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  • 1
    In: Journal of Epidemiology and Global Health, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2023-02-23), p. 91-104
    Abstract: COVID-19 has shown how crucial awareness of the need to protect public health is to global security. Antibiotic resistance due to antibiotic misuse is seen as a worldwide health issue. Antibiotic use was significant during the COVID-19 epidemic, according to several nations. This research aims to investigate public attitudes on COVID-19, antibiotic resistance, and preventive measures during the COVID-19 pandemic in the Middle East. Methods An online quantitative cross-sectional study in 17 Arabic nations was carried out between January 3 and March 4, 2022, using a structured questionnaire to evaluate participants’ knowledge of COVID-19, their attitudes toward the new standard during the pandemic, and their use of antibiotics, and their resistance to them. The research was available to all Arabic people over 18 nations in the middle east. A convenient snowball sampling technique was used. SPSS version 20.0 was used to analyze the data. To analyze the results, binominal logistic regression was utilized. Statistical significance was defined as a p value of 0.05. Results Of the 6145 responders, 24.1% believed COVID-19 might spread to asymptomatic people, whereas 13.6% thought using antibiotics would accelerate recovery from any illness. Moreover, half of the respondents said antibiotics only work against bacteria (64.6%). 70.8% of participants adopted the necessary safety measures. More than a third of respondents strongly supported placing foreign immigrants in quarantine (33%). However, more than 50% of those surveyed (52.5%) firmly supported using face masks in all public settings. Individuals with a medical education background had 2.6 times more appropriate understanding of antibiotic resistance than others. Furthermore, participants in the 30–49 age range had a better handle on the use of antibiotics and antibiotic resistance than other respondents by 1.1 times. Conclusion Arab Health authorities should reconsider this health issue as soon about the inadequate level of awareness toward antibiotic use, resistance, and preventative practices during COVID-19. Many suggested strategies, especially solving the irregular antibiotic prescriptions during a COVID19 pandemic, should be implemented to increase public awareness of COVID19.
    Type of Medium: Online Resource
    ISSN: 2210-6014
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2645324-1
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  • 2
    In: Vaccines, MDPI AG, Vol. 11, No. 4 ( 2023-03-29), p. 759-
    Abstract: Background: The outbreak of monkeypox was declared a global public health emergency by the World Health Organization on 23 July 2022. There have been 60,000 cases reported worldwide, most of which are in places where monkeypox has never been seen due to the travel of people who have the virus. This research aims to evaluate the general Arabic population in regard to the monkeypox disease, fears, and vaccine adoption after the WHO proclaimed a monkeypox epidemic and to compare these attitudes to those of the COVID-19 pandemic. Methods: This cross-sectional study was performed in some Arabic countries (Syria, Egypt, Qatar, Yemen, Jordan, Sudan, Algeria, and Iraq) between 18 August and 7 September 2022. The inclusion criteria were the general public residing in Arabic nations and being older than 18. This questionnaire has 32 questions separated into three sections: sociodemographic variables, prior COVID-19 exposure, and COVID-19 vaccination history. The second portion assesses the knowledge and anxieties about monkeypox, while the third section includes the generalized anxiety disorder (GAD7) scale. Logistic regression analyses were performed to compute the adjusted odds ratios (aOR) and their confidence intervals (95%CI) using STATA (version 17.0). Results: A total of 3665 respondents from 17 Arabic countries were involved in this study. Almost two-thirds (n = 2427, 66.2%) of the participants expressed more worry about COVID-19 than monkeypox diseases. Regarding the major cause for concern about monkeypox, 39.5% of participants attributed their anxiety to the fear that they or a member of their family may contract the illness, while 38.4% were concerned about monkeypox becoming another worldwide pandemic. According to the GAD 7 score, 71.7% of the respondents showed very low anxiety toward monkeypox and 43.8% of the participants scored poor levels of knowledge about monkeypox disease. Participants with previous COVID-19 infection showed a 1.206 times greater acceptance to receive the monkeypox vaccine than those with no previous infection. A 3.097 times higher concern for monkeypox than COVID-19 was shown by the participants who perceived monkeypox as dangerous and virulent than those who did not. Participants who have a chronic disease (aOR: 1.32; 95%CI: 1.09–1.60); participants worried about monkeypox (aOR: 1.21; 95%CI: 1.04–1.40), and perceived monkeypox as a dangerous and virulent disease (aOR: 2.25; 95%CI: 1.92–2.65); and excellent knowledge level (aOR: 2.28; 95%CI: 1.79–2.90) have emerged as significant predictors. Conclusions: Our study reported that three-fourths of the participants were more concerned about COVID-19 than monkeypox disease. In addition, most of the participants have inadequate levels of knowledge regarding monkeypox disease. Hence, immediate action should be taken to address this problem. Consequently, learning about monkeypox and spreading information about its prevention is crucial.
