Maryam Adam Ali, Fatima Mohammed Aljasmi, Noora Adam, Ali
{"title":"Adverse Skin Reactions Among Frontline Personnel Due To Personal Protective Equipment Against COVID-19","authors":"Maryam Adam Ali, Fatima Mohammed Aljasmi, Noora Adam, Ali","doi":"10.26715/jbms.33_2021_2_2","DOIUrl":"https://doi.org/10.26715/jbms.33_2021_2_2","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has attracted global attention as it has expeditiously spread. Therefore, adherence to Personal Protective Equipment (PPE) has become a daily necessity, particularly among front-line personnel. However, PPE is associated with some adverse skin reactions; hence, this study aimed to investigate the characteristics and prevalence of adverse skin reactions from PPE usage.\u0000\u0000Methods: This cross-sectional study with a random sample was carried out at Bahrain Defense Force Hospital (BDF) from January to March 2021, targeting the front-line personnel. An online questionnaire was sent regarding adverse skin reactions from PPE. A total of 145 healthcare workers (HCWs) were approached, and 132 (91%) responded. The results were analyzed through SPSS 21.0 software, and the Chi-square test or Fisher’s exact test was used to analyze discrete variables.\u0000\u0000Results: A total of 100 (75.8%) respondents suffered from adverse skin reactions. The most common findings were skin dryness, 100 (75.8%); itchiness, 67 (50.8%); and acne, 48 (36.4%). The most affected distant site was hands, 92 (69.7%). Female gender was significantly associated with skin changes, and only 22 (22%) participants with adverse skin reactions took medical advice.\u0000\u0000Conclusion: Adverse skin reactions from PPE were common. Therefore, improving awareness of practical methods is quintessential.\u0000\u0000Keywords: COVID-19; Eczema; Hand Hygiene; Masks; Skin Care","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43338779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haytham El Sayed Mohamed, Fadheela Al Najar, Mohamed Nasr Awad, Faten M Hassan
{"title":"Ultrasound-Guided Quadratus Lumborum Block as A Postoperative Analgesia for Total Abdominal Hysterectomy: A Case Report","authors":"Haytham El Sayed Mohamed, Fadheela Al Najar, Mohamed Nasr Awad, Faten M Hassan","doi":"10.21203/RS.3.RS-402952/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-402952/V1","url":null,"abstract":"\u0000 Background and aim: Total Abdominal Hysterectomy is a major invasive abdominal surgery which is accompanied with severe postoperative pain. Multimodal analgesia techniques can provide efficient analgesics coverage with minimal side effects, Quadratus Lumborum Block is an abdominal wall block which gives a good analgesic effect for abdominal surgery with lower pain score and less opioids requirements.Case presentation: A 67 years old female was scheduled to undergo total abdominal hysterectomy surgery, she had comorbidities; morbid obesity, bronchial asthma, obstructive sleep apnea, and hypothyroidism. We performed General Anesthesia and by the end of surgery, a Quadratus Lumborum Block was done ultrasound-guided technique.Conclusion: We successfully performed Quadratus Lumborum Block bilaterally which was able to provide a sufficient analgesic effect for Total Abdominal Hysterectomy surgery, giving our patient the opportunity of early ambulation and avoiding opioids side effects especially the respiratory adverse effect.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44507498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tarique chachar, Nooraldaem Yousif, Khurshid Ahmed, T. Hussain, H. Amin
{"title":"A Case Series of Direct Oral Anticoagulants Use in Post-Infarction Left Ventricular Thrombus","authors":"Tarique chachar, Nooraldaem Yousif, Khurshid Ahmed, T. Hussain, H. Amin","doi":"10.26715/jbms.33_2021_4_5","DOIUrl":"https://doi.org/10.26715/jbms.33_2021_4_5","url":null,"abstract":"Left ventricular thrombus (LVT) is a known complication of acute myocardial infarction (AMI). Vitamin K antagonists such as Warfarin showed a reduction in associated mortality and morbidity and are indicated as anticoagulants of choice in current guidelines. Since their approval for clinical use, there has been a dramatic increase in off-label use of direct oral anti-coagulants (DOAC) for LVT. In this case series, the authors share their successful experience with DOAC in the treatment of LVT.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Agha, Asma Al Qaseer, Amer AlDurazi, Ali H Al Aradi, Abdulraqeeb Taher, Salaheldin El Sharkaqi, Sharif Khashaba, Sughra Alhayki, Afrah Aljamri
