Post on 05-Apr-2018
8/2/2019 Final Drift
1/10
A
moud university has
opened a historic pro-
gram in 2006 ,one ofhemost needy and rewarding
careers in the healthcare sys-
em.This program is the first of its
Amouduniversity school
of nursing
DARAYMANS SUCCESS BREEDS ANOTHER SUCCESS
Amoud medical school was
established with the basic
aim of producing faithful
ealth workers who have have betternderstanding of the health chal-
enges of the rural areas and woulde more willing to work in the vil-
ages so that everyone will get the
11/04/2012 WednesdayVolume 1, Issue 1
AMOUDMAGAZINE OF MEDICINE
ently. Since the opening of
the program. it has attracted
many applicants and is be-
coming quite popular at
Amoud university.
Choosing nursing as a
careerBefore discussing nursingcareers in general, one must
first know what nursing itselfis! The ANA (American
Nurses Association) definesnursing as:
Nursing is the protection, pro-motion, and optimization ofhealth and abilities, prevention
of illness and injury, alleviationof suffering through the diagno-
sis and treatment of human re-sponse, and advocacy in the careof individuals, families, commu-nities, and populations.Nurses make up the largest
workforce within the clinicalhealthcare Industry.
n a life of a poverty and
gnorance, when everyoneshe encounter made expres-
sions that humiliated her
Aisha hid herself on the
lonely mountain slopes. All
because ugliness and the awfulsmell of her decayed nostril
caused by the illness, she had
no choice but to live in isola-
tion until the day she decided
hopelessly to lose herself then
she fell under the sacred hands
of a young doctor and two
medical students who solved
her problem and she saw anew
light
in
kind(nursing degree
program) in Somali-land. . The aim of the
nursing program is toprepare nurses with
strong knowledge basein order to provide high
quality care to indi chal-
lenges facing the
healthcare system of
Somaliland. 42 nurseshave graduated so far
and about 84 student
nurses are enrolledpres-
Suicide and Boramaicide
Dear students and instruc-
tors !
We are happy to
welcome you
to the first is-
sue ofamoud magazine of
medicine. Infact there are
many newsletters pub-
lished in our country,
somaliland, which cover
various aspects of issues
and concerns, such as
REAL MISFORTUNE OF LIFE: POVERTY, PAIN AND
IGNORANCE
Muhammad Omer Warsame
See page 4.
A/rahman Ahmed Muhummad
See page 2...
Letter from the Editor
See page 5
..see page 6
prof.Faadumo Haji Abokor
Dr.A/Aziz Idiris WalhadFollow the following issue to read this intresting article.
Aidarous Elmi Yousuf
8/2/2019 Final Drift
2/10
Nursing careers offer a widevariety of roles and a broadscope of responsibility. Thereare many different types ofnurses, and several differentways to obtain nursing ca-
reers.
Nurses work closely withphysicians as an integral partof the patient health careteam. The doctor makes somekey decisions about the diag-nosis, treatment, and medica-
tion, and it is the nurses roleto administer that care on an
ongoing basis to ensure suc-cessful recuperation of thepatient. Because they mayactually spend more face-to-
face time with a patient thandoctors, nurses must be par-ticularly adept at interacting
with patients, putting them atease, and assisting them intheir recovery, and overallwell-being.
Education, Training, &
Certification for Nursing
Careers:Internationally, there are three
educational paths to becom-ing a nurse. A diploma froman accredited nursing pro-
gram or hospital, an associ-ates degree in nursing (ADN a two-year program), or abachelors degree (Bachelorof Science in Nursing, or
BSN). Finally, before becom-ing licensed and practicing as
a nurse, one must pass theNational Council Licensure
Examination for RegisteredNurses (NCLEX-RN), or forPractical Nurses (NCLEX-
PN) in most countries of theworld. In Somaliland , there
are two educational paths tobecoming a nurse. Adiplomafrom an accredited nursingprogram ( at Edna hospital,Health Institute of Hargeisa,
soul health institute and Bu-rao Health institute), and a
Bachelors degree(Bachlorsof Science of nursing at
Amoud university).
Where to Work as a Nurse:Just about anywhere doctorswork, nurses do too, includingbut not limited to hospitals, doc-
tors offices, clinics, emergencyrooms, intensive care, govern-
ment agencies, corporations, andmore. In fact, nurses also work inother areas where physicianstypically do not, including homehealth, and schools. over half ofall nurses work in hospitals.
Responsibilities & Work
Schedule for Nursing Ca-
reers:Nurses are involved with nearly
all aspects of a patients care,from providing comfort and hy-giene to administering injectionsand IVs, updating medical re-
cords, as well as minor therapeu-tic and diagnostic procedures and
processes. Schedules and dutiesvary based on the type and levelof nursing role. Surgical nursesassist in the OR with equipmentand supplies from pre-surgicalprep, to post-operative care.Nurses can be generalists or ob-
tain Masters degrees and addi-tional certifications to specializein a specific area such as pediat-
ric, cardiac, neonatology, oncol-ogy, education, or just about anymedical specialtyAlthough thereare many different types of nurs-
ing careers, each with a differentset of responsibilities, there isone primary consistency among
all nurses of any type, which isthe nursing process, according
to the ANA. The nursing processoutlines how a nurse approacheseach patient encounter, and in-cludes five steps: assessment,diagnosis, planning, implementa-
t i o n , a n d e v a l u a t i o n .
