Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: a multi-center research study.

BACKGROUND: Oncoplastic Breast surgeries (OBS) in breast cancer have evolved to preserve the cancerous breast rather than its amputation to improve postoperative cosmetic results. The lack of evidence to support the oncological safety and benefits of OBS is questionable. In this study, we evaluate various aspects of oncoplastic surgeries with a focused monitoring of aesthetic results and oncological safety. METHODS: This was a multi-center observational study focused on the statistics of data collected from cases who underwent oncoplastic surgeries from the cohort of breast cancer candidates at Mansoura University Hospitals/Egypt and King Faisal Medical Complex/KSA from January 2015 to June 2018. All data were analyzed carefully using SPSS v-26. RESULTS: Eighty cases who underwent different oncoplastic surgeries were included and reviewed for the aesthetic outcome and oncological safety. The recurrence rate was found to be 2.5%. The breast impact treatment scale assessment method was used to analyze the aesthetic outcomes, and average scores were accepted in 90% of patients. CONCLUSIONS: The oncoplastic breast surgeries are feasible and they had a high rate of oncological safety with the maintenance of good aesthetic outcomes and patient satisfaction.

Prevalence of Lower Back Pain and its Relation to Stress Among Medical Students in Taif University, Saudi Arabia.

BACKGROUND: Lower back pain (LBP) refers to pain in the back between the last rib and the gluteal fold. Recent psychological research indicates a relevant connection between severe pain and emotional stress. The etiology of musculoskeletal pain shown to be influenced by low social support, high job demands, and low job control. METHODS: A cross-sectional study of 640 medical students in Taif University was carried out from November 2018 to April 2019. A standardized Nordic questionnaire was employed to assess musculoskeletal pain and K10 was used to assess psychological stress. RESULTS: Our study found 33.3% of medical students reported lower back pain, 20.7% reported lower back pain 0-7 days during the last 12 months, and 18.8% reported reduction of activity due to lower back pain during the last 12 months. The mean stress score was 22.7 ± 8.8; 20.7% of students with mild stress reported lower back pain. LBP showed non-significant association to stress categories (P = 0.409). CONCLUSIONS: Our survey found no significant association between LBP and psychological stress. The three main risk factors associated with lower back pain were being a 2nd year medical student, female gender, and high working hours.