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https://openalex.org/W2138800733
An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds: a protocol paper for Teeth Tales
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[ "Lebanon", "Iraq" ]
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https://api.openalex.org/works?filter=cites:W2138800733
<h3>Introduction</h3> Inequalities are evident in early childhood caries rates with the socially disadvantaged experiencing greater burden of disease. This study builds on formative qualitative research, conducted in the Moreland/Hume local government areas of Melbourne, Victoria 2006–2009, in response to community concerns for oral health of children from refugee and migrant backgrounds. Development of the community-based intervention described here extends the partnership approach to cogeneration of contemporary evidence with continued and meaningful involvement of investigators, community, cultural and government partners. This trial aims to establish a model for child oral health promotion for culturally diverse communities in Australia. <h3>Methods and analysis</h3> This is an exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds. Families from an Iraqi, Lebanese or Pakistani background with children aged 1–4 years, residing in metropolitan Melbourne, were invited to participate in the trial by peer educators from their respective communities using snowball and purposive sampling techniques. Target sample size was 600. Moreland, a culturally diverse, inner-urban metropolitan area of Melbourne, was chosen as the intervention site. The intervention comprised peer educator led community oral health education sessions and reorienting of dental health and family services through cultural Competency Organisational Review (CORe). <h3>Ethics and dissemination</h3> Ethics approval for this trial was granted by the University of Melbourne Human Research Ethics Committee and the Department of Education and Early Childhood Development Research Committee. Study progress and output will be disseminated via periodic newsletters, peer-reviewed research papers, reports, community seminars and at National and International conferences. <h3>Trial registration number</h3> Australian New Zealand Clinical Trials Registry (ACTRN12611000532909).
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https://openalex.org/W2029757607
Work‐related Stress and Urinary Catecholamines among Laboratory Technicians
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Ali Ghaddar", "id": "https://openalex.org/A5013577917" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Kayan Hajj Omar", "id": "https://openalex.org/A5062015289" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Maha Dokmak", "id": "https://openalex.org/A5022752865" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Nadine Abou Kansour", "id": "https://openalex.org/A5064656314" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Zeina Jbara", "id": "https://openalex.org/A5023658159" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Sandy Laham", "id": "https://openalex.org/A5032743960" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "Lebanon", "display_name": "Beirut Arab University", "id": "https://openalex.org/I36314861", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Samaha Ali", "id": "https://openalex.org/A5050910946" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W1966894723", "https://openalex.org/W1991180967", "https://openalex.org/W1991590139", "https://openalex.org/W2000450044", "https://openalex.org/W2013141565", "https://openalex.org/W2019973179", "https://openalex.org/W2055811169", "https://openalex.org/W2060078701", "https://openalex.org/W2065640246", "https://openalex.org/W2067436434", "https://openalex.org/W2088515136", "https://openalex.org/W2094154706", "https://openalex.org/W2095556814", "https://openalex.org/W2102463240", "https://openalex.org/W2139967155", "https://openalex.org/W2159583141", "https://openalex.org/W4243321329" ]
https://api.openalex.org/works?filter=cites:W2029757607
Work‐related Stress and Urinary Catecholamines among Laboratory Technicians: Ali GHADDAR, et al . Observatory of Public Policies and Health, Center Bonmarche, Lebanon— Objectives Work‐related psychosocial hazards are associated with adverse health outcomes among workers. The association between psychosocial hazards and physiological health outcomes among laboratory technicians has not been studied previously. The objective of this study was to measure the association between work‐related psychosocial hazards and the level of urinary catecholamines of laboratory technicians. Methods The Copenhagen Psychosocial Questionnaire was distributed to a sample of 125 workers in one community in Lebanon (response rate 73%) to measure psychosocial hazards. High‐pressure liquid chromatography (HPLC) was used to measure adrenaline, noradrenaline and dopamine in 24‐hour urine samples. Results Sensorial demands, insecurity at work, influence at work and low possibilities of development were particularly high among the workers. Linear regression analysis showed that sensorial and quantitative demands and low possibilities for development increased the levels of urinary catecholamines. Discussion the results suggest important policy implications for laboratory administrations regarding improvement of the exposure of workers to sensorial and quantitative demands and low possibilities for development as a way to improve worker health.
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https://openalex.org/W3044748734
Association of knowledge and beliefs with the misuse of antibiotics in parents: A study in Beirut (Lebanon)
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3044748734
Antibiotic resistance is a major public health concern. It has been associated with factors such as uncontrolled consumption, lack of knowledge, beliefs, and sociodemographic characteristics. Lebanon is characterized by high levels of antibiotic misuse, as almost half of the population self-medicates with antibiotics and over 30% of the antibiotics are dispensed without prescription. To-date, no studies determined adequately the association between knowledge, beliefs and antibiotic misuse in Lebanon.To assess the association between level of knowledge and beliefs about antibiotics, and antibiotic misuse in Lebanon.We conducted a cross-sectional study among 1,421 parents of schoolchildren using an anonymous self-administered Knowledge, Attitude and Practices questionnaire. The participants´ level of agreement with each item of knowledge and beliefs was measured using a Likert-type (0-10) scale. Misuse practices in the last month were detected through a series of questions aimed at determining the level of compliance with physicians´ instructions in terms of dosage and duration. Data were analyzed using logistic regression.277 participants (16%) acknowledged using antibiotics in the previous month, 41% of whom showed at least one misuse behavior. Misconceptions and beliefs about antibiotics substantially increased the odds of their misuse. For instance, participants who believed that antibiotics were effective in treating viruses, cold, or sore throat infections were twice as likely to misuse antibiotics [Adjusted Interquartile Odds Ratio (aIqOR): 2.08 (95%CI: 1.32, 3.19), aIqOR: 1.81 (95%CI: 1.41, 2.29), aIqOR: 2.19 (95%CI: 1.61, 2.93), respectively]. Parents who usually keep antibiotics at home antibiotics for future use were more likely to misuse antibiotics [aIqOR: 2.44 (95%CI: 1.68, 3.46)].Our findings indicate that the low level of knowledge and the existence of erroneous beliefs about antibiotics are associated with increased odds of antibiotic misuse. Key elements including rationale prescription and control of dispensing should be addressed when designing educational campaigns against antibiotic misuse.
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https://openalex.org/W3199791383
Overview in Breast Cancer Screening in Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3199791383
Breast cancer (BC) is the most common cancer in women and men combined, and it is the second cause of cancer deaths in women after lung cancer. In Lebanon, the same epidemiological profile applies where BC is the leading cancer among Lebanese females, representing 38.2% of all cancer cases. As per the Center for Disease Control, there was a decline in BC mortality rate from 2003 to 2012 reflecting the adoption of national mammographic screening as the gold standard for BC detection by Western countries. The aim of this review study is to summarize current recommendations for BC screening and the available modalities for detecting BC in different countries, particularly in Lebanon. It also aims at exploring the impact of screening campaigns on BC early stage diagnosis in Lebanon. Despite the considerable debates whether screening mammograms provides more harm than benefits, screening awareness should be stressed since its benefits far outweigh its risks. In fact, the majority of BC mortality cases in Western countries are non-preventable by the use of screening mammograms alone. As such, Lebanon adopted a public focus on education and awareness campaigns encouraging early BC screening. Several studies showed the impact of early detection that is reflected by an increase in early stage disease and a decrease in more aggressive stages. Further studies should shed the light on the effect of awareness campaigns on early breast cancer diagnosis and clinical down staging at a national scope; therefore, having readily available data on pre- and post-adoption of screening campaigns is crucial for analyzing trends in mortality of breast cancer origin and reduction in advanced stages diseases. There is still room for future studies evaluating post-campaigns knowledge, attitudes, and practices of women having participated, emphasizing on the barriers refraining Lebanese women to contribute in BC screening campaigns.
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https://openalex.org/W2419137860
Potential use of telephone surveys for non-communicable disease surveillance in developing countries: evidence from a national household survey in Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2419137860
Given the worldwide proliferation of cellphones, this paper examines their potential use for the surveillance of non-communicable disease (NCD) risk factors in a Middle Eastern country.Data were derived from a national household survey of 2,656 adults (aged 18 years or older) in Lebanon in 2009. Responses to questions on phone ownership yielded two subsamples, the 'cell phone sample' (n = 1,404) and the 'any phone sample' (n = 2,158). Prevalence estimates of various socio-demographics and 11 key NCD risk factors and comorbidities were compared between each subsample and the overall household sample.Adjusting for baseline age and sex distribution, no differences were observed for all NCD indicators when comparing either of subsamples to the overall household sample, except for binge drinking [(OR = 1.55, 95 % CI: 1.33-1.81) and (OR = 1.48, 95 % CI: 1.18-1.85) for 'cell phone subsample' and 'any phone subsample', respectively] and self-rated health (OR = 1.23, 95 % CI: 1.10-1.36) and (OR = 1.16, 95 % CI: 1.02-1.32), respectively). Differences in the odds of hyperlipidemia (OR = 1.27, 95 % CI: 1.06-1.51) was also found in the subsample of 'any phone' carriers.Multi-mode telephone surveillance techniques provide viable alternative to face-to-face surveys in developing countries. Cell phones may also be useful for personalized public health and medical care interventions in young populations.
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https://openalex.org/W2015670753
Policy Makers and Bedouin Health Provision
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[ "Lebanon" ]
[ "https://openalex.org/W2056865614", "https://openalex.org/W2059198887", "https://openalex.org/W2795458853" ]
https://api.openalex.org/works?filter=cites:W2015670753
Bedouin in Lebanon are estimated to represent two‐three per cent of the population. Most of them benefited from the 1994 Normalisation Law and are domiciled there. Being in rural areas and under‐privileged neighbourhoods, Bedouin continue to suffer from problems like social exclusion and poor health care provision. This paper assesses the awareness and knowledge of policy makers of the health policies and health status of the Bedouin community in Lebanon. In‐depth interviews were conducted with nine health policy makers from government, private and non‐government organisation sectors, and UN agencies (UNFPA, UNICEF) on topics of Bedouin status and livelihood, health policies and current health provision and use in reproductive and child health, and interventions to improve access to and quality of reproductive and child health and well‐being. Most of the policy makers interviewed had little or no knowledge of Bedouin population estimates, identity status and normalisation, geographical distribution in the rural peripheral areas of Lebanon, range of mobility, common health problems, or provision and use of health services. Policy makers said they had no current or future plans for health policies or procedures for the Bedouin community, but expressed willingness to contribute to any interventions to improve Bedouin health and well‐being. In Lebanon, where the public health sector is feeble and inequitable, mostly affecting marginalised and underprivileged communities including the Bedouin, policy makers hold unrealistic stereotypes about Bedouin and Bedouin health issues, and there are no comprehensive health policies that integrate Bedouin. It is essential that policy makers be more sensitised to and aware of the status of Bedouin in Lebanon, and advocacy and lobbying be initiated to include Bedouin health in government health and social policies.
[ { "display_name": "International Journal of Migration, Health and Social Care", "id": "https://openalex.org/S116772821", "type": "journal" } ]
https://openalex.org/W3103638805
Infectious Diseases in Times of Conflict and War: The Loyal Companions
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[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Displaced person", "id": "https://openalex.org/C104513104" }, { "display_name": "Spanish Civil War", "id": "https://openalex.org/C81631423" }, { "display_name": "Displacement (psychology)", "id": "https://openalex.org/C107551265" }, { "display_name": "Armed conflict", "id": "https://openalex.org/C3019338729" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Criminology", "id": "https://openalex.org/C73484699" }, { "display_name": "Association (psychology)", "id": "https://openalex.org/C142853389" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Development economics", "id": "https://openalex.org/C47768531" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Psychotherapist", "id": "https://openalex.org/C542102704" } ]
[ "Lebanon", "Syria" ]
[]
https://api.openalex.org/works?filter=cites:W3103638805
The association between war, conflict, massive force displacement and infectious diseases has long been established. The influx of large numbers of syrian refugees to Lebanon burdened the country's infrastructure on several levels, including the public health sector. The aim of this article is to evaluate the association between certain reportable infectious diseases, and the presence of Syrian refugees in Lebanon.
[ { "display_name": "Journal of infectious diseases and epidemiology", "id": "https://openalex.org/S4210190899", "type": "journal" } ]
https://openalex.org/W2888857297
A cross-sectional assessment of diabetes self-management, education and support needs of Syrian refugee patients living with diabetes in Bekaa Valley Lebanon
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W2888857297
Patients with diabetes require knowledge and skills to self-manage their disease, a challenging aspect of treatment that is difficult to address in humanitarian settings. Due to the lack of literature and experience regarding diabetes self-management, education and support (DSMES) in refugee populations, Medecins Sans Frontieres (MSF) undertook a DSMES survey in a cohort of diabetes patients seen in their primary health care program in Lebanon. Structured interviews were conducted with diabetes patients in three primary care clinics between January and February 2015. Scores (0–10) were calculated to measure diabetes core knowledge in each patient (the DSMES score). Awareness of long-term complications and educational preferences were also assessed. Analyses were conducted using Stata software, version 14.1 (StataCorp). Simple and multiple linear regression models were used to determine associations between various patient factors and the DSMES Score. A total of 292 patients were surveyed. Of these, 92% had type 2 diabetes and most (70%) had been diagnosed prior to the Syrian conflict. The mean DSMES score was 6/10. Having secondary education, previous diabetes education, a ‘diabetes confidant’, and insulin use were each associated with a higher DSMES Score. Lower scores were significantly more likely to be seen in participants with increasing age and in patients who were diagnosed during the Syrian conflict. Long-term complications of diabetes most commonly known by patients were vision related complications (68% of patients), foot ulcers (39%), and kidney failure (38%). When asked about the previous Ramadan, 56% of patients stated that they undertook a full fast, including patients with type 1 diabetes. Individual and group lessons were preferred by more patients than written, SMS, telephone or internet-based educational delivery models. DSMES should be patient and context appropriate. The variety and complexities of humanitarian settings provide particular challenges to its appropriate provision. Understanding patient baseline DSMES levels and needs provides a useful basis for humanitarian organizations seeking to provide diabetes care.
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https://openalex.org/W2979875921
“With every passing day I feel like a candle, melting little by little.” experiences of long-term displacement amongst Syrian refugees in Shatila, Lebanon
[ { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" } ], "display_name": "Hanadi Syam", "id": "https://openalex.org/A5039319915" }, { "affiliations": [ { "country": "Luxembourg", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210141672", "lat": 49.59312, "long": 6.120514, "type": "nonprofit" }, { "country": "South Africa", "display_name": "University of Cape Town", "id": "https://openalex.org/I157614274", "lat": -33.96333, "long": 18.47639, "type": "education" } ], "display_name": "Emilie Venables", "id": "https://openalex.org/A5026289140" }, { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" } ], "display_name": "Bernard Sousse", "id": "https://openalex.org/A5025034332" }, { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" } ], "display_name": "Nathalie Severy", "id": "https://openalex.org/A5081454457" }, { "affiliations": [ { "country": "Belgium", "display_name": "Médecins Sans Frontières", "id": "https://openalex.org/I4210129271", "lat": 50.833496, "long": 4.36407, "type": "nonprofit" } ], "display_name": "Luz Saavedra", "id": "https://openalex.org/A5084317537" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "François Kazour", "id": "https://openalex.org/A5069522969" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Overcrowding", "id": "https://openalex.org/C2778872837" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Neglect", "id": "https://openalex.org/C2776289891" }, { "display_name": "Domestic violence", "id": "https://openalex.org/C542059537" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "History", "id": "https://openalex.org/C95457728" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W2979875921
Abstract Background Long term displacement and exposure to challenging living conditions can influence family dynamics; gender roles; violence at home and in the community and mental well-being. This qualitative study explores these issues as perceived by Syrian refugees who have been living in Shatila, a Palestinian camp in South Beirut, Lebanon, for at least 2 years. Methods Twenty eight in-depth interviews with men and women were conducted between February and June 2018. Women were recipients of mental health services, and men were recruited from the local community. Interviews were conducted in Arabic, translated, transcribed, coded and analysed using thematic content analysis. Results Our results show patterns of harsh living conditions similar to those described earlier in the course of the Syrian refugee crisis. Lack of infrastructure, overcrowding, cramped rooms and violence were all reported. Participants also described a lack of social support, discrimination and harassment within the host community, as well as limited social support networks within their own Syrian refugee community. Family dynamics were affected by the increased responsibilities on men, women and children; with additional economic and employment demands on men, women assuming the roles of ‘mother and father’ and children having to work and contribute to the household. Participants discussed several types of violence, including parental violence against children and violence in the community. Violence against women was also reported. Reported mental health issues included depression, anxiety, sadness, frustration, hopelessness, self-neglect and a loss of sense of self and self-worth. Some participants expressed a wish to die. Conclusions This study describes experiences of changing gender roles, family dynamics, violence and mental health after long-term displacement in in Shatila camp, South Beirut as perceived by Syrian refugees. A lack of safety and security coupled with economic hardship rendered refugees even more susceptible to exploitation and harassment. Parental violence was the most commonly reported type of domestic violence.
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https://openalex.org/W3155107203
The role of community pharmacists in increasing access and use of self-care interventions for sexual and reproductive health in the Eastern Mediterranean Region: examples from Egypt, Jordan, Lebanon and Somalia
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Luna El Bizri", "id": "https://openalex.org/A5009776504" }, { "affiliations": [], "display_name": "Laila Ghazi Jarrar", "id": "https://openalex.org/A5071659228" }, { "affiliations": [ { "country": "Egypt", "display_name": "Economic Research Forum", "id": "https://openalex.org/I4210143333", "lat": 30.00944, "long": 31.20861, "type": "other" } ], "display_name": "Wael K. Ali Ali", "id": "https://openalex.org/A5019619312" }, { "affiliations": [], "display_name": "Abdifatah H. Omar", "id": "https://openalex.org/A5032146730" } ]
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[ "Lebanon", "Jordan", "Egypt", "Somalia" ]
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https://api.openalex.org/works?filter=cites:W3155107203
Abstract Background Self-care interventions offer a solution to support the achievement of three goals of the World Health Organization (WHO): to improve universal health coverage, reach people in humanitarian situations, and improve health and well-being. In light of implementing WHO consolidated guidelines on self-care interventions to strengthen sexual and reproductive health (SRH) in the Eastern Mediterranean Region (EMR), especially during the COVID-19 pandemic, pharmacists from four different EMR countries discussed the current SRH situation, inequality gaps, barriers to SRH service access and the pharmacist’s crucial role as a first-line responder to patients before, during and after COVID-19. Case presentation Self-care interventions for SRH allow health care providers to serve a greater number of patients, improve progress toward universal health coverage, and reach people in humanitarian crises. In fact, these interventions can be significantly enhanced by utilizing community pharmacists as first-line health care providers. This review highlights the important role of community pharmacists in promoting self-care interventions and empowering individuals, families and communities. As a result, well-informed individuals will be authoritative in their health decisions. Exploring self-care interventions in the EMR was done through reviewing selected SRH services delivery through community pharmacists before and during the COVID-19 pandemic in Egypt, Jordan, Lebanon and Somalia. Before the COVID-19 pandemic, community pharmacists were found to be excluded from both governmental and nongovernmental SRH programmes. During the pandemic, community pharmacists managed to support patients with self-care interventions, whether voluntarily or through their pharmacy associations. This highlights the need for the health care decision-makers to involve and support community pharmacists in influencing policies and promoting self-care interventions. Conclusion Self-care interventions can increase individuals’ choice and autonomy over SRH. Supporting community pharmacists will definitely strengthen SRH in the EMR and may help make the health system more efficient and more targeted.
