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





Global Health Magazine

ALMOOSA Hospital July 2010 Issue No3

 





3 











Global Health Magazine



    

 

 

  ""

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

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15

13

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

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18



9 1

                                                             



4

     ""                                               170   

 

3

                      

                 ""

                   ""                                                  

6

  





               " ""  "                       

                                                      

                                                                                      

5



          

 

   Oh               

8

                                              "        "

  

                    

                                            

                                     

7

                                      



            

              

10

  

 



   

 

 

 

        

9

300 



                       

    







  

                               "" ""     " " " "

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11

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



                                                 

14

           "  "        ""

13

                                                                                                                                       

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                                          BMIx                                                       

          WCRF   

    

 •



    MRI                                        " "  

                       ""             •                                  

15







 





 







        

  

                                                                         

–     

18

17



              

 



                                     

                                            





                                                                                                                   

20



  ""                                                         

 



           

19

               •               



                                                                                                                                



   

 –



                      

  

   

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

                             •  

21



                                    



  

                                               "colon" "colic"                      ""                             

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                





                          

                                                                                   

                                      

        

                                   



                                      

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



                       

 

       

  

    

        

         

       

   ""                   

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 

                " "                                                    ""

25



  

""





""



   "  "                       

    

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

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                             VEGF                             

      

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 30

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   



                                

                     





  

 





   •  • Vascular Access Surgery •   •  •  •  • 

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





 

 

 

 

                                      " "          

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 ""          

33



                                           ®    

                         

           

      

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       



                



                   

                     

35

   

                                               



                          

38

         



  

                                                                                        

                                                       –                                                                         

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





  

""  ""

                      

 ""      "  "      " "

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                                                           

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





 

    

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

                                

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 

  





 

 

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

                                                                            

                                                                  

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""    



    ""     

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        

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

   " "

       –    

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

  

           

          

                 "  "       "  "                                     

                                                                                         

                                                               

                                                                                



  

              –         

  

            ""

                                                

                     

          



"" 

      Servers  CAREWARE”" ATS 



   

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                   " 

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GINGER – STOMACH Root ginger commonly sold in supermarketsoften looks just like the stomach So it’s interesting that one of its biggest benefits is aiding digestion The Chinese have been using it for over 2000 years to calm the stomach and cure nauseawhile it is also a popular remedy for motion sickness But the benefits could go much further Tests on mice at the University of Minnesota found injecting the chemical that gives ginger its flavour slowed down the growth rate of bowel tumours

CHEESE – BONES A nice ‘holey’ cheeselike Emmen thal is not just good for your bonesit even resembles their inter nal structure And like most cheeses it is a rich source of calcium a vital ingredi ent for strong bones and reducing the risk of osteoporosis later in life Together with another mineral called phosphate it provides the main strength in bones but also helps to ‘power’ muscles Getting enough calcium in the diet during childhood is crucial for strong bones A study at Columbia University in New York showed teens who increased calcium intake from 800mg a day to 1200mg – equal to an extra two slices of cheddar boosted their bone density by six per cent

GRAPES – LUNGS OUR lungs are made up of branches of eversmaller airways that finish up with tiny bunches of tissue called alveoli These structures which resemble bunches of grapesallow oxygen to pass from the lungs to the blood stream One reason that very premature babies struggle to survive is that these alveoli do not begin to form until week 23 or 24 of pregnancy A diet high in fresh fruitsuch as grapeshas been shown to reduce the risk of lung cancer and emphysema Grape seeds also contain a chemical called proanthocyanidinwhich appears to reduce the severity of asthma triggered by allergy

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TOMATO – HEART A TOMATO is red and usually has four chambersjust like our heart Tomatoes are also a great source of lycopene a plant chemical that reduces the risk of heart disease and several cancers The Women’s Health Study — an American research programme which tracks the health of 40000 women — found women with the highest blood levels of lycopene had 30 per cent less heart disease than women who had very little lycopene Lab experiments have also shown that lycopene helps counter the effect of unhealthy LDL cholesterol One Canadian studypublished in the journal Experimental Biology and Medicinesaid there was “convincing evidence’ that lycopene prevented coronary heart disease

