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Qatar Medical Journal

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https://www.readbyqxmd.com/read/28795019/safe-and-ethical-living-kidney-donation-in-qatar-a-national-health-system-s-approach
#1
Muhammad Asim, Yousuf Al-Maslamani, Hassan Al-Malki
The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence, living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however, raises a number of social, ethical, and legal concerns surrounding informed consent, voluntarism, psychosocial evaluation, perioperative care, and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural, multilingual society within a Gulf country such as Qatar...
2017: Qatar Medical Journal
https://www.readbyqxmd.com/read/28785536/acute-appendicitis-as-a-rare-cause-of-mechanical-small-bowel-obstruction-case-report
#2
Alyaa Al-Qallaf, Abdullah Shuaib, Khalid Al-Sharaf, Abdullah Behbehani
Acute appendicitis is the most common surgical condition with which patients present in emergency departments worldwide. It is also a rare cause of intestinal obstruction. Here, we report a case of a 53-year-old man who presented with a clinical picture of mechanical small bowel obstruction. Leucocytosis was not demonstrated on the routine blood investigation in our case, in contrast to the findings for most patients with acute appendicitis. Acute appendicitis, as the cause of the intestinal obstruction, was diagnosed by computed tomography of the abdomen...
2017: Qatar Medical Journal
https://www.readbyqxmd.com/read/28785535/association-between-omeprazole-use-and-clostridium-difficile-infection-among-hospitalized-patients-a-case-control-study-of-the-saudi-population
#3
Hazza Al Otaibi, Anwar E Ahmed, Maha Alammari
Background: While few international studies have assessed the association between omeprazole use and the risk of Clostridium difficile infection (CDI), research into this is lacking in Saudi Arabia and the Middle East region. The aim of this study was to determine whether exposure to omeprazole is associated with the risk of Clostridium difficile infection in a sample of hospitalized Saudi patients. Methodology: A retrospective matched case-control study was conducted at the King Abdulaziz Medical City in Riyadh, Saudi Arabia, from 1 August 2010 through 31 July 2015...
2017: Qatar Medical Journal
https://www.readbyqxmd.com/read/28785534/direct-observation-of-hand-hygiene-can-show-differences-in-staff-compliance-do-we-need-to-evaluate-the-accuracy-for-patient-safety
#4
Humberto Guanche Garcell, Ariadna Villanueva Arias, Fernando Ramírez Miranda, Reynol Rubiera Jimenez, Ramón N Alfonso Serrano
Background: Direct observation of hand hygiene is the standard practice recommended by the World Health Organization to monitor its compliance. Objective: To evaluate the accuracy of hand hygiene observation performed by units' observers. Methods: A descriptive study was carried out in seven patient care units in a 75-bed community hospital in Qatar. Four trained nurses performed hand hygiene observation in May 2016, any day of the week and in different shifts, following the same methodology as routine units' observers...
2017: Qatar Medical Journal
https://www.readbyqxmd.com/read/28567367/rare-isolated-primary-peritoneal-hydatid-cysts-a-case-report-from-syria
#5
Bashar Almasri, Lina Albitar
Hydatid disease caused by Echinococcus granulosus is endemic in many regions of the world. The major primary site for the disease in adults is the liver and the secondary site are the lungs. Secondary peritoneal cysts are relatively common and expected to occur after rupture of the primary hepatic hydatid cyst. Primary peritoneal hydatid cyst disease without any other organ involvement has been previously reported, and yet it is still considered rare even in endemic areas. A case of a large primary peritoneal hydatid multicystic lesion without other organ involvement in a 25-year-old girl seen at the gastrointestinal outpatient clinic in the University of Kalamoon Medical City is presented and discussed...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28534007/diagnostic-difficulties-in-human-rabies-a-case-report-and-review-of-the-literature
#6
Kadavil Chacko, Rakesh Theeyancheri Parakadavathu, Muna Al-Maslamani, Arun P Nair, Amrutha Puthalalth Chekura, Indira Madhavan
Rabies is a zoonotic disease with the highest fatality rate of any infectious disease. The clinical features of rabies encephalopathy are highly nonspecific at the onset and clinicians from low endemic areas usually face difficulties in recognizing cases during the early stages. The need for establishing a rapid and accurate test to identify rabies during the ante-mortem period is important. However, in actual clinical practice, the latter may remain difficult for various reasons. In human rabies, positively identifying the antigen, antibody or genetic material by various diagnostic methods during the symptomatic period is affected by the unpredictable nature of viremia, levels of antibody immune response of the host, and the virulence of the infecting strain...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28534006/prevalence-of-blood-borne-viral-infections-among-autopsy-cases-in-jordan