Advanced Practice Regis-
tered Nurses:Advanced Practice RegisteredNurses (APRN) are those whohave fulfilled the general RN
requirements, and then continueon to study at the Masters levelor beyond. APRN's will typically
focus these advanced studies ina particular medical specialty,in which they obtain a deeperlevel of knowledge and experi-ence, whether it be cancernursing, anesthesiology, pedi-
atrics, etc. Advanced Practice
Nurses are some of the highestpaying nurses, and includeClinical Registered NurseAnesthetists (CRNA), whichare the most advanced of allnurses, Clinical Nurse Special-
ists (CNS) and Nurse Practitio-ners (NP). Whats to Like
about nursing career:As with many careers in the
healthcare industry, nursingoffers very high job stability,
as well as a wide variety ofoptions in terms of schedules,locations, and levels of respon-
sibility. Also, many nurses likethe rewarding nature of nurs-ing work, which allows themto truly impact the lives ofothers who are most in need
of assistance. Also, nursingcan be very lucrative espe-
cially if you move into morespecialized roles or move up
into leadership and manage-
ment roles. Whats
Not to Like nursing ca-
r e e r :Due to a shortage of nurses,burn-out can be an issue,caused by stressful hours, and
being stretched too thin. Also,keep in mind that as a nurse,
you may be working duringthe hours of the week when
your friends and family are offwork. As a nurse you may beworking nights, and weekends,
so even if you have a regular40-hour workweek, you may
not see much of your family attimes, if they are on differentschedules such as a 9 to 5Monday through Friday situa-tion. Also, depending on what
type of nurse you become, youcould be dealing with very sick
people, and their families whoare under stress, so you must
2page 2AMOM wednesday, 11 April , 2012
have the type of personalityand drive to deal with seriousissues on a regular basis.
Nursing may be for you
if: If you love helping others,you are truly passionate aboutthe human spirit, and really
want to make a difference inthe lives of others. If you arevery hard-working, have an
excellent attention to detailwith matters, and are able to
analyze data in addition tobehavioural cues, nursingmay be a viable option for
you.Prof.Fadumo Xaji
Abubakar
Dean faculty of nursing
Amoud university,Borama, Awdal region,
Somaliland
The Silent Killer:
One of The Most Common
Cases In Daray Maane:
As a medical students wego to daray maane, which
is about five kilometres to
north-east of Borama town,
where medical students at-
tend each Thursday to help
and be practice for stu-
dents.So there are some
common cases in that area
as we go through patients,
Mohamoud A/lahi Muhammad
See page 3
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
http://healthcareers.about.com/od/healthcareerprofiles/p/physician.htmhttp://healthcareers.about.com/od/healthcareerprofiles/p/physician.htmhttp://healthcareers.about.com/od/wheretowork/p/HospitalProfile.htmhttp://healthcareers.about.com/od/wheretowork/p/HospitalProfile.htmhttp://healthcareers.about.com/od/wheretowork/p/GovernmntAgency.htmhttp://healthcareers.about.com/od/wheretowork/p/GovernmntAgency.htmhttp://healthcareers.about.com/od/wheretowork/p/GovernmntAgency.htmhttp://healthcareers.about.com/od/whychoosehealthcare/tp/MedicalSpecialties.htmhttp://healthcareers.about.com/od/whychoosehealthcare/tp/MedicalSpecialties.htmhttp://healthcareers.about.com/od/compensationinformation/p/TopNursesSalary.htmhttp://healthcareers.about.com/od/compensationinformation/p/TopNursesSalary.htmhttp://healthcareers.about.com/od/compensationinformation/p/TopNursesSalary.htmhttp://healthcareers.about.com/od/compensationinformation/p/TopNursesSalary.htmhttp://healthcareers.about.com/od/compensationinformation/p/TopNursesSalary.htmhttp://healthcareers.about.com/od/whychoosehealthcare/tp/MedicalSpecialties.htmhttp://healthcareers.about.com/od/wheretowork/p/GovernmntAgency.htmhttp://healthcareers.about.com/od/wheretowork/p/GovernmntAgency.htmhttp://healthcareers.about.com/od/wheretowork/p/HospitalProfile.htmhttp://healthcareers.about.com/od/healthcareerprofiles/p/physician.htm8/2/2019 Final Drift
3/10
you see something frequentbetween patients, thus I de-
termined to write a small ar-
ticle about HYPERTEN-TION which is very common
in daray maane as well as in
the community, moreover
this article will be an intro-
duction for a research about
hypertension which will be
carried.
HIGH BP/
HYPERTENTION:
Blood pressure is the force ofblood against the walls of
arteries. Blood pressure rises
and falls throughout the day.
When blood pressure stays
elevated over time, its called
high blood pressure.
