Oxygen unit halves need for diabetic amputations



SHARJAH // The number of diabetes patients undergoing surgery to have feet amputated has decreased by up to 50 per cent at a treatment centre that is the first of its kind in the UAE.

The Hyperbaric Oxygen Unit at Al Qassimi hospital was established in December as a last resort to save patients with infected feet before doctors have no other option but to amputate, said Dr Abdullah Albloshi, general surgeon and head of the unit.

As part of the treatment, which is provided free of charge to Emiratis, a patient lies in a closed capsule, breathing highly-pressurised oxygen that reaches cells which do not normally receive enough oxygen because of infection. “This kind of oxygen improves the performance of the immune system and strengthens the antibiotics in the body,” Dr Albloshi said.

So far this year, the hospital has treated 40 cases of diabetic foot with advanced wounds and ulcers, with only nine amputations required.

Last year, 19 patients had a diabetic foot amputated out of 43 cases.

Three patients who lost their hearing because of diabetes were also treated and showed signs of improvement in their condition.

A patient will typically undergo 20 to 30 sessions, with each lasting between 60 and 90 minutes, depending on the individual case.

A patient with chronic bone inflammation in a diabetic foot would need daily sessions for a month, Dr Albloshi said.

Diabetics who do not look after their health can start to develop ulcers on their feet because of weakened blood circulation.

As an ulcer gets worse, it damages the tissues and bones of the foot and may lead to the need for partial or complete amputation, depending on the damaged area.

Recent studies have found that 18.7 per cent of the UAE population is diabetic, with up to 150 new cases of diabetes reported each day, some in children as young as six.

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

The Saga Continues

Wu-Tang Clan

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Tuesday's fixtures
Group A
Kyrgyzstan v Qatar, 5.45pm
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THE BIO

Ms Davison came to Dubai from Kerala after her marriage in 1996 when she was 21-years-old

Since 2001, Ms Davison has worked at many affordable schools such as Our Own English High School in Sharjah, and The Apple International School and Amled School in Dubai

Favourite Book: The Alchemist

Favourite quote: Failing to prepare is preparing to fail

Favourite place to Travel to: Vienna

Favourite cuisine: Italian food

Favourite Movie : Scent of a Woman

 

 

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Skewed figures

In the village of Mevagissey in southwest England the housing stock has doubled in the last century while the number of residents is half the historic high. The village's Neighbourhood Development Plan states that 26% of homes are holiday retreats. Prices are high, averaging around £300,000, £50,000 more than the Cornish average of £250,000. The local average wage is £15,458. 

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Creator: Jenna Lamia

Rating: 3/5