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Qatar Foundation Annual Research Forum Volume 2012 Issue 1
- Conference date: 21-23 Oct 2012
- Location: Qatar National Convention Center (QNCC), Doha, Qatar
- Volume number: 2012
- Published: 01 October 2012
151 - 200 of 469 results
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Selecting the maximum relevant translated EEG time-frequency features with a minimum redundancy using the mutual information measure for newborn seizure detection and classification
Authors: Larbi Boubchir and Boualem BoashashBackground Analyzing the Electroencephalogram (EEG) is a standard approach for detecting newborn seizure. The manual detection of newborn seizure by visual scanning of EEG recordings is time consuming especially with long recordings. It also requires skilled interpreters, i.e. a neurophysiologist, resulting in possible subjective judgment and error. Hence, the EEG signal parameters extracted and analyzed using c Read More
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Secular trends in cardiovascular comorbidities, etiologies and related mortality among Middle Eastern Arab and South Asian patients hospitalized with atrial fibrillation: A 20-year experience from Qatar (1991-2010)
Authors: Amar M Salam, Hajar AlBinali, Abdul Wahid Al-Mulla, Rajvir Singh and Jassim Al SuwaidiObjectives: Little is known about the ethnic variability in trends of the etiologies of atrial fibrillation (AF) and related mortality. This was examined in this study in patients hospitalized with AF in a real-world population in a Middle Eastern country. Methods: Retrospective analysis of prospective registry of all patients hospitalized with AF in Qatar from 1991 through 2010 was made. Rates and trends of clinical characteristics, cardi Read More
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Reducing cost in sequential testing: A limit of indifference approach
More LessIn non-inferiority studies, a limit of indifference is used to express a tolerance in results such that the clinician would regard such results as being acceptable, or 'not worse'. We applied this concept to a measure of accuracy, the receiver operating characteristic (ROC) curve, for a sequence of tests. We expressed a limit of indifference for the range of acceptable sensitivity values and examined the associated cost of testing wit Read More
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Does supraspinal fatigue limit repeated sprint ability?
Authors: Olivier Girard, David J Bishop and Sébastien RacinaisBackground and Objectives: Most previous explanations of fatigue during repeated sprint exercise have focused on muscular factors associated with cellular mechanisms. At present, the nature of the neural adjustments and the extent to which corticospinal responsiveness is altered after the completion of repeated sprint exercise are yet to be elucidated. This study was undertaken to test the hypothesis that, in addition to the Read More
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Curcumin protects against hydrogen peroxide-induced oxidative stress and cellular injury in human embryonic kidney cells
Authors: Shankar Munusamy, Amna Fadul and Muna Al-IsmailBackground and Objectives: Oxidative stress plays a major role in the pathogenesis of various diseases including renal injury. Curcumin has been shown to exert antioxidant activity in various experimental models. Thus, the objectives of this study are to standardize and establish an in vitro model of hydrogen peroxide (H₂O₂)-induced renal cell injury using human embryonic kidney cells (HEK293), and to evaluate the cytoprot Read More
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'See and Treat' model of care at Hamad General Hospital
Authors: Khalid Abdulnoor Saifeldeen, Peter Alistair Cameron and Jessica OddyBackground and Objectives: The provision of emergency care is globally recognized as among the most difficult and challenging elements of any healthcare system. Hamad Medical Corporation (HMC) was facing increasing pressure to introduce initiatives to significantly ease problems with congestion at Hamad General Hospital's (HGH) Emergency Department (ED). This ED is one of the busiest in the world, with an average Read More
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The State of Qatar's national perinatal mortality rate during 2011 is comparable with selected high income countries: A PEARL study analysis
Background and Objectives: Perinatal mortality, a combination of stillbirths and early neonatal mortality (day 0-6 of life), is a very strong indicator to assess healthcare during the perinatal period. Our study aims to prospectively determine Qatar's perinatal mortality rate (PMR) during 2011, analyze trends from 1990 to 2011 and compare the findings with recent data from selected high income countries. Methods: A PEARL st Read More
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Attitudes and practices of community pharmacists about complimentary and alternative medicines (CAM) in the State of Qatar: A qualitative study
Authors: Nadir Kheir, Hoda Gad Atwa and Safae Abu YousefBackground and Objectives: There is an escalating interest among patients and consumers in the use of complementary and alternative medicines (CAM), specifically natural health products, for a variety of illnesses. The public interest in CAM makes it important to explore the attitudes and beliefs of pharmacists involved in selling and dispensing these products. Our objectives were to explore the attitudes of community phar Read More
