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Masri A, Al Ryalat N, Hadidy A, Al-Shakkah AA, Ali M, Al Jaberi M, Shihadat R, Rayyan A, AlMasri M, Abunameh L. Enhancing Diagnostic Accuracy Through Neuroimaging Revisions in Pediatric Pseudotumor Cerebri Syndrome: A Cross-Sectional Study. Pediatr Neurol 2024; 154:36-43. [PMID: 38460444 DOI: 10.1016/j.pediatrneurol.2024.02.006] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 01/20/2024] [Accepted: 02/13/2024] [Indexed: 03/11/2024]
Abstract
BACKGROUND This cross-sectional study aimed to report all neuroimaging findings suggestive of raised intracranial pressure in children with pseudotumor cerebri syndrome (PTCS), before and after re-review by two neuroradiologists. METHODS We included 48 children aged <18 years diagnosed with PTCS between 2016 and 2021. Clinical and radiological data were obtained from their medical files. Two neuroradiologists independently re-reviewed all neuroimages, and the average of their assessments was compared with the initial neuroimaging reports; an additional review was done to analyze inter- and intraclass correlation. RESULTS The initial neuroimaging reports showed under-reporting of findings, with only 26 of 48 (54.1%) patients identified with abnormal reports. After revision, the proportion of the reported findings increased to 44 of 48 (91.6%). Distention of the perioptic space was the most commonly reported finding after revision (36.5 of 48; 76%). Flattening of the posterior globe and empty sella were initially under-reported but improved after revision. Moreover, several findings suggestive of increased intracranial pressure not mandated by Friedman criteria were identified, such as narrowing of the Meckel cave, posterior displacement of the pituitary stalk, and narrowing of the cavernous sinus. Analysis of associations between neuroimaging findings and demographic and clinical characteristics yielded no statistically significant results. The inter- and intraclass correlation results demonstrated a significant agreement between raters and within each rater's assessment (P < 0.05). CONCLUSIONS This study highlights the impact of image revision in enhancing PTCS diagnosis. Intra- and interclass correlations underscore the reliability of the review process, emphasizing the importance of meticulous image analysis in clinical practice.
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Affiliation(s)
- Amira Masri
- Faculty of Medicine, Department of Pediatrics, Division of Child Neurology, The University of Jordan, Amman, Jordan.
| | - Nosaiba Al Ryalat
- Faculty of Medicine, Department of Radiology, The University of Jordan, Amman, Jordan
| | - Azmy Hadidy
- Faculty of Medicine, Department of Radiology, The University of Jordan, Amman, Jordan
| | | | - Majd Ali
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
| | - Mira Al Jaberi
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
| | - Raghad Shihadat
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
| | - Abdallah Rayyan
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
| | - Mohammad AlMasri
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
| | - Lina Abunameh
- Faculty of Medicine, Depatrment of Pediatrics, The University of Jordan, Amman, Jordan
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Al-Ani A, Rayyan A, Maswadeh A, Sultan H, Alhammouri A, Asfour H, Alrawajih T, Sharie SA, Karmi FA, Mahmoud Al-Azzam A, Mansour A, Al-Hussaini M. Correction to: Evaluating the understanding of the ethical and moral challenges of Big Data and AI among Jordanian medical students, physicians in training, and senior practitioners: a cross-sectional study. BMC Med Ethics 2024; 25:27. [PMID: 38443918 PMCID: PMC10913445 DOI: 10.1186/s12910-024-01027-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2024] Open
Affiliation(s)
- Abdallah Al-Ani
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Abdallah Rayyan
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Ahmad Maswadeh
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Hala Sultan
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | | | - Hadeel Asfour
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Tariq Alrawajih
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | | | - Fahed Al Karmi
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | | | - Asem Mansour
- Office of Director General, King Hussein Cancer Center, Amman, Jordan
| | - Maysa Al-Hussaini
- Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, 202 Queen Rania Street, Amman, 11941, Jordan.
