Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah最新文献

{"title":"The Utility of Coronary CT Angiography in Evaluating Symptomatic Patients with Positive MPI Referred for Coronary Angiography: A Single-center Experience","authors":"Haitham Amin1","doi":"10.26715/jbms.35_3_3","DOIUrl":"https://doi.org/10.26715/jbms.35_3_3","url":null,"abstract":"Background: Patients with suspected or known coronary artery disease (CAD) can be challenging to evaluate. Our study aims to assess the efficacy and utility of coronary computed tomographic angiography (CCTA) as a diagnostic method in patients with abnormal myocardial perfusion imaging (MPI) who were initially referred for Invasive Coronary Angiography (ICA). Methods: This is a single-center retrospective descriptive study. We evaluated 210 patients who underwent CCTA instead of ICA. Data of these patients were documented and analyzed accordingly. Results: Of the 210 patients who underwent CCTA, the procedure was found to be diagnostic in 172 (81.9%) patients. Of these 172 patients, 152 (88.4%) had normal coronaries or minor CAD, and 20 (11.6%) had significant disease requiring subsequent ICA. In 38 (18.1%) patients out of the total cohort, the CCTA was not diagnostic or could not be performed due to technical difficulties, requiring either ICA or another ischemia evaluation diagnostic modality. Conclusion: CCTA is a viable and reliable diagnostic tool for evaluating patients with suspected CAD referred for ICA following an abnormal MPI test. It is recommended as an initial test to rule out significant coronary stenosis and as it can avoid unnecessary ICA.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207562","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}

{"title":"Patients’ Satisfaction with Teleconsultations during the COVID-19 Pandemic in the Kingdom of Bahrain","authors":"M. Shareef, Reem Alsherooqi, S. Altamimi, Zahra Isa, Hamad Kamashki, Adel Alsayyad","doi":"10.26715/jbms.35_1_3","DOIUrl":"https://doi.org/10.26715/jbms.35_1_3","url":null,"abstract":"Background: The SARS-CoV-2 pandemic led to the restructuring of traditional clinical activity; hence, globally, 58% of countries implemented the use of telemedicine to meet their healthcare needs. Objective: To examine patients' satisfaction with telemedicine medical service and experience at the level of primary care in the Kingdom of Bahrain. Methods: A retrospective cross-sectional study was conducted on 335 patients who used teleconsultations in January 2022 in primary care. A validated questionnaire was modified to assess patients' satisfaction with teleconsultation medical services and experience during the COVID-19 pandemic. Results: A total of 315 responses were included in the final analysis (response rate 94%). Almost all expressed extreme satisfaction with the medical service as they were able to easily explain their medical problem over the phone and fully understood their illness after the consultation. They were also satisfied with the ability of the doctor to understand their problem, explain their treatment, and provide appropriate management over the phone. Over 90% were satisfied with the consultation time that it does not require transportation and would like to use it in the future. Sharing private or personal information over the phone received the lowest satisfaction rate (77.5%). Conclusion: The overall satisfaction expressed by respondents of this survey with the teleconsultation medical service and experience is very high. Such a result confirms that patients have a positive attitude towards telemedicine services in primary care and are willing to use it again and, therefore, must be adopted as a proactive strategy to ensure long-term sustainability. Keywords: COVID-19 Pandemic, Satisfaction, Teleconsultation, Telemedicine.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075320","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}

{"title":"Sleep Disturbance and the Risk of Cardiovascular Diseases","authors":"A. Hamad","doi":"10.26715/jbms.35_1_7","DOIUrl":"https://doi.org/10.26715/jbms.35_1_7","url":null,"abstract":"In many observational studies, cardiovascular diseases as well as metabolic dysfunction have been identified as major manifestations of sleep disorders. Several mechanisms have been proposed to explain this association. In addition to the discoveries of interconnected mechanisms, a novel therapeutic approach needs to be explored. This review attempts to develop a better understanding of future research by examining the inter-relationship between sleep disorders and cardiovascular risk factors.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075456","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}

