Pub Date : 2024-04-08eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.26
Aasir M Suliman, Theeb O Sulaiman, Mona Allangawi
{"title":"A rare case of asymptomatic left lung agenesis in an adult woman.","authors":"Aasir M Suliman, Theeb O Sulaiman, Mona Allangawi","doi":"10.5339/qmj.2024.qitc.26","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.26","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-08eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.4
Mohamed M Emara, Merlin Thomas, Mona Al Langawi, Michail Nomikos, Hanaa Mousa, Soha Aboukhalaf, Nadin H Abouzeid, Yasemin AlShanableh, Maryam K Al Thani, Yehia Y Hussein, Nuha T Swaidan, Yasmin Elsharabassi
{"title":"Generation of human-induced pluripotent stem cells from a patient with homozygous I1234V mutation of cystic fibrosis.","authors":"Mohamed M Emara, Merlin Thomas, Mona Al Langawi, Michail Nomikos, Hanaa Mousa, Soha Aboukhalaf, Nadin H Abouzeid, Yasemin AlShanableh, Maryam K Al Thani, Yehia Y Hussein, Nuha T Swaidan, Yasmin Elsharabassi","doi":"10.5339/qmj.2024.qitc.4","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.4","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-08eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.24
Abdul-Aziz Al Hashemi, Shaimaa Sherif M Hassan, Tasleem Raza, Aisha Hussain, Mousa Hussein, Muhannad Salih, Mohamed M A AlMarri, Ibrahim Abdul Rashid, Mansoor Hameed, Zeyad Al Hiyasat, Yasen Ahmed, Hussam Ghali, Ahmed M Mohamoud, Mariam A O Al-Malaheem, Hisham Abdul Aleem
{"title":"Telemedicine: Potential impact of the future improved accessibility and waiting list to HGH Sleep Clinics through overbooking strategy, Hamad Medical Corporation, Qatar.","authors":"Abdul-Aziz Al Hashemi, Shaimaa Sherif M Hassan, Tasleem Raza, Aisha Hussain, Mousa Hussein, Muhannad Salih, Mohamed M A AlMarri, Ibrahim Abdul Rashid, Mansoor Hameed, Zeyad Al Hiyasat, Yasen Ahmed, Hussam Ghali, Ahmed M Mohamoud, Mariam A O Al-Malaheem, Hisham Abdul Aleem","doi":"10.5339/qmj.2024.qitc.24","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.24","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ümran Kılınçdemir Turgut, Ebru Erdemoğlu, Cem Dağdelen, Osman Gürdal, Mehmet Okan Özkaya, M. Sezik
Introduction: Preterm identification of cervical dilation in pregnant women leads to the application of emergency cervical cerclage with an expectation of achieving term delivery. However, this is not always feasible. Short- and long-term neonatal complications post-preterm birth pose a significant challenge. It is crucial to anticipate potential complications and understand the possibilities of postpartum development as they can be encountered. We aimed to evaluate the effect of the degree of cervical dilatation before ultrasound and physical examination-indicated cerclage in singleton pregnancies presenting with premature cervical dilatation with bulging fetal membranes (rescue cerclage) on subsequent neonatal outcomes. Materials and Methods: In this retrospective clinical study, over a 10-year period between January 2009 and January 2019, 72 singleton pregnancies undergoing rescue cerclage were included and divided into two groups according to pre-cerclage cervical dilatation: Group 1 (n = 33) and Group 2 (n = 39) with cervical dilatation ≤3 cm and >3 cm, respectively. Latency period for pregnancy prolongation, gestational age at delivery, birth weight, and neonatal morbidity and mortality were compared across the groups. Logistic regression was used to delineate the independent effect of cervical dilatation at cerclage placement on neonatal mortality. Results: Group 2 had a higher delivery rate at ≤28 weeks’ gestation (p = 0.007) and lower birth weight (p = 0.002) compared to Group 1, with an increased mean latency period in Group 2 (90 ± 55 days versus 52 ± 54 days, p = 0.005). The newborn intensive care unit (NICU) requirement, respiratory distress syndrome (RDS), neonatal jaundice and sepsis, and retinopathy of prematurity (ROP) were more frequent in Group 2. Neonatal mortality rate was higher (52.6% versus 24.2%, p = 0.015) and intact survival was lower (23.1% versus 48.4%, p = 0.013) in Group 2, whereas rates of cerebral palsy (8% and 9%, respectively) were similar between the groups (p = 0.64). Conclusion: Advanced cervical dilatation (>3 cm) during physical examination-indicated cerclage in singleton pregnancies is associated with earlier delivery, leading to increased neonatal morbidity and mortality when compared with pregnancies having lesser degrees of cervical dilatation at cerclage. However, short-term poor neurological outcomes seem comparable.
