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  1. Article ; Online: Medical education in the midst of the coronavirus (COVID-19) pandemic-one year later.

    Alsafi, Zaid / Rajabali, Husein

    International journal of surgery (London, England)

    2021  Volume 91, Page(s) 106000

    MeSH term(s) COVID-19 ; Education, Medical ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2021-06-17
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2021.106000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevalence of 'pouch failure' of the ileoanal pouch in ulcerative colitis: a systematic review and meta-analysis.

    Alsafi, Zaid / Snell, Alice / Segal, Jonathan P

    International journal of colorectal disease

    2021  Volume 37, Issue 2, Page(s) 357–364

    Abstract: Background and aims: The ileoanal pouch (IPAA) provides patients with ulcerative colitis (UC) that have not responded to medical therapy an option to retain bowel continuity and defecate without the need for a long-term stoma. Despite good functional ... ...

    Abstract Background and aims: The ileoanal pouch (IPAA) provides patients with ulcerative colitis (UC) that have not responded to medical therapy an option to retain bowel continuity and defecate without the need for a long-term stoma. Despite good functional outcomes, some pouches fail, requiring permanent diversion, pouchectomy, or a redo pouch. The incidence of pouch failure ranges between 2 and 15% in the literature. We conducted a systematic review and meta-analysis aiming to define the prevalence of pouch failure in patients with UC who have undergone IPAA using population-based studies.
    Methods: We searched Embase, Embase classic and PubMed from 1978 to 31st of May 2021 to identify cross-sectional studies that reported the prevalence of pouch failure in adults (≥ 18 years of age) who underwent IPAA for UC.
    Results: Twenty-six studies comprising 23,389 patients were analysed. With < 5 years of follow-up, the prevalence of pouch failure was 5% (95%CI 3-10%). With ≥ 5 but < 10 years of follow-up, the prevalence was 5% (95%CI 4-7%). This increased to 9% (95%CI 7-16%) with ≥ 10 years of follow-up. The overall prevalence of pouch failure was 6% (95%CI 5-8%).
    Conclusions: The overall prevalence of pouch failure in patients over the age of 18 who have undergone restorative proctocolectomy in UC is 6%. These data are important for counselling patients considering this operation. Importantly, for those patients with UC being considered for a pouch, their disease course has often resulted in both physical and psychological morbidity and hence providing accurate expectations for these patients is vital.
    MeSH term(s) Adult ; Colitis, Ulcerative/epidemiology ; Colitis, Ulcerative/surgery ; Colonic Pouches/adverse effects ; Cross-Sectional Studies ; Humans ; Middle Aged ; Postoperative Complications ; Prevalence ; Proctocolectomy, Restorative/adverse effects ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-11-26
    Publishing country Germany
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 84975-3
    ISSN 1432-1262 ; 0179-1958
    ISSN (online) 1432-1262
    ISSN 0179-1958
    DOI 10.1007/s00384-021-04067-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Today's actions shape tomorrow's world: is the Coronavirus Pandemic (COVID-19) eroding our privacy?

    Abbas, Abdul-Rahman / Alsafi, Zaid / Rahman, Adil / Syed, Sabeeh

    International journal of surgery (London, England)

    2020  Volume 79, Page(s) 12

    Keywords covid19
    Language English
    Publishing date 2020-05-12
    Publishing country England
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.05.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The coronavirus (COVID-19) pandemic: Adaptations in medical education.

    Alsafi, Zaid / Abbas, Abdul-Rahman / Hassan, Aimen / Ali, Mohamed Adam

    International journal of surgery (London, England)

    2020  Volume 78, Page(s) 64–65

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Education, Medical/organization & administration ; Educational Measurement/methods ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Students, Medical ; United Kingdom/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-04-15
    Publishing country England
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.03.083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Foundation Doctors’ Exposure to Interventional Radiology in Two Large Teaching Hospitals in the United Kingdom

    Zaid Alsafi / Sanjeev Ramachandran / Vamsee Bhrugubanda / Alison Graham / Ali Alsafi

    The Arab Journal of Interventional Radiology, Vol 4, Iss 02, Pp 096-

    2020  Volume 101

    Abstract: Background: Significant efforts have been made to improve medical students' exposure to interventional radiology (IR). Foundation doctors in the UK, however, are a neglected group, with little being done engage these doctors who are at a crucial juncture ...

    Abstract Background: Significant efforts have been made to improve medical students' exposure to interventional radiology (IR). Foundation doctors in the UK, however, are a neglected group, with little being done engage these doctors who are at a crucial juncture in their training. Objectives: The objective of the study is to assess Foundation Year 1 (FY1) doctors' understanding of and exposure to IR. Methods: FY1s from two teaching hospitals in the UK at the end of their first year of Foundation training were invited to take part in an 18-question survey, including 14 single-best-answer (SBA) questions. The questions examined knowledge of IR and other specialties. The SBAs were scored out 14 and the Student's t-test was used to compare IR and non-IR scores. Results: Questionnaires were given to 72 FY1 doctors and 52 (72.2%) were completed. The median score was 9/14 (64.3%) [4.5/14–12/14]. Questions relating to coronary intervention and neurosurgery scored best (96.2% and 94.3%, respectively). The mean score for IR-related questions was significantly lower than that for non-IR questions (51.5% vs. 81.1%, respectively, P < 0.0001). Participants who referred patients to IR at least once per month scored higher than those who rarely referred (60.5% vs. 47.2%, respectively, P < 0.0084). Nearly 83.0% of participants expressed a desire to gain more exposure to IR. Conclusion: Although Foundation doctors have some understanding of IR, reflecting some exposure to the specialty, this remains deficient when compared with their knowledge of other specialties. This may be improved by the introduction of IR specific teaching during the Foundation program.
    Keywords foundation program ; interventional radiology ; medical education ; radiology ; training ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 796
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Foundation Doctors’ Exposure to Interventional Radiology in Two Large Teaching Hospitals in the United Kingdom

