To the editor,We would like to share our feedback on the publication“Is China ready for monkeypox?”.1 Wei documented the wide range of clinical prob-lems associated with monkeypox.Wei mentioned that it is necessary ...To the editor,We would like to share our feedback on the publication“Is China ready for monkeypox?”.1 Wei documented the wide range of clinical prob-lems associated with monkeypox.Wei mentioned that it is necessary to strengthen the prevention method against monkeypox.Usually,in addition to a fever,the patient with monkeypox has a skin problem,usually vesicula lesions.However,it is possible that neither a fever nor a skin lesion is present in a patient with monkeypox.2 According to a recent report by Benites-Zapata et al.,the meta-analysis results showed that rash occurs in 93%and fever in 72%of patients with mon-keypox.3 Without the atypical appearance of lesions,the doctor can fail to identify the issue and incorrectly diagnose the disease.4 In addition,the general laboratory inquiry is commonly based on the evaluation of crust or vesicle clinical samples.Therefore,it is clear that skin lesion is considered to be a typical clinical problem in almost all published re-ports.It is important to recognize that some patients display only odd symptoms,such as gastrointestinal and neurological conditions.展开更多
Till now,over 220 million people throughout the world have already been affected by coronavirus disease(COVID-19).Vaccination is the most effective strategy to prevent the spread of COVID-19[1].Several pharmaceutical ...Till now,over 220 million people throughout the world have already been affected by coronavirus disease(COVID-19).Vaccination is the most effective strategy to prevent the spread of COVID-19[1].Several pharmaceutical companies have announced the success of their COVID-19 vaccine study.Additional publications on the vaccine's efficacy and inoculation costs are available.When it comes to a new immunization,the cost and accessibility of the vaccine are crucial considerations[2].展开更多
Rationale:Dengue is an important tropical disease that can cause acute hemorrhagic fever.Other atypical clinical presentations of dengue also can occur,and acute ascites is one of them.Patients'concern:A 47-year-o...Rationale:Dengue is an important tropical disease that can cause acute hemorrhagic fever.Other atypical clinical presentations of dengue also can occur,and acute ascites is one of them.Patients'concern:A 47-year-old male patient was referred to the physician with acute abdominal extension for 2 days.He revealed a history of fatigue and right upper abdominal pain in the past 4 days.Diagnosis:Dengue-induced acute ascites.Intervention:Standard fluid replacement therapy.Outcome:The clinical finding of the patient returned to normal within 5 days.Lesson:Since dengue has been expanding its endemic area at present,an atypical clinical presentation is possible and should not be ignored in the process of diagnosis.In addition,the clinical presentation of acute distention of abdomen with abnormal petechiae is a good diagnostic implication for dengue-induced ascites.展开更多
This letter to editor discusses on the publication on admission hemoglobin level and prognosis of type 2 diabetes mellitus.A comment on published article is raised.The specific confounding conditions on the hemoglobin...This letter to editor discusses on the publication on admission hemoglobin level and prognosis of type 2 diabetes mellitus.A comment on published article is raised.The specific confounding conditions on the hemoglobin level are mentioned.Concerns on clinal application are raised and discussed.展开更多
Background: Increasing the number of qualified people, including school students who can play a significant role in first-aid (FA) and basic life support (BLS) arena is a public health demand. Aim: To assess the aware...Background: Increasing the number of qualified people, including school students who can play a significant role in first-aid (FA) and basic life support (BLS) arena is a public health demand. Aim: To assess the awareness of Saudi secondary school students regarding FA and BLS. Methodology: 360 male secondary school children in Taif, Saudi Arabia were surveyed. Results: The mean students’ age was 17.4 ± 1.21 years. The mean participants’ FA knowledge score was 64.8% ± 11%. Generally, trained students reported both better FA knowledge and skills than untrained counter-parts;for 79.6% trained-compared to 53.7% untrained-students recorded such score > 70% [χ2 (df 1) = 11.60, p 70%) [62.3% 2(df 1) = 5.90, p = 0.02] was. Trained students better deal with critical cases, bleeding and bodily injury compared to untrained peers [89.8% vs. 55.9%, χ2 (df 1) = 20.3, p 2 (df 1) = 11.62, p = 0.04;81.6% vs. 67.2%, χ2 (df 1) = 4.13, p = 0.04, respectively]. Only 37.2% of schools had FA incorporated in the education curriculum. Eventually, FA training and the presence of FA group were significant predictors for improved FA knowledge among students [odds ratio (OR) 3.35, 95% CI 1.60 - 7.06;OR 2.28, 95% CI 1.34 - 3.95, respectively). Conclusions: First-aid training is crucial to enhance school children’s FA skills and to thrust their contribution to health emergency control efforts. Incorporating FA training within the educational curriculum of Saudi schools is a step forward to disseminate FA message in the community.展开更多
