Background Coronavirus disease 2019 (COVID-19) has profoundly impacted residency and fellowship training and education. However, how and to what extent the daily involvement of trainees in clinical and surgical activities was compromised by the COVID-19 pandemic is currently unknown. Materials and methods We conducted an electronic survey. An invitation was sent through the executive training administration of the Saudi Commission for Health Specialties (SCFHS) randomly to 400 residents and fellows over two weeks period from April 23, 2020 until May 6, 2020. Descriptive statistics were presented using counts and proportions (%). The comparison between the trainees among the socio-demographic and the characteristics of trainees toward the impact of COVID-19 pandemic on their training had been conducted using the Chi-square test. A p-value cut off point of 0.05 at 95% Confidence Interval (CI) used to determine statistical significance. Results Out of the 400 questionnaires distributed, 240 trainees responded, resulting in a response rate of 60%. The most frequently cited specialty was surgical (41.3%) and medical (38.3%). Approximately 43% of them had direct contact with patients with COVID-19, and 43.8% had enough training regarding the proper use of Personal Protective Equipment (PPE). There were seven responders (2.9%) who had been infected by the disease. Among them, 6 (2.5%) members of their family had also been infected. Approximately 84.6% reported a reduction in training activities due to the current pandemic. Of those with surgical specialties, almost all (97%) reported that their surgical exposure reduced due to the COVID-19 pandemic. Conclusion The adoption of smart learning is critical. For those who have been affected by examination delays, we recommend continuing to revise steadily using webinars, podcasts, prerecorded sessions, and social media. Routine activities such as journal clubs and departmental teaching should continue through webinars, if possible.

Background Post-treatment management is essential for improving the health and quality of life of colorectal cancer (CRC) survivors. The number of cancer survivors is continually increasing, which is causing a corresponding growth in the need for effective post-treatment management programs. Current research on the topic indicates that such programs should include aspects such as physical activity and a proper diet, which would form the basis of lifestyle change among CRC survivors. Therefore, this study aimed to identify the impact of physical activity and diet on the quality of life of CRC survivors. Methods We performed a systematic literature review regarding CRC survivors. We searched the Embase, PubMed, and EBSCOhost databases, considering papers published between January 2000 and May 2017 in any language, using a combination of the following subject headings: “colorectal cancer,” “colorectal carcinoma survivor,” “survivorship plan,” “survivorship care plan,” “survivorship program,” “lifestyle,” “activities,” “exercise,” “diet program,” and “nutrition.” Results A total of 14,036 articles were identified, with 35 satisfying the eligibility criteria for the systematic review. These articles were grouped by the study questions into physical activity and diet: 24 articles were included in the physical activity group and 11 in the diet group. Conclusions The research showed that an effective survivorship program can significantly help CRC survivors maintain good health and quality of life for long periods. However, there is a lack of consensus and conclusive evidence regarding how the guidelines for such a program should be designed, in terms of both its form and content.

HighlightsPrimary carcinosarcoma is a rare neoplasm of the gallbladder.It is characterised by collision of adenocarcinomatous and sarcomatous components.This series shows that complete resection is the only means of extending survival.The role of adjuvant therapy remains unclear.

Carbon monoxide (CO) toxicity is one of the common types of poisoning, and the aim of this study is to evaluate CO poisoning during 2004-2013. The study was based on autopsy samples sent to the forensic chemistry laboratory in Dammam during the study period. The findings showed that 68 out of 894 autopsy cases were diagnosed as acute CO toxicity; 91% of the cases were classified as accidental; 83% of cases were male while only 11% were female. The highest rate was in the winter months (50%), and highest age group was between 40 and 50 years, followed by 31-40. The average carbon monoxide percentage was 49%. Carbon monoxide toxicity in Dammam is not a very common occurrence; however, this study may help control and prevent carbon monoxide toxicity for protection of the society. ª 2014 Hosting by Elsevier B.V. on behalf of The International Association of Law and Forensic Sciences (IALFS).

Background: The satisfaction of surgical residents with their training programs is a key indicator for program effectiveness. This survey was conducted to assess the level of perceived satisfaction of surgical residents with the current training programs in Eastern Saudi Arabia. Materials and methods: Resident satisfaction was measured by questionnaire in 119 selected participants at 9 training centers in Eastern Saudi Arabia, as part of the general surgery residency program of Saudi Commission for Health Specialties. Results: The survey response rate was 69.7% (83/119) resident participants. A total of 37 (44.6%) residents expressed dissatisfaction with their current training programs. The residents were least satisfied with research opportunities (78.3%), followed by faculty didactic involvement (59%), mentorship (51.8%), and case volume (41%) offered in their programs. Conclusion: The general low level of satisfaction among surgical residents in Eastern Saudi Arabia warrants a national review of the current programs. Resident satisfaction should be considered as a potent factor while conferring accreditation to surgical training programs across the country. Highlights: