scholarly journals Camel-related Major Vascular Injuries: A 20-years’ Experience

2021 ◽  
Author(s):  
Fikri M. Abu-Zidan ◽  
Saleh Abdel-Kader ◽  
Hussam Mousa ◽  
Ahmad Al Aiyan ◽  
Mohamed S. Baguneid ◽  
...  
Keyword(s):  
United Arab Emirates ◽  
Surgical Care ◽  
Iliac Vein ◽  
Vascular Injuries ◽  
Web Based ◽  
Al Ain ◽  
Life Threatening ◽  
The One ◽  
And Behavior ◽  
Masseter Muscles

Abstract Background: Majority of animal-related injuries in United Arab Emirates are caused by camels. We aimed to study the anatomy, biomechanism and outcome of major camel-related human vascular injuries and correlate them to the camel anatomy and behavior.Methods: We retrospectively studied all patients who were admitted to Al-Ain Hospital with camel-related major vascular injury during January 2001 to January 2020. A special protocol was designed to collect the data. An adult 7-year-old male camel skull was prepared and web-based video clips of camel bites to humans were analysed to have an in-depth understanding of the biomechanism of injury.Results: Seven patients were studied, all were males having a median age of 26 years. Five out of six bite injuries (83%) occured during the camel rutting season. The injuries were severe and life threatening. Four involved the carotid artery, one the femoral artery and vein, one the external iliac vein and one the aorta which was due to a fall from a camel. Although the standard of surgical care was high, the outcome was poor. Six patients were admitted to the ICU for a median of 5 days. One patient died, one was vegetative, and one had arm paralysis. The elongated jaws of the camel having its biting component at the front, and the strong masseter muscles at the back increases the strength of its bite grip. Each bite causes four small elliptical wounds of the canine teeth which resembles two stab wounds of 8 cm long, penetrating deeply and injuring major vessels. Aggressive camels bite repeatedly to kill their victims.Conclusions: Camel-related vascular injuries have a poor clinical outcome. Although the basis of their surgical management is similar to other vascular injuries, their poor outcome is related to the aggressiveness of the attacking camel, the anatomy of its jaw, and its intention to kill. Neck wounds of camel bites can be closed primarily after debridement. Studying these unusual injuries gives an insight into the “one globe one health approach” in which humans interacts with the animals and the environment around them. It important to understand the camel behavior for injury prevention.

scholarly journals Barriers and Challenges Affecting Parents Use of Adrenaline Auto-Injector in Children at Risk of Anaphylaxis

2020 ◽  
Author(s):  
Ahmed Elghoudi ◽  
Klithem Al Dhaheri ◽  
Hassib Narchi
Keyword(s):  
United Arab Emirates ◽  
Medical Personnel ◽  
Drug Of Choice ◽  
Effective Interventions ◽  
Al Ain ◽  
Threatening Condition ◽  
Life Threatening ◽  
Barriers And Challenges ◽  
Fear And Anxiety ◽  
Auto Injector

Abstract Background: Anaphylaxis is a life-threatening condition. As accidental exposure to the offending allergens usually happens in the community, in absence of medical personnel, adrenaline auto-injector (AAI), carried by parents, remains the first and only drug of choice. As studies have shown that AAI is commonly underused by parents, this study was undertaken to elucidate the causes of its underutilization in our community.Methods: A cohort of parents attending the paediatric allergy clinic at Al Ain hospital, in the United Arab Emirates (UAE), completed a questionnaire survey aimed to assess their understanding and knowledge of their child’s allergy management, including their aptitude with the use the AAI, as well as their competence and comfort to provide this treatment in an emergency. Results: A total of 47 parents, 83% of whom were Emirati, including 66% of mothers, participated in the study. Food allergy was the main indication for AAI prescription, with tree nuts 62%) and peanuts (38%) being the main culprits. The majority (94%) of parents were trained by a doctor on using the AAI, with most (79%) demonstrating a good knowledge of indications for administering the AAI. Although all parents expressed satisfaction with the training that they had received, they still admitted to a remaining lack of confidence with using an AAI. Conclusions: The continuous education and training of parents on how to use an AAI, still requires supplementary psychological support to overcome their fear and anxiety with using the device in an urgent situation. More research is needed to explore the reasons behind their fear and anxiety to plan effective interventions.

