Objective: This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience. Methods: Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included. Results: The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized. Conclusions Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.

Objective: This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience. Methods: Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included. Results: The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized. Conclusions Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.

Objective: This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience. Methods: Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included. Results: The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized. Conclusions Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.

Objectives: Influenza vaccination is important for healthcare workers in order to prevent both the illness itself and transmission to patients. Previous studies in Saudi Arabia have revealed low influenza vaccine coverage among healthcare workers due to misconceptions. This study aimed to assess knowledge, attitudes, and practices regarding influenza vaccination among healthcare workers during 2021, addressing the current data gap. Methods: A cross-sectional study was conducted, including 1273 healthcare workers from the Ministry of Health in Saudi Arabia. A self-administered questionnaire was distributed to participants via email. Results: Most participants had an appropriate extent of knowledge, with 37.1% having a high level and 26.6% having a moderate level. Positive attitudes toward the influenza vaccine were observed in 41.2% of participants, and 80.2% demonstrated good vaccine practices. However, the vaccine coverage was 50.8% in the past 12 months. Factors associated with vaccine uptake included previous vaccination, workplace availability, awareness of guidelines, engagement in training programs, type of workplace settings, and having positive attitudes toward the vaccine. The most common reason for not getting vaccinated was the perception of being at low risk, making vaccination unnecessary. Conclusions Participants exhibited positive knowledge, attitudes, and practices regarding influenza vaccination. However, the observed vaccine uptake rate fell below the recommended coverage rate, indicating the presence of a knowledge-behavior gap. Targeted interventions are recommended to improve vaccination uptake among healthcare workers in Saudi Arabia.

Background: and Purpose Repetitive transcranial magnetic stimulation (rTMS) of the cerebellar hemisphere represents a new option in treating essential tremor (ET) patients. We aimed to determine the efficacy of cerebellar rTMS in treating ET using different protocols regarding the number of sessions, exposure duration, and follow-up duration. Methods: A randomized sham-controlled trial was conducted, in which 45 recruit patients were randomly allocated to 2 groups. The first (active group) comprised 23 patients who were exposed to 12 sessions of active rTMS with 900 pulses of 1-Hz rTMS at 90% of the resting motor threshold daily on each side of the cerebellar hemispheres over 4 weeks. The second group (sham group) comprised 22 patients who were exposed to 12 sessions of sham rTMS. Both groups were reassessed at baseline and after 1 day, 1 month, 2 months, and 3 months using the Fahn-Tolosa-Marin tremor-rating scale (FTM). Results: Demographic characteristics did no differ between the two groups. There were significant reductions both in FTM subscores A and B and in the FTM total score in the active-rTMS group during the period of assessment and after 3 months (p=0.031 and 0.011, respectively).However, subscore C did not change significantly from baseline when assessed at 2 and 3 months (p=0.073 and 0.236, respectively). Furthermore, the global assessment score was significantly higher in the active-rTMS group (p>0.001). Conclusions Low-frequency rTMS over the cerebellar cortex for 1 month showed relative safety and long-lasting efficacy in patients with ET. Further large-sample clinical trials are needed that include different sites of stimulation and longer follow-ups.

Blue light in the visible spectrum naturally fights bacteria and effectively deactivates various Gram-positive and Gram-negative bacteria and fungi using photodynamic processes. It works against drug-resistant strains within these species and is gentler on mammalian cells than ultraviolet rays or chemicals. This study evaluated blue light as an affordable way to sanitize surfaces in poultry settings, such as eggs and litter. The study used an light-emitting diode array to remove harmful Esche¬richia coli and Staphylococcus aureus from these items and observed how blue light affected their survival rates. Blue light (455 nm) at 30 mW/cm2 for one hour decreased the survival of S. aureus and E. coli on solid agar plates to 29.88% and 21.04%, respectively, compared to non-irradiated cultures. Similarly, on untreated surfaces (such as plastic used for feeding and drinking), the survival rates dropped to 25.8% and 15.6%, respectively. The survival percentages on treated eggs were 50% (S. aureus) and 48.2% (E. coli) and 59% (S. aureus) and 36.46% (E. coli) on treated litter. Hence, blue light technology offers a promising alternative to traditional antimicrobial methods by leveraging specific wavelengths to target microbial cells. This approach can significantly reduce the microbial load in poultry environments, enhancing food safety and animal health. This paper reports the first use of blue light as an antibacterial within poultry research in Iraq, offering a fresh approach to disinfection in this field.

