<b><i>Objectives:</i></b> Social media (SM) are evolving and dynamic applications which can be used in health-care settings to enhance professional networking and education; patient communication, care, and education; public health programs; organizational promotion; and research. This review aims to analyze, summarize, and describe the current Saudi experience of SM use for health. <b><i>Methods:</i></b> A MEDLINE/PubMed electronic database search was performed in July 2020 utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The initial search has yielded a total of 263 articles, of which 25 met our inclusion criteria. <b><i>Results:</i></b> In Saudi Arabia, the literature reports a high interest in using SM for health-related purposes among the public, with a prevalence of >51%. The Saudi population has been found to highly favor the use of WhatsApp and Twitter for gaining and exchanging knowledge. Multiple facilitators and barriers have been identified and further categorized based on the users’ population, such as general public, health-care practitioners, and patients with specific conditions. Overall, the common facilitator and barrier between all users’ population categories were found to be younger age and lack of time, respectively. <b><i>Conclusion:</i></b> SM use for health-care activities is increasing in Saudi Arabia. Thus, it is important for SM-based health education programs to target specific population and patients’ demographics with programs tailored to their particular interests and needs. This is particularly evident in the current achievements and future plans of the Saudi Ministry of Health.
Introduction
Cervical cancer is the fourth most common cancer among females. Squamous cell carcinoma is the most common subtype of cervical cancer, followed by adenocarcinoma. The most reported sites of metastasis are the lungs, bones, liver, and brain. One of the rarest sites of metastasis, particularly from the adenocarcinoma subtype, is the spleen, with only four reported cases in the literature.
Case report
A 54-year-old post-menopausal female was diagnosed with adenocarcinoma of the endocervix (FIGO stage IIIB) after she presented to the gynecologist complaining of post-coital vaginal bleeding. The patient received chemoradiotherapy followed by brachytherapy. After completion of treatment, she had a restaging work-up which revealed a complete radiological and pathological response. During her routine follow-up, she was found to have a new splenic lesion by surveillance abdominopelvic MRI three years after completion of treatment. Surgical resection was performed, and pathological analysis confirmed the diagnosis of metastatic cervical adenocarcinoma to spleen.
Conclusion
Cervical cancer metastasis to spleen is very rare, especially in the cervical adenocarcinoma subtype. A high index of suspicion is necessary during follow-up. Once there is a suspicion of splenic metastasis, surgical intervention should be considered for both curative and palliative intents.
Objective. The competency of using video laryngoscopes (VL) for double-lumen tube (DLT) endobronchial intubations can be improved with constant training as assessed by measuring the learning curves. We hypothesized that the time to DLT intubation would be reduced over the intubation attempts. Design. A crossover manikin study. Settings. University-affiliated hospital. Participants. Forty-two novice medical students unfamiliar with DLT intubation. Interventions. Participants were randomly allocated to two sequences, including DLT intubation, using King Vision and McGrath VLs. Each participant completed 100 DLT intubation attempts on both simulated easy and difficult airways on two different mannikins using the study devices (25 attempts for each). Measurements and Main Results. The primary outcome was the time to DLT intubation. The secondary outcomes included the best glottic view, optimizing maneuvers, and intubation first-pass success. The use of King Vision VL was associated with a significantly shorter time to DLT intubation ( P < 0.044 and P < 0.05, respectively) and a higher percentage of glottic opening (POGO) compared to the McGrath VL ( P < 0.011 and P < 0.002, respectively) in the simulated “easy” and “difficult” over most of the intubation attempts. In the simulated “easy” airway, the first-pass success ratio was higher when using the King Vision VL (median [Minimum–Maximum] 100% [100%–100%] and 100% [88%–100%], P = 0.012). Conclusion. Novice medical students developed skills over intubation attempts, meaning achievement of a faster DLT intubation, better laryngeal exposure, and higher success rate on simulated “easy” and “difficult” airways. A median of 9 DLT intubations was required to achieve a 92% or greater DLT intubation success rate.
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