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https://openalex.org/W3192948115
Inverse Association Between the Mediterranean Diet and COVID-19 Risk in Lebanon: A Case-Control Study
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3192948115
Background: Since 2019, the world is confronting the COVID-19 public health crisis that deeply impacted all aspects of life, from the health sector to economy. Despite the advancement of research targeting pandemic containment measures, more strategies are still needed to alleviate the burden caused by this novel disease. In particular, optimal nutrition was proposed as a possible mitigating factor in the context of COVID-19. Indeed, the light is shed on balanced diets, such as the Mediterranean diet, which present the finest nutritional quality to support the immune system and other physiologic functions. In contrast, less varied diets that lack the needed nutrients and favor inflammation have been correlated with adverse health effects, including a hindered immune response, such as the western diet. Methods: This observational case control study aimed at exploring the possible associations between the different dietary patterns present among a sample of the Lebanese population and the COVID-19 occurrence and outcomes. An online survey collected information about the sociodemographic characteristics, health status, lifestyle, and dietary habits through the Mediterranean diet questionnaire and a semi-quantitative fod frequency questionnaire, and the COVID-19 infection and its burden. The sample consisted of 399 respondents divided into the case and control groups (37.6 and 62.4%, respectively) on the basis of the presence or absence of a COVID-19 infection history. Results: The participants in the case and control groups had average adherence to the Mediterranean diet and their dietary intake was closer to the western diet. However, the cases had a lower mean of the MedDiet score ( p = 0.009). Food groups consumption analysis showed that this significant difference within the overall similar dietary patterns was due to a higher consumption of poultry and a trend toward decreased consumption of olive oil and increased read meat and alcohol intake among the cases. Additionally, gender influenced the levels of different foods' consumption. Nonetheless, the dietary intake did not impact the COVID-19 burden. Conclusion: It is recommended to adopt healthy food choices within the different dietary patterns for a better protection against COVID-19. These findings should be validated in larger-scale studies.
[ { "display_name": "Frontiers in Nutrition", "id": "https://openalex.org/S2596909297", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W4281260171
Prevalence and determinants of SARS-CoV-2 neutralizing antibodies in Lebanon
[ { "affiliations": [], "display_name": "Omar Bahlawan", "id": "https://openalex.org/A5056207516" }, { "affiliations": [], "display_name": "Rebecca Badra", "id": "https://openalex.org/A5031996245" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Hanna Semaan", "id": "https://openalex.org/A5024325971" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Nancy Fayad", "id": "https://openalex.org/A5026119011" }, { "affiliations": [ { "country": "Egypt", "display_name": "National Research Centre", "id": "https://openalex.org/I4210131959", "lat": 30.06263, "long": 31.24967, "type": "facility" } ], "display_name": "Mina Nabil Kamel", "id": "https://openalex.org/A5026027703" }, { "affiliations": [ { "country": "Egypt", "display_name": "National Research Centre", "id": "https://openalex.org/I4210131959", "lat": 30.06263, "long": 31.24967, "type": "facility" } ], "display_name": "Ahmed N. El Taweel", "id": "https://openalex.org/A5075261320" }, { "affiliations": [ { "country": "Egypt", "display_name": "National Research Centre", "id": "https://openalex.org/I4210131959", "lat": 30.06263, "long": 31.24967, "type": "facility" } ], "display_name": "Mokhtar R. Gomaa", "id": "https://openalex.org/A5043882618" }, { "affiliations": [], "display_name": "Abeer Sirawan", "id": "https://openalex.org/A5048613704" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Atika Berry", "id": "https://openalex.org/A5011330662" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Jacques Mokhbat", "id": "https://openalex.org/A5033444347" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Hertfordshire", "id": "https://openalex.org/I141584323", "lat": 51.751785, "long": -0.239045, "type": "education" } ], "display_name": "Jimi Goldstein", "id": "https://openalex.org/A5081935176" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Jad Abdallah", "id": "https://openalex.org/A5059634243" }, { "affiliations": [], "display_name": "Ghazi Kayali", "id": "https://openalex.org/A5081507282" } ]
[ { "display_name": "Seroprevalence", "id": "https://openalex.org/C2778494684" }, { "display_name": "Serology", "id": "https://openalex.org/C45189115" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Transmission (telecommunications)", "id": "https://openalex.org/C761482" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Coronavirus", "id": "https://openalex.org/C2777648638" }, { "display_name": "Neutralizing antibody", "id": "https://openalex.org/C2779261636" }, { "display_name": "Medical microbiology", "id": "https://openalex.org/C190139176" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Antibody", "id": "https://openalex.org/C159654299" }, { "display_name": "Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)", "id": "https://openalex.org/C3007834351" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Electrical engineering", "id": "https://openalex.org/C119599485" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2022439931", "https://openalex.org/W3012320055", "https://openalex.org/W3022440138", "https://openalex.org/W3022853666", "https://openalex.org/W3035189381", "https://openalex.org/W3044689339", "https://openalex.org/W3086127732", "https://openalex.org/W3093482635", "https://openalex.org/W3101046181", "https://openalex.org/W3108336065", "https://openalex.org/W3109725763", "https://openalex.org/W3115246226", "https://openalex.org/W3132538114", "https://openalex.org/W3133205990", "https://openalex.org/W3133861041", "https://openalex.org/W3147057700", "https://openalex.org/W3152609632", "https://openalex.org/W3159440582", "https://openalex.org/W3180037706", "https://openalex.org/W3185636691", "https://openalex.org/W3200043025", "https://openalex.org/W3201865815" ]
https://api.openalex.org/works?filter=cites:W4281260171
According to the Lebanese Ministry of Public Health, more than 1,053,000 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been confirmed in Lebanon so far. The actual number of cases is likely to be higher. We conducted a serological study from October 2020 to April 2021 to estimate the prevalence of SARS-CoV-2 neutralizing antibodies and identify associated factors. Serum samples as well as demographic, health, and behavioral data were collected from 2,783 subjects. Sera were tested by microneutralization assay. Neutralizing antibodies were detected in 58.9% of the study population. The positivity rate increased over the study period. It was highest among the group who remained at work during the COVID-19 pandemic and in peri-urban areas with limited adherence to preventive measures. Sex and age were associated with positivity. Reported previous COVID-19, exposure to a COVID-19 patient in the family, and attending gatherings were associated with increased prevalence. Not taking any precautionary measures against COVID-19 was a risk factor, whereas precautionary measures such as working from home and washing hands were protective. The high neutralizing antibody seroprevalence rates detected in this study emphasize the high transmission rate of SARS-CoV-2 infection in the community. Adherence to preventive measures and non-pharmaceutical interventions imposed by the government is recommended.
[ { "display_name": "Archives of Virology", "id": "https://openalex.org/S57491091", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3165907249
The first life skills intervention to enhance well-being amongst university students in the Arab world: ‘Khotwa’ pilot study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Diana Maddah", "id": "https://openalex.org/A5076940567" }, { "affiliations": [], "display_name": "Youssra Saab", "id": "https://openalex.org/A5072148347" }, { "affiliations": [], "display_name": "Hani Safadi", "id": "https://openalex.org/A5049980988" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Modern University for Business and Science", "id": "https://openalex.org/I3132890902", "lat": 33.893654, "long": 35.49579, "type": "education" } ], "display_name": "Nermine Abi Farraj", "id": "https://openalex.org/A5051067689" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Zeinab Mohamed Hassan", "id": "https://openalex.org/A5023195742" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Manchester", "id": "https://openalex.org/I28407311", "lat": 53.48095, "long": -2.23743, "type": "education" } ], "display_name": "Sophia Turner", "id": "https://openalex.org/A5085387347" }, { "affiliations": [], "display_name": "Lina Echeverri", "id": "https://openalex.org/A5012966037" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Modern University for Business and Science", "id": "https://openalex.org/I3132890902", "lat": 33.893654, "long": 35.49579, "type": "education" } ], "display_name": "Nael H. Alami", "id": "https://openalex.org/A5038203347" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Tamar Kababian-Khasholian", "id": "https://openalex.org/A5019133890" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5023182162" } ]
[ { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Life skills", "id": "https://openalex.org/C501001295" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3165907249
Although Life Skills programs showed to improve the psychological and physical wellbeing of individuals, little attention has been paid, worldwide and in the Arab countries in specific to implementing life skills intervention for university students. In this study, we tested the effectiveness of a life skills based health promotion intervention KHOTWA (STEP) in enhancing the wellbeing of university students in Lebanon, a country that faces economic and political instability. This is a quasi-experimental study, with pre and post-test, intervention-control design. Each group was formed of 78 participants studying in a private university in Lebanon. Mixed design was used to address the process and outcomes objectives of the intervention. The program was carried online due to COVID-19 pandemic. Significant differences were observed between the intervention and the control groups for life skills, dietary habits and mental health scores at the 3-month follow-up. For the intervention group, a significant increase was observed in the mean score of each of the following Life Skills subscales: self-care ( p = 0.001), work and study ( p = 0.013), career and education planning ( p = 0.011) and looking forward/goal settings ( p &lt; 0.001). Students also achieved a healthier eating habit compared to those in the control group by decreasing their consumption of processed food. There was no significant effect in terms of body mass index ( p = 0.827). Also, there was a significant change in the mental health status ( p = 0.012) only in the intervention group as its mean score decreased after 3 months of the intervention implementation. This intervention enhances the mental health and promotes healthy habits leading consequently to a better quality of life and more productivity amongst university students. Therefore, such interventions should be replicated in other similar context to improve university students’ well-being.
[ { "display_name": "Health Psychology Open", "id": "https://openalex.org/S2764759637", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2792853601
Public and pharmacist perceptions towards counterfeit medicine in Lebanon using focus groups
[ { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Brighton", "id": "https://openalex.org/I71637028", "lat": 50.82838, "long": -0.13947, "type": "education" } ], "display_name": "Lydia Sholy", "id": "https://openalex.org/A5025216512" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Brighton", "id": "https://openalex.org/I71637028", "lat": 50.82838, "long": -0.13947, "type": "education" } ], "display_name": "Paul R. Gard", "id": "https://openalex.org/A5018116621" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Brighton", "id": "https://openalex.org/I71637028", "lat": 50.82838, "long": -0.13947, "type": "education" } ], "display_name": "Siân Williams", "id": "https://openalex.org/A5068968521" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Brighton", "id": "https://openalex.org/I71637028", "lat": 50.82838, "long": -0.13947, "type": "education" } ], "display_name": "Angela Macadam", "id": "https://openalex.org/A5007644089" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Christiane Saliba", "id": "https://openalex.org/A5030188545" } ]
[ { "display_name": "Counterfeit", "id": "https://openalex.org/C2779356469" }, { "display_name": "Focus group", "id": "https://openalex.org/C56995899" }, { "display_name": "Snowball sampling", "id": "https://openalex.org/C106399304" }, { "display_name": "Counterfeit Drugs", "id": "https://openalex.org/C2909665878" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Pharmacist", "id": "https://openalex.org/C2779457091" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Pharmacy", "id": "https://openalex.org/C104863432" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Marketing", "id": "https://openalex.org/C162853370" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2792853601
Background: Counterfeit medicine is a product that is deliberately and fraudulently mislabelled with respect to identity or source. The international concern is the risk counterfeits pose for public health. To date, there are no published studies on public and pharmacist perceptions towards counterfeit medicine in Lebanon. Therefore, the aim of the study was to explore participants’ experiences, views and beliefs regarding counterfeit medicine by employing the mixed methods methodology. Methods: The study used four focus groups. The two public focus groups were recruited using the convenience sampling method from two schools in Mount Lebanon. The two pharmacists’ focus groups were recruited by the snowball approach from different pharmacy settings. All participants were above 18 years old. Results: The public and pharmacist focus groups had a total of 24 and 13 participants respectively. Using thematic analysis, themes and subthemes emerged from the discussions, and the common themes between the public and pharmacists were; awareness, trust, corruption and overcoming counterfeit medicine. Conclusions: The findings showed the perceived risk counterfeit medicine pose to individuals and public health. According to focus group participants, the situation is serious and requires more attention from the Ministry of Public Health and Order of Pharmacists. Therefore, the need is to establish strict control on medicine; implement and enforce the law; reactivate the central laboratory; create a counterfeit medicine reporting system, and develop continuous educational programs.
[ { "display_name": "International Journal of Community Medicine and Public Health", "id": "https://openalex.org/S2764876480", "type": "journal" }, { "display_name": "University of Brighton Repository (University of Brighton)", "id": "https://openalex.org/S4306401758", "type": "repository" } ]
https://openalex.org/W3082826630
Community mental healthcare in Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3082826630
Lebanon is a medium-income country in the Eastern Mediterranean which has seen a surge in interest in mentalhealth over the past two decades following years of stagnation. The mental health needs of the country at primary carelevel and for severe psychiatric disorders are underserved. Political instability, chronic underfunding and widespreadstigma have all contributed to maintaining a traditional model of private clinics affiliated with inpatient and long-staypsychiatric units. A number of initiatives have recently been launched to cater for patients with psychotic disorders andalso to offer partial hospitalization for others with mood-related conditions. In parallel, the Ministry of Public Health,with international funding, has been instrumental in its efforts to standardize care at a national level, particularlyfor early detection and treatment in primary care settings. The priorities of the national mental health programmeare consistent with the global trend in shifting services to the community. Hurdles remain, in line with those facingcountries with similar socio-demographics and resources. These include limited third-party coverage of mental health,absence of training opportunities in multidisciplinary community settings and some clinicians’ reluctance to updatetheir ways of working. Development of a local workforce, familiar with evidence-based models of care and dedicatedto providing a patient-centred approach in the least restrictive settings, is essential for consolidating community carein Lebanon. This would be reinforced by (overdue) legislation and implementation of a mental health law.
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https://openalex.org/W3197315917
Addressing the COVID-19 emergency during the ongoing political and economic crisis in Fragile Lebanon: a call to action
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3197315917
This Letter to the Editor aims to reflect on the current challenges to increase the coverage of COVID-19 vaccination in the fragile and conflict-affected setting of Lebanon, which is currently experiencing one of the biggest economic crises globally as well as a recent surge in COVID-19 cases. Addressing the supply- and demand-related factors affecting vaccination would increase COVID-19 vaccine coverage and prevent the complete collapse of an already overwhelmed Lebanese health care system.
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https://openalex.org/W4281766387
Genomic Surveillance of SARS CoV2 in COVID-19 vaccinated healthcare workers in Lebanon
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https://api.openalex.org/works?filter=cites:W4281766387
Abstract The emergence of SARS-CoV-2 variants including the Delta and Omicron along with waning of vaccine-induced immunity over time contributed to increased rates of breakthrough infection specifically among healthcare workers (HCWs). SARS-CoV-2 genomic surveillance is an important tool for timely detection and characterization of circulating variants as well as monitoring the emergence of new strains. Our study is the first national SARS-CoV-2 genomic surveillance among HCWs in Lebanon. We collected 250 samples from five hospitals across Lebanon between December 2021 and January 2022. We extracted viral RNA and performed whole genome sequencing using the Illumina NextSeq 500 platform. A total of 133 (57.1%) samples belonging to the Omicron (BA.1.1) sub-lineage were identified, as well as 44 (18.9%) samples belonging to the BA.1 sub-lineage, 28 (12%) belonging to the BA.2 sub-lineage, and only 15 (6.6%) samples belonging to the Delta variant sub-lineage B.1.617.2. These results show that Lebanon followed the global trend in terms of circulating SARS-CoV-2 variants with Delta rapidly replaced by the Omicron variant. This study underscores the importance of continuous genomic surveillance programs in Lebanon for the timely detection and characterization of circulating variants. The latter is critical to guide public health policy making and to timely implement public health interventions.
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https://openalex.org/W3196189795
The Burden of Communicable Diseases in Lebanon: Trends in the Past Decade
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[ "Lebanon", "Syria" ]
[ "https://openalex.org/W2031070355", "https://openalex.org/W2085731993", "https://openalex.org/W2561195546", "https://openalex.org/W2894551922" ]
https://api.openalex.org/works?filter=cites:W3196189795
The present study aims to review the main communicable diseases that experienced an upsurge in the past decade in Lebanon and to highlight the reasons behind this increase. Data of reported communicable diseases from 2010 till 2019 were obtained from the Lebanese Ministry of Public Health (LMOPH) epidemiological surveillance database. Tuberculosis, measles, mumps, leishmaniasis, and hepatitis A were the main communicable diseases that showed a sharp increase in the past 10 y. Measles outbreaks occurred in 2013 and 2018, leishmaniasis outbreak in 2013, and mumps and hepatitis A outbreaks in 2014. The highest percentages of reported diseases were from Beqaa and North governorates. The massive influx of Syrian refugees to Lebanon, together with the poor water management system, poor sanitation, deprived living conditions, and limited health-care access in rural areas might have contributed to the upsurge of communicable diseases. Although the LMOPH succeeded in containing the outbreaks, further efforts are needed to improve the identified gaps to avoid future outbreaks.
