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Alkarrash MS, Shashaa MN, Kitaz MN, Rhayim R, Ismail M, Swed S, Hafez W, Kaadan MI, Koumakli H, Alhisah N, Al-Haider A, Al-Salloum S, Cherrez-Ojeda I. Basic life support awareness among medical undergraduate students in Syria, Iraq, and Jordan: a multicenter cross-sectional study. Int J Emerg Med 2023; 16:44. [PMID: 37482609 PMCID: PMC10364399 DOI: 10.1186/s12245-023-00521-0] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 07/17/2023] [Indexed: 07/25/2023] Open
Abstract
BACKGROUND AND AIMS Basic life support (BLS) training rates vary widely worldwide, and there is a general scarcity of surveys that assess students' knowledge and awareness of BLS in middle eastern nations. This study aims to evaluate medical students' knowledge and awareness towards basic life support. METHODS A cross-sectional study, using an online web-based questionnaire, assessing BLS awareness and knowledge, was conducted from 3 to 30 November 2021. The study included 2114 medical students from Syria, Iraq, and Jordan. The questionnaire consisted of three sections: demographic baseline characteristics, knowledge about BLS, and ability to apply basic life support. A binominal logistic regression was done between the total score and other demographic characteristics to determine if we could predict the research sample's appropriate knowledge of BLS level. RESULTS There was a moderate knowledge of BLS and cardiopulmonary resuscitation (CPR) skills among participating students with an average score of 19.67 (0-34). Seventy-eight of the participants (1656) stated that they have not attended a basic life support course. There was a significant difference between the participants from different countries, where the mean score in Syria, Jordan, and Iraq was 18.3, 24.3, and 18.8, respectively (p < 0.05). Considering the level of knowledge, 18.3%, 72.8%, and 8.9% of the participants had a high, intermediate, and low level, respectively. Furthermore, students who took a BLS course had a higher level of knowledge than those who did not, with an odds ratio of 5.168 (p value < 0.0001). CONCLUSION The overall knowledge of medical students' basic life support knowledge is insufficient and need to be greatly improved. According to this study, previous participation in basic life support training had a positive effect on knowledge level. As a result, universities must establish basic life support programs as quickly as possible.
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Affiliation(s)
| | | | | | - Roaa Rhayim
- Faculty of Medicine, University of Aleppo, Aleppo, Syria
| | | | - Sarya Swed
- Faculty of Medicine, University of Aleppo, Aleppo, Syria.
| | - Wael Hafez
- Department of Internal Medicine, Medical Research Division, The National Research Centre, Cairo, Egypt
- NMC Royal Hospital, 16Th Street, Khalifa City, Abu Dhabi, UAE
| | - M Ihsan Kaadan
- Department of Medicine, Boston Medical Center, Boston, MA, USA
- Department of Medicine, Boston University School of Medicine, Boston, MA, USA
| | | | - Nour Alhisah
- Faculty of Medicine, University of October 6 University, Madaba, Jordan
| | - Ahmed Al-Haider
- Faculty of Medicine, University of Al-Qadisiyah, Al-Qadisiyah, Iraq
| | | | - Ivan Cherrez-Ojeda
- Universidad Espíritu Santo, Samborondón, Ecuador
- Respiralab Research Group, Guayaquil, Ecuador
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Alkarrash MS, Shashaa MN, Rhayim R, Aljarad Z. Misdiagnosis of sphincter of Oddi disorder treated as familial Mediterranean fever for ten years: A case report. Ann Med Surg (Lond) 2022; 74:103295. [PMID: 35145669 PMCID: PMC8802060 DOI: 10.1016/j.amsu.2022.103295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Revised: 01/07/2022] [Accepted: 01/23/2022] [Indexed: 12/05/2022] Open
Abstract
Introduction Sphincter of Oddi dysfunction is a rare disease caused by sphincter of Oddi functional or mechanical abnormality. Misdiagnosis of familial Mediterranean fever is very high due to overlapping symptoms with many diseases. Our case is the first case report in the medical literature which describes the misdiagnosis of Sphincter of Oddi dysfunction as familial Mediterranean fever. Case presentation A 46-year-old woman presented with recurrent episodes of abdominal pain and arthralgia. The patient had familial Mediterranean fever for ten years which was diagnosed clinically without performing genetic tests. Analysis of the mutation in the MEFV gene was performed and was negative. Thereby, the diagnosis of familial Mediterranean fever was eliminated and colchisine was discontinued. Afterward, laboratory and radiological tests were performed, and the diagnosis of sphincter of Oddi disfunction was confirmed. The patient underwent biliary sphincterotomy and take sulpiride daily. Discussion The most common diseases were misdiagnosed with familial Mediterranean fever are appendicitis, acute rheumatic fever, gastrointestinal diseases and inflammatory arthritis. Endoscopic retrograde cholangiopancreatography with Manometry of the Sphincter of Oddi is the gold-standard test. Conclusion Sphincter of Oddi dysfunction may interfere with many other disorders and should be considered as a differential diagnosis for any recurrent abdominal pain. Misdiagnosis of familial Mediterranean fever is common in endemic countries due to the reliance on clinical symptoms without analysis of the mutations in the MEFV genes particularly, before 1997. SOD should be considered as a differential diagnosis for any recurrent abdominal pain. Misdiagnosis of familial Mediterranean fever is common in endemic countries. ERCP with Manometry of the Sphincter of Oddi is the gold-standard test.