{"title":"The association between the degree of cervical dilatation before ultrasound and physical examination indicated cerclage and subsequent neonatal outcomes","authors":"Ümran Kılınçdemir Turgut, Ebru Erdemoğlu, Cem Dağdelen, Osman Gürdal, Mehmet Okan Özkaya, M. Sezik","doi":"10.5339/qmj.2024.20","DOIUrl":"https://doi.org/10.5339/qmj.2024.20","url":null,"abstract":"Introduction: Preterm identification of cervical dilation in pregnant women leads to the application of emergency cervical cerclage with an expectation of achieving term delivery. However, this is not always feasible. Short- and long-term neonatal complications post-preterm birth pose a significant challenge. It is crucial to anticipate potential complications and understand the possibilities of postpartum development as they can be encountered. We aimed to evaluate the effect of the degree of cervical dilatation before ultrasound and physical examination-indicated cerclage in singleton pregnancies presenting with premature cervical dilatation with bulging fetal membranes (rescue cerclage) on subsequent neonatal outcomes. Materials and Methods: In this retrospective clinical study, over a 10-year period between January 2009 and January 2019, 72 singleton pregnancies undergoing rescue cerclage were included and divided into two groups according to pre-cerclage cervical dilatation: Group 1 (n = 33) and Group 2 (n = 39) with cervical dilatation ≤3 cm and >3 cm, respectively. Latency period for pregnancy prolongation, gestational age at delivery, birth weight, and neonatal morbidity and mortality were compared across the groups. Logistic regression was used to delineate the independent effect of cervical dilatation at cerclage placement on neonatal mortality. Results: Group 2 had a higher delivery rate at ≤28 weeks’ gestation (p = 0.007) and lower birth weight (p = 0.002) compared to Group 1, with an increased mean latency period in Group 2 (90 ± 55 days versus 52 ± 54 days, p = 0.005). The newborn intensive care unit (NICU) requirement, respiratory distress syndrome (RDS), neonatal jaundice and sepsis, and retinopathy of prematurity (ROP) were more frequent in Group 2. Neonatal mortality rate was higher (52.6% versus 24.2%, p = 0.015) and intact survival was lower (23.1% versus 48.4%, p = 0.013) in Group 2, whereas rates of cerebral palsy (8% and 9%, respectively) were similar between the groups (p = 0.64). Conclusion: Advanced cervical dilatation (>3 cm) during physical examination-indicated cerclage in singleton pregnancies is associated with earlier delivery, leading to increased neonatal morbidity and mortality when compared with pregnancies having lesser degrees of cervical dilatation at cerclage. However, short-term poor neurological outcomes seem comparable.","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"23 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Learning clinical reasoning is less effective in isolation of clinical environments because contextual factors are a significant component in the clinical reasoning process. This study investigated the differences in opinions between novice and expert clinicians on learning clinical reasoning in the workplace. Materials and Methods: The author used a cross-sectional online survey design to investigate the perceived learning of six clinical reasoning skills in 13 learning opportunities. Questionnaires were emailed to 41 postgraduate psychiatry trainee doctors and 37 faculty members. Data were analyzed descriptively. The Chi-square test was used to compare the responses of the two groups. Statistical significance was set at P < 0.05. Results: The combined response rate was 73.07%. The two groups perceived the learning of advanced clinical reasoning skills to be lower than that of basic skills. There were significant differences in the perceived learning of basic clinical reasoning skills in self-study/exam preparations (P = 0.032), general hospital grand rounds (P = 0.049), and clinical rounds (P = 0.024 for consultant-led rounds and P = 0.038 for senior peer-led rounds). There were also significant differences in the perceived learning of advanced clinical reasoning skills among peer-led tutorials (P = 0.04), journal clubs (P = 0.006), morning reports (P = 0.002), and on-call duties (P = 0.031). Conclusions: The trainees showed a significant preference for structured learning environments rather than clinical environments, especially for advanced clinical reasoning skills. Trainees likely struggled with cognitive overload in clinical environments. Local postgraduate psychiatry programs will likely benefit from implementing multiple educational interventions that facilitate teaching and learning clinical reasoning in complex clinical environments.