Dear Editor,We would like to share ideas on“Comparison of in-vial exhaust method versus conventional exhaust method in the injection of COVID-19 vaccine.”[1]Xu et al.[1]concluded that“Implementing the in-vial exhau...Dear Editor,We would like to share ideas on“Comparison of in-vial exhaust method versus conventional exhaust method in the injection of COVID-19 vaccine.”[1]Xu et al.[1]concluded that“Implementing the in-vial exhaust method in the vaccine injection can effectively reduce the incidence of solution spillage,reduce nucleic acid contamination,and ensure that the vaccine is injected at the prescribed dose and application value.[1]”We agree that in-vial method might be appropriate for injection of vaccine.However,an important factor for the success of any method is experience of practitioner.Attempt to reduce vaccine waste is good but we should concern on the possible contamination as well.Whether the in-vial exhaustion can result in a contamination or not is an issue for further investigation.Finally,quantitation accuracy is another important topic.How the two different techniques relate to syringe dead space is an interesting issue for further study.[2]展开更多
This letter to editor discussing on the publication on severe acute respiratory syndrome coronavirus 2 pandemic and surgical diseases.Concerns on procedures are raised and discussed.
Dear Editor,We would like to share ideas on“Estimation of postmortem interval by postmortem myocardial computed tomography(CT)value.[1]”An et al.concluded that“Thisstudy initially realized the feasibility of using ...Dear Editor,We would like to share ideas on“Estimation of postmortem interval by postmortem myocardial computed tomography(CT)value.[1]”An et al.concluded that“Thisstudy initially realized the feasibility of using myocardial CT value changes to estimate PMI,indicating that myocardial CT value can be used as one of the evaluation indicators for PMI estimation.[1]”We agree that postmortem myocardial CT value might be useful.However,it is necessary to have further studies to validate confounding effects.Important concerns include the effect of underlying cardiac abnormalities(such as old myocardial infarction MI)and infection.In a previous study,low sensitivity of postmortem myocardial CT for diagnostic cardiac pathology is also reported and experience of the radiologist is required for interpretation of result.展开更多
Sacred text possesses rhetorical qualities that make its translation a unique and challenging task.Exerting authority,inducing awe and wonder,enchanting,motivating,and transforming hearts are among distinct characteri...Sacred text possesses rhetorical qualities that make its translation a unique and challenging task.Exerting authority,inducing awe and wonder,enchanting,motivating,and transforming hearts are among distinct characteristics of such texts that need to be faithfully transferred into the target language and culture.A case study of translation is used to demonstrate the translation process and successful approaches adopted.展开更多
Dear Editor,New zoonotic pox diseases have emerged,posing a global concern in addition to the well-known pox infections[1].Monkeypox is an uncommon kind of pox that has reappeared due to zoonosis[1].By 2022,monkeypox ...Dear Editor,New zoonotic pox diseases have emerged,posing a global concern in addition to the well-known pox infections[1].Monkeypox is an uncommon kind of pox that has reappeared due to zoonosis[1].By 2022,monkeypox had spread throughout Europe and North America,creating a serious public health risk[2].Monkeypox is an uncommon and little-known type of pox that has reappeared as a result of zoonosis.Human-to-human transfer is being researched at the moment[1].Keeping in mind the background of the current scenario in 2022,outbreaks started in men who have sex with men(MSM)groups in London and involved a person from Nigeria.A Gay Pride Party in the Canaries served as the next base from which it spread throughout Europe and the US.As the number of reported cases in various countries rises,the worldwide medical community is concerned,and careful planning to coincide with a potential monkeypox outbreak is critical.To ensure that the condition is managed appropriately,fresh disease data must be collected as soon as feasible.Growing evidence suggests that groups with specific sexual risk behaviors are where monkeypox is most likely to spread.This community is also at a high risk for coinfection with HIV,HCV,or HBV,thus it is of particular relevance.展开更多