Blue light in the visible spectrum naturally fights bacteria and effectively deactivates various Gram-positive and Gram-negative bacteria and fungi using photodynamic processes. It works against drug-resistant strains within these species and is gentler on mammalian cells than ultraviolet rays or chemicals. This study evaluated blue light as an affordable way to sanitize surfaces in poultry settings, such as eggs and litter. The study used an light-emitting diode array to remove harmful Esche¬richia coli and Staphylococcus aureus from these items and observed how blue light affected their survival rates. Blue light (455 nm) at 30 mW/cm2 for one hour decreased the survival of S. aureus and E. coli on solid agar plates to 29.88% and 21.04%, respectively, compared to non-irradiated cultures. Similarly, on untreated surfaces (such as plastic used for feeding and drinking), the survival rates dropped to 25.8% and 15.6%, respectively. The survival percentages on treated eggs were 50% (S. aureus) and 48.2% (E. coli) and 59% (S. aureus) and 36.46% (E. coli) on treated litter. Hence, blue light technology offers a promising alternative to traditional antimicrobial methods by leveraging specific wavelengths to target microbial cells. This approach can significantly reduce the microbial load in poultry environments, enhancing food safety and animal health. This paper reports the first use of blue light as an antibacterial within poultry research in Iraq, offering a fresh approach to disinfection in this field.

Blue light in the visible spectrum naturally fights bacteria and effectively deactivates various Gram-positive and Gram-negative bacteria and fungi using photodynamic processes. It works against drug-resistant strains within these species and is gentler on mammalian cells than ultraviolet rays or chemicals. This study evaluated blue light as an affordable way to sanitize surfaces in poultry settings, such as eggs and litter. The study used an light-emitting diode array to remove harmful Esche¬richia coli and Staphylococcus aureus from these items and observed how blue light affected their survival rates. Blue light (455 nm) at 30 mW/cm2 for one hour decreased the survival of S. aureus and E. coli on solid agar plates to 29.88% and 21.04%, respectively, compared to non-irradiated cultures. Similarly, on untreated surfaces (such as plastic used for feeding and drinking), the survival rates dropped to 25.8% and 15.6%, respectively. The survival percentages on treated eggs were 50% (S. aureus) and 48.2% (E. coli) and 59% (S. aureus) and 36.46% (E. coli) on treated litter. Hence, blue light technology offers a promising alternative to traditional antimicrobial methods by leveraging specific wavelengths to target microbial cells. This approach can significantly reduce the microbial load in poultry environments, enhancing food safety and animal health. This paper reports the first use of blue light as an antibacterial within poultry research in Iraq, offering a fresh approach to disinfection in this field.

Objectives: Influenza vaccination is important for healthcare workers in order to prevent both the illness itself and transmission to patients. Previous studies in Saudi Arabia have revealed low influenza vaccine coverage among healthcare workers due to misconceptions. This study aimed to assess knowledge, attitudes, and practices regarding influenza vaccination among healthcare workers during 2021, addressing the current data gap. Methods: A cross-sectional study was conducted, including 1273 healthcare workers from the Ministry of Health in Saudi Arabia. A self-administered questionnaire was distributed to participants via email. Results: Most participants had an appropriate extent of knowledge, with 37.1% having a high level and 26.6% having a moderate level. Positive attitudes toward the influenza vaccine were observed in 41.2% of participants, and 80.2% demonstrated good vaccine practices. However, the vaccine coverage was 50.8% in the past 12 months. Factors associated with vaccine uptake included previous vaccination, workplace availability, awareness of guidelines, engagement in training programs, type of workplace settings, and having positive attitudes toward the vaccine. The most common reason for not getting vaccinated was the perception of being at low risk, making vaccination unnecessary. Conclusions Participants exhibited positive knowledge, attitudes, and practices regarding influenza vaccination. However, the observed vaccine uptake rate fell below the recommended coverage rate, indicating the presence of a knowledge-behavior gap. Targeted interventions are recommended to improve vaccination uptake among healthcare workers in Saudi Arabia.

Blue light in the visible spectrum naturally fights bacteria and effectively deactivates various Gram-positive and Gram-negative bacteria and fungi using photodynamic processes. It works against drug-resistant strains within these species and is gentler on mammalian cells than ultraviolet rays or chemicals. This study evaluated blue light as an affordable way to sanitize surfaces in poultry settings, such as eggs and litter. The study used an light-emitting diode array to remove harmful Esche¬richia coli and Staphylococcus aureus from these items and observed how blue light affected their survival rates. Blue light (455 nm) at 30 mW/cm2 for one hour decreased the survival of S. aureus and E. coli on solid agar plates to 29.88% and 21.04%, respectively, compared to non-irradiated cultures. Similarly, on untreated surfaces (such as plastic used for feeding and drinking), the survival rates dropped to 25.8% and 15.6%, respectively. The survival percentages on treated eggs were 50% (S. aureus) and 48.2% (E. coli) and 59% (S. aureus) and 36.46% (E. coli) on treated litter. Hence, blue light technology offers a promising alternative to traditional antimicrobial methods by leveraging specific wavelengths to target microbial cells. This approach can significantly reduce the microbial load in poultry environments, enhancing food safety and animal health. This paper reports the first use of blue light as an antibacterial within poultry research in Iraq, offering a fresh approach to disinfection in this field.