Perforated Meckel’s diverticulum with acute appendicitis in an infant

Meckel’s diverticulum occurs in approximately 2% of the population and is symptomatic in 16% of cases. In children, the most common presentation is intestinal obstruction due to intussusception. The simultaneous occurrence of acute appendicitis and symptomatic Meckel’s diverticulum is rare and when it occurs, it may be associated with non-specific symptoms that present a diagnostic challenge.Keywords: Meckel’s diverticulum, Acute appendiciti

Barriers to implementation of clinical research in the state of Qatar : a managerial perspective

Clinical research helps in improving patient care and quality of life through translation of findings from basic research (laboratory based) into actual benefit to patients. The huge advancements in the field of clinical research are accompanied by increase in demand for infrastructure, funding and regulations to ensure the safe conduct of research. There are many barriers faced by researchers around the world that affect the initiation and progress of their clinical research projects and eventually lead to wastage of effort and resources. Many studies in literature assessed these barriers from the researchers’ perspective. Nevertheless, the aim of this study was to identify the barriers as seen by research managers in Qatar. The study also had a retrospective aspect where the database of funded projects was analyzed for frequency of suspensions and terminations and if they were related to the identified barriers. Five research managers from different research institutions in Qatar were interviewed for their opinion about the barriers to conducting clinical research in Qatar. The interviews were recorded, transcribed and a thematic analysis model was applied to generate common themes. The major barriers identified could be categorized into four major themes – scientific / professional, financial, administrative and regulatory. A retrospective analysis of the grants awarded to Hamad Medical Corporation (HMC) confirmed that most reasons for the suspensions and terminations were related to these barriers. We believe that this study provided very important insight into the barriers faced by researchers in Qatar. The outcomes will be communicated to the policy makers in Qatar to focus on addressing these issues for a better utilization of the available resources and infrastructure to support clinical research in Qatar. The study also paves the way for a future study where barriers will be assessed by the researchers

COMPARISON OF HIGHER EDUCATION SYSTEM GULF COUNTRIES AND PAKISTAN; A SYSTEMATIC REVIEW OF PRIVATE AND GOVERNMENT SECTOR- SYSTEMATIC REVIEW

Background: Education is the basic need and requirement of every individual. higher education is the strength competency and capability development of the student and the learner. Amanagement of higher education is necessary and essential for the management Strategies and learning prospectus. Different societies have different educational paradigms that require legislation and rule on the basis of their own social dynamics. Aim: The Aim of the present study is to understand the comparative higher education system among the Gulf countries and Pakistan regarding their private and governmental sector educational organization. Method Data for the research purpose was collected from all the research conducted between 2017 and 2021 written in the English language through the electronic search engine of Maxton, Google Chrome, Firefox, and Microsoft Edge databases: Google Scholar, Cochrane Collaboration, Emerald insight, MEDLINE, CINAHL, EMBASE, Taylor & Frances, Science Direct, ASSIA, Web of Science, Scopus, PubMed, and JSTOR. Keywords used in the research included: higher education systems, Private and government sectors, Gulf countries, and Pakistan, Using syntaxes such as “and”, “or”, “with”, “if” etc. Conclusion: Gulf countries have their own in-rooted legislation for higher education and Pakistan has family designed Higher Education Commission that is working under the ministry of education having international and national relationships with reputed organizations and institutions for the sake of educational development. Qatar's higher education system is working under the ministry of education for the development of based computers and skill development.&nbsp

Urethro-cutaneous fistula after hypospadia repair: a single institution study

Urethro-cutaneous fistula (UCF) is one of the most frequently seen complications of hypospadias surgery requiring reoperation; it occurs with an incidence of between 4% and 28%. Risk factors associated with the development of UCF can be classified as preoperative, intraoperative or postoperative. The aim of this study was to determine the association of perioperative risk factors and the development of urethrocutaneous fistula after hypospadias repair. A retrospective review of patients who had undergone hypospadias repair at Kenyatta National Hospital between 2013 and 2017 was conducted. 114 patient records were retrieved. The incidence of UCF was 47%. Risk factors that were significantly associated with UCF are hypospadias type (p=0.028), lack of a protective intermediate layer (p=0.002), and presence of postoperative complications (p=0.001). Age at surgery, suture material, type of repair and use of catheter/stents were not significant factors. Multivariate analysis showed wound infection and meatal stenosis as the most significant factors associated with UCF development.Keywords: Hypospadias, Urethro-cutaneous fistula, Risk factors, Wound infection, Meatal stenosi

Factors Associated with Family Consent to Organ Donation in Qatar: Results from a Household Survey

Background: Family consent and organ donors rates are colinear to each other. The low consent rate can be influenced by socioeconomic and behavioral factors in the population. This study aimed to assess the influence of sociodemographic and behavioral factors on family consent for organ donation in the household population.Subjects dan Method: This is a secondary data analysis of the cross-sectional research design of 1044 household participants conducted in Qatar on organ donation between October and November 2016. A two-stage systematic random sampling was applied to collect data. The dependent variable was family consent. The independent variables were demographic and behavioral factors such as knowledge, attitude, intention, and beliefs about organ donation. Data were collected using household survey Questionnaire and analyzed using Student t-tests (unpaired), chi-square tests, and multivariate logistic regression analysis. C-statistics were applied to see discriminate accuracy of the developed regression model for family consent.Results: Knowledge (aOR= 1.63; 95%CI= 0.55 to 4.80; p= 0.380), behavioral belief (aOR= 1.11; 95%CI= 0.77 to 1.61; p= 0.580), heard organ donation (aOR= 1.12; 95%CI= 0.71 to 1.76; p= 0.630), registered for organ donation (aOR= 1.11; 95%CI= 0.50 to 2.46; p= 0.800), donated any organ/ blood/tissue (aOR= 1.63; 95%CI= 0.55 to 4.80; p= 0.380) can increased with family consent for organ donation registration. But, it’s not significantly statistic. Attitude (aOR= 1.73; 95%CI= 1.28 to 2.34; p= 0.001), control belief (aOR= 0.74; 95%CI= 0.55 to 0.99; p= 0.050), and Intention (aOR= 7.50; 95%CI= 4.04 to 13.92; p= 0.001) can increased with family consent for organ donation registration and the results were statistically significant.Conclusion: Attitude, control belief, and intention can increase family consent for organ donation registration. Keywords: Family consent, intention, attitude, knowledge, organ donation. Correspondence:Rajvir Singh. Cardiology Research Center, Heart Hospital, Hamad Medical Corporation (HMC), Doha, Qatar, Post Box: 3050; email: [email protected]. Mobile: 97455897044

ASSOCIATION BETWEEN LOCUS OF CONTROL OF HEALTH, RELIGIOUS ATTITUDE, AND SPIRITUALITY IN OLDER ADULTS IN PSYCHIATRIC HOSPITALS OF JEDDAH

Background: A common perception in Muslim society is there that, in old age people see God (Allah) to close as well as they spend most of their time in worshiping and other religious as well spiritual based activities. While role of health and locus of health control is also playing such religious and spiritual practices. Aim of Study: To check the correlation between health locus of control, religious attitude, and spirituality among older Saudi Arabians adults Method: A cross-sectional descriptive research design was used on the 109 older adults, who were selected through online questionnaire by using convenient purposive sampling technique. As we used three questionnaire such as health locus of control, religious attitude scale and spirituality index. Findings & Results: It was found that older adults have a high level of religious attitude as 71.2% and spirituality as 80.1%. The correlation of the sub-domain of health locus of control in its powerful others dimension has a low but statistically significant correlation with religious attitude (r = .278, p < .01) and does not have a correlation with spirituality, thus, a level high religious attitude makes it more likely that older adults have a locus of control over health powerful others at a high level (odds = 3.11, 2.21 – 7.22).  Conclusion: There is higher level of religious attitude in Saudi older Adults. While health locus of control has a significant impact in practicing religious activities as well as showing spirituality

The Magnet Hospital Concept is an Ideological Approach to Job Satisfaction and Quality of Care: A Systematic Review

Background: Healthcare services required effective intervention based on nursing care and services. In the early ages of advanced and scientific healthcare concerns. There were few excellent nurses who could perform scientific healthcare services to the patient. Therefore, to maintain healthcare decorum. It was important to address the excellence of healthcare performance among the nurses.Aim: the aim was to establish the best available evidence on the impact of the "Magnetic Hospital" designation on outcomes for both nurses and clinical patients.Method: A systematic review was conducted in the past literature published in English language by using targeted keywords. Results: The strongest evidence thrown by the results of the review confirms the positive impact of the accreditation as "Magnetic Hospital" in the work environment perceived by nursing as well as in the association with lower levels of emotional exhaustion, greater job satisfaction, and a greater intention to remain in their job. Conclusion: Magnet hospitals holds better outcomes as Job satisfaction can lead nurses towards better healthcare outcomes which are patient satisfaction and can produce healthy results on the reliance and productivity of such hospitals