    Type of Medium: Online Resource
    ISSN: 2076-393X
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2703319-3
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  • 3
    In: Frontiers in Public Health, Frontiers Media SA, Vol. 10 ( 2022-10-13)
    Abstract: After the widespread of COVID-19 virus worldwide, vaccination targeted reducing spread of cases and mortality rates. However, vaccination hesitancy was observed among the communities worldwide. Vaccination hesitancy involved parents regarding the decision of vaccinating their children- After obtaining ethical approval, an online cross-sectional study was conducted from 1 March to 22 April 2021 to evaluate the parents' acceptance of vaccinating their children against the COVID-19 virus in Syria. Data were analyzed using descriptive and multivariate logistic regression analysis in IBM, SPSS V. 28.0 package program (IBM Corporation, Armonk, NY, USA). Among 283 participants, 105 participants agreed to vaccinate their children, and 178 were not. A significant correlation between age and vaccine willingness was found ( P -value & lt; 0.0001 * ), especially in the age group between 18 and 30 years old (45.2%). Parents who accepted vaccinating themselves were more willing to vaccinate their children (34.6%). According to our results, there is a greater need to enhance awareness and knowledge programs about the vaccine's effectiveness and encourage parents to accept giving the vaccine to their children.
    Type of Medium: Online Resource
    ISSN: 2296-2565
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2711781-9
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  • 4
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2022
    In:  Annals of Medicine & Surgery Vol. 75 ( 2022-03)
    In: Annals of Medicine & Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 75 ( 2022-03)
    Type of Medium: Online Resource
    ISSN: 2049-0801
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
    detail.hit.zdb_id: 2745440-X
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  • 5
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-04-28)
    Abstract: Diabetes and arterial hypertension are the two most common types of non-communicable diseases (NCDs) impacting people globally. There is no prior research on the Syrian population’s knowledge and treatment of hypertension and diabetes. It is crucial to investigate how the Syrian public understands and perceives these disorders in order to address the increased incidence and prevalence of hypertension and diabetes. This research intends to assess the level of hypertension and diabetes-related awareness, knowledge, attitude, and practices among Syrian individuals. Methods A cross-sectional survey was conducted online between 1 August and 25 August 2022. The questionnaire for the study was developed based on previous research, and the inclusion criteria for the sample were Syrian residents older than 18 who presently live in Syria. The survey consisted four sections: sociodemographics information, WHO STEPS survey instrument on knowledge of and lifestyle determinants for hypertension and diabetes, respondents’ knowledge of and comprehension of hypertension and diabetes, and respondents’ awareness of these disorders. Results Among 976 participants, 65.8% were females. the most common causes for hypertension from the perspective of participants were (90.1%) for stress, (87%) High salt consumption, (82.1%) genetics, (78.2%) old age, (78%) obesity (69%) anxiety, and (38.6%) for drug usage. Primary and middle school educational status participants had greater hypertension knowledge (92.3%) than other educational levels. There was a statistical significant difference between the knowledge toward the hypertension and the drinking alcohol, which the nonalcoholic knowledgeable persons were the most common (819 / 976)(P  〈  0.05). Participants whose lifestyles did not include alcohol use had a higher hypertension knowledge level (90.3%). Participants who do not consume alcohol have shown better hypertension knowledge (90.3%) than those who do (81.9%). Almost age groups have shown good knowledge of diabetes, especially participants aged above 55 (93.8%). However, most individuals have examined blood pressure (82.3%), whereas fewer than half had screened for blood sugar (64.4%). About 82.2% of individuals check their blood pressure frequently, whereas 6.2% monitor their blood sugar. There were significant associations between hypertension knowledge and gender, education, employment, and economic position (P value  〈  0.05). Men (mean = 8.39, SD = 2.02, P-value  〈  0.05) have a higher hypertension