{"title":"Current State of Vascular Access in Patients on Hemodialysis in Bahrain","authors":"R. Agha, Asma Al Qaseer, Amer AlDurazi, Ali H Al Aradi, Abdulraqeeb Taher, Salaheldin El Sharkaqi, Sharif Khashaba, Sughra Alhayki, Afrah Aljamri","doi":"10.26715/jbms.33_2020_1_6","DOIUrl":"https://doi.org/10.26715/jbms.33_2020_1_6","url":null,"abstract":"Background & Objective: Patients on hemodialysis (HD) require well-functioning vascular access for its initiation and successful transition to dialysis. Arteriovenous fistula is recognized internationally as the first choice of vascular access due to its long lifespan and low incidence of complications in comparison to other methods. Despite this, the rates remain poor. The aim of the study was to document the trend of vascular access currently observed in the hemodialysis centers. Methodology: This is cross-sectional study in Hemodialysis Centers in Ministry of Health, Kingdom of Bahrain. All patients undergoing regular hemodialysis in May 2020 were included in this study. Results: A total of 536 patients undergoing regular renal replacement therapy were recruited. Majority of the patients; 478 (89.2%) were on hemodialysis. Of them, 214 (44.8%) patients were on arteriovenous fistula/graft (AVF/ AVG), while the remaining 264 (55.2%) were on tunnel line. Causes of tunnel line hemodialysis were further evaluated. About 137(51.9%) patients were undergoing investigations. This was followed by patient refusal and unfit for surgery among thirty-five (13.3%) and 23 (8.7%) patients, respectively. The remaining patients were either awaiting surgery, or experienced complications post arteriovenous fistula/graft creation. Conclusion: In this study, a high use of tunnel line vascular access in HD was observed in comparison to AVF. A potential for higher utilization of AVF/AVG up to 60% was observed in this practice. Further studies and strategies to increase the usage of AVF is highly recommended to reach international standards and improve patient care.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence and Causes of Open Globe Injury in Pediatric Age Group in Salmaniya Medical Complex between 2015–2020","authors":"Maryam Alkhayat, Amani Alzayani","doi":"10.26715/jbms.33_2020_1_4","DOIUrl":"https://doi.org/10.26715/jbms.33_2020_1_4","url":null,"abstract":"Objectives: To report the epidemiological characteristics of pediatric traumatic open globe injuries (OGI) and to discuss the outcomes of such injuries in Salmaniya medical complex in Bahrain. To provide data for OGI in pediatric age group in Bahrain. Methods: All the hospital records of pediatric patients who were treated for open eye injuries at Salmaniya Medical complex between January 2015 to December 2020 were reviewed. Patients were divided into two groups according to their final visual acuity (FVA): Group 1, FVA better than 6/60, and Group 2, 6/60 or worse. The FVA of each group was compared to initial visual acuity (IVA), wound entry site, associated injuries, and medical treatment. Further comparison was made between school-age children (≥6 years old), and younger children. Results: A total of 21 children formed the study population. The injury was more common in school-age children (67%). Most injuries occurred while playing at home, during January and July (48%). The most common objects causing OGI were sharp pieces of either glass or metallic (62%) and pencil (9.5%). About 75% of patients had a final visual acuity outcome (FVA) of better than 6/60 (Group1), 25% had 6/60 or worse. Conclusion: Most of OGI occurred at home and during student’s holidays. Objects causing OGI were sharp common household items. Emphasis on education to prevent such injuries is essential.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ghada Al Qassim, V. Arulselvam, S. A. Al Amer, Salah Al Ghanem, N. Kalis
{"title":"Acute Myopericarditis in a Pediatric Patient after First Dose of Pfizer BioNTech COVID - 19 Vaccination: First Case Report in the Kingdom of Bahrain","authors":"Ghada Al Qassim, V. Arulselvam, S. A. Al Amer, Salah Al Ghanem, N. Kalis","doi":"10.26715/jbms.33_2021_4_7","DOIUrl":"https://doi.org/10.26715/jbms.33_2021_4_7","url":null,"abstract":"Coronavirus disease 201 9 (COVID - 1 9 ) vaccination for children over 12 years of age began on May 2021 in the kingdom of Bahrain. Very limited data is available regarding the adverse events related to COVID -19 vaccination in children. This is a case report of a 12-year-old previously healthy boy with acute myopericarditis who presented on day 5 after the first dose of Pfizer COVID - 19 vaccination. Other causes of acute myopericarditis were ruled out. He was treated with non - steroidal anti-inflammatory drugs and recovered fully. This case of vaccine-induced myocarditis was reported to the national task force of Bahrain for combating COVID - 19.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Vadgaonkar, Suddharsan Subbramaniyam, Nooraldaem Yousif, S. Shivappa, Fuad Abdulqader, L. Sulaibikh