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Qatar's maternal survival and health status during 2011: A PEARL study analysis
Background and Objectives: The millennium development goals (MDG 5) mandate a three quarters reduction in maternal mortality ratio (MMR) by 2015. Hence, universal access to reproductive health and improvement in maternal survival remains the prime focus of all global health strategies and plans of action. Our study aims to analyze Qatar's performance in achieving MDG 5 by 2011. Methodology: A PEARL study (perinatal Read More
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Qatar achieves its target of neonatal survival required by United Nations Millennium Development Goal 4: A PEARL study analysis
Background and Objectives: Neonatal mortality, a component of United Nations Millennium Development Goal 4 (MDG-4) (two thirds reduction in childhood mortality by 2015), has been a focus of all global health improvement strategies and plans of action since 1990. Our study aims to prospectively ascertain Qatar's neonatal mortality rate (NMR) during 2011, analyze trends between 1975 and 2011, and compare with r Read More
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Exposure to secondhand smoke among Qatari pregnant women
Authors: Ziyad Mahfoud, Al Reem Al Nabti, Sally El Ghazar, Ayah Oglat and Faten El TaherBackground: The harmful effects of smoking during pregnancy on the health of the mother, fetus and newborn have been well documented in the literature. These include, low birth weight, prematurity and still birth. The negative effect of smoking on health is not restricted to active smokers as studies have shown that exposure to secondhand smoke (SHS) during pregnancy also poses risks on the mother and the fetus. To our kn Read More
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Using CO2 laser for transmyocardial laser revascularization (TMLR)
Authors: Mohamed Ali, Amr Zaher and Carmen M. AliBackground: Coronary artery disease remains one of the leading causes of morbidity and mortality in developed countries and is projected to be the leading cause of death in the developing world by 2010. Affecting nearly 12 million people in the USA, it accounts for 50% of all cardiovascular deaths and is the leading cause of congestive heart failure as well as premature permanent disability in workers. About 1.1 million myoc Read More
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A novel mechanistic pathway linking diabetes to colorectal cancer: Role of AMPK and mTOR
Authors: Sarah Abou Merhi, Fuad Ziyadeh, Ayad jaffa and Assaad EidBackground and Objectives: Both diabetes and cancer are prevalent diseases with increasing incidence worldwide and especially in countries that are undergoing rapid industrialization (i.e. Gulf countries). Epidemiological studies provide strong evidence that subjects with diabetes are at a significantly higher risk of developing many forms of cancer and in particular solid tumors including colorectal cancer. While diabetes an Read More
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Vitamin D and inflammation in the prevention of type 2 diabetes: Public health relevance
Authors: Mohamed H. Al-Thani, Al Anoud M. Al Thani, Eman Sadoun and Alaa BadawiBackground and Objectives: Type 2 diabetes mellitus (T2DM) is a major health problem in Qatar. The prevalence of T2DM in the adult population of Qatar is approximately 16% (twice that in the USA) and the country is ranked sixth in the world for diabetes prevalence. The number of cases of childhood diabetes in Qatar has doubled in ten years. The rapid rise of T2DM cases is thought to be due, in part, to genetic factors that i Read More
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Virtualization of exercise: An innovative ankle exercise paradigm based on virtual reality for improving balance in diabetes
Background: People with diabetes-related peripheral neuropathy (DPN) frequently suffer from concomitant postural instability that can lead to falls, fractures, depression, anxiety, and decreased quality of life. Exercise has been demonstrated to be effective in improving balance. However, high demands of conventional balance programs might overtax DPN patients' ability to perform exercises correctly. This might in turn reduce Read More
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Variability in HIV infectiousness across Sub-Saharan Africa
Authors: Hiam Chemaitelly and Laith J Abu-RaddadBackground & Objectives: A recent randomized clinical trial, CAPRISA 004, reported levels of HIV incidence rate among general population women in South Africa that are comparable or higher than those observed among high-risk populations such as female sex workers, men who have sex with men, or injecting drug users despite low coital frequency. Understanding the factors leading to such high HIV incidence levels is criti Read More
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Utility of vitamins in the prevention of type 2 diabetes mellitus and its complications: A public health perspective