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https://openalex.org/W1985891149
Community Resilience for Catastrophic Health Events
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W1985891149
Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and ScienceVol. 6, No. 2 EditorialCommunity Resilience for Catastrophic Health EventsMonica Schoch-SpanaMonica Schoch-SpanaSearch for more papers by this authorPublished Online:18 Jun 2008https://doi.org/10.1089/bsp.2008.0520AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail "Community Resilience for Catastrophic Health Events." , 6(2), pp. 129–130FiguresReferencesRelatedDetailsCited byHow can community-based health organisations play a role in biohazards? A thematic analysis30 January 2020 | Asia Pacific Journal of Social Work and Development, Vol. 30, No. 1Individual perceptions of community resilience following the 2011 Joplin tornado26 April 2017 | Journal of Contingencies and Crisis Management, Vol. 25, No. 4Bouncing ForwardAmerican Behavioral Scientist, Vol. 59, No. 2Vietnamese Refugees’ Perspectives on their Community's Resilience in the Event of a Natural Disaster4 January 2023 | International Journal of Mass Emergencies & Disasters, Vol. 32, No. 3The H1N1 pandemic: media frames, stigmatization and coping3 December 2013 | BMC Public Health, Vol. 13, No. 1Resilience thinking in health protection6 April 2011 | Journal of Public Health, Vol. 33, No. 3Public health practice and disaster resilience: a framework integrating resilience as a worker protection strategySummer 2006 war on Lebanon: A lesson in community resilienceGlobal Public Health, Vol. 6, No. 5Planning for Pandemic: A New Model for Governing Public Health Emergencies1 March 2011 | American Journal of Law & Medicine, Vol. 37, No. 1A green and healthy future: the settings approach to building health, equity and sustainability25 August 2010 | Critical Public Health, Vol. 20, No. 3The Role of Public Health in Mental and Behavioral Health in Children and Families Following DisastersJournal of Public Health Management and Practice, Vol. 15, No. 6 Volume 6Issue 2Jun 2008 InformationMary Ann Liebert, Inc.To cite this article:Monica Schoch-Spana.Community Resilience for Catastrophic Health Events.Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science.Jun 2008.129-130.http://doi.org/10.1089/bsp.2008.0520Published in Volume: 6 Issue 2: June 18, 2008PDF download
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https://openalex.org/W3015934954
Assessing the governance of the health policy-making process using a new governance tool: the case of Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3015934954
Abstract Background In the international agenda, it has become common to assert that the assessment of health system governance using a practical tool is crucial. This approach can help us better understand how health systems are being steered as well as to identify gaps in the decision-making process and their causes. The authors developed a new assessment tool, the Health Policymaking Governance Guidance Tool (HP-GGT), that was designed to be conceptually sound and practical. This tool enables policy-makers and stakeholders to systematically review and assess health system governance at policy-making level. This article presents first use of the HP-GGT in Lebanon, together with generated results, recommendations, and discusses how these results improve governance practices when initiating new health policy formulation processes. Methods The HP-GGT, which is a multidimensional structured tool, was used retrospectively to assess and review the process used to develop a new mental health strategy; this process was compared against consensus-based good governance principles, focusing on participation, transparency, accountability, information and responsiveness. The assessment was conducted through face-to-face interviews with 11 key informants who were involved in the development of the strategy. Results The HP-GGT enabled policy-makers to reflect on their governance practices when developing a mental health strategy and was able to identify key areas of strengths and weaknesses using good governance practice checklists given by the questions. The insights generated from the assessment equipped the national policy-makers with a better understanding of the practice and meaning of policy-making governance. Identifying weaknesses to be addressed in future attempts to develop other national health policies helped in this regard. Using the tool also increased awareness of alternative good practices among policy-makers and stakeholders. Conclusions Assessing a health policy formulation process from a governance perspective is essential for improved policy-making. The HP-GGT was able to provide a general overview and an in-depth assessment of a policy formulation process related to governance issues according to international good practices that should be applied while formulating health policies in any field. The HP-GGT was found to be a practical tool that was useful for policy-makers when used in Lebanon and awaits applications in other low- and middle-income countries to further show its validity and utility.
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https://openalex.org/W2158506839
Bibliographic review of research publications on access to and use of medicines in low-income and middle-income countries in the Eastern Mediterranean Region: identifying the research gaps
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[ "Lebanon", "Sudan", "Djibouti", "Iran", "Jordan", "Somalia" ]
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https://api.openalex.org/works?filter=cites:W2158506839
We assessed the situation of academic publications on access to and use of medicines (ATM) in low-income and middle-income countries (LMICs) of the Eastern Mediterranean Region (EMR). We aimed to inform priority setting for research on ATM in the region.Bibliographic review of published studies.LMICs in EMR.Publications on ATM issues originating from or focusing on EMR LMICs covering the period 2000-2011. Publications involving multinational studies were included if at least one eligible country had been included in the study.We conducted comprehensive searches of the PubMed, Social Science Citation Index and Science Citation Index. We used the WHO ATM framework for data extraction and synthesis. We analysed the data according to the ATM issues, health system levels, year of publication and the countries of origin or focus of the studies.151 articles met the inclusion criteria. Most articles (77%) originated from LMICs in EMR, suggesting that the majority of evidence on ATM in the region is home-grown. Over 60% of articles were from Iran, Pakistan, Jordan and Lebanon (in order of volume), while we found no studies assessing ATM in Somalia, Djibouti and South Sudan, all low-income countries. Most studies focused on the rational use of medicines, while affordability and financing received limited attention. There was a steady growth over time in the number of ATM publications in the region (r=0.87).There is a growing trend, over the years, of more studies from the region appearing in international journals. There is a need for further research on the financing and affordability aspects of ATM in the region. Cross-border issues and the roles of non-health sectors in access to medicines in the region have not been explored widely.
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https://openalex.org/W2397905868
[Oral health in school children in Lebanon].
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2397905868
This survey is the first epidemiological investigation to be carried out at the national level in Lebanon. It provides a first series of basic data indicative of the present oral health situation in the country. The results of this survey should contribute to the elaboration of a National Oral Health Plan and to the development of a broad strategy for the implementation of preventive measures [8]. Indeed, experience clearly indicates that dental caries cannot be successfully eradicated nation-wide through curative measures only and that preventive measures must also be implemented. The main effort in the field of oral health care should mainly focus on health promotion and education, leading in turn to improved oral hygiene.
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https://openalex.org/W4210591037
Neglected Tropical Diseases in Lebanon
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W4210591037
Neglected tropical diseases (NTDs) are highly endemic and distributed within the Middle East and North Africa (MENA) region, affecting an estimated 65 million people. Lebanon suffers from several NTDs as they are either endemic in the country or imported via expats residing in endemic regions, refugees, and foreign labor force. The Syrian crisis and the displacement of refugees to Lebanon have made the country the largest host of refugees per capita right after the Syrian crisis in 2011, peaking in the year of 2013. Additionally, foreign labor in Lebanon come from different countries in Africa and Asia that are endemic with certain NTDs. The Lebanese diaspora is approximately twice the number of those residing in the country and is distributed throughout the continents carrying the risk of importing new NTDs.A descriptive study about the prevalence of NTDs in Lebanon, their distribution, and factors contributing to spread was performed. The Lebanese Ministry of Public Health (LMPH) database regarding reportable transmissible diseases was reviewed for reportable NTDs between 2002 and 2020 in relation to age, gender, prevalence, and geographical distribution. The medical literature was searched using several engines looking for all reports about NTDs in Lebanon, those relevant to regions hosting Lebanese diaspora, and countries where the refugees and migrant workers came from.Only leishmaniasis, leprosy, echinococcosis, schistosomiasis, and rabies are mandatorily reportable NTDs by the LMPH. Additionally, case reports about fasciolosis, ascaridiosis, and Dengue were reported from Lebanon. The presence of the Syrian refugees in the country affected the prevalence of leishmaniasis and rabies. The most prevalent NTD in Lebanon is cutaneous leishmaniasis. The Lebanese diaspora reside mainly in South America, Africa, and in some Arab states known to be endemic with certain NTDs.Little information is known about NTDs in Lebanon. The country is at an increased risk of experiencing several new NTDs due to refugee influx, foreign labor, economic crisis, and ever-growing number of Lebanese seeking work opportunities abroad. More information is needed to assess the true burden of NTDs in Lebanon and the future steps to contain and mitigate their effects.
[ { "display_name": "Acta Parasitologica", "id": "https://openalex.org/S120551135", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4384202567
Experiences of Cultural Differences, Discrimination, and Healthcare Access of Displaced Syrians (DS) in Lebanon: A Qualitative Study
[ { "affiliations": [ { "country": "Belgium", "display_name": "Institut Scientifique de Santé Publique", "id": "https://openalex.org/I4210158280", "lat": 50.779205, "long": 4.351736, "type": "facility" } ], "display_name": "Riwa Khalifeh", "id": "https://openalex.org/A5033592018" }, { "affiliations": [ { "country": "Belgium", "display_name": "Institut Scientifique de Santé Publique", "id": "https://openalex.org/I4210158280", "lat": 50.779205, "long": 4.351736, "type": "facility" } ], "display_name": "William D’Hoore", "id": "https://openalex.org/A5018909611" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Christiane Saliba", "id": "https://openalex.org/A5030188545" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" }, { "country": "Cyprus", "display_name": "University of Nicosia", "id": "https://openalex.org/I17389662", "lat": 35.17531, "long": 33.3642, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5023182162" }, { "affiliations": [ { "country": "Belgium", "display_name": "Institut Scientifique de Santé Publique", "id": "https://openalex.org/I4210158280", "lat": 50.779205, "long": 4.351736, "type": "facility" } ], "display_name": "Marie Dauvrin", "id": "https://openalex.org/A5056087750" } ]
[ { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Equity (law)", "id": "https://openalex.org/C199728807" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Health equity", "id": "https://openalex.org/C2250968" }, { "display_name": "Quarter (Canadian coin)", "id": "https://openalex.org/C85079727" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1925415571", "https://openalex.org/W2004079143", "https://openalex.org/W2042909475", "https://openalex.org/W2056949554", "https://openalex.org/W2089662347", "https://openalex.org/W2090224724", "https://openalex.org/W2275113332", "https://openalex.org/W2475283005", "https://openalex.org/W2501060138", "https://openalex.org/W2583267483", "https://openalex.org/W2583435211", "https://openalex.org/W2594519269", "https://openalex.org/W2952372792", "https://openalex.org/W2955034566", "https://openalex.org/W2969777862", "https://openalex.org/W2982441784", "https://openalex.org/W2991021954", "https://openalex.org/W2991993194", "https://openalex.org/W2998840667", "https://openalex.org/W3034664657", "https://openalex.org/W3035317497", "https://openalex.org/W3040928969", "https://openalex.org/W3112152344", "https://openalex.org/W3124601312", "https://openalex.org/W3136853555", "https://openalex.org/W3167657243", "https://openalex.org/W3171777526", "https://openalex.org/W3199944461", "https://openalex.org/W4200183611", "https://openalex.org/W4311864879" ]
https://api.openalex.org/works?filter=cites:W4384202567
The study aims to examine cultural differences and discrimination as difficulties encountered by DS when using the Lebanese healthcare system, and to evaluate the equity of DS access to health services in Lebanon. This is a qualitative study using in-depth semi-structured interviews with DS and Lebanese healthcare professionals. The participants were selected by visiting two hospitals, one public Primary Healthcare Center, and three PHCs managed by Non-Governmental Organizations. The recruitment of participants was based on reasoned and targeted sampling. Thematic analysis was performed to identify common themes in participants’ experiences of DS in accessing Lebanese healthcare. Twenty interviews took place with directors of health facilities (n = 5), health professionals (n = 9), and DS (n = 6) in six different Lebanese healthcare institutions. The results showed barriers of access to care related to transportation and financial issues. Healthcare services provided to the DS appear to be of poor quality due to inequitable access to the health system, attributable to the discriminatory behavior of healthcare providers. Among the several factors contributing to the presence of discrimination in the Lebanese healthcare system, the persisting fragility of the healthcare system—facing a humanitarian crisis—emerged as the major driver of such unequal treatment. The number of DS in Lebanon is roughly equal to a quarter of its citizens; there is an urging need to restore the Lebanese health system to ensure the equitable provision of health services for DS and appropriate working conditions for health professionals.
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https://openalex.org/W3153997466
Regulatory standards and processes for over-the-counter availability of hormonal contraception and drugs for medical abortion in five countries in the Eastern Mediterranean Region
[ { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "Anne Ammerdorffer", "id": "https://openalex.org/A5009900754" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "Mark Laws", "id": "https://openalex.org/A5058234842" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "Arinze Awiligwe", "id": "https://openalex.org/A5082892314" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "Florence Erb", "id": "https://openalex.org/A5008139737" }, { "affiliations": [ { "country": "Thailand", "display_name": "Concept Foundation", "id": "https://openalex.org/I2799652594", "lat": 14.079339, "long": 100.6041, "type": "nonprofit" } ], "display_name": "Wallada Im-Amornphong", "id": "https://openalex.org/A5006347131" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "A. Metin Gülmezoglu", "id": "https://openalex.org/A5055509532" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Concept Foundation", "id": "https://openalex.org/I4210124639", "lat": 46.22074, "long": 6.147059, "type": "nonprofit" } ], "display_name": "Lester Chinery", "id": "https://openalex.org/A5067313163" }, { "affiliations": [ { "country": "Switzerland", "display_name": "World Health Organization", "id": "https://openalex.org/I4210105654", "lat": 46.20222, "long": 6.14569, "type": "government" } ], "display_name": "Briana Lucido", "id": "https://openalex.org/A5076694865" }, { "affiliations": [ { "country": "Switzerland", "display_name": "World Health Organization", "id": "https://openalex.org/I4210105654", "lat": 46.20222, "long": 6.14569, "type": "government" } ], "display_name": "Manjulaa Narasimhan", "id": "https://openalex.org/A5076264035" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Emergency contraception", "id": "https://openalex.org/C2777964154" }, { "display_name": "Over-the-counter", "id": "https://openalex.org/C2777988657" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Family planning", "id": "https://openalex.org/C2779076696" }, { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Essential medicines", "id": "https://openalex.org/C2777424817" }, { "display_name": "Abortion", "id": "https://openalex.org/C2778642596" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Ulipristal acetate", "id": "https://openalex.org/C2777486506" }, { "display_name": "Medical prescription", "id": "https://openalex.org/C2426938" }, { "display_name": "Reproductive medicine", "id": "https://openalex.org/C2776210078" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Hormonal contraception", "id": "https://openalex.org/C2776172332" }, { "display_name": "Developed country", "id": "https://openalex.org/C160050368" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Research methodology", "id": "https://openalex.org/C2986817661" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" } ]
[ "Lebanon", "Tunisia", "Jordan", "Egypt", "Morocco" ]
[ "https://openalex.org/W2892071625", "https://openalex.org/W4253260513" ]
https://api.openalex.org/works?filter=cites:W3153997466
Abstract The World Health Organization 2019 WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights includes recommendations on self-administration of injectable contraception, over-the-counter (OTC) oral contraception and self-management of medical abortion. A review of the regulatory status of these two self-care interventions can highlight processes required to ensure that the quality of the medicines and safety of individuals are safeguarded in the introduction and scale-up in countries. This review outlines the legal regulatory status of prescription-only medicine (POM) and OTC contraceptives, including emergency contraception, and drugs for medical abortion in Egypt, Jordan, Lebanon, Morocco and Tunisia using information obtained from internet searches, regulatory information databases and personal contacts. In addition, the review examines whether the national medicines regulatory authorities have documented procedures available to allow for a change in status from a POM to OTC to allow for increased accessibility, availability and uptake of self-care interventions recommended by WHO. Egypt, Jordan and Lebanon have a documented national OTC list available. The only contraceptive product mentioned in the OTC lists across all five countries is ellaOne (ulipristal acetate for emergency contraception), which is publicly registered in Lebanon. None of the five countries has an official documented procedure to apply for the change of POM to OTC. Informal procedures exist, such as the ability to apply to the national medicines regulatory authority for OTC status if the product has OTC status in the original country of manufacture. However, many of these procedures are not officially documented, highlighting the need for establishing sound, affordable and effective regulation of medical products as an important part of health system strengthening. From a public health perspective, it would be advantageous for licensed products to be available OTC. This is particularly the case for settings where the health system is under-resourced or over-stretched due to health emergencies. Readiness of national regulatory guidelines and OTC procedures could lead to increased access, availability and usage of essential self-care interventions for sexual and reproductive health and rights.
[ { "display_name": "Health Research Policy and Systems", "id": "https://openalex.org/S201446958", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2901908172
The development of national multisectoral action plans for the prevention and control of noncommunicable diseases: experiences of national-level stakeholders in four countries
[ { "affiliations": [ { "country": "Russia", "display_name": "WHO European Office for the Prevention and Control of NCD", "id": "https://openalex.org/I4210145624", "lat": 55.759792, "long": 37.60236, "type": "government" } ], "display_name": "Kremlin Wickramasinghe", "id": "https://openalex.org/A5027737256" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Oxford", "id": "https://openalex.org/I40120149", "lat": 51.75222, "long": -1.25596, "type": "education" } ], "display_name": "Elizabeth Wilkins", "id": "https://openalex.org/A5005095557" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Bristol", "id": "https://openalex.org/I36234482", "lat": 51.45523, "long": -2.59665, "type": "education" } ], "display_name": "Charlie Foster", "id": "https://openalex.org/A5016646864" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Ibtihal Fadhil", "id": "https://openalex.org/A5001883319" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Asmus Hammerich", "id": "https://openalex.org/A5015915795" }, { "affiliations": [ { "country": "Egypt", "display_name": "World Health Organization Regional Office for the Eastern Mediterranean", "id": "https://openalex.org/I4210105726", "lat": 30.06688, "long": 31.35298, "type": "government" } ], "display_name": "Slim Slama", "id": "https://openalex.org/A5078136263" }, { "affiliations": [ { "country": "Morocco", "display_name": "Ministère de la Santé", "id": "https://openalex.org/I4210107929", "lat": 34.01108, "long": -6.828338, "type": "government" } ], "display_name": "Hicham El Berri", "id": "https://openalex.org/A5009930150" }, { "affiliations": [ { "country": "Sudan", "display_name": "Federal Ministry of Health", "id": "https://openalex.org/I4210108680", "lat": 15.611253, "long": 32.537804, "type": "government" } ], "display_name": "Manal Elimam", "id": "https://openalex.org/A5089027106" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Salim M. Adib", "id": "https://openalex.org/A5029957821" }, { "affiliations": [ { "country": "Kenya", "display_name": "Somalia Water and Land Information", "id": "https://openalex.org/I4210090696", "lat": -1.235654, "long": 36.770702, "type": "nonprofit" } ], "display_name": "Mona Al-Mudwahi", "id": "https://openalex.org/A5005655820" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Bath", "id": "https://openalex.org/I51601045", "lat": 51.3751, "long": -2.36172, "type": "education" } ], "display_name": "Nick Townsend", "id": "https://openalex.org/A5020949036" } ]
[ { "display_name": "Action plan", "id": "https://openalex.org/C2780210234" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Best practice", "id": "https://openalex.org/C184356942" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Action (physics)", "id": "https://openalex.org/C2780791683" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Implementation research", "id": "https://openalex.org/C72497813" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Ecology", "id": "https://openalex.org/C18903297" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Quantum mechanics", "id": "https://openalex.org/C62520636" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon", "Yemen", "Sudan", "Morocco" ]
[ "https://openalex.org/W2102118619", "https://openalex.org/W2114799294", "https://openalex.org/W2119912387", "https://openalex.org/W2122501553", "https://openalex.org/W2157149868", "https://openalex.org/W2318330535" ]
https://api.openalex.org/works?filter=cites:W2901908172
Background: In October 2012, the WHO Eastern Mediterranean Region (EMR) developed a Regional Framework for Action to implement multisectoral action plans (MAPs) for the prevention and control of noncommunicable diseases (NCDs).Objectives: The aim of this project was to draw on the experiences of four EMR countries that had made good progress in developing these MAPs, to identify best practice and barriers in the development of them.Methods: Structured interviews were held with key stakeholders in the development of the MAPs from the four focal EMR countries: Lebanon, Morocco, Sudan, and Yemen. These interviews comprised two stages: first we conducted face-to-face interviews in September 2014; we then carried out follow-up teleconference interviews during October 2014. Thematic analysis of transcripts was used to identify several themes, including examples of best practices and challenges that were common to all four focal countries and are likely to be also relevant to many other countries in the development of MAPs.Results: Best practice in the development of MAPs includes methods to identify and recruit key sectors, ways to foster collaboration between sectors in the development and implementation of the action plan and means through which to encourage public support. Challenges identified included measuring outcomes in evaluating MAP success, current pressures and competing priorities for sectors and the perception of health issues as the responsibility of the health sector. Cultural and bureaucratic challenges were also discussed along with multisectoral fatigue, through the promotion of multisectoral approaches for a number of national issues.Conclusions: Although the development of multisectoral action plans to tackle NCDs is recommended, the process is a challenging one. Reflections from those countries which have experience in developing such action plans is important in identifying common challenges as well as recommending best practice, such that other countries may learn from their experiences.
