Also, it highlights the current drug supply system in the public sector, which is currently responsibility of the Central Medical Supplies Public Corporation (CMS). A review of reform of financing medicines in Sudan is given in this study. The role of the private services is significant. Medicines are financed either through cost sharing or full private. To improve the effectiveness of the public pharmacy, resources should be switched towards areas of need, reducing inequalities and promoting better health conditions. Under the pressure of the new privatisation policy, the government introduced radical changes in the pharmacy regulations. The investment law approved recently has good statements and rules on the above strategy in particular to pharmacy regulations. The strategy of price liberalisation and privatisation had been implemented in Sudan over the last decade, and has had a positive result on government deficit. ![]() ![]() A national plan of action to overcome obesity is urgently needed to reduce its economic and health burden Gene-environment interaction can explain the high incidence of obesity. There is a great need to change these habits to avoid the increased risk of obesity. Moreover, the higher intakes of legumes (OR: 8.439, P=0.011), eggs (OR: 6.900, P=0.041), chips (OR: 5.049, P=0.012), sugar (OR: 2.068, P=0.011), and fast foods (OR: 3.029, P=0.025) are risk factors of chronic diseases.Ĭonclusion: The study identified several lifestyle factors and improper dietary habits associated with obesity among women in Gaza city. Results: Age group variable has distributed significantly (p=0.024), (31.0%) of morbid obese were ≥35 years group compared to (13.5%) of morbid obese amongst the younger group. The data collected by interview questionnaire that included social factors, lifestyle habits, and health/disease history. They aged 25 to 60 years with a diagnosis of obesity. Methods: A cross-sectional study involved 116 women were randomly chosen by purposive census sampling. However, USG of the intervention led to statistically better results in the present study.Background: The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended.Īim: To clarify and figure out food habits and different lifestyle pattern among a sample of Palestinian women attending the nutrition center in the Gaza Strip. In addition, there was a significant correlation between the improvement in all patient reported outcomes (VAS, RMDQ, JSEQ) and the reduction in the number of positive SIJ pain provocation tests per symptomatic joint.Ĭonclusion: Both USG and LG SIJ injections proved to be an efficient treatment for SIJ pain in SpA patients. However, the USG approach performed significantly better than the LG ones in all parameters. Results: Both groups showed significant improvement in all outcome parameters. Patients were randomly allocated to receive a single SIJ injection with 7 mg Betamethasone (1 ml) and 1% Lidocaine (1.5 ml) either under USG or with LG. All patients also had ≥ 3 positive pain provocation tests per SIJ on physical examination. Methods: We enrolled 44 consecutive spondyloarthritis patients with pain in the SIJs that did not respond to NSAIDS and that were otherwise on a stable medical treatment. SIJ status (number of positive provocation tests per symptomatic SIJ on physical examination) 3. LG SIJ injections using five outcome measures: 1. Thus we aimed to compare the short term efficacy of USG vs. In the rheumatological outpatient clinics this procedure is usually done by landmark guidance (LG) or ultrasound guidance (USG). ![]() Intraarticular SIJs injections represent a valuable therapeutic option in this condition. Purpose: Sacroiliac joints (SIJ) inflammation and pain is particularly common in patients with Spondyloarthritis.
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