BackgroundAnxiety, depression and functional impairments are commonly reported by persons with multiple sclerosis (PwMS) but no data, to our knowledge, has emerged from an Arab Islamic population. The study aims to investigate the prevalence of anxiety, depression and related disabilities among PwMS attending tertiary care in Sultan Qaboos University Hospital (SQUH), one of the urban hospitals in Oman.MethodsConsecutive and consenting PwMS (n = 57) and healthy subjects (n = 53) completed the following measures: Hospital Anxiety and Depression Scale (HADS) which was used to measure anxiety (cut-point >7) and depression (>7); and Expanded Disability Status Scale (EDSS) to measure the level of disability (≥5). Characteristics such as socio-demographic and clinical variables were also explored.ResultsFifty seven subjects with multiple sclerosis (MS) met the inclusion criteria. The majority of them were females who were 40 years old or younger and the majority were employed and unmarried. Approximately 86 % of the participants were using beta interferon, 96 % scored ≥5 in EDSS. MS of the Relapsing-Remitting type constituted the majority of the cohort (94 %). Approximately 35 % and 51 % endorsed symptoms of anxiety and depression respectively. The MS group scored significantly higher than controls on HADS measurements of depression and anxiety.ConclusionDisability and symptoms of anxiety and depression are common among the PwMS attendees of tertiary care hospital in Oman. Such psychosocial variables have been largely unreported emerging from non-western populations. As these variables are strong indicators of the burden of MS, resolute effort is needed to address such psychosocial dysfunctions in the algorithms of care for PwMS in the Arab Islamic part of the world.
Oman is one of the top nine countries in the world with highest prevalence of diabetes. There is therefore more awareness among the people to take necessary precautions to preserve their health by reducing their sugar consumption and replacing it with low calorie sweeteners. Stevia is a natural herbal sweetener that is safe and does not have the neurological or renal side effects associated with some of the artificial sweeteners. A feasibility study to grow Stevia was undertaken after obtaining the seeds that were initially planted in greenhouse to study their growth habits under controlled conditions. The plants were then transferred to the field in Jabal Al-Akhdar at an elevation of 1079 m above sea level where temperatures were appropriate for Stevia growth in summer since it was within its tolerant temperature range. Two types of Stevia plants were transferred to JA for the three months field study; those that originated directly from seeds and those from transplant cuttings. Drip irrigation system with timer was installed with two laterals each having six emitters spaced 60 cm apart and each supplying 2 liters of water per day. Moderate fertilizer NPK was applied. Five out of six plants in each of the two plots grew very well to the end of the season. Some insects were attracted by the sweetness of the leaves but proper measures were taken to prevent damage. Results show that it is feasible to grow Stevia in JA in summer.
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