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Abusamak AA, Abusamak M, Al-Abbadi M, Rayyan A, Oran O, Mohyuddin GR, Kelkar AH, Goodman AM, Chakraborty R, Cliff ERS, Al Hadidi S. Use of subjective minimizing language at hematology and oncology conferences: A systematic review. J Cancer Policy 2024; 39:100461. [PMID: 38061494 DOI: 10.1016/j.jcpo.2023.100461] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 12/03/2023] [Indexed: 03/08/2024]
Abstract
BACKGROUND Subjective minimizing language in oncology conferences may undermine patient-centered care and hinder comprehensive treatment strategies. Subjective terms like "safe," "tolerable," and "well-tolerated" can vary in interpretation among individuals, making it difficult to compare results across trials and potentially downplaying significant risks and limitations associated with treatments. METHODS This study evaluates subjective minimizing language in major oncology conferences and its use in adverse event reporting. We conducted a search of three electronic databases, ASCO, ASH, and ESMO, for published abstracts from January 1, 2019, to December 31, 2021. This study included prospective cohort studies or clinical trials in humans that used safety terms like "safe," "well-tolerated," "tolerable," "no new safety signal," or "no new safety concern" in the abstract text. RESULTS Out of 34,975 reviewed records, 5299 (15.2%) abstracts used subjective minimizing language terms. The analysis included 2797 (52.8%) abstracts meeting the inclusion criteria. The majority of studies were Phase 1 trials (45.5%), followed by Phase 2 (29.6%) and Phase 3 trials (7.4%). Solid tumors accounted for the most common disease category (56.5%), followed by malignant hematology following (37.1%). Subjective minimizing terms like "safe" (69.2%), "well-tolerated" (53.2%), "tolerable" (25.6%), and "no new safety signal/concerns" (10%) were used frequently. Of the abstracts using subjective minimizing language (n = 2797), 81.9% reported data on any grade adverse events (AEs). Grade I/II AEs were reported in 62.6% of abstracts, Grade III/IV AEs in 78%, and Grade V AEs (death related to AEs) in 8.8%. Discontinuation due to AEs occurred in 11.4% (SD 9.5%) of studies using subjective minimizing language terms. CONCLUSIONS Frequent use of subjective minimizing language in major oncology conferences' abstracts may obscure interpretation of study results and the safety of novel treatments. Researchers and clinicians should provide precise and standardized information to avoid overstatement of benefits and understand the true impact of interventions on patients' safety and well-being.
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Affiliation(s)
- Abdel-Azez Abusamak
- Department of Internal Medicine, Rutgers Health, RWJ Trinitas Regional Medical Center, Elizabeth, NJ, USA
| | - Mohammad Abusamak
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada
| | | | | | - Omar Oran
- School of Medicine, University of Jordan, Amman, Jordan
| | | | - Amar H Kelkar
- Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Medical School, Boston, MA, USA
| | | | - Rajshekhar Chakraborty
- Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, USA
| | - Edward R Scheffer Cliff
- Program on Regulation, Therapeutics and Law, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Samer Al Hadidi
- Myeloma Center, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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4
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Al-Ani A, Rayyan A, Maswadeh A, Sultan H, Alhammouri A, Asfour H, Alrawajih T, Al Sharie S, Al Karmi F, Al-Azzam AM, Mansour A, Al-Hussaini M. Evaluating the understanding of the ethical and moral challenges of Big Data and AI among Jordanian medical students, physicians in training, and senior practitioners: a cross-sectional study. BMC Med Ethics 2024; 25:18. [PMID: 38368332 PMCID: PMC10873950 DOI: 10.1186/s12910-024-01008-0] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 01/29/2024] [Indexed: 02/19/2024] Open
Abstract
