Depression is a common mental illness that has a profound impact on an estimated number of 300 million people worldwide. Depression is stigmatised in communities and even physicians, especially, non-psychiatric physicians, which affects depressed patients’ care. This study aims to investigate non-psychiatric physicians’ attitudes towards depression in Riyadh, Saudi Arabia. The study surveyed 380 participants using Revised Depression Attitude Questionnaire. Non-psychiatric physicians in Riyadh are optimistic and have a positive perspective towards depression. Yet, the majority preferred dealing with physical rather than mental illness. Understanding the attitudes of medical practitioners is important to shape service delivery and assess training needs.
Objective Waldenström's macroglobulinemia (WM) is a rare indolent B-cell lymphoproliferative disorder, representing 1 to 2% of all hematological malignancies. Involvement of the inner ear is rare with only case reports published over the past six decades. Methods The occurrence of bilateral sudden sensorineural hearing loss is exceeding rare, with limited published data in the literature. We present a case of a 62-year-old man diagnosed with WM who presented with bilateral sequential sudden sensorineural hearing loss. Results A few months following his WM diagnosis, he experienced sudden hearing loss in his left ear. He was treated with a course of oral steroids with no improvement. Three months following this incident, he experienced a similar sudden loss of hearing in his right ear. Treatment for WM was initiated. A repeat hearing test, done 1 week later, did not show any significant improvement in his right hearing. Conclusion The clinical course of WM is highly variable, with relatively infrequent involvement of lymph nodes, spleen, or liver. The inner ear is rarely involved. In this article, otologic clinical presentation is discussed, along with a review of the literature on hearing loss in WM. AbstractKeywords ► sudden sensorineural ► hearing loss ► Waldenström's macroglobulinemia
An adequate number of healthcare providers is an essential factor in the prosperity of a population. One challenge faced by universities is student dropout. This case-control study aimed to examine the academic, psychological, medical, social, as well as female-related risk factors at a health-sciences university in Saudi Arabia in the academic year 2016-2017. The study included a total of 723 students, of whom 143 dropped out. A validated questionnaire was used to assess risk factors. Comparisons were made using chi-square test with the outcome of interest being dropout at the end of the academic year. Around 20% of students had dropped out by the end of the academic year 2016-2017. Significant risk factors for dropout included male gender, lack of previous university degree, having a primary as well as a secondary specialty choice, not matching into the first specialty choice, English language, and female-related risk factors, such as pregnancy. Health-care education is an inherently stressful environment where dropout is a concerning phenomenon. It is imperative to recognize risk factors and develop strategies to ensure students’ successful adaptation and progress. Policymakers should be aware of the impact of academic and gender-related factors to address and help limit the number of students dropping out of highly needed professions.
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