Background: Multiple sclerosis (MS) is a complex and intractable neurological disease associated with substantial morbidity, healthcare utilization, management cost, and lost productivity. Recently, there has been an alarming increase in the number of MS cases in Arab countries that has spurred an increase in local research. Aims: To analyse the MS research profile in Arab countries. Methods: A total of 781 publications on research on MS in Arab countries from 1983 to 2021 were extracted from the Web of Science database and analysed by bibliometric techniques. Results: MS research productivity has grown sharply in the last decade, both internationally and in Arab countries. However, Arab counties have only contributed 0.8% of the overall number of publications. Keyword pattern analysis showed that magnetic resonance imaging, optical coherence tomography, expanded disability status, demyelination, and epidemiology were the major themes of the MS research in Arab countries. Case–control, cohort, and descriptive studies were the most prevalent study designs. However, there was a notable paucity of meta-analyses, randomized controlled trials, and clinical trials. Conclusion: This is believed to be the first study of its kind to illustrate the increase in MS publications in Arab countries, and the potential for future growth and international collaboration. Arab countries can improve their regional expertise and add a wealth of knowledge to the global MS resources by diversifying their current research, and following recent advances in pathogenesis, diagnosis, and management of MS.
Nasogastric tube (NGT) insertion is a simple procedure and generally uneventful. However, complication due to NGT misplacement ranges from tracheobronchial injury, pleural effusion, to a more catastrophic outcome like Tension pneumothorax. This case report represents a tension pneumothorax following nasogastric tube withdrawal.
A Female patient 67-year-old known case of Hypertension and heart failure was recently diagnosed with buccal Squamous cell carcinoma (SCC) and scheduled for an elective mandibulectomy. Post-operatively patient was admitted to the surgical Intensive care unit (SICU). NGT was inserted. A chest X-ray shows a nasogastric tube mistakenly inserted into the right lung, which led to concealed pleural perforation. Upon withdrawal of the NGT, the patient suddenly became hypoxic and hypotensive and unfortunately developed tension pneumothorax.
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