Final Drift

8/2/2019 Final Drift

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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


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 : [email protected] , [email protected]
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.htm


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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 ...

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_death


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



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


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


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



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



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:

[email protected]

m

rahman Said Ahmed

Why doctors


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.


10/10

10page 10 Wednesday, 11April , 2012AMOM

Final Drift

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