Grandview Medical Center

تتمحور المشكلة البحثية في رصد دور الحملات الشبابية بموقع فيسبوك في رفع الوعي الديني للشباب في مصر والمملكة العربية السعودية، وذلك من خلال دراسة متابعيهم لحملتي "ارجع صلي" وحملة "لفيها صح"، بهدف الوقوف على التأثيرات المعرفية والوجدانية والسلوكية لتلك الحملات على الشباب العربي، وكانت أهم أهداف الدراسة معرفة دوافع استخدام الشباب المصري والسعودي لهذه الحملات، وتحديد معدل تعرضهم لها، ورصد الصفات الإيجابية والتأثيرات المعرفية والوجدانية والسلوكية الناتجة عن هذا التعرض، وقياس العلاقة بين التعرض ورفع مستوى الوعي الديني لديه ، وهي دراسة وصفية اعتمدت على المنهج المسحي واستخدمت الدراسة أداتي الاستبيان (على عينة قوامها 175 مفردة من الشباب المصري والسعودي) والمقابلة المقننة (مع 10 خبراء في مجال الإعلام الرقمي والدعوى)، كما اعتمدت الدراسة على اختبار فروض نموذج "الاستخدامات والتأثيرات"، وكشفت النتائج عن اكتساب الشباب للعديد من الصفات الإيجابية، حيث تصدر "الالتزام الديني" قائمة الصفات بنسبة 52.0%، يليه "القرب من الله" بنسبة 38.9%.،وُجدت علاقة ارتباطية إيجابية ضعيفة ذات دلالة إحصائية بين تعرض المبحوثين للحملات ورفع الوعي الديني لديهم وجدت علاقة ارتباطية إيجابية متوسطة بين دوافع التعرض (النفعية – الطقوسية) والتأثيرات المعرفية والوجدانية والسلوكية الناتجة وجدت علاقة ارتباطية سلبية ضعيفة ذات دلالة إحصائية بين تفاعل المبحوثين مع الحملات ورفع الوعي الديني لديهم، مما يعني أن مجرد التفاعل لا يرتبط بالضرورة برفع الوعي ومن أهم توصيات الدراسة تشجيع المبادرات الشبابية على إنتاج حملات دينية عبر فيسبوك تراعي احتياجات الشباب وتطرح القضايا بلغة مبسطة وعصرية ، وتعزيز الشراكات بين المبادرات الشبابية والمؤسسات الدينية الرسمية والمجتمع المدني لدعم الحملات واستمراريتها.

There are no clearly defined family profiles with an overall view of the predictors of early childhood caries (ECCs). The aim of our study was to identify the profiles of families that are particularly affected by ECCs. We also examined the factors that can be acted on to promote oral health. In this single-centre cross-sectional study, the researchers examined the mouths of 300 children with caries and recorded the Decayed, Missing and Filled Teeth Index (dmft). These observations were supplemented by a questionnaire completed by the families, focusing in particular on their sociodemographic characteristics (e.g. age, parents' professions and jobs, social assistance and family composition). This work was conducted at Lille University Hospital between 2019 and 2024. The participants included 300 caregiver-child dyads with children under the age of 6 years. Childhood Caries Index (dmft) and family characteristics associated with ECCs. A multiple correspondence analysis was used, followed by a hierarchical clustering on principal components analysis, to identify the family profiles associated with ECC risk. Of the patients included in the study, 42% were girls, 58% were boys and their mean age was 4 years (±1.1 years). The mean dfmt index was 8.7 (±4.6); 77% of the participants had lesions on the smooth surfaces of the teeth, and 80% of the participants had a severe stage of caries disease. The analysis revealed three high-risk profiles based on the characteristics of the child's mother and the family sibling composition. The first profile was larger families where the focal child was not the eldest. The second profile was families with foreign-born mothers and a low socioeconomic level. The third profile was families with mothers facing geographical and financial difficulties in accessing healthcare. This study enabled us to identify the profiles of families at risk of caries. These at-risk profiles highlight the need to implement specific interventions acting at different levels and focused on oral health education in interprofessional practice during the key period of the first 1000 days of life. These factors could help to bridge the gap between oral health and general health, improve children's oral health and reduce social health inequalities. This human study has been ethically approved by the French Committee for the Protection of Individuals (N° 2019-A00827-50). The protocol is recorded on clinicaltrials.gov, with ID: NCT04195607.

