Prolonged shoulder dysfunction after coronavirus disease vaccination: A case of shoulder injury related to vaccine administration

Shoulder pain is a common symptom after intramuscular vaccination. However, only a few cases of shoulder joint injury have been reported after coronavirus disease 2019 vaccination. A 52-year-old woman experienced clinically significant pain in the left shoulder joint after receiving the first dose of a coronavirus disease 2019 vaccine. She neglected the shoulder pain, hoping that it would spontaneously improve without medical attention. However, the pain continued with obvious limitations in shoulder movement and function. After 8 months, she presented to the outpatient clinic with a frozen left shoulder. Such rare consequences of vaccinations, known as shoulder injury related to vaccine administration, can be prevented by using an appropriate needle gauge and length according to the patient’s sex and weight with the correct injection site away from shoulder structures.

Willingness to vaccinate against Novel COVID-19 and contributing factors for the acceptance among nurses in Qassim, Saudi Arabia

OBJECTIVE

The aim of the article is to determine the level of COVID-19 vaccine acceptance among nurses. It also aimed to identify contributing factors of COVID-19 vaccine hesitancy among nurses in Qassim, Saudi Arabia.

MATERIALS AND METHODS

This cross-sectional study was carried out on nurses working in Ar-Rass general hospital and primary care centers, Qassim, Saudi. A self-administered questionnaire was collected between 27/11/2020 to 7/12/2020. The questionnaire consists of socio-demographics, knowledge, and practice in regard to coronavirus, attitude toward vaccinations, coronavirus vaccine acceptance, and reasons for hesitancy.

RESULTS

Out of 468 nurses, 334 nurses completed the survey. Overall, (236) 70.7% of nurses were willing to uptake coronavirus vaccine, which is a relatively high acceptance rate. 78.7% believe that COVID-19 vaccination should be mandatory once available. The main four reasons for hesitancy were the lack of knowledge 23.1%, long term adverse effects 17.7%, short-term side effects of the vaccine 9.3%, non-effective vaccine 8.7%.

CONCLUSIONS

The findings presented in this study can help Saudi Arabian health authorities to tailor educational campaigns for nurses and development of effective vaccination programs to increase the novel vaccine acceptance and uptake among nurses' population.

Handwashing knowledge, attitudes, and practices during the COVID-19 pandemic in Saudi Arabia: A non-representative cross-sectional study

Handwashing (HW) with water and soap is one of the cheapest and most effective ways of protecting oneself and others against the coronavirus. Here, the HW knowledge, attitudes, and practices of Saudi adults were assessed during the COVID-19 pandemic using a cross-sectional study conducted between May 8 and June 8, 2020, during a partial lockdown period. A web-based validated questionnaire was distributed through different social media platforms, and the sociodemographic characteristics of the participants, seven items related to knowledge, four items related to attitudes, and thirteen items related to the practice of HW were assessed. A total of 1323 (51% male and 49% female) adults from all regions of Saudi Arabia responded to the questionnaire. The overall mean (± SD) was 5.13 (± 1.18) for knowledge of HW and COVID-19, 2.79 (± 0.77) for attitude toward HW, and 7.8 (± 2.56) for HW practice. A multiple linear regression analysis revealed factors associated with knowledge to be age and family income. Sex, educational level, family income, and HW knowledge were associated with negative and neutral attitude, whereas age, sex, family income, and HW knowledge were associated with practice. These results suggest that HW knowledge was strongly associated with positive attitudes toward HW and correct HW practice in Saudi adults during the COVID-19 lockdown.

Comparison of the Effects of Metoprolol and Bisoprolol on Lipid and Glucose Profiles in Cardiovascular Patients

BACKGROUND

Cardioselective beta-blockers may affect glucose or lipid profiles.

OBJECTIVE

We sought to compare the effects of two beta-blockers, metoprolol and bisoprolol, as the most commonly used drugs in cardiology, on glucose and lipid profiles in patients with cardiovascular diseases.

METHODS

We conducted a retrospective cross-sectional matched study at Prince Sultan Cardiac Center in Burydah in August 2017. Patient records were screened, and adult patients with cardiovascular disorders who were treated with a stable dose of metoprolol or bisoprolol were included. Parameters related to glucose and lipid metabolism were compared using the Student's t-test between the two groups.

RESULTS AND CONCLUSION

The metoprolol and bisoprolol arms included 204 and 200 patients, respectively.