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Qatar Foundation Annual Research Forum Volume 2010 Issue 1
- Conference date: 12-13 Dec 2010
- Location: Qatar National Convention Center (QNCC), Doha, Qatar
- Volume number: 2010
- Published: 13 December 2010
1 - 50 of 166 results
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Cost analysis of road accidents in the State of Qatar
Authors: Khalifa Al Khalifa and Hamouda Abdel MagidAbstractRoad accidents generally receive less public attention than other types of transport-related accidents. This could be due to the importance placed on road safety by a country or society. In some societies, road accidents are accepted as fate. These societies fail to understand that road accidents are preventable and result in significant losses of resources. One way of bringing the importance of road safety to the attention of governments and societies is to show the real cost of accidents.
There are two main uses for estimate of crash costs in developing countries. First, an estimate of total annual costs of traffic crashes can be used for resource allocation at a national level to ensure road safety is given due recognition. Second, estimates of unit crash costs by injury severity can be used to ensure that best use is made of any investment, through economic appraisal. In evaluating the safety measures through cost benefit analysis, policy makers require a reliable monetary estimate of the benefits of reduced occurrences of crashes. The study reported in this paper is, to the authors’ knowledge, the first ever attempt to estimate the socio-economics costs of accidents in the State of Qatar. Accident data and cost figures of the years 2005, 2006 and 2007 are considered to make the estimation of annual accident cost of Qatar.
This paper aims to review accident costing methodologies which are applied in developed and developing countries. Various methods exist for costing of road accidents and the method used in this current study is the gross output (or human capital) approach. This method takes into account the loss of resources such as vehicle damage, medical treatment, police and administration cost, and damage to street furniture. It also takes into account the cost of pain and suffering of the victim and to those who care for the victim. When properly incorporated in safety project evaluation, the findings of this study should help promote investment in road safety.
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Success strategies of small states: the State of Qatar comparedto Switzerland, Singapore and Lebanon
By Mark FarhaAbstractThis study compares the rapid evolution of Qatar to that of the disproportionally influential small states of Switzerland, Lebanon and Singapore. Though set apart by history and circumstance, these states share a set of common traits, including a limited size, high vulnerability to external shocks, diplomatic dexterity, a salient presence in conflict mediation, high reliance on imported migrant labor, export-led growth, as well as a drive to maintain an efficient infrastructure and a skilled human capital base in highly competitive economies. As of 2009, Switzerland ranked as the world's most competitive economy, Singapore towered as Asia's number one, while Qatar topped the Middle East and North Africa.
Sources of success and vulnerability were two sides of the same coin. Openness to global trade and diplomacy allowed each state to market its skills and products beyond its size. At the same time, the paper contends that rapid global integration could lead to domestic dislocation, triggering compensatory governmental measures in response. The paper examines the respective responses of each state to the global credit crunch, spreading consumerism and geopolitical instabilities. The recent 2008 global recession acutely highlighted both the predicament of vulnerability, and the potential for superior resilience exhibited by these small states. The paper argues that while each state departed from country-specific comparative advantages (i.e. Qatar's hydrocarbon reserves, Singapore's port and high-tech industries, Switzerland's quality manufacturing and banking, Lebanon's financial services, education and tourism), the respective political leaders have espoused a similar paradigm of comprehensive social development. This study identifies the potential perils emanating from both within and without its borders, which, if averted, may allow Qatar to dispel the ‘rentier curse’ by establishing itself as a proactive leader in the fields of good governance and human development, further closing the gap with global frontrunners such as Switzerland and Singapore.
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Dohaland research: search for a contemporary Qatari architectural language that is ‘modern rooted in the past’
By John RoseAbstractSince its inception in early 2009, Dohaland has been tasked by its Board of Directors to support the intellectual and cultural efforts of Qatar Foundation by extending its work beyond day-to-day real estate development activities to include research projects that focus on the built form, the life patterns of Qatari residents, etc. This presentation will present and discuss current and future research-related projects and activities under the Dohaland research program including:
- Gulf architectural encyclopedia research
- Qatari architecture research
- Qatari cultural/socio research: (slavery, living/oral history, oil and gas inception, MHOD memory center)
- Coordination with Qatar Science & Technology Park re-applied research
These subjects are in early phases of work and can be tracked in the future as they further develop.
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Developing an information resource on Islamic medicaland scientific ethics
By Frieda WiebeAbstractThe Bioethics Research Library at Georgetown University and Georgetown's School of Foreign Service Library in Qatar are working together to establish an information resource covering Islamic thought on medical and scientific ethics. We plan to include both historical and contemporary writings in English and Arabic, as well as in other languages, when possible. Ultimately, we intend for this three-year initial project to produce not only an online database, but also to form a core collection within Qatar's Central Library and to enhance the Bioethics Research Library's collection in Washington. All of these efforts are focused on serving researchers and educators in the region and around the world.
Staff members who are working on the project are fluent in Arabic or Farsi, and are educated in Islamic Studies, librarianship, and information technology. A variety of professional and organizational contacts are being pursued in order to identify and acquire relevant scholarly material. Although some of the foreign-language cataloging has commenced, we continue to explore database software appropriate for displaying accurately Arabic and Farsi characters as well as related transliteration. English-language cataloging and indexing is well underway using existing software.
In the first year of the project, we identified 646 documents in English, Arabic and Farsi and began indexing them, using a specialized vocabulary to address new topics. “Keywords of Special Interest to Islamic Medical and Scientific Ethics (IMSE) Database Searchers” is available online. New terms have been integrated into the current “Bioethics Thesaurus,” offered in full as an online thesaurus database at http://bioethics.georgetown.edu/databases/bt/index.htmlAdditional access terms are suggested in the Keywords list to help searchers.
We invite you to explore the Islamic Medical and Scientific Ethics database at http://bioethics.georgetown.edu/collections/islamic/index.html and are eager for your feedback.
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Checks on nanotechnology treatment in the light of Islamiclegal purposes and outcomes
More LessAbstractIt is known that medicine, like Islamic Sharia, was designed to bring about benefits and to ward off harm; therefore Islamic Sharia made it obligatory that medicine should be learned and taught, and considered this a collective duty.
Treatment using nanotechnology is at the fore of new medical technologies; a ruling on it would thus constitute a part of understanding it, through knowledge of its methods, purposes and dimensions and exploring its future to learn the intentions of those performing it.
Islamic Sharia has placed this treatment in the framework of an ethical, objective approach governing the relationship between doctors and patients by employing means of balancing purposes.
Nanotechnology treatment revolves around the preservation of the soul from non-existence through disease prevention, the preservation of species with respect to its existence through fertility and the preservation of the mind from nonexistence by delaying the weakness of old age; in whichever way one looks at it, the purposes of Islamic Sharia are there!
This serves as an entry point to meeting objectives, using the tools of creative jurisprudence at times and constructive jurisprudence at other times, introducing the legal regulation of checks in the regular manner and using a purpose-based approach. This is so that we know whether the outcome of treatment with nanotechnology revolves around acting or failing to act or between outcome-based jurisprudence or jurisprudence on its outcomes? In this way, we come to a conclusion as to whether a compromise can be been reached between the purposes of those performing the treatment and the purposes of Islamic Sharia?
Through this approach, this study represents an attempt to renew our understanding in order to invigorate science within an intention-based vision using the preferred tools of contemporary jurisprudence.
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How effective are the student recruitment methods used by Qatar's EducationCity universities?
More LessAbstractThis paper is based on a research study conducted to explore the effectiveness of the students recruitment/marketing methods used to recruit students in Qatar's Education City branch campuses. The desire of the author is that university branch campuses in Qatar and elsewhere may be stimulated to revisit their marketing and student recruitment plans and activities to better reach prospective students. The paper also explores the difficulties and challenges of marketing and student recruitment these institutions encounter in an attempt to provide ways to overcome these problems and make marketing and student recruitment more effective.
Previous research on marketing and student recruitment methods in higher education as well as the marketing concept, effective marketing, relationship marketing, student enrolment behavior theory and collaboration in marketing are examined. Following the review of literature, data on marketing and student recruitment methods adopted by each branch campus were collected via a questionnaire. The questionnaire was sent to marketing/admissions staff of the branch campuses and semi-structured interviews were conducted for the same population in addition to a few public affairs officers and Education City officials. Detailed information about how effective each marketing method is and the challenges associated with each was collected and analyzed. Some documents and website pages were also examined.
The responses of the questionnaire and interviews revealed that some methods, such as school visits, counselor events, information sessions and a dedicated exhibition for Education City institutions are very effective in student recruitment. On the other hand, educational exhibitions and websites were found not very effective. Student activities recently adopted by some institutions are yet to be assessed. Additionally, the research indicated that the challenges marketing and admissions staff encounter are logistical, administrative, financial, cultural and language-related. Some recommendations were offered to overcome these challenges and enhance the effectiveness of marketing and student recruitment at Education City institutions.
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Female ESL teachers’ perceptions about their roles and professional development needs in Qatar's ‘Education for a New Era’
More LessAbstractResearch shows that successful educational reform is multi-faceted, requiring rigorous planning and investment in teacher professional development.
The focus of this study is female ESL teachers in Qatar's public school educational reform, Education for a New Era, which created 36 publicly funded Independent Schools with a standards-based curriculum using English as a Second Language as the medium of instruction in mathematics and science. The research investigated the perceptions of female ESL teachers regarding Qatar's reforms and their experiences using new approaches to teaching ESL. Professional development needs were also identified.
A mixed method approach was used. A questionnaire was distributed to 233 female ESL teachers and 18 semi-structured interviews conducted. Generally, teachers valued increased freedom, but expressed a lack of support, and noted increased workloads and conflicts between professional roles and private lives. Change facilitators were seen as supportive. Views about school administrators varied.