{"title":"Assessment of the Medication Adherence Among Chronic Obstructive Pulmonary Disease Patients in ALSha’ab Teaching Hospital, Sudan","authors":"Muna Ahmed Ibrahim","doi":"10.26715/jbms.35_3_2","DOIUrl":"https://doi.org/10.26715/jbms.35_3_2","url":null,"abstract":"Background: Adherence to therapy is one of the basic predilections to successfully treating chronic obstructive pulmonary disease (COPD). Unfortunately, predictors of medication adherence are not well-known in chronic obstructive pulmonary disease (COPD) in Sudan. Objective: To assess the medication adherence in the patients treated for COPD in ALSha’ab Teaching Hospital. Methods: An observational, hospital-based cross-sectional study conducted on a sample of COPD outpatients. The following information was obtained: adherence to COPD therapy (Morisky Medication Adherence Scale - 4 items), age, gender, smoking status, treatment regimen for COPD, and COPD medication costs per month paid by the patients. Data was analyzed by using SPSS version 21.0. Results: Among 100 COPD patients, 73 (73%) were males, and (47%) belonged to the age group 40- 60 years. Regarding adherence, 47 (47%) reported as medium adherent, 38 (38%) as low adherents, and 15 (15%) patients as high adherent. High Adherence to COPD therapy was associated with older age (27%), married (16.5%), literate (23.3%), drugs with less frequent dosing (50%), oral medications (75%), aware of the inhaler usage (22.7%), a smaller number of drugs (41.4%), and affordable drugs (28.8%). Conclusion: The level of adherence to COPD therapy is low. Understanding factors associated with medication adherence could help enhance health outcomes in COPD. Non-adherence was associated with middle age, unmarried patients, number of respiratory drugs and daily COPD drug doses, Low knowledge and increased difficulties in inhaler technique, and non-affordability of drugs.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207561","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}

{"title":"Satisfaction among Adults with Diabetes Mellitus Attending Central Diabetes Clinics with the Care Provided in Primary Health Care, Kingdom of Bahrain","authors":"Sameera Abdullah Khalid","doi":"10.26715/jbms.35_3_5","DOIUrl":"https://doi.org/10.26715/jbms.35_3_5","url":null,"abstract":"Background: Patient satisfaction is one of the desired outcomes of health care, as it is not only an indicator of quality of care but also plays a vital role in the management of chronic patients such as Diabetes mellitus because it promotes adherence to advice and treatment, utilization of health care services, and the establishment of the doctor-patient relationship. Aims and Objectives: This study aims to assess diabetic patients’ level of satisfaction attending the Central Diabetes Clinics in primary health care. Additionally, this study aims to determine whether patient satisfaction is related to individual characteristics such as sociodemographic parameters and disease-related factors. Materials and Methods: A cross-sectional study was conducted in the Central Diabetes Clinics of Primary Health Care from February 6th to February 17th, 2022. The data was collected via a self-administered questionnaire. It was divided into two sections: the first part contained the patient's characteristics, and the second included 16 items obtained from the short form of the Patient Satisfaction Questionnaire (PSQ-18). Results: The study included 369 diabetes patients in total. Most participants (85.9%) were Bahrainis between the ages of 51 and 70 (70.5%). The overall satisfaction mean score was 69.4 (86.75%, SD = 8.9). Patients were most satisfied with the interpersonal manners, while they were dissatisfied with the waiting time for emergency services. A significant association was found between overall satisfaction and education level, as well as with the duration of treatment. Lower educational levels and a duration of Diabetes of 5–10 years were associated with higher satisfaction. No significant association was found between overall satisfaction and other factors such as sex, age, nationality, marital status, employment status, monthly income, the presence of other chronic conditions, the presence of diabetes-related complications, or the treatment type. Conclusion: This study concluded that most diabetic patients who visit Central Diabetes Clinics are generally satisfied with the quality of healthcare services.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207564","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}