Hypertension results from
two major factors, which can
be present independently or
together:
The heart pumps blood
with excessive force.The body's smaller blood
vessels (known as the arteri-
oles) narrow, so that bloodflow exerts more pressure
against the vessels' walls.What is normalblood pressure?Normal blood pressure is
generally below 120/80 (one-twenty over eighty). 120
represents the systolic meas-
urement and 80 representsthe diastolic measurement.
Desirable blood pressure is:Sistolic - from 90 to 119
Diastolic - from 60 to
79
High or elevated blood
pressure (hypertension):Prehypertension - this is
when the reading is between
120/80 and 139/89.
Hypertension - this is when
the reading is at least 140/90.
RISK FACTORS:
High blood pressure has
many risk factors, including:
Age, Race,Family his-tory,Being overweight or
obese, Not being physically
active, Using tobacco or
Drinking too much alcohol
or qaat, Too much salt
(sodium) in your diet,Too
little potassium in your
diet, Too little vitamin D in
your diet, Stress, andCer-
tain chronic conditions.
Symptoms:Hypertension has aptly been
called the "silent killer" be-cause it usually produces no
symptoms. Untreated hyper-tension increases slowly over
the years. Everyone 18 years
and older should have their
blood pressure measured on
a regular basis. It is particu-
larly important for anyone
with risk factors to have theirblood pressure checked regu-
larly and to make appropriate
lifestyle changes. Such rec-
ommendations are especially
important for individualswho have prehypertension or
hypertension, a family his-tory of hypertension, are
overweight, or are over age40. People with uncontrolled
hypertension or a history ofheart failure are at increased
risk for this crisis.People should call a doctor
immediately if these symp-
toms occur:
Drowsiness
Confusion
Headache
Nausea
Loss of visionRespiratory distress
(difficulty breathing)
Complications:
Hypertension is the most im-
portantpreventable risk
factor for premature death
worldwide.It increases the
risk ofischemic heart dis-
ease strokes, disease, and
other cardiovascular dis-
eases, including heart fail-ure,aortic aneurysms, dif-
fuse atherosclerosis, and
pulmonary embolism. Hy-
pertension is also a risk
factor forcognitive im-pairment and dementia,
and chronic kidney dis-ease. Other complications
include: Hypertensive reti-
nopathy, Hypertensive
nephropathy
MANAGMENT AND
PREVENTION OF
HIGH BP:There are several ways
you can control your high
BP without prescription of
medications. It is better to
learn and try these ways
rather taking medications
early as you see.
10 ways to control
high blood pressure
without medication
1. Lose extra poundsand watch your waist-
line: Blood pressure often
increases as weight in-
creases. Losing just 10
pounds can help reduce
your blood pressure. In
general, the more weight
you lose, the lower your
blood pressure.
2. Exercise regularly:Regular physical activityat least 30 to 60 min-utes most days of the
week
can lower yourblood pressure by 4 to 9millimeters of mercury(mm Hg). And it doesn't
3page 3 AMOM Wednesday, 11 April, 2012
take long to see a differ-ence.3. Eat a healthy diet:Eating a diet that is richin whole grains, fruits,vegetables and low-fat
dairy products andskimps on saturated fatand cholesterol canlower your blood pres-sure by up to 14 mm Hg.4. Reduce sodium in
your diet; Even a smallreduction in the sodiumin your diet can reduceblood pressure by 2 to 8mm Hg.
6. Avoid tobacco prod-ucts and secondhand
smoke: On top of all theother dangers of smok-ing, the nicotine in to-bacco products can raiseyour blood pressure by10 mm Hg or more forup to an hour after yousmoke. Smokingthroughout the daymeans your blood pres-sure may remain con-stantly high.7. Cut back on caf-
feineThe role caffeineplays in blood pressure isstill debatable. Drinkingcaffeinated beverages cantemporarily cause a spikein your blood pressure,
but it's unclear whetherthe effect is temporary orlong lasting.can eliminate or reducestress.blood pressure with anupper arm monitor canhelp motivate you. Talkto your doctor abouthome monitoring before
getting started.
By; Mohamoud A/lahiMuhammad.
The Silent ...
