Background: Medical students are exposed to high academic stress and many of these students consume caffeinated beverages to enhance their performance. Short-term effects of caffeine consumption include enhanced mood and alertness. A lot of research was done on the association between caffeinated beverages consumption and its effect on academic load and stress, but there is no data concerning the students' perception of Hail University, especially medical students. The current study aimed to present cross-sectional data from the different educational level to investigate associations between caffeinated beverages, BMI, academic performance and stress in medical students of Hail University. Methodology: This study was conducted with medical students (both male and female) at University of Hail between 2nd March 2018 and 18th March 2018. Data was collected using a self-reported questionnaire from 258 students. The questions included were about demographics, types. and number of cups per day of caffeine consumption and reasons for consuming. Academic stress and load on a five-point scale and also asked the effects and satisfaction of caffeinated beverages. Results: The participation rate was 73.26%. The sample included 36 (19%), 32 (16.9%), 27 (14.3%), 54 (28.6%), 19 (10.1%) and 21 (11.1 %) of 1st, 2nd, 3rd, 4th, 5th and 6th year students respectively. The subjects were aged between 18 and 29 years [90 (47.6%) male and 99 (52.4%) female]. Comparatively black coffee, Arabian coffee and tea have more than other types of beverages and also these were high in obese students compare with other caffeinated beverages. Overall most of the students' feel their self-perceived academic load were average (45.5%) or above average (29.1%). Academic stress with drinking more caffeinated beverages were reflected in academic performance. Increased caffeinated beverages drinking showed with increased effects of their anxiety and academic performance. Conclusion: The prevalence of caffeinated beverage consumption was high with black coffee and Arabian coffee being the most frequently consumed of the beverages. Caffeinated beverages consumption, particularly, increased in academic stress and were used mainly to academic performance.

Small intestinal obstruction is a common indication for hospitalization and emergency surgeries. The most frequent etiologies are adhesions, hernia, and benign or malignant neoplasms. Abdominal imaging plays an important role in making the diagnosis and evaluating the complications of the obstruction. We report a case of a young woman who presented with sudden abdominal pain and vomiting. She had a relevant past medical history of sickle cell disease and multiple episodes of biliary colic for which she underwent laparoscopic cholecystectomy two months before her current presentation. Laboratory findings indicated mild inflammation in the form of elevated C-reactive protein and erythrocyte sedimentation rate with the leukocytes count in the upper normal limits. Abdominal computed tomography demonstrated a knuckle of small bowel incarcerated in the port location of the previous laparoscopy. The bowel was reduced and the defect was repaired. The patient had complete resolution of her symptoms following the surgery. The case highlighted the importance of considering port-site hernia as an etiology of bowel obstruction in the relevant clinical settings since laparoscopic operations are being increasingly performed.

Background: Knee joint osteoarthritis is the most common among older adults. The knee joint needs to be treated surgically. The prevalence of this disorder is believed to be higher than 40% among people over 60. Objective: To study public awareness about total knee replacement among the Hail population and to explore the relationship between the level of awareness and different socio-demographic factors. Methods: A cross-sectional study was carried out in Hail, Saudi Arabia, using an online self-administered questionnaire created via Google Forms. Collected data were coded, entered, and analyzed using the Statistical Package for Social Sciences (SPSS; Version 23). Results: A total of 431 participants enrolled in the study, of which 242 (56.15%) were males and 189 (43.9%) were females. Out of a total of 34 points, the average awareness score was 15 ± 6 (range: 5-33), with a mean percentage of awareness of 44.1%. The most reported causes of total knee replacement were overweight or obesity (82.6%), aging (61%), and rheumatoid arthritis (45.2%). The most known symptoms were pain (85.6%) and clicking sounds during movements (64.7%). Regarding the knowledge about the treatment, both physiotherapy and weight reduction were mentioned by 290 (67.3%), exercise by 244 (56.6%), and surgical intervention by 177 (41.1%) participants. The purpose of knee replacement surgery was to relieve pain according to 357 (82.8%) participants, improve walking quality according to 257 (59.6%) participants, and be able to do prayers (while kneeling) according to 215 (49.9%) participants. The most reported reasons that might prevent the participants from undergoing knee replacement surgery were the pain after surgery (59.4%), unavailability of surgeons (35.5%), and general complications from anesthesia (37.4%). Moreover, 188 (43.6%) participants thought that knee osteoarthritis is diagnosed using magnetic resonance imaging (MRI). Educational level was found to be associated with awareness score ( p = .012). Conversely, gender, nationality, residence, and history of chronic disease were not found to be associated with awareness about total knee replacement ( p = .548, .357, .734, and .639, respectively). Conclusion: An average level of awareness and knowledge regarding total knee replacement was observed. Educational level was found to be significantly associated with this awareness.

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Objective was assess the knowledge of the adult women with regards to the benefits of breastfeeding at Prince Bader Housing. This study was a cross-sectional survey targeting mothers visiting primary health care clinics. Nearly 200 single-page questionnaires with 20 questions were distributed to visiting mothers at the well-baby clinics. Sampling was convenient and randomness was assumed by visit sequence, on a "first-come-first-serve" basis, and those who agreed to participate. Mothers visiting the O.B clinic or visiting the Pediatrician and Well-Baby Clinic within the PHC centers for immunization of their children (under 2 years of age) SPSS was used for data analysis. The total subjects in this study were 188, the average age of the participants was 32.6 years with a standard deviation of 32, the youngest age of the participant was 22 years and oldest age was 46 years and the average family size was 1.5 (roughly 2 children). A substantial majority of mothers agreed that breast milk is better than any formula milk. More than three-fourths of the mothers responded that Exclusive breastfeeding should be given. The majority of mothers can identify the colostrum in breast milk, majority of mothers believed that breastfeeding will protect their baby from specific diseases.In this study, more than two-thirds of the mothers answered questions in a manner that indicates they are well educated about the benefit of breastfeeding. This points towards the implementation of a good educational program for mothers by healthcare providers.