knowledge than females, and knowledge of hypertension among participants was shown to be higher among those in good income status than other economic levels (mean = 8.34, SD = 1.98). Age, gender, education, employment, and marital status were all associated with diabetes knowledge. Participants between the ages of 40 and 55 showed better knowledge of diabetes compared to other age groups (mean = 11.32, SD = 2.54); also, men demonstrated greater knowledge of diabetes than females (mean = 10.76, SD = 2.79). Conclusion We indicated that the Syrian population has a good to moderate understanding of hypertension and diabetes. However, there is still a shortage of standardized, regular screening practices. Since individuals remain involved in unhealthy lifestyle habits, it is vital to provide accurate information about hypertension and diabetes to encourage them to make healthy changes.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041338-5
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  • 6
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 147, No. Suppl_1 ( 2023-02-28)
    Abstract: Background: The ability to interpret electrocardiograms (ECG) is crucial for accurate diagnosis and treatment of the most relevant cardiac abnormalities. This study aims to assess the electrocardiographic interpretation abilities of resident doctors at internal medicine and emergency medicine departments in eight Arabic countries, emphasizing the most relevant cardiac abnormalities. Methods: An online cross-sectional study was conducted between 7 th October 2022 and 21 st October 2022 in 8 Arabic countries (Syria, Jordan, Iraq, Qatar, Yemen, Egypt, Sudan, and Algeria) to evaluate the ECG interpretation skills of resident doctors at internal medicine and emergency medicine departments. The questionnaire consisted of two main sections; the first section included sociodemographic information, while the second section contained twelve clinical case questions of the most severe cardiac abnormalities with their ECG recordings. We used the STATA and Excel Microsoft programs to conduct the analysis. Results: Out of 2509 responses, 630 were eligible for the data analysis (Response rate=25.1%). The average age was 26.85±1.7, and more than half of the participants were males (52.4 %). Internal medicine residents were (n=530, 84.1%), whereas emergency medicine residents were (n=100, 15.9%). Almost participants were in their first and second years of residency (79.8%). Only 36.2% of the inquired resident doctors have attended an ECG course. The majority of participants 85.6% recognized the ECG waves order correctly. 50.5% of the participants scored above 7.5/10 on the ECG interpretation scale. The proportions of participants who properly diagnosed atrial fibrillation, third-degree heart block, and atrial tachycardia were 71.1%, 76.7%, and 56.6%, respectively. No statistically significant difference was defined between the internal and emergency medicine residents regarding of knowledge toward ECG interpretation (P value=0.42). However, there was a significant correlation between ECG interpretation and medical residency year (P value 〈 0.001); which, the fourth-year resident doctors have the highest score (mean=9.24, SD =1.6). As well, participants in the third and second years of medical postgraduate residency have a probability of adequate knowledge of ECG interpretation more than participants in the first year of residency (OR=2.1, 95%CI: 1.57-4, P-value=0.001), (OR=1.88, 95%CI: 1.26-2.7, P-value=0.002) respectively. Conclusion: According to the findings of our research, resident doctors in departments of internal medicine and emergency medicine in Arabic nations have adequate ECG interpretation abilities; nevertheless, additional development is required to avoid misconceptions about critical cardiac conditions.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 1466401-X
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  • 7
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2023-05-24)
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2615211-3
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  • 8
    Online Resource
    Online Resource
    Wiley ; 2022
    In:  Clinical Case Reports Vol. 10, No. 11 ( 2022-11)
    In: Clinical Case Reports, Wiley, Vol. 10, No. 11 ( 2022-11)
    Abstract: Pena–Shokeir syndrome is considered to be a fatal congenital condition that is rarely diagnosed in neonates. We present the first‐ever reported case of Pena–Shokeir syndrome from Syria. Clinical assessment and early prenatal diagnosis are both needed to give the mother and baby more realistic options.
