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Amarin M, Al-Taher R, Daradka K, Abu Harb AIAAQ, Habashneh RAAM, Bustami NB, Hijazein Y, Hadadin H, Al-Najjar SWS. Improved Patient Outcomes with Electrocauterization Following Wedge Resection and Curettage for Ingrown Toenails: A Prospective Comparative Study. Arch Plast Surg 2024; 51:202-207. [PMID: 38596153 PMCID: PMC11001453 DOI: 10.1055/s-0043-1777280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 10/25/2023] [Indexed: 04/11/2024] Open
Abstract
Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed. Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery. Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively ( p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively ( p = 0.001). Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.
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Affiliation(s)
- Marzouq Amarin
- Department of General Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan
| | - Raed Al-Taher
- Department of General Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan
| | - Khaled Daradka
- Department of General Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan
| | | | | | - Nadwa Basem Bustami
- Department of Pathology and Forensic Medicine, Jordan University Hospital, The University of Jordan, Amman, Jordan
| | - Yazan Hijazein
- Department of General Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan
| | - Hiba Hadadin
- Department of General Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan
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Juweid ME, Alselaibi D, Abandeh H, Al-Ibraheem A, Al-Qasem S, Albtoush O, Al-Hawajreh L, Doudeen R, Abujbara M, Hyassat D, Khawaja N, Hadadin H, Hijazein Y, Alduraidi H, Ajlouni K. Degenerative lumbar changes have a statistically significant but small effect on trabecular bone score (TBS)-adjusted fracture risk (FRAX). Medicine (Baltimore) 2023; 102:e36082. [PMID: 38013318 PMCID: PMC10681429 DOI: 10.1097/md.0000000000036082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 10/20/2023] [Indexed: 11/29/2023] Open
Abstract
Trabecular bone score (TBS) assesses trabecular microarchitecture at the lumbar spine and was shown to improve fracture risk prediction compared to bone mineral density (BMD) alone. We investigated whether lumbar degenerative changes (DC) affect TBS and TBS-adjusted 10-year fracture risk assessment (tool) (FRAX) estimates. All patients who underwent BMD and TBS measurements via dual-energy X-ray absorptiometry at our institution between 1/7/2020 and 1/10/2020 were retrospectively evaluated. We identified all patients who had DC in 1 or 2 vertebrae (out of L1-L4) with a BMD T score > 1 unit higher than the remaining 2 to 3 adjacent vertebrae. TBS and BMD were compared between the vertebrae with and without DC. Change in TBS as well as FRAX estimates for major osteoporotic (MOP) and hip fractures after exclusion of the degenerative vertebrae were also determined. Of the 356 eligible patients, 94 met the inclusion criteria. The mean TBS of vertebrae without DC was not significantly different from that of L1 to L4 (1.31 ± 0.12 vs 1.32 ± 0.12, respectively, P = .11). The FRAX estimates after exclusion of the degenerative vertebrae were statistically significantly higher than for L1 to L4 for both MOP and hip fractures (P = .04 and P = .01, respectively). However, the differences were very small. The mean 10-year MOP FRAX estimate after exclusion of degenerative vertebrae was 7.67% ± 4.50% versus 7.55% ± 4.36% for L1 to L4 and the mean 10-year hip FRAX estimate after exclusion of degenerative vertebrae was 2.06% ± 2.01% versus 2.02% ± 1.98% for L1 to L4. Lumbar DC have a statistically significant but only small effect on TBS-adjusted FRAX making it unnecessary to exclude the degenerative vertebrae when computing TBS.
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Affiliation(s)
- Malik E. Juweid
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Dana Alselaibi
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Hiba Abandeh
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Akram Al-Ibraheem
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
- King Hussein Cancer Center, Amman, Jordan
| | - Soud Al-Qasem
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Omar Albtoush
- Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Laith Al-Hawajreh
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Rahma Doudeen
- Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Mousa Abujbara
- National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - Dana Hyassat
- National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - Nahla Khawaja
- National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
| | - Hiba Hadadin
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | - Yazan Hijazein
- Division of Nuclear Medicine/Department of Radiology and Nuclear Medicine, University of Jordan, Amman, Jordan
| | | | - Kamel Ajlouni
- National Center for Diabetes, Endocrinology and Genetics, Amman, Jordan
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Odeh R, Gharaibeh L, Daher A, Albaramki J, Ashour B, Barakat FA, Dahabreh D, Hadadin H, Melhem T, Alassaf A. Frequency, Clinical Characteristics and Predictors of Ketoacidosis at Diagnosis of Type One Diabetes Mellitus in Children and Adolescents from Jordan. J Clin Res Pediatr Endocrinol 2023; 15:46-54. [PMID: 36264035 PMCID: PMC9976172 DOI: 10.4274/jcrpe.galenos.2022.2022-5-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE Data regarding diabetic ketoacidosis (DKA) at diagnosis of type one diabetes (T1D) in developing countries are scarce. The aim of this study was to describe the frequency of DKA at the onset of T1D in children and adolescents in Jordan and to compare the clinical and biochemical characteristics between the group that presented with DKA and the group that did not. METHODS The records of 341 children and adolescents, less than sixteen years of age, who were diagnosed with T1D between 2015 and 2019 were evaluated retrospectively. RESULTS Of all the children diagnosed with T1D, 108 (31.7%) presented with DKA. The majority had mild or moderate DKA (38% and 33.3% respectively). Higher paternal education levels were associated with a lower probability of presenting with DKA (p=0.043). A family history of T1D had a protective effect on the occurrence of DKA (Odds ratio=2.138; 95% confidence interval=1.167-3.917, p=0.014). Patients with celiac disease and higher HbA1c levels were more likely to experience recurrent episodes of DKA, (p=0.004 and 0.011, respectively). CONCLUSION In Jordan, the rate of DKA at presentation of T1D remains high. Prevention campaigns are needed to increase diabetes awareness among the public and healthcare providers.
