National Study of Anaphylaxis in a Large Tertiary Care Hospital in Qatar: A Retrospective Study

Background: Anaphylaxis is a serious systemic allergic disease that often mani-fests with a broad array of symptoms and leads to death if not immediately treated by the administration of epinephrine auto-injector (EAI). Aims and objectives: To assess EAI dispense as an indicator to estimate anaphylaxis in Qatar, to determine the common causes of anaphylaxis in Qatar, to dissect the clinical profile of patients, and to determine the comorbidity factors in patients with anaphylaxis in Qatar. Methods: A retrospective study conducted using 1,068 electronic medical records (EMR) of anaphylaxis patients through the period of 2012 to 2016. The majority of the patients were collected from dispensed EAIs of outpatients (622) and the remainder (446) were from ICD-10 codes. To assess the feasibility of using the dispensed EAIs as possible measure for anaphylaxis, we calculated the sensitivity and specificity of this test on our patients’ cohort (1,068). The demographics data, triggers, co-morbidity factors, symptoms, and clinical manifestations were catego-rized and thoroughly analyzed. Statistical analysis was performed with version 24 SPSS statistic software package. Results: The sensitivity of dispensed EAIs to detect anaphylaxis was 87.0% with positive predictive value (PPV) of 80%. There were 574 patients (53.5%) diagnosed with anaphylaxis, male to female ratio was 1.2, and 300 patients (77.9%) were less than ten years. Food was the leading trigger of anaphylaxis (n=316, 55.0%) followed by insect stings (n=161, 28.0%) and drugs (n=103, 17.9%). Asthma (n=208, 36.2%), atopic dermatitis (n= 195, 33.9%) and allergic rhinitis (n=81, 14.1%) were the common comor-bidity factors that significantly associated with anaphylaxis. Symptoms included 87.9% cutaneous, 69.1% respiratory, 47.5% gastrointestinal, 15.8% cardiac, and 8.8% neurologi-cal. Patients treated without the use of EAIs (n=143, 77.7%) were exposed to more serious adverse events including two deaths and one shock. Conclusion: This study will serve as a clinical guide for clinicians at allergic and pediatrics clinics and might be used as a base-line to assess the future trend of anaphylaxis in Qatar

Nutritional assessment of zinc among adolescents in the Gaza Strip-Palestine

Zinc deficiency, obesity and stunting can be observed together in some developing countries. Moreover, zinc deficiency may enhance fat deposition and decrease lean body mass. In term of health, adequate absorbable zinc in food is essential for human health and growth. On the other hand, zinc deficiency affects children’s physical growth and deteriorates health status and increases the risk and severity of a variety of infectious diseases. The aim of the study is to assess zinc nutritional status among early adolescents in the Gaza Strip-Palestine. Methods: A cross sectional study had been performed on 296 adolescents aged 12-15 years old. Three areas in the Gaza Strip were chosen randomly. Systematically, pupils of 7th, 8th and 9th grades were selected. Height and weight measures were taken. Questionnaires including dietary habit and physical activities of pupils were collected in addition to serum zinc level measure. Results: The overall prevalence of serum zinc deficiency among adolescents was 42.5%. Zinc deficiency was more prevalent among the females (47.7%) than the males (37.2%). The overall prevalence of high body mass index was 29%. The overall prevalence of stunting was 7.6%. The stunted males (8.8%) were more prevalent than the females (6.4%). Forty-nine percent of the females live in sedentary life style, whereas 55% of the males practiced active and very active leisure physical activity. The females were less consuming of meat, eggs and milk than the males. Serum zinc level is associated positively with consumption of meat, BMI for age, stunting and physical activities. Conclusion: Zinc deficiency is prevalent

Constructed wetland for sustainable and low-cost wastewater treatment: review article

