Background: Monkeypox outbreaks in non-endemic countries emphasize the importance of being prepared to prevent its progression to a pandemic. To effectively control monkeypox, healthcare providers must have sufficient knowledge and good attitudes and practices to limit its spread. We initiated this project to assess the factors associated with health workers’ knowledge and attitude toward monkeypox in southwestern Saudi Arabia. Methods: We included 398 eligible health workers working at various health facilities. Data was collected using an online survey, and participants had an opportunity to consent. We conducted descriptive statistics for all variables and used chi-square statistics, t-test, and multivariate analysis to establish the association between health workers’ demographic characteristics and knowledge of monkeypox disease. Results: The mean age was 30.93 ± 8.25 years for the included participants, and most of them were between 22 and 29 years, male, single, nurses, working in government hospitals, and had worked for at least five years. The chi-square and t-test showed that the participants’ knowledge level was significantly related to age, marital status, job title, and medical practice. Most of the participants had low knowledge and good attitudes toward monkeypox prevention measures. Multivariate analysis showed that higher knowledge was associated with younger age after controlling all other significant bivariate relationships between knowledge and demographics. Conclusions: This study found low knowledge levels and high good attitude levels of monkeypox among the participants. As such, there is a need to support health workers in understanding monkeypox epidemiology, prevention, and treatment. Therefore, Saudi Arabia will be making significant strides to being well prepared and ready to handle future monkeypox outbreaks.
1 December 2023 in Saudi Journal of Kidney Diseases and Transplantation
For several end-stage diseases, the only treatment option is organ transplantation, but the availability of organs is a challenge. More thorough knowledge and more positive attitudes toward organ donation among university students may encourage greater willingness to donate an organ. This study aimed to assess the knowledge, attitudes, and practices regarding organ donation among students of Jazan University, Saudi Arabia, via a 30-item questionnaire. Of the 558 respondents, 71.1% were males, 28.9% were females, and 92.1% were <25 years old. The participants were categorized as either in health-related colleges or other colleges. Differences in the level of knowledge were significant among age groups, with 19.5% of those aged 21–25 years having a high level compared with 2.3% of those aged 26+ years. Participants in health-related colleges had significantly higher levels of knowledge than those in other colleges. Differences between males and females were not significant. Regarding attitudes toward organ donation, some factors were significant (P ≤0.05). Positive attitudes were reported by 72% of males compared with 58% of females. Students in a health-related specialty and those in other specialties showed significant differences, but these were not found for educational level. In practice, 9.86% had an organ donation card; the only significant factors were age and specialty. Here, the participants’ level of knowledge was low to medium, attitudes were negative, and most were not ready to donate organs. We recommend establishing educational campaigns on organ donation to increase knowledge, attitudes, and willingness to participate in this vital public service.
Objective: This review aimed to evaluate the existing literature to determine the incidence and associated risk factors of cochlear implant complications. Data Sources: A comprehensive literature search was conducted across PubMed, Web of Science, Embase, and Scopus up to 12 April 2025. Methods: The review protocol was registered on PROSPERO (ID: CRD420251012225) on 15 March 2025, and the systematic review was performed according to PRISMA guidelines. Results: We included a total of 100 records based on 81 studies with 42,167 patients. The overall incidence was 13.7%. Major complications occurred in 5.2%, with device failure being the most common at 2.8%. Minor complications affected 7.8%, with superficial wound infections being most frequent at 2.3%. Vestibular complications (vertigo/dizziness) were prevalent at 12.4%. Adults had significantly higher overall and major complication rates compared to pediatric patients. The mastoidectomy with posterior tympanotomy approach (MPTA) was associated with lower rates (5.4%) than the suprameatal approach (SMA) (7.8%). A significant temporal trend showed decreased complication rates from 8.9% in the early era (1991–2010) to 4.1% in the recent era (2011–2025). Significant risk factors were identified including older age at implantation, inner ear malformations, chronic otitis media, previous otologic surgery, and longer surgery duration. A substantial heterogeneity was present across the included studies (I2 up to 93.6%), and the evidence base was predominantly retrospective in nature, which limits the certainty of these estimates. Conclusions: Cochlear implantation appears to be a generally safe procedure. However, these findings should be interpreted with caution. The high heterogeneity, predominantly retrospective study designs, inconsistent complication definitions, and detected publication bias collectively limit the certainty of the pooled estimates. Standardized complication reporting, prospective multicenter designs, and consensus-based outcome definitions are essential to strengthen the evidence base and guide safer clinical practice.