#7
Faris G Bakri, Imad M Al-Abdallat, Nidaa Ababneh, Rayyan Al Ali, Ahmed K F Idhair, Azmi Mahafzah
Background: Morgues are high risk areas for the spread of infection from cadavers to staff during the post-mortem examination. Infection can spread from corpses to workers by airborne transmission, by direct contact, or through needle and sharp object injuries. Objective: Knowledge about the prevalence of these infections on autopsy is essential to determine the risk of transmission and to further enforce safety measures. Methods: This is a descriptive study. All autopsies performed in the Department of Forensic Medicine at Jordan University Hospital during the study period were tested for the serology of human immunodeficiency, hepatitis B and C viruses...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28534005/down-the-wrong-road-a-case-report-of-inadvertent-nasogastric-tube-insertion-leading-to-lung-laceration-and-important-pearls-to-avoid-complications
#8
Syed Adnan Mohiuddin, Saad Al Kaabi, Tarik Butt, Rafie Yakoob, Maneesh Khanna
Nasogastric tube (NGT) insertion is a common procedure performed by residents and nursing staff to access the stomach. Although an apparently simple procedure, it is associated with technical difficulties and complications if proper care is not taken during insertion. We present a case of a 79-year-old female with multiple comorbidities who had a percutaneous enteral gastrostomy tube removed due to infection of an insertion site wound and a NGT was inserted for feeding. A few minutes post-insertion the patient developed shortness of breath and a drop in oxygen saturation...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28293539/marginal-analysis-in-assessing-factors-contributing-time-to-physician-in-the-emergency-department-using-operations-data
#9
Sameer A Pathan, Zain A Bhutta, Jibin Moinudheen, Dominic Jenkins, Ashwin D Silva, Yogdutt Sharma, Warda A Saleh, Zeenat Khudabakhsh, Furqan B Irfan, Stephen H Thomas
Background: Standard Emergency Department (ED) operations goals include minimization of the time interval (tMD) between patients' initial ED presentation and initial physician evaluation. This study assessed factors known (or suspected) to influence tMD with a two-step goal. The first step was generation of a multivariate model identifying parameters associated with prolongation of tMD at a single study center. The second step was the use of a study center-specific multivariate tMD model as a basis for predictive marginal probability analysis; the marginal model allowed for prediction of the degree of ED operations benefit that would be affected with specific ED operations improvements...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28293538/the-effect-of-faith-based-smoking-cessation-intervention-during-ramadan-among-malay-smokers
#10
Suriani Ismail, Hejar Abdul Rahman, Emelia Zainal Abidin, Ahmad Sharul Nizam Isha, Sallehuddin Abu Bakar, Nur Aishah Zulkifley, Ahmad Farhan Ahmad Fuad
Objectives: To study the effects of a faith-based smoking cessation intervention during Ramadan among Malay male smokers working in public offices. Methods: This was a quasi-experimental study conducted during Ramadan 2015. The intervention was developed based on the constructs within the Theory of Planned Behaviour. The intervention intended to increase the intention and the perceived behaviour control to stop smoking among Muslim smokers during Ramadan. The outcomes measured were changes in the Fagerstrom Test for Nicotine Dependence score and saliva cotinine levels...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28210545/pattern-of-benign-ovarian-cysts-in-qatari-women
#11
Fatimah Zahra
Objective: To study the age distribution, histopathological types, lateral distribution and surgical interventions performed for benign ovarian cysts in Qatari women undergoing surgical intervention for an ovarian cyst. Design: A retrospective descriptive study. Setting: Obstetrics and Gynecology Department, Al-Ahli Hospital, Doha, Qatar. Patients and methods: Data were collected retrospectively from clinical records of Qatari women who underwent surgical intervention from 1 January 2013 to 31 December 2015 at Al-Ahli Hospital for an ovarian or paraovarian cyst...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28058233/knotted-nasogastric-tube-in-the-posterior-nasopharynx-a-case-report
#12
Kagabo D Hirwa, Naresh Toshniwal
Nasogastric tubes are widely used for enteral feeding and administration of medication but unexpected complications can arise during their insertion or removal. There are no standardized ways of dealing with such complications and the safer methods of insertion available are mostly expensive. We present here a case of knotted nasogastric tube and the different approaches that were used to remove it. A brief review of the literature on nasogastric position confirmation techniques is also presented.
