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Article: Students' perspectives on their early dropout of medical school.

Hefny, Ashraf F / Albawardi, Alia / Khan, Moien Ab / Fathi, Mai A / Mansour, Nirmin A

Journal of education and health promotion

2024 Volume 13, Page(s) 36

Abstract: Background: Enrolling in medical school launches a more demanding and stressful way of life for newly admitted students. Some students will struggle academically and will ultimately drop out from medical school. The study aims to understand the ... ...

Abstract	Background: Enrolling in medical school launches a more demanding and stressful way of life for newly admitted students. Some students will struggle academically and will ultimately drop out from medical school. The study aims to understand the perspectives that dropped-out students have and their opinion regarding possible preventative solutions. Materials and methods: This study uses a mixed-method approach. The results of students' examinations in the first 2 years of admission (within four academic years from 2016 until 2020) were collected from the medical school records. A questionnaire was developed to investigate the causes of early attrition during the study period. All dropped-out students who were admitted were included in this study. Results: The study included 479 admitted students, 349 (72.9%) were females; 152 (31.7%) students dropped out in the premedical program (first two years); 104 (68.4%) of the dropped-out students were females. Thirty-five (23%) students responded to the questionnaire. Twenty-eight (80%) respondents believed that their low academic performance and leaving medical school was primarily related to psychological problems, 19 (54%) of respondents reported leaving for social reasons, and lack of self-organization in 13 (37.1%) respondents. Human anatomy was recorded as the most difficult course in the first year by 21 (63.6%) students. Conclusions: The cause of attrition is often multifactorial and complex. Psychological problems are one of the important factors in students with low academic performance and dropping out of the students. Some difficult courses in the curriculum may affect the students' academic performance leading to their attrition.
Language	English
Publishing date	2024-02-07
Publishing country	India
Document type	Journal Article
ZDB-ID	2715449-X
ISSN	2319-6440 ; 2277-9531
ISSN (online)	2319-6440
ISSN	2277-9531
DOI	10.4103/jehp.jehp_683_23
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Acute Traumatic Lumbar Hernia: Report of Two Cases.

Hefny, Ashraf F / Al Qemzi, Ayesha D / Hefny, Mohamed A / Almarzooqi, Ghaya A / Al Afari, Hmouda S T / Elbery, Adel I

Journal of emergencies, trauma, and shock

2023 Volume 16, Issue 3, Page(s) 127–129

Abstract: Acute traumatic lumbar hernia (ATLH) is rare in blunt trauma and can be overlooked due to the presence of multiple injuries following the trauma incidence. ATLH is usually found at the time of radiological examination or during surgical exploration. ... ...

Abstract	Acute traumatic lumbar hernia (ATLH) is rare in blunt trauma and can be overlooked due to the presence of multiple injuries following the trauma incidence. ATLH is usually found at the time of radiological examination or during surgical exploration. Awareness of the clinicians about the possibility of ATLH can enhance early diagnosis and reduce the occurrence of serious complications including bowel obstruction and strangulation. Herein, we present two cases of ATLH in which one of them was treated conservatively in the acute stage and the other patient was treated surgically. Conservative management can be adopted in the acute stage with the delayed repair of the hernia after resolving the muscles' contusion. However, early operative intervention is essential if conservative management failed or in the event of acute deterioration of the patient's condition.
Language	English
Publishing date	2023-02-24
Publishing country	India
Document type	Case Reports
ZDB-ID	2461111-6
ISSN	0974-519X ; 0974-2700
ISSN (online)	0974-519X
ISSN	0974-2700
DOI	10.4103/jets.jets_103_22
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Observing pneumothoraces: The 35-millimeter rule is safe for both blunt and penetrating chest trauma.

Almansoori, Taleb M / Hefny, Ashraf F

The journal of trauma and acute care surgery

2019 Volume 87, Issue 3, Page(s) 738

MeSH term(s)	Humans ; Pneumothorax ; Thoracic Injuries ; Wounds, Penetrating
Language	English
Publishing date	2019-05-02
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000002353
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Camel-Related Head Injury in a High-Income Developing Country.

