Bilateral acute angle closure glaucoma after hyperopic LASIK correction

AbstractAcute angle closure glaucoma is unexpected complication following laser in situ keratomileusis (LASIK). We are reporting a 49-years-old lady that was presented to the emergency department with acute glaucoma in both eyes soon after LASIK correction. Diagnosis was made on detailed clinical history and examination, slit lamp examination, intraocular pressure measurement and gonioscopy. Laser iridotomy in both eyes succeeded in controlling the attack and normalizing the intraocular pressure (IOP) more than 6months of follow-up. Prophylactic laser iridotomy is essential for narrow angle patients before LASIK surgery if refractive laser surgery is indicated

Gynecological Disorders and the Management of Interventional Radiology

This study aimed at exploring the management of interventional radiology in gynecological disorders, by highlighting the importance of interventional radiology in treating a comprehensive range of obstetric and gynecological pathologies. The study concluded that laparotomy should be performed if the woman is not stable enough to wait for the embolization procedure or for completion of a difficult procedure. If the time permits, angiographic occlusion balloon catheters can be placed to temporarily occlude the hypogastric or common iliac arteries (or even in the aorta) while end route to the operating room or during the surgery

Assessment of Knowledge Regarding Osteoporosis Among Female Medical Students at King Faisal University, Saudi Arabia

Introduction: Osteoporosis is a worldwide public health problem that affects both male and females. It is a silent progressive disorder that affects the skeletal system and leads to diminished bone density and fracture. Therefore, awareness, attitude, and practices of people about osteoporosis contribute significantly to primary prevention and early detection of disease. Objective: the present study conducted to assess the knowledge of the female medical students at King Faisal University about osteoporosis in Saudi Arabia. Study design: A cross-sectional study conducted at the medical college of King Faisal University at Al-Ahsa region, Saudi Arabia. The study included all female medical students at King Faisal University, through an online self-administered questionnaire using the Osteoporosis Knowledge Assessment Tool (OKAT) questionnaire. Results: The total number of participants was 176 female medical students, with 58.7% response rate. The age of participants ranged between 17 and 27 years, with a mean and standard deviation of 21.46±1.54 years. The participant's knowledge score about osteoporosis was as follow: 65.1% had satisfactory knowledge, 32.2% had poor knowledge, and only 2.3% of the participant had good knowledge. Conclusion: Most of the participants had a satisfactory knowledge score on osteoporosis. However, there was a significant gap in knowledge regarding the risk factors such as high salt intake. The good knowledge score was significantly low in the present study compared to worldwide. Therefore, an educational effort is needed to improve knowledge and the quality and reliability of information about osteoporosis targeted undergraduates and young females in Saudi Arabia

The Reading Perception Of Medical Staff About The Use Of Prehospital Ultrasound

This study was a focus on the use of pre-hospital ultrasound in Saudi Arabia. Generally, ultrasound is used in a high frequency by health care providers in different countries within hospitals or pre-hospital. The main point of using the ultrasound was to reduce the time of diagnosis at the hospital and decrease the rate of mortality and morbidity. The study was a cross-sectional study and was used to assess the perception of medical staff about the use of pre-hospital ultrasound. This survey study had 130 participants, and 80 of them were agreed to involve in this study. It was conducted in King Abdulaziz Hospital of National Guards, Al Ahsa and College of Applied Medical Sciences, King Saud Bin Abdul Aziz University for Health Sciences, Al Ahsa Campus, Saudi Arabia. ATLAST ti 8 was used for systematic literature review and SPSS v23 obviously for data analysis. This was a new and novel study as the Pre-hospital ultrasound was not used before in the pre-hospital. On the other hand, the findings showed that the participants displayed a high level of interest in improving their knowledge and skills of using ultrasound during its application in the pre-hospital setting. It was also recommended to have more research in future on the subject

