Background Physically active individuals are susceptible to sports injuries, one of which is anterior cruciate ligament (ACL) injury. ACL injury can be managed conservatively or by surgical reconstruction. Returning to sport (RTS) after ACL injury is one of the main goals of ACL reconstruction (ACLR). However, rates of return vary and can be affected by several factors. The objectives of this study were to estimate the rate of return and to identify the factors that might affect RTS after ACLR. Methods This was a cross-sectional study, including individuals who had an ACLR. Participants were sent an online survey included questions about their injury, sport participation, International Knee Documentation Committee form (IKDC), and the Tampa Scale for Kinesiophobia (TSK-11). Participants who had their surgery in the period between January 2011 to December 2018 and participated in sports regularly were included. Descriptive statistics were performed. Chisquare and student t-tests were performed to explore the differences between participants who returned and the ones that did not.

Background: Hemorrhoids occur when the draining veins around the anal canal get distended, causing discomfort, itching, and possibly constipation. This study aims to assess the general population and medical students' knowledge, awareness, and attitude towards hemorrhoids and different surgical management options in Saudi Arabia. Methods: A cross-sectional study with a self-administered online questionnaire was distributed in all regions of Saudi Arabia. The questionnaire had two sections: demographic data and perception toward hemorrhoids. The data was entered into Excel and analyzed by Statistical Package for the Social Sciences (SPSS). Results: About 36 (2.5%) participants answered that they had never heard about hemorrhoids. Notably, only 738 (52%) participants picked straining during bowel movement as a cause of hemorrhoids. Moreover, around 28.7% falsely thought diarrhea was a precipitant to piles. Lifestyle is one factor that was reported in 45.9% of responses. Constant pain around the anal region was identified as a symptom by 921 (64.4%). Physicians were reported as a source of information in only 173 (12.1%) responses. The majority agreed that hemorrhoids would negatively affect the quality of life. Embarrassment was an important reason to avoid visiting the doctor, according to 952 (66.5%) responses. Conclusion: Despite the common knowledge of hemorrhoids as a disease, our study showed that only half of the respondents were able to correctly identify straining as the primary cause. Whereas one-fourth wrongly thought diarrhea was the actual cause. Counseling and increasing awareness among the population are needed to facilitate the stigma associated with hemorrhoids.

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Objectives: To investigate the influence of viability assessment in the management of patients with ischemic cardiomyopathy (ICM).Methods: This retrospective cohort study included all patients with ICM with moderate to severely reduced left ventricular ejection fraction (LVEF) who underwent viability assessment using cardiac magnetic resonance imaging (MRI) and echocardiogram as modalities of imaging. In addition, LVEF, modality of choice, and treatment plans were all extracted as main variables from the electronic database. One hundred 6 patients who met the inclusion criteria from December 2014 to December 2019 were included. Original ArticleResults: Posttreatment LVEF improved by 5% in the viable group compared to the nonviable group (p=0.016). Regardless of the treatment received, 6 (8.8%) patients in the viable group died due to cardiac causes after an 18-month follow-up period; in contrast, 7 (18.4%) patients died due to cardiac causes in the nonviable group. However, despite that difference, this was not statistically significant (p=0.153). Medical therapy alone was observed in 32 (84.2%) patients in the nonviable group compared to 32 (47.1%) in the viable group (p<0.001). Although the reduction in hospitalization for cardiac reasons was not statistically significant, the viable arm had 50% fewer hospitalizations than the nonviable arm (p=0.051). Conclusion:Patients with viable myocardium had better outcomes in which LVEF significantly improved posttreatment. Additionally, there was a reduction in the number of hospitalizations for cardiac reasons in the viable group compared to the nonviable group, even though the difference was not statistically significant. However, further studies with a larger number of patients are needed to determine a definite conclusion.