After analysis and presentation of the findings, I concluded that while educational reform in Qatar had been largely conceptualized from the top down, close attention is still needed regarding the role of female ESL teachers in the process of implementation. In particular, since reform is dependent upon sustained professional development for ESL teachers.
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A comprehensive study on disability and the conditionsof people with special needs in Qatar
By Hala Al-AliAbstractIn undertaking any study, the National Human Rights Commission starts from the reality of the people's daily life. This stems from the fact that the objective of the legal texts related to human rights is to provide protection and empowerment to those who represent their primary object, i.e. human beings.
In order to achieve this goal, this study includes academic aspects, national legislations and international standards, in addition to methodical field research.
This study begins with the definition of Article No. (4) of the International Convention on the Rights of Persons with Disabilities, which lays the foundation for the research methodology which was based on consultation with people with disabilities, their parents and specialists, in addition to teachers of special education and their assistants at the centers that deal with people with special needs.
Chapter I of the study includes an explanation of the concept of equal opportunities and the emergence of the idea of ‘integration’ as a fundamental right of persons with special needs in order to give them equal opportunities with their peers, therefore, the meaning of educational integration was explained, along with its conditions, benefits and its importance.
Chapter II includes an explanation of the types of disability through brief academic definitions, followed by statistics on disability in the State of Qatar. Further, the study demonstrates the causes of disability, such as genetic factors in the marriage between relatives, in addition to environmental and health impacts.
Chapter III of the study marks the beginning of the conducted field research for a number of institutions in Qatar, such as Qatar Society for People with Special Needs, the Shafallah Center and Al-Nour Institute for the Blind, and others.
Field research was based on spending a long time at the centers for people with special needs, conducting discussions and asking detailed questions. Disabilities discussed include motor disabilities such as polio to audio-visual disabilities, autism and mental retardation with various levels of intensity in addition to cerebral palsy and rare disabilities. This study has documented the services claimed to be provided by every center in interviews conducted with the managers and workers, then moved on to direct observations, extrapolation of answers, then comparing all such data to national legislations and international standards contained in the Convention on the Rights of Persons with Disabilities.
As a result, there were a number of positive and negative remarks regarding the activities of these centers and the services they provide. The study was not restricted to methodical criticism, but has also provided each center with recommendations and videos, in order to avoid the shortcomings found. In its final part, Chapter IV, the study has concluded with a general outcome that disability represents a concept that is still under development, and the State has made already some achievements in caring for persons with special needs, comparing to the period of time when the State began to pay attention to the issue of disability. Nevertheless, there is still a lot of work to be done in this regard. The study concluded with fifteen recommendations of a practical nature, to advance the conditions of people with special needs.
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Participation of women in Qatar's labor force
Authors: Kien Le and Abdoulaye DiopAbstractQatarization, a process to increase the number of Qatari nationals in the labor force, is considered one of the country top priorities to ensure its long-term economic development and security purpose. As 96 percent of Qatari men and 43 percent of Qatari women are currently in the labor force and women are more educated than men on average, it is clear that a significant increase in the labor force, especially in high skilled jobs, can only be achieved by increasing the participation of women in the labor force. It is therefore important to understand the factors that influence the decision of Qatari women to participate in the labor force. Using a nationally representative survey data and recent advances in the quantile regression technique, we analyze women's willingness to participate not only at the mean value (given by well known logistic regression) but also at its various quantiles. We found that the offer wage rate, age and education plays an important role in women decision to join the labor force. These factors have a positive effect on women's participation, but the effect varies across quantiles. The effects of marriage and having children, contrary to normal expectation, are not statistically significant, suggesting that once women enter the labor force they are not likely to exit because of marriage or children. We also discuss policy implications of the results to the Qatarization process.
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Attitudes toward expatriate and labor migrant workersin the Arab Gulf countries: mixed results from Qatar
Authors: Abdoulaye Diop, Kien Le and Darwish AlemadiAbstractThis paper presents an overview of Qatari citizens’ attitudes toward expatriate and labor migrant workers in Qatar. It is based on the first ‘scientific’ survey of Qatari citizens and residents (expatriates and labor migrants) conducted by the Qatar University Social and Economic Survey Research Institute (SESRI) in May/June 2010. The main objectives of this paper were threefold: first, to assess Qatari attitudes towards the presence of these expatriate and labor migrant workers in Qatar. Do Qatari citizens support or oppose the restrictions on the number of foreign workers in the country? How do they evaluate the number of expatriate and labor migrant workers present in the country? Second, to evaluate whether these attitudes translate into negative or positive attitudes toward migrant workers and their contribution to Qatar? Do Qatari citizens think that expatriate and labor migrant workers strengthen their country and help to build its economy, or do they think they weaken the country and put a strain on its resources? Finally, the paper will present and analyze Qatari citizens’ attitudes toward the sponsorship system or Kafala. Do Qatari citizens support the change of the sponsorship system to make the migrant workers more dependent on their employees, less dependent on their employees, or do they want to maintain the status quo. The paper makes use of univariate, bivariate and multivariate analyses and differences will be determined using chi-squared and t-tests. The mean number of responses to certain questions will be compared across the demographic groups to highlight subgroup differences.
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Enhancing the development impact of remittances: a study ofdirect payment and savings facilities for Filipino workers in Qatar
More LessAbstractInternational remittances are playing an increasingly important role in the economies of developing countries. Aside from being an important source of foreign exchange for many recipient countries, recent research has shown that households that receive remittances are more likely to leave poverty status, to send their children to school and to invest in small enterprises, health, education and housing. While remittances bring numerous benefits to households in developing countries, little is known about the extent to which remittance flows are reduced by the fact that migrants have limited ability to monitor and control how remittances are spent by beneficiaries. This research aims to investigate whether the introduction of new, innovative financial services can enhance the ability of migrants to save, monitor and control how their remittances are utilized. In partnership with a financial institution in the Philippines, we have designed two new financial products that will be offered randomly via a field experiment, to a sample of Filipino migrants in Qatar enrolled in this study. The first financial product is a commitment savings account that has the potential to raise household savings for clients with self-control concerns. The second financial product is a direct (bill) payment facility that allows a migrant to pay vendors in the Philippines directly. The offer of financial services to the migrant is to enable them to either save more of their remittances (using the commitment savings account) and/or make payments directly to vendors in the Philippines (with the direct payment facility), as opposed to having their families back home arrange payments. All subjects in Qatar and their origin households in the Philippines will be administered a baseline survey covering employment, income and expenses, level of remittances, financial services used and desired and savings. A follow-up survey will be administered later to the migrant and their households in order to determine the use of the new products and its impact on the level and use of remittances or more generally household expenditures.
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Qatari women and the internet: an analytical studyfor patterns of use and utilization
More LessAbstractThe State of Qatar has exerted relentless efforts towards activating the participation of Qatari women in the use of information and communication technology (ICT) in general and the use of the internet in particular. Female participation and involvement in this field is considered to be one of the priorities included in the plans and projects of the Qatar's ICT Strategy. However, research endeavors which analytically address the use of the internet by Arab women in general, and Qatari women in particular, are rather scarce.
The main purpose of this research paper, representing a national survey sponsored by Qatar's SCFA, is to investigate the patterns of use and utilization of the internet by Qatari women. In its attempt to achieve this purpose, the paper explores the impact of social, marital, educational, and economic status of Qatari women on their use of the internet. It also identifies Qatari women views and attitudes towards the internet as well as the difficulties and obstacles that impede their use. Hence, it provides a clear understanding of Qatari women's utilization patterns of the internet concerning the frequency, aims, methods of use, and the impact of this use on various aspects of their daily life.
The study adopts an analytical descriptive method. A survey instrument in the form of a questionnaire was designed and administered as the main data collection tool for the purpose of this study. The validity and reliability of this instrument were determined using referees validation and pilot trial sample respectively.
The main factions of Qatari women representing the population of the study include government employees, private sector employees, public sector employees, university students, and housewives. A total of 2367 questionnaires were distributed among a stratified random sample of Qatari women in 26 of the major employers in Qatar including: ministries, universities, banks, financial organizations, and major corporations such as QTEL, HMC, and QP. The response rate was relatively high, 1618 questionnaires were returned representing a response rate of 68.3%. Both descriptive and inferential statistics techniques were employed for the purposes of data analysis.
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Proof of concept ‘A Portable Architecture for Qatar’
Authors: Roman Turczyn and Peter ChomowiczAbstractThe proof of concept is a research-based analysis by Virginia Commonwealth University in Qatar, Center for Research in Design to evaluate the feasibility of converting surplus ISO shipping containers into housing units for migrant workers in the State of Qatar.
The project addresses the need for temporary labor accommodation associated with Qatar's rapid growth and development. The goal for this project is to identify a long-term, economical solution to this social challenge in support of Qatar's National Vision 2030 toward sustainable development.
The proof of concept evolved from its initial mandate of evaluating the feasibility of converting shipping containers for migrant worker housing into an enhanced scope of work that demonstrates how the results of our research could be used to develop a unique and innovative concept for ‘A Portable Architecture for Qatar’. This expanded agenda not only addresses the original mandate but also demonstrates the value of a holistic design approach. ‘A Portable Architecture for Qatar’ examines and identifies sustainable, economic options for application in urban, rural and remote construction site locations in Qatar and possibly for application as disaster relief where needed worldwide.
The vision of ‘A Portable Architecture for Qatar’ is to plan, design, prototype and commercialize a manufacturing system that combines best management practices of integrated, sustainable design with innovative planning concepts to serve the growing market for migrant worker housing in Qatar. ‘A Portable Architecture for Qatar’ is based on a business model that demonstrates cost effectiveness through reduced operating costs because of an integrated design approach. The concept is intended to meet and surpass international standards for migrant workers living conditions.