To the Editor,we would like to discuss the publication"Analysis of MNS16A VNTR polymorphic sequence variations of the TERT gene and associated risk for development of bladder cancer."[1]Anwar et al.mentioned...To the Editor,we would like to discuss the publication"Analysis of MNS16A VNTR polymorphic sequence variations of the TERT gene and associated risk for development of bladder cancer."[1]Anwar et al.mentioned that"The MNS16A VNTR short allele(S)was associated with a higher risk for bladder cancer in our population as compared to long alleles.[1]."We agree that MNS16A VNTR short allele might be associated with a risk of bladder cancer.展开更多
文摘To the editor,We would like to share our feedback on the publication“Is China ready for monkeypox?”.1 Wei documented the wide range of clinical prob-lems associated with monkeypox.Wei mentioned that it is necessary to strengthen the prevention method against monkeypox.Usually,in addition to a fever,the patient with monkeypox has a skin problem,usually vesicula lesions.However,it is possible that neither a fever nor a skin lesion is present in a patient with monkeypox.2 According to a recent report by Benites-Zapata et al.,the meta-analysis results showed that rash occurs in 93%and fever in 72%of patients with mon-keypox.3 Without the atypical appearance of lesions,the doctor can fail to identify the issue and incorrectly diagnose the disease.4 In addition,the general laboratory inquiry is commonly based on the evaluation of crust or vesicle clinical samples.Therefore,it is clear that skin lesion is considered to be a typical clinical problem in almost all published re-ports.It is important to recognize that some patients display only odd symptoms,such as gastrointestinal and neurological conditions.
文摘Till now,over 220 million people throughout the world have already been affected by coronavirus disease(COVID-19).Vaccination is the most effective strategy to prevent the spread of COVID-19[1].Several pharmaceutical companies have announced the success of their COVID-19 vaccine study.Additional publications on the vaccine's efficacy and inoculation costs are available.When it comes to a new immunization,the cost and accessibility of the vaccine are crucial considerations[2].
文摘Rationale:Dengue is an important tropical disease that can cause acute hemorrhagic fever.Other atypical clinical presentations of dengue also can occur,and acute ascites is one of them.Patients'concern:A 47-year-old male patient was referred to the physician with acute abdominal extension for 2 days.He revealed a history of fatigue and right upper abdominal pain in the past 4 days.Diagnosis:Dengue-induced acute ascites.Intervention:Standard fluid replacement therapy.Outcome:The clinical finding of the patient returned to normal within 5 days.Lesson:Since dengue has been expanding its endemic area at present,an atypical clinical presentation is possible and should not be ignored in the process of diagnosis.In addition,the clinical presentation of acute distention of abdomen with abnormal petechiae is a good diagnostic implication for dengue-induced ascites.
文摘This letter to editor discusses on the publication on admission hemoglobin level and prognosis of type 2 diabetes mellitus.A comment on published article is raised.The specific confounding conditions on the hemoglobin level are mentioned.Concerns on clinal application are raised and discussed.
文摘Background: Increasing the number of qualified people, including school students who can play a significant role in first-aid (FA) and basic life support (BLS) arena is a public health demand. Aim: To assess the awareness of Saudi secondary school students regarding FA and BLS. Methodology: 360 male secondary school children in Taif, Saudi Arabia were surveyed. Results: The mean students’ age was 17.4 ± 1.21 years. The mean participants’ FA knowledge score was 64.8% ± 11%. Generally, trained students reported both better FA knowledge and skills than untrained counter-parts;for 79.6% trained-compared to 53.7% untrained-students recorded such score > 70% [χ2 (df 1) = 11.60, p 70%) [62.3% 2(df 1) = 5.90, p = 0.02] was. Trained students better deal with critical cases, bleeding and bodily injury compared to untrained peers [89.8% vs. 55.9%, χ2 (df 1) = 20.3, p 2 (df 1) = 11.62, p = 0.04;81.6% vs. 67.2%, χ2 (df 1) = 4.13, p = 0.04, respectively]. Only 37.2% of schools had FA incorporated in the education curriculum. Eventually, FA training and the presence of FA group were significant predictors for improved FA knowledge among students [odds ratio (OR) 3.35, 95% CI 1.60 - 7.06;OR 2.28, 95% CI 1.34 - 3.95, respectively). Conclusions: First-aid training is crucial to enhance school children’s FA skills and to thrust their contribution to health emergency control efforts. Incorporating FA training within the educational curriculum of Saudi schools is a step forward to disseminate FA message in the community.
