Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah最新文献_第4页

Factors Affecting Admission To Intensive Care Unit Of COVID-19 Patients In The Kingdom Of Bahrain 影响巴林王国COVID-19患者入住重症监护病房的因素

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_2022_1_2

J. Al Salman, Adel Alsayyad, Wafa Fawzi Hasan, Amani Al Arrayedh, Mohamed Hameed Alrahim, E. Mahdi

{"title":"Factors Affecting Admission To Intensive Care Unit Of COVID-19 Patients In The Kingdom Of Bahrain","authors":"J. Al Salman, Adel Alsayyad, Wafa Fawzi Hasan, Amani Al Arrayedh, Mohamed Hameed Alrahim, E. Mahdi","doi":"10.26715/jbms.34_2022_1_2","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_1_2","url":null,"abstract":"Objective: Coronavirus disease-2019 (COVID-19) is a newly emerging infectious disease that has become a global pandemic. This study aimed to identify the risk factors at presentation to predict intensive care unit (ICU) admissions. Materials & Methods: This retrospective observational study recruited 188 confirmed laboratory COVID-19 patients who were hospitalized in Jidhafs Maternity Hospital (JMH) from 1st June to 5th July 2020. Univariate and multivariate analyses were used to Explore risk factors associated with the increased risk of ICU admission. Results: The study revealed that older age (>60 years old) (16[38.1%], P=0.044), male gender (30 [40.0%], P=0.000) were significantly associated with the increased risk of ICU admissions. The most prevalent symptoms in admission were myalgia (13[40.6%], P=0.035), fever (39[34.2%], P=0.002) and cough (37[31.4%], P=0.032). In addition, raised serum level of alanine amino-transferase (ALAT) (34.7% vs. 20.7%, P=0.033), D-dimers (30.7% vs 12.2%, P=0.012), lactate dehydrogenase (LDH) (31.6% vs 0.0%, P=0.025) and ferritin (37.7% vs 16.7%, P=0.011) found to be important predictor of ICU admission. Conclusion: The finding indicates that older age, male gender, with increased alanine transferase (ALT), increased lactate dehydrogenase (LDH), high D-dimer and high ferritin was associated with an increased risk of ICU admissions. Identification of such factors will help to detect people who are more likely to develop severe COVID-19 disease and will help physicians to determine if patients need regular health care or ICU admission. Keywords: COVID-19, Emerging communicable diseases, Intensive care units, Physicians, 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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074263","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}

引用次数: 0

Pyridoxamine 5’-Phosphate Oxidase Deficiency: A Potentially Treatable Epileptic Encephalopathy 吡哆胺5 ' -磷酸氧化酶缺乏症:一种潜在可治疗的癫痫性脑病

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_3_9

L. Almutawea, A. Khalil

引用次数: 0

Patients’ Reported Experience Measures with Primary Care Physicians in Bahrain 巴林初级保健医生的患者报告经验措施

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_2022_1_5

Noof A. Abdulaal, Mohamed F. Alalawi, Muneera A. Al buainain, Amina M. Almutawa, Sara M. Al Tattan, Eman M. Almoosa, M. Mandeel

{"title":"Patients’ Reported Experience Measures with Primary Care Physicians in Bahrain","authors":"Noof A. Abdulaal, Mohamed F. Alalawi, Muneera A. Al buainain, Amina M. Almutawa, Sara M. Al Tattan, Eman M. Almoosa, M. Mandeel","doi":"10.26715/jbms.34_2022_1_5","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_1_5","url":null,"abstract":"Background: Patients’ experience is divided into relational and functional, in which the former is related to the relationship in terms of the treatment, while the functional experience is related to healthcare facilities. Patients’ experience differs from patients’ satisfaction in which the former tests the interaction that patients have with the healthcare system in the ideal way, rather than patients’ expectation from the encounter. There are limited studies in the Middle East region regarding patients’ experience. Objective: The aim of the study was to establish a cornerstone for patients’ experience in primary healthcare centers in Bahrain. Methods: The study was a cross-sectional one where a validated questionnaire consisting of 10 questions was used. A sample of 50 patients was taken from each of the ten randomly selected healthcare centers. The patients were approached after ending their consultation at the general clinics. A total of 502 patients participated and their response was analyzed and included in the final results. Results: Patients’ experience in primary healthcare centers in Bahrain scored a mean of 42.4 out of 50, 84.8%. More than 70% of the responders answered the questions as very good and excellent. In terms of statistical significance, the timing of the consultation, nationality, and consultation fees yielded a p-value of 0.017, 0.011, and 0.005, respectively. On the other hand, results of patients’ experience scores regarding patients’ gender, doctors’ gender, age, education level, and marital status were statistically not significant. Conclusion: Bahrain’s mean score for patients’ experience in primary health centers was 84.8%. Keywords: Bahrain, Consultation, Middle East, Patients’ Satisfaction, Primary Health Care","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074324","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}

