Publications by authors named "Farhat H"

Autoimmune pancreatitis (AIP) is a rare and complex condition that can be difficult to identify due to its resemblance to malignancies. This case report presents a unique instance of AIP in a 9-year-old male patient who presented with painless jaundice and elevated liver function test results. His symptoms were persistent even after previous common bile duct stent placement, requiring additional investigation.

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Congenital external carotid-jugular fistula is a rare condition caused by altered embryologic development of the vasculature. It is usually treated with surgery or endovascular embolization; controversy exists on the best therapeutic approach and the specific endovascular technique. We report a case of a complex congenital fistula between the external carotid and jugular veins treated with a combined trans-arterial dual microcatheter coiling technique followed by n-BCA (n-butyl cyanoacrylate) glue embolization.

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Article Synopsis
  • This study focuses on evaluating preparedness tools for responding to chemical, biological, radiological, and nuclear (CBRN) incidents specifically in the Middle East and North Africa (MENA) region.
  • An online survey involving disaster medicine experts helped assess the effectiveness of CBRN response flowcharts, training scenarios, and preparedness assessment tools through statistical methods and AI techniques.
  • Results showed strong agreement among experts on the validity of these tools, indicating they can effectively enhance response strategies for CBRN incidents across various regions.
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  • Citalopram and escitalopram, commonly prescribed SSRIs, may have cardiotoxic effects, specifically in prolonging the QTc interval, raising concerns about potential heart-related risks.
  • This review examines how these medications interact with specific ion channels and identifies factors, such as genetics and liver metabolism, that may increase the risk of dangerous arrhythmias in patients.
  • The study also highlights the importance of considering patient history and concurrent medications, particularly in older adults, to better assess their likelihood of experiencing cardiac side effects.
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Background: Research on incidence and characteristics of Out-of-Hospital Cardiac Arrest (OHCA) in the Middle East is limited. We assessed the incidence, prehospital characteristics, and outcomes of OHCA in Qatar, a Middle Eastern country. Subsequently, we performed gender-specific analysis.

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Introduction: Inside oil and gas pipelines, native microbial communities and different solid compounds typically coexist and form mixed deposits. However, interactions between these deposits (primarily consisting of mineral phases) and microorganisms in oil and gas systems remain poorly understood. Here, we investigated the influence of magnetite (FeO), troilite (FeS), and silica (SiO) on the microbial diversity, cell viability, biofilm formation, and EPS composition of an oil-recovered multispecies consortium.

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This systematic review and meta-analysis evaluated the safety of montelukast in treating asthma during pregnancy, focusing on maternal and fetal outcomes such as congenital anomalies (CA), preterm delivery, low birthweight, spontaneous abortion, gestational diabetes mellitus, and preeclampsia. A comprehensive literature search was conducted in Google Scholar, PubMed, and the Cochrane Library databases from inception until April 30, 2024. The eligible studies assessed the safety of montelukast for asthma treatment during pregnancy.

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Background: Gliomas, the most common primary brain tumors, pose surgical challenges in eloquent cortex regions due to potential deficits affecting patients' quality of life (QOL) and increased mortality risk. This study investigates motor and sensory recovery postresection of Rolandic cortex gliomas in 40 patients, alongside seizure outcomes and the efficacy of intraoperative techniques such as awake craniotomy.

Methods: This was a 10-year monocentric retrospective study based on the experience of a neurosurgeon in the resection of Rolandic gliomas and its impact on 40 patients' QOL in a period from 2011 to 2020.

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Article Synopsis
  • Castleman disease (CD) is a rare condition causing benign enlargement of lymph nodes, exemplified by a case of a 43-year-old man with several health issues, including Crohn's disease and HIV.
  • Despite stopping his previous treatments, he faced ongoing health problems like fever, neurological symptoms, and lymphadenopathy, leading to the diagnosis of multicentric Castleman disease after a lymph node biopsy.
  • His treatment involved chemotherapy alongside continued care for tuberculosis and HIV, illustrating the intricate diagnostic and management challenges of CD, particularly with overlapping medical conditions.
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Introduction: This study aimed to evaluate disaster preparedness and management among an inter-professional team at the Royal Commission Hospital (RCH) in Jubail, Saudi Arabia.

Methods: Conducted between May and July 2023, this cross-sectional study involved healthcare providers in both patient-facing and non-patient-facing roles. Participants responded to a comprehensive online questionnaire comprising 22 questions across seven sections covering aspects of emergency response, disaster management, and infection control.

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Objectives: This study aimed to investigate the protective activity of brown seaweed, the ethanolic and water extracts of Sargassum binderi (S. binderi) were examined. Anticancer drug, cisplatin is normally used for the treatment of solid tumors that cause acute kidney damage after assemblage in the renal tubules.

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Agriculture and livestock management practices known as organic farming rely more on internal processes than external inputs. Natural environments depend heavily on diversity, and organic farming incorporates both the stated purpose of fostering diversity as well as the use of diversity as a management tool. A more complete understanding of agriculture in terms of agro-ecology has begun to be questioned by the traditional reductionist approach to the study of agriculture.