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Alkarrash MS, Shashaa MN, Kitaz MN, Rhayim R, Alhasan MM, Alassadi M, Aldakhil A, Alkhamis M, Ajam M, Douba M, Banjah B, Ismail A, Zazo A, Zazo R, Abdulwahab M, Alkhamis A, Arab A, Alameen MH, Farfouti MT. Migraine and tension-type headache among undergraduate medical, dental and pharmaceutical students of University of Aleppo: a cross-sectional study. BMJ Neurol Open 2021; 3:e000211. [PMID: 34712954 PMCID: PMC8515458 DOI: 10.1136/bmjno-2021-000211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 08/11/2021] [Accepted: 09/29/2021] [Indexed: 01/03/2023] Open
Abstract
Introduction Headache disorders are among the most common 10 causes of disability worldwide according to the global burden of disease survey 2010. Headache is also wildly common among universities students when compared with other populations. The purpose of this study is to assess headache prevalence among Aleppo University medical, dental and pharmaceutical undergraduate students. Methods A questionnaire-based cross-sectional study was conducted among medical, dental and pharmaceutical students at Aleppo University, Syria. We determined the type of headache according to the International Classification of Headache Disorder-III. The total number of participants was 2068. A χ2 test was used to evaluate the association between the categorical outcomes. P<0.05 was considered significant. Results Out of 2068 participants, 1604 (77.6%) were medical students, 205 (9.9%) were dental students and 259 (12.5%) were pharmaceutical students. The effect on daily activities was higher in chronic tension headache (96.7%) and migraine without aura (94.6%) than migraine with aura (91.3) and episodic tension headache (85.1%). Out of 1191 who had a headache, only 188 (15.9%) had a medical consultation. Conclusions There was no a statistically significant difference in prevalence of tension headache and migraine according to faculties. There was a statistically significant difference in patients with migraine according to academic year, living with family and smoking. The effect on daily activities was higher in chronic tension-type headache and migraine without aura. There is a significant lack of medical consultation among students and most of them took over the counter analgesics depending on personal choice.
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Affiliation(s)
| | | | | | - Roaa Rhayim
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | | | - Maya Alassadi
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ahmad Aldakhil
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohamad Alkhamis
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohanad Ajam
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Mohamad Douba
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Bashar Banjah
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ahmad Ismail
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Aya Zazo
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Rama Zazo
- Faculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Majd Abdulwahab
- Faculty of Pharmacy, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Ali Alkhamis
- Faculty of Pharmacy, University of Aleppo, Aleppo, Syrian Arab Republic
| | - Abdullah Arab
- Faculty of Dentistry, University of Aleppo, Aleppo, Syrian Arab Republic
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Ayoub K, Alkarrash MS, Shashaa MN, Zazo A, Rhayim R, Mahli N. A rare complication of gallstones ended with spontaneous cholecystocutaneus fistula in an old man: A case report. Int J Surg Case Rep 2020; 67:42-44. [PMID: 32004903 PMCID: PMC6994846 DOI: 10.1016/j.ijscr.2020.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 10/23/2019] [Revised: 12/29/2019] [Accepted: 01/08/2020] [Indexed: 01/02/2023] Open
Abstract
Cholecystocutaneous fistula is an extremely rare complication for gallstones. The diagnosis is not easy because symptoms are nonspecific. Computed tomography considers the gold standard in diagnosing this case. First procedure was laparoscopic, but greater omentum adherent to the gallbladder. So we turned to open technique to perform cholecystectomy and resection the fistula.
Introduction Cholecystocutaneous fistula is an extremely rare complication of gallstones. The majority of the fistulae localize into the right upper quadrant of the abdomen. Diagnosis is not easy because the symptoms are nonspecific. External biliary fistula is more common in females between the 5th-7th decades because in this age group the frequency of cholecystitis is increased. Case presentation A 65-year-old man presented with a swelling in the right hypochondrium. He had not complained of any serious symptoms. Laboratory investigations were normal. Both abdominal ultrasound and Multislice computed tomography (MSCT) showed that the gallbladder contained stones, in addition to a cystic mass in the abdominal wall. The previous findings suggested that there was an abscess. So, the patient underwent laparoscopic procedure, and we found a fistula between the gallbladder and the abdominal wall causing the abscess. The greater omentum was adherent to the inflamed gallbladder. So that we transformed into open procedure to perform cholecystectomy and resect the fistula. Discussion Biliary fistulae have two types, external and internal. The most common type is internal. External biliary fistulae emerge like a complication of cholecystolithiasis in general. Spontaneous cholecystocutaneous fistulae occur due to acute inflammation caused by cholecystitis or chronic gallstones disease. The most common clinical manifestation is an abscess in the abdominal wall that discharges bile to the outside. Conclusion Computed tomography is considered the gold standard in diagnosing a spontaneous cholecystocutaneous fistula, and it should be considered as a differential diagnosis for any abscess that is evident in the abdominal wall.
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Affiliation(s)
- Kusay Ayoub
- Surgery Department, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria
| | | | | | - Aya Zazo
- Faculty of Medicine, University of Aleppo, Aleppo, Syria.
| | - Roaa Rhayim
- Faculty of Medicine, University of Aleppo, Aleppo, Syria
| | - Nihad Mahli
- Surgery Department, Faculty of Medicine, Aleppo University Hospital, University of Aleppo, Aleppo, Syria
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