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Testicular cancer is a common malignancy in young males with higher incidence in developed nations but with the lowest incidence in Africa (0.3-0.6/100 000). Ironically, the global testicular cancer mortality rate has shown a reverse trend to its incidence with higher rates in low- and middle-income countries (0.5 per 100 000) than in high-income countries. Data from GLOBOCAN 2008 have shown relatively high mortality rates in sub-Saharan countries like Mali, Ethiopia, Niger and Malawi. The prognosis of testicular tumor is good with remarkable chemosensitivity to cisplatin-based regimen. Early diagnosis, careful staging and a multidisciplinary management approach is crucial to achieve this optimal result. These results are achievable in the sub-Saharan region if the relevant resources are appropriated for cancer care and clinical guidelines are formulated in a regional context. © 2020 Cassell et al.The Syrian conflict has resulted in the most significant refugee crisis since World War II. Current estimates suggest there are over 13.5 million Syrians in need of comprehensive humanitarian assistance as a direct result of the conflict. These humanitarian needs include mental health services to address the elevated rates of psychiatric disorders in this population. Towards this end, the Syrian American Medical Society conducted its inaugural mental health mission trip to Lebanon and Jordan from June to July 2019 to advance the state of mental health care for displaced Syrians. Following two weeks of trainings by international experts in trauma psychology, the mission concluded with a two-day scientific symposium, identifying two key elements for the advancement of humanitarian mental health care 1) the need for community-based mental health services, and 2) the importance of transitioning from a crisis-response model in humanitarian mental health towards a model of resilience and post-traumatic growth. Copyright © 2020 Avicenna Journal of Medicine.Medical providers are often asked by their kidney recipients and donors about what to do or to avoid. Common questions include medications, diet, isolation, return to work or school, pregnancy, fasting Ramadan, or hajj and Omrah. However, there is only scant information about these in English language and none in Arabic. Here, we present evidence-based education materials for medical providers (in English language) and for patients and donors (in Arabic language). Choline These educational materials are prepared to be easy to print or adopt by patients, providers, and centers. Copyright © 2020 Avicenna Journal of Medicine.Introduction In 2015, a nationwide campaign to eradicate measles was launched by the health authorities in the United Arab Emirates (UAE). This study aimed to assess the UAE society's knowledge of measles and its control following this campaign. Methods A cross-sectional study was conducted among UAE residents above the age of 18 years from March to May 2017. A self-administered anonymous questionnaire was distributed, and a convenience sampling method was used. The data collected were entered and analyzed using the Statistical Package for the Social Sciences, version 22 software. Results A total of 391 questionnaires were completed from the overall 410 distributed. Most of the population have heard of measles (94.6%). However, only 23.5% claimed they have high knowledge of the disease. Information on measles was mainly acquired from family and friends (50.3%). Individuals with higher educational status were more knowledgeable about several aspects of the disease. Married individuals and those with children were more likely to identify the symptoms and associated conditions of the disease correctly. However, married participants had more misconception about the relationship between autism and the measles vaccine. No significant differences were found between the different age groups, genders, or nationalities. Conclusion Despite the nationwide campaign to eradicate measles, based on the results of our study, the majority of the UAE population did not have knowledge about the measles disease and its preventive measures. It is important that public health authorities and public health organizations seek to address these issues. Copyright © 2020 Avicenna Journal of Medicine.Aims and Objectives The aim of this study was to estimate the prevalence and risk factors of work-related musculoskeletal disorders (WMSDs) among clinical laboratory workers. Materials and Methods This questionnaire-based cross-sectional study included the clinical laboratory departments of six governmental tertiary and secondary hospitals in Riyadh, Saudi Arabia. The selected instrument was a self-administered adapted standardized questionnaire. The sample comprised 306 laboratory workers, and the selected sampling technique was a non-random convenient method. Results The overall prevalence of WMSDs in any body region was 82% in the last 12 months; it was mainly linked to lower back pain (61%). In the logistic regression, age less then 30 years, working in specific laboratories and working in hematology/flow-cytometry laboratory divisions were all found to be significant risk factors (P less then 0.05). Conclusion Clinical laboratory workers are at a high risk for WMSDs; it is essential that we take preventative action to address this. Copyright © 2020 Avicenna Journal of Medicine.Background Bicuspid aortic valve (BAV) disease is considered the most common congenital heart disease and the main etiology of aortic valve stenosis (AS) in young adults. Although transcatheter aortic valve replacement (TAVR) is routinely used in high- and intermediate-risk patients with AS, BAV patients with AS were excluded from all pivotal trials that led to TAVR approval. We sought, therefore, to examine in-hospital outcomes of patients with BAV who underwent TAVR in comparison with surgical aortic valve replacement (SAVR). Methods Using the National Inpatient Sample from 2011 to 2014, we identified patients with BAV with International Classification of Diseases-Ninth Revision-CM code 746.4. Patients who underwent TAVR were identified using ICD-9 codes 35.05 and 35.06 and those who underwent SAVR were identified using codes 35.21 and 35.22 during the same period. Results A total of 37,052 patients were found to have BAV stenosis. Among them, 36,629 patients (98.8%) underwent SAVR, whereas 423 patients (1.
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