Background and Objectives: The incidence of type 2 diabetes mellitus (T2DM) is increasing worldwide, and certain sub-populations appear especially vulnerable to developing the disease. In Qatar, the prevalence of T2DM in the adult population is approximately twice that in the USA. Qatar is ranked sixth in the world for diabetes prevalence. Risk of disease in the country is increasing with an apparent doubling of incid Read More
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Using myeloproliferative neoplasm symptom assessment form (MPN-SAF) to evaluate quality of life of MPN patients in Qatar
More LessBackground: Myeloproliferative neoplasms (MPNs), that is, essential thrombocythemia (ET), polycythemia vera (PV), and myelofibrosis (MF), are a group of MPNs that can lead to significant rates of morbidity and mortality among affected patients. Symptomatic burden in MPNs is present in most of MPN patients. We sought to use the broadly applicable instrument MPN symptom assessment form (MPN-SAF) to assess sympto Read More
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Consanguinity in Qatar: A unique opportunity for international collaborative research
Authors: Tawfeg Ben-Omran, Shenela Lakhani, Mariam Almureikhi, Rehab Ali, Noora Shahbeck and Zafar NawazConsanguinity and endogamy is common in the Middle East resulting in higher frequency of autosomal recessive genetic disorders, in particular private or rare genetic conditions. Most of these diseases are due to homoallelic state of pathogenic variants, a direct consequence of founder effect and increased co-efficient of inbreeding. Advanced molecular genetic technologies such as next-generation sequencing (NGS) are Read More
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The potential of intra-articular injection of chondrogenic-induced bone marrow stem cells to retard the progression of osteoarthritis in a sheep model
Background: Osteoarthritis (OA) is the most common joint disease in middle aged and older people. Despite the multiple modalities of treatment, the outcome is still poor and focuses on temporary measures to alleviate the symptoms. Objectives: We want to determine whether or not an intra-articular injection of a single dose of chondrogenic induced bone marrow mesenchymal stem cells (BMSC) can promote cartilage regen Read More
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Use of augmentative and alternative communication as a new system in communication disability
Authors: Amal Idres Ahmad and Azhar Othman OmarSuccess in life can be directly related to the ability to communicate. Full interpersonal communication substantially enhances an individual's potential for education, employment, and independence. Therefore, it is imperative that the goal of augmentative and alternative communication (ACC) use be the most effective interactive communication possible. For more than three decades now, the field known as augmentativ Read More
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The potential public health risk estimates associated with infections by Escherichia coli pathotypes, Salmonella and Campylobacter spp., in Qatar
Background and Objectives: A major challenge to global health initiatives is food safety. In the USA it is estimated that 76 million foodborne illnesses occur each year causing 300,000 hospitalizations and 5,000 deaths. Escherichia coli O157:H7, Campylobacter and Salmonella enterica are among the leading causes of these illnesses including inflammatory bowel disease (IBD) with severe sequelae. The severity of illness is in part at Read More
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The injury epidemiology of infants and toddlers in Qatar
Authors: Rafael Consunji, Ruben Rosario Peralta, Hassan Al Thani and Rifat LatifiBackground and Objectives: The epidemiology of child injuries among infants and toddlers (IAT) in Qatar has not been fully described. This study will analyze the injury epidemiology of fatal and non-fatal injuries in IAT and provide recommendations for targeted injury prevention programs for IAT in Qatar. Method: Data from the Qatar statistics authority (QSA), Hamad Medical Corporation (HMC) Trauma Registry and the mortuary f Read More
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The effect of rate dependency on the failure locus of the anterior cruciate ligament
Authors: Alexander Orsi, Ashkan Vaziri, Abdel Magid Hamouda, Ruben Goebel and Hamid Nayeb-HashemiBackground: Anterior cruciate ligament (ACL) tears are common injuries occurring upwards of 250,000 times annually only in the US. These injuries create an annual billion dollar expense in the US alone. It is important to understand these mechanisms of injury as these injuries continue to be one of the largest problems in orthopedic sports medicine. Improved understanding of the injury mechanisms may improve prevention, Read More
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Stable isotope labeling with amino acids in cell culture (SILAC) of human embryonic stem cells under chemically defined culturing conditions
Background and Objectives: Metabolic labeling with stable isotopes remains a prominent technique for comparative quantitative proteomics and stable isotope labeling with amino acids in cell culture (SILAC) is the most prominent approach used. However, despite its power the approach traditionally is limited if applied to complex tissue culture regiments as those required for human embryonic stem cells (hESC). Classic h Read More
