Introduction: Tubal ectopic pregnancies typically rupture in the first trimester. Advanced tubal pregnancies progressing beyond the first trimester are exceptionally rare due to the anatomical constraints of the fallopian tube. Case Presentation: A 28-year-old was brought to the Emergency Department at Dubai hospital with severe abdominal pain. Ultrasound showed massive hemoperitoneum, an empty uterus with a live fetus of parameters corresponding to 16 weeks of gestation in the left side of the pelvis. Emergency laparotomy revealed a large left tubal pregnancy. A left salpingectomy was subsequently performed. The postoperative course was uneventful. Discussion: This case represents one of the most advanced tubal pregnancies reported in literature. The absence of early rupture may be attributed to unusual tubal elasticity or atypical trophoblastic invasion. The case highlights the diagnostic challenges in advanced tubal pregnancies, where initial imaging may be misleading. Conclusion: This rare presentation emphasizes that tubal pregnancy should remain in the differential diagnosis beyond the first trimester. It underscores the importance of comprehensive early prenatal care and detailed ultrasonographic assessment during pregnancy.

Introduction: Saliva, secreted by the salivary glands, plays a vital role in oral health and the retention of complete dentures. Xerostomia (dry mouth), commonly seen in elderly patients with conditions like Sjögren’s syndrome, poses significant challenges in denture retention, mastication, and swallowing. Case Report: This report describes a patient with Sjögren’s syndrome who presented with compromised denture retention due to severe dry mouth. To address this, a reservoir denture was fabricated, allowing for the introduction of artificial saliva via a syringe, significantly improving the patient’s ability to chew and swallow. Discussion: Xerostomia, particularly in autoimmune conditions like Sjögren’s syndrome, affects denture retention and overall oral function. The innovative use of a reservoir denture with artificial saliva provides a practical and effective solution to these challenges. Conclusion: The reservoir denture proved to be a successful intervention, offering improved functionality and comfort, thus enhancing the patient’s quality of life. This approach holds promise for similar cases of xerostomia in denture-wearing patients.

The Dubai Medical Journal (DMJ) is introducing a special supplementary issue for abstracts from health-related scientific conferences, aiming to improve the visibility and impact of these proceedings. The DMJ enforces a structured abstract format (Introduction, Methodology, Results, Discussion (optional), and Conclusion) to align with Consolidated Standards of Reporting Trials (CONSORT) principles and improve research openness and accountability. A structured abstract format is necessary to increase the conversion rates to full papers and scholarly exposure. In addition, researchers perform bibliometric studies, allowing them to assess the visibility of these abstracts and the transfer rates from abstracts to full papers.

Introduction: Infections at the site of a cesarean section (CS) can lead to longer hospital stays, increased medical costs, and a range of other health complications, including higher mortality rates. For women who experience postoperative wound infections, the recovery process after a cesarean delivery becomes significantly more challenging. Objectives: The purpose of this study was to compare the incidence of postoperative wound infections between emergency and elective cesarean cases at a tertiary healthcare center in Egypt. Patients and Methods: This prospective cohort study included 220 patients who underwent either elective or emergency CSs. The patients were divided into two groups: those who underwent emergency CSs and those who underwent elective CSs. Each patient was monitored for 8 weeks post-surgery, with regular wound inspections. An audit form was used to document the occurrence of both minor and major wound infections to track infection rates. Results: Surgical site infections (SSIs) were identified in 28 patients. Of these, 13 patients (11.82%) were in the emergency CS group, and 15 patients (13.64%) were in the elective CS group. The difference in infection rates between the two groups was not statistically significant. Multiple logistic regression analysis identified rural residence, hypertension, membrane rupture, general anesthesia, blood loss ≥500 ml, and low postoperative hemoglobin levels as significant independent predictors for the incidence of SSIs (P < 0.05). Conclusion: The study identified significant independent predictors of postoperative SSIs following CSs, including rural residence, hypertension, membrane rupture, general anesthesia, blood loss ≥500 ml, and low postoperative hemoglobin levels. Furthermore, no significant difference in the risk of SSI was observed between emergency and elective CSs.

