Should Family be Allowed During Resuscitation

The practice of family presence during resuscitation provides the opportunity to the family members to attend visually and physically with the patient during resuscitation. The concept of family presence during resuscitation empowers the family-centred care philosophy. However, allowing families during resuscitation is controversial among health care providers. Using predefined search terms, a systematic search was carried out on CINAHL, PubMed, Proquest, Meditext, Ebsco and MedLine. Of the references identified, 35 studies were identified that met the inclusion criteria. The included studies clearly highlight. The family members revealed a desire to their presence during resuscitation and indicated further benefits of their presence. Health care providers had different opinions, some refused the practice indicating that it would be offensive and may interfere with the treatment. Others believed that it would positively affect patient care and would reassure family that the best care is being provided. Both family members and health care providers showed a need for educational programs and written policies to facilitate family presence during resuscitation

The relationship between intellectual capital information and firms’ market value: a study from an emerging economy

Purpose: The purpose of this paper is to investigate the relationship between the intellectual capital (IC) information reported in the annual reports and market value of the companies listed on the Qatar Stock Exchange. Design/methodology/approach: The study is based on a panel data collected from the annual reports and Bloomberg database for six years, specifically the periods 2010-2012 and 2016-2018. The total sample consists of 252 observations. The theoretical framework was developed in reference to the resource-based theory. The regression model is based on Ohlson’s model, which has been modified by including IC information. Findings: The study found that there is a significant relationship between IC information and firm market value. This finding indicates that companies report their IC to help the stakeholders (e.g. shareholders, investors) to understand the real value of the company (which includes IC values). Practical implications: The shift to a knowledge-based economy (KBE) has made knowledge a driver for economic growth, and it has become more important than capital, land and labour. This shift makes IC and resources vital for companies to create wealth, value and gain competitive advantage. The State of Qatar plans to transform its economy to a KBE in its “Qatar Vision 2030”. The findings of the study show that the companies have started to depend more on IC to contribute to transforming Qatar’s economy to a KBE. Originality/value: This study could be considered a pioneer study to examine the association of IC disclosure and firm value in Qatar. Furthermore, prior literature has mixed findings, which justifies further investigation of IC’s effect on market value, particularly in the emerging economy of Qatar. © 2019, A.A. Ousama, Mashael Thaar Al-Mutairi and A.H. Fatima

واقع تطوير مهارة إدارة الأزمات لدى قادة المدارس الثانوية في المملكة العربية السعودية استناداً إلى أسس القيادة الإبداعية من وجهة نظر قادة المدارس The reality of developing the skill of crisis management among secondary school leaders in the Kingdom of Saudi Arabia based on the foundations of creative leadership from the point of view of school leaders

Abstract The study aimed to identify the reality of developing the crisis management skill of secondary school leaders in the Kingdom of Saudi Arabia based on the foundations of creative leadership from the point of view of school leaders themselves. A sample was randomly selected amounting to (349) principals. To achieve the objectives of the study, a questionnaire was prepared consisting of (50) items distributed to five areas, namely (sensitivity to problems, flexibility, fluency, originality, and persisting).The results of the study found that the reality of developing crisis management skill among secondary school leaders in the Kingdom Saudi Arabia based on the foundations of creative leadership from the point of view of school leaders themselves was a medium degree. The study also found that there were no statistically significant differences due to the impact of gender in all fields, and there were statistically significant differences due to the impact of academic qualification in all fields except the field of originality and the differences came in favor of the bachelor\u27s degree. In addition, there were no statistically significant differences due to the impact of years of experience in all fields except the field of persisting, and the field of fluency and the differences came in favor of 10 years or more, The researchers recommended to work to find clear standards for creativity and determine its levels in secondary schools, and to achieve the freedom to apply creativity in secondary schools in the Kingdom of Saudi Arabia, and the need to develop administrative structures, systems and methods of work, and to review administrative laws and make them work to stimulate creativity, and lead to the contribution and participation of working individuals

Heterogeneity in Phenotype of Usher-Congenital Hyperinsulinism Syndrome:Hearing Loss, Retinitis Pigmentosa, and Hyperinsulinemic Hypoglycemia Ranging from Severe to Mild with Conversion to Diabetes

OBJECTIVE: To evaluate the phenotype of 15 children with congenital hyperinsulinism (CHI) and profound hearing loss, known as Homozygous 11p15-p14 Deletion syndrome (MIM #606528). RESEARCH DESIGN AND METHODS: Prospective clinical follow-up and genetic analysis by direct sequencing, multiplex ligation-dependent probe amplification, and microsatellite markers. RESULTS: Genetic testing identified the previous described homozygous deletion in 11p15, USH1C:c.(90+592)_ABCC8:c.(2694–528)del. Fourteen patients had severe CHI demanding near-total pancreatectomy. In one patient with mild, transient neonatal hypoglycemia and nonautoimmune diabetes at age 11 years, no additional mutations were found in HNF1A, HNF4A, GCK, INS, and INSR. Retinitis pigmentosa was found in two patients aged 9 and 13 years. No patients had enteropathy or renal tubular defects. Neuromotor development ranged from normal to severe delay with epilepsy. CONCLUSIONS: The phenotype of Homozygous 11p15-p14 Deletion syndrome, or Usher-CHI syndrome, includes any severity of neonatal-onset CHI and severe, sensorineural hearing loss. Retinitis pigmentosa and nonautoimmune diabetes may occur in adolescence