AIMS To examine the understanding of the ethical dilemmas associated with Big Data and artificial intelligence (AI) among Jordanian medical students, physicians in training, and senior practitioners. METHODS We implemented a literature-validated questionnaire to examine the knowledge, attitudes, and practices of the target population during the period between April and August 2023. Themes of ethical debate included privacy breaches, consent, ownership, augmented biases, epistemology, and accountability. Participants' responses were showcased using descriptive statistics and compared between groups using t-test or ANOVA. RESULTS We included 466 participants. The greater majority of respondents were interns and residents (50.2%), followed by medical students (38.0%). Most participants were affiliated with university institutions (62.4%). In terms of privacy, participants acknowledged that Big Data and AI were susceptible to privacy breaches (39.3%); however, 59.0% found such breaches justifiable under certain conditions. For ethical debacles involving informed consent, 41.6% and 44.6% were aware that obtaining informed consent posed an ethical limitation in Big Data and AI applications and denounced the concept of "broad consent", respectively. In terms of ownership, 49.6% acknowledged that data cannot be owned yet accepted that institutions could hold a quasi-control of such data (59.0%). Less than 50% of participants were aware of Big Data and AI's abilities to augment or create new biases in healthcare. Furthermore, participants agreed that researchers, institutions, and legislative bodies were responsible for ensuring the ethical implementation of Big Data and AI. Finally, while demonstrating limited experience with using such technology, participants generally had positive views of the role of Big Data and AI in complementing healthcare. CONCLUSION Jordanian medical students, physicians in training and senior practitioners have limited awareness of the ethical risks associated with Big Data and AI. Institutions are responsible for raising awareness, especially with the upsurge of such technology.
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Affiliation(s)
- Abdallah Al-Ani
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Abdallah Rayyan
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Ahmad Maswadeh
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Hala Sultan
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | | | - Hadeel Asfour
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | - Tariq Alrawajih
- Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan
| | | | - Fahed Al Karmi
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | | | - Asem Mansour
- Office of Director General, King Hussein Cancer Center, Amman, Jordan
| | - Maysa Al-Hussaini
- Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, 202 Queen Rania Street, Amman, 11941, Jordan.
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Alhuneafat L, Jabri A, Abu Omar Y, Margaria B, Al-abdouh A, Mhanna M, Shahrori Z, Hammad N, Rayyan A, Nasser F, Kondapaneni M, Siraj A. Relationship Between Body Mass Index and Outcomes in Acute Myocardial Infarction. J Clin Med Res 2022; 14:458-465. [PMID: 36578372 PMCID: PMC9765317 DOI: 10.14740/jocmr4818] [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] [Received: 09/01/2022] [Accepted: 10/31/2022] [Indexed: 12/03/2022] Open
Abstract
Background The prevalence of obesity in the United States is high. Obesity is one of the leading risk factors in the development of acute myocardial infarction (AMI). Nevertheless, how obesity impacts AMI in-hospital outcomes remains controversial. Methods Using National Inpatient Sample (NIS) database, we identified patients diagnosed with AMI from the year 2015 to 2018. We divided these patients into five subgroups based on their body mass index (BMI). We compared outcomes such as mortality, length of inpatient stay, and inpatient complications between our subgroups. Statistical analysis was done using the program STATA. Our nationally representative analysis included 561,535 patients who had an AMI event across various weight classes. Results Most of our sample was obese (BMI > 30 kg/m2) and male. Obese patients were significantly younger than the rest. Length of stay (LOS) for AMI was highest for those with a BMI of less than 24 kg/m2. In-hospital mortality is highest for those with a BMI of < 30 kg/m2 and lowest for those with a BMI of 30 - 40 kg/m2. Inpatient complications are highest in the lower BMI population (BMI < 24 kg/m2). Conclusion The current analysis of a nationally representative sample showed the clinical implications of BMI in patients with AMI. Patients with a BMI of 30 - 40 kg/m2 had more favorable LOS, inpatient complications, and in-hospital mortality when compared to those with an ideal body weight. Hence, this supports and expands on the concept of the "obesity paradox". Further studies are needed to further investigate the possible mechanism behind this.