Background: Spontaneous spinal epidural hematoma (SSEDH) is a rare condition typically occurring in adults aged between 40 and 50 years. The condition can eventually evolve into neurological deficits that result in motor and sensory loss. Tissue plasminogen activators are Food and Drug Administration-approved drugs for various vascular thrombotic diseases including myocardial infarction and acute ischemic stroke. This review seeks to examine the available literature regarding the SSEDH following thrombolytic therapy. Method: A total of 21 papers underwent screening for eligibility criteria and subsequent evaluation led to the extraction and qualitative synthesis of data from 12 selected papers. The gathered information encompassed patients’ demographic details, primary diagnoses, types of thrombolytic therapy administered, neurological presentations, treatment modalities employed, and ultimate outcomes. Results: This analysis delves into 13 cases of SSEDH following intravenous thrombolysis, encompassing patients aged 39 to 75 years across diverse global regions. The study revealed that eight out of 13 cases were male and nine were above 50 years old. Neurological symptoms, diagnosed via MRI or CT, manifested within 30 minutes to 48 hours post-therapy, with 76.92% occurring within the initial 24 hours. Bleeding occurrences were notably frequent across the combined cervical and upper thoracic spinal regions (cervico-thoracic), similar to their frequency in the isolated lumbar area (23.08% each). Myocardial infarction (MI) accounted for 69.2% of thrombolytic administrations. Conclusion: Spontaneous spinal epidural hematoma is a rare but serious complication that can occur following thrombolytic therapy with tissue plasminogen activators (tPA). Our review of 12 case reports reveals that SSEDH, although infrequent, often develops within 48 hours of treatment, particularly in patients over 50. The potential link between tPA and SSEDH emphasizes the need for careful monitoring and early imaging. Further research through prospective, multicenter studies is crucial to clarify this association and enhance patient care, highlighting the importance of vigilance in managing thrombolytic therapy

Introduction: Medications can lead to severe health complications including adverse drug reactions, a major cause of mortality globally. Pharmacovigilance plays a critical role in identifying, evaluating, and mitigating these risks. While mobile medical apps present new opportunities for enhancing medication safety, there is a recognized need for better pharmacovigilance support within these applications. This study assesses the role of medical applications in pharmacovigilance and drug safety with the goal of enhancing these applications and bridging the gap between their current offerings and patient needs. Methods: This mixed-methods study developed a pharmacovigilance concept specifically for public-use mobile applications, identifying six key aspects related to patient needs. These aspects guided the creation of an investigation form which was then used to evaluate nine selected apps. Discussion: The findings showed a high degree of similarity among the apps, with significant gaps between their features and the actual needs of users. Most apps were limited to providing medication reminders, with only a few offerings information on safety alerts or drug interaction verification. The study recommends addressing these gaps and enhancing the capabilities of drug vigilance applications by providing comprehensive and credible information services tailored to patient needs, thus improving the effectiveness of health applications in drug vigilance. Conclusion: Mobile applications have the potential to significantly improve pharmacovigilance and medication safety. However, existing apps have notable gaps. Collaboration between developers and healthcare professionals is essential to improve these apps and prioritize pharmacovigilance in all health-related mobile applications.

Background: Although infantile colic is believed to be a benign and self-limiting condition, it can cause anxiety in both caregivers and infants. Thus, this study aimed to ascertain what pediatric residents know and do regarding this condition. Methods: A cross-sectional facility-based survey was carried out on 113 pediatric residents enrolled in the 4th-year pediatric residence training program. The researchers developed a structured, pretested, and validated questionnaire to gather the data. SPSS version 25 was used for the data analysis. The qualitative data are expressed as frequencies (N) and percentages (%). The quantitative data are expressed as ranges, means, standard deviations, medians, and interquartile ranges (IQRs). Results: The respondent’s mean age was 30.32 ± 3.04 years. Less than half of the participants can identify the clinical criteria for diagnosing infantile colic. Although 97 (85.8%) of the residents suspected infantile colic when examining infants screaming or irritable for no obvious reason, 83 (73.4%) believed that additional laboratory testing was required to confirm the diagnosis. Although 111 (98.2%) of the residents agreed that parent education on the condition’s benign and self-limiting nature is the cornerstone of treatment, most were unsure about alternative treatment approaches. The majority of residents do not always give medications and/or remedies, nor do they promote nonpharmacological treatments for colic. If the infants do not improve with conservative or medical therapy and their parents return them, 64 (56.6%) of the residents will undertake a medical assessment, while 50 (44.2%) would request more investigations. In addition, 70 (61.9%) will continue to provide parental counseling and comfort. Conclusion: The findings of this study highlight the need for substantial efforts to improve resident’s knowledge and practice of infantile colic management. Such research findings are critical for allocating resources, planning, and implementing successful healthcare initiatives and policies.