Hefny, Ashraf F / Hefny, Mohamed A / Al-Ali, Mohamed A / Mousa, Hussam M

Journal of emergencies, trauma, and shock

2022 Volume 15, Issue 4, Page(s) 162–166

Abstract: Introduction: Injury caused by large animals varies according to the regional distribution of the animals and their relationship to humans. Camels are usually friendly to humans; however, occasionally they become very hostile, especially in rutting ... ...

Abstract	Introduction: Injury caused by large animals varies according to the regional distribution of the animals and their relationship to humans. Camels are usually friendly to humans; however, occasionally they become very hostile, especially in rutting season. Most in-hospital trauma deaths are related to head injury. Very few studies in the literature have discussed camel-related head injuries. We aimed to study the incidence, mechanism of injury, types, and outcome of camel-related head injury in a high-income developing country to give recommendations on preventive measures. Methods: We retrospectively collected data from all patients who were admitted to Al Ain Hospital with a camel-related head injury from January 1, 2015, to January 1, 2021. Data collected included demography, mechanism of injury, anatomical location, severity of the injury, associated injuries, and management. The patients were followed up during their hospital stay to record the length of hospital stay, complications, and outcome. Results: During the study period, 98 patients were admitted to Al Ain Hospital with camel-related injury. Thirty-nine (39.8%) of the admitted patients with a camel-related injury sustained a head injury; a camel-related head injury was more common during August (23.1%). Thirty-four (87.2%) patients were camel caregivers. Thirty-three patients (84.6%) were injured on farms. Seven patients suffered an intracranial hemorrhage, and six (85.7%) of them had a history of fall from a camel. Glasgow Coma Score was significantly correlated to the severity of head injury measured by Abbreviated Injury Severity of the head ( Conclusions: The majority of camel-related head injury occurred in camel caregivers at camel farms and can be considered a work-related injury. Careful handling of camels, especially during the summertime can reduce the toll of camel-related head injury and its serious consequences. None of the injured patients was wearing a helmet at the time of injury. Legislation for compulsory helmet usage by camel caregivers at farms may decrease the incidence of head injuries in those patients.
Language	English
Publishing date	2022-12-07
Publishing country	India
Document type	Journal Article
ZDB-ID	2461111-6
ISSN	0974-519X ; 0974-2700
ISSN (online)	0974-519X
ISSN	0974-2700
DOI	10.4103/jets.jets_88_22
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Relationship between admission selection tools and student attrition in the early years of medical school.

Hefny, Ashraf F / Almansoori, Taleb M / El-Zubeir, Margaret / AlBawardi, Alia / Shaban, Sami / Magzoub, Mohi Eldin / Zoubeidi, Taoufik / Mansour, Nirmin A

Journal of Taibah University Medical Sciences

2024 Volume 19, Issue 2, Page(s) 447–452

Abstract: Objectives: Placement in medical schools is highly sought after worldwide with fierce competition among applicants. However, some of the best students withdraw after being accepted to medical school. The aim of this study was to investigate early ... ...

Abstract	Objectives: Placement in medical schools is highly sought after worldwide with fierce competition among applicants. However, some of the best students withdraw after being accepted to medical school. The aim of this study was to investigate early student attrition within the first 2 years of medical school and determine its relationship to admission selection tools. Methods: Quantitative research was conducted at the College of Medicine and Health Sciences from 2016 until 2020, during which time routine admission data and students' examination results for the first 2 years were collected and analyzed. Results: The attrition rate during the study period was 31.7%. High school and college written examination scores were significantly related to completing the premedical program ( Conclusion: The cause of early attrition is complex and cannot be attributed to a single factor.Undergraduate high school score and written admission examination results were statistically significant factors in relation to student attrition rate and low academic performance. The results of this study showed that the female students scored significantly higher in the multiple MMI tests compared to male students. However, MMI score alone was not significantly related to student attrition.
Language	English
Publishing date	2024-02-28
Publishing country	Saudi Arabia
Document type	Journal Article
ZDB-ID	2817396-X
ISSN	1658-3612 ; 1658-3612
ISSN (online)	1658-3612
ISSN	1658-3612
DOI	10.1016/j.jtumed.2024.02.004
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Article ; Online: Surgical management of camel-related craniofacial injuries.