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
http://en.wikipedia.org/wiki/List_of_preventable_causes_of_deathhttp://en.wikipedia.org/wiki/List_of_preventable_causes_of_deathhttp://en.wikipedia.org/wiki/Ischemic_heart_diseasehttp://en.wikipedia.org/wiki/Ischemic_heart_diseasehttp://en.wikipedia.org/wiki/Strokeshttp://en.wikipedia.org/wiki/Heart_failurehttp://en.wikipedia.org/wiki/Heart_failurehttp://en.wikipedia.org/wiki/Aortic_aneurysmhttp://en.wikipedia.org/wiki/Atherosclerosishttp://en.wikipedia.org/wiki/Pulmonary_embolismhttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Chronic_kidney_diseasehttp://en.wikipedia.org/wiki/Chronic_kidney_diseasehttp://en.wikipedia.org/wiki/Chronic_kidney_diseasehttp://en.wikipedia.org/wiki/Chronic_kidney_diseasehttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Pulmonary_embolismhttp://en.wikipedia.org/wiki/Atherosclerosishttp://en.wikipedia.org/wiki/Aortic_aneurysmhttp://en.wikipedia.org/wiki/Heart_failurehttp://en.wikipedia.org/wiki/Heart_failurehttp://en.wikipedia.org/wiki/Strokeshttp://en.wikipedia.org/wiki/Ischemic_heart_diseasehttp://en.wikipedia.org/wiki/Ischemic_heart_diseasehttp://en.wikipedia.org/wiki/List_of_preventable_causes_of_deathhttp://en.wikipedia.org/wiki/List_of_preventable_causes_of_death8/2/2019 Final Drift
4/10
politics, business etc. So
why is yet a magazine on
the topic of medicine
needed? The initial idea ofAmoud magazine of medi-
cine was born as a result of
our frustration with infor-
mation provided in the ex-
isting newsletter publica-
tions in the country. YES
there are many but Thetruth is that in spite of the
enormous number that exist
the majority accounts for
political issues . but onecan say there are so many
journals and magazines
published in the worldwide
containing every topic you
need and we say yes there
are many but we want to
contribute from our parts.
We dont have to ask our
selves what the world can
give us but we have to ask
ourselves what we cancontribute to the world
and humanity in general
and what we can do for our
peaple and country particu-
larly.We found that its shame on
us, amoud medical students,
not to have a single peace of
paper to write down our ob-
servations and reports while
we are taking some coursesconcerning medical research,
community medicine and go-ing for community field stud-
ies almost every weak, .It's
unfortunate that there is nothing ofthis kind of material available to us.Another point which made us
more frustrated was the fact
that there are some students
who are gifted but dont have
where to exhibit their talents.So one of the major objectiveslaunched for this magazine is toprovide grounds for those who
need to left behind good foot-
prints. We cant change what isgone wrong and what we haventdone in the past but we can de-
cide what we can do now andthan. It is our choice and this
choice will reflect out our
footprints on the sands oftime. So lets us challengeour selves and do the wright
things togheter.We are very committed to
maintain the publication ofthis magazine but we want
to share this commitmentwith the students whom we
respect. We encourage you
to contribute from your side
and make great participationby sending us high-standard
articles.
We recognize that we are
now in the information age
and people read easily when
the information is presented
world wide web pages. This
is why we plan for ourmagazine to always remain
on the cutting edge of 21st-
century information sharing.Accordingly,
4page 4AMOM Wednesday, 11 April , 2012
Accordingly, We will
launch a website specific
for our magazine as soon as
possiple to increase greatlyincrease the practical value
of our publication
For the moment, the amoud
magazine of medecine will
be published every two
months. So If you are anauthor and would like to
submit an article for publi-cation in our magazine,
please feel free to contact
us.The amoud magazineof
medicine will not be just
one which is constricted by
only one class or group.we
welcome you to join us and
to become part of us
Muhammad Omar
Warsame.
The chief editor
In, southern Arabia
and Eastern Africa (Somaliterritory), qat chewing is awidely practised socio-cultural habit. Qat leavesare generally placed in the
mouth in the lower distal mu-cobuccal fold and are chewedduring social-cultural gather-ings, creating a noticeablepouch, where the duration ofchewing may usually last up
to several hours at a time, andsubsequent release of psy-choactive agents. Oral dis-eases reportedly associatedwith qat chewing include pe-riodontitis, oral leukoplakia,temporo-mandibular joint dis-location and xerostomia andoral cancer. Qat (khat, miraa,cathine, cathinone) is a green-
leaved plant that has beenchewed for its stimulant effectfor centuries. The most active
ingredients of qat are alka-loids such as cathinone andcathine. Cathinone is the mainpsychoactive constituent ofqat, and has a similar actionto amphetamine, inducing therelease of dopamine, a neu-rotransmitter, from pre-
synaptic storage.
Systemic effect of the qatSystemic effects of qat use
involve the cardiovascularsystem, central nervous
system, digestive and geni-tourinary systems. Theseinclude: hypertension,tachycardia, anorexia, in-somnia, euphoria, loss ofappetite, gastrointestinaldisturbances, sperm incon-tinence and weak stream ofmicturition. From a pharma-cological perspective, qathas been shown to affectthe bioavailability of widelyprescribed antibiotics; such
as amoxicillin.most of thedoctors recommended thatthe antibiotics in questionshould not be taken withintwo hours of qat chewing. Alaboratory based study hasalso assessed the antim-
icrobial activity of qat ex-tracts against a panel oforal microorganism andtested their ability to mod-ify bacterial resistance totetracycline and penicillinin vitro
. Chemical pesti-cides are often used duringthe cultivation of qat andthere is evidence thatthese may also cause ad-verse effects in chewers,please try to encourageyour honourable familyfrom the catastrophe. Theeffect that accounts for the
popularity of qat is its cen-tral nervous system stimu-lation, believed to be in-
duced by cathinone, an ac-tive ingredient of qatleaves.