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Sociodemographic determinants of neonatal mortality in the State of Qatar: A PEARL study analysis
Authors: Sajjad ur Rahman, Nuha Nimeri, Sarrah El Tinay, Hilal Al Rifai, Walid El Ansari and Mohammad TahirBackground and Objectives: The State of Qatar has achieved maternal, neonatal and perinatal survival rates which are comparable to many high income countries, both from the West and East. Our study aims to analyze sociodemographic, economic and cultural determinants of Qatar's neonatal mortality rate (NMR) during 2011. Methodology: PEARL study (Perinatal Neonatal Outcomes Research Study in the Arabian Gulf Read More
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Risk assessment of four major bacterial foodborne pathogens associated with preharvest food security in Qatar
Background and Objectives: Foodborne illness is a major hindrance to health advancement around the world and has been identified as a high priority in the Qatar National Food Security Program (QNFSP) master plan. Increased risk of illnesses is worsened by the ease of travel around the world, by an increase in global food and animal commodities trade, and by continued movement of large populations across vast areas. Read More
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Relationship between plasma vitamin D level and cardiometabolic disease risk factors
Background and Objectives: Vitamin D is thought to modulate cardiometabolic disease risk through effects on an array of disease-associated pathways, such as glucose and lipid metabolism and inflammation. Although vitamin D insufficiency is thought to play a role in the susceptibility to cardiometabolic disease, the association between the two conditions is yet to be investigated in both men and women from the general Read More
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Quantification of physical activity as a function of offloading modality in patients with diabetic foot ulcers - A randomized cohort study
Background: Management of physical activity in patients with diabetic foot disease is poorly understood. There is paucity of data, more specifically evidence from a randomized study investigating the levels and profiles of physical activity in this population. This study explores the quantification of physical activity as a function of offloading modality in patients with diabetic foot ulcers. Method: Thirty eligible subjects with non-infec Read More
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Sexuality education and determinants of perceived sex refusal skills among Lebanese adolescents
Authors: Silva Parsegh Kouyoumjian, Jocelyn DeJong, Rima Afifi and Huda ZuraykBackground and Objectives: Globally around half of new HIV infections occur in the age group 15-24. New reported cases of HIV/AIDS in Lebanon show that a younger age group (20-30) is being affected more than ever before. Lebanon is moving forward in implementing a national sexuality education curriculum in all public schools, as a mechanism for raising awareness and for preventing sexually transmitted infections (STI) Read More
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Protein PEGylation and gene DNA shuffling for the production of new protein therapeutics
More LessBackground: Hepatitis C has emerged in recent years as a common cause of liver disease. An estimated 200 million people are thought to be infected worldwide. Hepatitis C virus (HCV) infection is characterized by viral persistence and chronic liver disease in approximately 80% of cases. Chronic HCV infection is curable by either a combination of interferon and ribavirin, or PEGylated interferon. Both drugs had been shown Read More
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Posaconazole a prophylactic therapy in hematological cancer patients: Drug use evaluation study
Authors: Dalia Hamdy, Hager El-Geed, Samah El-Salem and Manal ZaidanBackground and Objectives: Posaconazole (PSZ), is an antifungal prophylactic therapy that is used in hematologic cancer patients. It is approved for prophylaxis in hematologic cancer patients ≥13 years in USA, Canada, Australia, and ≥18 years in the European Union. In 2010, PSZ was added to the formulary of Al-Amal Hospital, the only adult cancer hospital in Qatar. The objective of this study is to conduct a drug use evaluation Read More
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Photo-cross-linked poly(alkylene-co-tartrate) biodegradable matrices for implantable controlled drug delivery and other biomedical applications
Authors: Ahmad Abuhelwa, Mohammed Shaker and Husam M YounesObjectives: To investigate the synthesis and in vitro characterization of a novel family of photo-cross-linked biodegradable poly(alkylene-co-tartrate) (PAT) for the purpose of their use in implantable drug delivery and tissue engineering applications. Methods: PAT prepolymers were first synthesized via polycondensation reaction of L-tartaric acid with alkylene diols of varying chain lengths (C6-C12) at 130°C for two hours under nitrog Read More
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PEGylated interferon alfa-2a induces complete hematologic and molecular responses with low toxicity in essential thrombocythemia