Balac, Korana / Al-Ali, Mohamed A / Hefny, Ashraf F / Mohamed, Baraa K / Abu-Zidan, Fikri M

African health sciences

2023 Volume 22, Issue 3, Page(s) 407–415

Abstract: Background: There are no studies focused on the types and management of camel-related craniofacial injuries.: Objectives: We aimed to analyze the pattern of injuries that required surgical management and their specific operative treatment.: Methods! ...

Abstract	Background: There are no studies focused on the types and management of camel-related craniofacial injuries. Objectives: We aimed to analyze the pattern of injuries that required surgical management and their specific operative treatment. Methods: We prospectively collected data of all patients who were admitted to Al Ain Hospital with camel-related craniofacial injuries that were treated operatively during the period of January 2015 to January 2020. Results: Eleven patients were studied; all were males having a median (range) age of 29 (19-66) years. Falling from a camel was the most common mechanism of injury (45.5 %) followed by camel bite (36.4 %). The most common injured region was the middle third of the face, which accounted for 56.5% of the bony fractures. Zygomatico-maxillary complex fractures were present in 60% of patients who fell while riding a camel. The most common surgical procedure performed in our patients was an open reduction with internal fixation (54.5%). There was no mortality. Conclusions: camel-related craniofacial injuries are complex. The main mechanism of injury is falling from a camel on the face causing fractures of the zygomatico-maxillary complex. These fractures usually need open reduction with internal fixation. Taking safety precautions may help in injury prevention.
MeSH term(s)	Humans ; Male ; Animals ; Female ; Camelus ; Fractures, Bone ; Bites and Stings ; Fracture Fixation, Internal/methods ; Hospitalization ; Retrospective Studies
Language	English
Publishing date	2023-02-24
Publishing country	Uganda
Document type	Journal Article
ZDB-ID	2240308-5
ISSN	1729-0503 ; 1680-6905
ISSN (online)	1729-0503
ISSN	1680-6905
DOI	10.4314/ahs.v22i3.44
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Zs.A 3851: Show issues

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Article: Camel-Related Facial Injuries: A Seven-Year Retrospective Study.

Al-Ali, Mohamed A / Mousa, Hussam M / Nibelle, Isabelle / Hefny, Ashraf F

Clinics and practice

2023 Volume 13, Issue 4, Page(s) 889–897

Abstract: Facial injuries caused by camels can be associated with adverse long-term effects on patients' quality of life. We aimed to investigate camel-related facial injuries in Al-Ain City, UAE, focusing on their incidence, types, mechanisms, anatomical ... ...

Abstract	Facial injuries caused by camels can be associated with adverse long-term effects on patients' quality of life. We aimed to investigate camel-related facial injuries in Al-Ain City, UAE, focusing on their incidence, types, mechanisms, anatomical distribution, and outcomes, to enhance preventive measures. We retrospectively collected data from all patients who were admitted to our hospital with camel-related facial injuries from January 2014 through January 2021. Thirty-six patients were included; all were males, with a mean (range) age of 31 (14-66) years, 29 (80.5%) were camel caregivers. The most common mechanisms of injury were falling while riding a camel and camel kicks. The head was the most commonly injured region in 52.7%. Twenty-three (63.8%) patients had facial bone fractures. The middle third of the face accounted for 71.4% of the bony fractures. The most performed surgical procedures in our patients were soft tissue laceration repair and open reduction with internal fixation of fractures (ORIF). Camel-related facial injuries affect young adult male camel caregivers working on camel farms. Orbital and maxillary bone fractures are the most predominant fractures requiring operative management. Legislation for compulsory helmet usage may reduce the incidence of these injuries and their serious consequences.
Language	English
Publishing date	2023-08-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2605724-4
ISSN	2039-7283 ; 2039-7275
ISSN (online)	2039-7283
ISSN	2039-7275
DOI	10.3390/clinpract13040081
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Article ; Online: Partially avulsed anus in blunt traumatic perineal laceration: Case report.