    Alsafi, Zaid / Ramachandran, Sanjeev / Bhrugubanda, Vamsee / Graham, Alison / Alsafi, Ali

    The Arab Journal of Interventional Radiology

    2020  Volume 4, Issue 02, Page(s) 96–101

    Abstract: Background: Significant efforts have been made to improve medical students' exposure to interventional radiology (IR). Foundation doctors in the UK, however, are a neglected group, with little being done engage these doctors who are at a crucial juncture ...

    Abstract Background: Significant efforts have been made to improve medical students' exposure to interventional radiology (IR). Foundation doctors in the UK, however, are a neglected group, with little being done engage these doctors who are at a crucial juncture in their training. Objectives: The objective of the study is to assess Foundation Year 1 (FY1) doctors' understanding of and exposure to IR. Methods: FY1s from two teaching hospitals in the UK at the end of their first year of Foundation training were invited to take part in an 18-question survey, including 14 single-best-answer (SBA) questions. The questions examined knowledge of IR and other specialties. The SBAs were scored out 14 and the Student's t-test was used to compare IR and non-IR scores. Results: Questionnaires were given to 72 FY1 doctors and 52 (72.2%) were completed. The median score was 9/14 (64.3%) [4.5/14–12/14]. Questions relating to coronary intervention and neurosurgery scored best (96.2% and 94.3%, respectively). The mean score for IR-related questions was significantly lower than that for non-IR questions (51.5% vs. 81.1%, respectively, P < 0.0001). Participants who referred patients to IR at least once per month scored higher than those who rarely referred (60.5% vs. 47.2%, respectively, P < 0.0084). Nearly 83.0% of participants expressed a desire to gain more exposure to IR. Conclusion: Although Foundation doctors have some understanding of IR, reflecting some exposure to the specialty, this remains deficient when compared with their knowledge of other specialties. This may be improved by the introduction of IR specific teaching during the Foundation program.
    Keywords Foundation program ; interventional radiology ; medical education ; radiology ; training
    Language English
    Publishing date 2020-07-01
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 2542-7083 ; 2542-7075
    ISSN (online) 2542-7083
    ISSN 2542-7075
    DOI 10.4103/AJIR.AJIR_27_20
    Database Thieme publisher's database

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  7. Article ; Online: The coronavirus (COVID-19) pandemic

    Alsafi, Zaid / Abbas, Abdul-Rahman / Hassan, Aimen / Ali, Mohamed Adam

    International Journal of Surgery

    Adaptations in medical education

    2020  Volume 78, Page(s) 64–65

    Keywords Surgery ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2212038-5
    ISSN 1743-9191
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.03.083
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Is it Time for a Specific Undergraduate Interventional Radiology Curriculum?

    Alsafi, Zaid / Bhrugubanda, Vamsee / Ramachandran, Sanjeev / Alsafi, Ali / Hamady, Mohamad

    Cardiovascular and interventional radiology

    2017  Volume 40, Issue 7, Page(s) 1062–1069

    Abstract: Purpose: Interventional radiology (IR) is traditionally underrepresented in undergraduate medical curricula. Final-year medical students ought to be familiar with some common IR procedures in order to make adequate referrals and work-up patients ... ...

    Abstract Purpose: Interventional radiology (IR) is traditionally underrepresented in undergraduate medical curricula. Final-year medical students ought to be familiar with some common IR procedures in order to make adequate referrals and work-up patients appropriately. We evaluated the knowledge of final-year medical students on common IR procedures and compared it with their knowledge of other specialties.
    Materials and methods: A fourteen-question, single-best-answer questionnaire assessing the knowledge of IR procedures and other minimally invasive non-IR procedures was administered to a group of final-year medical students. Paired two-tailed student's t test was used to compare knowledge across specialties.
    Results: Fifty-one questionnaires were administered and returned. No student answered all questions correctly. The median score was 5/11. The best-answered question was on coronary intervention followed by neurosurgical procedures. The average score for IR procedures was 38% versus 57% for non-IR procedures (P < 0.0005). While most students had come across IR previously, 70% would like further exposure. We also accessed the undergraduate curricula of five London Medical Schools; all five have a radiology curriculum, but only one has a dedicated IR section.
    Conclusion: Medical students' lack of IR exposure translates into a lack of appreciation of the role of the specialty. We propose the introduction of a specific undergraduate IR curriculum to bridge this knowledge gap.
    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603082-8
    ISSN 1432-086X ; 0342-7196 ; 0174-1551
    ISSN (online) 1432-086X
    ISSN 0342-7196 ; 0174-1551
    DOI 10.1007/s00270-017-1612-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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