Taking the lead in this challenge will not only improve the lives of migrant workers but will also place Qatar in the forefront of improving the Gulf-wide image of human rights.
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How do Qatari females make it to the top? An examinationof organizational constraints to their advancement?
More LessAbstractAlthough Qatari females have increased their economic participation and reached remarkable educational attainment over the last decade, this success does not run parallel with balanced representation in management positions. Accordingly, this study was initiated with the aim of identifying the main organizational constraints encountered by Qatari females throughout their careers. The study revealed that although Qatari females have made good progress at medium and lower levels of management, they are still very poorly represented in senior management levels. It is also indicated that no discrimination is made against Qatari females in terms of selection and recruiting, working hours, training, and engagement in critical projects and compensation. Specifically, the study found that both gender specific and differences failed to explain the low representation of Qatari females in top managerial positions. However, it was reported that the promotion of Qatari females within organizations is still lagging behind. Gender-specific issues, such as females’ family commitments, were reported as the main constraint to their promotion from the male perspective, whilst gender-differences, such as uncertainty of real increased responsibilities and authority levels, were the main constraints to female promotion from the females’ perspective. In the absence of major organizational discrimination, this study concludes by recommending the greater inclusiveness of Qatari females in decision-making positions. The paper also suggests that greater accountability of organizations to advance females should be considered critically in order to ensure the advancement of Qatari females to the top.
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Road traffic accidents in rich developing countries: the caseof the State of Qatar
Authors: Abdel Magid Hamouda and Khalifa Al KhalifaAbstractQatar is a rich developing country, which suffers the consequences of explosions in both human and vehicle population. This has been accompanied by a heavy toll of deaths. Road accidents in Qatar do not only represent an important social problem but also an economic one. There is room for improving traffic safety in Qatar. A comprehensive traffic safety program is urgently needed.
In this paper an assessment of the current level of road safety in Doha, Qatar is made utilizing data obtained from secondary sources. The road safety level in Doha is assessed considering four parameters, namely, accident severity index, accident fatality rate, accident fatality risk and accident risk.
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The Role of Enlightened Leadership in Crisis Management:The Year of Famine
More LessAbstractThis study attempts to answer a key question which is the subject matter of this research problem: what are the lessons learned from the experience of the Caliph Omar Ibn al-Khattab as a model for enlightened leadership and good governance in the management of a famine crisis? The question is further subdivided into the following questions:
- 1: What is the role of leaders in crisis management?
- 2: What are the characteristics of the role played by the Caliph Omar Ibn al-Khattab in managing the crisis in the Year of Famine?
To answer these questions, the study was divided into four chapters, an introduction and a conclusion. Chapter 1 - discusses the concept of crisis management, Chapter 2 - the concept of leadership, Chapter 3 - the concept of good governance while Chapter 4 addresses the management of the crisis in the Year of Famine and the model of good governance of Caliph Omar ibn al-Khattab, and highlights the leading role of the State of Qatar and its civil society. Three methodological approaches were used: theoretical grounding of concepts, the purposes of Islamic Sharia and a comparative approach.
The study reached a number of conclusions, the most important of which are the emphasis on the importance of the political role of leadership, and that the concept of good governance was shown in the model of the Caliph ibn al-Khattab through sacrifice and responsibility.
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Simulation training for laparoscopic surgery with 3rd and 4th year medical students
Authors: Angela Brunstein, Joerg Brunstein, Anam Waheed, Davit Sargsyan and Bakr NourAbstractMedical education is characterized by apprenticeship reflected in ‘see one, do one, teach one’. This research investigated effects of practice and individual guidance by a mentor for laparoscopic surgery using a simulation engine. Based on earlier research, we expected that it would take extensive training for self-directed, experience-based learning to compensate for individual, on-time instruction that is typical for medical education.
Three groups of 3rd and 4th medical students trained to perform laparoscopic colecystectmy in 5 training sessions of 30 or 60 min. The mentored group received one-to-one individual guidance by a mentor during the complete training. A time-matched control group received exclusively feedback from the simulation engine. An extensive practice group was allotted double the time to compensate for missing guidance. Before and after training, their performance was analyzed for the first case in the system.
Mentored students performed better during the pretest than students from both control groups. After training those students performed as well without guidance as during the pretest with guidance. Participants from both control groups improved performance from pre-test to post-test. In addition, students with extensive training performed almost as well as mentored students during the post-test.
This implies that feedback provided by the simulation system is good enough for unsupervised students to reach a performance level comparable to mentored students, but it requires double the time for training. Next, we aim to improve the system's feedback to dramatically reducing training time while reaching the same level of performance.
For example, this means to provide in-time warning before committing an error instead of presenting an error message after committing it. This will prevent students from automatizing suboptimal or dangerous routines.
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What are the possibilities for taking up a physically activesubject position for young Qatari women?
Authors: Kelly Knez and Liza HunterAbstractBackground:Discourses constitute knowledge. They are multiple, contradictory and offer different ways of knowing and being that shift across time and space. Also, they offer ‘subject positions’ that can be taken up or rejected. If taken up, subject positions offer the individual a particular repertoire, a way of seeing and speaking about the world. Analysis of discursive constructions and subject positions of young Qatari women in relation to physical activity offers insights beyond a binary construction of norm and ‘other’. This is particularly important considering that dominant academic understandings of physical activity have been constructed through western systems of knowledge.
Purpose:This research explores the multiple subject positions available to young Qatari women constituting themselves as physically active. It challenges western notions of physical activity to introduce new ways of understanding physical activity and young Qatari women and the terrain negotiated in being physically active.
Methods:Grounded in feminist post-structuralism, this study employs semi-structured interviews with 10 young Qatari women aged 18-25 years. Interviews were transcribed then analyzed using discourse analysis.
Results:Young Qatari women negotiate an array of cultural discursive practices including those deeply enshrined within Qatari tradition and culture and the medicalized view of physical activity as something which ‘should’ be done for good health. The ‘physically active’ subject positions available to young Qatari women vary, but tend to be bounded by discursive practices of family, tradition and gender.
Conclusion:Opportunities for young Qatari women to constitute themselves as physically active subjects are enabled and constrained by strong discursive practices of family, gender and tradition. Understanding the impact of such practices invites discussion about new possibilities for different positions that capture being young Qatari women as well as being physically active.
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Towards a national project to plan and build cultural values and Arab personal skills for the 21st century
More LessAbstractThis study answers the following main questions:What system of concepts is related to the strategic planning and building of values? What are the reality, dimensions and outcomes of the conflict of values, and their relationship to identity and society's potential for growth and advancement? Are we suffering from a crisis in the planning and strategic construction of our values? Do we have a national project for planning and building values and preserving our identity? What are the reasons for the weakness of Arab educational products compared to their Asian and Western counterparts? What moral and educational requirements do people living in the twenty first century have? What are the most important international experiences in the planning and building of values and creating a new generation capable of actively contributing to the development and progress of society and the nation? How can we have a national project for planning and building values and preserving our own identity?
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Knowledge-based urban development paradigm: Doha asa model for a knowledge and creative city in the Middle East
By Ali Al RaoufAbstractQatar's future vision, named Qatar 2030, is forecasting an economy based on knowledge and creativity rather than depletable natural carbon resources. Knowledge and creativity are perhaps the most important factors in the future of a city's economy, and there is a growing interest in the concept of the “knowledge and creative city”. A knowledge and creative city is not just a regular city. It is a growing space of exchange and optimism in which each and everyone can devote themselves to personal and collective projects and aspirations in a climate of dynamism, harmony, and creativity. The main purpose of this research is to explore the ‘knowledge city’ concept in depth. It will discuss the principles of a knowledge city, and portray its distinguishing characteristics and processes. A solid argument will be constructed to illustrate that the concept of knowledge cities is rooted in the urban, cultural structure of traditional Arab cities. Therefore an attempt to foster this concept in today's Arab/Middle Eastern cities would not be possible by building isolated technological statements scattered around the city. Alternatively, the rise of the network society, global networks, linked cities and the existence of smart communities should construct the basis for shaping Arab Knowledge Cities. A focus on Doha as an emerging knowledge and creative city amid the Middle Eastern cities will be included to examine the main hypothesis of the research.
‘What are the qualities of future cities?’ becomes a crucial question and its answer creates a challenge for architects, urban designers, planners, developers, and decision makers around the world. This research will answer this question by articulating a new matrix for knowledge and creative city formation. Doha will be used as a model for such a new paradigm of knowledge-based urban design and development in the Middle East. The Middle Eastern cities are not only exceptions, but would require major social transformations to join the knowledge economy era.
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4D Doha: mapping Qatar's built environment over time
Authors: Kelly Hutzell, Rami El Samahy, Kristina Ricco and Spencer GregsonAbstract4D Doha is a both an art installation and a repository of information about Doha's growth over time. It is the result of a research project undertaken by professors and students of Carnegie Mellon and is funded by Qatar Foundation. This website and installation is led by Kelly Hutzell and Rami el Samahy, with team members Kristina Ricco, Spencer Gregson and Blake Lam.
The pace of change in Doha, Qatar over the last sixty years challenges the imagination: new buildings and even new land has been created as the city has grown from a tiny village to one vying for world-class status. Infrastructure projects aim to strengthen the country's connections to the region and the global economy, while planned mega-scale mixed-use projects will expand the capital city of Doha to more than twice its current size.
