Background. The purpose of this study was a comprehensive review of studies on the effect of aromatherapy with plant essential oils on the improvement of some conditions, for example, anxiety, stress, sleep quality, fatigue, and pain in people with cardiovascular disease. Materials and Methods. We carried out this systematic review based on the instructions of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Ethical agreement was not necessary as main data have not been collected. During March 2022, we searched the main English databases, for example, Google Scholar, Web of Sciences, EMBASE, EBSCO, ScienceDirect, Scopus, and PubMed/MEDLINE, with limitation to human clinical trials. For this study, no time limit was applied for the publication of articles. Results. Out of 1380 papers, 52 papers up to March 2022 were eligible for review in this systematic review. Based on the obtained results, the most widely used medicinal plants for aromatherapy in patients with cardiovascular diseases were Lavandula angustifolia (lavender, 55.7%), Rosa damascena (Damask rose, 11.5%), and Mentha piperita (peppermint, 5.8%), respectively. Most studies have been performed on the effect of aromatherapy on coronary angiography (21 papers, 40.4%), followed by artery bypass graft surgery (14 studies, 26.9%), and cardiac patients (5 studies, 9.6%). Most studies on the effect of aromatherapy in cardiovascular diseases were performed on anxiety (31 papers, 59.6%), sleep quality (8 studies, 15.4%), and hemodynamic parameters (6 studies, 11.5%), respectively. Conclusion. This study systematically reviewed the effects of aromatherapy in patients with cardiovascular diseases. The review of studies showed that lavender, Damask rose, and peppermint are the most frequents plants used for aromatherapy, whereas they significantly improved some illnesses and conditions, especially anxiety and sleep quality. Therefore, it can be concluded that cardiologist can used aromatherapy as a natural complementary and alternative therapy particularly with lavender, Damask rose, and peppermint to improve quality of life and some conditions such as anxiety and sleep quality.

Background In both the preclinical and clinical sciences, anatomy is considered as the foundation of medical education. Anatomy education serves as a foundation for clinical application and future practice of medicine. Health practitioners and students are interested in the adequacy of anatomical knowledge in clinical years since it has a direct impact on medical education and professional clinical practice. Objective To examine the opinions and attitudes of medical students and clinicians regarding the preclinical and clinical years’ teaching of anatomy and anatomical knowledge to medical students. Methods Participants in the study, including clinicians and medical students, were required to answer an 8-question, 5-point Likert scale questionnaire to assess their attitudes regarding anatomical knowledge. The maximum score was 40, and the higher the score, the more the positive attitude towards anatomical knowledge. The difference in the mean attitude score between males and females was investigated using the Independent sample t -test. Results A total of 327 clinicians and 423 students participated in the study. Clinicians and students showed moderately high positive attitude towards anatomical knowledge. The mean statements score for clinicians’ attitudes was 31.4(±3.4). There was no significant difference between total attitude score means for clinicians and students, p=0.83. Attitude statements attained a significantly higher percentages and were in favor to clinicians in comparison to students, particularly for clinical significance of anatomical knowledge to students in the clinical years, the importance of anatomical knowledge to surgical and non-surgical specialties, and re-teaching special anatomy for students in the clinical years would improve their clinical background. Both clinicians and students expressed low agreement regarding anatomical educational style and quality of study materials. Conclusion Teaching anatomy to medical students is a continuous process. Therefore, we recommend reforming the anatomy curriculum by vertical integration of anatomy into the clinical rotations, clerkship, and specialist training.

Background: Hyperpigmentation is a dermatologic disorder, and because dermatologic diseases are visible, they have a profound psychological impact on persons who are affected. Aim: To assess the sun protection practices in Saudi Arabia among patients with cutaneous hyperpigmentation. Method: In October 2022, an online cross-sectional study of patients with cutaneous hyperpigmentation was conducted in Saudi Arabia. Data were collected by questionnaire-based survey, which was designed by the researcher after a thorough literature review. Using binary logistic regression analysis, the factors that influence sunscreen use were identified. Results: A total of 418 people took part in this study. More than half (63.6%) of them reported post-inflammation or acne pigmentation. Almost half (49.0%) reported having this health condition for less than a year. Only about half of the patients (45.0%) said they use sunscreen. Approximately 47.0% of sunscreen users reported using sunscreen with a UV protection factor of 21-50. Almost one-third (35.0%) of the patients reported not reapplying sunscreen during the day. Only 4.8% of patients said they frequently use a hat or sunshade while they are outside, and 40.4% said they frequently stay in the shade when they are outside. Male patients were less likely than female patients to apply sunscreen (Odds ratio: 0.80 (95% CI: 0.64-0.99), (p0.05), Conclusion: Saudi hyperpigmentation patients use sunscreen inadequately. Males used sunscreen less than females. Healthcare authorities should conduct an educational campaign to inform this group of patients about their condition and the necessity of sunscreen. Social media should be utilized to educate the public about different types of sunscreens and improve their use of sunscreens to prevent sun-related skin problems. Keywords: Cutaneous Hyperpigmentation; Saudi Arabia; Sunscreen; Sun-protective

Alopecia areata is a common autoimmune condition that causes a non-scarring form of hair loss. It is associated with several viruses and diseases. One of the viruses that have been linked to alopecia areata is the coronavirus disease of 2019 (COVID-19). It was found to cause the onset, aggravation, or recurrence of alopecia areata in previously infected patients. We report the case of a 20-year-old woman who was medically free and presented with the severe and progressive onset of alopecia areata after one month of contracting COVID-19. This study aimed to explore the literature on COVID-19-associated severe onset alopecia areata in terms of timeline and clinical presentation.