WALNUT – BRAIN THE gnarled folds of a walnut mimic the appearance of a human brain  and provide a clue to the benefits Walnuts are the only nuts which contain significant amounts of omega3 fatty acids They may also help head off dementiaAn American study found that walnut extract broke down the proteinbased plaques associated with Alzheimer’s disease Researchers at Tufts University in Boston found walnuts reversed some signs of brain ageing in rats

Protect your health by quit smoking?

When I was young everyone smoked and there were no warningsIt was an adult thing to do and my friends and I would hide from the adults and smoke whenever we could Being kids of smok ing parentsit was pretty easy I was told when I was 16 I could smoke at homeso I did And my father who said he wouldnt pay for them did I couldnt tell you how many I

smoked as a kid but I can tell you I was 10 when my friends and I started along with my two older sistersI was 42 when I quitIt is not difficultjust start it you will feel everything different around you your health become better sorry to say my two sister died of lung cancer The oldest at 64 and the young est at 45 ByNursing Director

Turkieh Batarneh

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in house faces 15

Jaya Sankaran ECU /Head Nurse BCLS Instructor &Coordinator.

Age : 44years Experience13 years in almoosa  Joined in AL MOOSA GENERAL HOSPITAL ON August 2 1997 as a staff nurse in ICU departmentI am staying with my husband and have 3 childrentwo girls and one boyI miss my children especially I left my son when he was 31 days old I still remember the 1st day of AL MOOSAI was crying too muchscared seeing multiple nationalities and later too much afraid also to deal with Aramco Now I am really proud to say that I am part of AL MOOSA NAME: OFELIA P. MINGUEZ JOB TITLE: Head Nurse - Female Surgical Ward Age: 38 years old Nationality: Filipino Marital Status: Married Years of Experience in AMGH: 8 years She joined AMGH on September 222002 as a Staff Nurse in Female Ward and then promoted as a Head Nurse on September 12004 Ofel as her friends called her has received several awards as Best Nurse and Best Head Nurse while performing her duties She is also handling BCLS classes conducted at AMGHfor both inhouse and walkin participants Asked about what was her most challenging time in AMGH she replies “During our preparation for JCI accreditation was the most challenging moment I experienced because we were pushed to almost maximum level of work performance But after being accredited it was all worth the effort and I’m proud to be a part of AMGH family” Ofel also wants to encourage everyone in AMGH to embrace their profession and to work diligently for their personal and professional upliftment NAME : MARIE PIE SANTOS JOB TITLE : NURSERY/NICU Head Nurse Age : 38 years old Nationality : Filipino Marital Status: Married Years of Experience in AMGH: 11 years I started working in AMGH on April 1999 as a NICUNursery staff and was promoted as headnurse in July 2001 Then I was appointed as chairperson of the nursing policy and procedure committeeI’m also a BCLS instructor I live with my family here in Saudi Arabia I have 3 kidsMy family was able to adjust gradually to the customs and tradition of this place Working in AMGH gives me feeling of fulfillment to my careerThanks to the administration who gives everyone the chance to prove one’s worth

very interesting health information

This is

MUSHROOM – EAR

Slice a mushroom in half and it resem bles the shape of the human ear And guess what? Adding it to your cooking could actually improve your hearing That’s because mushrooms are one of the few foods in our diet that contain vitamin D This particular vitamin is important for healthy boneseven the tiny ones in the ear that trans mit sound to the brain

BANANA (SMILE) – DEPRESSION

Cheer yourself up and put a smile on your face by eating a banana The popular fruit contains a protein called tryptophan Once it has been digested tryptophan then gets converted in a chemical neuro transmitter called serotonin This is one of the most important mood regulating chemicals in the brain and most antidepressant drugs work by adjusting levels of serotonin productionHigher levels are associated with better moods