More LessBackground: Essential thrombocythemia (ET) is a myeloproliferative neoplasm (MPN) marked by a risk of thrombotic and hemorrhagic complications, and by a long-term risk of evolution to myelofibrosis (MF), and acute leukemia (AL). Methods: Inclusion criteria: ET diagnosed as per WHO classification 2008, age 18 to 45 year. Exclusion criteria: (hepatic and renal dysfunction, history of psychiatric disorder, in particula Read More
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Pediatric pneumococcal immunization programs and associated changes in antibiotic utilization: A systematic review
Authors: Kyle John Wilby and Denise WerryBackground and Objectives: Antimicrobial stewardship is rapidly becoming very popular throughout the Middle East and abroad. Immunization programs, as a form of disease prevention, may reduce utilization of antimicrobials by decreasing incidence of disease requiring treatment. This may be especially important in children, as exposure to antimicrobials has been associated with chronic diseases such as asthma. The o Read More
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Optimal reference selection for genome assembly using the minimum description length principle
Authors: Bilal Wajid, Erchin Serpedin, Marwa Qaraqe, Hazem Nounou, Mohamed Nounou, Lotfi Chouchane and Nady MohamedBackground and Objectives: Reference assisted assembly requires the use of a reference sequence, as a model, to assist in the assembly of novel genomes. The standard method for identifying the best reference sequence for the assembly of a novel genome aims at counting the number of reads of the novel genome that align to the reference sequences and then choosing the reference sequence which has the highest num Read More
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Obstetric determinants of neonatal mortality in the State of Qatar: A PEARL study analysis
Background and Objectives: The State of Qatar has achieved maternal, neonatal and perinatal survival rates which are comparable to many high income countries, both from the West and East. Our study aims to analyze obstetric determinants of Qatar's neonatal mortality rate (NMR) during 2011. Methodology: A PEARL study (Perinatal Neonatal Outcomes Research Study in the Arabian Gulf), a joint collaborative research proj Read More
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Novel oral formulations of metformin in semi-solid matrices: Design, characterization and in vitro dissolution testing
Authors: Sandi Ali-Adib, Ahmad Abuhelwa and Husam M YounesObjectives: To formulate and evaluate oral dosage forms of metformin hydrochloride (MH) having sustained-release properties that would also increase MH bioavailability and address the shortcomings in the currently marketed sustained-release tablets. Methods: MH micronized powder was dispersed in molten polymeric matrices composed of Gelucire® 50/13 and various proportions of high molecular weight hydrophilic poly Read More
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New frontiers for human risk assessment following exposure to chemical/environmental mutagens: State of the art testing for detecting causes of cancer
Authors: Firouz Darroudi and Michael LongBackground: Large numbers of chemicals (natural and synthetic, including human dietary food components) are tested each year worldwide for potential genotoxic properties to protect humans and the environment against the consequences of exposure to such chemicals (cancer, infertility, accelerated ageing, and instability of ecosystems). For primary screening, fast in vitro and in vivo tests are used, but their predictive val Read More
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Molecular genetic approach to the diagnosis of a clinically equivocal retinopathy
Background and Objectives: A pregnant female requested prenatal diagnosis for a congenital and complex eye disease segregating in her family. The three-generation pedigree of Romanian ethnic origin was suggestive of an X-linked inheritance, due to exclusively affected males and no father-to-son transmission. Affected individuals had bilateral optic nerve atrophy, microphthalmia, nystagmus, leukocoria, cataract, retin Read More
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Lack of evidence of substantial hepatitis C virus (HCV) prevalence decline in Egypt in the last 20 years
Authors: Yousra Ali Mohamoud and Laith J. Abu-RaddadBackground: Egypt has the highest hepatitis C virus (HCV) prevalence in the world. Numerous HCV prevalence studies have published various estimates from different Egyptian communities, suggesting that Egypt, relative to the other nations of the world, might be experiencing an intense ongoing HCV transmission. Objective: To investigate the trend in HCV prevalence among the general population in Egypt with respect to Read More
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Metabolic syndrome and obesity in early pregnancy and birth outcomes: Qatari mother-child cohort study
Authors: Eleni Fthenou, Jamal Al-Khanji, Faleh Mohammed Ali and Eman SadounBackground: Metabolic syndrome is associated with the rising incidence of obesity in developed countries, particularly in urban settings and is reaching epidemic proportions. Qatar, a rapidly modernizing country, has witnessed dramatic changes in urbanization and lifestyle. Recent studies demonstrate a significant prevalence of obesity and metabolic syndrome in Qatari population. According to a New York Times article (Ap Read More
