Nurses' knowledge and attitudes regarding pain in Saudi Arabia

Unrelieved pain is a worldwide health care problem that can lead to unnecessary complications and increased health care expenditure. The aim of this study was to examine nurses' knowledge and attitudes toward pain in Saudi Arabia. A descriptive design was employed using the Nurses' Knowledge and Attitudes Survey regarding pain. The study took place in a tertiary teaching hospital in Saudi Arabia. All nurses employed in the hospital were eligible to participate. A total of 775 questionnaires were distributed to nurses working in acute care, intensive care, and nursing education and administration settings. In all, 593 respondents completed the questionnaires, representing a response rate of 76.5%. Data were analyzed using descriptive and inferential statistics. Most participants were from overseas (97.5%), speaking 23 different languages; 36.5% of nurses held a bachelors of science degree in nursing or the equivalent. The mean score of correctly answered items in was 16.9 (95% confidence interval, 16.6-17.31) out of a total possible score of 40. Nurses demonstrated some misconceived attitudes such as not giving the required dose of morphine to a smiling patient despite the patient being in pain. It is of concern that the findings identified problems of inadequate knowledge and inappropriate attitudes regarding pain assessment and management in Saudi Arabia. Considering these problems, the development of pain programs and policies affecting national and international nurses is highly imperative.

Corporate financial disclosure practices in Asian and Middle Eastern countries

This paper investigates the financial disclosure practices of corporate annual reports published in Asian countries including Bangladesh, Indonesian, Malaysia and the Middle East countries including Bahrain, Iran, Jordan, Kuwait, Oman, Pakistan, Qatar, Saudi Arabia and Turkey. The purpose of the study is to measure the financial disclosure diversity in these countries, with a view to developing a classification of their similarities and differences in respect to their compliance with International Accounting Standards (IAS). Annual reports of 126 public companies liisted on the countries' stock exchanges are the central data source, supplemented with other relevant information about financial disclosure practices in each country. A disclosure checklist adopted from all IASs and summarised in 306 individual items of financial disclosures is used as a means of extending an understanding of financial reporting in these countries. Results show the relative degree of conformity with IASs for each of the countries included in this study. 

A conformity test of corporate financial disclosures in Asian and Middle East countries

This paper investigates the financial disclosure practices of corporate annual reports published in Asian countries including Bangladesh, Indonesian, Malaysia and the Middle East countries including Bahrain, Iran, Jordan, Kuwait, Oman, Pakistan, Qatar, Saudi Arabia and Turkey. The purpose of the study is to measure the financial disclosure diversity in these countries, with a view to developing a classification of their similarities and differences in respect to their compliance with International Accounting Standards (IASs). Annual reports of 132 public companies listed on the relevant countries stock exchanges are the central data source, supplemented with other reliable information about financial disclosure practices in each country. A disclosure checklist adopted from all IASs and summarised in 306 individual items of financial disclosures is used as a means of extending an understanding of financial reporting literature. Additionally, it provides an indication of voluntary progress towards harmonisation of international accounting practices in several Asian and Middle Eastern countries. Results show the degree of conformity with IASs from less to high conformity is: Saudi Arabia, Qatar, Bangladesh, Iran, Bahrain, Jordan, Pakistan, Oman, Turkey, Malaysia, Kuwait and Indonesia.

Mediated hegemony : interference in the post-Saddam Iraqi media sector

The toppling of Saddam in 2003 brought with it the re-emergence of the free press in Iraq. This has seen Iraq shift from only a handful of state media outlets that served as propaganda machines, to a vast array of Iraqi-owned newspapers, radio stations and television channels which are being fervently produced and avidly consumed across the nation. As is to be expected, there are several problems that have accompanied such a divergent, ad-hoc and highly volatile media landscape. Leaving aside important issues such as the dangers faced by Iraqi journalists and the lack of appropriate press laws, this paper focuses instead on the influence of both foreign and domestic political bodies on the post-Saddam Iraqi media sector. Among the foreign influences are Iran, Saudi Arabia and the United States, all of which fund, control and manipulate various Iraqi media outlets. Not surprisingly, the United States has been the most active, using both overt and clandestine propaganda methods as well as forced closure to control the Iraqi media sector. Unfortunately, such measures are not limited to those governments which exist outside Iraq’s borders, with both the Iraqi government and the Kurdish regional authority having used similar means to control and even silence Iraq’s nascent public sphere. This paper concludes by noting the irony of limiting press freedoms in Iraq during this crucial phase in its transition from despotism to democracy.