4D Doha addresses these transformations by tracing the physical growth of the city across time through an interactive display that allows users to track a variety of changes through different eras, from the pre-oil period of 1947, through the current expansion facilitated by natural gas extraction, followed by the potential for continued diversified economic and physical growth. The project focuses on making spatial what was once only available as two-dimensional information, allowing one to examine the morphology of the buildings, the road network, and landfill additions creating sea ports, airports and causeways. Data has been acquired through a critical urban reading of historical aerial imagery, as well as current Geographic Information Systems (GIS) information. Through British aerial surveys of the country taken periodically from the late 1940's to early 1980, as well as subsequent aerial views, the project team created a series of twelve historical mappings, tracing the transformation of the city from 1947 to the GIS information for the present day. The two-dimensional urban fabric was then three-dimensionally modeled using Rhinoceros and City Engine software programs. Final processing allows one to access the interface through three distinct portals: view, time and data. These hypermedia maps integrate both narratives and historical images so that one encounters interpretative pathways while exploring the interface.
The initial phase of the project is intended to serve as a catalyst to collect and disseminate further content on Qatar's urban growth. It is the aim that the project be both an educational website, slated to debut in fall 2010, as well as a permanent installation in the Carnegie Mellon Qatar building on Education City's campus.
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The image of the United States portrayedin Arab world online journalism
More LessAbstractResearch problem:This study is trying to examine to what extent online journalism in the Arab world has adopted biased coverage of the United States. The study hopes to provide a current assessment of how the US is portrayed in Arab world online journalism. This valid, updated information will enable researchers and communicators alike to better understand not only what is being done, but may lead to ways of providing a solid basis for better dealing with American issues and images in the future.
Research Hypotheses:- There are differences among web sites (whether biased or not) in image type, covered topics, US image, used evidences, main concentration, ways of distortion, salience, main issue, news values, attraction tools, included figures.
- There is a positive correlation between image bias (totally biased, totally objective, somehow objective/biased) and image type (negative, neutral, positive).
- There is a correlation between website affiliation (Arab and non-Arab websites) and website bias, US image and image type (negative, neutral, positive) of the United States.
- There is a correlation between US image and used appeals, evidence, evidence type and main concentration at the materials.
Research Methodology:Eight online news websites were been selected among 14 are considered the most important news websites at the Arab world based on the nomination of some experts in this field. News and editorial materials at the first page and internal topics which had any signs at the front pages were also analyzed.
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Within-household sampling: searching for a better methodconditional on household size information
Authors: Kien T Le, Abdoulaye Diop and Darwish Al EmadiAbstractSurvey research has been used widely in various social sciences. A random selection of a survey respondent at the household level (so called within-household sampling) is critical for any valid statistical inference with the survey data. In this paper, we will review existing sampling methods. Some methods ensure the randomness, but require a lengthy and intrusive process and hence reduce cooperation. Some methods provide a quick and simple sampling at the expense of the randomness. Although household size information is collected in most of these methods, this information is not fully used. The question that these methods try to answer is how to randomly sample a person. In this paper, we argue that the method should be developed not to answer this question but to answer the question about how to randomly sample a person conditional on (or given) the household size. Compared to the current “one size fit all” methods, it is always better to use a method that allows for different ways of sampling for different household sizes. We then develop a sampling method that is conditional on the household size and use it for a survey in Qatar, a country with large household size population, a characteristic which is typical to the Middle East and Developing countries. We will show difficulties when current methods are applied to these countries and how our method can overcome these difficulties.
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The significance of the People Factor in project cost estimates
More LessAbstractPeople and major projects are vitally important to the future of Qatar. The development of methodologies is important to the research community. This study brings together people, megaproject and research methodology by investigating in detail the interactions of people and project management systems at the conceptual cost estimate stage in order to identify implications and improvements. The research problem has a number of distinct dimensions; technical and human aspects operate and interact at the different levels of the individual, project team, organization and society. In addition, external factors, the nature of the project and the approach to project management also impact on the events and interactions involved. The problem situation generates the following objectives; to identify the technical and people factors and issues influencing the preparation and application of conceptual cost estimates, to understand how these factors interact, to ascertain the relative importance of different factors at different levels and to assess the implications for theory and practice of project management. The study will investigate: how conceptual cost estimates are currently produced and used in practice, including estimating techniques and software used; what factors influence their use, in particular factors related to people; how these factors interact and which exert more influence on the process; and finally, the theoretical and practical implications of this study for communities of practice, project management practitioners and academics. A wide-ranging literature review uncovered the complexity of the field. It also highlighted the need for an innovative approach to methodology, involving activity theory at the data collection stage and grounded theory and human factors error analysis as well as activity theory at the data analysis stage in order to identify the strengths and weaknesses of these different analyses in terms of the information they yield. It is argued that in management research, new insights require creative yet academically robust approaches that address multiple dimensions and perspectives of the complex and often ambiguous socio-cultural contexts situations they seek to analyse. The data analysis in this study will view the findings through a variety of theoretical lenses in a novel approach to capturing complexity.
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Building a biomedical research program in Qatar
More LessAbstractThe State of Qatar under the leadership of His Highness the Emir Hamad Bin Khalifa Al Thani has invested heavily into higher education and research infrastructure development through Qatar Foundation under the leadership of Her Highness Sheikha Mozah Bint Nasser Al Missned. Part of that effort is the establishment of the biomedical research program at Weill Cornell Medical College in Qatar (WCMC-Q), which, in collaboration with other stakeholders in Qatar, aims at instituting a world-class biomedical research program in Qatar. This presentation will highlight the efforts over the past two years expanded toward establishing the WCMC-Q research program. It will present a model for research infrastructure ramp-up in Qatar and the region. We will discuss: research support services including compliance and grants and contracts; the organization, staffing and high-end equipment of core research laboratories that are becoming increasingly important for collaborative biomedical research; and scientific areas of focus for the WCMC-Q program in the context of national priorities, including the diabetes, obesity and metabolic syndrome center of excellence that is underway.
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Electrocardiographic characteristics of West-Asian and African Male athletes: the Qatari pre-participation screening experience
More LessAbstractBackground:Electrocardiographic (ECG) alterations are common in athletes and usually reflect a physiologically benign remodelling of the heart as a response to regular intensive exercise, so called “athletes heart”. However, some features observed in an athlete’s ECG may represent an underlying inherited or congenital cardiovascular abnormality, potentially propagating sudden cardiac death (SCD).
Purpose:To evaluate the electrocardiographic characteristics of West-Asian, Black and Caucasian male athletes competing in Qatar.
Methods:Cardiovascular screening with resting electrocardiographic analysis of 1220 national-level athletes (800 West-Asian, 300 Black and 120 Caucasian) and 135 West-Asian controls attending pre-participation screening was performed. Results: Black African descent was an independent predictor of ‘uncommon’ ECG changes compared to West-Asian (OR 2.56, 95% CI 1.73-3.8, p<0.001) and Caucasian athletes (OR 3.5, 95% CI 1.56-8.02, p<0.001). Black athletes demonstrated a significantly greater prevalence of lateral T wave inversions than both West-Asian and Caucasian athletes (6.1% vs. 1.6% and 0%, p<0.05). Black athletes also demonstrated a greater frequency (p<0.05) of right atrial enlargement, 1st degree AV block and early repolarisation than West-Asian and Caucasian athletes. Seven athletes were identified with a disease associated with sudden death; with prevalence of cardiac disease was 2 times higher in Black athletes than West-Asian athletes (1% vs. 0.5%) - no cases verified in Caucasian athletes and West-Asian controls. Eighteen West-Asian and Black athletes were also identified with striking repolarisation abnormalities suggestive of a cardiomyopathy, ultimately, none were diagnosed with an inherited cardiac disease.
Conclusions:West-Asian and Caucasian athletes demonstrate comparable rates of common and uncommon ECG modifications. Only Black ethnicity was positively associated with frequencies of ‘uncommon’ ECG alterations. Despite the greater number of false positive ECGs in Black athletes, the cost-benefit ratio of the preparticipation is favourable for this population due to its greater predictive value for identifying sudden death diseases.
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WCMC-Qatar stem cell research program
By Arash RafiiAbstractDue to the vision and foresight of HH Sheikha Mozah Bint Nasser Al-Missned, Qatar is seeing rapid advances in the field of education and research due to the establishment of Education City by Qatar Foundation. Stem cell research is one of the major research areas worldwide and shows significant promise in helping healthcare and medicine reach frontiers never known to mankind before. The setting-up of a stem cell laboratory at WCMC-Qatar places Qatar on the world map in stem cell research. Not only does it ensure Qatar's significant contribution to research, but also lays the foundation for an advanced system where people will have access to world class regenerative medical care.
To be able to move forward with cell therapies, and in particular stem cell therapies, in areas as diverse as diabetes, cardio-vascular disease, and neurodegenerative disease, several components need to be established, including routine derivation and maintenance of different types of pluripotent stem cells; banking of these stem cells; differentiation of the different stem cells in different cell types.
Stem cell research was one of the first research areas of focus at Weill Cornell Medical College in Qatar. Since the establishment of the stem cell biology program we have achieved several milestones, including the establishment of a stem cell biology expertise in Qatar, creating a network of stem cell researchers including clinicians from Hamad Medical Corporation, and establishing international cooperation to answer all forthcoming challenges of regenerative medicine. This talk will focus on the logistics of setting up the stem cell laboratory and the promises in the future that such technology promises.
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Are novel semisolid filled hard gelatin capsules superior to currently marketed metformin tablets?
More LessAbstractPurpose:To design, formulate and test the in vitro dissolution of new oral dosage forms of metformin hydrochloride (MH) in semisolid polymeric matrices having sustained-release properties suitable for once-a-day or twice-a-day administration that would increase MH bioavailability and also address the shortcomings in the currently marketed sustained-release tablets.
