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Primary physicians’ role in cancer detection stressed

Primary physicians’ role in cancer detection stressed Olivia Olarte-Ulherr / 25 June 2013 Primary care physicians (PCP) play an important role as the initial point of contact for patients in early detection of breast cancer. However, culture, busy clinic time, lack of resources and absence of standard referral process deter them from taking a pro-active role. PCPs identified these barriers to proper care during the third Global Breast Health Lecture Series hosted by Mafraq Hospital on Sunday. Dr Naha Dolle, primary care physician at Mafraq Hospital, said there is currently a shortcoming among primary physicians in suggesting mammogram or breast screening. “It’s not my specialty, I don’t have enough time (and) I will wait for the patient to ask,” were often the reasons cited by doctors, according to Dr Dolle. In addition, male physicians ‘feel unsure’ of how to propose screening or mammogram to female patients due to cultural sensitivity. According to Dr Farah Al Zaabi, family physician at the Zayed Military Hospital, patients also still ‘underestimate’ their role and would often prefer to travel abroad for ‘screening and further management.’ As PCP, she said their hours are often occupied with patients seeking immediate care leaving them no time to “make an appointment for women’s health.” Lack of resources or knowledge of whom to refer patients to for diagnosis also compounds the problem. And when they get diagnosed, “none of the patients come back to us and we don’t know what happened to them,” she pointed out. The speakers underscored the need to empower family physicians to contribute to the early detection of breast cancer and educate them on how to approach women in suggesting screening. Dr Denise Howard, gynaecologist at Al Noor Hospital, said that OB/GYN often serves as PCP and is crucial in breast cancer screening. “OB/GYN tends to be the person a woman goes to see when she has a problem related to breast cancer treatment,” she stated. However the challenge was where to refer patients for quality mammogram services. “It took me two years to find out about the national breast cancer screening, and that’s a shame,” she said, noting the importance of having a list of breast health services providers, including qualified breast surgeons and counsellors. Breast cancer is the leading cancer in the UAE, accounting for a quarter of all cancers. Reports confirm that it is the second killer of women, after cardiovascular diseases. “Most of the diagnosed breast cancer cases in Abu Dhabi are in late stages and this has a negative impact on morbidity and mortality. Without collaborative intervention, many women will continue to die from a disease, which all over the world is seeing increasingly high survival rates,” said Dr Rola Shaheen, organiser of the lecture series, acting chair of Radiology and chief of Women’s Imaging at Mafraq Hospital. olivia@khaleejtimes.com Continue reading

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Qatari Amir set to hand over power to son

Qatari Amir set to hand over power to son (Reuters) / 25 June 2013 The Amir of Qatar, His Highness Shaikh Hamad bin Khalifa Al Thani, 61, informed members of the ruling family on Monday of his decision to hand over power to Crown Prince Shaikh Tamim after a meeting in Doha, the Qatari-owned television channel Al Jazeera said. A Gulf official said the announcement of the transfer of power would be made later on Monday. The royal court said in a statement that the Amir would make a speech later and Tuesday would be a national holiday. Qatari political analyst Mohammed Al Misfer told Al Jazeera that he did not expect major changes in the event of a handover, adding that Shaikh Tamim was already involved in running the country under his father’s direction. Diplomats said earlier this month that he Amir was considering an orderly transfer of power that would probably begin with the departure of the powerful Prime Minister and Foreign Minister, Shaikh Hamad bin Jassim Al Thani. Arab and Western diplomats said they understood the motive was the Amir’s desire to have a smooth transition to a younger generation. The Amir has elevated Qatar’s international profile in recent years through the launch and development of the Al Jazeera television network, as well as its successful bid to host the 2022 soccer World Cup tournament. Qatar has played a substantial role in promoting Arab Spring protests, lending significant support to rebels who toppled and killed Libyan leader Muammar Gaddafi in 2011 and to a continuing uprising against Syrian President Bashar Al Assad. It has also played host to a delegation of the Afghan Taleban, which opened an office in Doha last week in preparation for expected talks with the United States about how to end a 12-year-old conflict in Afghanistan. Eman Ebed Alkadi of the Eurasia Group consultants wrote that she did not expect Qatari domestic priorities or its foreign policies to change significantly with a change of ruler. “Tamim has controlled key policies in Qatar for some time, and shares his father’s views on political development in Qatar and economic diversification,” Alkadi wrote. National budgets had been agreed up until 2016-2017, Alkadi said, and with preparations for the World Cup in full swing, much change in domestic momentum was unlikely. Qatar is the world’s largest exporter of LNG, an achievement that set the country on a track to achieve double-digit economic growth for several consecutive years, during a time when many Western nations were mired in recession. This spurred a population boom, with inhabitants surging from 500,000 to 1.9 million in the last decade. Continue reading

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Qatar Amir says steps down, hands power to son

Qatari Amir set to hand over power to son (Reuters) / 25 June 2013 The Amir of Qatar, His Highness Shaikh Hamad bin Khalifa Al Thani, 61, informed members of the ruling family on Monday of his decision to hand over power to Crown Prince Shaikh Tamim after a meeting in Doha, the Qatari-owned television channel Al Jazeera said. A Gulf official said the announcement of the transfer of power would be made later on Monday. The royal court said in a statement that the Amir would make a speech later and Tuesday would be a national holiday. Qatari political analyst Mohammed Al Misfer told Al Jazeera that he did not expect major changes in the event of a handover, adding that Shaikh Tamim was already involved in running the country under his father’s direction. Diplomats said earlier this month that he Amir was considering an orderly transfer of power that would probably begin with the departure of the powerful Prime Minister and Foreign Minister, Shaikh Hamad bin Jassim Al Thani. Arab and Western diplomats said they understood the motive was the Amir’s desire to have a smooth transition to a younger generation. The Amir has elevated Qatar’s international profile in recent years through the launch and development of the Al Jazeera television network, as well as its successful bid to host the 2022 soccer World Cup tournament. Qatar has played a substantial role in promoting Arab Spring protests, lending significant support to rebels who toppled and killed Libyan leader Muammar Gaddafi in 2011 and to a continuing uprising against Syrian President Bashar Al Assad. It has also played host to a delegation of the Afghan Taleban, which opened an office in Doha last week in preparation for expected talks with the United States about how to end a 12-year-old conflict in Afghanistan. Eman Ebed Alkadi of the Eurasia Group consultants wrote that she did not expect Qatari domestic priorities or its foreign policies to change significantly with a change of ruler. “Tamim has controlled key policies in Qatar for some time, and shares his father’s views on political development in Qatar and economic diversification,” Alkadi wrote. National budgets had been agreed up until 2016-2017, Alkadi said, and with preparations for the World Cup in full swing, much change in domestic momentum was unlikely. Qatar is the world’s largest exporter of LNG, an achievement that set the country on a track to achieve double-digit economic growth for several consecutive years, during a time when many Western nations were mired in recession. This spurred a population boom, with inhabitants surging from 500,000 to 1.9 million in the last decade. Continue reading

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