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Affiliation(s)
- Rasha Odeh
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan,* Address for Correspondence: University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan Phone: +962799178517 E-mail:
| | - Lobna Gharaibeh
- AI-Ahliyya Amman University, Faculty of Pharmacy, Pharmacological and Diagnostic Research Center, Amman, Jordan
| | - Amirah Daher
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan
| | - Jumana Albaramki
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan
| | - Bahaa Ashour
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan
| | - Fatima Al Barakat
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan
| | - Dina Dahabreh
- University of Jordan, School of Medicine, Amman, Jordan
| | - Hiba Hadadin
- University of Jordan, School of Medicine, Amman, Jordan
| | - Tala Melhem
- University of Jordan, School of Medicine, Amman, Jordan
| | - Abeer Alassaf
- University of Jordan School of Medicine, Department of Pediatrics, Amman, Jordan
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Al-Taher R, Daradkeh HT, Hadadin H, Obiedat A, Hijazein Y, Hijazein L, Obiedat S, Hadadin Y, Al Manasra AR, Alduraidi H, Juweid M. Children with Hirschsprung disease in a developing country: A cohort study of the predictors of a positive rectal biopsy result. Medicine (Baltimore) 2022; 101:e31601. [PMID: 36401374 PMCID: PMC9678578 DOI: 10.1097/md.0000000000031601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Chronic constipation, which may be habitually or pathologically caused, is one of the most common complaints in children. One of the important pathological causes is Hirschsprung's disease (HD), which is diagnosed via multiple modalities, mainly rectal biopsy. Our aim was to compare the presentation and different predictive factors for positive rectal biopsy results in a developing country in the Middle East, such as Jordan. This cohort study was conducted at the Jordan University Hospital (JUH). All consecutive children aged <14 years who presented with refractory constipation and underwent rectal biopsies between January 2014 and December 2019 were retrospectively enrolled in the study. In the entire cohort study, 79 patients were enrolled: 45 (57%) were males and 34 (43%) were females. Regarding the biopsy results, 51 (64.6%) cases of refractory constipation without HD and 28 (35.4%) patients with refractory constipation with HD were diagnosed with open rectal biopsies. The male-to-female ratio of HD patients was 3:1. Moreover, 3 (10.7%) children who passed the meconium within the first 24 to 48 hours showed features of HD, while 17 (60.7%) children with delayed passage of the meconium showed features of HD. Abdominal distension was found to be a positive predictor of positive biopsy results (odds ratio [OR] = 4.09, P = .011), and soiling was found to be a negative predictor of positive biopsy results (OR = 0.07, P = .024). In developing countries, children presenting with HD seem to have similar symptoms and signs to those observed with traditional sampling and staining techniques.