Methods:MH was dispersed in molten polymeric matrices composed of various proportions of high molecular weight hydrophilic polymers, hydrophobic oily semisolid excipients, and muco-adhesive polymeric materials. Thermal analysis and X-ray diffractometry was carried out on the prepared semisolid matrices. Four prepared formulations each of which containing 400mg MH were filled into size zero hard gelatin capsules (HGC) and were subjected to in vitro dissolution testing using USP basket method at 50rpm using 1000ml distilled water as dissolution medium. MH was analyzed using UV spectrophotometric analysis. Glucophage® 500mg tablets were used as a reference.
Results:The prepared formulations resulted in extended-release profiles that lasted between 6-8 hours and demonstrated bimodal release pattern which characterizes the release from mixes of triglycerides with polyethylene glycol esters of fatty acids. The incorporation of PEG 6000 or PEG 35000 resulted in an overall faster dissolution rate compared to other formulations with complete release achieved after 6 hours. On the other hand, PEG400 incorporation to the formulation resulted in a fast initial release followed by a slower release rate following the first 3 hours. Thermal and X-ray analysis of the formulations showed changes in MH crystallinity.
Conclusion:Capsules formulated using semisolid matrices showed promising results in extending the release of MF compared to the marketed tablets. However, bioavailability studies to test the ability of those Gelucire-based capsules of MF to improve its bioavailability and residence time are future plans.
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Biological characterization of Qatari and regional endemic plant extracts for cosmetic purposes
Authors: Talaat A. Ahmed, Aishaa Dasmal, Mashaal Alnaemi and Pasquale VitoAbstractIn ancient times, herbs, botanicals, fruit extracts, essential oils and natural minerals were the main ingredients for beauty products. Today, demand is growing for plant-based ingredients, as consumers increasingly view natural products as healthy, environmentally friendly and renewable. The present study, using modern methods and approaches and in vitro and in vivo test analyses, aims to characterize Qatari and regional endemic plant extracts in order to identify and purify specific active biomolecules for cosmetic purposes. Six plant species were collected from the area around Qatar University campus from April 2009 to September 2009, and were used for extract preparation using different solvents. High-performance liquid chromatography (HPLC) was used to fractionate the extracts, and fractionations were then tested on human embryonic kidney (HEK 293) cells. Cytotoxicity assay, immune and inflammatory responses were tested. Three extracts showed positive results, and further analysis is ongoing. The results are expected to be commercially important, especially for cosmetic and perfume industries.
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High-risk human papillomavirus infection among women attending women's hospital in Qatar
More LessAbstractObjective:This study aimed to determine the prevalence and ideal detection method for high-risk human papillomavirus (HPV) genotypes, in order to evaluate prevention strategies in cervical cancer and other HPV-related diseases in Qatar.
The study compared performance of cervical cytology and HPV DNA test to detect high-risk HPV genotype (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59) infections in a sample of Qatar's female population, using High Risk Screen Real-Time PCR test.
Methods:A series of 95 women attending the Gynae-oncology clinic at Hamad Medical Corporation between August 2007 and May 2008 were enrolled in this study. Cervical smears isolated from patients were subjected to High Risk Screen Real-Time test to confirm the presence of HPV DNA. The smears were characterized as ASCUS; LGSIL and HGSIL.
Results:The overall prevalence of high-risk HPV in our study population (n=95) was 64%, with HPV 52, 56 and 16 being the commonest types detected..Of the 95 samples in the study, 93 were tested using Pap smear and RT-PCR. 11 samples found to be HPV DNA positive by Pap smear were confirmed by RT-PCR; 34 samples were found to be negative using both tests; and 48 samples which were shown to be negative using Pap smear were found to be positive using RT-PCR. Considering RT-PCR and Pap smear as stand-alone tests, the techniques did not show similar sensitivity. The RT-PCR showed better specificity and sensitivity than Pap smear.
The prevalence of HPV in the different types of lesions was compared in 65 women who had abnormal smears among the study population. HPV DNA detection rate was 60.7%, 85.7% and 50% within ASCUS, LGSIL and HGSIL cytology, respectively.
Conclusions:The study also showed that molecular techniques are more sensitive than conventional methods for detection of HPV infection. The relatively high prevalence of HPV 52, 56 and 16 among the study group has important implications in vaccine prophylaxis in Qatar.
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The identification of CNVs in patients and their association with diseases and phenotypes
By Jamil AlamiAbstractThe DNA copy number of a region of a genome is the number of copies of genomic DNA. In humans the normal copy number is two for majority of autosomes. However, discoveries have revealed that many segments of DNA, ranging in size from kilobases to megabases, can vary in copy-number. These DNA copy number variations (CNVs) are common in normal individual and contribute to our uniqueness. These changes can also influence the susceptibility to disease. Many genetic diseases that occur in families result from copy number variations.
Here we report on the phenotypic and genotypic delineation of de novo CNVs in a number of cases with genetic disorders.
Case 1: A 20-year-old male with severe intellectual disability and Marfanoid habitus, cleft palate, facial dysmorphism, microphthalmia and hypermetropia.
Cytogenetic investigation showed an unbalanced chromosomal abnormality with an additional un-identified chromosome piece attached to the short arm of chromosome 14. A duplication of the terminal piece of the long arm of chromosome 10 (30.1 Mb) was found.
Case 2: A 9-year-old female with global developmental and speech delay associated with dysmorphic features that includes longitudinal face with prominent forehead, high arched palate, and hypertelorism and alternating isotropia. Prominent fetal pads and bridged simian crease are noted in both hands. Her MRI showed diffuse brain atrophy. A duplication of a segment on the long arm of chromosome 15 as well as a deletion of the terminal part of the short arm of chromosome 8 were detected.
Case 3: A 13-year-old male with mild to moderate mental retardation, obesity, and dysmorphic features that includes but not limited to micropenis, flat occiput, protruding maxilla, and hirsutism. CT scan showed moderate cerebral atrophy. Cytogenetic investigation revealed a 46 XY r(13) p11.2q32. A 20.5 Mb segment deletion on the terminal part of the long arm of chromosome 13 was found.
The cases included demonstrate that CNVs play a role in genetic disorders, birth defects and patterns of malformations. The delineation of the duplicated or deleted material may help in the identification of genes that play a role in developmental processes.
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Mutations in GJB2, GJB6 and mDNA 1555A>G variant explain only a minority of cases of nonsyndromic hearing loss in the Qatari population
AbstractHereditary hearing loss is a common genetic disorder accounting for at least 60% of prelingual deafness in children. Most cases (70%) are nonsyndromic and are not associated to other signs or symptoms, while the remaining 30% are syndromic. Nonsyndromic hereditary hearing loss has different patterns of inheritance. The most common one is autosomal recessive. This accounts for 75%-85% of the cases. Another 15%-25% of cases are inherited in an autosomal dominant (DNFA) pattern, while the remaining 1%-2% is inherited as X-linked disorder. Several mitochondrial mutations are also reported of which 1555A>G in the 12S rRNA gene is a common cause of mitochondrial-associated deafness in nonsyndromic progressive sensory neural hearing loss and its aminoglycoside induced state.
The two major genes for recessive forms are GJB2 and GJB6, which belong to the connexin family. GJB2 and GJB6 code for connexin 26 and connexin 30 proteins, respectively.
Here, we report for the first time results of a study in which a series of 120 patients affected by nonsyndromic hereditary hearing loss from 100 Qatari families were screened for mutations in GJB2 and GJB6 genes and the 1555A>G mitochondrial variant. 4 patients carried 35delG mutation, 5 patients the IVS1+ 1G GJB6 mutations or the 1555A>G variant.
These findings clearly demonstrate that GJB2, GJB6 and 1555A>G account for a minor proportion of nonsyndromic hereditary hearing loss in the Qatari population and further strengthen the need to search for causative genes in our population. Results presented here in combination with other molecular epidemiology data contribute to efforts for establishing preventive strategies and developing more targeted therapies.
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Vitamin D and bone density in Qatari adults
More LessAbstractBackground:It has been established that Vitamin D plays an active role in calcium homeostasis by regulating intestinal calcium and phosphorus absorption, renal calcium reabsorption and bone mineralization. Vitamin D deficiency has also been related to type 2 diabetes and metabolic syndrome.
Purpose:Given that we have previously observed a very high rate of severe Vitamin D deficiency in Qatari girls the aim of this study was to examine whether Vitamin D deficiency was carried on into adulthood in a Qatari population and examine the effect upon bone mineral density and metabolic health status.
Methodology:In this cross sectional study, we evaluated the serum 25 hydroxy-Vitamin D (25(OH)D) levels of 171 male and female Qatari adults (37.2 ± 10 years, body fat 44.1 ± 8.8 %, BMI 31.9 ± 7.9 kg/m2), bone mineral density (BMD) and body composition assessment with dual energy X-ray absorptiometry (DEXA). In addition, subjects were assessed for aerobic fitness. Haematological investigations included fasting, glucose, insulin, and lipid profile analysis.
Results:Despite high level of body fatness and low aerobic fitness (Predicted VO2max 25.2 ± 7.2 ml/kg/min), blood pressure, glucose, insulin and lipid markers were all within acceptable ranges. Vitamin D deficiency was seen in this group with mean serum 25(OH)D being 15.8 ± 10.3 ng/ml, while PTH was just within the normal range (63.4 ± 23.8 pg/ml). Mean total body BMD was within the acceptable limits (1.2 ± 0.1 g/cm3). There was no correlation between 25(OH)D and BMD, however, BMD was strongly associated with total body weight (r=0.540, p<0.05) and BMI (r=0.456, p<0.05). Furthermore, there were no significant correlations between 25(OH)D and markers of type 2 diabetes, dyslipidaemia, or fitness.
Conclusion:The results suggest despite high levels of body fatness, low aerobic fitness and Vitamin D deficiency that this cohort were relatively healthy. On first impression, body weight appears to be a protective mechanism in maintaining BMD within this population. However, those individuals with a BMI < 25 kg/m2 had normal BMD despite extremely low serum 25(OH)D levels (12.6 ± 7.6 ng/ml). This suggests that further research is warranted to elucidate possible contributing factors resulting in a normal BMD despite minimal sun exposure.