أثر مقاصد الشريعة في الحفاظ على الأسرة الإسلامية في المجتمعات الغربية

فإن مقاصد الشر عٌة الإسلام ةٌ ه مقاصد عظ مٌة قررها علماء الشر عٌة وأطلقوا عل هٌا مقاصد الشر عٌة، وأنها تستط عٌ أن تواجه المستجدات والمتغ رٌات ف ح اٌة الناس وتحفظ المجتمع الإنسان والأسرة المسلمة سواءً كانت تع شٌ ف المجتمعات الإسلام ةٌ أو المجتمعات الغرب ةٌ. أن مستجدات العصر الحد ثٌ أدت إلى هجرة كث رٌ من الأسر الإسلام ةٌ إلى الدول الغرب ةٌ غ رٌ المسلمة، وذلك لحاجتها الملحة لذلك كان ذلك بسبب اللجوء أو غ رٌه من الأمور الس اٌس ةٌ أو الاقتصاد ةٌ أو من ظروف الح اٌة المع شٌ ةٌ الأخرى، ولذلك واجهة هذه الأسر الإسلام ةٌ بعض من الأمور الت لا تتوافق مع التعال مٌ والعادات والتقال دٌ الإسلام ةٌ مما سبب العد دٌ من الإحراجات والمشاكل لبعض الأسر المسلمة ف الحفاظ على عادات وتعال مٌ الد نٌ الإسلام .ً وركز البحث ف ب اٌن أهم ةٌ المقاصد الشرع ةٌ ف الحفاظ على الأسرة المسلمة، وب اٌن أن الشر عٌة الربان ةٌ نزلت لتحق قٌ غا اٌت ومقاصد عظ مٌة وتشمل جم عٌ أمور الح اٌة ف أي مكان وزمان، وب اٌن أن مقاصد الشر عٌة الاسلام ةٌ صالحة لكل وجه من وجوه الح اٌة وقادرة على تنظ مٌ الأسرة وأثرها عل هٌ، حل القضا اٌ المستجدة من خلال البحث ف مقاصد الشر عٌة الاسلام ةٌ. إعتمد الباحث ف بحثه على المنهج التحل لٌ ،ً وذلك عن طر قٌ دراسة مقاصد الشر عٌة الإسلام ةٌ بشكل عام، واستخراج الأحكام الت تتعلق بالأسرة المسلمة، والمنهج الاستقرائ :ً وذلك بدراسة مقاصد الشر عٌة من خلال والكتب والمؤلفات المختلفة، والموسوعات، والمقالات، والمنشورات المحكمة الشر عٌة الإسلام ةٌ، والمنهج التطب قٌ والوصف :ً وذلك بإجراء الدراسة وتطب قٌها على نظام الأسرة المسلمة وك فٌ ةٌ حما تٌها عن الضاٌع

Modification and Application of Carbon Nanotubes for the Removal of Emerging Contaminants from Wastewater: A Review

The emerging contaminants (ECs) refer to chemical compounds either naturally originated or synthetically modified having potential toxic effects to the environment. The ECs include different pollutants such as biocides, pesticides, pharmaceuticals (antibiotic, analgesics, and hormones) and personal care products (cosmetics, fragrances, and hygiene products). The ECs are considering the top priority pollutants by the European Union (EU) and the United States Environmental Protection Agency (US EPA). Among other materials, the carbon nanotubes (CNTs) are one of widely used materials for the removal of ECs applying diverse techniques of wastewater decontamination. The momentous advancement of these functional nanostructured materials has found to be cost-effective, reusable, smart materials for the application of ECs removal. The aim of this chapter was to explore the modification routes and advancement of functionalization of CNTs with other functional groups by the reported works. The possible mechanistic insight of ECs removal reactions was also evaluated applying different methods for decontamination reported in the past studies. This review will be significant sources of information of CNTs-based materials for the application of wastewater treatment especially ECs removal from wastewater and ultimate environmental remediation

Saudi women’s leadership experiences in the healthcare sector: A qualitative study

Background: Gender equality in the workforce and the promotion of woman leadership is critical to economic growth and the sustainable development of society and the global community. However, gender diversity in leadership positions is a concern as women continue to be underrepresented. Ensuring equal opportunities in leadership positions in the health sector can help advance the achievement of the sustainable development goals (SDGs). Purpose: The aim of this study was to explore Saudi women’s perspectives and leadership experiences at senior-level positions in the healthcare sector. Methods: A descriptive qualitative approach was adopted to address the study aim. This included nine semi-structured interviews with Saudi women who have held leadership positions in the health sector over the past ten years. Reflexive thematic analysis was conducted by adopting the six phases. Results: The results showed that internal factors, such as qualifications, experience, and the innate qualities of a winner, are the most important factors that contribute to women’s leadership. Women’s role expectations, gender norms, and the patriarchal nature of the community have a negative impact on women’s leadership. One of the new findings of this study was negative attitudes and lack of support from female colleagues. Conclusion: Women leaders in health care in Saudi Arabia share similarities and differences with women leaders around the world. However, the Saudi community has its own social norms and gender roles that cannot be denied. While Vision 2030 brought a number of positive changes in women’s empowerment that participants spoke of, more research is needed to explore men’s perceptions, which can complete the picture and lead to organizational improvement and changes