Introduction: The COVID-19 pandemic has highlighted the urgent need for innovative healthcare solutions to address rapid population growth and healthcare service disparities, especially in resource-constrained settings. Telemedicine, which enables remote patient-provider communication and care, offers great potential to improve accessibility, efficiency, and quality of healthcare delivery. However, its development in Middle Eastern (ME) countries has been relatively slow and insufficiently monitored. This scoping review summarizes recent telemedicine implementations and their associated challenges in ME countries while offering recommendations for policymakers. Methods: A search of Pubmed, Scopus, and Web of Science for articles published between January 2019 and August 2023 yielded 437 publications, of which 34 were included for data analysis. Study data were categorized using country of origin, study design, data collection methods, study subjects, telemedicine interventions, and major findings. Results: The key insights highlight the need for integrating innovative technologies into healthcare systems, increasing public awareness and education on telemedicine, diversifying research to address regional priorities, and fostering interdisciplinary collaboration to accelerate telemedicine adoption. Conclusion: In conclusion, while telemedicine has made significant progress in ME countries, ongoing challenges must be addressed to ensure equitable and effective healthcare delivery for all.

Introduction: The abnormal brain cells consist of brain tumor which leads to severe organ dysfunction and potentially death. These tumors exhibit a wide range of sizes, textures, and locations. Diagnosing brain tumors process is a time-consuming process requiring the expertise of radiologists. Brain tumors are classified as glioma, meningioma, pituitary, and no tumor. As patient numbers and data volumes rise, traditional methods have become costly and inefficient. Methods: Researchers have developed algorithms for detecting and classifying brain tumors and prioritizing accuracy and efficiency. Deep learning (DL) techniques are increasingly used to create automated systems capable of precisely diagnosing or segmenting brain tumors, particularly for brain cancer classification. This approach supports the use of transfer learning models in medical imaging. This proposed model is a modification to components of Xception model by adding a lot of parameters for increasing the Xception model efficiency. Results: This proposed Xception model was applied to Masoud Nickparvar braintumor- mri-dataset, achieving an accuracy of 99.6%, sensitivity of 99.7%, and specificity of 99.7% with an F1 score of 99.9%. Discussion: The efficiency parameters of the proposed model assured that it is an effective model for diagnosing brain tumor. Comparative analysis with other models shows that the proposed framework is highly reliable for the timely detection of various brain tumors. Conclusion: The results confirm the effectiveness of our proposed model, which attains higher overall accuracy in tumor detection compared to previous models. As a result, the proposed model is considered a valuable decision-making tool for experts in diagnosing brain tumor.

Introduction: Ventricular empyema, or pyogenic ventriculitis, is a severe condition characterized by pus accumulation in the cerebral ventricles due to intracranial infection, often caused by Gram-negative bacteria. Early diagnosis and treatment are crucial to prevent fatal neurological damage. Case Report: A 3-month-old infant with severe hydrocephalus and ventricular empyema was admitted with symptoms of seizures, fever, and diarrhea. Initial examination showed decreased consciousness and significant leukocytosis. CT scans confirmed severe hydrocephalus and ventricular empyema. Despite resistance to standard antibiotics, neuroendoscopic lavage (NEL) and bilateral external ventricular drainage (EVD) were performed, leading to substantial improvement. Discussion: The patient’s condition improved significantly post-surgery, with a decrease in leukocyte count and resolution of empyema as shown in follow-up imaging. This case demonstrates the efficacy of NEL in treating complex pediatric neurosurgical conditions. Conclusion: NEL proves to be an effective treatment for intraventricular empyema in pediatric patients, improving clinical outcomes and reducing hospital stays. The success of this approach emphasizes the need for tailored neurosurgical interventions and regular follow-ups to ensure patient recovery and prevent recurrence.