There is a growing need for more sustainable wastewater treatment technologies to provide non-conventional water sources. Constructed Wetland systems (CW) are viewed as a low-cost treatment technology with proven treatment efficiency. CWS can treat a variety of contaminants using low energy and natural systems by altering various design parameters. There are two configuration types of constructed wetlands: vertical (VF) and horizontal flow CW (HF). Both configurations have been widely adopted in both large and pilot scale studies with proven records of reasonable wastewater treatment efficiency. The current article reviews the recent development of CW technology and highlights the main achievements and successful applications for wastewater treatment at various locations. The review has indicated that a considerable removal efficiency is attained while using engineered CW systems with variable treatment rates for various pollutants. The treatment efficiency is a function of various parameters including wastewater type, scale dimensions, applied plant and the retention time. The review compared the treatment efficiency for both VF and HF and has revealed that various removal rates of BOD, COD, TSS, TN, TP and NH₄ was attained using both configurations. Yet, the removal efficiency in the case of VF was slightly higher compared with the HF with an average treatment level of 77% and 68% was achieved in both systems, respectively. The review revealed that the CW is an effective and sustainable technology for wastewater treatment with the initial influent level, microbial biofilm, detention time, plant species and configuration among the most dominating parameters that are directly controlling the removal rates

Outcomes of integrating a clinical pharmacist in the pediatric cardiology ward

To date, very limited data are available on clinical pharmacist's services in pediatric cardiology. The aim of this review was to assess "drug-related problems" (DRPs) and patient outcomes during the involvement of the clinical pharmacist in the pediatric cardiology ward. Studies published between January 2000 and November 2021 were searched across Medline, PubMed, Google Scholar, Elsevier, and ScienceDirect for “DRPs” and “patient outcome” with “clinical pharmacist” and “pediatric cardiology”. Results revealed that the incorporation of clinical pharmacists in the multidisciplinary team can detect and resolve DRPs, reduce the overall burden of healthcare costs, and improve drug safety in pediatric cardiology patients. Most DRPs identified and interventions proposed by the clinical pharmacists were accepted by the physicians. Studies have also reported a positive impact on patient outcomes, including: shorter hospital stay, fewer disease events, optimal anticoagulation levels, lipid levels, and blood pressure. Moreover; pharmacist-led discharge medication counseling resulted in better medication adherence, fewer medication discrepancies, and a lower incidence of cardiovascular-associated hospital readmissions. In summary, there is growing evidence that integration and interventions of clinical pharmacists into cardiology ward has a positive influence on DRPs and patient outcomes

RF Based Anti-Drone System

The anti-drone system blocks drones from entering a protected area. This aim of this project is to design a drone detection mechanism using the RF control signal exchanged between the drone and its remote controller. The system generates a high-power jamming signal transmitted over the same carrier frequency and band of the detected drone (project supports only 2.4 GHz band) and directed towards the drone location in order to disconnect it from its controller causing safe landing or return to home mechanisms to triggered

Modified Mamdani-fuzzy inference system for predicting the cost overrun of construction projects

Cost overruns are a common worldwide problem in the construction industry; improved proactive risk management and cost control are much needed. Several models have been proposed, but all have weaknesses, particularly in data demands and the severity of critical risks or uncertainties associated with expert judgment. In response, this study develops a new 3-part model based on the Mamdani-type fuzzy inference system (FIS) to predict the cost overrun of construction projects. The first part assesses the weight of each expert, evaluating the severity of cost overrun factors. The second part contains a list of 40 in-built cost overrun factors and their degree of severity, while the third part establishes the relationships of every factor's occurrence probability and severity to predict the cost overrun of a specific project. The severity of each factor is assessed based on a survey of 31 randomly selected experts in the Saudi Arabian construction industry. The model is demonstrated on two completed projects in Saudi Arabia. For each project, this involves a group of project-based experts rating the probability of occurrence of each factor on that project and applying this to the factor severity list to obtain a predicted cost overrun (PCO) for the whole project. The model is validated for robustness by sensitivity analysis comparing the predicted and actual whole project cost overrun and shown to be of practical value in assessing critical risks and predicting the likely amount of cost overrun. The model is equally applicable in the early project stages.</p

Supervised practice program guided by the Accreditation Council for Education in Nutrition and Dietetics standards improves potential employability of nutrition/dietetics graduates: perspective of employers and preceptors.