[ { "display_name": "Global Health Action", "id": "https://openalex.org/S105066276", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "Bristol Research (University of Bristol)", "id": "https://openalex.org/S4306400895", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3206708375
The role of trust in health-seeking for non-communicable disease services in fragile contexts: A cross-country comparative study
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[ { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Interpersonal communication", "id": "https://openalex.org/C164850336" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1930884446", "https://openalex.org/W1966287553", "https://openalex.org/W1972279222", "https://openalex.org/W1978160591", "https://openalex.org/W1980507506", "https://openalex.org/W1992526579", "https://openalex.org/W1993349169", "https://openalex.org/W1996159838", "https://openalex.org/W2001263176", "https://openalex.org/W2004334073", "https://openalex.org/W2037773437", "https://openalex.org/W2037957347", "https://openalex.org/W2045588670", "https://openalex.org/W2062097741", "https://openalex.org/W2065092922", "https://openalex.org/W2111055994", "https://openalex.org/W2117941873", "https://openalex.org/W2122501553", "https://openalex.org/W2128850858", "https://openalex.org/W2131132203", "https://openalex.org/W2136409470", "https://openalex.org/W2150614632", "https://openalex.org/W2154021580", "https://openalex.org/W2252712082", "https://openalex.org/W2344914169", "https://openalex.org/W2561195546", "https://openalex.org/W2594593007", "https://openalex.org/W2738372698", "https://openalex.org/W2947434533", "https://openalex.org/W2954409839", "https://openalex.org/W2965840843", "https://openalex.org/W2975843526", "https://openalex.org/W2995655166", "https://openalex.org/W3005191951", "https://openalex.org/W3009882440", "https://openalex.org/W3015148855", "https://openalex.org/W3021788454", "https://openalex.org/W3030196196", "https://openalex.org/W3119626207", "https://openalex.org/W3128115796" ]
https://api.openalex.org/works?filter=cites:W3206708375
Non-communicable diseases (NCDs) disproportionately affect people living in fragile contexts marked by poor governance and health systems struggling to deliver quality services for the benefit of all. This combination can lead to the erosion of trust in the health system, affecting health-seeking behaviours and the ability of individuals to sustain their health. In this cross-country multiple-case study, we analyse the role of trust in health-seeking for NCD services in fragile contexts. Our analysis triangulates multiple data sources, including semi-structured interviews (n = 102) and Group Model Building workshops (n = 8) with individuals affected by NCDs and health providers delivering NCD services. Data were collected in Freetown and Makeni (Sierra Leone), Beirut and Beqaa (Lebanon), and Morazán, Chalatenango and Bajo Lempa (El Salvador) between April 2018 and April 2019. We present a conceptual model depicting key dynamics and feedback loops between contextual factors, institutional, interpersonal and social trust and health-seeking pathways. Our findings signal that firstly, the way health services are delivered and experienced shapes institutional trust in health systems, interpersonal trust in health providers and future health-seeking pathways. Secondly, historical narratives about public institutions and state authorities' responses to contextual fragility drivers impact institutional trust and utilisation of services from public health institutions. Thirdly, social trust mediates health-seeking behaviour through social bonds and links between health systems and individuals affected by NCDs. Given the repeated and sustained utilisation of health services required with these chronic diseases, (re)building and maintaining trust in public health institutions and providers is a crucial task in fragile contexts. This requires interventions at community, district and national levels, with a key focus on promoting links and mutual accountability between health systems and communities affected by NCDs.
[ { "display_name": "Social Science & Medicine", "id": "https://openalex.org/S106822843", "type": "journal" }, { "display_name": "Edinburgh Research Explorer (University of Edinburgh)", "id": "https://openalex.org/S4306400320", "type": "repository" }, { "display_name": "Queen Margaret University Publications Repository (Queen Margaret University)", "id": "https://openalex.org/S4306402028", "type": "repository" }, { "display_name": "Stirling Online Research Repository (University of Stirling)", "id": "https://openalex.org/S4306400268", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3200890353
Shedding Light on the Causes and Characteristics of Stroke in Lebanon: A Systematic Review of Literature
[ { "affiliations": [ { "country": "United States", "display_name": "Massachusetts General Hospital", "id": "https://openalex.org/I4210087915", "lat": 42.35843, "long": -71.05977, "type": "healthcare" }, { "country": "United States", "display_name": "Colorado College", "id": "https://openalex.org/I189774192", "lat": 38.849724, "long": -104.82632, "type": "education" } ], "display_name": "Abbott Gifford", "id": "https://openalex.org/A5016799449" }, { "affiliations": [ { "country": "United States", "display_name": "Massachusetts General Hospital", "id": "https://openalex.org/I4210087915", "lat": 42.35843, "long": -71.05977, "type": "healthcare" }, { "country": "United States", "display_name": "Harvard University", "id": "https://openalex.org/I136199984", "lat": 42.3751, "long": -71.10561, "type": "education" } ], "display_name": "Alessandro Biffi", "id": "https://openalex.org/A5042119710" }, { "affiliations": [ { "country": "United States", "display_name": "Harvard University", "id": "https://openalex.org/I136199984", "lat": 42.3751, "long": -71.10561, "type": "education" }, { "country": "United States", "display_name": "Massachusetts General Hospital", "id": "https://openalex.org/I4210087915", "lat": 42.35843, "long": -71.05977, "type": "healthcare" } ], "display_name": "Bizu Gelaye", "id": "https://openalex.org/A5007901002" }, { "affiliations": [ { "country": "United States", "display_name": "Massachusetts General Hospital", "id": "https://openalex.org/I4210087915", "lat": 42.35843, "long": -71.05977, "type": "healthcare" }, { "country": "United States", "display_name": "Harvard University", "id": "https://openalex.org/I136199984", "lat": 42.3751, "long": -71.10561, "type": "education" } ], "display_name": "Zeina Chemali", "id": "https://openalex.org/A5038360410" } ]
[ { "display_name": "Stroke (engine)", "id": "https://openalex.org/C2780645631" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Risk factor", "id": "https://openalex.org/C50440223" }, { "display_name": "Cause of death", "id": "https://openalex.org/C29374701" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Mechanical engineering", "id": "https://openalex.org/C78519656" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1832224739", "https://openalex.org/W1926787426", "https://openalex.org/W1988683876", "https://openalex.org/W1993518558", "https://openalex.org/W2014220625", "https://openalex.org/W2034840675", "https://openalex.org/W2136991753", "https://openalex.org/W2163710303", "https://openalex.org/W2238821644", "https://openalex.org/W2465756763", "https://openalex.org/W2594171785", "https://openalex.org/W2736292288", "https://openalex.org/W2774826291", "https://openalex.org/W2794198068", "https://openalex.org/W2800551435", "https://openalex.org/W2885005069", "https://openalex.org/W2885416669", "https://openalex.org/W2894885814", "https://openalex.org/W2898947659", "https://openalex.org/W2901229566", "https://openalex.org/W2908564535", "https://openalex.org/W2922492489", "https://openalex.org/W2925315281", "https://openalex.org/W2979826604", "https://openalex.org/W2989573545", "https://openalex.org/W2990486056", "https://openalex.org/W3000645658", "https://openalex.org/W3108522059", "https://openalex.org/W3115994071", "https://openalex.org/W3130465167" ]
https://api.openalex.org/works?filter=cites:W3200890353
The prevalence and severity of stroke in Lebanon has increased over the past decade and stroke is currently the second leading cause of death in the country.We systematically reviewed existing research on stroke prevalence, risk factors, mortality and morbidity of stroke, stroke treatment, and stroke education to assess the epidemiology of stroke in Lebanon. A literature search was conducted on the PubMed database for articles presenting data in any of these 5 categories in Lebanon, as well as articles discussing the Middle East and North Africa region generally.A high prevalence of modifiable risk factors (cigarette and waterpipe smoking) and risk factors that could be mitigated by lifestyle changes (obesity and hypertension) were found in Lebanon. Stroke mortality rates and risk factors of mortality were consistent with global trends, though the cost of treatment in Lebanon was significantly higher than in other developing nations.Urgent public health initiatives are needed to educate the public about the dangers of modifiable stroke risk factors and to reduce the burden of stroke in Lebanon.
[ { "display_name": "Journal of Geriatric Psychiatry and Neurology", "id": "https://openalex.org/S182765863", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2469249108
Waterpipe smoking and risk of coronary artery disease
[ { "affiliations": [ { "country": "United States", "display_name": "Walsh University", "id": "https://openalex.org/I180539885", "lat": 40.87467, "long": -81.36844, "type": "education" }, { "country": "Germany", "display_name": "TU Dresden", "id": "https://openalex.org/I78650965", "lat": 51.05089, "long": 13.73832, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Mohamad M. Almedawar", "id": "https://openalex.org/A5052208799" }, { "affiliations": [ { "country": "United States", "display_name": "Walsh University", "id": "https://openalex.org/I180539885", "lat": 40.87467, "long": -81.36844, "type": "education" }, { "country": "Germany", "display_name": "TU Dresden", "id": "https://openalex.org/I78650965", "lat": 51.05089, "long": 13.73832, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Jason Leo Walsh", "id": "https://openalex.org/A5084255765" }, { "affiliations": [ { "country": "United States", "display_name": "Walsh University", "id": "https://openalex.org/I180539885", "lat": 40.87467, "long": -81.36844, "type": "education" }, { "country": "Germany", "display_name": "TU Dresden", "id": "https://openalex.org/I78650965", "lat": 51.05089, "long": 13.73832, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Hussain Isma’eel", "id": "https://openalex.org/A5027174018" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Coronary artery disease", "id": "https://openalex.org/C2778213512" }, { "display_name": "Harm", "id": "https://openalex.org/C2777363581" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Cigarette smoke", "id": "https://openalex.org/C2993351451" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Adverse effect", "id": "https://openalex.org/C197934379" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W51726320", "https://openalex.org/W1559813904", "https://openalex.org/W1843675298", "https://openalex.org/W1965479876", "https://openalex.org/W1969216217", "https://openalex.org/W1979714011", "https://openalex.org/W1982153589", "https://openalex.org/W1982610589", "https://openalex.org/W1987105805", "https://openalex.org/W1990300892", "https://openalex.org/W1993305174", "https://openalex.org/W1994461155", "https://openalex.org/W1995175942", "https://openalex.org/W1995656061", "https://openalex.org/W1999383461", "https://openalex.org/W2000181213", "https://openalex.org/W2000483962", "https://openalex.org/W2005614299", "https://openalex.org/W2010134119", "https://openalex.org/W2014606695", "https://openalex.org/W2015421639", "https://openalex.org/W2015585308", "https://openalex.org/W2025315223", "https://openalex.org/W2034292094", "https://openalex.org/W2036033118", "https://openalex.org/W2037535055", "https://openalex.org/W2039063992", "https://openalex.org/W2040098484", "https://openalex.org/W2042584803", "https://openalex.org/W2051257996", "https://openalex.org/W2058560299", "https://openalex.org/W2078982410", "https://openalex.org/W2089650940", "https://openalex.org/W2091137779", "https://openalex.org/W2097644754", "https://openalex.org/W2104471179", "https://openalex.org/W2105914798", "https://openalex.org/W2108344515", "https://openalex.org/W2111380936", "https://openalex.org/W2126292625", "https://openalex.org/W2136726456", "https://openalex.org/W2146243827", "https://openalex.org/W2148664412", "https://openalex.org/W2156490538", "https://openalex.org/W2157000540", "https://openalex.org/W2164726388", "https://openalex.org/W2167230824", "https://openalex.org/W2168997762" ]
https://api.openalex.org/works?filter=cites:W2469249108
Purpose of review Smoking tobacco using a water pipe is becoming more prevalent globally, particularly amongst younger populations. In addition to its growing popularity, more evidence is emerging regarding associated harm, and several misconceptions exist concerning the likely adverse health effects of waterpipe smoking (WPS). It is timely, therefore, to examine the body of evidence linking WPS to coronary artery disease (CAD). Here, we review the direct evidence linking WPS to CAD and examine additional, indirect evidence of associated harm. We discuss the clinical and public health implications of the current evidence and provide suggestions for further research. Recent findings A multicentre case–control study in Lebanon has recently demonstrated an association between WPS and CAD. There are few prior studies making this direct link. However, a large body of evidence has emerged showing close similarities between WPS and cigarette smoking with regard to the toxicity of smoke and acute inflammatory and haemodynamic effects following exposure to it. Summary There are consistent similarities between WPS and cigarette smoking in regard to association with CAD, the nature of the smoke produced, and the acute haemodynamic effects and inflammatory responses that follow exposure. These findings justify both public health and clinical interventions to reduce WPS. Further studies are warranted to confirm a causal association between WPS and CAD.
[ { "display_name": "Current Opinion in Cardiology", "id": "https://openalex.org/S57372075", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3209358470
Awareness and attitudes towards advance care planning in primary care: role of demographic, socioeconomic and religiosity factors in a cross-sectional Lebanese study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" }, { "country": "United States", "display_name": "University of Illinois at Chicago", "id": "https://openalex.org/I39422238", "lat": 41.85003, "long": -87.65005, "type": "education" } ], "display_name": "Georges Assaf", "id": "https://openalex.org/A5090330410" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Sarah Jawhar", "id": "https://openalex.org/A5069478637" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Kamal Wahab", "id": "https://openalex.org/A5030806941" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rita El Hachem", "id": "https://openalex.org/A5041513126" }, { "affiliations": [ { "country": "United States", "display_name": "University of Illinois at Chicago", "id": "https://openalex.org/I39422238", "lat": 41.85003, "long": -87.65005, "type": "education" } ], "display_name": "Tanjeev Kaur", "id": "https://openalex.org/A5047721923" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Maria Tanielian", "id": "https://openalex.org/A5064501970" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Lea Feghali", "id": "https://openalex.org/A5049936012" }, { "affiliations": [ { "country": "United States", "display_name": "Columbia University", "id": "https://openalex.org/I78577930", "lat": 40.71427, "long": -74.00597, "type": "education" } ], "display_name": "Adina Zeki Al Hazzouri", "id": "https://openalex.org/A5000935899" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Martine Elbejjani", "id": "https://openalex.org/A5028578674" } ]
[ { "display_name": "Religiosity", "id": "https://openalex.org/C2779793952" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Advance care planning", "id": "https://openalex.org/C2777995714" }, { "display_name": "Referral", "id": "https://openalex.org/C2776135927" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Autonomy", "id": "https://openalex.org/C65414064" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Palliative care", "id": "https://openalex.org/C2994186709" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1527707824", "https://openalex.org/W1553921986", "https://openalex.org/W1922546216", "https://openalex.org/W1960189801", "https://openalex.org/W1980061208", "https://openalex.org/W2003475020", "https://openalex.org/W2024119992", "https://openalex.org/W2045596376", "https://openalex.org/W2064582034", "https://openalex.org/W2066503257", "https://openalex.org/W2071480942", "https://openalex.org/W2072700723", "https://openalex.org/W2087737133", "https://openalex.org/W2095904895", "https://openalex.org/W2100939781", "https://openalex.org/W2101962070", "https://openalex.org/W2104245825", "https://openalex.org/W2123278302", "https://openalex.org/W2127515011", "https://openalex.org/W2131032807", "https://openalex.org/W2137401089", "https://openalex.org/W2147570947", "https://openalex.org/W2149531334", "https://openalex.org/W2151356565", "https://openalex.org/W2154144399", "https://openalex.org/W2155049891", "https://openalex.org/W2156007400", "https://openalex.org/W2158124773", "https://openalex.org/W2237352014", "https://openalex.org/W2241828652", "https://openalex.org/W2312592698", "https://openalex.org/W2315444005", "https://openalex.org/W2328612834", "https://openalex.org/W2467772174", "https://openalex.org/W2468803364", "https://openalex.org/W2571458453", "https://openalex.org/W2580761472", "https://openalex.org/W2624652023", "https://openalex.org/W2740449787", "https://openalex.org/W2745170951", "https://openalex.org/W2767699480", "https://openalex.org/W2780190954", "https://openalex.org/W2785747408", "https://openalex.org/W2803766250", "https://openalex.org/W2941168971", "https://openalex.org/W2971479259", "https://openalex.org/W2973689916", "https://openalex.org/W2977026641", "https://openalex.org/W2995383283", "https://openalex.org/W3031024004", "https://openalex.org/W3035698302", "https://openalex.org/W3171225926" ]
https://api.openalex.org/works?filter=cites:W3209358470
Objective To assess awareness and attitudes towards engaging in advance care planning (ACP) and their relationship with demographic, socioeconomic and religiosity factors among Lebanese middle-aged to older-aged adults in primary care. Design A cross-sectional survey study. Setting Tertiary referral hospital in Beirut, Lebanon. Participants A total of 215 middle-aged to older-aged adults. Results Out of 215 participants, 18.6% of participants knew about ACP; 94% favoured truth-telling; 87.4% favoured healthcare autonomy; 77.2% favoured documenting their own health values and preferences; and 29.3% were willing to undergo life-prolonging interventions. Among participants who were aware of ACP, 67.5% preferred ACP documentation and 85% had negative attitudes towards life-sustaining interventions. Women were more aware about ACP than men. Those who were willing to undergo life-prolonging interventions were found to be men and had higher religiosity scores. Conclusion Large deficit in ACP awareness was evident despite the high preference for healthcare autonomy. Medical and public health efforts should strive to enhance patients’ ACP awareness and engagement in ACP while considering factors relevant to gender, culture and religiosity.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3199716119
Provision of pharmaceutical care to suspected high-risk COVID-19 patients through telehealth: a nationwide simulated patient study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Beirut Arab University", "id": "https://openalex.org/I36314861", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Rania Itani", "id": "https://openalex.org/A5084714431" }, { "affiliations": [ { "country": "Saudi Arabia", "display_name": "Taibah University", "id": "https://openalex.org/I23075662", "lat": 24.4809, "long": 39.544945, "type": "education" } ], "display_name": "Hani M J Khojah", "id": "https://openalex.org/A5071529517" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Beirut Arab University", "id": "https://openalex.org/I36314861", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Fatima Jaffal", "id": "https://openalex.org/A5091001921" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Beirut Arab University", "id": "https://openalex.org/I36314861", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Deema Rahme", "id": "https://openalex.org/A5036074520" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Lina Karout", "id": "https://openalex.org/A5082281725" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Beirut Arab University", "id": "https://openalex.org/I36314861", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Samar Karout", "id": "https://openalex.org/A5009741212" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Telehealth", "id": "https://openalex.org/C2781050511" }, { "display_name": "Pharmacy", "id": "https://openalex.org/C104863432" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Health informatics", "id": "https://openalex.org/C145642194" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Clinical pharmacy", "id": "https://openalex.org/C10446079" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "MEDLINE", "id": "https://openalex.org/C2779473830" }, { "display_name": "Telemedicine", "id": "https://openalex.org/C2779891985" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2313246094", "https://openalex.org/W2620882518", "https://openalex.org/W2967044478", "https://openalex.org/W3005668029", "https://openalex.org/W3011800583", "https://openalex.org/W3012290708", "https://openalex.org/W3012575712", "https://openalex.org/W3013519637", "https://openalex.org/W3022626469", "https://openalex.org/W3031056666", "https://openalex.org/W3039528453", "https://openalex.org/W3039864429", "https://openalex.org/W3040231177", "https://openalex.org/W3040467541", "https://openalex.org/W3046280637", "https://openalex.org/W3046892063", "https://openalex.org/W3047082463", "https://openalex.org/W3081707601", "https://openalex.org/W3095354079", "https://openalex.org/W3145325081", "https://openalex.org/W3145832188", "https://openalex.org/W3146000711", "https://openalex.org/W3155989463", "https://openalex.org/W3158238102", "https://openalex.org/W3165061681", "https://openalex.org/W3170321466" ]
https://api.openalex.org/works?filter=cites:W3199716119
Abstract Background The COVID-19 pandemic has overburdened the healthcare facilities, which demanded the use of alternative and effective methods for delivering healthcare services. The use of telehealth has become a necessity to provide initial health services. Objective To identify the pharmaceutical care provided by community pharmacists to suspected high-risk COVID-19 patients using telehealth. Methods A simulated patient (SP) phoned 100 randomly-selected community pharmacies throughout Lebanon using a standard scenario of uncontrolled diabetes mellitus with typical symptoms of COVID-19. Pharmacists’ responses were compared with pre-defined ideal recommendations using a special form. Results The mean of the retrieved medical information score obtained by the pharmacists was 2.48 ± 2.79 (out of 21), with 34 % of the participants not retrieving any relevant medical data from the SP. The relative patient information, the exposure to COVID-19, and the possible COVID-19 symptoms were not retrieved by 61 %, 70 %, and 41 % of the pharmacists, respectively. Two percent of the pharmacists assured that the SP’s symptoms were related to common cold, while 5 % confirmed that the SP is infected with COVID-19. Notably, 35 % of the pharmacists did not offer any recommendation. Among them, 14 % claimed that they were too busy to respond. Only 39 % of the pharmacists provided an appropriate recommendation by referring the SP to her physician to seek medical attention within 24 h since the SP is a high-risk patient, and 41 % recommended doing a PCR test. Antipyretics, antibiotics, and dietary supplements were recommended by 27 %, 7 %, and 16 % of the pharmacists, respectively. Less than 16 % of the pharmacists recommended using protective measures against COVID-19. In addition, the overall communication skills of the pharmacists were generally below expectations. Conclusions This study is the first to assess the quality of pharmaceutical care provided by community pharmacists in the Middle East via Telehealth. An unsatisfactory level of preparedness through means of telehealth technology was evident. This resulted in the quality of pharmaceutical-care services provided to high-risk patients via telehealth to be below expectations. Therefore, health authorities should encourage community pharmacists to effectively adopt telehealth, by providing appropriate training, as well as recognizing their extra efforts with financial compensations, aiming to optimize patients’ health outcomes.