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Population genetic structure of the people of Qatar
AbstractPeople of the Qatari peninsula represent a relatively recent founding by a small number of families from three tribes of the Saudi peninsula, Persia, and Oman, with some African admixture. To assess the combination of this founding effect and first-cousin marriages on Qatar's population genetic structure, in a collaborative program of Weill Cornell-Qatar and Weill Cornell-New York, Cornell University and Qatar University, we assessed DNA samples from self-reported Qatari nationals using Affymetrix SNP Array 5.0 to obtain genotype calls of nearly 500,000 single nucleotide polymorphisms (SNPs) in each individual. Principal component analysis was performed along with samples from the Human Genetic Diversity Project dataset, revealing three clusters of genotypes whose proximity to other human population samples is consistent with Arabian origin, a more eastern/Persian origin, and African admixture. The extent of linkage disequilibrium is greater than that of African populations, and runs of homozygosity reflect substantial consanguinity. Despite the fact that the SNPs have a bias toward SNPs common in Europeans, the data strongly support the notion that the Qatari population will provide a valuable resource for the mapping of genes associated with complex disorders. This approach is being tested in samples of the 3 Qatari genomic clusters of healthy vs individuals with type 2 diabetes, a disorder with a high incidence in the Qatari population. To provide a basis for these studies, we have initiated a detailed assessment of the 3 clusters of Qatari genotypes using exome capture and massive parallel sequencing. We expect that these data will provide an invaluable resource for the adaptation of “personalized medicine” for the assessment of risk and the rational use of therapies for the Qatari population.
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A novel DNAH11 mutation in a Qatari family with primary ciliary dyskinesia
AbstractPrimary ciliary dyskinesia is a heterogeneous autosomal recessive genetic disorder that leads to ultra structural and functional defects of cilia. This leads to recurrent and chronic respiratory infections, sinusitis, otitis media, and male infertility. In a fraction of patients situs inversus is present. Primary ciliary dyskinesia can result from mutations in at least nine different genes; however, these mutations are responsible for the disease in only about 40 percent of patients. These genes provide instructions for making proteins that form the inner structure of cilia and produce the force needed for motility.
We identified a large inbred Qatari family with multiple individuals affected by primary ciliary dyskinesia. On examination of the known genes associated with the disorder, we encountered a homozygous variation in DNAH11 in affected individuals. Mutation analysis by direct resequencing of polymerase chain reaction products of DNAH11 exons, flanking intronic sequences and splice sites showed a novel splice site mutation (c.5945+1 G>C) in exon 34, which probably produces a truncated protein. This mutation segregates with the disorder in this family in an autosomal recessive pattern, is not present in 338 control chromosomes and is theoretically a deleterious mutation. We are currently studying the frequency of this mutation in the Qatari population and its effect on the messenger RNA and protein.
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Development of a novel switchable CE-MS interface with predictive trajectories for high-throughput proteomics studies
Authors: John Hassard, Julien Chapron and Paul TjossemAbstractThe capillary electrophoresis (CE)-mass spectrometry (MS) interface is anticipated to have pivotal roles to play in biomarker discovery, elucidation and validation, and in diagnostics, as well as in drug discovery. We are developing a CE-MS system as the natural extension of our Label-Free Intrinsic Imaging (LFiI™) platform, allowing a large increase in analytical power.
One of the most powerful analytical tools in bio-analytical science applications is the mass spectrometer, allowing identification and extraordinary resolving power. However, this instrument too has shortcomings – it really needs a separation system ahead of it. Traditionally liquid chromatogaphy (LC) or 2D-gel separation have been coupled to MS with relative robustness. However LC techniques are not ideally suited to the analysis of biomolecules, with the use of denaturing solvents, expensive columns etc. while flat gel systems have serious shortcomings in sensitivity, reproducibility, dynamic range, quantification and throughput. These are largely overcome with capillary approaches, such as the Label Free Intrinsic Imaging system, the Peregrine, developed by deltaDOT Ltd of London.
The CE-MS interface being developed by deltaDOT QSTP (Qatar Science and Technology Park) will be based on our real-time pattern recognition known as ‘predictive trajectories’ (‘PT’) and biomolecular switching on the LFiI platform, to allow specific protein bands, selected ‘on the fly’, to be separated and quantified, before they undergo trypsin digestion, injection and full MS analysis in a Waters high-definition mass spectrometer (‘Synapt’). Such an interface considerably reduces the system noise by giving a switch opportunity to analyse selected bands of interest from the bulk of background buffer and highly concentrated proteins of low interest. Another significant advantage of such an approach would arise from a more coherent signal where peptide fragments of the same protein would elute together, as opposed to traditional liquid chromatography where any peptide fragments could come from any proteins from the sample, requiring heavy and slow analyses processing.
Based on work in our QSTP labs, we present preliminary data of analyses undertaken with partners in Qatar University on a range of proteomic targets and other analytes. We show how the unique combination of LFiI + PT + HDMS Q-Tof can provide a significant enhancement in analytical power.
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Factors influencing rehabilitation outcome in adult traumatic brain injury in Qatar
More LessAbstractAim:To analyze the factors influencing outcome in traumatic brain injury (TBI) rehabilitation in Qatar.
Design & Methods:It was a retrospective descriptive study of 50 patients with TBI collected during Jan 2004 to Sep 2007 from the Rehabilitation Unit of Rumailah Hospital, Hamad Medical Corporation.
Demographic and clinical variables included; age at admission, length of stay in acute care (LOSa), and length of stay in rehabilitation (LOSr), Rancho Level (RLA) and Glasgow Coma Scale (GCS). Functional outcomes were functional independence measure on admission (FiMa) and functional independence measure on discharge (FiMd).
Results:Significant positive correlation was observed of FiMd with FiMa and Rancho level (r = 0.69, p = 0.00 and r = 0.70, p = 0.00) respectively where as there was no correlation between FiMd and GCS score. Negative correlation was observed between FiMd and age as well as LOSa (r = -0.47, p = 0.01) and (r = -0.49, P = 0.00) respectively. Multivariate regression analysis was performed taking age, Rancho, FiMa, mobility, GCS and LOSa variables as independent and FiMd as dependent variable. The model could explain 70% of variation.
Conclusion:In our study Rancho level of cognitive functioning, FiMa and mobility variables were found most influential factors in functional outcome.
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Multimerization of the transient receptor proteins TRPV6 and TRPC1
Authors: Raphael Jean Courjaret, Shirley Haun and Khaled MachacaAbstractTransient Receptor Potential (TRP) ion channels are formed by the juxtaposition of either homomeric or heteromeric assembly of four TRP subunits. TRP proteins have six transmembrane domains (TM) and a P-loop located between TM5 and TM6 that defines the channel pore. So far 30 different subunits, sharing as low as 20% homology, have been identified in mammals and classified in 6 families. Although heterotetramers can be formed within a family, the assembly of subunits from members of different families was thought to be unlikely. Here using biochemical and electrophysiological techniques we evaluated the interaction between xTRPV6 and xTRPC1 overexpressed in Xenopus oocytes. Western blot analysis of oocytes lysates revealed that the native cells expressed both xTRPC1 and xTRPV6. Oocytes were then injected with RNA encoding the two subunits associated or not with protein tags to allow easier immunoprecipitation. The later experiments revealed that xTRPC1 and xTRPV6 expressed in oocytes co-immunoprecipitate. The expression of solely xTRPC1 did not result in a detectable ionic current, whereas xTRPV6 injected oocytes displayed large inward rectifying cationic currents. Ion substitution experiments revealed that the xTRPV6 channel was more permeable to Mg2+ ions than Ca2+, a characteristic opposite to its mammalian counterpart. Co-expression of both subunits resulted in an ionic current mainly carried by Mg2+ ions. Experiments are now being performed in oocytes and in a human cell line to help us further understand Mg2+ and Ca2+ homeostasis and the contribution of different TRP subunits assemblies to it.
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Preliminary results of a multilingual, multicultural survey design
AbstractIntroduction:The United States Agency for Healthcare Research and Quality has invested heavily in the Consumer Assessment of Healthcare Providers and Systems (CAHPS). Funded by the Qatar National Research Fund, a research team formed of 3 collaborative institutions; Weill Cornell Medical College-Qatar (WCMC-Q), Hamad Medical Corporation (HMC) and University of Michigan (UM), is working on translating, adapting and modifying CAHPS to generate QCAHPS, an instrument relevant to Qatar and the region population. It is a five-phase project.
Objectives:To translate the existing CAHPS into Arabic, Hindi and Urdu, identify “translation dilemmas”, and to explore patients’ assessment of translation dilemmas and quality of ambulatory care visits based on their own cultural context and preferred language with four linguistic groups, English, Arabic, Hindi, and Urdu.
Methods:Recruitment of qualified research assistants and reviewers (Qatar team) followed by training on interviewing, coding and naming protocols was done. Ethical board approvals from the 3 participating institutions were obtained. Translation of CAHPS highlighted key points under investigation by participants recruited in each target language. Based on interviews of 35 of the targeted 80 interviews, emerging themes of importance have been identified.
Results:Themes noted include: participants repeatedly expressed that the clinical experience of the doctor is more important than cultural awareness, or religion. There were reservations regarding the doctor's gender when it came to gynecological or genito-urinary system examinations. The term used for a regularly-seen health provider is “Family Doctor” for Hindi, “Regular Doctor” for Urdu and “Specialist’ for Arabic and English speaking participants. Although participants were satisfied with services received, the main concerns were lack of interpretation services and communication issues, inefficient appointment system and long waiting time. Handling compensation was noted by research assistants as a sensitive issue.
