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   2016| April-June  | Volume 6 | Issue 2  
    Online since April 1, 2016

 
 
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REVIEW ARTICLE
The cardiac patient in Ramadan
Majed Chamsi-Pasha, Hassan Chamsi-Pasha
April-June 2016, 6(2):33-38
DOI:10.4103/2231-0770.179547  PMID:27144139
Ramadan is one of the five fundamental pillars of Islam. During this month, the majority of the 1.6 billion Muslims worldwide observe an absolute fast from dawn to sunset without any drink or food. Our review shows that the impact of fasting during Ramadan on patients with stable cardiac disease is minimal and does not lead to any increase in acute events. Most patients with the stable cardiac disease can fast safely. Most of the drug doses and their regimen are easily manageable during this month and may need not to be changed. Ramadan fasting is a healthy nonpharmacological means for improving cardiovascular risk factors. Most of the Muslims, who suffer from chronic diseases, insist on fasting Ramadan despite being exempted by religion. The Holy Quran specifically exempts the sick from fasting. This is particularly relevant if fasting worsens one's illness or delays recovery. Patients with unstable angina, recent myocardial infarction, uncontrolled hypertension, decompensated heart failure, recent cardiac intervention or cardiac surgery or any debilitating diseases should avoid fasting.
  5 8,028 710
BRIEF REPORT
The role of war trauma survivors in managing their own mental conditions, Syria civil war as an example
Nadim Almoshmosh
April-June 2016, 6(2):54-59
DOI:10.4103/2231-0770.179554  PMID:27144143
War trauma leads to a wide range of psychological consequences and disorders that can be quite disabling to individuals and their families. At times of war, existing resources become strained to cope with all demands of trauma sufferers. The survivors' role of managing their own mental conditions becomes highly important and relevant as a way of reducing the resulted suffering. Unfortunately, this role is often ignored or trivialized by all concerned. The self-efficacy and resilience of people are the factors not to be underestimated and should be built upon. Reaching solutions are generally more satisfying and long-lasting when the affected person has taken a positive active part in finding them. Encouraging the use of own resources and experiences and using own problem-solving skills can be all that is needed for survivors to feel enabled. Engaging survivors and focusing on promoting recovery and social inclusion along with the use of self-help skills make them feel more positive about their own conditions. Being more involved, taking even small steps reduces the development of learned helplessness and reduces the psychiatric morbidities.
  3 3,567 386
CASE REPORTS
Troubleshooting during pacemaker implant in persistent left superior vena cava with absence of right superior vena cava (isolated persistent left superior vena cava)
Mahmadulla Razi, Amit Madaan, Amit Goel, Santosh Kumar Sinha
April-June 2016, 6(2):47-50
DOI:10.4103/2231-0770.179550  PMID:27144141
Persistent left superior vena cava (PLSVC) with absence of right SVC (isolated PLSVC) is a rare congenital anomaly that occurs as a result of a degenerative condition in the left anterior cardinal vein. It is generally an incidental finding while performing invasive procedures such as antiarrhythmic device implantation. We report on a rare case of permanent pacemaker implantation in a patient with this anomaly from right subclavian route, albeit most of the earlier reported cases are from left subclavian approach. A wide spectrum of clinicians should be aware of this anomaly, its variations, and possible complications.
  2 3,304 294
ORIGINAL ARTICLE
Self-reported study habits for enhancing medical students' performance in the National Medical Unified Examination
Amr Idris, Tareq Al Saadi, Basel Edris, Bisher Sawaf, Mhd. Ismael Zakaria, Mahmoud Alkhatib, Tarek Turk
April-June 2016, 6(2):39-46
DOI:10.4103/2231-0770.179553  PMID:27144140
Background: The National Medical Unified Examination (NMUE) is currently required for graduation, joining postgraduate medical training, and practicing medicine in Syria. Objective: To investigate self-reported study habits that correlate with high performance on the NMUE. Methods: First through 3rd year residents at the three main hospitals in Damascus, Syria, were asked to complete a retrospective cross-sectional survey investigating their study habits and previous scores. Results: Significantly higher score was associated with >15 study h/day and allocating 1–40% of study time for practicing questions. Mean NMUE score was not significantly different in relation to preparation months for examination or for those who reported spending all their time studying alone compared with spending any amount of time in a group setting. Scores of 231–240 on the Syrian scientific high school exam correlated with significantly higher NMUE performance compared with fewer scores, except scores of 221–230. For every 10 point increase in medical school cumulative grades, the NMUE score increased 3.6 (95% confidence interval 2.5–4.8). Conclusion: The NMUE score was significantly affected by hours spent studying per day, number of practice questions completed, percentage of study time allocated for doing questions, Syrian scientific high school exam scores, and the cumulative medical school class grades. It was not significantly affected by preparation months or studying in a group setting. More studies are needed to further describe and investigate the factors that might affect performance in the NMUE.
  2 3,445 375
CASE REPORTS
Esophageal stent placement as a therapeutic option for iatrogenic esophageal perforation in children
Alsafadi Ahmad, Louis M Wong Kee Song, Imad Absah
April-June 2016, 6(2):51-53
DOI:10.4103/2231-0770.179552  PMID:27144142
Iatrogenic esophageal perforation (IEP) is a potentially serious adverse event of interventional endoscopy. The approach to IEP varies from surgical repair for large perforations to conservative treatment for small contained perforations. We report a case of an 18-month-old girl with congenital esophageal stenosis suffering a large esophageal perforation after a trial of stricture dilatation, which was successfully managed by the placement of fully covered stent. Hence, in selected cases, esophageal stent placement is a feasible alternative to invasive surgery in managing IEP.
  1 3,177 274
LETTERS TO THE EDITOR
Comments on: Three stitch hernioplasty
Mahir Gachabayov
April-June 2016, 6(2):60-60
DOI:10.4103/2231-0770.179549  PMID:27144144
  - 1,914 171
Author's Reply
Manikandan Patchayappan, Sangara Narayanan Narayanasamy, Nagarajan Duraisamy
April-June 2016, 6(2):61-61
  - 1,263 120
Comments on: “Case reports and research productivity among Syrian medical students: Review, reality, and suggested solutions”
Bassel Atassi
April-June 2016, 6(2):61-63
DOI:10.4103/2231-0770.179555  PMID:27144146
  - 1,799 160
Analysis of diabetic ketoacidosis
Manas Pratim Roy
April-June 2016, 6(2):63-63
DOI:10.4103/2231-0770.179548  PMID:27144147
  - 1,773 222
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