This study investigated employers' perspectives on the impact of a supervised practice program (SPP), guided by international accreditation standards on the skill development and potential employability of dietetics students. This study was based on qualitative research. Fifteen potential employers, who also served as SPP preceptors, participated in this study. Participants were interviewed using semi-structured questionnaire. All interviews were conducted face-to-face by a trained interviewer. Participates were invited to discuss their own experiences in the current SPP, their perceptions of the impact of SPP on skills and attributes of graduates, and their overall ideas of how SPP may contribute to the employability of graduates. This study found that the SPP program guided by international accreditation standards shaped the duties and responsibilities of preceptors/supervisors and promoted a beneficial relationship between preceptors and SPP students. The benefits to graduates include bridging the gap between classroom didactic knowledge and practice; improving workplace self-confidence; developing competencies such as critical-thinking, communication, interviewing, and counselling skills in various multidisciplinary and multicultural settings. In addition, the preceptors suggested that accreditation-guided SPP contributes to the employability of graduates. Also, they opined that it reduced the need for orientation and shortened the probation time because students were familiar with the work environment and work flow. This lead to the improved preparedness for work. SPP based on set of competencies guided by international accreditation standards provides an up-to-date curriculum, improves the quality of the nutrition and dietetics services, and increases the potential employability of the graduates

Filistin Gazze’de Al-Azhar Üniversitesi öğrencilerinin HIV/AIDS’e yönelik bilgi ve tutumlarının değerlendirilmesi

Objective: The study assessed the knowledge and attitudes of students’ at a university in Gaza regarding HIV/AIDS and identified differences in knowledge about HIV, and attitudes by gender, locality, and social and economic status. Methods: This descriptive study targeted 492 students of Al-Azhar University-Gaza. The participants completed self-administered questionnaires that included the following dimensions: socio-demographic, measurements of student's knowledge level and measurement of student's attitudes towards HIV/AIDS. Results: Findings showed moderate level of knowledge regarding HIV/AIDS although there was a very low of perception regarding the acceptance and sharing of HIV/AIDS persons. It means that only one third of the study respondents are willingness to be in close touch with people living with HIV or even communication with them, and less than fifty percent thought that it is their right to be engaged in a public or governmental job, stigma and discriminatory attitudes toward HIV/AIDS persons is high only 48% of the students thought it right to employ people living with HIV (PLHIV) and 35.5% refused to work in the same place with PLHIV. Conclusion: This study indicates the need for improving the level of knowledge as well as promoting the students' towards positive attitude

Anaphylaxis triggers in a large tertiary care hospital in Qatar: a retrospective study

Anaphylaxis is a serious allergic disease that may lead to death if not immediately recognized and treated. Triggers of anaphylaxis including food, drugs, and insect stings can vary widely. The incidence of anaphylaxis seems to be affected by age, sex, atopy, and geographic location. This study aims to examine the common triggers of anaphylaxis in Qatar. A total of 1068 electronic medical records were audited using power chart system: 446 from the medical coding system of anaphylaxis and 622 from the epinephrine auto-injectors (EAIs) dispensed during January 2012-December 2017. Of 1068 patients, 574 (53.5%) had anaphylaxis; male to female ratio was 1.2, and 300 patients (77.9%) were less than 10 years old. The common triggers were food ( = 316, 55.0%), insect stings ( = 161, 28.0%), and drugs ( = 103, 17.9%). Common anaphylaxis food triggers were nuts ( = 173, 30.1%), eggs ( = 89, 15.5%), and seafood ( = 72, 12.5%), and common anaphylaxis medication triggers were antibiotics ( = 49, 8.5%) and nonsteroidal anti-inflammatory drugs ( = 30, 5.2%). Interestingly, 135 anaphylactic patients (23.5%) were due to black ant stings. The anaphylaxis triggers varied significantly between children and adults. Among children (less than 10 years), three quarters of the events were triggered by food (223, 74.3%) while among adults (20-55 years), insect stings ( = 59, 43.0%) and drugs ( = 44, 32.0%) were dominant. This is the first national study stratifying anaphylaxis triggers among different age groups in Qatar. This study will serve as a guide for clinical practice in allergy clinics in Qatar and will help to assess future trends of anaphylaxis in Qatar