Letter from the...
Adem(cadaawe) Elmi Adem
See page 9
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
8/2/2019 Final Drift
5/10
go home believing every-
thing was oki. he was un-aware that something
dangerous has been left
deep in her nostrils by his
nurses, meanwhile aisha,
acted on his advice, andcame home feeling much
better. It was an accident
which, later carried her
life to hell, on earth
To be continued.
By; A/rahman Ahmed
Muhumed. 3rd year
medical student.
his poor rural lady from fadhi-un village visited the Allaale hos-
ital of Borama for medical helprom a nasal illness. She registereder name as Aisha H.Farah. She
was 25 year old, married and left
er husband back in home withve young children to look after
while she was away to the city,eeking treatment for nasal mass ,n illness shes been suffering. Ai-ha wasnt good-looking person,nstead she was physically weak
nd had the look of someone livingnder hard conditions: her slender
ody, the rough expressions oner face and her clothing allhowed the signs of poverty and
wretchedness of the life in therought devastated rural areas.
And by the time of her arrival herose was big swollen which altereder appearance and she was com-
laining about a severe pain in theose and head, that prevented her
rom proper sleep, eating andmany other important activities for
uman life, all of which were visi-le in her weary eyes,
After careful examination of
er illness, the doctors told thisoor lady that they cant help herue to the lack of the necessary
medical instruments, in order to
arry out the nasal operation,which as the doctors said, was thenly solution for her illness, and
hey advised her to go to the Ethio-ian capital, Addis Ababa. But the
hought of going to Addis Ababawasnt easy and in respect to Ai-has economic situation was im-ossible. She couldnt afford the
ourney that would take thousandsf kms and the life in addis ababa .his was bad time in her life and
here was the famine caused by therolonged droughts when Ashand her husband had lost all their
nimals; All their goats, and sheepwere died for hunger and thirstynd during consecutive rainlesseason. Only two of the camels
urvived for the family to depend
on life and for the hope of fu-ture rearing. How could Aisha
afford going to Addis Ababawhen her five children weremalnourished and in danger ofdeath . knowing the poverty
in her own family, Asha askedthe doctor if there could beany alternative to his ideawhich dismayed her hopes?but the doctor had no choice.the limited economy and lackof support chained him but ,
being a doctor to help peoplelike her from the illness would
make him happier and as shetalked to him about her situa-tion he felt helpless and dis-heartened by his powerlessnessto do anything. Then she
walked out of the hospitalcursing the life in the country ,because she lacked the sense
of belonginess to a nation thatwould contribute to the hospi-
tals for the sake of the poor. Inspite of that she felt that she
had no one to depend on helpin the distressed times.withdying hopes, poor Asha left for
home next day to discuss thematter with her husband.
Upon hearing the doctorsnews Ashas husband faced a
dilemma of choice between hishopes and the doctors advice.He hasesitated for a days and
prayed for Aishas health, be-cause all has was two camels
which he trusted all hopes oflife,but things got worse on thepart of her illness. And then hetook her to a tradionional doc-
tors and that also ended in fail-ure and she grew weaker eachday . realizing that his wife
wouldnt survive without himbeing done something to help,at last Ashas husband decided
against his hopes, because herhealth was more important forhim and for the children, thananything else in life, there fore,
he sold the last of his she-camels and sent his wife to
People who are unable to
motivate themselves must be
content with mediocrity, no
matter how impressive their
other talents.
Andrew Carnegie
If you want to excel in life,
self motivation is essential.You must know how to moti-
vate yourself. You must be
able to keep your spirit high
no matter how discouraging a
situation is. Thats the onlyway to get the power you
need to overcome difficul-ties. Those who are discour-
aged in difficult times arecertain to lose even before
the battle is over.The question is: how do you
motivate yourself? Here are
several tips Ive found to be
effective to build self motiva-
tion:
5page 5 AMOM wednesday, 11 April , 2012
1. Have a causeI cant think of a more
powerful source of moti-vation than a cause you
care about. Such cause
can inspire you to give
your best even in the face
of difficulties. It can
make you do the seem-
ingly impossible things.While other causes could
inspire you temporarily, a
cause that matters to you
can inspire you indefi-
nitely. Its a spring ofmotivation that will
never dry. Whenever youthink that you run out of
motivation, you can al-ways come to your cause
to get a fresh dose of mo-tivation .
2. Have a dream. A
big dream.Only as high as I reach
can I grow, only as far as
I seek can I go, only asdeep as I look can I see,
only as much as I dreamcan I be.
Karen RavnYour cause is a powerful
source of motivation but
its still abstract in na-
ture.
Ethiopia to undergo a nasalsurgery, flowing the doctors
advice. It was a seriousdecision for both Asha andher husband.
In Addis Ababa at first
Asha went through biopsytest at Duqra-base hospital
and week later she got a
negative result. After that
she had the nasal operation
and the doctor, who carried
out the operation succeeded
to romove the diseased cells
from Ashas nostrils, and
after another thirteen days
he told Asha that she could
How to motivate your self
REAL MISFORTUNE OF LIFE.