    Type of Medium: Online Resource
    ISSN: 2050-0904 , 2050-0904
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2740234-4
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  • 9
    Online Resource
    Online Resource
    University Library System, University of Pittsburgh ; 2023
    In:  International Journal of Medical Students ( 2023-01-02), p. S178-
    In: International Journal of Medical Students, University Library System, University of Pittsburgh, ( 2023-01-02), p. S178-
    Abstract: Background: According to the World Health Organization (WHO), breast cancer (BC) is women's most common type of cancer. In LAMICs, breast cancer incidence is low. However, a lack of information about the signs and symptoms of breast cancer potentially results in the disease's progression to life-threatening stages.This study aimed to determine the levels of breast cancer symptom awareness among Syrian women and to identify the variables associated with a high level of awareness.   Methods: From 3 September 2022 to 27 September 2022, Syrian women participated in an online cross-sectional survey to measure their knowledge about breast cancer, risk factors, and symptoms. This survey was derived from previous research that included a comprehensive, authorized scale. The admission requirement was 18-year-old or older Syrian women from all Syrian governorates. The questionnaire was divided into two portions; the first component included sociodemographic characteristics. Based on the original BCAM scale, the second portion assessed the participant's knowledge of breast cancer symptoms, risk factors, and obstacles. Using the IBM SPSS V. 28.0 software, descriptive and multivariate logistic regression analyses were performed on the data.   Results: Among 1305 study participants, the mean age and standard deviation of the individuals were 30.7 and 11.2, respectively. Students constituted almost three-quarters (75.2%) of the study respondents. The average level of knowledge about risk factors was higher among women with chronic diseases (Mean = 4.44, SD = 2.176), whereas jobless people had a higher average level of information regarding obstacles than other subgroups of practical circumstances. In addition, single women scored higher on the barrier comprehension scale than other marital status groups (mean=3.34, SD=2.32). Only two variables, including age and educational level, were statistically significant in predicting an acceptable degree of knowledge of the risk factors for breast cancer. Participants with a PhD were more aware than other educational subgroups (P-value 0.05; OR =6.186). Participants with a PhD. are projected to be 6.18 times more aware of breast cancer risk factors than those with lower levels of education. Women with chronic conditions were 1.84 times more likely than others to be aware of breast cancer barriers.    Conclusion: Our findings indicate that Syrian females have a poor to moderate knowledge of breast cancer symptoms, risk factors, and barriers. It is proposed that more breast cancer awareness campaigns be conducted and that yearly screening programs be improved to combat the late detection of this illness. Social media and television might be effective venues for raising awareness of breast self-examination and early identification of symptoms.
    Type of Medium: Online Resource
    ISSN: 2076-6327
    Language: Unknown
    Publisher: University Library System, University of Pittsburgh
    Publication Date: 2023
    detail.hit.zdb_id: 2734170-7
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  • 10
    Online Resource
    Online Resource
    University Library System, University of Pittsburgh ; 2023
    In:  International Journal of Medical Students ( 2023-02-21), p. S206-
    In: International Journal of Medical Students, University Library System, University of Pittsburgh, ( 2023-02-21), p. S206-
    Abstract: Background: World Health Organization (WHO) verified 780 cases of monkeypox across 27 countries between 13 May 2022 and 2 June 2022. The World Health Organization (WHO) classified the growing worldwide monkeypox epidemic a PHEIC on July 23; the bulk of confirmed cases have been found in European locations. The purpose of this research is to assess the level of awareness toward human monkeypox virus among the Syrian medical students, general practitioners (GPs), medical residents, and specialists. Methods: We performed a cross-sectional online survey in Syria between 2 may and 8 September, 2022 to assess medical students', general practitioners', residents', and specialists' knowledge about the monkeypox virus. The utilized tool was developed with input from the World Health Organization, the Centers for Disease Control and Prevention, and cross-sectional studies conducted in Indonesia. The survey has 53 questions divided into three groups: demographic information, work-related details, and monkeypox knowledge. The time-efficient and simple snowball method of sampling was used. Version 28.0 of SPSS was used to analyze the data. Results: A total of 1257 healthcare workers and medical students throughout all of Syria's governorates took part in the research. The percentage of responders who learned anything about monkeypox in medical school was just 6.2% (n = 78). As a whole, students scored 10.23 out of a possible 15, with 11 being the adequate level for knowledge. About half of the participants (n = 700) are familiar with the term "monkeypox." As well, half of the respondents (n = 663) just learned about monkeypox during the last few days, while almost half (n = 530) only learned about it within the past month. Almost participants didn't know adequately about monkeypox. The natural host and incubation time for monkeypox were correctly identified by just 2.7% of responders and 33.3% of the whole population, respectively. 1.8% of participants gave the right response when asked about the symptoms of monkeypox. Sixty percent of the study sample think the symptoms of monkeypox and smallpox are identical. The females had higher knowledge toward monkeypox (aOR = 1.5, 95% CI = 1.26-1.80, p 〈 0.001) than males. Respondents who are specialist doctors had higher knowledge toward monkeypox (aOR = 2.96, 95% CI = 2.24-3.92, p 〈 0.001) than others. Conclusion: Due to the critical lack of knowledge about monkeypox among Syrian clinicians and undergraduate medical students, urgent action to solve this local issue is required. Therefore, education and awareness regarding monkeypox vaccinations are of paramount importance. In order to improve the medical community's capacity to respond to human monkeypox cases and report them into a disease surveillance system, it is crucial that doctors have a better understanding of the illness.
    Type of Medium: Online Resource
    ISSN: 2076-6327
    Language: Unknown
    Publisher: University Library System, University of Pittsburgh
    Publication Date: 2023
    detail.hit.zdb_id: 2734170-7
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