引用次数: 0

A Pilot with Anterior Cruciate Ligament Injury 一名前交叉韧带损伤的飞行员

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_2022_2_10

Yusuf Mohamed Naser Al-Selaiti

引用次数: 0

Anti-NMDA Receptor Encephalitis in Children: Report of Four Cases from Bahrain 巴林儿童抗nmda受体脑炎4例报告

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_4_5

Alia Khalil Ebrahim Ali Mohamed, A. Ali

{"title":"Anti-NMDA Receptor Encephalitis in Children: Report of Four Cases from Bahrain","authors":"Alia Khalil Ebrahim Ali Mohamed, A. Ali","doi":"10.26715/jbms.34_4_5","DOIUrl":"https://doi.org/10.26715/jbms.34_4_5","url":null,"abstract":"Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a newly described subtype of limbic encephalitis. This disease is probably the commonest autoimmune encephalitis predominantly affecting children and young adults. It has a higher incidence among young females. Patients manifest with a constellation of symptoms including psychosis, dyskinesia, and seizures. Antibodies against NR1/NR2 heteromers of the NMDAR glutamate receptor mediate this type of encephalitis. Patients with anti-NMDAR encephalitis might have underlying tumors, which are typically teratomas. Exploring for occult tumor and resection is crucial in management. First-tier immunotherapy include steroids, intravenous immunoglobulin and plasma exchange, while rituximab and cyclophosphamide are frequently used as second-tier immunotherapy. Around 80% of patients achieve almost complete recovery, however some patients suffer from cognitive deficits or death. Early diagnosis and prompt treatment can lead to better recovery and outcome. The unique feature of this disease reflects the intimate relationship between psychiatry and neurology. In this article, we describe the clinical phenotype and outcome of four affected children from Bahrain.","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69075140","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}

引用次数: 0

Spectrum of thyroid nodules in a tertiary care center in the Kingdom of Bahrain 巴林王国三级保健中心甲状腺结节谱

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_3_5

Safa Alshaikh, K. S. Majed, N. Chandran, S. Almahari

引用次数: 0

11-beta hydroxylase deficiency in children: the first case reported from Bahrain 儿童11- β羟化酶缺乏症:巴林报告的第一例

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.25_2_11

M. Rajab, A. Almadhoob, H. Isa

引用次数: 0

Reasons for under-reporting of notifiable communicable diseases in the Kingdom of Bahrain: a health-centers based survey 巴林王国应呈报传染病少报的原因:一项基于保健中心的调查

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.25_2_3

D. A. Al-Hashimi, Khaldoon Al-Roomi, A. Al-Sayyad

{"title":"Reasons for under-reporting of notifiable communicable diseases in the Kingdom of Bahrain: a health-centers based survey","authors":"D. A. Al-Hashimi, Khaldoon Al-Roomi, A. Al-Sayyad","doi":"10.26715/jbms.25_2_3","DOIUrl":"https://doi.org/10.26715/jbms.25_2_3","url":null,"abstract":"Background: Poor compliance by physicians with communicable diseases reporting is a worldwide phenomenon. In Bahrain, there are limited data regarding thoroughness and completeness of the current communicable diseases reporting system. Objective: To identify reasons for noncompliance with reporting of notifiable communicable diseases by primary health care physicians practicing in the Ministry of Health (MoH) primary health care centers. Methods: This is a cross-sectional study. Two hundred and forty-one self-administered questionnaires were distributed to all primary health care physicians practicing in all primary care health centers of the Ministry of Health. The questionnaires included items regarding socio-demographic and practice-related characteristics, self-reported practice related to communicable diseases reporting and reasons for noncompliance with reporting requirements. Results: The response rate was 93%; the mean age of the respondents was 43 ±8.36 years. The period of experience in clinical practice ranged from 1 to 35 years with a mean of 12.84 ± 7.86 years. Lack of feedback on notified cases, forgot to notify, and not sure of diagnosis were cited by more than half of the physicians as reasons for noncompliance with communicable diseases reporting. Conclusion: The findings suggest that there are several reasons for noncompliance with reporting requirements. Revising the current notification procedure to resolve some of the reasons is vital to enhance communicable diseases reporting in Bahrain.","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69073940","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}

