ABSTRACT
AIM: Social media plays a major role in modern healthcare. However, little is known about physicians' experience as related to medical consultation through social media, such as Twitter. This study aims to characterize physicians' attitudes and perceptions toward medical consultations through social media and estimate the use of social media for medical consultation purposes. MATERIALS AND METHODS: The study was conducted through the distribution of electronic questionnaires to physicians from different specialities. A total of 242 healthcare providers responded to the questionnaire. RESULTS: Our results demonstrated that 79% of the healthcare providers received consultations through social media at least "sometimes" and that 56% of them agreed that it is appropriate to have personal social media platforms that can be accessible by patients. They also agreed (87%) that it is appropriate to interact with patients on social media; however, most of them do not find social media platforms appropriate for diagnosis or treatment. CONCLUSION: Physicians think positively of social media consults, but do not consider it a proper method to manage medical conditions.
ABSTRACT
Nail changes elicited by Ibrutinib are relatively infrequent but are reported in the literature. Herein, we report on two cases that developed Ibrutinib-induced nail toxicities. A 63-year-old female, with relapsing mantle cell lymphoma on Ibrutinib 560mg/day for seven months developed paronychia, onychomadesis, Beau's lines, nail fragility, and brittleness over fingernails and toenails. On the other hand, an 80-year-old male with chronic lymphoid leukemia developed a bloody papule with hemorrhagic crust and nail-plate abnormalities. Skin toxicities manifested eight months after initiating Ibrutinib therapy. From a clinical perspective, Ibrutinib-induced chronic paronychia and PG have been established. All other PG triggers have been ruled out. After the cessation of Ibrutinib, the PG improved for both cases. The exact pathogenesis of PG induced by Ibrutinib is not yet understood but it had been compared to retinoid-related changes. Thus, further research and reporting of similar cases should be done to further understand the pathophysiology of such manifestations.
ABSTRACT
BACKGROUND: Dentistry can be an overstressed career. Dentists come across countless routes of stress in dental schools. Onset foot in clinical training, they can find that the number and type of stressors often grow. Dental students encounter high levels of academic stress, which can adversely influence them from their study years working with phantom teeth through their preclinical and clinical practice years. The COVID-19 pandemic has revealed the world population to a high risk of infection that comprises a major stress factor, especially for vulnerable groups such as dental students. OBJECTIVE: The objective of this study was to assess the levels of COVID-19-related stress and anxiety, changes in hygienic and social habits, as well as subjective worries regarding the dental profession among dental students. MATERIALS AND METHODS: A self-structured questionnaire was sent to dental students of two dental schools in the city of Jeddah. It included demographic data, questions about the level of change in personal hygiene and social habits, students' perception about the sufficiency of information received during the outbreak and its source, subjective worries regarding the dental profession, and the Generalized Anxiety Disorder 7-item Scale. Three hundred and eight responses were received. RESULTS: Moderate and severe anxieties were reported in 41% and 7% of students, respectively. About 57% of respondents agreed to continue e-learning in the theoretical part only, 1% for the clinical part only, 32% in both, and 10% were not interested in continuing e-learning. Most of the students reported that they received excellent information about COVID-19 during the outbreak, with social media as the main source of information for the majority, followed by the Health Department. A significant number of dentists (66%) wanted to temporarily shut their dental practices until the number of COVID-19 case rates reduces considerably. CONCLUSION: A considerable percentage of dental students are anxious and changed their hygienic and social habits due to COVID-19. This anxiety reflects worries about the dental profession in one-third of participants that necessitate counseling services and psychological support.
ABSTRACT
BACKGROUND: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder characterized by symptoms of abdominal pain, bloating, and altered bowel habit such as constipation, diarrhea, or both. Food is one of the most commonly reported triggers of IBS symptoms. we aim to assess the effect of diet change in improving IBS. METHODS: This study was a cross-sectional study. A questionnaire was developed for data collection in the present study. The survey was distributed online in Arabic language. RESULTS: A total of 1202 subjects participated in our study. Of these, 685 (57%) were female patients and 517 (43%) were male patients. The age of patients ranged from 15 to 55 years, more than one-third of them located in the age range between 15 and 25. The statistical analysis reported a significant correlations between having IBS for three successive days for 3 months regarding age and duration of IBS (P value <0.001), having depression or anxiety before, and if the depression affects IBS symptoms or not (P value = 0.013 and <0.001, respectively). Having dietary regimen, advising to increase fibers, thinking about changing diet improves IBS symptoms (P value = 0.001, 0.005, and < 0.001, respectively) and having treatment (P value = 0.006). CONCLUSION: According to our results, the prevalence of IBS was higher among females. Some diets, especially onions, garlic, and coffee, were reported to increase the IBS symptoms. Decreasing carbohydrate diets and increasing fiber diet would enhance the patient health where the symptoms where decreased.