Impostor phenomenon among urologists in Saudi Arabia

Impostor phenomenon (IP) is the persistent inability to believe that one’s success is deserved or has been legitimately achieved due to one’s efforts or skills. It is associated with burnout, anxiety and depression and can negatively impact the lives of the affected individuals. This study aimed to determine the prevalence of IP among urologists in Saudi Arabia. A cross-sectional study was conducted among practicing urologists and urologists-in-training in Saudi Arabia between November and December 2022. A self-administered questionnaire comprising questions on the sociodemographic characteristics and the Clance impostor phenomenon scale (CIPS) was distributed through email to all registered urologists in the Saudi Commission for Health Specialties database. A total of 155 urologists (143 men and 12 women) were enrolled in this study. The majority of the urologists (44.5%) were consultants, and the prevalence of the impostor phenomenon in this study was 27.7%. Nearly half of the urologists (49.7%) presented moderate levels of the phenomenon, 23.9% of the urologists demonstrated high levels, and 20.6% presented low levels. Only 5.8% of the urologists showed intense levels of the phenomenon. The phenomenon was significantly more prevalent among those in training (p = 0.010) and less prevalent among those with a subspecialty in endourology (p = 0.016). The prevalence of the impostor phenomenon among urologists was 27.7%. It was more commonly seen in resident urologists, and those with a subspecialty in endourology were less likely to be affected by this phenomenon

Developing Clinical and Research Priorities for Pain and Psychological Features in People With Patellofemoral Pain:An International Consensus Process With Health Care Professionals

OBJECTIVE: To decide clinical and research priorities on pain features and psychological factors in persons with patellofemoral pain. DESIGN: Consensus development process. METHODS: We undertook a 3-stage process consisting of (1) updating 2 systematic reviews on quantitative sensory testing of pain features and psychological factors in patellofemoral pain, (2) an online survey of health care professionals and persons with patellofemoral pain, and (3) a consensus meeting with expert health care professionals. Participants responded that they agreed, disagreed, or were unsure that a pain feature or psychological factor was important in clinical practice or as a research priority. Greater than 70% participant agreement was required for an item to be considered important in clinical practice or a research priority. RESULTS: Thirty-five health care professionals completed the survey, 20 of whom attended the consensus meeting. Thirty persons with patellofemoral pain also completed the survey. The review identified 5 pain features and 9 psychological factors—none reached 70% agreement in the patient survey, so all were considered at the meeting. Afte the meeting, pain catastrophizing, fear-avoidance beliefs, and pain self-efficacy were the only factors considered clinically important. All but the therma pain tests and 3 psychological factors were consid ered research priorities. CONCLUSION: Pain catastrophizing, pain self-efficacy, and fear-avoidance beliefs were factors considered important in treatment planning, clinical examination, and prognostication. Quantitative sensory tests for pain were not regarded as clinically important but were deemed to be research priorities, as were most psychological factors.</p

The Saudi Critical Care Society practice guidelines on the management of COVID-19 in the ICU: Therapy section

BACKGROUND: The rapid increase in coronavirus disease 2019 (COVID-19) cases during the subsequent waves in Saudi Arabia and other countries prompted the Saudi Critical Care Society (SCCS) to put together a panel of experts to issue evidence-based recommendations for the management of COVID-19 in the intensive care unit (ICU). METHODS: The SCCS COVID-19 panel included 51 experts with expertise in critical care, respirology, infectious disease, epidemiology, emergency medicine, clinical pharmacy, nursing, respiratory therapy, methodology, and health policy. All members completed an electronic conflict of interest disclosure form. The panel addressed 9 questions that are related to the therapy of COVID-19 in the ICU. We identified relevant systematic reviews and clinical trials, then used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach as well as the evidence-to-decision framework (EtD) to assess the quality of evidence and generate recommendations. RESULTS: The SCCS COVID-19 panel issued 12 recommendations on pharmacotherapeutic interventions (immunomodulators, antiviral agents, and anticoagulants) for severe and critical COVID-19, of which 3 were strong recommendations and 9 were weak recommendations. CONCLUSION: The SCCS COVID-19 panel used the GRADE approach to formulate recommendations on therapy for COVID-19 in the ICU. The EtD framework allows adaptation of these recommendations in different contexts. The SCCS guideline committee will update recommendations as new evidence becomes available