[ { "display_name": "BMC Health Services Research", "id": "https://openalex.org/S12898181", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W3113873128
Primary care physicians’ awareness and perceptions on adherence to primary cardiovascular disease prevention guidelines in Lebanon: A cross-sectional study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Zeina Halabi", "id": "https://openalex.org/A5053060924" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Mona Osman", "id": "https://openalex.org/A5089604398" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Reem Hoteit", "id": "https://openalex.org/A5073914732" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Medical prescription", "id": "https://openalex.org/C2426938" }, { "display_name": "Primary care", "id": "https://openalex.org/C2984752397" }, { "display_name": "Primary prevention", "id": "https://openalex.org/C2993857929" }, { "display_name": "Statin", "id": "https://openalex.org/C2776839432" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Preventive healthcare", "id": "https://openalex.org/C52207206" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1510658613", "https://openalex.org/W1964804465", "https://openalex.org/W1975576845", "https://openalex.org/W1978391333", "https://openalex.org/W2019071303", "https://openalex.org/W2019138349", "https://openalex.org/W2041585205", "https://openalex.org/W2049393405", "https://openalex.org/W2066534456", "https://openalex.org/W2067101037", "https://openalex.org/W2088303275", "https://openalex.org/W2090105312", "https://openalex.org/W2117472810", "https://openalex.org/W2126125759", "https://openalex.org/W2126815763", "https://openalex.org/W2130361951", "https://openalex.org/W2143321563", "https://openalex.org/W2153457434", "https://openalex.org/W2159064241", "https://openalex.org/W2163466868", "https://openalex.org/W2755518734" ]
https://api.openalex.org/works?filter=cites:W3113873128
To assess the awareness and have an insight on practice patterns of primary care physicians (PCPs) with respect to several professional primary cardiovascular diseases (CVDs) preventive guidelines.This is a cross-sectional study, questionnaire-based using a non-probability convenience sampling. Data collection occurred at the annual conferences of the Lebanese Societies of General Practice, Family Medicine, and Internal Medicine in Lebanon. 104 PCPs were recruited.Awareness and practices of CVDs preventive guidelines.The response rate was 37%. Awareness of the various CVD preventive guidelines was high among PCPs (&gt;81%). Around 69% of PCPs reported that they always calculate the total cardiovascular risk assessment score. Gaps in managing patients according to guidelines' recommendations were higher in statin initiation compared to antihypertensive initiation. There is over prescription of statin in low risk patients and underutilization in high risk patients. Around 20% of PCPs would initiate aspirin for a low risk patient. Around 17% of physicians do not perform abdominal aortic aneurysm screening.Although PCPs demonstrated high level of awareness regarding CVD preventive guidelines, gaps remain present in managing patients according to guidelines' recommendations. Less adherence to guidelines will increase mortality and affect patient care.
[ { "display_name": "Chronic Illness", "id": "https://openalex.org/S68883866", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2998105138
Lessons learned in the provision NCD primary care to Syrian refugee and host communities in Lebanon: the need to ‘act locally and think globally’
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Abla Mehio Sibai", "id": "https://openalex.org/A5066629818" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Martine Najem Kteily", "id": "https://openalex.org/A5071787304" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rana Barazi", "id": "https://openalex.org/A5067742809" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Mia Chartouni", "id": "https://openalex.org/A5030621281" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "HelpAge International", "id": "https://openalex.org/I95198407", "lat": 51.525227, "long": -0.127992, "type": "nonprofit" } ], "display_name": "Maguy Ghanem", "id": "https://openalex.org/A5077562160" }, { "affiliations": [ { "country": "United States", "display_name": "University of Iowa", "id": "https://openalex.org/I126307644", "lat": 41.66113, "long": -91.53017, "type": "education" } ], "display_name": "Rima Afifi", "id": "https://openalex.org/A5005338810" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Guideline", "id": "https://openalex.org/C2780182762" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Documentation", "id": "https://openalex.org/C56666940" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Programming language", "id": "https://openalex.org/C199360897" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1979116745", "https://openalex.org/W2049870134", "https://openalex.org/W2067595233", "https://openalex.org/W2117278400", "https://openalex.org/W2118590784", "https://openalex.org/W2146523770", "https://openalex.org/W2164132840", "https://openalex.org/W2172742172", "https://openalex.org/W2216994467", "https://openalex.org/W2235132014", "https://openalex.org/W2470473640", "https://openalex.org/W2519484874", "https://openalex.org/W2556344045", "https://openalex.org/W2751392992", "https://openalex.org/W2754992645", "https://openalex.org/W2759302718", "https://openalex.org/W2806923299", "https://openalex.org/W2947138874" ]
https://api.openalex.org/works?filter=cites:W2998105138
ABSTRACT Background Prevention and control of non-communicable diseases (NCDs) remain inadequate in resource-scarce countries, particularly in conflict situations. This paper describes a multicomponent intervention for management of hypertension and diabetes among older adult Syrian refugees and the Lebanese host community and reflects on challenges for scaling up NCD integration into primary care in humanitarian situations. Methods Using a mixed method approach, the study focused on monitoring and evaluation of the three components of the intervention: healthcare physical facilities and documentation processes, provider knowledge and guideline-concordant performance, and refugee and host community awareness. Results Findings revealed overall high compliance of healthcare workers with completing data collection forms. Their knowledge of basic aspects of hypertension/diabetes management was adequate, but diagnosis knowledge was low. Patients and healthcare providers voiced satisfaction with the program. Yet, interruptions in medicines’ supplies and lapses in care were perceived by all study groups alike as the most problematic aspect of the program. Conclusions Our intervention program was aligned with internationally agreed-upon practices, yet, our experiences in the field point to the need for more ‘local testing’ of modified interventions within such contexts. This can then inform ‘thinking globally’ on guidelines for the delivery of NCD care in crisis settings.
[ { "display_name": "Journal of Public Health", "id": "https://openalex.org/S27214173", "type": "journal" } ]
https://openalex.org/W4225919758
Converting the existing disease surveillance from a paper-based to an electronic-based system using district health information system (DHIS-2) for real-time information: the Lebanese experience
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Dalal Youssef", "id": "https://openalex.org/A5051867739" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Ayat Yaghi", "id": "https://openalex.org/A5000516162" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Abbas Jouny", "id": "https://openalex.org/A5042187182" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Linda Abou-Abbas", "id": "https://openalex.org/A5062877460" }, { "affiliations": [ { "country": "Lebanon", "display_name": "World Health Organization - Lebanon", "id": "https://openalex.org/I4210128207", "lat": 30.063627, "long": 31.34717, "type": "government" } ], "display_name": "Houssam Chammaa", "id": "https://openalex.org/A5074797186" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Nada Ghosn", "id": "https://openalex.org/A5082031484" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4225919758
Abstract Introduction The Ministry of Public Health in Lebanon is in the process of converting the surveillance reporting from a cumbersome paper-based system to a web-based electronic platform (DHIS-2) to have real-time information for early detection of alerts and outbreaks and for initiating a prompt response. Objectives This paper aimed to document the Lebanese experience in implementing DHIS-2 for the disease surveillance system. It also targets to assess the improvement of reporting rates and timeliness of the reported data and to disclose the encountered challenges and opportunities. Methodology This is a retrospective description of processes involved in the implementation of the DHIS-2 tool in Lebanon. Initially, it was piloted for the school-based surveillance in 2014; then its use was extended in May 2017 to cover other specific surveillance systems. This included all surveillance programs collecting aggregate data from hospitals, medical centers, dispensaries, or laboratories at the first stage. As part of the national roll-out process, the online application was developed. The customized aggregated-based datasets, organization units, user accounts, specific and generic dashboards were generated. More than 80 training sessions were conducted throughout the country targeting 1290 end-users including health officers at the national and provincial levels, focal persons who were working in all public and private hospitals, laboratories, and medical centers as well. Completeness and timeliness of reported data were compared before and after the implementation of DHIS-2. The unveiled challenges and the main lessons learned during the roll-out process were discussed. Results For laboratory-based surveillance, completeness of reporting increased from 70.8% in May to 89.6% in October. Timeliness has improved from 25 to 74%. For medical centers, an improvement of 8.1% for completeness and 9.4% in timeliness was recorded before and after training sessions. For zero reporting, completeness remains the same (88%) and timeliness has improved from 74 to 87%. The main challenges faced during the implementation of DHIS-2 were mainly infrastructural and system-related in addition to poor internet connectivity, limited workforce, and frequent changes to DHIS-2 versions. Conclusion Implementation of DHIS-2 improved timeliness and completeness for aggregated data reporting. Continued on-site support, monitoring, and system enhancement are needed to improve the performance of DHIS-2.
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https://openalex.org/W3176125482
Multi-purpose cash transfers and health among vulnerable Syrian refugees in Lebanon: a prospective cohort study
[ { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Emily Lyles", "id": "https://openalex.org/A5050555663" }, { "affiliations": [], "display_name": "Jakob Arhem", "id": "https://openalex.org/A5004710291" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Ghada El Khoury", "id": "https://openalex.org/A5071543575" }, { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Antonio J. Trujillo", "id": "https://openalex.org/A5049550449" }, { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Paul Spiegel", "id": "https://openalex.org/A5051859883" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Office of the United Nations High Commissioner for Refugees", "id": "https://openalex.org/I1337769664", "lat": 46.20222, "long": 6.14569, "type": "government" } ], "display_name": "Ann Burton", "id": "https://openalex.org/A5061387098" }, { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Shannon Doocy", "id": "https://openalex.org/A5023488974" } ]
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[ "Lebanon", "Syria" ]
[ "https://openalex.org/W2142273404", "https://openalex.org/W2419137860", "https://openalex.org/W3164987286" ]
https://api.openalex.org/works?filter=cites:W3176125482
Abstract Background Multipurpose cash transfers (MPCs) are used on a widespread basis in the Syrian refugee response; however, there is little to no evidence as to how they affect health in humanitarian crises. Methods A prospective cohort study was conducted from May 2018 through July 2019 to evaluate the impact of MPCs on health care-seeking and expenditures for child, adult acute, and adult chronic illness by Syrian refugees in Lebanon. Households receiving MPCs from UNHCR were compared to control households not receiving UNHCR MPCs. Results Care-seeking for childhood illness was consistently high in both MPC and non-MPC households. An increased proportion of households did not receive all recommended care due to cost; this increase was 19.3% greater among MPC recipients than controls ( P = 0.002). Increases in child hospitalizations were significantly smaller among MPC recipients than controls (DiD -6.1%; P = 0.037). For adult acute illnesses, care-seeking increased among MPC recipients but decreased in controls (adjusted DiD 11.3%; P = 0.057); differences in change for other utilization outcomes were not significant. The adjusted difference in change in the proportion of MPC households not receiving recommended chronic illness care due to cost compared to controls was − 28.2% ( P = 0.073). Access to medication for adult chronic illness also marginally significantly improved for MPC households relative to controls. The proportion of MPC recipients reporting expenses for the most recent child and adult acute illness increased significantly, as did the [log] total visit cost. Both MPC and control households reported significant increases in borrowing to pay for health expenses over the year study period, but differences in change in borrowing or asset sales were not significant, indicating that MPC was not protective against for household financial risks associated with health. Conclusions While MPC may have shown some positive effects, findings were mixed and MPC appears insufficient on its own to address health utilization and expenditures. A broader strategy addressing Syrian refugee health in Lebanon is needed of which MPC should be incorporated, with additional support such as additional conditional cash transfers for health.
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https://openalex.org/W4293367577
COVID-19 mortality surveillance in Lebanon
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4293367577
Abstract Since the beginning of the COVID-19 pandemic, the Epidemiological surveillance program of the Lebanese Ministry of Public Health has launched a rapid surveillance system for collecting COVID-19-related mortality data. In this study, we document the Lebanese experience of COVID-19 mortality surveillance and provide an analysis of the epidemiological characteristics of confirmed deaths. The implementation of the rapid COVID-19 mortality surveillance system, data sources, and data collection were described. A retrospective descriptive analysis of the epidemiological characteristics of confirmed cases occurring in Lebanon between February 20, 2020, and September 15, 2021, was performed. Epidemiological curves of Covid-19 confirmed cases and deaths as well as the geographic distribution map of mortality rates were generated. Between February 21, 2020, and September 15, 2021, a total of 8163 COVID-19-related deaths were reported with a predominance of males (60.4%). More than 60% were aged 70 years or above. Of all deaths, 84% occurred at hospitals and 16% at home. The overall cumulative mortality rate was 119.6 per 100,000. The overall case fatality ratio (CRF) was 1.3%. Of the total deaths, 82.2% had at least one underlying medical condition. The top reported COVID-19 comorbidities associated with COVID-19-related deaths are cardiovascular diseases including hypertension (59.1%), diabetes (37.2%), kidney diseases including dialysis (11%), cancer (6.7%), and lung diseases (6.3%). The CFR was 30.9% for kidney diseases, 20.2% for cancer, 20.2% for lung diseases, 18.1% for liver diseases, 14% for diabetes, and 12.2% for cardiovascular diseases. Considering the limited human and financial resources in Lebanon due to the economic and political crisis, the rapid mortality surveillance system can be considered successful. Improving this system is important and would contribute to better detection of deaths from emerging and re-emerging diseases during health crises.
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https://openalex.org/W1989820969
Double jeopardy: assessing the association between internal displacement, housing quality and chronic illness in a low-income neighborhood
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rima R. Habib", "id": "https://openalex.org/A5088321543" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Nasser Yassin", "id": "https://openalex.org/A5005493196" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Joly Ghanawi", "id": "https://openalex.org/A5005181638" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Pascale Haddad", "id": "https://openalex.org/A5018967374" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Ziyad Mahfoud", "id": "https://openalex.org/A5015865003" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W1989820969
PURPOSE: This study analyzed associations between war-related internal displacement, housing quality and the prevalence of chronic illness in Nabaa, a low-income neighborhood on the outskirts of Beirut, Lebanon. METHODS: A cross-sectional survey of sociodemographics, household characteristics and health conditions of the study population was carried out in 2002. Using a structured questionnaire, the research team surveyed 1,151 households representing 4,987 residents of all ages. The survey was administered to a proxy respondent from each household in face-to-face interviews. A multiple logistic regression model using the generalized estimation equation method was constructed to assess the simultaneous effect of displacement and housing quality on reported ill health, while adjusting for potential confounders. RESULTS: Housing quality and internal displacement were strongly associated with occurrences of chronic illness. The most vulnerable respondents were older residents, females and internally displaced people, who reported high rates of chronic illnesses. Residents with high levels of education were less likely to report a chronic illness than those that had elementary education or less. CONCLUSION: Nabaa residents' experience of poor health was associated with inadequate housing quality. Moreover, residents who have been displaced experience worse living conditions and were more likely to experience poor health than those who were not displaced. These results reveal a need for policies to improve housing quality and alleviate war-related consequences in low-income neighborhoods.
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https://openalex.org/W2416637847
Trends and prevalence of intestinal parasites at a tertiary care center in Lebanon over a decade.