{"title":"Apical Hypertrophic Cardiomyopathy With Aneurysm Formation: Potential For Underdiagnosis And Value Of Contrast Echocardiography","authors":"V. Vadgaonkar, Suddharsan Subbramaniyam, Nooraldaem Yousif, S. Shivappa, Fuad Abdulqader, L. Sulaibikh","doi":"10.26715/jbms.33_2021_4_8","DOIUrl":"https://doi.org/10.26715/jbms.33_2021_4_8","url":null,"abstract":"Apical hypertrophic cardiomyopathy (Apical HCM) with apical aneurysm formation is a relatively rare variant of hypertrophic cardiomyopathy. In this case report, the authors share their experience in the diagnosis of this challenging case, in view of the rarity of such peculiar clinical condition accompanied with a variable presentation and clinical course that render the diagnosis of this high-risk HCM phenotype commonly delayed or missed.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The History of Cardiac Services and the Establishment of a Dedicated Cardiac Centre in the Kingdom of Bahrain","authors":"Resan H Al-Badran","doi":"10.26715/jbms.33_2021_4_1","DOIUrl":"https://doi.org/10.26715/jbms.33_2021_4_1","url":null,"abstract":"<jats:p>None</jats:p>","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Razan Abdulrahim Alsayed, Jemila James, E. Shatla, N. Kalis, A. Fawzy, Elbehery, Abdulaziz Abdulrahman Shehab
{"title":"Ivemark Syndrome: Syndrome of Right Isomerism, a Case Report and Review of Literature","authors":"Razan Abdulrahim Alsayed, Jemila James, E. Shatla, N. Kalis, A. Fawzy, Elbehery, Abdulaziz Abdulrahman Shehab","doi":"10.26715/jbms.33_2020_1_10","DOIUrl":"https://doi.org/10.26715/jbms.33_2020_1_10","url":null,"abstract":"Right isomerism (Ivemark syndrome) is a rare disorder associated with multiple congenital malformations. It is the result of embryological anatomical disturbances, characterized by absence of spleen, malformations of the heart and abnormal arrangement of the internal organs of the chest and abdomen. This case report describes a rare occurrence in a newborn, presented at 4 hours of age with bluish discoloration of the extremities and low oxygen saturation and diagnosed with complex cyanotic congenital heart defect with situs ambiguous, which was undetected in the antenatal period.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Rehabilitation Under General Anesthesia for Pediatric Patients at Bahrain Defense Force Hospital: A Retrospective Study","authors":"Farah Najib, A. Ilyas","doi":"10.26715/jbms.33_2020_1_2","DOIUrl":"https://doi.org/10.26715/jbms.33_2020_1_2","url":null,"abstract":"Objective: To analyze data on full mouth rehabilitation under general anesthesia (GA) performed at the Bahrain defense force (BDF) Military Hospital with focus on patient characteristics, type of procedures, reasons of treatment under general anesthesia and post-operative complications. Material and Methods: Retrospective review of 281 patients treated under GA at the BDF day case surgery unit. Patient’s (sex, age) clinical data (diagnosis, reasons of treatment, number of stainlesssteel crowns (SSCs) used, extracted teeth, endodontic treatment, fluoride applications and prophylaxis treatment, postoperative complications were collected. Results: Two hundred and sixty patients were treated under GA due to their uncooperative behavior, 13 patient were medically compromised, and 7 patients were elective patients. All patients were discharged on the same day, with no complications, excluding 4 patients, who reported within two of months follow-up with pain. Conclusion: Within the limitations of this study, it is important to educate parents on oral hygiene and caries preventions in order to minimize future failures and the need to repeat the GA, for their children. Oral rehabilitations under GA may be required for the treatment of non-compliant patients. Treatment under GA is safe and effective in providing dental care for non-compliant and medically complex patients.","PeriodicalId":85027,"journal":{"name":"Journal of the Bahrain Medical Society = Majallat Jam'iyat al-Atibba' al-Bahrayniyah","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69074046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}