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Background: Knowledge of monkeypox can be utilized to prevent and control possible new cases of monkeypox. Access to knowledge regarding monkeypox can help the health worker to determine the suspected cases of monkeypox and enhance Ministry of Health (MOH) efforts for good prevention and control of the disease that leads to reduced incidences. The aim of this study is to assess the knowledge of and attitude toward monkeypox disease among nurses. Materials and Methods: A cross-sectional survey was conducted among nurses working at MOH primary health care centers in Jeddah city, Kingdom of Saudi Arabia, between November 1 and December 31, 2022. A structured self-administered questionnaire was utilized in data collection including sections, the demographic information, work experience, respondent's knowledge of monkeypox, and nurses' attitude toward monkeypox. Results: A total of 195 nurses were included in the study. Females represented 56.4% of them, and almost half (50.3%) aged between 35 and 44 years. The history of hearing about monkeypox was reported by the majority (88.2%) of the participated nurses. Overall, a good level of knowledge regarding monkeypox disease was observed among 16.9% of the nurses, whereas 30.8% of them had a poor level of knowledge. Nurses in the age group of 45-54 years, non-Saudis, and technicians/specialists were more knowledgeable about monkeypox disease compared to their peers. More than half of the nurses (57.9%) expressed positive attitude toward monkeypox disease, particularly more experienced nurses (>5 years) and those with good knowledge about the disease. Conclusion: Although the majority of nurses were aware of monkeypox disease, their knowledge about the disease was mostly poor to fair. However, they expressed positive attitude toward the disease. There is a need to organize educational programs for them about the disease, and this may assist the higher authorities to improve monkeypox prevention and control.
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[This retracts the article DOI: 10.7759/cureus.21121.].
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Inguinal hernia is a prevalent surgical condition worldwide. The hernia sac typically contains the omentum and small intestine. However, it has been reported that some other organs might be seen, including the ovary, fallopian tube, bladder, and colon. We report the case of a 23-year-old man who presented to our emergency department with the complaint of scrotal pain for the last six days. The pain was mainly in the right side. There was no history of preceding trauma, and the pain developed gradually. He described the pain as having a sharp nature and was constant. He reported having a low-grade fever that resolved with the use of over-the-counter analgesics. There was no change in the urine or bowel habits. No penile discharge was reported. On examination, the patient had a low-grade fever and tachycardia. The patient appeared in pain and was not cooperative to have a complete genitalia examination. However, there was a positive cough impulse in the right inguinal region. The laboratory findings suggested the presence of inflammatory or infectious processes with elevated leukocytes, C-reactive protein, and erythrocyte sedimentation rate. The patient was prepared for emergency laparotomy for reduction of the hernia and resection of the appendix. During exploration, the appendix was reduced from the hernia sac. The appendix appeared edematous, with marked erythema representing acute appendicitis. The appendix was resected and the hernia sac was closed. The presence of an appendix in the inguinal hernia sac is very rare. The preoperative diagnosis of Amyand hernia, the inguinal hernia containing the appendix, can be difficult based on the clinical presentation. Early diagnosis is crucial to avoid the potential complications of Amyand hernia, including perforation and abscess formation. Imaging studies can establish the diagnosis of Amyand hernia with high accuracy and confidence.
