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Qatar Medical Journal

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
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
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
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
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
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
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
Saffiyah Al-Nuaimi
No abstract text is available yet for this article.
2016: Qatar Medical Journal
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
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
Brett Vaughan
No abstract text is available yet for this article.
2016: Qatar Medical Journal
Guillermo Alberto Perez Fernandez
No abstract text is available yet for this article.
2016: Qatar Medical Journal
Samah A ElSalem, Doua T AlSaad, Palli V Abdulrouf, Afif A Ahmed, Moza S AlHail
BACKGROUND: Misoprostol is a synthetic prostaglandin E1 that induces cervical effacement and uterine contractions at all gestational ages, thus facilitating uterine evacuation and pregnancy termination. Successful medical evacuation of spontaneous miscarriage with minimal adverse effects can be performed using misoprostol-only regimen if given as indicated and if the administered dose, frequency of the dosage, and number of total doses are appropriate. AIM: To conduct a drug use evaluation by investigating indications, appropriateness of dosing, and clinical outcome of misoprostol-only regimen when used for medical evacuation of spontaneous miscarriage at the Women's Hospital in Doha, Qatar...
2016: Qatar Medical Journal
Habib Md Reazaul Karim, Prithwis Bhattacharyya, Sonai Datta Kakati, Tridip Jyoti Borah, Md Yunus
Scrub typhus and malaria can involve multiple organ systems and are notoriously known for varied presentations. However, clinical malaria or scrub typhus is unusual without fever. On the other hand, altered sensorium with or without fever, dehydration, hemorrhage and hemolysis may lead to low blood pressure. Presence of toxic granules and elevated band forms in such patients can even mimic sepsis. When such a patient is in the peripartum period, it creates a strong clinical dilemma for the physician especially in unbooked obstetric cases...
2016: Qatar Medical Journal
Alaa Zien Alaabden, Yousser Mohammad, Sahar Fahoum
BACKGROUND: The exacerbation of chronic obstructive pulmonary disease (COPD) is a major factor for the high mortality associated with the disease. There is a paucity in the lung-specific biomarkers which diagnose these exacerbations. Surfactant protein D (SP-D) is a promising biomarker in predicting clinical outcomes for patients with COPD, is lung-specific and can be detected in serum. However, the profile in which serum concentrations of SP-D change during acute exacerbation is still unclear...
2015: Qatar Medical Journal
Yasser W Al-Mula Abed
We describe an elderly gentleman with end stage renal disease on haemodialysis who presented with ophthalmic zoster infection and was discharged on oral acyclovir. He presented again a few days later with confusion and expressive dysphasia. Differential diagnosis was mainly between varicella-zoster virus (VZV) associated encephalitis versus acyclovir toxicity. Cerebrospinal fluid analysis confirmed the diagnosis of VZV associated encephalitis and the patient was treated with intravenous acyclovir and steroids with full recovery back to pre-admission neurological status...
2015: Qatar Medical Journal
Parampil Thulasidharan Shibu Kandalam, Arif Nelliyulla Parampath, Hanan Ibrahim Farghaly, Salem Abo Salah, Muhammed Kunhi Kayakkool, Joe Varghese Mathew, Pradeep Radhakrishnan, Ibrahim Al Badawi, Saleena Farook
INTRODUCTION: Filariasis is an endemic disease with worldwide distribution in tropical and subtropical regions. It is uncommon in Qatar. The conventional diagnostic procedure is the demonstration of microfilaria in blood smears. Even with its high incidence, it is unusual to detect microfilaria in fine needle aspiration cytology (FNAC) smears. Although the 'filarial dance sign' is rarely documented, it remains a classical ultrasonographic sign in lymphatic filariasis. CASE PRESENTATION: We present a case of a 38-year-old male patient with fever, chills, shortness of breath and a tender warm swelling on his right thigh...
2015: Qatar Medical Journal
Gayane Melikyan, Saadat Kamran, Naveed Akhtar, Dirk Deleu, Francisco Ruiz Miyares
BACKGROUND: Multivessel cervical dissection with cortical sparing is exceptional in clinical practice. CASE PRESENTATION: A 55-year-old man presented with acute-onset neck pain with associated sudden onset right-sided hemiparesis and dysphasia after chiropractic manipulation for chronic neck pain. RESULTS AND DISCUSSION: Magnetic resonance imaging revealed bilateral internal carotid artery dissection and left extracranial vertebral artery dissection with bilateral anterior cerebral artery territory infarctions and large cortical-sparing left middle cerebral artery infarction...
2015: Qatar Medical Journal
Lamia M Al-Naama, Mea'ad K Hassan, Jawad K Mehdi
BACKGROUND: Sickle cell anemia (SCA) is an inherited blood disease with known complications as a result of certain pathophysiological dysfunctions. It has been suggested that an increase in oxidative stress contributes to the incidence of these changes. OBJECTIVES: This study investigated the oxidant/antioxidant status of patients with SCA, and evaluated the effect of SCA on antioxidant enzymes and their cofactors. METHODS: The study included 42 patients with SCA (in steady state), and a control group of 50 age-matched individuals without SCA...
2015: Qatar Medical Journal
Zakira Afghan, Abid Hussain, Muhammad Asim
Primary headache disorders account for the majority of the cases of headache. Nevertheless, the primary objective of a physician, when encountered with a patient with headache is to rule out a secondary cause the headache. This entails a search for specific associated red-flag symptoms or signs that may indicate a serious condition, as well as a heightened suspicion of and evaluation for a don't miss diagnosis. We present a case of a high-school student whose first manifestation of systemic lupus erythematosus (SLE) was a headache due to cerebral venous and sinus thrombosis, initially misdiagnosed as tension-headache and 'ophthalmoplegic migraine' (now known as 'recurrent painful ophthalmoplegic neuropathy')...
2015: Qatar Medical Journal
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