BROCCOLI – CANCER Closeupthe tiny green tips on a broccoli head look like hundreds of cancer cells Now scientists know this disease busting veg can play a crucial role in preventing the disease Last yeara team of researchers at the US National Cancer Institute found just a weekly serving of broccoli was enough to reduce the risk of prostate cancer by 45 per cent In Britainprostate cancer kills one man every hour

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Synthetic Narcotics In contrast to the pharmaceutical products derived from opiumsynthetic narcotics are produced entirely within the laboratory The continuing search for products that retain the analgesic properties of morphine without the consequent dangers of toler ance and dependence has yet to yield a prod uct that is not susceptible to abuse A number of clandestinely produced drugsas well as drugs that have accepted medical usesfall within this category Natural narcotics include opium paregoric parepectolin morphine MS Contin Roxanol codeine Tylenol with codeine Empirin with codeine Robitus san ACand thebaine Semi synthetic narcotics include heroin horse smackand hydromorphone Dilaudid Synthetic narcotics include meperidine or Pethi dine DemerolMeperganmethadone Dolophine Methadoseand others DarvonLomotil

Narcotics Overdose Physical signs of narcotic overdose include constricted pinpoint pupils cold clammy skin confusion convul sions severe drowsiness and respira tory depression slow or troubled breath ing whereas convulsion and coma are the signs of users taking narcotics with other drugs

Control There are strict controls on narcotic prescription and administration in Saudi Arabia The Ministry Of Health is the controlling body which oversees the distri bution monitoring and administration of narcotics in all hospitals in the Kingdom

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PREMATURE BABY WITH EXTENSIVE PNEUMONIA AND RT.

SIDED PNEUMOTHORAX We have this case recently and managed in the NICUa baby girl preterm 34 – 35 weeks gestational age with birth weight 1800 grams was delivered by NSVD to a G2P2 diabetic mother and with history of premature rupture of membraneThis baby devel oped respiratory distress soon after birth  kept under 5 LPM of Oxygenhead box septic screening was donekept NPO on IVFABG and Chest Xray done revealed pneumonia started antibiotics and nursed inside incubator Then gradually wean off from oxygen since O2 saturation was maintaining > 97% but still with mild tachypnea and mild chest retraction On the 3rd day the baby had developed cyanosis and gasping breathingsuctioning and tactile stimula tion done and supplied Oxygen head box and nasal canula O2 saturation improved up to 92% Chest Xray was requested with ventilator standby because

the baby was looking illtachypneic with chest retrac tions and Chest Xray showed RtSide pneumotho rax and extensive pneumonia The baby was immedi ately intubated and connected to mechanical ventila tor with SIMV mode with chest tube insertion as standby  Not inserted as condi tion was stabilizedO2 saturation picked up and maintained > 9798%Antibiotic changed after investigations and culture Repeated chest xray showed gradually resolved pneumotho rax but still with pneumonia Baby was extubated after 2 days and kept under headbox oxygen with 5 LPM then gradually wean off from Oxygen No more chest retraction and only mild tachypnea noted after the extubation Started NGT feeding gradually shifted to bottle oral feeding with TPNBaby is still in the Nursery for weight gain onlyNo tachypneaactivesucking wellchest clear

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Narcotics ByOfelia Minguez BSN Female Surgical Ward Head Nurse

 The term "narcotic" derived from the Greek word for stupororiginally referred to a variety of substances that dulled the senses and relieved pain Todaythe term is used in a number of waysSome individu als define narcotics as those substances that bind at opiate receptors cellular membrane proteins acti vated by substances like heroin or morphine while others refer to any illicit substance as a narcoticIn a legal contextnarcotic refers to opium opium derivatives and their semisynthetic substitutes

