after-hours trip to the emergency room. The good news is that there is now a great alternative for you in Lake Mary. Multicare Physicians opened their doors on Lake Mary Blvd. late this year and is becoming an increasingly popular urgent care clinic and family practice for patients tired of the long waits at other offices.The new practice is for families, by families - truly offering a warm and inviting experience.Men, women, and children alike come to Multicare Physicians to receive first-class service and benefit from their state-of-the-art facilities, equipment and care.  Multicare Physicians prides itself on using the most up-to-date technology, as well as having a highly-praised customer support team that delivers prompt service and a "family feel.""The idea being that you can walk in here without an appointment, and you will be met in under 10 minutes of wait time is unheard of- especially in this fast-growing area," said Seth Throne, financial analyst at HNTB.Founded in 2016 by Juveria Tawwab, MD, Abdul Quyym Ahmed, MD and Faisal Tawwab, MD. Multicare Physicians is one of the only providers in Lake Mary to offer healthcare services for all ages and needs.The main treating physicians got their start in Kentucky, where they gained invaluable experience in geriatrics, family medicine, post-acute care, sports medicine, women's health care and much more.At Multicare Physicians, you are guaranteed to be treated by one of the following expert physicians:Juveria Tawwab, MDDr Juveria Tawwab is a native of Florida, graduating from Trinity Prep School of Winter Park, FL and finished her undergrad from Florida State University. Dr. Juveria Tawwab attended and graduated with honors from St. George's University School of medicine in Grenada, West Indies in 2008, medical school in 2008 and holds over eight years of diverse experience in family practice, and women's health. She finished her residency in Family Medicine at Baptist Health Madisonville formerly known as Trover Health Systems in 2011.  She is also Board Certified by the American Board of Family Medicine.Abdul Quyyum Ahmed, MDDr. Ahmed graduated in 2005 from Dr. B R Ambedkar Medical College in Bangalore, India and completed his residency at Baptist Health Madisonville formerly known as Trover Health Systems in 2012.  Since then, Dr. Ahmed has amassed over 11 years of experience in family practice.  Dr. Ahmed has special interest in inpatient/out-patient and post-acute care. He is also Board Certified by the American Board of Family Medicine.Faisal Tawwab, MDDr. Faisal Tawwab is a native of Central Florida, graduating from Trinity Prep School of Winter Park. Dr Tawwab is a Family Practice Specialist in Orlando, Florida. He graduated with honors in 2009 from Gulf Medical University, UAE and completed his Family Medicine residency at Baptist Health in Madisonville, Kentucky in 2014. Dr. Tawwab is well-versed in all areas of family practice and is well experienced in Urgent Care and Sports Medicine. He is also Board Certified by the American Board of Family Medicine."We decided to come together to open a family practice in Lake Mary after seeing my mom experience great success in the area and build life-long relationships with her patients," says Dr. Faisal Tawwab."We are especially proud of the fact that we offer urgent care to people in the area who do not want to drive all the way to a hospital or sit in a waiting room to get immediate care," agrees his sister Dr. Juveria Tawwab.

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