See page 6
8/2/2019 Final Drift
6/10
nature. You need to make it
concrete in the form of a
dream. Imagine how the world
will be in the future. Imagine
how people will live and work.
Having a dream is important
because its difficult to be mo-
tivated if you dont have any-
thing to shoot for. Just think
about people who play basket-
ball. Will they be motivated to
play if there is no basket to
aim at? I dont think so. Theyneed a goal. You need a goal.Thats what your dream is for.
But just having a dream is in-sufficient. Your dream must be
big enough to inspire you. Itmust be realistic but challeng-
ng. It must stretch your ability
beyond your comfort zone.
3. Be hungryWanting something is not
enough. You must hunger forit. Your motivation must be
absolutely compelling in order
to overcome the obstacles that
will invariably come your way.
Les Brown
To be truly motivated, you
need to have hungerand not
ust desire. Having mere desire
wont take you through diffi-
cult times since you dont want
things badly enough. In many
cases, hunger makes the dif-
ference between the bestperformers and the mediocre
ones.
How can you have hunger?
Your cause and your dream
play a big role here. If you
have a cause you care about
and a big dream related to it,
you should have the hunger
inside of you. If you think
that you are losing hunger,
all you need to do is to con-nect again to your cause and
dream. Let them inspire youand bring the hunger back.
4. Run your own raceI do not try to dance betterthan anyone else. I only try
to dance better than myself.Mikhail Baryshnikov
Comparing yourself withothers is an effective way to
demotivate yourself. Even ifyou start with enthusiasm,
you will soon lose your en-
ergy when you compare
yourself with others.
Dont let that happen to you.
You have your own race so
how other people perform is
irrelevant. Comparing your-
self with others is like com-
paring the performance of a
How to Motivate.
page 6 AMOM wednesday, 11 April, 2012
6. Let go of the pastFinish each day and be
done with it. You have
done what you could.
Ralph Waldo EmersonBelieve it or not, one of
the best demotivators isyour past. Your past can
drag you down before yourealize it. Your past can
give you a heavy burden
on your shoulders.
The good news is its a
burden you dont have to
carry. Take it off your
shoulder and leave it. You
might make mistakes in
the past. You might disap-point others with what you
did. But its over. Its al-
ready in the past and
theres nothing you can do
about it.Today is a new day and
you have the chance tostart again. No matter how
bad your past might be,
you still have a bright fu-
ture ahead waiting for you.
Just dont let the burden of
the past stop you.
Apply these tips and moti-
vate yourself. Dont settle
for mediocrity. Let your
self motivation take you to
excellence.
The pen of: Karama
Kahin
swimmer with a runner us-
ing the same time standard.They are different so how
can you compare one with
the other?
The only competitor you
have is yourself. The onlyone you need to beat isyou.
Have you become the best
you can be?
5. Take one more stepSuccess is not final, failure
is not fatal: it is the cour-
age to continue that counts.
Winston Churchill
When you meet obstacles
along the way, there could
be the tendency to quit.You may think that its toodifficult to move on. You
may think that your dreamis impossible to achieve.
But this is where you can
see the difference between
winners and losers. Though
both of them face the same
difficulties, there is one
thing that makes the win-
ners different: the courage
to continue.
In difficult situations, just
focus on taking one more
step forward. Dont thinkabout how to complete the
race. Dont think abouthow many more obstacles
are waiting for you. Justfocus on taking the next
step.
the very basic health care he/
she is entitled to as a human
being.
The medical school has chosen
Daraymaane as a study site
where communities are served
and research activities are car-ried out.
Daraymaane is a small village
which is located about 5 km
northeast of Borama. This site
was preferred over the other
because of its proximity of
Borama town. Majority of
the community in the village
are mainly farmers who
make their living out of
farming. They live under
low hygienic conditions and
most of the people living in
Daraymaane are affected
by waterborne, food bornediseases and endemic tropi-
cal diseases. This project
started on 14th January
2005. This was the first time
for medical students to be
assigned a site where they
will practice what they have
been taught and give back
knowledge for the better-
ment of their people. The
project is community based
health program aimed at
addressing and improving
the health status of the com-
munity in the village. Forevery medical student to feel
the responsibility of being
RESPONSBILE for the very
first time in his/her life to a
human being, job distribu-Eeg Bogga 7
tion is made and all the
families in the village are
distributed to the medical
students. Each student gets
the responsibility of at least
2-3 families with the lead of
one senior and junior medi-
cal student. The clinical
placement of medical stu-
dents starts in their third
year of school. The village is
divided into four sectors
named sector 10, sector 9,
sector school, sector 5, and
sector Jawaanley.
DARAYMANS SUCCESS ...
See page 7
8/2/2019 Final Drift
7/10
Each family member has
an ID-card with his/her
photo attached. This will
help him/her to seek
health service from Bo-
rama General Hospital for
free of charge when hospi-
tal admissions become
necessary.