{"title":"Outcome of Screening Mammography for Women Attending Primary Healthcare Centers: One-Year Review","authors":"Muna Almohri, Fatema Al Jerdabi, Hala Al Asoomi, Mohamed Ali J. Mandeel, Hanan Abdulrahim, L. Ebrahim, Amal Buasali, Haya Al Subaei","doi":"10.26715/jbms.35_2_1","DOIUrl":"https://doi.org/10.26715/jbms.35_2_1","url":null,"abstract":"Background: Breast cancer is the most prevalent cancer in women globally and in the Kingdom of Bahrain. Studies have shown that screening mammography is an effective way to identify early stages of breast cancer in women and has decreased breast cancer mortality. Therefore, determining the outcome of breast cancer screening is essential for proper assessment and improvement of the screening program. Objective: This study aims to assess the outcome of breast cancer screening by mammography for women attending Primary Healthcare Centers in the Kingdom of Bahrain. Methods: This is a cross-sectional study of women who had screening mammograms in primary healthcare centers in the Kingdom of Bahrain for one year. The study included 2438 women aged 40 years and older. Data were extracted from electronic medical records. Results: The most prevalent breast density level was scattered fibroglandular density (55.3%), while extremely dense breasts (5.3%) were the least common. The study showed that 68.3% of the reports were normal, while 31.7% of women were recalled for further imaging. The most common reasons for recalls were nodules/lumps in 34.2%. Additional imaging was done for 69.4% of the cases, while 30.6% of women missed follow-up appointments. Of the patients needing biopsies, the procedure was performed for 62.5% of the women; of these, there were histologically confirmed malignancies in 31.6%. Conclusion: The breast cancer detection rate in this study is 0.5%. A recall rate of about 32% is higher than in other studies. This study also shows a high percentage of women who didn’t follow up for the additional images and procedures requested by radiologists, which needs further studies to identify the reasons. Educating women on the importance of compliance with the additionally requested workups and close monitoring and follow-up of the screened women by health facilities are crucial for the success of the breast screening program.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075057","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}

{"title":"Incidence of Posterior Capsule Rupture in Cataract Surgeries and its Association with Age and Hypertension","authors":"Rahimi Parastou, Rajmohan Archchana, Mian Muhammad Atif","doi":"10.26715/jbms.35_1_6","DOIUrl":"https://doi.org/10.26715/jbms.35_1_6","url":null,"abstract":"Background and objectives: Cataract is common in aging populations, and causes blurry vision. Once it interferes with daily activity, it is treated surgically and may lead to complications such as posterior capsule rupture (PCR). The present study aims to calculate the rate of PCR and determine its correlation with age and hypertension. Methods: This retrospective study was conducted between 31st August, 2016 to 30th December, 2018 at the Department of Ophthalmology, King Hamad University Hospital (KHUH), Bahrain. A total of 458 Bahraini patients, including 199 (43.5%) women and 259 (56.5%) men with a mean age of 66.2 ± 9.186 years (S.D.), were studied. Data from medical records and the theater logbook depicted two types of procedures, phacoemulsification and extracapsular-cataract-extraction (ECCE), which were performed by a single surgeon. Data were analyzed using SPSS (Version 26.0). Results: Of the 458 patients studied, 7 patients (1.5%) developed complications. Out of these patients who developed complications, 4 (0.8%) cases were of PCR with no vitreous loss. On analysis, age was a significant risk factor for patients above 60 years (P=0.05), whereas hypertension was not a significant (P=0.760) risk factor for developing PCR as a complication. Conclusion: Low PCR rates were reported in this study. Contributing factors to this low occurrence of PCR could be the identification of high-risk patients and years of the surgeon’s experience. The study highlights that patients above 60 years were at higher risk of developing PCR complications. In contrast, patients with hypertension were at lesser risk of developing PCR complications. Keywords: Cataract, extracapsular cataract extraction, hypertension, phacoemulsification, posterior capsule rupture, vitreous loss, zonular dialysis.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075441","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}