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[ { "display_name": "Ascaris lumbricoides", "id": "https://openalex.org/C2777364306" }, { "display_name": "Hygiene", "id": "https://openalex.org/C547646559" }, { "display_name": "Entamoeba histolytica", "id": "https://openalex.org/C2776867272" }, { "display_name": "Giardia lamblia", "id": "https://openalex.org/C2780626423" }, { "display_name": "Veterinary medicine", "id": "https://openalex.org/C42972112" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Hymenolepis nana", "id": "https://openalex.org/C2780903681" }, { "display_name": "Taenia solium", "id": "https://openalex.org/C2911202600" }, { "display_name": "Intestinal parasite", "id": "https://openalex.org/C2781169800" }, { "display_name": "Entamoeba coli", "id": "https://openalex.org/C2779812248" }, { "display_name": "Helminths", "id": "https://openalex.org/C165901193" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Infestation", "id": "https://openalex.org/C2776451879" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Zoology", "id": "https://openalex.org/C90856448" }, { "display_name": "Cysticercosis", "id": "https://openalex.org/C2778056992" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Microbiology", "id": "https://openalex.org/C89423630" }, { "display_name": "Botany", "id": "https://openalex.org/C59822182" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2416637847
Intestinal parasitic infections or infestation are amongst the most prevalent infections worldwide. This study aimed at revealing the changing trends over a decade duration of intestinal parasites identified at a major tertiary care center in Lebanon between 1997-1998 and 2007-2008. The total number of specimens tested were 14,771 for 1997-1998 vs 7477 for 2007-2008. The positive findings for parasites were 2077 (14%) vs 1047 (14%), respectively. The majority of recovered parasites in both study periods belonged to intestinal protozoa (91% and 95%), followed by cestodes (6% and 3%), and nematodes (3% and 2%), while trematodes were negligible in both periods. The highest prevalence occurred among ages 16 to 35 years for 1997-1998, and without age predominance in the second period. The detected parasites from 1686 individuals (11.4%) in the first period vs 904 (12.1%) in the second period encompassed 18 species. The most common "pathogenic" parasite in both periods were: Entamoeba histolytica (14% vs 12%), Giardia lamblia (16% vs 6%), Taenia spp. (6% vs 3%), and Ascaris lumbricoides (2% vs 1%). Generally, these were detected more in males than females, in adults than in children, and during the summer (= 30%) and autumn (= 26%) than winter (= 20%) seasons for both periods. Despite some observable decrease in prevalence among the two study periods, sustainability of substantial intestinal parasites detection continues to exist. The latter is a valuable indicator for a state of collective ill-health, warranting more attention and efforts for public health awareness to improve hygiene and sanitation in order to minimize the prevalence of these parasites in this country.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2128586179
HIV/AIDS in Lebanese prisons: challenges and proposed actions
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[ { "display_name": "Prison", "id": "https://openalex.org/C2780656516" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Criminology", "id": "https://openalex.org/C73484699" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2128586179
Purpose – The purpose of this paper is to discuss the extent of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) crisis in Lebanese prisons, propose functional reforms for Roumieh prisons (the country's largest male top-security prison), and outline the main challenges to HIV/AIDS prevention, intervention, and treatment. Design/methodology/approach – All recommendations were based on previous successful stories, international prison standards as well as cultural considerations. Findings – This paper argues that prevention and interventions starts within the prison community including inmates, guards, and other prison and provision of appropriate health care, education, and prison infrastructure. Social implications – These strategies are not only important in limiting prevention and transmission of HIV/AIDS, but also contribute in optimizing quality of life within the prison system. Originality/value – This paper is the first of its kind to discuss the prison situation in Lebanese prisons in terms of public health promotion and reforms.
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https://openalex.org/W4301464569
Progress toward global eradication of poliomyelitis, January 2003-April 2004.
[]
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W4301464569
In 1988, the World Health Assembly (WHA) resolved to eradicate poliomyelitis globally. Since then, implementation of the eradication strategies reduced the number of countries with endemic polio from 125 in 1988 to six in 2003. However, in 2003, an unprecedented 10 countries reported poliovirus importations, including eight in West and Central Africa, one in Southern Africa (Botswana), and one in the Middle East (Lebanon). This report describes progress made toward global polio eradication during January 2003-April 2004, outlines remaining challenges, and underscores the need for decisive action to interrupt transmission by the end of 2004 or early 2005.
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https://openalex.org/W3127338489
The multidimensional burden of COVID-19 on Syrian refugees in Lebanon.
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[ { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Humanitarian crisis", "id": "https://openalex.org/C2777742874" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W3015524751", "https://openalex.org/W3034382968", "https://openalex.org/W3048791385" ]
https://api.openalex.org/works?filter=cites:W3127338489
The COVID-19 pandemic is a global phenomenon that is spreading at an alarmingly high rate, increasing morbidity, mortality as well as affecting the global economy, education sector and psychological well-being of the public. Measures, taken to mitigate the spread of the virus during this pandemic, created challenges to humanitarian communities preventing them from carrying out their responsibilities towards vulnerable populations. The aim of this study is to assess the burden of COVID-19 by looking at the current living conditions, examining available services provided, and identifying the economic and health challenges of Syrian refugee families living in Lebanon.This is a cross-sectional study conducted on 129 Syrian refugee families living in Lebanon during the COVID-19 pandemic. All participants provided consent prior to completion of the standardized questionnaire.During the pandemic, 79% of breadwinners lost their jobs; of those who kept their jobs, 68% had their wages reduced. None of the families was capable of affording all of their basic needs with 55% only partially affording and 45% not able to afford. Thirty percent of Syrian refugee families did not receive support from organizations during the pandemic reflecting the impact of this crisis on humanitarian organizations. Education was also affected as 70% of children did not continue their education at home. Stress and anxiety were the most commonly reported behavioral changes among both children and adults.The impact of this crisis is multidimensional affecting the economy, global health and education level of the public. Measures should be taken to lessen the detrimental effect of this crisis on the community as a whole and on vulnerable populations in particular.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2935778254
Awareness and Use of Folic Acid among Women of Childbearing Age
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2935778254
Folic acid (FA) given before and during pregnancy reduces the risk of several birth defects, including neurologic, cardiac, urinary and other congenital anomalies in the newborn. Several studies around the world showed less than satisfactory awareness and intake of this important vitamin. We undertook the task of exploring this question among Lebanese women of childbearing age.Between June and November 2014, we conducted this cross-sectional study on women aged 20 to 40 years. The subjects, who agreed to participate, completed a questionnaire, which included questions on sociodemographic characteristics, lifestyle, and knowledge about FA roles during pregnancy, as well as their babies' health.Seventy-six percent reported having knowledge about FA during pregnancy, but only a small proportion knew the benefits for taking it. Also, 93.9% of women took FA supplements during pregnancy, however only 33.6% of the participants took FA before becoming aware of their pregnancy.Public health interventions to improve awareness of FA's roles before and during pregnancy are crucial to curtail birth defects. It is our opinion that it is a very fruitful preventive medicine tool in which every community should invest.
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https://openalex.org/W2329578127
Interview: Dr. Muin J. Khoury Discusses the Future of Public Health Genomics and why it Matters for Personalized Medicine and Global Health
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2329578127
Muin J. Khoury, MD, PhD is the first and current director of the Office of Public Health Genomics at the Centers for Disease Control and Prevention (CDC) in the United States. The Office was formed in 1997 to assess the impact of advances in human genetics and the Human Genome Project on public health and disease prevention. As an internationally recognized institution, CDCs mission is to protect the health and safety of people, to provide credible information to enhance health decisions, and to promote health through strong national and international partnerships. For more than a decade, the CDCs Office of Public Health Genomics played an important role in development of a new hybrid field of investigation, ‘public health genomics’. In the September 2009 issue of the Current Pharmacogenomics and Personalized Medicine (CPPM), Dr. Khoury shares his thoughts and immediate and long term vision on public health genomics, and why this new field of investigation is important for personalized medicine and global health. He is interviewed by a multidisciplinary team of researchers and educators: Abdallah S. Daar (McLaughlin-Rotman Centre for Global Health and School of Public Health Sciences, University of Toronto), Serge Dubé (Department of Surgery and Faculty of Medicine, University of Montreal) and Vural Ozdemir (Editor, CPPM, and Department of Social and Preventive Medicine, Faculty of Medicine, University of Montreal). Dr. Khoury received his BS degree in biology/chemistry from the American University of Beirut, Lebanon, and his medical degree and pediatric training from the same institution. He received a PhD in human genetics/genetic epidemiology and training in medical genetics from The Johns Hopkins University. Dr. Khoury is board-certified in medical genetics. Keywords: Global public health, international development and policy, personalized medicine, preventive medicine, public health genomics
[ { "display_name": "Current Pharmacogenomics and Personalized Medicine", "id": "https://openalex.org/S2764581770", "type": "journal" } ]
https://openalex.org/W2943486598
Prevalence and Risk Factors of Major Depressive Disorder Among Women at Public Antenatal Clinics From Refugee, Conflict-Affected, and Australian-Born Backgrounds
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[ { "display_name": "Psychosocial", "id": "https://openalex.org/C150966472" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Mini-international neuropsychiatric interview", "id": "https://openalex.org/C25110094" }, { "display_name": "Domestic violence", "id": "https://openalex.org/C542059537" }, { "display_name": "Distress", "id": "https://openalex.org/C139265228" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon", "Sudan", "Iraq" ]
[ "https://openalex.org/W1541164599", "https://openalex.org/W1848819387", "https://openalex.org/W1968964076", "https://openalex.org/W2018716985", "https://openalex.org/W2022709513", "https://openalex.org/W2084824221", "https://openalex.org/W2100934381", "https://openalex.org/W2107916110", "https://openalex.org/W2157206912", "https://openalex.org/W2254138563", "https://openalex.org/W2599841371", "https://openalex.org/W2612565440", "https://openalex.org/W2613172870", "https://openalex.org/W2736164160", "https://openalex.org/W3171418018", "https://openalex.org/W4256505385", "https://openalex.org/W4299689471" ]
https://api.openalex.org/works?filter=cites:W2943486598
Pregnancy may increase the risk of depression among women who self-identify as refugees and have resettled in high-income countries. To our knowledge, no large systematic studies among women with refugee backgrounds in the antenatal period have been conducted.To compare the prevalence of major depressive disorder (MDD), trauma exposure, and other psychosocial risk factors among women who identify as refugees, women from the same conflict-affected countries, and women from the host nation and to test whether self-identification as a refugee indicates greater likelihood of prevalence and risk.This cross-sectional study was undertaken in 3 public antenatal clinics in Sydney and Melbourne, Australia, between January 2015 and December 2016. Overall, 1335 women (685 consecutively enrolled from conflict-affected backgrounds and 650 randomly selected from the host nation) participated. Data analysis was undertaken between June and September 2018.One-hour interviews covering mental health, intimate partner violence, and other social measures.World Health Organization measure for intimate partner violence and the Mini-International Neuropsychiatric Interview from the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) for MDD. To make a diagnosis, 1 of 2 items relating to being consistently depressed for 2 weeks and 3 further symptoms that cause personal distress or psychosocial dysfunction were endorsed.Overall, 1335 women (84.8% overall response rate), comprising 685 (51.3%) from conflict-affected countries (women self-identifying as refugees: 289 [42.2%]) and 650 (48.7%) from the host nation, participated. The mean (SD) age was 29.7 (5.4) years among women from conflict-affected backgrounds and 29.0 (5.5) years among women born in the host nation. Conflict-affected countries included Iraq (260 [38.0%]), Lebanon (125 [18.2%]), Sri Lanka (71 [10.4%]), and Sudan (66 [9.6%]). Women who identified as refugees reported higher exposure to 2 to 3 (67 [23.2%]) and 4 or more (19 [6.6%]) general traumatic events compared with women from the host nation (103 [15.8%] and 21 [3.2%], respectively). Women who identified as refugees also reported higher exposure to 1 (147 [50.9%]) and 2 or more (97 [33.6%]) refugee-related traumatic events compared with women from the host nation (86 [13.2%] and 20 [3.1%], respectively). Women who identified as refugees reported higher rates of psychological intimate partner violence than women born in the host nation (124 [42.9%] vs 133 [20.5%]; P < .001). Women who identified as refugees were less likely to identify 5 or more supportive family or friends compared with women born in the host nation (36 [12.5%] vs 297 [45.7%]; P < .001). A greater proportion of women who identified as refugees reported experiencing 3 or more financial stressors compared with women born in the host nation (65 [22.5%] vs 41 [6.3%]; P < .001). Women who identified as refugees had the highest prevalence of MDD (94 [32.5%]), followed by women from other conflict-affected backgrounds (78 [19.7%]), and women born in the host nation (94 [14.5%]).Women identifying as refugees reported a higher prevalence of MDD and all the indicators of adversity related to that disorder. Even after risk factors were accounted for, refugee status was associated with risk of MDD. Assessing whether women attending an antenatal clinic self-identify as refugees may offer an important indicator of risk of MDD and a range of associated psychosocial adversities.
[ { "display_name": "JAMA network open", "id": "https://openalex.org/S4210217848", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4236427633
Acceptance of prenatal diagnosis for genetic disorders in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Laïla Zahed", "id": "https://openalex.org/A5054771722" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Mona Nabulsi", "id": "https://openalex.org/A5016714379" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Mathias Boughanim", "id": "https://openalex.org/A5081399686" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Ihab M. Usta", "id": "https://openalex.org/A5065914561" } ]
[ { "display_name": "Conviction", "id": "https://openalex.org/C2777278149" }, { "display_name": "Prenatal diagnosis", "id": "https://openalex.org/C2778258057" }, { "display_name": "Consanguinity", "id": "https://openalex.org/C2779923321" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Genetic counseling", "id": "https://openalex.org/C80227256" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Genetic testing", "id": "https://openalex.org/C2780673598" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Obstetrics", "id": "https://openalex.org/C131872663" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Fetus", "id": "https://openalex.org/C172680121" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W4236427633
Acceptance of prenatal diagnosis and termination of pregnancy in the case of an affected fetus may vary from one country to another, depending on the health system, religious belief, cultural and educational backgrounds of the population. Following a previous study on couples at risk for a haemoglobin disorder in Lebanon, we have here interviewed 90 couples at risk for a variety of genetic disorders, in order to assess their acceptance of prenatal diagnosis and the variables that might influence their choice. Overall, 54 per cent of couples said they would request diagnosis in their next pregnancy, while 26 per cent were opposed to such a procedure. In 87.5 per cent of cases, the reason for refusal was because of religious conviction against termination of pregnancy. Refusal of prenatal diagnosis was also related to a lower socio-economic background and poorer education. Only 12 per cent of couples were properly aware of their genetic risk. Therefore, for prevention of genetic disorders, the emphasis in countries such as Lebanon has probably to be placed on public awareness about genetic risks, the risks of consanguinity, availability of services, while taking into consideration the personal beliefs of the individuals. Copyright © 1999 John Wiley & Sons, Ltd.
[ { "display_name": "Prenatal Diagnosis", "id": "https://openalex.org/S171405753", "type": "journal" } ]
https://openalex.org/W3134715565
Application of the Intervention Mapping Protocol to Develop <i>Sahtak bi Sahnak</i>, a School-Based Intervention to Prevent Pediatric Obesity among Lebanese Adolescents
[ { "affiliations": [ { "country": "Netherlands", "display_name": "Maastricht University", "id": "https://openalex.org/I34352273", "lat": 50.845833, "long": 5.687222, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Liliane Said", "id": "https://openalex.org/A5080854944" }, { "affiliations": [ { "country": "Netherlands", "display_name": "Maastricht University", "id": "https://openalex.org/I34352273", "lat": 50.845833, "long": 5.687222, "type": "education" } ], "display_name": "Francine Schneider", "id": "https://openalex.org/A5053496891" }, { "affiliations": [ { "country": "Netherlands", "display_name": "Maastricht University", "id": "https://openalex.org/I34352273", "lat": 50.845833, "long": 5.687222, "type": "education" } ], "display_name": "Stef Kremers", "id": "https://openalex.org/A5088740385" }, { "affiliations": [ { "country": "Netherlands", "display_name": "Maastricht University", "id": "https://openalex.org/I34352273", "lat": 50.845833, "long": 5.687222, "type": "education" } ], "display_name": "Jessica S. Gubbels", "id": "https://openalex.org/A5027666133" } ]
[ { "display_name": "Intervention mapping", "id": "https://openalex.org/C2780647781" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Protocol (science)", "id": "https://openalex.org/C2780385302" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Childhood obesity", "id": "https://openalex.org/C2779422640" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Randomized controlled trial", "id": "https://openalex.org/C168563851" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1909245193", "https://openalex.org/W1933036029", "https://openalex.org/W1942226107", "https://openalex.org/W1964039028", "https://openalex.org/W1973344820", "https://openalex.org/W1986321933", "https://openalex.org/W2007332714", "https://openalex.org/W2008256426", "https://openalex.org/W2013556775", "https://openalex.org/W2016065484", "https://openalex.org/W2025342750", "https://openalex.org/W2037069203", "https://openalex.org/W2044574094", "https://openalex.org/W2060482419", "https://openalex.org/W2061320251", "https://openalex.org/W2063588197", "https://openalex.org/W2066805219", "https://openalex.org/W2067111100", "https://openalex.org/W2072194882", "https://openalex.org/W2080705553", "https://openalex.org/W2093323791", "https://openalex.org/W2096466944", "https://openalex.org/W2107428639", "https://openalex.org/W2109120348", "https://openalex.org/W2111591671", "https://openalex.org/W2137183883", "https://openalex.org/W2143819396", "https://openalex.org/W2144917749", "https://openalex.org/W2151937613", "https://openalex.org/W2152943525", "https://openalex.org/W2156593251", "https://openalex.org/W2165033042", "https://openalex.org/W2165046389", "https://openalex.org/W2226817873", "https://openalex.org/W2238821644", "https://openalex.org/W2415034879", "https://openalex.org/W2549241428", "https://openalex.org/W2549662458", "https://openalex.org/W2607431550", "https://openalex.org/W2674995983", "https://openalex.org/W2998371451", "https://openalex.org/W4237101785" ]
https://api.openalex.org/works?filter=cites:W3134715565
Background: Pediatric obesity is a major public health concern worldwide. Improving dietary and physical activity habits at a young age could prevent many health complications during adulthood and later years.Objective: This paper describes the application of the Intervention Mapping protocol for the systematic development of the Lebanese intervention “Sahtak bi Sahnak” (meaning Your health in your plate) that focuses on preventing pediatric obesity and promoting a healthy lifestyle through a systematically designed and culturally appropriate, school-based program.Method: The development of this intervention is based on the six steps of the Intervention Mapping (IM) protocol. This intervention targets Lebanese adolescents aged 15–18 years enrolled in Lebanese public and private high schools, located in urban and rural areas. Its effectiveness will be tested in a Clustered Randomized Controlled Trial in 16 high schools.Discussion and conclusion: The IM protocol allowed us to develop a theory based, low resource intervention which can be integrated as part of the educational curriculum of public and private high schools in Lebanon. This study provides a detailed example of the application of the IM approach in the Lebanese high school context. Even though it is a time-consuming process, IM serves as a valuable tool in the health promotion field and provides a high level of transparency to improve and replicate the process in the future.
[ { "display_name": "Health psychology bulletin", "id": "https://openalex.org/S4210181563", "type": "journal" } ]
https://openalex.org/W4310052072
Ageism, an invisible social determinant of health for older Syrian refugees in Lebanon: a service providers’ perspective
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Maya Abi Chahine", "id": "https://openalex.org/A5032105802" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "King's College London", "id": "https://openalex.org/I183935753", "lat": 51.50853, "long": -0.12574, "type": "education" } ], "display_name": "Hanna Kienzler", "id": "https://openalex.org/A5090889046" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Social isolation", "id": "https://openalex.org/C2776893239" }, { "display_name": "Neglect", "id": "https://openalex.org/C2776289891" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Social policy", "id": "https://openalex.org/C19159745" }, { "display_name": "Poverty", "id": "https://openalex.org/C189326681" }, { "display_name": "Social exclusion", "id": "https://openalex.org/C134659438" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1541164599", "https://openalex.org/W1544133109", "https://openalex.org/W1925415571", "https://openalex.org/W1970260782", "https://openalex.org/W1987244403", "https://openalex.org/W2018584827", "https://openalex.org/W2024116506", "https://openalex.org/W2103666798", "https://openalex.org/W2144680175", "https://openalex.org/W2146523770", "https://openalex.org/W2167733818", "https://openalex.org/W2296045152", "https://openalex.org/W2305145394", "https://openalex.org/W2318806854", "https://openalex.org/W2345539730", "https://openalex.org/W2470473640", "https://openalex.org/W2756344160", "https://openalex.org/W2982366443", "https://openalex.org/W3000728195", "https://openalex.org/W4239760140" ]
https://api.openalex.org/works?filter=cites:W4310052072
Abstract Background Older refugees face particular challenges because their health and social needs are largely overlooked in humanitarian programmes, policies and research. The few studies available have shown that older refugees suffer from a high prevalence of non-communicable diseases, including mental health problems, increased social isolation and poverty, and difficulty accessing health and social services. This article aims to provide further in-depth understanding of how service providers perceive health and social challenges of older Syrian refugees living in Lebanon by focusing on (1) their health and social challenges; (2) the available and lacking services; (3) participation; and (4) policy recommendations to improve services. Methods This study is based on a qualitative research approach. Fifteen semi-structured interviews were conducted with health and social workers providing services to older Syrian refugees living in Lebanon. All interviews were digitally recorded, transcribed, coded and analysed using thematic analysis. Results Study results clearly show that older refugees face increased marginalisation and neglect, mainly because of ageism. Ageism experienced at aid agency, family and individual levels, impacts negatively on older refugees. They have a sense of social isolation, neglect and feel they are a burden, consequently their social participation decreases, impacting negatively on their physical and mental health as well as their access to social and health care. Linked to experiences of ageism, study participants noted: (1) high prevalence rates of non-communicable diseases and mental health problems; (2) difficulties accessing care, with inadequate services to support the needs of older refugees; and (3) policy recommendations calling for an holistic approach to aid which takes into consideration the specific needs of older refugees as well as their capabilities. Concluding remarks Ageism is a key determinant of health which negatively impacts the physical, mental and social health, and wellbeing of older Syrian refugees. It pushes them to the margins of society where they are left behind by the humanitarian response, policy makers and researchers, as well as their communities and families. To mitigate this situation, this article calls for directly addressing ageism on social, service and policy levels.