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Affiliation(s)
- Laith Alhuneafat
- Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA
| | - Ahmad Jabri
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA,Corresponding Author: Ahmad Jabri, Heart and Vascular Institute, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA.
| | - Yazan Abu Omar
- Department of Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Bryan Margaria
- Department of Medicine, MetroHealth Medical Center, Cleveland, OH, USA
| | - Ahmad Al-abdouh
- Division of hospital medicine, University of Kentucky, Lexington, KY, USA
| | - Mohammed Mhanna
- Department of Internal Medicine, University of Toledo, Toledo, OH, USA
| | - Zaid Shahrori
- Department of Medicine, Hashemite University Amman, Jordan
| | - Nour Hammad
- Department of Nephrology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Abdallah Rayyan
- Department of Medicine, University of Jordan School of Medicine, Amman, Jordan
| | - Farhan Nasser
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
| | - Meera Kondapaneni
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
| | - Aisha Siraj
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
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Jabri A, Alhuneafat L, Shahrori Z, Hamade H, Nasser F, Rayyan A, Mhanna M, Al Abdouh A, Haddadin F, Balakumaran K. Impact of Digoxin Use on Guideline-Directed Medical Therapy in Patients With Heart Failure With Reduced Ejection Fraction. J Clin Med Res 2022; 14:315-320. [PMID: 36128010 PMCID: PMC9451555 DOI: 10.14740/jocmr4772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 07/28/2022] [Indexed: 11/11/2022] Open
Abstract
Background Digoxin was one of the first agents used in the management of heart failure with reduced ejection fraction (HFrEF). Concerns over its safety, efficacy, and the introduction of guideline-directed medical therapy (GDMT) have relegated it to a secondary role. The efficacy of digoxin is still under debate, and its use in patients on GDMT remains unclear. We aim to evaluate whether patients with HFrEF on digoxin can tolerate higher doses of a β-blocker (BB), angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blocker (ARB), mineralocorticoid receptor antagonists (MRAs), and angiotensin receptor-neprilysin inhibitor (ARNI). Methods A retrospective chart review was performed on 233 patients with HFrEF managed at a tertiary care center in Cleveland, Ohio. A bivariate analysis was performed to compare patients on digoxin with patients not on digoxin in terms of ability to progress the dosing of BB, ACEI, MRA, ARB, or ARNI. Results Thirty-four (14.6%) of our 233 patients were receiving digoxin at baseline visit. The digoxin group was more likely to have lower initial and last systolic blood pressure, initial diastolic blood pressure, and left ventricular ejection fraction. Mean follow-up duration and baseline sodium level were higher in the digoxin group. There was no significant difference between the two groups in terms of patients receiving higher doses of BB (P = 0.235), ACEI/ARB (P = 0.903), MRA (P = 0.331), or ARNI (P = 0.717). Conclusions There was no significant difference between the doses of BB, ACEI, ARB, MRA, or ARNI among HFrEF patients on digoxin compared to those that were not. Randomized control trials with a larger sample are needed to establish our findings of digoxin not significantly affecting the ability to up titrate GDMT in HFrEF patients.
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Affiliation(s)
- Ahmad Jabri
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
- Corresponding Author: Ahmad Jabri, Heart and Vascular Institute, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA.