Narcotics differ from barbiturates and other sedatives in that they have no anticonvulsant action; also narcotics relieve pain while sedatives do not In Al Moosa General Hospitalnarcotics such as morphinepethidineand other controlled medi cines such as tramal are used for pain manage ment of patients

Narcotics Administration  Narcotics are administered in a variety of waysSome are taken orallytransdermally skin patches or injected They are also available in suppositories As drugs of abuse they are often smokedsniffedor injectedDrug effects depend heavily on the doseroute of administrationand previous exposure to the drugAside from their medical usenarcotics produce a general sense of wellbeing by reducing tension anxiety and aggressionThese effects are helpful in a therapeu tic setting but contribute to their abuse

Narcotics of Natural Origin Uses of Narcotics  In small doses narcotics have valuable medical uses numbing the sensesrelieving severe painand inducing sleep They are also given preoperatively to relieve pain and anxiety Common side effects include constipationnauseaand allergic reactions In large doses narcotics can be highly dangerous causing stuporcomaconvulsionsor deathAll narcotics are addictive; several morphine derivatives as well as chemically dissimilar narcotics that have been developed for medical use have fewer side effects and are less addictive than morphine but they are also generally less potentUnlike general anaes thetics such as ether and chloroform  narcotics depress the respiratory center and in low doses relieve pain without inducing sleep Respiratory depression occurs in newborns whose mothers have been given narcotics such as meperidine Demerolduring labor

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 The poppy‘Papaver somniferum’ is the source for nonsynthetic narcot ics It was grown in the Mediterranean region as early as 5000 BC and has since been cultivated in a number of countries throughout the world The milky fluid that seeps from incisions in the unripe seedpod of this poppy has since ancient times been scraped by hand and airdried to produce what is known as opium A more modern method of harvesting is by the industrial poppy straw process of extracting alka loids from the mature dried plant The extract may be in liquidsolidor powder form although most poppy straw con centrate available commercially is a fine brownish powder

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Social Insurance Contract

A qualitative leap in offering the Medical Services Malek Al Moosa CEO Al Moosa Hospital

A contract has been recently signed between the General Organization for Social Insurance and Al Moosa GenHospital upon which the later will be in charge of offering the medical services to treat all work injuries Al Moosa management considered this contract as a great step and a qualitative leap in the quality of the medical services offered in the hospital especially after the completion of the accurate surgical subspecialtiesThusthe hospital is able and qualified to deal with all different occupational accidents and injuries regardless to the degree of the injury as the hospital includes a group of consultant surgeons in different specialties such as neurosurgeryspine surgery and vascu lar surgeryin addition toplastic and transplant surgeriesThere is another important subspecialty for ophthalmology urology and dental surgery and cosmetic dentistry center All these accurate subspecialties are supervised by a selected group of consultants holding the European BoardFrench Board and British Board

A surgical case of a 20 year old Saudi girl

A rare surgery to eradicate a 5-kilogram tumor

The young girl SMdidnt expect at the age of twenty that the extreme pain she suffers from causing an obvious swelling in her abdomen is due to the existence of a huge tumorThe girl visited the Department of Obstetrics and Gynecology and Dr Randa Abdul Hameed the gynecologist immediately performed a complete examination and recommended the neces sity of making an ultrasound scan Astonishingly the doctor found out that there is a huge tumor blocking the abdominal cavityThenshe transferred the patients file to the clinic of Dr Hamid AlLaqwa the consultant Obstetrician and Gynecologist in Al Moosa Gen Hospital He made a Tumor Markers test and decided that an immediate surgical operation has to be performed which took almost an hour As a result of this successful operation a 5kilogram tumor has been eradicatedIronicallythe tumor weighted one eighth of the total weight of the young girlShe recovered so quickly after the operationOn the other handthe surgical team showed that they were very happy to succeed in eliminating this huge tumor which is consid ered as a rare tumor for a girl with the age and size of our case