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https://openalex.org/W4281478228
Outpatient use patterns and experiences among diabetic and hypertensive patients in fragile settings: a cross-sectional study from Lebanon
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W4281478228
Assess and describe the health service use and delivery patterns for non-communicable disease (NCD) services in two contrasting fragility contexts and by other principal equity-related characteristics including gender, nationality and health coverage.Primary healthcare centres located in the urbanised area of Greater Beirut and the rural area of the Beqaa Valley.This is a cross-sectional study using a structured survey tool between January and September 2020.1700 Lebanese and Syrian refugee patients seeking primary care for hypertension and diabetes.The main outcome is the comprehensiveness of service delivery comparing differences in use and service delivery patterns by fragility setting, gender, nationality and health coverage.Compliance with routine NCD care management (eg, counselling, immunisations, diagnostic testing and referral rates) was significantly better in Beirut compared with Beqaa. Women were significantly less likely to be offered lifestyle counselling advice and referral to cardiologists (58.4% vs 68.3% in Beqaa and 58.1% vs 62% in Beirut) and ophthalmologists, compared with men. Across both settings, there was a significant trend for Lebanese patients to receive more services and more advice related to nutrition and diabetes management (89.8% vs 85.2% and 62.4% vs 55.5%, respectively). Similarly, referral rates were higher among Lebanese refugees compared with Syrian refugees. Immunisation and diagnostic testing were significantly higher in Beirut among those who have health coverage compared with Beqaa.The study discovered significant differences in outpatient service use by setting, nationality and gender to differentials. A rigorous and comprehensive appraisal of NCD programmes and services is imperative for providing policy makers with evidence-based recommendations to guide the design, implementation and evaluation of targeted programmes and services necessary to ensure equity in health services delivery to diabetic and hypertensive patients. Such programmes are an ethical imperative considering the protracted crises and compounded fragility.
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https://openalex.org/W4233523778
Defining the limits of public health
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[ "Lebanon", "Syria", "Iran", "Israel" ]
[]
https://api.openalex.org/works?filter=cites:W4233523778
How should doctors respond when civilians become targets in war? A serious recent example is the gratuitous Russian annihilation of the Chechen capital, Grozny. And Israel has just vented its impatience by breaking agreed (and UN-monitored) terms of engagement with Syrian-backed Hizbollah guerrillas in Israeli-occupied southern Lebanon. That 1996 agreement—reached after Israeli operations had left 160 civilians dead and 340 injured—is now in tatters. At least 17 Lebanese civilians were injured in the latest Israeli raids.The most well-researched instance of disregard for civilian safety was revealed last week in a report published by Human Rights Watch on the 1999 NATO air campaign in former Yugoslavia. At the time, NATO officials emphasised their wish to limit civilian casualties. However, the Human Rights Watch report concluded that during the 78-day bombing campaign, 500 Yugoslav civilians were killed in at least 90 incidents. Although legitimate military locations were targeted in most cases, nine attacks were directed at non-military targets—Serb radio and television headquarters, a heating plant, and seven bridges that did not provide vital transportation routes. Of the attacks on military installations, 33 took place in heavily populated urban areas where civilian casualties were likely.The use of cluster bombs by the USA and UK was an especially deadly aspect of the air campaign, accounting for up to 150 civilian fatalities. After one NATO cluster-bomb incident that went badly wrong in May, 1999 (in Nis, including hits on a health centre and near a pathology building), there were 14 civilian deaths. The US government secretly ordered its forces to cease using these weapons. However, British military commanders continued to use cluster bombs. Why were cluster bombs deemed so essential? Because they were, according to this new report, “part of a psychological warfare strategy of harassment undertaken without regard to the greater risk to the civilian population”. Human Rights Watch concluded “that NATO violated international humanitarian law”.The effects of targeting civilian populations fall directly on local health services. For example, the 1996 conflict in south Lebanon produced injuries that had serious, and frequently forgotten, long-term consequences. Early relief efforts did provide valuable aid to these casualties, but much needed additional rehabilitative medical services were often missing (J Epidemiol Community Health 2000; 54: 35-39). Doctors have an important advocacy role in bringing the needs of those affected by war to the attention of politicians.There is another role for health workers and, again, the fields of Yugoslavia provide the evidence. The WHO Regional Office for Europe's Peace Through Health programme, designed in collaboration with the UK's Department for International Development, aims to use medicine as a direct means to reconciliation. Their report, published last year, finds that “the health sector has been the most progressive in terms of reconciliation”. How so?The idea, conceived in March, 1997, was simple: to promote cooperation between governments and local populations on matters of health policy. Projects among the different ethnic communities of Bosnia and Herzegovina included: promotion of primary and mental health services; tuberculosis control; anti-tobacco policies; and provision of children's dental health. This work is impressive. WHO's report argues that, “For WHO, to view contributions to peace-building as extraneous to our technical role is at best myopic, at worst negligent”.Doctors have a vital role in the prevention of conflict, as well as in the care and cure of its consequences. The only remaining argument is the limit of the preventive reach of public health. One new sphere of influence has already opened up. WHO has, through its Commission on Macroeconomics and Health, made economics a central strand in its strategy for sustainable development.But physicians also have individual parts to play. It is, after all, the individual alone who can lead, act, or persuade. And here one arrives at the ultimate political and economic risk to the public's health—namely, the sale of weapons between nations. The tragic irony of the latest Israeli-Lebanese conflict is that Israeli soldiers were probably killed by American missiles originally supplied by Israel to Iran. Cold logic thus insists that doctors must oppose this grotesque traffic in human misery. And they must do it now. How should doctors respond when civilians become targets in war? A serious recent example is the gratuitous Russian annihilation of the Chechen capital, Grozny. And Israel has just vented its impatience by breaking agreed (and UN-monitored) terms of engagement with Syrian-backed Hizbollah guerrillas in Israeli-occupied southern Lebanon. That 1996 agreement—reached after Israeli operations had left 160 civilians dead and 340 injured—is now in tatters. At least 17 Lebanese civilians were injured in the latest Israeli raids. The most well-researched instance of disregard for civilian safety was revealed last week in a report published by Human Rights Watch on the 1999 NATO air campaign in former Yugoslavia. At the time, NATO officials emphasised their wish to limit civilian casualties. However, the Human Rights Watch report concluded that during the 78-day bombing campaign, 500 Yugoslav civilians were killed in at least 90 incidents. Although legitimate military locations were targeted in most cases, nine attacks were directed at non-military targets—Serb radio and television headquarters, a heating plant, and seven bridges that did not provide vital transportation routes. Of the attacks on military installations, 33 took place in heavily populated urban areas where civilian casualties were likely. The use of cluster bombs by the USA and UK was an especially deadly aspect of the air campaign, accounting for up to 150 civilian fatalities. After one NATO cluster-bomb incident that went badly wrong in May, 1999 (in Nis, including hits on a health centre and near a pathology building), there were 14 civilian deaths. The US government secretly ordered its forces to cease using these weapons. However, British military commanders continued to use cluster bombs. Why were cluster bombs deemed so essential? Because they were, according to this new report, “part of a psychological warfare strategy of harassment undertaken without regard to the greater risk to the civilian population”. Human Rights Watch concluded “that NATO violated international humanitarian law”. The effects of targeting civilian populations fall directly on local health services. For example, the 1996 conflict in south Lebanon produced injuries that had serious, and frequently forgotten, long-term consequences. Early relief efforts did provide valuable aid to these casualties, but much needed additional rehabilitative medical services were often missing (J Epidemiol Community Health 2000; 54: 35-39). Doctors have an important advocacy role in bringing the needs of those affected by war to the attention of politicians. There is another role for health workers and, again, the fields of Yugoslavia provide the evidence. The WHO Regional Office for Europe's Peace Through Health programme, designed in collaboration with the UK's Department for International Development, aims to use medicine as a direct means to reconciliation. Their report, published last year, finds that “the health sector has been the most progressive in terms of reconciliation”. How so? The idea, conceived in March, 1997, was simple: to promote cooperation between governments and local populations on matters of health policy. Projects among the different ethnic communities of Bosnia and Herzegovina included: promotion of primary and mental health services; tuberculosis control; anti-tobacco policies; and provision of children's dental health. This work is impressive. WHO's report argues that, “For WHO, to view contributions to peace-building as extraneous to our technical role is at best myopic, at worst negligent”. Doctors have a vital role in the prevention of conflict, as well as in the care and cure of its consequences. The only remaining argument is the limit of the preventive reach of public health. One new sphere of influence has already opened up. WHO has, through its Commission on Macroeconomics and Health, made economics a central strand in its strategy for sustainable development. But physicians also have individual parts to play. It is, after all, the individual alone who can lead, act, or persuade. And here one arrives at the ultimate political and economic risk to the public's health—namely, the sale of weapons between nations. The tragic irony of the latest Israeli-Lebanese conflict is that Israeli soldiers were probably killed by American missiles originally supplied by Israel to Iran. Cold logic thus insists that doctors must oppose this grotesque traffic in human misery. And they must do it now.
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https://openalex.org/W4368362150
Assessing the relationship between food insecurity and lifestyle behaviors among university students: a comparative study between Lebanon and Germany
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https://api.openalex.org/works?filter=cites:W4368362150
Food insecurity is a common public health problem in both developed and developing countries. This study aimed to profile food insecurity among university students in a developed country with stable economic circumstances (Germany) and a developing Mediterranean country undergoing a severe economic and financial crisis (Lebanon) and examine the associations between food insecurity and lifestyle behaviors (i.e., physical activity, sleep, and adherence to a healthy eating pattern, such as the Mediterranean diet), stress, and financial well-being.This online cross-sectional study was conducted between September 2021 and March 2022. Subjects were recruited through social media platforms (Facebook, WhatsApp, Instagram, and personal email) and in-class announcements by several university professors of various majors and from different universities in Lebanon and Germany. The final sample included 547 participants (197 from Lebanon and 350 from Germany).Our findings showed a higher food insecurity rate in Lebanon compared with Germany (59% versus 33%). In the bivariate analysis, food insecurity was associated with insomnia (r = 0.230; p < 0.001) and stress (r = 0.225; p = 0.001); German university students had higher physical activity (p < 0.001), better diet quality (p < 0.001), and lower adherence to the Mediterranean diet (p < 0001) than Lebanese students. In the multivariable analyses, more stress was related to insomnia (B = 0.178; p < 0.001), while financial well-being was not associated with any of the lifestyle behaviors. Physical activity, insomnia, and Mediterranean diet adherence were not associated with the country or food insecurity (p > 0.05); however, living in Germany was associated with better diet quality (B = -7.85; p < 0.001).The high prevalence of food insecurity reported in this study is alarming, particularly among Lebanese students; German students had better diet quality and higher physical activity but worse adherence to the Mediterranean diet. Moreover, food insecurity was also associated with worse sleep and stress. Further studies are necessary to assess the role of food insecurity as a mediating factor between sociodemographic characteristics and lifestyle behaviors.
[ { "display_name": "BMC Public Health", "id": "https://openalex.org/S200437886", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2802201510
Notes from the field: a case of hepatic failure and reflections on current status of healthcare of Syrian refugees in Lebanon
[ { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Salim M. Saiyed", "id": "https://openalex.org/A5065313998" }, { "affiliations": [], "display_name": "John Kahler", "id": "https://openalex.org/A5065213316" }, { "affiliations": [ { "country": "Jordan", "display_name": "Jordan University of Science and Technology", "id": "https://openalex.org/I156983542", "lat": 32.55556, "long": 35.85, "type": "education" } ], "display_name": "Mutaz Kalabani", "id": "https://openalex.org/A5004278036" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Syrian refugees", "id": "https://openalex.org/C3018716944" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Communicable disease", "id": "https://openalex.org/C3018443061" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1909865233", "https://openalex.org/W1995964973", "https://openalex.org/W2024116506", "https://openalex.org/W2029883138", "https://openalex.org/W2345539730", "https://openalex.org/W2495763977", "https://openalex.org/W2556344045" ]
https://api.openalex.org/works?filter=cites:W2802201510
Recent trends and research suggest health conditions of the Syrian refugees in Lebanon are deteriorating. The following case study highlights some of the problems that refugees encounter seeking health care services in Lebanon. A coordinated response from Non-governmental organization (NGO) with intense focus on non-communicable disease (NCD) is needed to avert further worsening of health conditions on the ground.
[ { "display_name": "Conflict and Health", "id": "https://openalex.org/S77607499", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4205267304
Medical and recreational cannabis: A cross-sectional survey assessing a sample of physicians’ attitudes, knowledge and experience in a university hospital in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" } ], "display_name": "Grace Akiki", "id": "https://openalex.org/A5014074795" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" } ], "display_name": "Sami Richa", "id": "https://openalex.org/A5037369781" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" }, { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" }, { "country": "France", "display_name": "Centre Hospitalier Universitaire de Tours", "id": "https://openalex.org/I4210095477", "lat": 47.38771, "long": 0.674733, "type": "healthcare" } ], "display_name": "François Kazour", "id": "https://openalex.org/A5069522969" } ]
[ { "display_name": "Cannabis", "id": "https://openalex.org/C2777056318" }, { "display_name": "Legalization", "id": "https://openalex.org/C2778506969" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Medical cannabis", "id": "https://openalex.org/C3019398298" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Decriminalization", "id": "https://openalex.org/C2776614996" }, { "display_name": "Recreation", "id": "https://openalex.org/C110269972" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1966709829", "https://openalex.org/W1976446527", "https://openalex.org/W2005129193", "https://openalex.org/W2039695217", "https://openalex.org/W2141226884", "https://openalex.org/W2168520349", "https://openalex.org/W2318862399", "https://openalex.org/W2344441976", "https://openalex.org/W2360194526", "https://openalex.org/W2401728467", "https://openalex.org/W2572756406", "https://openalex.org/W2574629194", "https://openalex.org/W2771178223", "https://openalex.org/W2795545165", "https://openalex.org/W2795926924", "https://openalex.org/W2799791547", "https://openalex.org/W2810334534", "https://openalex.org/W2981990119" ]
https://api.openalex.org/works?filter=cites:W4205267304
A law legalizing the farming of medical cannabis for the international market was passed in Lebanese parliament in April 2020. Thus, this makes Lebanon the first Arab country to legalize medical cannabis, a law which can hold potential public health consequences. The advocates of legalization of medical cannabis in society and in the media influence the public opinion. A community of Lebanese physicians was the first to be asked about this subject. This study aims to assess a sample of physicians’ opinions, knowledge and experiences with medical and non-medical cannabis. All physicians of every speciality working at the Hôtel Dieu de France-Beirut hospital (450) received by email a 33-question-online survey in French between November 2020 and December 2020. The survey was designed based on similar studies published outside of Lebanon. Eighty-five Lebanese physicians responded to the survey and 80% of them supported the decriminalization of medical cannabis in Lebanon. But only 16% reported knowing the indications of medical cannabis, and only 24% stated that they have adequate knowledge of its secondary effects. Eighty-eight percent of them felt that they might be more comfortable discussing the option of medical cannabis if they had formal education on the subject. Even though the majority of the sample who participated in this study seemed to approve the use of medical cannabis, they lacked the knowledge and confidence to do it. Therefore, this study highlights the need of physician training in the subject of medical cannabis. Future well-conducted university studies will produce evidence-based-guidelines for medical cannabis indications and side effects. Une loi légalisant la culture du cannabis médical pour le marché international a été votée en avril 2020, rendant le Liban, le premier pays arabe à légaliser le cannabis médical. Même si cette loi n’est toujours pas appliquée, elle pourra avoir des conséquences sur la santé publique. Les partisans de la légalisation du cannabis médical dans la société et les médias poussent vers un changement de l’opinion publique concernant l’usage du cannabis. Les médecins libanais sont les premiers à être interrogés sur le sujet. Face à cette situation, cette étude a pour but d’évaluer les attitudes, les connaissances et les expériences des médecins de toute spécialité pratiquant dans un hôpital universitaire au Liban concernant l’usage du cannabis médical et non médical. Tous les médecins pratiquants à Hôtel-Dieu de France-Beyrouth ont reçu par email un questionnaire en français formé de 33 questions ayant pour but d’évaluer leurs opinions, leurs connaissances perçues, leurs expériences professionnelles et personnelles avec le cannabis médical et non médical. Un total de 85 des médecins libanais pratiquant à Hôtel-Dieu de France Beyrouth a répondu au questionnaire. Au total, 80 % des répondeurs sont en faveur de la décriminalisation du cannabis médical au Liban. Mais seulement 16 % d’entre eux rapportent un niveau de connaissance adéquat des indications du cannabis médical et 24 % d’entre eux estiment connaître ses effets secondaires. La majorité des médecins de l’échantillon (88 %) se sentiront plus à l’aise de discuter l’option du cannabis médical s’ils avaient reçu une éducation formelle sur le sujet. Même si la majorité des médecins de notre échantillon sont avec la légalisation du cannabis médical, il existe un manque de connaissance de cette population sur ce sujet. Notre étude met en évidence l’importance d’une formation des médecins libanais sur le cannabis médical. Plus d’études dans le futur permettront de poser les vraies indications du cannabis médical tout ayant recours à la médecine factuelle.