The urgency for climate action is recognized by international government and healthcare organizations, including the United Nations (UN) and World Health Organization (WHO). Climate change, biodiversity loss, and pollution negatively impact all life on earth. All populations are impacted but not equally; the most vulnerable are at the highest risk, an inequity further exacerbated by differences in access to healthcare globally.The delivery of healthcare exacerbates the planetary health crisis through greenhouse gas emissions, largely due to combustion of fossil fuels for medical equipment production and operation, creation of medical and non-medical waste, and contamination of water supplies. As representatives of radiology societies from across the globe who work closely with industry, and both governmental and non-governmental leaders in multiple capacities, we advocate together for urgent, impactful, and measurable changes to the way we deliver care by further engaging our members, policymakers, industry partners, and our patients. Simultaneous challenges, including global health disparities, resource allocation, and access to care, must inform these efforts.Climate literacy should be increasingly added to radiology training programs. More research is required to understand and measure the environmental impact of radiological services and inform mitigation, adaptation and monitoring efforts. Deeper collaboration with industry partners is necessary to support innovations in the supply chain, energy utilization, and circular economy. Many solutions have been proposed and are already available, but we must understand and address barriers to the implementation of current and future sustainable innovations. Finally, there is a compelling need to partner with patients, to ensure that trust in the excellence of clinical care is maintained during the transition to sustainable radiology.By fostering a culture of global cooperation and rapid sharing of solutions amongst the broader imaging community, we can transform radiological practice to mitigate its environmental impact, adapt and develop resilience to current and future climate and environmental threats, and simultaneously improve access to care.Key PointsQuestionWhat actions can professional societies take to improve the environmental sustainability of radiology?FindingsBetter understanding of resource usage in radiology is needed; action is required to address regional and global disparities in access to care which stand to be exacerbated by climate change.Clinical relevanceRadiological societies need to advocate for urgent, impactful, and measurable changes to mitigate the environmental impact of radiological practice. Research and education, as well as adaptation and resilience to current and future climate and environmental threats, must be prioritized while simultaneously improving access to care.Graphical

Cauda equina syndrome (CES) is a rare condition describing the constellation of symptoms resulting from the compression of the cauda equina. Metastatic lesions are a common cause of CES, with lung lesions often implicated as the primary source. A particularly rare cause of CES is leptomeningeal metastasis (LM) from primary solid tumors. In this case, a 63-year-old male presented with urinary and fecal retention, as well as altered sensation in the genitalia. The clinical diagnosis of CES was based on the constellation of symptoms. Computed tomography (CT) imaging demonstrated a metastatic lesion in the S2 and S3 sacral vertebral bodies, with extension into the right piriformis muscle. Magnetic resonance imaging (MRI) revealed an intramedullary lesion at L2 and leptomeningeal enhancement, indicative of metastasis. Further imaging identified a primary lesion in the right lower lobe of the lung, with additional metastases to the brain and liver. A pathological diagnosis of metastatic neuroendocrine carcinoma (NEC) was confirmed following a supraclavicular lymph node biopsy. The patient received steroid therapy, chemotherapy, and radiation to the pelvis. This case provides an important perspective on CES evaluation due to the scarcity of literature highlighting spinal metastases as the primary presentation in patients with NEC of the lung. The clinical diagnosis of CES should raise suspicion for metastasis and warrant further investigation.

Amiodarone is commonly used to prevent and treat life-threatening cardiac arrhythmias. However, it is also known to have an extensive side effect profile. A rare adverse effect of amiodarone is epididymitis. Epididymitis is inflammation of the epididymis that causes moderate pain in the posterior scrotum. The patient, in this case, developed left scrotal pain seven months after starting amiodarone and presented with symptoms consistent with epididymitis. The patient's work-up included urinalysis with culture, treatment with antibiotics, and testicular ultrasound before being diagnosed with amiodarone-induced epididymitis. This diagnosis led to the discontinuation of amiodarone, which resulted in the complete resolution of the patient's symptoms within two weeks. This case report is intended to increase awareness of epididymitis as a possible adverse effect of amiodarone and to stress the importance of considering this when there are no apparent anatomical or infectious causes of epididymitis.

Over the past several decades, percutaneous venous stenting has surfaced as the forefront for addressing symptomatic venous outflow obstruction.Stent migration is a very rare, but serious life-threatening complication that can occur with the placement of iliofemoral stents. Life-threatening complications following stent migration include but are not limited to damaged valves, arrhythmias, endocarditis, tamponade, and acute heart failure. Stent failure is seldom understood, but one can attribute it to the incorrect stent andor vein sizing and or the inherent natural forces of the body during respiration. Intravascular ultrasound (IVUS) should be utilized for proper vein and stent sizing prior to placement and patients should be monitored more closely after the procedure. Stent retrieval can be very difficult, as the procedure must consider the location of the migrated stent and the comorbidities associated with the patient. This case report explains an 81-year-old Caucasian male who presented to the Emergency Department with dizziness and dyspnea on exertion. Upon further evaluation via transesophageal echocardiogram, he was found to have severe tricuspid regurgitation and an iliofemoral venous stent located in the right ventricle of the heart.