A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) Abyad Medical Center & Middle East Longevity Institute Azmi Street, Abdo Center, 2nd Floor PO BOX 618, Tripoli LEBANON Tel & Fax: 961 6 443684/5/6 Email: aabyad@cyberia.net.lb Web: www.amc-lb.com

This is the last issue this year and the issue is rich with continuous education activities and videos.

A paper from Abu Dhabi report on a survey of continuous nursing education (CNE). CNE consists of educational activities which serve to maintain, develop or increase the knowledge, skills, and professional performance and relationships that a physician or dentist uses to provide services for patients, the public and the profession. CNE ultimately manifests as better patient care and better patient outcomes. In an attempt to assess the needs for professional development of the medical, dental practitioners and nursing staff a survey was conducted by means of a Questionnaire by the Department of Primary Health Care at the General Authority for Health Services for the Emirate of Abu Dhabi. 465 questionnaires were included in the study out of 600 hundreds distributed. The response rate was 77 percent. The distribution of the samples by regions were: 42.0% Island Region, 29.5% Middle Region, 27.4% Eastern Region and 0.2% Western. The mean age of the study population was 42years (SD 9.70) The mean of the number of years since graduation was 18 years ( mean =8.46, SD=9.16). The authors concluded that in order to upgrade the skills of nurses in primary health care there is a need to initiate the Primary Care Nursing Education Initiative PCNEI.

A paper from Jordan looked at the use of seclusion in psychiatric setting. The author stressed that every challenge in this world should be managed by appropriate ways to maintain the balance of life, this ways should prioritized according to the nature of the challenge; medication and therapy used to treat mentally ill patients, on the same time seclusion is the last choice to control the aggressive behaviors among those patients, but if the seclusion chosen; the health care providers should follow special rules before, during and after implementation.

In addition there is a CNE cases focusing on Palliative Care Nursing and on
pain relief in terminal breast cancer. Further more there are two educational videos that have been posted online to supplement this learning:
Sub cutaneous fluid injection in Palliative Care and Use of a Syringe driver