文摘Dear Editor,We would like to share ideas on“Comparison of in-vial exhaust method versus conventional exhaust method in the injection of COVID-19 vaccine.”[1]Xu et al.[1]concluded that“Implementing the in-vial exhaust method in the vaccine injection can effectively reduce the incidence of solution spillage,reduce nucleic acid contamination,and ensure that the vaccine is injected at the prescribed dose and application value.[1]”We agree that in-vial method might be appropriate for injection of vaccine.However,an important factor for the success of any method is experience of practitioner.Attempt to reduce vaccine waste is good but we should concern on the possible contamination as well.Whether the in-vial exhaustion can result in a contamination or not is an issue for further investigation.Finally,quantitation accuracy is another important topic.How the two different techniques relate to syringe dead space is an interesting issue for further study.[2]
文摘This letter to editor discussing on the publication on severe acute respiratory syndrome coronavirus 2 pandemic and surgical diseases.Concerns on procedures are raised and discussed.
文摘Dear Editor,We would like to share ideas on“Estimation of postmortem interval by postmortem myocardial computed tomography(CT)value.[1]”An et al.concluded that“Thisstudy initially realized the feasibility of using myocardial CT value changes to estimate PMI,indicating that myocardial CT value can be used as one of the evaluation indicators for PMI estimation.[1]”We agree that postmortem myocardial CT value might be useful.However,it is necessary to have further studies to validate confounding effects.Important concerns include the effect of underlying cardiac abnormalities(such as old myocardial infarction MI)and infection.In a previous study,low sensitivity of postmortem myocardial CT for diagnostic cardiac pathology is also reported and experience of the radiologist is required for interpretation of result.
文摘Sacred text possesses rhetorical qualities that make its translation a unique and challenging task.Exerting authority,inducing awe and wonder,enchanting,motivating,and transforming hearts are among distinct characteristics of such texts that need to be faithfully transferred into the target language and culture.A case study of translation is used to demonstrate the translation process and successful approaches adopted.
文摘Dear Editor,New zoonotic pox diseases have emerged,posing a global concern in addition to the well-known pox infections[1].Monkeypox is an uncommon kind of pox that has reappeared due to zoonosis[1].By 2022,monkeypox had spread throughout Europe and North America,creating a serious public health risk[2].Monkeypox is an uncommon and little-known type of pox that has reappeared as a result of zoonosis.Human-to-human transfer is being researched at the moment[1].Keeping in mind the background of the current scenario in 2022,outbreaks started in men who have sex with men(MSM)groups in London and involved a person from Nigeria.A Gay Pride Party in the Canaries served as the next base from which it spread throughout Europe and the US.As the number of reported cases in various countries rises,the worldwide medical community is concerned,and careful planning to coincide with a potential monkeypox outbreak is critical.To ensure that the condition is managed appropriately,fresh disease data must be collected as soon as feasible.Growing evidence suggests that groups with specific sexual risk behaviors are where monkeypox is most likely to spread.This community is also at a high risk for coinfection with HIV,HCV,or HBV,thus it is of particular relevance.
文摘To the Editor,we would like to discuss the publication"Analysis of MNS16A VNTR polymorphic sequence variations of the TERT gene and associated risk for development of bladder cancer."[1]Anwar et al.mentioned that"The MNS16A VNTR short allele(S)was associated with a higher risk for bladder cancer in our population as compared to long alleles.[1]."We agree that MNS16A VNTR short allele might be associated with a risk of bladder cancer.