Hefny, Ashraf F / Alkharas, Zainab M / Hefny, Mohamed A / Almansoori, Taleb M / Hurreiz, Hisham

Trauma case reports

2021 Volume 33, Page(s) 100478

Abstract: Blunt civilian perineal laceration with anorectal avulsion is rare and usually associated with severe pelvic trauma. The principles of management of these injuries consist of repair of the laceration (primarily or secondary), diversion of fecal stream, ... ...

Abstract	Blunt civilian perineal laceration with anorectal avulsion is rare and usually associated with severe pelvic trauma. The principles of management of these injuries consist of repair of the laceration (primarily or secondary), diversion of fecal stream, and presacral drainage of the wound. Unnecessary diversion of fecal stream may add complications and increases patient's morbidity. We report a case of severe blunt traumatic perineal laceration associated with partially avulsed anus which was managed without colostomy. The wound healed completely with preserved anal sphincter function. To our knowledge, no similar cases of anal avulsion were treated without diversion of the fecal stream in the English literature.
Language	English
Publishing date	2021-04-21
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2835433-3
ISSN	2352-6440 ; 2352-6440
ISSN (online)	2352-6440
ISSN	2352-6440
DOI	10.1016/j.tcr.2021.100478
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Article ; Online: Dramatic outcome of a "friendly fire".

Hefny, Ashraf F / Menapal, Khaled

Surgery

2017 Volume 161, Issue 5, Page(s) 1468

Language	English
Publishing date	2017-05
Publishing country	United States
Document type	Letter
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2016.11.016
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Article: Management of Blunt Sternal Fractures in a Community-Based Hospital.

Kunhivalappil, Fathima T / Almansoori, Taleb M / AbdulRahman, Muhamed Salim / Hefny, Mohamed A / Mansour, Nirmin A / Zoubeidi, Taoufik / Khan, Moien A B / Hefny, Ashraf F

Surgery research and practice

2023 Volume 2023, Page(s) 8896989

Abstract: Background: Sternal fractures are not commonly observed in patients with blunt trauma. The routine use of computed tomography (CT) in the evaluation of chest trauma helps identify these fractures. We studied the incidence, injury mechanism, management, ... ...

Abstract	Background: Sternal fractures are not commonly observed in patients with blunt trauma. The routine use of computed tomography (CT) in the evaluation of chest trauma helps identify these fractures. We studied the incidence, injury mechanism, management, and outcome of sternal fractures in patients with blunt trauma treated at our community-based hospital. Methods: We retrospectively reviewed the chest CT scans of all patients with blunt trauma who were presented to our community-based hospital from October 2010 to March 2019. The study variables included age at the time of injury, sex, mechanism of injury, type, and site of fracture, associated injuries, Glasgow Coma Scale, Injury Severity Score, need for intensive care unit admission, hospital stay, and long-term outcome. Results: In total, 5632 patients with blunt trauma presented to our hospital during the study period, and chest CT scan was performed for 2578 patients. Sternal fractures were diagnosed in 63 patients. The primary mechanism of injury was a motor vehicle collision. The most common site of fracture was the body of the sternum (47 patients; 74.6%). Twenty (31.7%) patients had an isolated sternal fracture with no other injuries. Seven (11.1%) patients were discharged directly from the emergency department. Two patients died (overall mortality rate, 3.2%) and two experienced long-term disability. Conclusions: The incidence of sternal fractures in our patient population was similar to that reported by tertiary hospitals. Patients with a sternal fracture and normal cardiac enzyme levels and electrocardiogram may be safely discharged from the emergency department, provided there are no other major injuries.
Language	English
Publishing date	2023-03-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	2775994-5
ISSN	2356-6124 ; 2356-7759
ISSN (online)	2356-6124
ISSN	2356-7759
DOI	10.1155/2023/8896989
Database	MEDical Literature Analysis and Retrieval System OnLINE

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