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   2019| April-June  | Volume 9 | Issue 2  
    Online since June 26, 2019

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Boswellia Gum Resin and Essential Oils: Potential Health Benefits − An Evidence Based Review
Luay Rashan, F. Lukmanul Hakkim, Mohammed Idrees, Musthafa Mohamed Essa, Thirunavukkarasu Velusamy, Mohammed Al-Baloshi, Buthaina S Al-Balushi, Ali Al Jabri, Mohammed H Al-Rizeiqi, Gilles J Guillemin, Sidgi Syed Anwer Abdo Hasson
April-June 2019, 9(2):53-71
Traditional medicine is still widely practiced in many countries due to its complexity and long term benefit. Among various medicinal plants found in Dhofar region of Oman, frankincense has a unique position due to its medicinal and economical importance. The gum-resin and essential oil produced by different species, most of these are related to family Burseraceae under the Boswellia genus. The family members of Boswellia are characterized by resin bearing ducts. Among the twenty-nine species of genus Boswellia, (Burseraceae), Boswellia sacra Flueck is known since decades for the extraction of aromatic gums and resins that are burned as incense. Boswellia resin holds about 60-80% alcohol-soluble resin, 15-20% water soluble gum and 5-7 % essential oil, along with polysaccharide fraction and polymeric substances are also present in limited extent. The physicians and nutritionists show interest in frankincense due to the therapeutic potential of its gum resin and essential oil. Essential oil and gum resin of various species of frankincense has been used to make remedies to treat different diseases. Various reports have described the antimicrobial, immuno-modulatory, anti-inflammatory, hypoglycemic, anticancer, anti-asthmatic, antidiarrheal, hypo-lipidemic, anti-diabetic, hepato-protective, and even antiviral effect of different Boswellia species. In this review, we have highlighted the works done so far on the use of Boswellia gum resin and health benefits along with some pilot clinical studies done on the Boswellia gum resin related products.
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Prevalence, Risk Factors and Psychosocial Status of Obese and Overweight Adolescents in Hebron City, Palestine
Manal M Badrasawi, Laith M Abu.Snouber, Mohammed A Al-Tamimi, Kamal J Badrasawi
April-June 2019, 9(2):72-79
Background and aims: Obesity and overweight among children and adolescents have caused a prime public health apprehension because they are significantly associated with medical and psychosocial comorbidity. Children with high body mass index often become obese adults, who are at risk of many chronic conditions such as diabetes and cardiovascular disease. It is vital to further examine obesity and overweight in school children and identify their modifiable risk factors. Therefore, this cross-sectional study aims to explore the prevalence of obesity and overweight among Palestinian adolescents in secondary schools, and their relationship with sociodemographic factors, dietary habits, lifestyle, and healthy nutrition awareness. Methods: The participants were randomly selected from four different areas in Hebron city, Palestine. A total sample comprising 392 students, females (51.3%) and males (48.7%), was included in the final analysis. The nutritional status was assessed using anthropometric measurements and dietary habits. Obesity and overweight were defined using World Health Organization–Centers for Disease Control and Prevention sex-specific growth chart for children, aged 2 to 18 years. Anxiety, stress, and depression were assessed using Arabic version of the Depression Anxiety Stress Scales. Results: The results revealed that obesity prevalence was 3.3% and overweight was 13.8% among the students, with no significant association with gender, age, or area of living. Obesity and overweight were significantly associated with lower self-satisfaction (P<0.01). Conclusion: Considerable prevalence levels of obesity and overweight were reported among the study sample. There is a need to promote intervention educational programs to increase students’ awareness on obesity and overweight, and promote healthy diet intake and lifestyle among them.
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Patterns of Persistence with Antihypertensive Medications Among Newly Diagnosed Hypertensive Patients
Mukta N Chowta, Yogesh Belagali, Seema Rai, Nithyananda Chowta, Mahadeva Swamy, Ashok K Shenoy
April-June 2019, 9(2):80-85
Persistence and adherence to treatment are essential to reach the treatment goals of hypertension. This study was conducted to investigate the antihypertensive drug persistence in hypertensive patients in the routine clinical settings. Patients above 20 years of age with stage 1 hypertension, who have received the first prescription for hypertension, were included in the study. Patients were followed up for one year. During each follow-up, the parameters noted were systolic and diastolic blood pressure, changes in the prescription by the treating physician, the number of days patient missed the medication and the probable reason for missing the dose, and total doses of anti-hypertensive medications received. Based on patient behavior of persistence with first-line single treatment, they were categorized as continuers, combiners, switchers, discontinuers. A total of 77 patients were included in the study, among them 51(66.2%) were males and 26 (33.8%) were females. Among these, 67 (87.1%) showed 100% adherence to medication schedule. Around 10 (12.99%) patients missed their antihypertensive medication for more than a day (2-24 days, mean 9.89±7.24 days). Amlodipine was the most common antihypertensive used, followed by atenolol and then losartan. There were no significant differences among the types of antihypertensives used among males and females as well as among diabetics and nondiabetics. Around 14 (18.2%) patients needed an add-on antihypertensive after 4-11 months. Most commonly used add on drug was atenolol. The target blood pressure goal (<140/90mmHg) was reached in 70 (90.9%) patients at the end of 1 year.
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