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Hydroxychloroquine (HCQ), which was initially used as an antimalarial drug, is now being used to treat other illnesses, especially rheumatic autoimmune disorders  such as systemic lupus erythematosus, primary Sjögren's syndrome, and rheumatoid arthritis, because it is safe, effective, and cost efficient. This drug has shown high efficacy and has become the first-line treatment for many of these diseases. Although HCQ has many therapeutic effects, it has unfortunately shown some complications, especially with its long-term use.

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Background: Objective structured clinical examination (OSCE) is well-established and designed to evaluate students' clinical competence and practical skills in a standardized and objective manner. While OSCEs are widespread in higher-income countries, their implementation in low-resource settings presents unique challenges that warrant further investigation.

Aim: This study aims to evaluate the perception of the health sciences students and their educators regarding deploying OSCEs within the School of Health Sciences and Techniques of Sousse (SHSTS) in Tunisia and their efficacity in healthcare education compared to traditional practical examination methods.

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Background: The global evolution of pre-hospital care systems faces dynamic challenges, particularly in multinational settings. Machine learning (ML) techniques enable the exploration of deeply embedded data patterns for improved patient care and resource optimisation. This study's objective was to accurately predict cases that necessitated transportation versus those that did not, using ML techniques, thereby facilitating efficient resource allocation.

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Background: Telehealth use was previously limited by strict regulations and financial constraints. However, the pandemic prompted some countries to ease their telehealth laws. Thus, we conducted a bibliometric analysis and network visualization to gauge changes in tele-neuropsychology (Tele-NP) and tele-mental Health (Tele-MH) trends with the onset of the COVID-19 pandemic.

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Article Synopsis
  • The study investigates the time it takes for an ambulance to become ready for the next case after dispatch, focusing on differences between patients transported and those not transported.
  • Data from over 93,000 emergency calls were analyzed using statistical models to understand factors affecting this response time, revealing that transported patients took longer to be ready than those not transported.
  • The findings suggest that demographic variables impact readiness times and highlight the need for further research to improve ambulance service efficiency in various contexts.
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Background And Aim: Though emergency medical services (EMS) respond to all types of emergency calls, they do not always result in the patient being transported to the hospital. This study aimed to explore the determinants influencing emergency call-response-based conveyance decisions in a Middle Eastern ambulance service.

Methods: This retrospective quantitative analysis of 93,712 emergency calls to the Hamad Medical Corporation Ambulance Service (HMCAS) between January 1 and May 31, 2023, obtained from the HMCAS electronic system, was analyzed to determine pertinent variables.

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Late presentation to medical care of individuals infected with the human immunodeficiency virus (HIV) is linked to poor outcomes and increased morbidity and mortality. Missed opportunities for a prompt diagnosis are frequently reported among late presenters. We aimed to estimate the proportion of late presenters and missed opportunities in diagnosis among newly diagnosed HIV-positive subjects presenting to a specialty clinic in Lebanon.

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Objective: This research explored the experiences and perspectives of patients declining hospital transportation after receiving prehospital emergency care using advanced computational techniques.

Method: Between 15th June and 1st August 2023, 210 patients in Qatar, treated by Hamad Medical Corporation Ambulance Service (HMCAS) but refusing transportation to hospital, were interviewed. Key outcome variables stratified by demographics included "reasons for refusing transport," "satisfaction with HMCAS service," and "postrefusal actions.

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Background: Leukocyte parameters are predicted to be affected in patients with metabolic syndrome (MetS). We conducted a systematic review and meta-analysis to study the association between white blood cell parameters (WBC) in people with and without MetS.

Methods: PubMed, EMBASE, Scopus and Cochrane Library databases were searched according to the study protocol.

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The synergistic corrosion effect of acid-producing bacteria (APB) and magnetite on carbon steel corrosion was assessed using two different microbial consortia. A synergistic corrosion effect was observed exclusively with Consortium 2, which was composed of Enterobacter sp., Pseudomonas sp.

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JCO The primary analysis of the Ro-CHOP phase III randomized controlled trial (ClinicalTrials.gov identifier: NCT01796002) established that romidepsin (Ro) plus cyclophosphamide, doxorubicin, vincristine, prednisone (CHOP) did not yield an increased efficacy compared with CHOP alone as first-line treatment of peripheral T-cell lymphoma. We report the planned final analysis 5 years after the last patient enrolled.

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Article Synopsis
  • * A study utilized AI-driven techniques, including text mining and machine learning, to analyze feedback from 29 disaster medicine experts regarding preparedness for chemical, biological, radiological, and nuclear (CBRN) risks in MENA.
  • * The analysis revealed a consensus among experts highlighting fears about inadequate access to preparedness information while also acknowledging positive concepts for improving CBRN readiness, ultimately informing policymakers to collaborate on better healthcare preparedness strategies.
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Background: In pre-hospital emergency care, decisions regarding patient non-conveyance emerged as significant determinants of healthcare outcomes and resource utilization. These complex decisions became integral to the progress of emergency medical services, thus warranting an evolving exploration within the medical discourse.

Objectives And Methods: This narrative review aimed to synthesize and critically evaluate various theoretical stances on patient non-conveyance in the pre-hospital emergency.

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