| | - Laith Alhuneafat
- Department of Medicine, Allegheny Health Network, Pittsburgh, PA, USA
| | - Zaid Shahrori
- Department of Medicine, Hashemite University, Amman, Jordan
| | - Hani Hamade
- Department of Medicine, MetroHealth Medical Center, Cleveland, OH, USA
| | - Farhan Nasser
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
| | - Abdallah Rayyan
- Department of Medicine, University of Jordan School of Medicine, Amman, Jordan
| | - Mohammed Mhanna
- Department of Internal Medicine, University of Toledo, Toledo, OH, USA
| | - Ahmad Al Abdouh
- Division of Hospital Medicine, University of Kentucky, Lexington, KY, USA
| | - Faris Haddadin
- Cardiovascular Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Kathir Balakumaran
- Heart and Vascular Center, MetroHealth Medical Center, Cleveland, OH, USA
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7
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Masri A, Al Jaberi M, Shihadat R, Rayyan A, AlMasri M, Abuna'meh L, Ali M, Al Ryalat N, Hadidy A, Al-Shakkah AA. Pseudotumor cerebri syndrome in children: Clinical characteristic and re-classification. Brain Dev 2022; 44:446-453. [PMID: 35393129 DOI: 10.1016/j.braindev.2022.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 03/14/2022] [Accepted: 03/22/2022] [Indexed: 11/28/2022]
Abstract
AIM To describe the clinical characteristics of children with pseudotumor cerebri syndrome (PTCS) who were diagnosed according to the modified Dandy criteria and to reclassify them according to the newly proposed diagnostic criteria by Freidman. METHODOLOGY This retrospective study included the period from January 2016-to July 2021. RESULTS 50 patients were included; 34 males and 16 females with a male to female ratio of 2.1:1. The average age at onset of symptoms was 8 years. Obesity was noticed in 6 (12%) patients; 34 (68%) had symptoms upon presentation. The most common presenting symptom was headache (28 patients; 56%), papilledema was present in 33 (66%) patients. Most patients (37; 74%) had an initial cerebrospinal fluid (CSF) pressure ≥280 mmH2O. At last follow-up, papilledema resolved in 11/32 (34.3%) patients, and headache resolved in 17/23 (74%) patients. 22/50 (44%) patients fulfilled the definite criteria proposed by Freidman, 11/50 (22%) fulfilled the probable, 10/50 (20%) were categorized as possible, and 7 (14%) patients were categorized as unmet. CONCLUSION PTCS is a chronic condition. Managing patients who do not have papilledema or who do not meet the newly proposed higher CSF pressure is challenging. Although, applying the newly proposed criteria captured most of our patients, however, around one quarter were managed based on clinical experience. This study indicates a strong need for future guidelines tailored specifically for children, taking into consideration that the cut-off point of CSF pressure might not be similar for all populations.
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Affiliation(s)
- Amira Masri
- Department of Paediatrics,division of child neurology , Faculty of Medicine, The University of Jordan.
| | | | | | | | | | - Lina Abuna'meh
- Department of Paediatrics,division of child neurology , Faculty of Medicine, The University of Jordan
| | - Majd Ali
- Department of Paediatrics,division of child neurology , Faculty of Medicine, The University of Jordan
| | - Nosaiba Al Ryalat
- Department of Radiology, Faculty of Medicine, The University of Jordan
| | - Azmy Hadidy
- Department of Radiology, Faculty of Medicine, The University of Jordan
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Salameh M, Hantouly AT, Rayyan A, Dabbas J, Toubasi AA, Hartnett DA, Blankenhorn B. Return to Play After Isolated Syndesmotic Ligamentous Injury in Athletes: A Systematic Review and Meta-analysis. Foot & Ankle Orthopaedics 2022; 7:24730114221096482. [PMID: 35601091 PMCID: PMC9121478 DOI: 10.1177/24730114221096482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Syndesmotic ankle sprains are common and challenging injuries for athletes.