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/28058232/a-40-year-old-man-with-testicular-torsion-and-large-bilateral-spermatoceles
#13
Mojtaba Ameli, Arezou Parsapour, Leila Gholami-Mahtaj
Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one day prior to visiting our clinic. The patient's visit to the clinic was delayed due to history of occasional testicular pain related to his bilateral spermatoceles. On arrival, a color Doppler ultrasound test was performed, which revealed heterogeneous echo in the right testis with no vascular flow, suggestive of torsion, as well as two cystic lesions in the right and left scrotums indicating spermatoceles...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27630822/a-retrospective-epidemiological-study-on-the-incidence-of-salmonellosis-in-the-state-of-qatar-during-2004-2012
#14
Elmoubasher Farag, Humberto Guanche Garcell, Nandakumar Ganesan, Shazia Nadeem N Ahmed, Mohammed Al-Hajri, Shk Mohammed Hamad J Al Thani, Salih Ali Al-Marri, Emad Ibrahim, Hamad Eid Al-Romaihi
BACKGROUND: Salmonella is a food- and water-borne pathogen that can be easily spread in a population, leading to the outbreak of salmonellosis that is caused by ingestion of mixed salads contaminated by the pathogen. Most cases occur in the late spring months and can be seen as single cases, clusters, or episodes. OBJECTIVE: The aim of this study was to describe the incidence and epidemiological characteristics of salmonellosis in the State of Qatar. METHODS: This was a retrospective, descriptive study carried out in laboratory-confirmed cases of salmonellosis during 2004-2012 from all Salmonella surveillance centers...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27540516/predictors-of-delayed-pre-hospital-presentation-among-patients-with-st-segment-elevation-myocardial-infarction
#15
Mohammed Albrahim, Amjad M Ahmed, Abdulrahman Alwakeel, Faisal Hijji, Mouaz H Al-Mallah
BACKGROUND: Early treatment of ST elevation myocardial infarction (STEMI) is essential to improve survival of these patients. However, not all patients present early enough to receive optimal treatment especially in third world countries. Social factors affecting early vs. late treatment have not been studied, particularly in the Middle East. Thus, the aim of this study was to determine the social factors associated with delayed presentation of STEMI patients. METHODS: All patients with STEMI presenting to King Abdulaziz Cardiac Center (KACC) between October 2013 and July 2014 were approached...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27489783/qatar-medical-journal-at-the-forefront-of-medical-publishing
#16
Saffiyah Al-Nuaimi
No abstract text is available yet for this article.
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27482512/health-promotion-practices-as-perceived-by-primary-healthcare-professionals-at-the-ministry-of-national-guard-health-affairs-saudi-arabia
#17
Samar Altamimi, Feda Alshoshan, Ghada Al Shaman, Nasser Tawfeeq, May Alasmary, Anwar E Ahmed
INTRODUCTION: In recent years, several research studies have investigated health promotion practices in Saudi healthcare organizations, yet no published literature exists on health promotion practices of primary healthcare professionals working for the Ministry of National Guard Health Affairs (MNG-HA). METHODS: A cross-sectional study was conducted in a convenience sample of 206 primary healthcare professionals at the MNG-HA. A self-reporting questionnaire was used to investigate the attitudes, awareness, satisfaction, and methods regarding health promotion practices of primary healthcare professionals...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27413722/letter-to-the-editor
#18
Peter Tuchin, Stephen Perle
In reviewing Melikyan et al., we discuss what we think are weaknesses in the case report. The authors did not report on known risk factors for cerebrovascular accident and vertebral artery dissection. Known symptoms that appear early in vertebral artery dissection were not reported or denied, specifically related to changes in the patient's pattern of neck pain. Causality was assumed when only a weak temporal relation was involved. Finally, the case report makes it appear that the manipulation was performed by someone other than a chiropractor but therefore erroneously uses chiropractic in the title...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27413721/letter-to-the-editor
#19
Brett Vaughan
No abstract text is available yet for this article.
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27413720/prediction-of-cardiovascular-disease-from-the-early-stages-of-life-a-forgotten-issue
#20
Guillermo Alberto Perez Fernandez
No abstract text is available yet for this article.
2016: Qatar Medical Journal
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