Manufacturing consent in Iraq : interference in the post-Saddam media sector

The toppling of Saddam Hussein in 2003 saw Iraq's media sector shift from a handful of state-run media outlets that served as propaganda machines, to a vast array of Iraqi-owned newspapers, radio stations and television channels which are being fervently produced and avidly consumed nationally. Not unexpectedly, several problems have accompanied this divergent, ad-hoc and highly volatile mediascape. Although recognizing important factors, including dangers faced by Iraqi journalists, and the dearth of appropriate press laws, this article focuses instead on attempts by certain key foreign and domestic political bodies to manufacture consent in Iraq via their interference in the post-Saddam media sector. These foreign influences are Iran, Saudi Arabia and the United States, each of which funds, controls and manipulates different Iraqi media outlets. Not surprisingly, the United States has been the most active in this respect, utilizing both overt and clandestine propaganda techniques as well as forced closures to control the Iraqi media sector. Unfortunately, measures such as these are not limited to foreign governments: both the Iraqi government and the Kurdish Regional Government have used similar means to control and silence Iraq's nascent public sphere. The article concludes by noting the irony of limited press freedom in Iraq during this crucial phase of its transition from despotism to democracy.

The effects of website quality on adoption of e-government service : an empirical study applying UTAUT model using SEM

In today’s global age, e-government services have become the main channel for online communication between the government and its citizens. They aim to provide citizens with more accessible, accurate, real-time and high quality services. Therefore, the quality of government websites which provide e-services is an essential factor in the successful adoption of e-government services by the public. This paper discusses an investigation of the effect of the Website Quality (WQ) factor on the acceptance of using e-government services (G2C) in the Kingdom of Saudi Arabia (KSA) by adopting the Unified Theory of Acceptance and Use of Technology (UTAUT) Model. Survey Data collected from 400 respondents were examined using the structural equation modelling (SEM) technique and utilising AMOS tools. This study found that the factors that significantly influenced the Use Behaviour of e-government services in KSA (USE) include Performance Expectancy (PE), Effort expectancy (EE), Facilitating Conditions (FC) and Website Quality (WQ), while the construct known Social Influence (SI) did not. Moreover, the results confirm the importance of quality government websites and support systems as one of the main significant and influential factors of e-government services adoption. The results of this study can be helpful to Saudi’s governmental sectors to adjust their corporate strategies and plans to advance successful adoption and diffusion of e-government services (G2C) in KSA.

The relationship between knowledge management strategic orientation and business strategic orientation among SMEs

Little is known about how Small and Medium Sized Enterprises (SMEs) practise Knowledge Management (KM) from both a theoretical and empirical perspective. Some research has been conducted in this field but from a western cultural perspective. Research on KM and SMEs in developing countries such as Saudi Arabia is limited. The research reported in this paper investigated KM strategic orientations and business strategic orientations in Saudi Arabian SMEs. The research involved the development of a theoretical framework relating to KM strategies and business strategies. Three KM strategies were proposed: aggressive, conservative and balanced and were linked to Miles and Snow’s typology: prospectors, defenders and analysers respectively. The empirical research involved a survey of Saudi Arabian SMEs. A total of 143 SMEs, participated in the survey. The results indicate that the proposed classifications and relationships between KM strategic dimensions were valid. It further shows that there was an association between business strategy and KM strategy exists and the proposed linkage between: prospectors and aggressive KM strategy, defenders and conservative KM strategy and analysers and balanced KM strategy were mostly confirmed but with some inconsistency regarding knowledge breadth dimensions.

A tale of 2 diplomats: China’s soft power conundrum

In the past couple of weeks, two foreign ministers have captured the Chinese public imagination. In a widely circulated video clip on the popular Chinese social media WeChat, the foreign minister of Saudi Arabia, Adel Al-Jubeir, is shown rebuking a Western journalist’s question about the “inherent” connection between the Islamic State (ISIS) and Islam. Another story involves Chinese Foreign Minister Wang Yi’s response to a Canadian journalist’s questions about China’s human rights. Both foreign ministers faced tricky questions from Western media (though in Wang Yi’s case, the questions were actually directed at his Canadian counterpart, Stéphane Dion), but that’s probably where their similarities end. The focus of Chinese social media is on the stark contrast between the two foreign ministers’ handling of their respective situations.

Who is more susceptible to phishing emails?: a Saudi Arabian study

Phishing emails cause enormous losses to both users and organisations. The goal of this study is to determine which individuals are more vulnerable to phishing emails. To gain this information an experiment has been developed which involves sending phishing email to users and collecting information about users. The detection deception model has been applied to identify users’ detection behaviour. We find that users who have less email experience and high levels of submissiveness have increased susceptibility. Among those, users who have high susceptibility levels and high openness and extraversion are more likely to carry on the harmful action embedded in phishing emails.