Conclusion:Our preliminary findings show some important themes that are worth noting and considering in survey design and multicultural and multilingual research.
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Ethical issues in genetic research
More LessAbstractGenetic research raises ethical issues that differ in many ways from those that arise in other kinds of human subject research.
Aside from the generally low likelihood of injury from drawing blood, the harms that might result to subjects once the genetic data is obtained range from minor to major, from physiological to psychosocial and even economic.
Disclosure of results may cause loss or increased cost of health and/or life insurance, discrimination and stigmatization.
In this presentation, I am going to discuss the issue through the followings:
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Privacy and confidentiality
- Unlike other kinds of health data, genetic information applies to or is about more than one person. (parents, siblings, children, and perhaps others).
- Research that includes follow-up studies requires that a subjects unique information be linked to the genetic information.
- For this and other reasons, many investigators seek to unlink personal identifiers from genetic data or biological specimens.
- Successful unlinking reduces or eliminates some threats to privacy and confidentiality.
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Informed consent
- The participant should be adequately informed.
- Consent should be free from coercion or undue influence.
- The participant should be fully competent.
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Risks of harm
- The idea of testing can cause pre- and post-test anxiety.
- Disclosure of results may result in employment and social bias, discrimination and stigmatization.
- Family members of the index subject may face similar risks of harm.
The presentation also tackles the subject of research on stored biological samples and the ethical issues, with discussion of the laws and regulations applicable.
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Privacy and confidentiality
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Cyanobacteria and BMAA exposure from desert dust – a possible link to sporadic ALS among Gulf War veterans
More LessAbstractVeterans of the 1990-1991 Gulf War have been reported to have an increased incidence of amyotrophic lateral sclerosis (ALS) compared to personnel who were not deployed. An excess of ALS cases was diagnosed in Gulf War veterans younger than 45 years of age. Increased ALS among Gulf War veterans appears to be an outbreak time-limited to the decade following the Gulf War. Seeking to identify biologically plausible environmental exposures, we have focused on inhalation of cyanobacteria and cyanotoxins carried by dust in the Gulf region, particularly Qatar. Cyanobacterial crusts and mats are widespread in the deserts of Qatar, occupying up to 56% of the available area in some microhabitats. These cyanobacterial crusts, which help bind the desert sands, are dormant throughout most of the year, but during brief spring rains actively photosynthesize. When disturbed by vehicular traffic or other military activities, the dried crusts and mats can produce significant dust. Using high-performance liquid chromatography with fluorescence detection. (HPLC/FD) an amino acid analyzer, ultraperformance liquid chromatograpy/mass spectrometry (UPLC/MS), and triple quadrupole liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), we found that the dried crusts and mats contained neurotoxic cyanobacterial toxins, including -N-methylamino-L-alanine (BMAA) and 2,4 diaminobutyric acid (DAB). If dust containing cyanobacteria is inhaled, significant exposure to BMAA and other cyanotoxins may occur. We suggest that inhalation of BMAA, DAB, and other aerosolized cyanotoxins may constitute a significant risk factor for the development of ALS and other neurodegenerative diseases.
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Characterization of the LPIN2 gene and its protein and examination of its role in psoriasis
Authors: Mazen Osman, Goda Sayed, Jamil Alami and Hatem El ShantiAbstractPsoriasis is a chronic inflammatory skin disease posing a considerable world-wide health problem due to its high prevalence, associated morbidity and high health-care costs. It is a multifactorial “complex” disorder, with compelling evidence for a genetic predisposition.
Majeed syndrome is a Mendelian disorder with a consistent phenotype and its causative gene can be examined for its role in the more common bone and skin inflammatory disorders of complex etiology. Majeed syndrome is caused by mutations in LPIN2.
Many observations have implicated LPIN2 in the genetic etiology of psoriasis. Based on these observations, we hypothesize that variations in LPIN2 play a role in the susceptibility to development of psoriasis and that LPIN2 is the psoriasis susceptibility locus on 18p.
In our previous study, we identified 6 coding variants that may be associated with psoriasis due to the fact that they change evolutionary conserved amino acids and they are present in the general population at a very low allele frequency. However, the ultimate evidence of their causation of the phenotype is to prove that there is a change in protein properties or function with the molecular variations. One of the aims of the current work is to shed light on whether each identified LPIN2 mutation has an effect on the integrity of the properties of the Lipin2 protein and therefore its function.
The wide type and six different cDNA LPIN2 clones, each harboring one of the six described variations were successfully synthesised after codon optimisation for maximum expression in yeast.
The LPIN2 gene and two mutants were excised from its original construct and inserted into similarly digested pYES2. The newly formed constructs were transformed into competent cells of Saccharomyces cerevisiae for protein expression. Our preliminary analyses using SDS gel electrophoresis and Western blot indicate that the wild type and the two mutants are expressed in S. cerevisiae but at a low level. Optimization of the expression as well as expression of these genes in different expression system is being carried out. The recombinant protein of the wild type LPIN2 and the two mutants will be subjected to circular dichroism and fluorescence measurements to study the effect of each mutant on the folding and therefore the function of the protein.
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Patient opinion of the Doctor-Patient relationship in a public hospital in Qatar
By Alan WeberAbstractObjective:To analyze factors associated with the level of satisfaction of outpatients with their relationship with their doctor at the largest public hospital in Qatar (Hamad General Hospital).
Methods:Researchers surveyed 628 outpatients at Hamad General Hospital in Doha from September, 2009 to January, 2010 using a novel questionnaire designed to assess satisfaction with patients’ interaction(s) with their doctor (time spent with patient, took case seriously, maintained confidentiality, overall quality of visit). Demographic variables on each responder were also collected, including age, gender, citizenship, educational level, and cultural and geographic information related to both patient and physician.
Results:Mean responses on 4 key doctor-patient Likert scale survey items (1 to 5) were as follows: “spent enough time with patient” = 4.39; “doctor took case seriously” = 4.57; “satisfaction with doctor-patient confidentiality” = 4.71; “overall quality of visit to the doctor” = 4.46. Age, gender, citizenship, level of education, and number of visits did not significantly impact the level of satisfaction. For 73.1% of patients, the physician's qualification was the most important factor in choosing a doctor. Of those surveyed, 40.7% of men and 28.1% of women preferred to see a doctor of their own gender. A positive correlation between perceived communication and satisfaction with the doctor-patient encounter was established.
Conclusions:Patients in the out-patient department at the largest public hospital in Qatar were highly satisfied with the amount of time their physician spent with them, the seriousness with which the physician treated their case, the degree of doctor-patient confidentiality, and the overall quality of their visit. The high satisfaction rates may be the result of large investments in public health services funding in Qatar over the past 10 years. Qualification of the doctor was identified as the most significant factor in choosing a doctor. A significant number of males and females preferred a physician of their own gender. The positive correlation uncovered between perceived communication difficulty and lower satisfaction with the doctor-patient encounter should be the subject of more focused studies in light of the multicultural medical environment of Qatar hospitals.
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Influence of the glycemic load (GL) on subjective and objective measures of sleep quality in insomnia
Authors: Christopher Herrera, Patricia Ruell, Helen O'Connor and Chin Moi ChowAbstractEvidence in healthy sleepers suggests the glycemic index (GI) can mediate changes in sleep onset latency, given the availability of tryptophan to the brain (i.e. TRP/LNAA ratio) is increased after high GI carbohydrate-only food. However, these meals have limited clinical application given the high glycemic load (GL) and insulin responses. Therefore, we investigated the efficacy of a mixed macronutrient high GI (MHGI) compared to an isoenergetic (∼1915 kJ) low GI (MLGI) meal taken three hours prior to habitual bedtime to improve sleep quality in participants meeting research diagnostic criteria for insomnia. Four men and four women (n=8) were randomized to the MHGI or MLGI meal for two consecutive nights. Blood samples were taken prior to the meal, and 60, 120, 180 min after eating. Subjective (sleep diary) and objective (polysomnography, PSG) sleep was also measured each night. The individual 10cm visual analogue scales indicate that meal palatability was identical for both meals; which were of good taste (average 7.8cm); meal satiety was maintained until bedtime after the MHGI meal (>5cm), whereas after the MLGI meal satiety ratings in men were low (<5cm); and the average meal energetic load (kJ/kg) was greater for women (33.0 ± 4.1) than men (25.4 ± 3.8; p<0.05). Postprandial measures indicate glucose was larger after the MHGI meal but there was no difference in insulin response; the peak percentage rise in plasma TRP/LNAA from baseline after the MHGI meal (17%) was substantially but only marginally different than the MLGI (8%) meal (p = 0.12); postprandial serotonin was unaltered. The participant group self-reported (5pt Likert scale) feeling more rested after the MHGI (2.8) compared to the MLGI meal (2.3; p<0.05); also ratings were higher in women (3.0) than in men (2.6; p<0.05). There were no differences in PSG sleep variables. This study demonstrates symptoms of insomnia are improved, especially in women, after a high GI mixed macronutrient meal. Given the present data, we suggest the possibility for a physiological threshold within the postprandial plasma TRP/LNAA response that must be surpassed in order to promote measurable changes to serotonin and PSG sleep. Further studies should evaluate the potential long-term risks and benefits of habitual mixed macronutrient high GI meals to improve sleep.
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Detection and classification of human movement (DC-MOVE)
Authors: Tamer Khattab, Amr Mohamed, Khaled Shaban, Basim Uthman, Leopold Streletz and Adnan Abu-DayyaAbstractCharacteristic movements of human body parts ranging from eye twitches to limbs jerky movements have been used for decades by physicians as clinical indicators of certain neurological disorders. Through a multidisciplinary research approach, our team, composed of medical experts, signal-processing specialists, wireless sensing experts, and computer scientists, aims at developing a sophisticated framework for automatic characterization of certain clinical conditions via identification of a proposed unique sequence (a signature pattern) of limb movements in relation to other body parts.