Mutual Cooperation Agreement (MCA) between Al-Moosa and Ain Shams Malek Al Moosathe executive manager of Al Moosa Hospitalsays"we are so proud of the General Organization for Social Insurances confidence in our hospital through the accreditation of our hospital among the list of the medical services providers to treat work occupationalaccidents and injuries"He mentions that they signed the contract in the main center of the General Organization for Social Insurance in Riyadh and was activated from the Social Insurance office in Al Hasa Prov inceThe meeting was attended by representatives of the Medical and Administrative Management and the Occupational Hazards Division andon the other hand of Al Moosathere were the hospi tals executive managerdevelopment and marketing managerall the surgeonscompaniesdoctor and the financial administration There was a presentation given to explain and clarify all work injuries and how to deal with themFurthermorethey discussed the way to complete the administra tive documents and the required financial data correctly Consequently the hospital started to receive and treat a great number of workinjury cases

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A scientific cultural and educational mutual cooperation agreement has been signed between Al Moosa GenHospital and the deeprooted Faculty of MedicineAin Shams Univer sityEgyptThe agreement engages both parties in a variety of cooperative activities including • Sending some members of the teaching staff from the Faculty of MedicineAin Shams University to Al Moosa Gen Hospital permanently or temporarily to perform training and therapeutic taskssending members of the nursing staffgiving training lectures and doing research in various fields Moreover facilitating vacations procedures for the teaching staff working in Al Moosa GenHospital • On the other handthe hospital’s doctors have the right and priority to enroll in the Masters or Ph D Doctorateat the university

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Myth .7: Most cancers are hereditary.

Myth .4: Using indoor tanning beds does not cause skin cancer.

FACT Tanning beds produce the same ultraviolet radiation as the sun Any tan—no matter how you get it—is a sign of skin damage To prevent skin cancer limit your exposure to the sun or tanning salons use sunscreen of SPF 15 or higher when outsideand cover up with protective cloth ing and sunglasses

Myth .5: Chewing tobacco, snuff, or smoking hubbly bubbly (argila) are safe alternatives to cigarettes.

FACTThere is nothing healthy about snuffargila and chewing tobaccoThey are just as addictive as cigarettes and can cause cancers of the throat and mouth

Myth .6: Chemotherapy drugs usually cause death and avoiding these drugs is a better option when they are needed.

FACT Chemotherapy is considered safe when given by experts Only rarely do severe complications occur Oncologists usually avoid using toxic medications unless they are absolutely necessary Not receiving chemotherapy is a personal choice that leads to failure of treatment and ultimately death from the spreading of the cancer Before making this decision talk to people who know best physicians nurses and fellow patients at KHCC

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FACTIt’s estimated that only 5% to 10% of all cancers are truly hereditary Tests can now determine if a person with a strong family history of breast or colon cancer carries the altered genes that put him or her at high risk for these diseases

Myth .8: There is nothing I can do to prevent cancer.

FACT Wrong Up to two thirds of all cancers may be preventable if you avoid tobacco eat a healthy diet exercise regularly protect yourself from the sun limit or avoid drinking alcohol and get recommended screenings regularly

Myth #9: I’ve smoked for 20 years and the damage has been done. It’s too late to stop smoking.

FACTIt’s never too lateSmokers who quit before age 50 halve their risk of dying in the next 15 years in comparison with those who continue smoking Smoking is the single most preventable cause of diseaseresponsible for 87% of all lung cancer cases and 30% of all cancer deathsIt also places the smoker’s family at risk for lung disease

Myth #10: Only people with a high risk of cancer need to get cancer screening FACT All adults should get regular cancer screening exams because early detection provides the very best chance for successful cancer treatment

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Myth - 2:Cancer is a fatal disease with no chance of cure

Cancer myths and facts

Myth - 1: Microwaving food in plastic containers releases dioxins that cause cancer FACTThe US Food and Drug Administration FDAon its Websitedoes say substances used to make plastics can leach into foods But the agency has found the levels expected to migrate into foods to be well within the margin of safety based on infor mation available to the agency As for dioxin the FDA says it “has seen no evidence that plastic containers or films contain dioxins and knows of no reason why they would”

