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Reporting the rare cardiac localization of hydatid disease in the right ventricle of a child, and underlining the importance of early diagnosis and treatment to avoid severe and life‐threatening complications.

Background: The question about the role of the senior medical students in the ght against COVID-19 pandemic was raised after the serious shortage in healthcare workers faced by many healthcare systems. This research aimed to explore the ability of the nal-year medical students to assist during COVID-19 in a war-torn health system. Methods: Final-year medical students in Syrian Universities were approached between 9 th -17 th April 2020 through an online questionnaire that assessed the students' COVID-19-related medical knowledge (5-point score), clinical judgment (5-point score), preparedness and willingness to integrate in the healthcare facilities. An overall score of 10 points was built and multivariate analysis was conducted.Results: A total of 1764 responses were received. Valid responses were (1673) with 1199 (71.66%) responses from the nal-year students. Of the latter, 728 (60.71%) scored 4 points or higher in the medical knowledge score (mean 3.69 points [SD 0.96]), while 298 (24.85%) scored 4 or higher in the clinical judgment score. Final-year students scored signi cantly higher than the fourth-year students in the clinical judgment score (mean 2.69 points [SD 1.12] vs 2.47 [1.15]; adjusted P=0.012). Nearly 72.4% of the nal-year participants had an overall score of 7 points or more out of 10 (mean 6.39 points [SD 1.57]).

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This case report discusses the challenges in diagnosing and treating Langerhans cell histiocytosis (LCH) in a 6-month-old infant. LCH is a rare malignancy affecting only a few children each year, with a diverse range of clinical symptoms making it challenging to diagnose. The report emphasizes the importance of conducting differential diagnosis, genetic testing, and tissue sampling to accurately diagnose and treat LCH. The case study highlights the difficulties encountered during treatment and the significance of personalized treatment plans based on precise diagnosis. The patient responded well to trametinib treatment, underscoring the importance of accurate diagnosis in treating LCH.

Cardiac Hydatid Cysts are uncommonly encountered entity of hydatid disease. Presentation may be with non-specific symptoms and sometimes with life threatening events. We present a rare case of a 9-year-old female who was diagnosed with a Cardiac Hydatid Cyst in the right ventricle, and underwent successful surgical excision

Background: The question about the role of the senior medical students in the fight against COVID-19 pandemic was raised after the serious shortage in healthcare workers faced by many healthcare systems. This research aimed to explore the ability of the final-year medical students to assist during COVID-19 in a war-torn health system.Methods: Final-year medical students in Syrian Universities were approached between 9th-17th April 2020 through an online questionnaire that assessed the students’ COVID-19-related medical knowledge (5-point score), clinical judgment (5-point score), preparedness and willingness to integrate in the healthcare facilities. An overall score of 10 points was built and multivariate analysis was conducted.Results: A total of 1764 responses were received. Valid responses were (1673) with 1199 (71.66%) responses from the final-year students. Of the latter, 728 (60.71%) scored 4 points or higher in the medical knowledge score (mean 3.69 points [SD 0.96]), while 298 (24.85%) scored 4 or higher in the clinical judgment score. Final-year students scored significantly higher than the fourth-year students in the clinical judgment score (mean 2.69 points [SD 1.12] vs 2.47 [1.15]; adjusted P=0.012). Nearly 72.4% of the final-year participants had an overall score of 7 points or more out of 10 (mean 6.39 points [SD 1.57]). Having fears of infection (log OR 0.24, 95% CI 0.05– 0.44; P=0.01) correlated with a higher overall score, contritely to beginner, intermediate English level, and male gender (log OR -0.68 [95% CI -1.01– -0.35]; P<0.001, -0.3 [-0.5 – -0.1]; P= 0.003, -0.25 [-0.43 – -0.08]; P=0.004, respectively). Finally, 682 (56.88%) of the final-year students expressed willingness to volunteer with healthcare teams.Conclusion: Integrating final-year medical students may be an alternative in case of pandemics especially for fragile systems or those hit by a long-lasting war, while taking into consideration fulfilling personal protective measures, intensive training, and/or adequate supervision.

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