{"title":"Epithelioid Sarcoma of the Skull: A Differential Diagnostic Approach","authors":"Hazem Muhammed Almasarei, Darine Helmy Amin Saad, Suad Muhammad Abu Tahoun, Sufyan Sameer Sami Alsbahi, N. Shanbhag","doi":"10.26715/jbms.35_1_9","DOIUrl":"https://doi.org/10.26715/jbms.35_1_9","url":null,"abstract":"Epithelioid sarcoma of the scalp as a primary site of origin is a rare occurrence a and has a broad differential diagnosis. The radiological features for each of the differential diagnoses are similar but sometimes can be very unique. The present case study provides relevance and significance in considering the possibility of primary epithelioid sarcoma while examining benign lumps with no skin ulceration or pain. The case report focuses on imaging features of epithelioid sarcoma while employing to describe the lesion using multimodality imaging in addition to Computer Tomography, early intervention in the form of complete excision of these tumours through surgery and primary repair when required. Adequate adjuvant treatment is needed following the excision, with the goal of preventing recurrences.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075011","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}

{"title":"Case Report: Wiskott – Aldrich Syndrome in Patients with Normal Platelet Size in Bahrain","authors":"Salem Alrowaijeh, Rana Taqi, Ebrahim Almasry, J. Alkhan","doi":"10.26715/jbms.35_2_6","DOIUrl":"https://doi.org/10.26715/jbms.35_2_6","url":null,"abstract":"Regardless of ethnicity or geographical distribution, Wiskott-Aldrich syndrome affects 1 in every 100,000 live male births. It has been established that Wiskott-Aldrich syndrome may potentially be a source of autoimmune illnesses and reticuloendothelial malignancies, even though most patients present with the traditional triad of thrombocytopenia, eczema, and recurrent bacterial infections. This case report introduces a 4-year-old boy born with hematemesis, thrombocytopenia, eczema, recurring infections, and, most surprisingly, normal platelet size. Genetic testing confirmed the diagnosis, primarily based on clinical suspicion. Thus the case study attempts to increase awareness among doctors in Bahrain and globally in considering the diagnosis of Wiskott-Aldrich syndrome in any patient with eczema, recurrent infections and thrombocytopenia regardless of having a normal mean platelet volume .","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"47 19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075485","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}

{"title":"Knowledge and Practice in Addressing Atopic Dermatitis Amongst Primary Care Physicians in The Kingdom of Bahrain- A Cross-Sectional Study","authors":"Fatima Samiey1","doi":"10.26715/jbms.35_3_4","DOIUrl":"https://doi.org/10.26715/jbms.35_3_4","url":null,"abstract":"Background: Atopic dermatitis is a chronic relapsing-remitting dermatosis commonly presented in primary healthcare facilities. Although there is no cure for atopic dermatitis, early diagnosis, and appropriate treatment are essential in the management of atopic dermatitis and in preventing its complications. Primary healthcare physicians are the first to encounter most patients with atopic dermatitis; hence, correct practices and knowledge of atopic dermatitis are important among primary healthcare physicians. This study aims to assess the knowledge and practice of primary healthcare physicians concerning diagnosing and treating patients with atopic dermatitis. Methods: A cross-sectional study was conducted among primary health care physicians working at governmental primary health centers in Bahrain to determine the knowledge, attitudes, and practices towards atopic dermatitis. In addition, a self-administered online questionnaire was distributed among the participants using online surveys. Results: A total of two hundred and eighty (n=280) primary healthcare physicians were recruited (response rate 80%). The average knowledge score (correct answers) was 46.7 ± 14.0 out of 100. Being a general practitioner (P<0.002), having more years of experience (P=0.044), and being of older age (P=0.003) were significantly associated with a lower knowledge score. The study also showed a wide range of varying practices among participants in managing patients with atopic dermatitis. Conclusion: There were significant variations in the knowledge and practice amongst primary care physicians towards atopic dermatitis that could delay the treatment of the condition and, therefore, possibly decrease treatment adherence. Conducting targeted educational interventions and developing strategies by dermatologists could minimize such gaps in practice and knowledge.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136207294","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}