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- Volume 2005, Issue 2
Qatar Medical Journal - Volume 2005, Issue 2
Volume 2005, Issue 2
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Ibn Al Nafis: (Abu Al Hassan Ala Addin Ali Ibn Abu Al Hazm) (1210 – 1288): The Scholar, the Manuscript and the Internet!
The manuscript on the cover page has a story. Back in the early 1970's in the medical school, an eminent professor of physiology arrived to give us “the Circulation”. We were proudly amazed to see his first slide, which he displayed for over 10 minutes for everybody to see. It was in arabic handwriting.
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(First Available Description of Circulation) Ibn Al Nafis Original Manuscript and Translation
By A. A. Gehani“And this is the right one of the two Cavities of the heart. If blood was to be “purified” in these cavities, it must pass to the left cavity where the “soul” is generated, but there are no passages between the two cavities. The mass of the heart here is dull and has no visible apertures, as some people wrongly thought. In fact, there are no invisible openings suitable for the passage of blood, either as Galen wrongly thought. The cavities of the heart i Read More
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Insight into the New Changes in European Resuscitation Council Guidelines for Adult Resuscitation (2005)
Authors: W. Ibrahim and A. A. GehaniIt is five years now since the last European resuscitation guidelines were published(1). The science of resuscitation has been enriched with further significant scientific evidence that has led to new evidence-based guidelines. These guidelines were released in November 2005 and published in the international Journal of Resuscitation, November 2005(2).
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Challenges and Controversies in the Management of Hepatitis C Virus Infection (Part 1)
Authors: N. B. Bel Haj and M. H. GiafferHepatitis C virus (HCV) is emerging as a public health issue in most counties worldwide. The prevalence of HCV infection varies among different geographical areas from 0.5% to 40% with an overall global prevalence of 3%. The WHO estimates that around 170 million people are chronically infected with HCV world wide. Hepatitis CV infection causes a slowly progressive liver disease in over 60% of infected individuals culminating i Read More
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Ximelagatran, the Oral Anticoagulant of the Future An Evidence Based Review
Authors: A. Salam, U. Al Homsi and A. A. GehaniThis article presents the available data on Ximelagatran, a novel oral direct thrombin inhibitor and explores its therapeutic potential Recent large clinical trials have evaluated the efficacy and safety of this anticoagulant compared to the standard anticoagulation therapy with warfarin and heparins in several thrombotic disorders. These trials provide strong evidence for the efficacy and safety of ximelagatran in the following clinical indicati Read More
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Improved Screening of Donor's Blood for Malaria: A Qatari Experience
Authors: A. Amer, A. Al Malki, B. Yousef and H. Al MutawaMalaria is one of the most widespread infections globally and is undoubtedly responsible for the majority of all cases of transfusion-transmitted disease in the world. Qatar is free from endemic malaria. However; cases are seen with the large expatriate work force imported from malarious areas. These constitute a significant percent of the blood donors’ pool (34%). Over a 27-month period, among 5845 volunteers tested for malaria, 21 were Read More
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Outcome of the Treatment of Retinopathy of Prematurity in Qatar
Authors: M. M. El Shafei, V. R. Rodriguez and F. E. MartinezTo evaluate the results of the treatment of Retinopathy of Prematurity (ROP) patients in Qatar a retrospective analysis was made of 43 infants treated between January 1999 and December 2002 initially with indirect laser transpupillary photocoagulation. Cryotherapy was used only on those needing re-treatment. A favorable outcome overall was obtained in 40 cases (90%) after ten received re-treatment. The statistical interpretation, compli Read More
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Hybrid Lumbar Fusion: A clinical and radiological review at 2 years
Authors: P. Dyson, K. Abuhadra and M. WarrenWe report on our first 20 patients treated with hybrid lower lumbar stabilization, in which one or more segments were treated with caged interbody fusion by PLIF technique and one or more adjacent segments were stabilized using GRAF instrumentation. The indications for interbody fusion included spondylolysis; previous failed disc surgery, and primary discopathy with positive discography and/or active modic signal on MRI. The indicatio Read More
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Epidemiology of Breast Cancer in Qatar 1999-2000
More LessThis is retrospective study of breast cancer in Qatar during period 1999-2002, using cancer registry data. A total 214patients were diagnosed with breast cancer; with incidence of5/10,000 ofpopulation per year; accounting for l3.3%of new cancer cases and 29.9%of all female cancer. Male breast cancer is rare accounting for 3.2% of total number. Qatari patients were 23%and non-Qatari patients were 36.2%. The disease more common in ages Read More