Daraymane community
had bizarre conception
about the students activi-
ties the same way as the
average people in Borama
had in the very beginning
raising doubts about the
possibility of generating
home grown doctors. Forsome the possibility of pro-
ducing local doctors were
in illusion, for , for others
it was a goal and a dream
they were praying and
sticking their stance to
make it come true and
they did. However, with
the commitment, persis-
tence and patience of the
medical students hadreally made possible what
seemed for many to impos-
sible
Moreover, to win the
hearts and minds of the
community, students made
contribution for the com-
munitys health care and
that led to win the trust of
Daraymane population.
The success of Daray-maane village brought the
idea of expanding the
health service to other
sites and SH. Osman area
become the next target for
health intervention and
another study site for the
students. This move was
extraordinary welcomed
by the neighborhoods of
Sh. Osman. December
10th, 2008 was the first of-
ficial day for medical stu-
dents to start going to
Sh. Osman area which is
located the western part
of Borama. This time,
the choice is different
not only because Sh. Os-
man area is closer than
Daraymane but it is one
of the neighborhoods of
Borama. It is not more
than 20 minutes walk
from Borama to Sh. Os-
man. The purpose was
based on comparing the
health standards of both
populations. Because
Daraymane population
could not have access tohealth service for medi-
cal emergencies due to
their remoteness and
lack of transportation,
where as Sh. Osman
population have that ac-
cess. We are then so
lucky to start dealing
with the population be-
fore we truly become
7page7 AMOM wednesday, 11 April , 2012
doctors, nurses, dentists,
pharmacists, radiologists,
laboratory technicians, and
this is what we are doing
right now. We are hoping
that Sh. Osman will bring
another magic and out-standing result of health to
the community, so that we
can fuel from this to expand
our health service to the
whole regions of Somali-
land. May we have that in-
spiration and affection to
medicine in life-long !
Hence, the sustained com-
mitment, enthusiasm and
tireless effort of Amoudmedical students will re-
main unchanged until their
people obtain the best
health service possible at
home.
By;Aidrous Elmi Yousuf
Medical students visit the
village every Thursday
which is once a week and
ach students goes to the
ector he/she is supposed
o go in order to follow up
o the family he/she is at-ached to. During these
visits, students stay with
heir families, guide them
or promotive, preventive
and curative health: pro-
motion of the health of the
ommunities, treating sick
people, giving health edu-
ation about disposal of
wastes, health sanitation,
and methods of prevent-ng communicable disease.
We, as medical students
arried out many vaccina-
ion program which are
proved successful. The
uccess of vaccination in
Daraymaane was noticed
when march 2nd, 2012 was
een the first case of mea-
les in Borama General
Hospital and then an out-break of measles followed
with multiple measles sce-
nario admission to BGH
where as there were no
one measles case reported
rom Daraymaane. That
health triumph of that
ommunity goes back to
he commitment of
Amoud medical school in
general and the studentswhose medical proficiency
proved efficient in spe-
ific. It is more striking to
know that the health ser-
vice delivered to the vil-
age community is free of
harge including: Admis-
ion, treatments, and in-
vestigations such as labo-
atory, images
ultrasound, radiogra-
phy,) in the teaching hos-
pitals
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
8/2/2019 Final Drift
8/10
Maansadan oo la magac baxday
DIIWAAN ayaan jeclaan lahaa
naan maanta halkan idiinku soo
gudbiyo, waxa aanay leedahay sida
an:umada iyo dadkaygow
ruuxii damiirlee
imaan ku duxayaadoondoona khayrkooduco waalid raadshoo
waanada daneeyee
Bal dabuubtan iga maqal
umadiyo dadkaygow
nta diirka midabkiyodhaqankiyo dirsoociyo
dunji ila wadaagtaay,
culimada dawaaftiyo
nta duubka xidhataay
nta belada dayrtiyo
nta dakharka dhaydiyonta nabada doontaay ,
nta dib u dhis guudiyo
midnimada ku daashay ,
nta damashii kayntiyo
dayibkiyo galoolkii
ntay dhuxul ka deebsheen
masaariif ka dayataay,
nta debed wareegteedaalaadhacaysee
Dalasiga ku nooleey,
nta dibidi naaxdiyodaabixiyo ugaybkii
ahminkiyo damaankii
yo dalawodoodii
waxay duunyo haysteen
intay qaad dumaayiyo
durujaa ku ruugeendawakhdaye dhaqaaqdaay,
inta daaradoodiyo
docdii raasaskoodiyodegelkay ku beermeen
ama daradhigoodii
madaafiic dayaantiyohubka diririg leeyiyo
dabka uga horbaydhaay
duuduubka wadareed
waxa oosha kala dilay
dadka wada jirkiisii
ama dumiyey qarankiiiyo dawladnimadii
isku duubnidiinii
dusha sare ka may iman
waxse loogu dawgalay
ama daadka soo rogaydhiigii la daadshiyo
dulmigiyo xadgudubkii
hala kala daraadee
lagu xidhey dameeraha .
dulucdiyo ujeedada
waxay doodu leedahay
hadaan aqalka daahiyo
Qotin iyo dabxeeriyo
lagu meerin dayr adagmiyuu dayra dhaafkiyo
roobkiyo daroortiyo
celiyaa dabaylaha?
