Medicine

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    The Use of Thoracic Segmental Spinal Anesthesia for a Thoracoscopic Diaphragmatic Hernia Repair in an Adult with Cardiac Compromise
    (Deanship of Research/ Al-Quds University, 2024-04-01) Mahmoud Manasra; Omar Height; Rahaf Adwan; Mohammed Maraqa
    Morgagni hernia repair is commonly performed under general anesthesia (GA). While general anesthesia is becoming more and safer, there are still some dangers and problems; nevertheless, neuraxial anesthesia also has its risks and contraindications. The most frequent problems with general anesthesia are respiratory and cardiovascular in nature. Under GA, there is a chance of myocardial infarction, disruption of lung mechanics, and aggravation of preexisting comorbidities. Thoracic segmental spinal synesthesia (TSSA) is a type of regional anesthesia that could serve as an effective alternative to general anesthesia in patients who have contraindications for GA. This neuraxial anesthesia technique is especially useful for individuals receiving general anesthesia who are deemed to be at high risk (e.g., old age). Improved patient safety, a shorter length of stay in the post-anesthesia care unit, and better postoperative pain control are some benefits of using thoracic spinal anesthesia for these routine operations. For a number of surgical procedures, such as laparoscopic cholecystectomies, breast cancer lumpectomies, and abdominal cancer surgery, thoracic spinal anesthesia has been shown in the literature to be a safe and reliable technique. As far as we know, we provide the first documented instance of laparoscopic repair of an acquired Morgagni hernia using TSSA in an 80-year-old woman with HFrEF and other comorbidities.
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    The Role of Drain Placement in Post-Bariatric Surgery Bleeding and Leak Detection: A Palestinian Main Center Experience (2017-2021)
    (Deanship of Research/ Al-Quds University, 2024-04-01) Fatima AZ-Zahra Mohammed Thawabtah; Taqwa Riad Abu Ghanieh; Osama Jamal Makhamreh; Ruba Maher Salameh; Bayan Fathi Al-Qtishat; Khaled Nasser Alshawwa; Omar Abu Zaydeh
    Bariatric surgery is becoming among the more common options for weight reduction in individuals with obesity and metabolic disease. Various surgical approaches, including sleeve gastrectomy (SG) and gastric bypass, are utilized. Each with its own set of complications, including bleeding and leaks. The use of intraoperative drains in bariatric surgery has been a routine to assist in the detection of said complications. This use is becoming more controversial, with conflicting evidence regarding their efficacy in detecting complications such as bleeding and leaks.
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    Systolic Inter-Arm Blood Pressure Difference and Estimated Glomerular Filtration Rate in Type 2 Diabetic Patients in Palestine: a cross-sectional study
    (Deanship of Research/ Al-Quds University, 2024-04-01) Raghad Sweity; Khadeeja Fanoun; Tareq Jarrar; Bayan F Alqtisht; Mohammad Abdelhafez; Suheir Ereqat
    The Palestinian society's rates of Diabetes Mellitus are among the highest worldwide rates. One of the common diabetes complications is diabetic chronic kidney disease. Diabetic chronic kidney disease is associated with inter-arm blood pressure difference, defined as a ⩾10mmHg difference in systolic blood pressure between the right and left arms as a predictor. Several studies have shown that inter-arm blood pressure difference is related to an increased risk of death and vascular problems in patients with type-2 diabetes mellitus.
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    Phossy Jaw Disease and Correlation with White Phosphorus Bombing in Israel-Gaza War
    (Deanship of Research/ Al-Quds University, 2024-04-01) Islam Sweity
    Phosphorus necrosis of the jaw, commonly called “phossy jaw”, was a really horrible overwhelmingly disease, discovered by Workers in match factories in the 19th century developed oral abscesses in their mouths, leading to facial disfigurement and sometimes fatal brain damage. The gums developed an eerie greenish white 'glow' in the dark. Disease itself depends on an influence which the fumes of phosphoric acid, when they get dissolved in the saliva, are able to exert directly within the mouth to affect the jaw bones.
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    Palestinian Pregnant Women's Knowledge, Attitudes, and practices of infant oral health and their own: a cross sectional study
    (Deanship of Research/ Al-Quds University, 2024-04-01) Isra Baker; Mayyasah Ramadan; Amani Siam; Omar Suliman; Hamza Akram; Belal Alsaad; Elham Khatib
    Pregnancy presents unique physiological changes, including hormonal fluctuations and dietary shifts, which may affect oral health. Although prior research highlights the importance of oral health during pregnancy and its potential impact on maternal well-being and fetal development. Yet, there is a scarcity of comprehensive research focusing on the oral health of pregnant women in Palestine. In our previous study, we were able to identify the lack of knowledge of pregnant women in Jerusalem city. However, there hasn't been any research on the rest of the West Bank and Gaza areas, and little is known about pregnant women's awareness of infant oral health. Thus, this cross-sectional study aims to assess the oral health knowledge, attitudes, and practices of pregnant women; simultaneously exploring their awareness of infant oral health. The goal is to identify potential gaps in knowledge that could affect future oral health practices in various geographic areas.