scholarly journals Knowledge, Attitudes and Behavior Towards Antibiotic Use Among Parents in Al-Ain City, United Arab Emirates

2008 ◽  
Vol 12 ◽  
pp. e434 ◽  
Author(s):  
A. Tenaiji ◽  
K. Al Redha ◽  
F. Khatri ◽  
S. Darmaki ◽  
S. Hosani ◽  
...  
Keyword(s):  
United Arab Emirates ◽  
Antibiotic Use ◽  
Al Ain ◽  
And Behavior ◽  
Attitudes And Behavior

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

INNOVATIVE SOCIETY: A SOCIAL CREDIT SYSTEM IN CHINA

2020 ◽  
pp. 50-59
Author(s):  
Weichzhen` Gao
Keyword(s):  
Latin American ◽  
Social Life ◽  
Credit System ◽  
Educational Mission ◽  
Social Transformations ◽  
Social Credit ◽  
Road Project ◽  
Patterns Of Behavior ◽  
The One ◽  
And Behavior

The basic principles of SCS implementation are as follows: Formation of sustainable social structure and its operational management; Monitoring and correction of social transformations and behavior of the general population: transparency as a major factor in the life of an innovative society; Stimulating competition as a motivation for success. Due to the transparency of social life, different patterns of behavior in different conditions are published in the information space of the society. Accordingly, actionable life scenarios are made available to the general public, which is fulfilling an educational mission regarding adaptation mechanisms in an innovative society; the SCS system is a significant component of the national strategy of integration and consolidation of the Chinese innovation society; carrying out softpolicy foreign policy: The positive experience of the Chinese innovation society in implementing SCS is a prerequisite for expanding its area of application in Asian, African and Latin American countries, especially the countries participating in the One Belt One Road project. SCS covers all spheres of social life of the modern Chinese citizen, forms a sustainable form of accountability to the society for the content and flow of their daily activities, aspirations and preferences.

Introduction

2017 ◽  
Author(s):  
Patrick Colm Hogan
Keyword(s):  
Queer Theory ◽  
Social Constructionism ◽  
The Other ◽  
Sexual Identities ◽  
The Third ◽  
Sexuality And Gender ◽  
And Gender ◽  
Sexual Part ◽  
The One ◽  
And Behavior

The introduction first sets out some preliminary definitions of sex, sexuality, and gender. It then turns from the sexual part of Sexual Identities to the identity part. A great deal of confusion results from failing to distinguish between identity in the sense of a category with which one identifies (categorial identity) and identity in the sense of a set of patterns that characterize one’s cognition, emotion, and behavior (practical identity). The second section gives a brief summary of this difference. The third and fourth sections sketch the relation of the book to social constructionism and queer theory, on the one hand, and evolutionary-cognitive approaches to sex, sexuality, and gender, on the other. The fifth section outlines the value of literature in not only illustrating, but advancing a research program in sex, sexuality, and gender identity. Finally, the introduction provides an overview of the chapters in this volume.

scholarly journals Rating the incidence of iatrogenic vascular injuries in thoracic and lumbar spine surgery as regards the approach: A PRISMA-based literature review

2021 ◽  
Author(s):  
Alice Giotta Lucifero ◽  
Cristian Gragnaniello ◽  
Matias Baldoncini ◽  
Alvaro Campero ◽  
Gabriele Savioli ◽  
...  
Keyword(s):  
At Risk ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Iliac Vein ◽  
Lumbar Spine Surgery ◽  
Common Iliac Vein ◽  
Suture Repair ◽  
Vascular Injuries ◽  
Mesh Terms ◽  
Thoracic And Lumbar Spine