We argue that a set of movement data collected from human subjects via strategically located movement sensors fused with other supporting data, such as gyroscopic movements and relative locations of sensors, can be processed by advanced intelligent signal processing techniques. Using medical expert systems fed with knowledge provided by the contributing medical experts this can be used to characterize and classify typical and atypical human movements. The collected data is then processed using machine learning algorithms which is trained to automatically detect and characterize a set of movement disorders and classify them into specific clinical diagnosis such as specific types of seizures. In particular, our work ambitiously aims at developing a prototype proof-of-concept seizure remote monitoring and detection system. This would demonstrate the applicability of our developed methodology in real-life scenarios, using commercial of-the-shelf wireless sensing platforms coupled to our intelligent expert-based signal-processing platform.
We believe that the outcomes of this applied research will pave the roads for new methods in clinical diagnosis of various neurological diseases and monitoring progress and outcome of treatment that will, in turn, reduce human suffering and medical costs. Further, when coupled with our wireless technology and positioning methods, DC-MOVE can initiate or trigger an alerting response that could be life-saving.
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Nascent HIV epidemics among men who have sex with men appear to be emerging in the Middle East and North Africa
Authors: Ghina Mumtaz and Laith Abu-RaddadAbstractBackground:Men who have sex with men (MSM) in the Middle East and North Africa (MENA) forms a highly hidden population, and there are widely held perceptions of virtually nonexistent data on MSM and HIV in this region. Our objective was to delineate, for the first time, the evidence on the epidemiology of HIV among MSM in MENA.
Methods: This was a systematic review of all biological, behavioral, and contextual data on HIV and MSM in MENA. Sources of data included Medline using free text and MeSH headings, international organizations’ reports and databases, country-level reports and databases including governmental and non-governmental organizations publications, as well as various other institutional documents.
Results:This review showed that there is considerable data on MSM and HIV in MENA. The prevalence of HIV among MSM in MENA countries ranged between 0 and 15%. By 2008, the contribution of MSM transmission to the total HIV notified cases increased and exceeded 25% in many countries. The high levels of risk behavior (2-42 partners on average in the last year) and of biomarkers of risks (HSV-2 at 3-54%), the overall low rate of consistent condom use (2-22%), the relative frequency of male sex work (20-76%), and the substantial overlap with heterosexual risk behavior and injecting drug use (up to 17% of MSM inject drugs and up to 37% of male injecting drug users exchange sex for money) suggest potential for further spread.
Conclusions:This systematic review and data synthesis indicated that HIV appears to be spreading among MSM in at least a few countries and could be already in a concentrated state among several MSM groups. There is a need to expand surveillance and access to HIV testing, prevention, and treatment services in a rapidly narrowing window of opportunity to prevent the worst of HIV transmission among MSM in MENA.
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Cardiovascular risk factors in metabolically diverse, non-diabetic Qatari women
More LessAbstractBackground:Recent trends suggest that the sharpest increases in the prevalence of obesity are in countries of the Middle East, such as Qatar, especially amongst women. A diet rich in fat and carbohydrates, combined with a lack of physical exercise, may be contributing factors to the obesity epidemic in the region. Obesity is manifest by an expansion in adipose tissue. In South Asian populations much of the increase in fat accumulation appears to be in the omental abdominal compartments. Proinflammatory signals derived from adipose tissue, adipokines, such as leptin, MCP-1 and IL-6, may contribute directly to the development of insulin resistance and endothelial dysfunction of obesity.
Purpose:To assess the relationship between indices of obesity, body composition, physical fitness, glycaemia, insulinaemia, serum lipids and adipokines in a cohort of Qatari women.
Methods:Non-diabetic, premenopausal, Qatari women (n=143; age mean (SD) years) were studied in the morning after an overnight fast. Indices of obesity (BMI and waist circumference), body composition (dual energy X-ray absorptiometry (DEXA)), aerobic fitness, blood lipids (cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL), triglycerides), glycaemia (glucose, HbA1-C), serum insulin, inflammatory markers (C-reactive protein (CRP), interleukin-6 (IL-6)) and adipokines (adiponectin, leptin) were determined.
Results:A greater degree of central/trunkal obesity was apparent in this cohort. Significant associations were found between BMI and insulin (p<0.01), HbA1-C (p<0.01) and abdominal adiposity (p<0.01). In the whole group, BMI was not related to inflammatory markers or adipokines. However, sub-group analysis based on WHO criteria for obesity showed that the obese (BMI 30-40kg.m-2) and morbidly obese (BMI >40.1 kg.m-2) women were more insulinaemic, had higher levels of inflammatory markers (CRP, RANTES, MCP-1, leptin) and lower adiponectin compared to normal weight (BMI<25kg.m-2) subjects. The obese groups were significantly less fit compared to the normal weight women, but had greater bone strength and comparable levels of circulating lipids.
Conclusion:Obesity in premenopausal Qatari women is associated with a higher degree of fat accumulation, especially in the central depots, than has been reported for European women. It is accompanied by hyperinsulinaemia, inflammation and poor aerobic fitness but surprisingly free of dyslipidaemia.
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Regulation of mammalian odorant receptor genes
More LessAbstractSmell is an essential sense that allows animals to find food and mates while avoiding predators. In humans smell is considered an aesthetic sensory modality, but olfactory disorders may presage neurological disease including Parkinson's, Alzheimer's, and schizophrenia. The odorant receptors (ORs) comprise the largest gene family in mammals and endow an animal with the ability to smell. Critical to the development and function of olfaction is the regulation of OR gene transcription, with each sensory neuron selecting just one OR for expression, at random, from only one allele. While recent experiments have brought the outlines of this remarkable process into focus,the core mechanism has remained obscure. Using a genetic approach in mice we present data that supports a model of single OR gene choice initiated by infrequent, stochastic transcriptional activation and governed by feedback suppression mechanism.
In the face extreme requirements for diversity, cells and organisms have evolved stochastic processes of gene regulation. Such mechanisms may allow for the maximal exploration of critical biochemical, genetic, or cellular spaces and maximize the informational output of the genome. The pursuit of the solution to this question of gene regulation has captivated the biomedical research community - not only in the area of neurobiology. The elucidation of this problem will shed light on the establishment and function of this sensory system and also further our understanding of the regulation of the largest gene family in mammals. Additionally, these findings will have central relevance for other examples of stochastic gene regulation such as the expression of the lymphocyte antigen receptors, X chromosome inactivation, for diverse disease-related processes such as trypanosome vsg and malaria var gene switching, and the functional (epigenetic) loss of heterozygosity in cancer; all of which likely depend on complex transcriptional processes.
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Production of novel proteins therapeutics for cancer treatment
More LessAbstractAntibody-directed enzyme prodrug therapy (ADEPT) is a novel strategy to improve the selectivity of cancer treatment. ADEPT is a two-step approach that seeks to generate a potent cytotoxic agent selectively at a tumor site. In the first step, a tumor-selective antibody is chemically linked to an enzyme such as glucarpidase and then administered intravenously. In the second step, a relatively non-toxic prodrug is administered. By this time, the antibody conjugate has been cleared from the blood and other tissues.
Methotrexate (MTX), a synthetic folate analogue that inhibits dihydrofolate reductase, a key enzyme in the folate pathway, serves as an important component of various chemotherapeutic regimens for the treatment of cancer patients. One major drawback to the clinical use of MTX is an unacceptable level of toxicity. One of the most effective ways to achieve a rapid removal of the excess of these drugs is by glucarpidase degradation. Repeated cycles of ADEPT and the use of wild type glucarpidase in detoxification are essential but are hampered by the human antibody response to the enzyme. Additionally, glucarpidase has a relatively slow action in detoxification.
We implemented a state-of-the-art technique, DNA shuffling, to overcome the problems associated with this technology. We successfully produced an ultra-active glucarpidase that degrades MTX with a very high efficency and we are continuing the production of more efficient forms. We also isolated and performed a molecular charaterisation on a novel glucarpidase which could be used in the ADEPT techniques for cancer treatment that could overcome the antibody problems.
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Mutations in IL1RN in bone and skin inflammation
Authors: Nammat Khattab, Suad Al Dosari, Mazan Osman, Asma Al Dosari, Jamil Al Alami and Hatem El ShantiAbstractAutoinflammatory diseases are a group of disorders characterized by seemingly unprovoked inflammation in the absence of high-titer autoantibodies or antigen-specific T cells. They include familial Mediterranean fever; the tumor necrosis factor receptor–associated periodic syndrome; the hyper-IgD syndrome; a syndrome of pyogenic arthritis, pyoderma gangrenosum and acne; the cryopyrin-associated periodic syndromes; chronic recurrent multifocal osteomyelitis and others. A new autoinflammatory syndrome of skin and bone caused by recessive mutations in IL1RN, the gene encoding the interleukin-1–receptor antagonist, has been recently described and has been named deficiency of the interleukin-1-receptor antagonist, or DIRA.
Three unrelated patients with symptoms suggestive of DIRA were referred to our laboratory. The three patients had skin and bone inflammation since birth manifested as pustulosis and chronic recurrent multifocal osteomyelitis. The course of the disease was progressive with chronic sequelae. Two patients were from Brazil and the third is from Palestine. We identified a novel homozygous inframe deletion of 15 bases (c.213-228delAGATGTGGTACCCAT; p.72-77delDVVPI) in the two unrelated patients from Brazil. In the Palestinian patient, a homozygous nonsense mutation (c.160C>T; p.Q54X) was identified. This mutation has been described before in a family from Lebanon, which probably reflects on a founder effect in Middle Eastern populations.
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