Driving of motor vehicles is a highly coordinated process involving a series of learned reflexes and carefully made conscious decisions. Many medical conditions with cognitive dysfunction, neuromuscular coordination or vision consequently affect driving safety. The medical profession, transport authorities and regulatory bodies have been interested in the medical aspects of fitness to drive. Legislations have been established in almost all developed countries. Good examples include legislations in North America, Europe and Australia. Sadly the global situation is not as promising. There is an urgent need for the rest of the world to adopt the latest evidence-based and well-tested guidelines, legislations and experiences from the developed countries in this area. Raising the awareness among the public, professionals and regulators about the importance of the issue is urgently needed.

Introduction: Calcipotriol and narrow-band ultraviolet B (NBUVB) phototherapy are widely used to effectively treat psoriasis. To reduce the cumulative NBUVB doses and to enhance clearance of psoriatic plaques, combination therapies have been established. Objectives: To compare the clinical efficacy of NBUVB alone and in combination with topical calcipotriol ointment in psoriasis. Patients and Methods: Fifty five patients with psoriasis vulgaris were included in the study. Patients were randomized into two treatment groups. Group I consisted of 30 patients who received NBUVB phototherapy as monotherapy and group II consisted of 25 patients who were treated with topical calcipotriol ointment combined with NBUVB. The treatment was continued till the patients achieved PASI-75. Results: Twenty patients, in each group, completed the study. At baseline, the mean PASI scores were 15±4 and 16.4±3 in group I and group II respectively, and at the end of treatment, the mean PASI scores were 6.5±3 in group I and 3.4±2 in group II (P=0.000). The total cumulative NBUVB dose and the number of sessions were significantly higher in group I compare to group II. Conclusion: Topical calcipotriol combined with NBUVB reduces the cumulative dose of NBUVB and improves the response of psoriasis vulgaris to phototherapy.

Background: Despite the great efforts done by the government, there has been an increase in the number of people adopting smoking habit, among them health care professionals. Objectives: The aims of this work are 1) to assess the attitudes, behaviors, and risk perceptions among primary health care providers in the ambulatory health services in Abu Dhabi towards smoking and 2) to assess the impact of their smoking status on their practices of smoking counseling. Rationale: The justification of the research was that it provides an understanding on the influence of the smoking behaviour of health care providers and their eventual service delivery especially counselling smoking patients. Subjects and Methods: Self-administered descriptive questionnaires were used to collect data. They were distributed to doctors and nurses who consented to participate and the filled questionnaires were collected in sealed envelopes. Out of 137 health care professionals who were approached, 122 responded (participation rate of 89 %). 47% were physicians and 53% were nurses. Results: The results showed that, among the studied group the rate of smoking was 8.3 % with influence from friends being cited as the greatest contributing factor. Cigarette smoking was used by the 87.5% of the participants and 25% used “Shisha”. Irrespective of its adverse effects, most of healthcare providers have a positive attitude towards smoking cessation policy. An inadequacy in training these personnel on how to counsel their patients with regard to smoking cessation. Conclusion: A pre-service as well as continuous smoking cessation training is needed in order to change the attitude of the primary health care providers and enhance their counselling techniques.

Colpocephaly is very rare anatomic finding in the brain manifested by occipital horns that are disproportionately enlarged in comparison with other parts of the lateral ventricles. It is usually diagnosed prenatally by ultrasound or in early childhood when the patient presents with delayed mile stones, seizures, mental retardation, motor and sensory deficit. We present a case of colpocephaly and corpus callosum agenesis that diagnosed in a sixty six years old African American woman that did not suffer from any seizures, cognitive, motor or sensory disability prior to her current admission.