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FACTCancer is a treatable diseaseIf diag nosed early most types of cancer can be completely cured Even in advanced stage cancermuch can be done to alleviate symp toms and prolong survival Cancer should be considered a treatable disease

Myth 3: The only sure way to help prevent lung disease is to stop smoking FACT Taking all the following actions can greatly decrease a person’s chances for developing lung cancer although there is no way to prevent the disease entirely • Quitting smoking • Avoiding occupations like mining installing asbestos and working with other harmful chemicals • Eating healthy and getting plenty of exercise  Visiting a family physician at least once a year

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 the idea of taking part in this editorial started when the title of one of the published articles attracted my attention while I was looking over the final proof of this issueThis article is entitled “In Excellence Race there is no End Line”  This title inspired me to contemplate and consider carefully the factual meaning of “how to excel”and what is the purpose of being illustri ous and distinguished Therefore I recalled the occurrences and incidents that took place before the hospital’s accredi tation of the interna tional certificate granted by the inter American Commission “Joint Commision Inter national” for assessing hospitalsOur preparations were very huge and our ambitions were hugerfor this certificate depends on applying the highest quality standards on all the hospital’s levelsConsequentlyit was the first challenge from which a lot of ideas have been formed to get along with our ambitions and our society’s requirements in that stage including the fast changes in the field of providing the health services  We passed this challenge successfully but we didn’t begrudged ourselvesfor we recognized it was just the beginning and that we have a long path to go through to help each other feel the pleasure of the entire success Our objective was “to excel”And to excel means to be unique and that was the second challenge  We planned scientifically and worked out carefully to make Al Moosa Hospital as one of the best medical institutions in the areaDepending on realis tic data and attentive understanding of the region’s needs in this stage of special ized medical serviceswe planned to invest more than 170 million Saudi riyal

To Excel… means to be Unique.

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within a fiveyear plan from which two years already passed Thus we expanded our investment to meet the region’s needsand we were thought of as adventurers  When we talk about exclusivity and uniqueness in offering some accurate medical servicesyou have got to be confident and ambitiousand this was what we planned forAs a matter of factthe series of our successes encour aged us to start a number of clinics specialized in accurate and surgical sub specialties such as NeurosurgerySpine SurgeryVascular SurgeryPlastic and Burn Surgery and a number of specialties and specialized centers that are classified among the most recent on the level of the eastern provinceFor exam ple Lithotripsy unit ESWLWhich we celebrated the Achievement of 100 successful cases this month since we opened the unit less than a year ago  I believe that the best thing is to have the confidence and trust from the people you work withIn factI’d like to grab the opportunity to thank all the people who cooperated with the hospital to improve the level of providing the health services on the level of the regionI’d like to thank the General Organiza tion for Social Insuranceand I’d like to thank Saudi Aramco Cofor support ing our plansLast but not leastI’d like to thank the scientific partnership with Ain Shams University as one of the most ancient and deeprooted Faculty of Medicine on the level of the regionfor it contributeswith no doubtin support ing the hospital’s plans on the level of continuous training C E O

Malek Bin Abdul Aziz Al Moosa

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Issue Cover

Global Health Magazine

AlAhsa beacon education Mnmalibdaip General Manager

Abdalaziz Abdulah Almoosa General Supervisor

Malik Abdalaziz Almoosa Medical Director

Dr.Mahmoud Mostafa Editing Director

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Ahmed Algohary Design & production of

Tareq Mahmoud

Narcotics

14

Cancer myths and facts The origin of the word "Ramadan"

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47

5 IN Hous faces & Very Helthy

15

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Global Health Magazine

ALMOOSA Hospital July 2010 Issue No3

3 Read in this Issue :

WALNUT – BRAIN

Social Insurance Contract

A surgical case of a 20 year old Saudi girl