引用次数: 1

Assessment of Post Therapeutic Response of Uterine Artery Embolization for Treatment of Uterine Fibroids 子宫动脉栓塞治疗子宫肌瘤后疗效评价

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_2022_1_7

Mohamed Ahmed Mansour, M. Raheem, W. Ibrahim

{"title":"Assessment of Post Therapeutic Response of Uterine Artery Embolization for Treatment of Uterine Fibroids","authors":"Mohamed Ahmed Mansour, M. Raheem, W. Ibrahim","doi":"10.26715/jbms.34_2022_1_7","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_1_7","url":null,"abstract":"Background: Uterine fibroids are the most common benign gynecological tumors with an incidence rate reaching approximately 70% of women in their reproductive age and may cause serious complications in more than 50% of the patients, including vaginal bleeding, anemia, chronic pelvic pain, dyspareunia, infertility as well as secondary pressure manifestations. Uterine artery embolization (UAE) is an effective and widely used modality in managing uterine fibroids given that it is minimally invasive in managing the condition and its associated serious complications. Methods: A retrospective assessment of 41 patients who underwent UAE in a 4-year period (2016- 2020) was performed. The study evaluated the value of this new technique in the Kingdom of Bahrain, King Hamad University Hospital and included a follow up of its therapeutic response by monitoring the symptomatic status and confirmation by quantitative volumetric measurement by pre and post procedure multi parametric MRI. Results: Post-embolization MRI fibroid findings revealed an overall volume reduction rate (VRR) of 19.3% with statistically significant reduction in all outcome variables. Complete resolution of symptoms was reported by 80% of the patients. Conclusion: Uterine artery embolization is an effective treatment option for uterine fibroids. Keywords: Interventional radiology; MRI; Uterine artery embolization; Uterine fibroids; Uterine bleeding.","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074541","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}

引用次数: 0

Assessing the Perception of Safety Climate in Primary Care Doctors in Bahrain: A Cross Sectional Study 评估巴林初级保健医生对安全气候的感知:一项横断面研究

Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah Pub Date : 2022-01-01 DOI: 10.26715/jbms.34_2022_2_1

Hanin Shaheen, Ali Ahmed, Fatima Al Mulla, Hamad Al Jalahma, Ejlal Al-Alawi

{"title":"Assessing the Perception of Safety Climate in Primary Care Doctors in Bahrain: A Cross Sectional Study","authors":"Hanin Shaheen, Ali Ahmed, Fatima Al Mulla, Hamad Al Jalahma, Ejlal Al-Alawi","doi":"10.26715/jbms.34_2022_2_1","DOIUrl":"https://doi.org/10.26715/jbms.34_2022_2_1","url":null,"abstract":"Background: Safety climate is the behavior and perception of health care providers in maintaining a safe environment. The study of safety climate in primary health care was limited. In Bahrain the concept of assessing safety climate were understudied, which drew attention to this important aspect in health care quality to be studied. Objective: The aim of the study was to evaluate the perception of safety climate practice in primary health care in Bahrain. Methods: This was a cross sectional observational study. A Safety-Tool “Primary Care-Safe Quest” questionnaire was distributed among 28 health centers in Bahrain, to 279 doctors. The questionnaire consists of 30 items that are grouped into five subscales: Workload, Communication, Leadership, Teamwork and Safety system & Learning. Results: There was no significant difference in perception of safety climate in primary care doctors according to region (p=0.753), and work experience (p=0.301). Male doctors had higher perception of workload compared to the female doctors(p=0.039). There was no significant difference in perception in communication, leadership, teamwork, safety system and learning. Workload aspect showed low level of safety perception, while the other domains showed moderate level of safety perception. Conclusion: Overall the perception of safety climate among primary doctors in Bahrain was found to be moderate. Workload was an important area to be improved as it would lead to a better safety climate. Although the other domains were considered moderate there is still room for improvement. Keywords: Communication, Leadership, Perception, Primary Health Care, Workload","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":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074614","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}

引用次数: 0