Cystic fibrosis in children of the eastern Arabian peninsula : a clinical, spatial and genetic study

Aim: The aim of this thesis is to describe the process by which the inherited disease, cystic fibrosis, (CF) was recognised as an important clinical entity in the United Arab Emirates (UAE) and the Sultanate of Oman (Oman). It examines the clinical presentation of the first patients and assesses their degree of severity. Further, it describes the first studies carried out to determine the underlying CF mutations associated with the disease in the UAE and Oman. An estimate is offered of the birth frequency of the condition. Overall, the cultural, geographical and historical aspect of the societies in which the disease occurs is stressed. Methods: An initial literature search was carried out using Medline of any literature pertaining to the Arab World and CF. this was read and classified into the relevance to Arabs in general, the Middle East and then specifically the Arab (Persian) Gulf societies. Thereafter, a clinic was established at Tawam Hospital, Al Ain, UAE, for children presenting With chronic respiratory disease that could serve as a national referral centre. It was run by the Author as a service of the Paediatric Department of the UAE University Medical School. I sent a letter to every Paediatrician working in the UAE informing them of our clinic and offering our services for the diagnosis and management of chronic respiratory disease in children. This was based on the author's experience as a respiratory paediatrician in Australia and New Zealand and as the Professor of Paediatrics in the UAE. No such service then existed in the UAE. Funding was sought to establish a research programme and develop a molecular genetics laboratory in the UAE Medical School. A series of successful research applications provided the grants to commence the investigations. Once a small number of children had been identified as having CF from those referred to the respiratory clinic, the initial project was to assess and report their clinical presentation. Following this an early start was made on the identification of the mutations responsible. Once these were established an attempt was made to estimate the frequency of the condition at birth. Additional clinical studies revolved around assessing the severity of the condition that was associated with the main mutations that were identified. A clinical comparison was made with those with the mutation AF508 and the other main mutation, despite the obvious limitation of small numbers then available. Radiological assessment was made to evaluate the progression of the disease. The final aspect of the study was to assess patients from Oman and compare their findings and mutations with the neighbouring UAE. Based on information gained hypotheses are proposed regarding the spread of the gene mutation by population drift. Thesis outline: A literature review is presented in the form of a critique on the disease and a resume of the relevant aspects of the genetics of CF. Additionally, facts about the two countries' geography and history are presented. Finally, knowledge about CF mutations and population origins from other areas is presented. The second main section deals with the clinical features of the disorder as it presents in the UAE. Molecular findings are then presented and details of the common mutation found in Bedouin Arabs. Hypotheses are then presented based on the information gathered. Results: CF is not a rare disease in the Arab children of the UAE and Oman. These findings refute previous reports of CF being a rare or non-existent disease in Arabs. The condition presents with a severe clinical picture, with early colonisation of the respiratory tract with staphylococcus, haemophilus and pseudomonas organisms, even with conventional CF management practices in place. The CF mutation S549R is prevalent in Arabs of Bedouin stock, while AF508 is found in those of Baluch origin. The former may be descendants of Arabs who left southern Arabia and travelled to the Trucial Coast at the time of the destruction of the great dam at Marib. The origins of this mutation may lie in the area that corresponds to the modern Republic of Yemen. The latter groups are descendants of those who came originally from Baluchistan. It is hypothesised also that the ancestral home of the AF508 mutation may be in the geographical area now known as Baluchistan, that spans three separate modern political territories. The evidence presented supports the concept that the S549R mutation may be associated with a severe, if not the severest, clinical pattern recognised. It equates with that seen with the homozygous AF508 genotype. The absence of an additional mutation in the promoter region accounts for the different clinical pattern seen in previously described patients. Conclusions: There needs to be a major awareness of the presence of CF as a severe clinical disease in the children of the Gulf States. The clinical presentation and findings support the concept of under recognition of the disease. Climatic conditions put the children at special risk of hyponatraemia and electrolyte imbalance. The absence of surviving adults with the disease suggests premature deaths have occurred, but the high fertility rates have maintained the gene pool for this recessive disorder.

Characterization of Type 1 ribosome inactivating proteins in edible plants

The ribosome inactivating proteins (RIPs) from plants possess RNA N-glycosidase activity that depurinates the major rRNA, thus damaging ribosome in an irreversible manner and arresting protein synthesis. RIPs occur in fungi, bacteria and plants and are abundant in angiosperms, where they appear to have defensive role. RIPs are presently classified as rRNA N-glycosidase in the enzyme nomenclature (EC 3.2.2.22) and do exhibit other enzymatic activities such as ribonuclease and deoxyribonuclease activities. RIPs are classified into two groups based on their difference in their primary structure. Type I RIPs consist of a single polypeptide chain of approximately 26–35 kDa that possess an RNA N-glycosidase activity. These proteins have attracted a great deal of attention because of their anti-viral, anti-tumor, and anti-microbial activities, which is useful in medical research and development. Here, we describe isolation of a novel protein from Momordica sp, a highclimbing vine from family Cucurbitaceae which is native to the tropical regions of Africa, Asia, Arabia and Caribbean. The purified protein has been verified by SDS-PAGE and mass spectrometry to contain only single chain Type-1 ribosome inactivating proteins (RIPs). With present experiments, we determined the presence of RIPs in edible plant materials, including some that are eaten raw by human beings. The novel protein is further characterized to validate its therapeutic potential.