No abstract

It has been reported that AFB1 is related to renal adverse effects, specially with Uncertain cause chronic kidney disease. It is a phrase that has been employed to refer to CKD that is not caused by any well-known risk factors, such as hypertension, diabetes, or HIV. Across the world, reports of CKDu are becoming more frequent, and in several areas in Central America, eastern Europe, and south Asia, they are reaching epidemic levels. In the first epidemiological investigation, which was conducted in 2007 and sought to uncover potential risk factors of CKDu, it was claimed that the disease was caused by the environment (1). Environmental factors that have been researched as potential causes of CKDu include heavy metal exposure, high seasonal temperatures, pesticide use, mycotoxins, polluted water resources, and snake bites. In order to comprehend and avoid CKDu, it may be useful to highlight common risk factors across various international settings and populations as the underlying aetiologies in most locations have not been adequately defined. 30% and 21%, respectively, of ESRD patients have diabetes and hypertension; however, younger individuals in underdeveloped nations are more likely to have glomerulonephritis and CKD with an unknown aetiology. As a result, the goal of this research was to follow the theoretical research on AFB1 and its part in the aetiology of chronic renal disease, which is yet unknown.

Introduction: Despite the potential benefits of EMR systems to improve patient care, many attempts at implementing them have failed or met with high levels of user resistance, Implementations that failed have often been those with which the users were dissatisfied with the system. Aim: The aim of this study is to assess the satisfaction of both the physicians and nurses with the newly introduced EMR system at the Emergency Department of Al Wakra Hospital, to find out if there was a significant difference between physician and nurse's perception to the system. And to determine which of the individual attributes of EMR were related to physician and nurse satisfaction. Methods: Study design: cross sectional survey four month after of the introduction of the EMR system (Cerner) we surveyed 40 physicians and 96 nurses at the Emergency Department of Al Wakra Hospital. The questionnaire assessed: perceptions regarding EMR ease of use; concerns about impact upon work, and quality of patient care. Results: The total satisfaction rate was 88.2%. 72.5% among the physicians and 94.5% among the nurses, both physicians and nurses were satisfied with the ease of use of the system, they find it generally to have a positive impact on their work, however both didn't find it to have an impact in reducing ED overcrowding. Conclusion: Both physicians and nurses were satisfied with the EMR system.

Background: The rate of patients who arrive at the Emergency Department (ED) but leave before being seen (LWBS) is considered an important marker of the quality of care. Objectives: To evaluate the rate of LWBS at ED in Al Wakra Hospital (AWH) and to identify predictive factors associated with LWBS. Methods: This was a retrospective study of patients who left the Emergency Department without being seen by physicians between January 1, 2015 and May 31, 2015. Factors associated with LWBS such as the age, sex, time of the day, day of the week, median ED waiting times and common ED presentation were analyzed. Results: Out of 95,375 patient visits; there were 426 cases of LWBS over the 5-month period. The highest rate of LWBS was seen on the month of March. Independent factors associated with LWBS patients include patients who are middle age (19-43 years), female (56%), and patients being presented at non-critical areas (100%), night shift visits (46%), on weekend (52.8%). Musculoskeletal complaint was the most frequent complaint associated with LBWS (31%) and the median waiting time was 45 minutes among LBWS patients. Conclusion: The rate of patients leaving without being seen at ED in AWH is very low. More investigations need to be conducted to improve LWBS rate during night and weekends.