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Hypothermia in Infants: The Important Factors
Authors: T. Al Hammadi, T. Sinha, O. K. Ahmed and S. B. HamoudaA prospective consecutive observational study over a period of six months was conducted in the pediatric surgical theatre of Hamad General Hospital, Qatar; on infants aged one day to one year who required general anesthesia with or without regional anesthesia. It was found that neonates (aged 1-29 days) had difficulty in maintaining a stable body temperature despite various methods of promoting warmth. Infants (aged 1-12 months) und Read More
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Study of Patients with Heat Stroke Admitted to the Intensive Care Unit of Hamad General Hospital, Doha, Qatar During Summer 2004
Authors: F. Y. Khan, A. Kamha and A. El HidaySummer shade temperatures in the State of Qatar are commonly above 40 °C making heat stroke a big problem in unacclimatized outside immigrant workers. Seven males were admitted with heatstroke to the ICU, Hamad General Hospital between 4th July and 24th August 2004. Presenting signs varied but included coma, abnormal behavior; aggression, mental confusion, fits, hypovolemic shock and respiratory failure, metabolic acido Read More
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Tension Free Vaginal Tape (TVT) Procedure for Female Stress Incontinence: Qatar Experience
Authors: I. Farid, I. Aboud, M. A. Al Blushi and Z. S. Al MansooriA retrospective study was conducted on the records of 44 women who had received tension-free vaginal tape as a primary or secondary procedure for the treatment of stress urinary incontinence. Intra-operative complications were uncommon, operative time and hospital stays were short and late postoperative complications were few. 36(81.8%) women became dry, six cases (13.6%) are satisfied and two patients (4.5%) are still compla Read More
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Osteoid Osteoma of the Spine is an Important Cause of Back Pain: Two Cases and Review
Authors: E. G. Al Maqdassy and M. M. BakdashTwo cases are reported and discussed of osteoid osteoma in the spines of two children, presenting as nocturnal low back pain irrelevant to any position or activity. Plain radiographs of the lumbosacral spine, Technetium-99 bone scan and computerized tomography (CT) were used to locate and verify the lesions. Both were then excised by open surgery and confirmed by a post-operative CT scan. A review of all the known and updated modalitie Read More
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An Unusual Common Bile Duct Foreign Body
Authors: M. Khairat, H. I. Allam, N. Sholiek and H. KassemA 35-year-old man developed obstructive jaundice ten months after laparoscopic cholecystectomy. Endoscopic retrograde cholangiography extracted a foreign body from the common bile duct. Histopathological examination revealed that the extracted foreign body was the remnant of vicryl endoloop with calcification around. Since laparoscopic surgery has become a very common procedure, endoclips and endoloops are used more freque Read More
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Hemolytic Uraemic Syndrome Associated with Pregnancy
Authors: N. M. Sheikh, M. A. Kettern and A. H. A. AhmedHemolytic uraemic syndrome (HUS) and thrombotic thrombocytopenic purpura (TTP) are described as acute syndromes with multisystem abnormalities and pentad of thrombocytopenia, microangiopathic hemolysis, neurological symptoms, renal impairment and fever. Both diseases were believed to form a continuum of the same disease, but recently it was found, that they were having a different pathophysiology, as TTP patients have a d Read More
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Stenotrophomonas Maltophilla Isolated from the Sputum of the Patient with Cystic Fibrosis Mutation I1234V: First Qatari Report
Authors: A. Abdul Wahab, I. A. Janahi and S. El ShafieA 17 year old Qatari female of Arab descent with cysticfibrosis (CF) carrying pathogenic mutation I1234V had severe respiratory disease associated with chronic Pseudomonas aeruginosa broncho-pulmonary infection with recurrent episodes of mild hemoptysis. Despite regular courses of intravenous anti-pseudomonal antibiotics, she continued to deteriorate over six months and died. It is suggested that the presence of Stenotrophomonas malt Read More
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Plexopathy in a Heroin Addict
Authors: S. Ahmed, A. Hashem and Z. I. BitarMuscle and peripheral nerve disorders are important complications in intravenous heroin abusers. Rhabdomyolysis and acute lumbosacral plexopathy are important in the differential diagnosis of patients developing muscle weakness in an intensive care unit after intravenous overdoses of heroin. A 25-year-old man developed rhabdomyolysis with neuromuscular involvement, and consistent clinical and electrodiagnostic features of lumbar pl Read More
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