The management of such injuries is controversial, with a paucity of evidence
on treatment protocols with unpredictability regarding the time lost to
participate in sports following injury. The present study seeks to review
and report the return to play (RTP) time and examine the outcomes and
complications of ankle syndesmotic sprains in the athletic population. Methods: PubMed, Cochrane Library, and Google Scholar were queried in August 2021 for
case series, cohorts, and randomized controlled trials that evaluated return
to play time after ankle syndesmotic sprains. The primary outcomes were the
rate and time to return to play after syndesmotic ankle sprains for both
surgical and nonsurgical treatment. Secondary outcomes included short-term
complications and recurrence. Results: Eighteen articles were eligible for meta-analysis with a total of 1133
syndesmotic sprains. The overall RTP was 99% (95% CI 0.96, 1.00), the
overall mean RTP was 52.32 days (95% CI 39.01, 65.63). Pooled RTP for
surgically treated patients was 70.94 days (95% CI 47.04, 94.85), whereas it
was 39.33 days (95% CI 28.78, 49.88) for nonsurgically treated cases. A low
incidence of recurrence and complications were reported. Conclusion: This article reports a high rate of RTP after syndesmotic sprains. Grade of
injury and surgical vs conservative management can affect the time to RTP in
high-level athletes. Level of Evidence: Level IV, systematic review and
meta-analysis.
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Affiliation(s)
- Motasem Salameh
- Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA
| | - Ashraf T. Hantouly
- Department of Orthopedic Surgery, Hamad Medical Corporation, Doha, Qatar
| | | | - Jood Dabbas
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | | | - Davis A. Hartnett
- Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA
| | - Brad Blankenhorn
- Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, East Providence, RI, USA
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Badran EF, Jarrah S, Masadeh R, Al Hammad A, Al Shimi R, Salhout S, Al Wahabi N, Al Jaberi M, Rayyan A, Madi T, Hassan S. Assessment of Perceived Compliance and Barriers to Personal Protective Equipment Use Among Healthcare Workers During the COVID-19 Pandemic's Second Wave Surge: "Walk to Talk" Cross-Sectional Correlational Study. Disaster Med Public Health Prep 2021; 17:e45. [PMID: 34496993 PMCID: PMC8545841 DOI: 10.1017/dmp.2021.289] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE This study aimed at investigating HCWs' perceptions of PPE compliance and barriers, as well as influencing factors, in order to develop methods to combat the rise in their infection rates. METHODS During the 'second wave' surge, a cross-sectional correlational analysis was conducted over a 1-month period. It consists of HCWs from various hospital sectors that admit COVID-19 patients using an online self-administered predesigned tool. RESULTS Out of the 285 recruited participants, 36.1% had previously been diagnosed with COVID-19. Around 71% received training on PPE use. The perceived compliance was good for (PPE) usage (mean 2.60 ± 1.10). A significant higher compliance level was correlated with previous diagnosis with COVID-19, working with patients diagnosed with COVID-19, and having a direct contact with a family member older than 45 years old (P < 0.01). The main perceived barriers to the use of PPEs were unavailability of full PPEs (35%), interference with their ability to provide patient care (29%), not enough time to comply with the rigors of PPEs (23.2%) and working in emergency situations (22.5%). With regards to perceived barriers, those working with patients diagnosed with COVID-19 and those who reported having a direct contact with a family member older than 45 years old showed significantly higher level of barriers. CONCLUSION A series of measures, including prioritization of PPE acquisition, training, and monitoring to guarantee appropriate resources for IPC, are necessary to reduce transmission.
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Affiliation(s)
- Eman F Badran
- Department of Pediatrics, School of Medicine, University of Jordan, Amman, Jordan
| | - Samiha Jarrah
- Department of Nursing, School of Nursing, Applied Science Private University, Amman, Jordan
| | - Rami Masadeh
- Department of Community Health, School of Nursing, Applied Science Private University, Amman, Jordan
| | | | - Rana Al Shimi
- School of Medicine, University of Jordan, Amman, Jordan
| | - Samar Salhout
- School of Medicine, University of Jordan, Amman, Jordan
| | | | | | | | - Thaira Madi
- Department of Accreditation, Healthcare Accreditation Council, Amman, Jordan
| | - Samar Hassan
- Department of Accreditation, Healthcare Accreditation Council, Amman, Jordan
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