Level of anxiety and depression among healthcare workers in Saudi Arabia during the COVID-19 pandemic

Background The coronavirus disease 2019 (COVID-19) pandemic places a high demand on frontline healthcare workers. Healthcare workers are at high-risk of contracting the virus and are subjected to its consequential emotional and psychological effects. This study aimed to measure the level of depression and anxiety among healthcare workers in Saudi Arabia during the early stages of the COVID-19 pandemic. Methods This was a cross-sectional study; data were collected from healthcare workers in Saudi Arabia using a survey that included the Zung Self-Rating Depression Scale and the Generalized Anxiety Disorder Scale-7. A total of 326 participants took part in the study by completing and submitting the survey. Results The vast majority of the participating healthcare workers were Saudi nationals (98.8%) working in a public healthcare facility (89.9%). The results indicated that most of the participants had mild levels of anxiety and depression. A total of 72.5% of the respondents had anxiety, ranging from mild (44.1%) to moderate (16.2%) and severe (12.2%). Moreover, 24.4% of the respondents had depression ranging from mild (21.7%) to moderate (2.1%) and severe (0.6%). The generalized linear models showed that the <30 age group (Beta = 0.556, p = 0.037) and the 30–39-year age group (Beta = 0.623, p = 0.019) were predicted to have anxiety. The analysis revealed that females were more anxious (Beta = 0.241, p = 0.005) than males. Healthcare providers working in primary healthcare centers (Beta = −0.315, p = 0.008) and labs (Beta = −0.845. p = 0.0001 were predicted to be less anxious than those working in other healthcare facilities. The data analysis showed that participants with good economic status had more depression than the participants in the other economic status groups (Beta = 0.067, p = 0.003). Conclusion This study found that the level of anxiety and depression in healthcare workers was mild. The factors that may contribute to anxiety in healthcare workers included being female, being younger than 30 or between the ages of 31 and 39, working in a specialized hospital facility, and the number of COVID-19 cases the workers dealt with. Economic status was associated with depression. A longitudinal study design is needed to understand the pattern of anxiety levels among healthcare workers over time during the COVID-19 pandemic

Healthcare providers as patients: COVID-19 experience

There is compelling evidence for the psychological effects of the COVID-19 pandemic and earlier epidemics. However, fewer studies have examined the subjective meaning experience of healthcare providers who have survived COVID-19 as patients. This qualitative study aimed to understand further and describe the life experiences of healthcare providers who have survived COVID-19 as patients in Saudi Arabia. Data was collected using unstructured in-depth individual interviews among n = 10 healthcare providers from public hospitals in Saudi Arabia. Data were analyzed based on a phenomenological approach, which resulted in five themes: (i) physical and psychological signs and symptoms; (ii) self-healing, hiding pain, and family; (iii) fear of complications; (iv) disease stigma & long-term psychological outcomes; (v) emotional support, mental well-being & resignation. The overall synthesis showed that healthcare providers, as patients, experience the same difficulties and stressors as the general public. In some cases, these factors are even worse, as family members, colleagues, and employers develop a new type of stigma. Given the impact of social media and the flow of information of any type, more research is needed to examine the sources used to obtain information by the general public, whether these sources are reliable, and how the public can be taught to use only scientific data and not social data. Understanding the experience of healthcare providers as patients during the pandemic has allowed to look at the feelings and needs of people during illness from a new perspective. As expressed by participants, being a healthcare provider does not reduce the fear of the disease and does not mitigate its consequences in the form of stigmatization and isolation

Rare adverse events associated with BNT162b2 mRNA vaccine (Pfizer-BioNTech): a review of large-scale, controlled surveillance studies

Given the increasing anti-vaccine movements erroneously touting vaccine danger, this review has investigated the rare adverse events potentially associated with BNT162b2 (Pfizer-BioNTech), an mRNA vaccine against the severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2). Only real-world surveillance studies with at least 0.1 million BNT162b2-vaccinated participants and one unvaccinated control group were selected for review. A total of 21 studies examining the potential association of BNT162b2 with cardiovascular, herpetic, thrombotic or thrombocytopenic, neurological, mortality, and other miscellaneous rare adverse events were described in this review. Only myocarditis is consistently associated with BNT162b2. An unclear direction of association was seen with stroke (hemorrhagic and ischemic), herpes zoster, and paresthesia from BNT162b2, which may require more studies to resolve. Fortunately, most surveillance studies detected no increased risks of the remaining rare adverse events reviewed herein, further reassuring the safety of BNT162b2. In conclusion, this review has concisely summarized the current rare adverse events related and unrelated to BNT162b2, arguably for the first time in sufficient depth, to better communicate vaccine safety to the public