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Inferring nonlinear and sparse gene regulatory networks
Authors: Amina Noor, Erchin Serpedin, Hazem Nounou, Mohamed Nounou and Marwa QaraqeBackground and Objectives: Gene regulatory networks model the interactions among the genes and provide a decision rule describing activation and repression of each gene via various proteins. In order to be able to capture the complex gene interactions efficiently, it is imperative to develop algorithms that model the nonlinear interactions among the genes. This work considers the problem of inferring gene regulatory networ Read More
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Improving patient's outcome through an advanced postgraduate medical education program for injured patients in Qatar
Authors: Ruben Peralta, A. Parchani, A. Zarour, H. Al-Thani and R. LatifiBackground and Objectives: Trauma is the leading cause of death among the young population in the Middle East, including Qatar. A significant number of trauma and injured patients will require sophisticated critical care services and a disproportionately high level of hospital resources are centered within critical care units. The introduction of an advanced ACGME structured Trauma & Critical Care (TCC) Fellowship Program Read More
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Improving type 2 diabetic patient knowledge, attitude and practice towards diabetes selfcare by implementing a community-based interactive approach - diabetes mellitus strategy
Authors: Mohamed Izham, Titien Siwi Hartayu and Suryawati SriBackground: Community-based interactive approach-diabetes mellitus (CBIA-DM) is an active self learning method. CBIA is a method used for public education which emphasizes the active role of participants in looking for information. The intention of CBIA is to empower participants to seek and critically assess information about their treatment. Objectives: This study is aimed at improving type 2 diabetic patients knowle Read More
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Identification of novel genes causing autosomal recessive disorders in Qatari population using whole exome sequencing
Background Consanguinity and endogamy are common in the Middle East, resulting in a higher frequency of autosomal recessive (AR) disorders. This consanguinity facilitates discovery of disease causative genes particularly after introduction of the new techniques such as Whole Exome Sequencing (WES). In order to reduce the overall socio-economic burden of such diseases, the development of diagnostic tools and prev Read More
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Identification of novel anti-apoptotic signals in prostate cancer stem cells
Authors: Konduru S Sastry, Dhanya Kizhakayil and Lotfi ChouchaneBackground: Prostate cancer (PC) remains the second leading cause of male death in Western countries and has been on the rise in Qatar during the last decade. Recent studies established that unlike differentiated PC cells, PC stem cells (PCSC) display high tumorigenic and metastatic potential and become resistant to current therapy. Therefore therapeutic success depends on the ability to effectively kill PCSC. The dise Read More
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Hyperglycemia-induced stress granule formation in mouse microvascular endothelial cells
Background and Objective: Cells exposed to stress conserve energy for the repair of cellular damage by inhibiting translational initiation. The stress stimuli can trigger several stress response pathways leading to global translational attenuation, chiefly by the phosphorylation of eIF2α and disruption of the 43S assembly, which correlates to the compartmentalization of untranslated polyadenylated mRNA in discrete cytoplas Read More
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Hydrogen peroxide induces stress granule formation independent of eukaryotic initiation factor 2α phosphorylation
Authors: Ken Fujimura, Daniel Scharengella, Victoria Ivanova, Pavel Ivanov, Paul Anderson and Mohamed EmaraBackground and Objectives: In cells exposed to environmental stress, inhibition of translation initiation conserves energy for the repair of cellular damage. Untranslated mRNAs that accumulate in these cells move to discrete cytoplasmic foci known as stress granules (SGs). The assembly of SGs helps cells to survive under adverse environmental conditions. SGs are formed as a consequence of eIF2α phosphorylation that inhi Read More
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HIV prevention randomized clinical trials: quantitative and analytical insights on the failure to measure efficacy
Authors: Diego Cuadros, Laith Abu-Raddad and Gisela Garcia-RamosBackground & Objectives: Despite the solid foundation on epidemiological evidence and basic science research, nearly 90% of the randomized controlled trials (RCT) designed to measure the efficacy of interventions on HIV incidence failed to measure a statistically significant efficacy against HIV incidence. Here, we propose the use of computer simulations to control trials as a useful tool to overcome the difficulty of effect size Read More
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