Miyuu awrku doobyaaHadaan geelba lagu darinMiyuu farasku dananaa
Hadaan dixi lamayricin
Miyaa geesi diriraa
Degelkiyo rugtiisiiHadaan dugaydu yeedhayn
Ama ruux ku dayanayn?Ceelkii daluuniyo
Dawdheerta meesh ahWeelkii la darayiyo
Hadaan dawlis loo hayn
Darandoori loo shubin
Miyaa maal dardugayaa
Ama dib u rakaataa?
Dulucdiyo ujeedadaWaxay doodu leedahayHadaad doobabkiiniyo
Dhakhtarkiyo digtoorkiyo
Ninka raga daguugtaan
Miyaa habar dugaagiyo
Daayeerka dhaantaan ?
Dulucdiyo ujeedada
Waxay doodu leedahayHadaa duubcastiiniyoDaraawiishta laysaan
Marka nacab ku daakhillo
Ama daawad lala tago
Yaa geli dagaalkoo
Duulaanka yaa hanan
Ama yaa difaac noqon ?
Dulucdiyo ujeedadaWaxay doodu leedahayMiyaa qoom la doorshaa
Ilaa ay digniintiyo
Diidaan shareecada ?
Dulucdiyo ujeedadaWaxay doodu leehay
Hadiiyaa dadweynowSidii duulkii nebi nuux
Rabigeen u soo dirayDoociina maqalkiyo
Dareenkiina aragtida
Labadaba dabooshaan
Marka diinta loo koco
Miyaa doog baldhiidhiyoRoob daa sugaysaan ?
To be continued...
8page 8 wednesday, 11 April , 2012AMOM
QAYBTA SUUGAANTA
Jama Hassan Osman
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
8/2/2019 Final Drift
9/10
William Shakespeare
aid, To be or not to be
hat is a questiont is hard to understand
omething which is inde-
cipherable. But can be
easily understood asmuch as you dig deeper.
And you are as far as you
push.
Why doctors write so
badly is a question which
baffled me completely.
But some people mayaugh out loud while;
others will have an eye to
eye. As far as Im con-
cerned this question is no
laughing matter.
If doctors could knowhow much Im crazy
about this question,
they would have given
me the answer before.
But now they could atleast say that they are
sorry. I have asked
many people why doc-
tor handwriting is soillegible rather than or-dinary people. But they
failed the answer for
this question. I some-
times say Doctor
Handwriting is notori-
ously bad. But may bewriting badly for a
doctor is a matter ofsurvival.
Sometimes I realized
that what they write isnot intended for the
public to see only for
themselves and their
peers. As you will see
the way we write is
legible amongst us be-cause we know what to
look for. But yet I
dont recognize
whether the illegibledoctor handwriting is
made or born. This is
what I am seeking for.
On the other hand, I re-
alized that it is so im-portant to remember
that doctors handwrit-
ing has limitations like
any other tool in themedicine.There is also another
important problem
which concerns about
the scribbled handwrit-
ing for doctors; the
problem is if this kindof handwriting is secret
between the doctorsand their peers why
they cant read some-
times.I sometimes imagine
and think doctors jot
down things in rush be-
cause their minds are
already on something
else and it is not neathandwriting. They may
write down a prescrip-
9page 9 AMOM wednesday, 11 April, 2012
tion but their minds are
prepping up for the nextpatient
In conclusion, I really
worn-out to visualize the
exact answer for this
question therefore, only
doctors could only
quench my thirst
Under the pen-name of
A/rahman Said Ahmed
Amoud University stu-
dent
Faculty of education,
department of English
&History
Senior class
Email:
camir0101@hotmail.co
m
rahman Said Ahmed
Why doctors
You can contact : Amom@hotmail.co.uk , Amom@gmail.com
Save your community from ...) Cathinone has a more rapid and in-tense action compared with cathinedue to its higher lipid solubility whichfacilitates access into the central nerv-ous system. Several studies showedthat the psychostimulant effects in-
duced by chewing qat include a moder-ate degree of euphoria and mild excite-ment resulting in promotion of socialinteraction and loquacity. While attain-ing a subjective state of well being, thechewers feel an increase in alertness
and energy together with enhanceddepth of perception. These effectswere found to be a maximum between1.53.5 hours after starting to
chew and they were progressivelyreplaced by mild dysphoria, anxi-ety, reactive depression, insomniaand anorexia (loss of appetite).Inrecent years qat induced psychosis(serious mental illness) has become
more common.
Every century has its own boys and
girls whom take the responsibilityof their country .if we are Somali
community ,we lost our econ-
omy,healthy and patriotism for the
sake qat.please dont aggravate the
wound ,but try to heal it .
i hope the light which is coming
from Amoud university students
will make the granulation of the
wound ,which is perforating
since unknown centuries until
now.
By; Adam (CADAAWE) ElmiAdam.
8/2/2019 Final Drift
10/10
10page 10 Wednesday, 11April , 2012AMOM