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Affiliation(s)
- Raed Al-Taher
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Hebah Tawfiq Daradkeh
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
- *Correspondence: Hebah Tawfiq Daradkeh, Department of General Surgery, Division of Pediatric Surgery, School of Medicine, University of Jordan, Queen Rania St., Amman 11942, Jordan (e-mail: )
| | - Hiba Hadadin
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Abdelrahman Obiedat
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Yazan Hijazein
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Laith Hijazein
- Department of General Surgery, School of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Sarah Obiedat
- Department of Pathology, School of Medicine, University of Jordan, Amman, Jordan
| | - Yazeed Hadadin
- Department of General Surgery, School of Medicine, October 6th University, Cairo, Egypt
| | - Abdel rahman Al Manasra
- Department of General Surgery, School of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Hamza Alduraidi
- Community Health Nursing Department, School of Nursing, University of Jordan, Amman, Jordan
| | - Malik Juweid
- Department of Radiology and Nuclear Medicine, School of Medicine, University of Jordan, Amman, Jordan
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Kanaan T, Alisi M, Hijazein Y, Naneh Y, Kheshman A, Hadadin H, Dahabreh D, Hadidi F, Al-Sabbagh Q. Management of a rare case of isolated U-shaped displaced sacral fracture in a young female high school student. Trauma Case Rep 2022; 40:100664. [PMID: 35721661 PMCID: PMC9204385 DOI: 10.1016/j.tcr.2022.100664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2022] [Indexed: 02/08/2023] Open
Abstract
Sacral fractures in young healthy patients are usually linked to high-energy trauma. They are often associated with multiple other injuries. Isolated sacral fractures are rare and can be easily missed in the absence of other surrounding pelvic or spinal injuries. In this article, we present a rare case of isolated U-shaped displaced sacral fracture despite the high-energy mechanism of injury being missed on initial presentation. This is a 17-year-old healthy female who presented to the emergency department after falling from five-meter height. She complained of lower back pain and inability to ambulate. Physical examination revealed significant sacral tenderness, bilateral lower limb weakness and hypoesthesia, anesthesia of the saddle area, weak anal tone and absent anal reflex. Initial radiographs showed no apparent fractures. Further imaging by pelvic computed tomography, however, revealed an isolated U-shaped displaced sacral fracture. The patient was treated by decompression and lumbopelvic fixation by triangular osteosynthesis and iliosacral screw. This fixation method restored stability of the spinopelvic junction and allowed for early mobilization. At her 18-month follow-up visit, she showed minimal disability score (10%) on the Oswestry Disability Index. In conclusion, sacral fractures are considered exceedingly rare to occur in isolation and in young healthy patients.
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Affiliation(s)
- Tareq Kanaan
- Department of Neurosurgery, University of Jordan, Amman, Jordan
- Corresponding author at: Department of Neurosurgery, University of Jordan, Queen Rania St., Amman, Jordan.
| | - Mohammed Alisi
- Department of Orthopedic Surgery, University of Jordan, Amman, Jordan
| | - Yazan Hijazein
- Department of Neurosurgery, University of Jordan, Amman, Jordan
| | - Yazan Naneh
- Department of Neurosurgery, University of Jordan, Amman, Jordan
| | | | - Hiba Hadadin
- Department of Neurosurgery, University of Jordan, Amman, Jordan
| | - Dina Dahabreh
- Department of Neurosurgery, University of Jordan, Amman, Jordan
| | - Fadi Hadidi
- Department of Orthopedic Surgery, University of Jordan, Amman, Jordan
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Bani Hani A, Hijazein Y, Hadadin H, Jarkas AK, Al-Tamimi Z, Amarin M, Shatarat A, Abu Abeeleh M, Al-Taher R. E-Learning during COVID-19 pandemic; Turning a crisis into opportunity: A cross-sectional study at The University of Jordan. Ann Med Surg (Lond) 2021; 70:102882. [PMID: 34603721 PMCID: PMC8479466 DOI: 10.1016/j.amsu.2021.102882] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 09/19/2021] [Accepted: 09/21/2021] [Indexed: 11/26/2022] Open
Abstract
Objectives To assess the medical students' satisfaction and knowledge attainment through distant learning during the COVID-19 pandemic. Methods This is a cross-sectional, self-reported, questionnaire-based study that was conducted at the School of Medicine at the University of Jordan in April 2020. The targeted population was the students at the school of medicine. An online questionnaire was created using Google Forms. Satisfaction and knowledge attainment among students were assessed using independent-samples t-test. Results A total of 1000 medical students completed the survey, 506 (50.6%) basic science students and 494 (49.4%) were clinical science students. 655 (65.5%) of all students were either satisfied or neutral with e-learning. 63.6% of basic science students and 59.5% of clinical students stated that they gained and understood knowledge in the same way as or better than they did before initiation of exclusive e-learning. Satisfaction and knowledge gain were significantly affected by student preparedness (p < 0.000), teacher performance (p < 0.000), and website accessibility (p < 0.000). Conclusion Transition from traditional in-class teaching to distant learning, whether full or blended, is an inevitable step. In our sample, students were generally satisfied with e-learning and the knowledge attained using it. There was a significant relation between satisfaction and attainment and preparedness of students, teachers, and the medical school. There is a difference in student’s satisfaction from e-learning between basic science students and clinical students. Teachers' performance, and Accessibility to websites had a significant impact on student satisfaction. Students' experience in using e-learning platforms and websites, also had a significant impact on student satisfaction. 76.3% of all the students believe that the electronic devices did not cause any financial burden. The most popular devices used to connect to the internet were mobile phones and laptops.
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Affiliation(s)
- Amjad Bani Hani
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Yazan Hijazein
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Hiba Hadadin
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Alma K Jarkas
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Zahraa Al-Tamimi
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Marzouq Amarin
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Amjad Shatarat
- Department of Anatomy and Histology, School of Medicine, University of Jordan, Amman, Jordan
| | - Mahmoud Abu Abeeleh
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | - Raed Al-Taher
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
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