Abstract Purpose To assess the rate, timing of diagnosis, and repairing strategies of vascular injuries in thoracic and lumbar spine surgery as their relationship to the approach. Methods PubMed, Medline, and Embase databases were utilized for a comprehensive literature search based on keywords and mesh terms to find articles reporting iatrogenic vascular injury during thoracic and lumbar spine surgery. English articles published in the last ten years were selected. The search was refined based on best match and relevance. Results Fifty-six articles were eligible, for a cumulative volume of 261 lesions. Vascular injuries occurred in 82% of instrumented procedures and in 59% during anterior approaches. The common iliac vein (CIV) was the most involved vessel, injured in 49% of anterior lumbar approaches. Common iliac artery, CIV, and aorta were affected in 40%, 28%, and 28% of posterior approaches, respectively. Segmental arteries were injured in 68% of lateral approaches. Direct vessel laceration occurred in 81% of cases and recognized intraoperatively in 39% of cases. Conclusions Incidence of iatrogenic vascular injuries during thoracic and lumbar spine surgery is low but associated with an overall mortality rate up to 65%, of which less than 1% for anterior approaches and more than 50% for posterior ones. Anterior approaches for instrumented procedures are at risk of direct avulsion of CIV. Posterior instrumented fusions are at risk for injuries of iliac vessels and aorta. Lateral routes are frequently associated with lesions of segmental vessels. Suture repair and endovascular techniques are useful in the management of these severe complications.

Biologic risk factors for low birthweight in Al Ain, United Arab Emirates

1996 ◽  
Vol 8 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Adekunle Dawodu ◽  
Yousef M. Abdulrazzaq ◽  
Abdulbari Bener ◽  
Inge Kappel ◽  
Larry Liddle ◽  
...  
Keyword(s):  
Risk Factors ◽  
United Arab Emirates ◽  
Low Birthweight ◽  
Al Ain

scholarly journals The effect of religion on the perception of health states among adults in the United Arab Emirates: a qualitative study

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016969 ◽  
Author(s):  
Iffat Elbarazi ◽  
Nancy J Devlin ◽  
Marina-Selini Katsaiti ◽  
Emmanuel A Papadimitropoulos ◽  
Koonal K Shah ◽  
...  
Keyword(s):  
United Arab Emirates ◽  
Shopping Malls ◽  
Structured Interviews ◽  
Health States ◽  
Public Places ◽  
Al Ain ◽  
Value Sets ◽  
And Gender ◽  
Perception Of Health

ObjectivesInvestigate how religion may affect the perception of health states among adults in the United Arab Emirates and the implications for research on self-reported health and quality of life and the use of values in cost-effectiveness analysis.DesignQualitative analysis of short-structured interviews with adult Emiratis carried out by a market research agency.The COREQ criteria have been used where appropriate to guide the reporting of our findings.SettingParticipants were recruited from shopping malls and other public places in the cities of Al Ain and Abu Dhabi.ParticipantsTwo hundred adult Emiratis broadly representative of the Emirati population in terms of age and gender.ResultsEighty one per cent of participants said that their perception of health states was influenced by their spiritual or religious beliefs. The two overarching themes that seemed to explain or classify these influences were ‘fatalism’ and ‘preservation of life’. Subthemes included powerlessness to change what is preordained by God, fear of disability (particularly diminished mobility) and appreciation of health and life and the requirement to look after one’s health. A final theme was that of acceptance, with respondents expressing a willingness to endure suffering and disability with patience in the expectation of rewards in the hereafter.ConclusionsOur results emphasise the need for further work to establish locally relevant value sets for Muslim majority countries in the Middle East and elsewhere for use in health technology assessment decision-making, rather than relying on value sets from other regions.

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