背景：在孤立的临床环境中学习临床推理的效果较差，因为情境因素是临床推理过程中的重要组成部分。本研究调查了临床新手和专家对在工作场所学习临床推理的不同看法。材料与方法：作者采用横断面在线调查设计，调查了在 13 个学习机会中对六种临床推理技能的感知学习情况。通过电子邮件向 41 名精神科研究生实习医生和 37 名教员发送了调查问卷。对数据进行了描述性分析。采用卡方检验比较两组学生的回答。统计显著性以 P < 0.05 为标准。结果综合答复率为 73.07%。两组学生均认为高级临床推理技能的学习低于基本技能的学习。在自学/备考（P = 0.032）、综合医院大查房（P = 0.049）和临床查房（顾问主导的查房 P = 0.024，资深同行主导的查房 P = 0.038）中，两组对基本临床推理技能学习的感知存在明显差异。在同行指导（P = 0.04）、期刊俱乐部（P = 0.006）、晨间报告（P = 0.002）和值班（P = 0.031）中，对高级临床推理技能学习的感知也存在明显差异。结论受训人员明显倾向于结构化的学习环境，而不是临床环境，尤其是在高级临床推理技能方面。在临床环境中，受训人员可能难以承受认知超负荷。实施多种教育干预措施，促进复杂临床环境中临床推理的教学和学习，可能会使地方精神病学研究生项目受益匪浅。
{"title":"Perceived opportunities of clinical reasoning learning in postgraduate psychiatry training: Trainees’ and faculty’s perspectives","authors":"D. Albahari","doi":"10.5339/qmj.2024.14","DOIUrl":"https://doi.org/10.5339/qmj.2024.14","url":null,"abstract":"Background: Learning clinical reasoning is less effective in isolation of clinical environments because contextual factors are a significant component in the clinical reasoning process. This study investigated the differences in opinions between novice and expert clinicians on learning clinical reasoning in the workplace. Materials and Methods: The author used a cross-sectional online survey design to investigate the perceived learning of six clinical reasoning skills in 13 learning opportunities. Questionnaires were emailed to 41 postgraduate psychiatry trainee doctors and 37 faculty members. Data were analyzed descriptively. The Chi-square test was used to compare the responses of the two groups. Statistical significance was set at P < 0.05. Results: The combined response rate was 73.07%. The two groups perceived the learning of advanced clinical reasoning skills to be lower than that of basic skills. There were significant differences in the perceived learning of basic clinical reasoning skills in self-study/exam preparations (P = 0.032), general hospital grand rounds (P = 0.049), and clinical rounds (P = 0.024 for consultant-led rounds and P = 0.038 for senior peer-led rounds). There were also significant differences in the perceived learning of advanced clinical reasoning skills among peer-led tutorials (P = 0.04), journal clubs (P = 0.006), morning reports (P = 0.002), and on-call duties (P = 0.031). Conclusions: The trainees showed a significant preference for structured learning environments rather than clinical environments, especially for advanced clinical reasoning skills. Trainees likely struggled with cognitive overload in clinical environments. Local postgraduate psychiatry programs will likely benefit from implementing multiple educational interventions that facilitate teaching and learning clinical reasoning in complex clinical environments.","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"239 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.5
Abdullah Mohammad Arshad, Theeb Sulaiman, Hosamadean Maawia Benghashir, Husam Nabil Aldubai, Mousa Shaher Hussein
{"title":"Tuberculosis imitating malignancy: Unusual presentation as a metastatic tumor - A case report.","authors":"Abdullah Mohammad Arshad, Theeb Sulaiman, Hosamadean Maawia Benghashir, Husam Nabil Aldubai, Mousa Shaher Hussein","doi":"10.5339/qmj.2024.qitc.5","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.5","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.19
Abdullah Mohammad Arshad, Mona Babiker, Theeb Sulaiman, Aisha Al Adab
{"title":"Breathless on the journey: Unmasking palbociclib-induced pneumonitis in a geriatric breast cancer warrior.","authors":"Abdullah Mohammad Arshad, Mona Babiker, Theeb Sulaiman, Aisha Al Adab","doi":"10.5339/qmj.2024.qitc.19","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.19","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.29
Muhammad Yousaf, Liaquat Ali, Ahmad A Abujaber, Salah Almughalles, Saad Rehman, Muhammad Sharif, Syed G Naqvi, Imran Mohammed
{"title":"Right ventricular strain in pulmonary embolism (PE) in Covid-19 pneumonia.","authors":"Muhammad Yousaf, Liaquat Ali, Ahmad A Abujaber, Salah Almughalles, Saad Rehman, Muhammad Sharif, Syed G Naqvi, Imran Mohammed","doi":"10.5339/qmj.2024.qitc.29","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.29","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.17
Safa Mahgoub, Manu Sundaram, Andrew Durward
{"title":"The innominate artery, a seemingly benign artery that can cause major airway complications.","authors":"Safa Mahgoub, Manu Sundaram, Andrew Durward","doi":"10.5339/qmj.2024.qitc.17","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.17","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-26eCollection Date: 2024-01-01DOI: 10.5339/qmj.2024.qitc.20
Ahmad Aljumaa, Judy Hejazi, Reem Elmokattaf, Jihad Aljumaa, Abdul Hadi F Afzal, Farooq Pasha
{"title":"Characteristics and outcomes of intensive care readmissions within the first year of lung transplantation: Tertiary care center experience.","authors":"Ahmad Aljumaa, Judy Hejazi, Reem Elmokattaf, Jihad Aljumaa, Abdul Hadi F Afzal, Farooq Pasha","doi":"10.5339/qmj.2024.qitc.20","DOIUrl":"https://doi.org/10.5339/qmj.2024.qitc.20","url":null,"abstract":"","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2024 2","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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