Background and Objectives: Coronavirus disease-2019 (COVID-19) is an emerging disease threatening the world with a rapid increase in cases and deaths since it was first identified in December 2019. Adequate knowledge, practice, and attitudes (KPA) toward COVID-19 among physicians at the frontline defense against the COVID-19 pandemic may enhance their ability to avoid the risk of self-infection, decrease mortality, and provide adequate medical care service in this pandemic. This study aimed to assess KPA toward COVID-19 among physicians in Jordan and Palestine. Methods: This is a cross-sectional study using an online survey conducted from 10 April to 26 April 2020 among Jordan and Palestine physicians. Invitations were sent to physician groups on Facebook and WhatsApp. This survey contains 36-items, divided into four main sections to assess the participants' socio-demographic characteristics, knowledge, practice, and attitude about COVID-19. Results: A total of 454 physicians participated in this study. The mean score of basic knowledge was 4.4 ± 0.8 (range 2-4). There were significant differences between basic knowledge mean scores among physicians in different professional degrees and physicians in various health sectors (P=0.0315, P=0.0137, respectively). The mean scores of selfprotection measures, were 6.1 ± 1.1 (range 3-7) and measures if physician self-suspected of COVID-19 were 9.9± 1.1 (range 5-11). The mean score of attitudes toward COVID-19 was 41.5 ± 3.3 (range 21-45) and significantly related to the age and different experience years (P=0.0022, P=0.0077, respectively). Conclusion:As the global threat of COVID-19 continues to emerge, physicians from Jordan and Palestine showed adequate KPA toward COVID-19. There was a significant difference in knowledge level and attitude between physicians. Policymakers and physicians should keep continuous educational activities, training, and follow-up updates during this pandemic.
Background Chylous ascites is rare but still a recognized complication of retroperitoneal surgeries caused mostly by inadvertent trauma to lymphatic channels. In this article, we present a case report and literature review of adult patient, with malignant tumor of upper urinary tract, who developed chylous leak after open nephrectomy. Case presentation We present a case of chylous leak for a 67-year-old female patient, presented to urology clinic with complaining of left loin pain and gross hematuria, found to have upper urinary tract tumor, she underwent open radical nephrectomy with lymph nodes dissection, and postoperatively she had chylous leak that is treated conservatively using octreotide and spironolactone without the need for total parenteral nutrition. Conclusion Conservative management should always be the first choice of management of chylous leak and chylous ascites. Careful anatomical identification and securing of the periaortic lymphatics are needed to decrease the risk of postoperative chylous leak and ascites.
Introduction and importance Covid-19 pandemic has had huge impact on health care system and put the health care system under strain, so efforts made to minimize the elective surgeries however some surgeries especially those for high risk malignant tumors cannot be postponed. The aim of this case report is to highlight the importance of screening cancer patients and those with co-morbidities such as renal impairment for Covid-19 and encouraging them to get vaccinated before undergoing elective surgeries. Case presentation We report a case of an 80 year old male patient with renal impairment who developed Covid-19 infection after transurethral resection of high grade transitional cell carcinoma of urinary bladder. Clinical Discussion Although intra-hospital contagion of Covid-19 is not rare, increased risk of acquiring Covid-19 among cancer patient particularly if they have co-morbidities like renal impairment should be kept in mind and strict protective measures for Covid-19 for those patients should be done before, during and after the procedure. Conclusion We theorized that patients with high grade transitional cell carcinoma of urinary bladder should be screened for Covid-19 and get vaccinated before the procedure.
Aim: Coronavirus disease-2019 is an emerging disease that is threatening the world with a rapid increase in cases and deaths since it was first identified in December 2019. Our study aimed to assess the knowledge, practice, and attitude toward COVID-19 among physicians in Jordan and Palestine. Method: This is a cross-sectional study using an online survey conducted in April, 2020. A 36-items survey was developed and invitations were sent to physicians in different health sectors using social media. Results: A total of 454 physicians participated in this study with a mean age 36.2 ? 10.8 years. The mean score of basic knowledge was 4.4 ? 0.8, and there were significant statistical differences between basic knowledge mean scores among physicians in different professional degrees and physicians in different health sectors (P=0.0315, P=0.0137 respectively). Participants showed appropriate practical measures toward COVID-19, where the mean scores of indications for PCR test, indications for home quarantine, self-protection measures, and measures if physician self-suspected of COVID-19 were 5.4 ? 1.4, 5.0 ? 1.0, 6.1 ? 1.1, 9.9? 1.1 respectively. The mean score of attitudes toward COVID-19 were 41.5 ? 3.3 and significantly related to the age and different experience years (P=0.0022, P=0.0077 respectively). Conclusion: As the global threat of COVID-19 continues to emerge, it is critical to improve the knowledge, practice, and attitudes of physicians worldwide.
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