[ { "display_name": "L'Encéphale", "id": "https://openalex.org/S4210168811", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2981299614
The governmental health policy-development process for Syrian refugees: an embedded qualitative case studies in Lebanon and Ontario
[ { "affiliations": [ { "country": "Canada", "display_name": "McMaster University", "id": "https://openalex.org/I98251732", "lat": 43.25011, "long": -79.84963, "type": "education" }, { "country": "Canada", "display_name": "Impact", "id": "https://openalex.org/I4210161256", "lat": 45.41402, "long": -75.701836, "type": "nonprofit" } ], "display_name": "Ahmad Firas Khalid", "id": "https://openalex.org/A5024594601" }, { "affiliations": [ { "country": "Canada", "display_name": "McMaster University", "id": "https://openalex.org/I98251732", "lat": 43.25011, "long": -79.84963, "type": "education" }, { "country": "Canada", "display_name": "Impact", "id": "https://openalex.org/I4210161256", "lat": 45.41402, "long": -75.701836, "type": "nonprofit" } ], "display_name": "John N. Lavis", "id": "https://openalex.org/A5016730562" }, { "affiliations": [ { "country": "Canada", "display_name": "McMaster University", "id": "https://openalex.org/I98251732", "lat": 43.25011, "long": -79.84963, "type": "education" }, { "country": "Canada", "display_name": "Impact", "id": "https://openalex.org/I4210161256", "lat": 45.41402, "long": -75.701836, "type": "nonprofit" }, { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Fadi El‐Jardali", "id": "https://openalex.org/A5031532168" }, { "affiliations": [ { "country": "Canada", "display_name": "McMaster University", "id": "https://openalex.org/I98251732", "lat": 43.25011, "long": -79.84963, "type": "education" } ], "display_name": "Meredith Vanstone", "id": "https://openalex.org/A5057221074" } ]
[ { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Humanitarian aid", "id": "https://openalex.org/C521897407" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Humanitarian crisis", "id": "https://openalex.org/C2777742874" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Development aid", "id": "https://openalex.org/C2778449271" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1486853685", "https://openalex.org/W1510294676", "https://openalex.org/W1657666406", "https://openalex.org/W1971123156", "https://openalex.org/W1987857893", "https://openalex.org/W1990151147", "https://openalex.org/W1991292986", "https://openalex.org/W1998989769", "https://openalex.org/W2004541993", "https://openalex.org/W2029678497", "https://openalex.org/W2042592422", "https://openalex.org/W2049481475", "https://openalex.org/W2067081810", "https://openalex.org/W2070678001", "https://openalex.org/W2072196589", "https://openalex.org/W2077282275", "https://openalex.org/W2095774359", "https://openalex.org/W2096693938", "https://openalex.org/W2098032053", "https://openalex.org/W2100729569", "https://openalex.org/W2101479887", "https://openalex.org/W2112003434", "https://openalex.org/W2122911303", "https://openalex.org/W2130753825", "https://openalex.org/W2144674566", "https://openalex.org/W2165879234", "https://openalex.org/W2166227248", "https://openalex.org/W2170871477", "https://openalex.org/W2177006609", "https://openalex.org/W2397233745", "https://openalex.org/W2514500732", "https://openalex.org/W2588721446", "https://openalex.org/W2624522361", "https://openalex.org/W2741875939", "https://openalex.org/W2751392992", "https://openalex.org/W2806923299", "https://openalex.org/W4236219146", "https://openalex.org/W4240739486", "https://openalex.org/W4254311311" ]
https://api.openalex.org/works?filter=cites:W2981299614
Abstract Background The unprecedented amount of resources dedicated to humanitarian aid has led many stakeholders to demand the use of reliable evidence in humanitarian aid decisions to ensure that desired impacts are achieved at acceptable costs. However, little is known about the factors that influence the use of research evidence in the policy development in humanitarian crises. We examined how research evidence was used to inform two humanitarian policies made in response to the Syrian refugee crisis. Methods We identified two policies as rich potential case studies to examine the use of evidence in humanitarian aid policy decision-making: Lebanon’s 2016 Health Response Strategy and Ontario’s 2016 Phase 2: Health System Action Plan, Syrian Refugees. To study each, we used an embedded qualitative case study methodology and recruited senior decision-makers, policy advisors, and healthcare providers who were involved with the development of each policy. We reviewed publicly available documents and media articles that spoke to the factors that influence the process. We used the analytic technique of explanation building to understand the factors that influence the use of research evidence in the policy-development process in crisis zones. Results We interviewed eight informants working in government and six in international agencies in Lebanon, and two informants working in healthcare provider organizations and two in non-governmental organizations in Ontario, for a total of 18 key informants. Based on our interviews and documentary analysis, we identified that there was limited use of research evidence and that four broad categories of factors helped to explain the policy-development process for Syrian refugees – development of health policies without significant chance for derailment from other government bodies (Lebanon) or opposition parties (Ontario) (i.e., facing no veto points), government’s engagement with key societal actors to inform the policy-development process, the values underpinning the process, and external factors significantly influencing the policy-development process. Conclusions This study suggests that use of research evidence in the policy-development process for Syrian refugees was subordinate to key political factors, resulting in limited influence of research evidence in the development of both the Lebanese and Ontarian policy.
[ { "display_name": "Conflict and Health", "id": "https://openalex.org/S77607499", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2765310904
Abortion In Lebanon: Practice and Legality?
[ { "affiliations": [], "display_name": "Kaddour Afamia", "id": "https://openalex.org/A5064539917" }, { "affiliations": [], "display_name": "Alameh Hassan", "id": "https://openalex.org/A5019147101" }, { "affiliations": [], "display_name": "Melekian Khatoum", "id": "https://openalex.org/A5088747150" }, { "affiliations": [], "display_name": "El Shareef Maya", "id": "https://openalex.org/A5089645751" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W611457115" ]
https://api.openalex.org/works?filter=cites:W2765310904
Induced abortion refers to the voluntary interruption of pregnancy (CDC, 2001). The debate whether it should be legal or not has become a political issue all over the world, particularly that social changes resulted in a continuous modification of legislation and social attitudes concerning abortion. However, in Lebanon, though a major public health concern, this issue does not seem to be of interest to the public or to policy makers. The Lebanese law declared abortion illegal decades ago. The virtual absence of attempts to amend this law ever since, as well as the absence of research concerning its effect on the community, reflects that abortion does not seem to be a public issue of concern. In theory, this law addresses the needs of the Lebanese community and everybody appears to be abiding by it. However, the real picture seems far from this.
[ { "display_name": "Al-Raida Journal", "id": "https://openalex.org/S2764949313", "type": "journal" } ]
https://openalex.org/W4214731191
Factors related to pregnancy status and unwanted pregnancy among lebanese women during the COVID-19 lockdown: a cross-sectional study
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[ { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Affect (linguistics)", "id": "https://openalex.org/C2776035688" }, { "display_name": "Obstetrics", "id": "https://openalex.org/C131872663" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" }, { "display_name": "Communication", "id": "https://openalex.org/C46312422" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4214731191
Home confinement and lockdowns have created challenges and vulnerabilities, causing relevant changes in sexual health and couple stability, particularly in women. The objective of this study was to evaluate the socio-economic and psychological factors related to current pregnancy status and unwanted pregnancy among Lebanese women during the COVID-19 lockdown.A cross-sectional online study conducted between June 8 and August 1, 2020, enrolled 369 Lebanese women using the snowball technique for data collection. All married women between 18 and 51, with access to the internet and currently living with their partners, were eligible to participate. Current pregnancy status and unwanted pregnancy were assessed using binary questions. The SPSS software 25 was used for data analysis, and multivariable analysis was performed, taking the pregnancy status and unwanted pregnancy as the dependent variables. The statistical significance was set at a p-value < 0.05.Our results showed that 11.1% of women were pregnant, of whom 22.0% reported unwanted pregnancies. Having children (ORa = 0.183) and taking contraceptives (ORa = 0.231) were significantly associated with a reduced chance of becoming pregnant. Higher psychological violence would negatively affect pregnancy, but the association was not significant (p = 0.065). Regular visits to the physician for routine checks were also linked to a decreased risk of unwanted pregnancy (ORa = 0.053). Higher psychological violence would affect unwanted pregnancy; however, the association was insignificant (p = 0.056).The study findings showed that having children and taking contraceptives are associated with a reduced pregnancy. Additionally, psychological violence was found to be related to current pregnancy status and unplanned pregnancy. During a pandemic, vulnerable women should be identified and given adequate care, knowledge, and awareness regarding their reproductive health.
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https://openalex.org/W1984716745
Occupational exposure to neurotoxic substances in Asian countries – Challenges and approaches
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W1984716745
The fact that a conference on neurotoxicity was held in China triggered the idea to provide an insight into occupational diseases, their development and the approaches to investigate them in Asian countries. A historical review, a meta-analysis, and studies on humans and animals provide impressions on past and current problems. The Korean example showed that each newly introduced industry is accompanied by its own problems as regards occupational diseases. Mercury and carbon disulfide were of importance in the beginning, whereas solvents and manganese became important later. Outbreaks of diseases were important reasons to guide both the public and the governmental attention to prevention and allowed within a relatively short time considerable progress. As the example on the replacement of 2-bromopropane by 1-bromopropane showed, also the introduction of chemicals that are more beneficial for the environment may result in additional occupational risks. A lower mutagenicity of 1-bromopopane was shown to be associated with a greater neurotoxicity in Japanese studies. Although occupational health and diseases are commonly related to adults, child workers exposed to solvents were examined in a Lebanese study. The study started outlining the health hazards in young workers because they might be at a much greater risk due to the not yet completed maturation of their nervous system. That some occupational diseases are not yet a focus of prevention was shown by the study on pesticides. If at all, the serious health consequences resulting from excessive exposure were investigated. Research enabling precautionary actions was not available from the international literature. Despite globalization the knowledge on occupational diseases is not yet “globalized” and each country obviously undergoes its own development triggered by local experiences. Economic development that requires a healthy workforce, but also public interest that challenges governmental regulations further efforts on the prevention of occupational diseases. The paper reflects a summary of the talks presented at the symposium “Occupational Neurotoxicities in Asian Countries” as part of the 11th International Symposium on Neurobehavioral Methods and Effects in Occupational and Environmental Health.
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https://openalex.org/W81281786
Breastfeeding in Lebanon : barriers and policy dynamics
[ { "affiliations": [], "display_name": "Chaza Akik", "id": "https://openalex.org/A5029250753" } ]
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[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W81281786
Breastfeeding practices in Lebanon fall short of international recommendations: despite high breastfeeding initiation, exclusive breastfeeding (EBF) rates are almost nil at 4-5 months. In the Lebanese context, health services are expected to have a large contributing role on early breastfeeding practices. This research aimed at identifying Lebanese stakeholders’ perceptions of barriers to recommended early breastfeeding initiation and EBF till 6 months in the context of health services as well as the political dynamics around existing policies that if implemented would address these health system barriers. A review of systematic reviews of the effectiveness of health services interventions to promote and support breastfeeding initiation and exclusivity revealed that a package of complementary interventions would be most effective. It would include applying maternity ward changes according to the Baby-Friendly Hospital Initiative, facilitating the formation of lay support groups, and tailoring education and support to the setting and needs of the population. Semi-structured interviews were conducted with a purposeful sample of 59 Lebanese stakeholders in early breastfeeding. The framework approach was used for analysing data. Health services barriers included suboptimal antenatal preparedness to breastfeeding, detrimental hospital practices, medicalisation of childbirth, health professionals’ knowledge and attitudes towards breastfeeding and aggressive marketing by breast milk substitutes companies. The socio-cultural context was depreciative of breastfeeding. Using the principles of stakeholder analysis, implementation of key policies endorsed by the Lebanese government was found to be hindered by the Ministry of Public Health’s weak governance and commitment, the weak engagement of key international organisations and professional associations compounded by the financial interests of strong stakeholders in the health care system offered by breast milk substitute companies. Key recommendations include the need for further commitment from government, grassroots advocacy to shift the culture towards demanding appropriate early breastfeeding practices, and implementation of several health services related programmes.
[]
https://openalex.org/W3204227178
Setting up a patient complaint system in the national primary healthcare network in Lebanon (2016–2020): Lessons for Low‐ and Middle‐Income Countries
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3204227178
Over the past decade there has been a renewed global commitment towards building people-centred healthcare systems and enhancing the capture of patient complaints. Literature from Low- and Middle-Income Countries (LMICs) on patient complaints is sparse. In 2016, the Primary Healthcare (PHC) Department at the Ministry of Public Health in Lebanon, developed a full grievance (complaint or inquiry) redress system. This paper aims to describe the development of the national grievance handling system and analyse 5 years' worth of grievance data (2016-2020). The study entailed a retrospective analysis of grievances relating to the care of patients treated in 237 Primary Health Centres in the national PHC network in Lebanon, lodged through the central grievance uptakes channels between 1 January 2016 and 31 December 2020. Between 1 January 2016 and 31 December 2020, the PHC Department at the ministry of health received 562 grievances from a total of 389 unique beneficiaries Management issues made up an overwhelming 70% of all grievances, followed by relationships (20%) and clinical issues (6%). Findings indicate the need to enhance the healthcare administration, monitoring and workflow at the PHC centres and to promote the utilisation of grievance systems. The study outlines lessons learned for building grievance systems in LMICs.
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https://openalex.org/W2968718585
“Everyone Has the Right to Drink Beer”: A Stakeholder Analysis of Challenges to Youth Alcohol Harm-Reduction Policies in Lebanon
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https://api.openalex.org/works?filter=cites:W2968718585
Alcohol use is a major risk factor in premature death and disability, especially among youth. Evidence-based policies to prevent and control the detrimental effect of alcohol use have been recommended. In countries with weak alcohol control policies-such as Lebanon, stakeholder analysis provides critical information to influence policy interventions. This paper assesses the views of stakeholders regarding a national alcohol harm reduction policy for youth.We interviewed a total of 22 key stakeholders over a period of 8 months in 2015. Stakeholders were selected purposively, to include representatives of governmental and non-governmental organizations and industry that could answer questions related to core intervention areas: affordability, availability, regulation of marketing, and drinking and driving. We analyzed interview transcripts using thematic analysis.Three themes emerged: Inadequacy of current alcohol control policies; weak governance and disregard for rule of law as a determinant of the status quo; and diverting of responsibility towards 'other' stakeholders. In addition, industry representatives argued against evidence-based policies using time-worn strategies identified globally.Our findings indicate that alcohol harm reduction policies are far from becoming a policy priority in Lebanon. There is a clear need to shift the narrative from victim blaming to structural conditions.
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https://openalex.org/W1694694506
The Psychological Impacts of Bioterrorism
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W1694694506
Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and ScienceVol. 1, No. 2 The Psychological Impacts of BioterrorismMolly J. Hall, Ann E. Norwood, Robert J. Ursano, and Carol S. FullertonMolly J. HallSearch for more papers by this author, Ann E. NorwoodSearch for more papers by this author, Robert J. UrsanoSearch for more papers by this author, and Carol S. FullertonSearch for more papers by this authorPublished Online:5 Jul 2004https://doi.org/10.1089/153871303766275817AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byInstrumental red teaming of “terrorism”: attack-concept gaming to develop comprehension, anticipation and resilienceJournal of Criminological Research, Policy and Practice, Vol. 5, No. 2Social Networks and Disaster Risk Perception in Mexico and Ecuador18 April 2018Special TopicsWorkplace and Organizational DisastersOf Earthquakes and Epidemics: Examining the Applicability of the All-Hazards Approach in Public Health Emergencies16 March 2017 | Risk, Hazards & Crisis in Public Policy, Vol. 8, No. 1Historical evolution of human anthrax from occupational disease to potentially global threat as bioweaponEnvironment International, Vol. 85Biological warfare, bioterrorism, and biocrimeClinical Microbiology and Infection, Vol. 20, No. 6Cross-Cultural and Site-Based Influences on Demographic, Well-being, and Social Network Predictors of Risk Perception in Hazard and Disaster Settings in Ecuador and Mexico6 April 2013 | Human Nature, Vol. 24, No. 1Control of Infectious Bioagents17 December 2012Public Response to an Anthrax Attack: Reactions to Mass Prophylaxis in a Scenario Involving Inhalation Anthrax from an Unidentified Source Gillian SteelFisher, Robert Blendon, Laura J. 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Hodge25 May 2011 | Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, Vol. 9, No. 2Microbial Forensics in Australia—The Australian Federal Police PerspectivePublic Sources of Information and Information Needs for Pandemic Influenza A(H1N1)22 April 2010 | Journal of Community Health, Vol. 35, No. 6Psychosocial considerations for mass decontamination5 October 2010 | Radiation Protection Dosimetry, Vol. 142, No. 1Community Stress Treatment Centers: A Novel Concept of Civilian “Front Line”Treatment for Anxiety and Acute Stress Reaction of Civilians under Continuous Rocket Attacks during the Second Lebanon War28 June 2012 | Prehospital and Disaster Medicine, Vol. 25, No. S1A Social-Cognitive Perspective of Terrorism Risk Perception and Individual Response in CanadaRisk Analysis, Vol. 29, No. 9Willingness to Respond: Of Emergency Department Personnel and Their Predicted Participation in Mass Casualty Terrorist EventsThe Journal of Emergency Medicine, Vol. 36, No. 1Extracting key information from historical data to quantify the transmission dynamics of smallpox20 August 2008 | Theoretical Biology and Medical Modelling, Vol. 5, No. 1Survey of Bioterrorism Risk in BuildingsJournal of Architectural Engineering, Vol. 14, No. 1Workplace disaster preparedness and responsePreparing Medical Personnel to Work a Chemical or Biological Incident: a ‘Readiness and Resiliency’ ModelPsychiatric Annals, Vol. 37, No. 11The Role of Internists During Epidemics, Outbreaks, and Bioterrorist Attacks13 January 2007 | Journal of General Internal Medicine, Vol. 22, No. 1Population-based Triage Management in Response to Surge-capacity Requirements during a Large-scale Bioevent DisasterAcademic Emergency Medicine, Vol. 13, No. 11Utility of Fear Severity and Individual Resilience Scoring as a Surge Capacity, Triage Management Tool during Large-Scale, Bio-Event Disasters28 June 2012 | Prehospital and Disaster Medicine, Vol. 21, No. 5Pre-empting Emergence30 June 2016 | Theory, Culture & Society, Vol. 23, No. 4The Willingness of U.S. Emergency Medical Technicians to Respond to Terrorist Incidents Charles DiMaggio, David Markenson, George T. 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Hall, Ann E. Norwood, Robert J. Ursano, and Carol S. Fullerton.The Psychological Impacts of Bioterrorism.Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science.Jun 2003.139-144.http://doi.org/10.1089/153871303766275817Published in Volume: 1 Issue 2: July 5, 2004PDF download
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https://openalex.org/W3126893598
People who use drugs in rehabilitation, from chaos to discipline: Advantages and pitfalls: A qualitative study
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[ { "display_name": "Rehabilitation", "id": "https://openalex.org/C2778818304" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Physical therapy", "id": "https://openalex.org/C1862650" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1546090953", "https://openalex.org/W1894363939", "https://openalex.org/W1966945031", "https://openalex.org/W1976640730", "https://openalex.org/W1979290264", "https://openalex.org/W1982817675", "https://openalex.org/W1983201778", "https://openalex.org/W1984068094", "https://openalex.org/W1987667420", "https://openalex.org/W1992913038", "https://openalex.org/W1994466421", "https://openalex.org/W2009578511", "https://openalex.org/W2010592518", "https://openalex.org/W2023911997", "https://openalex.org/W2024901368", "https://openalex.org/W2025999375", "https://openalex.org/W2027068231", "https://openalex.org/W2031122668", "https://openalex.org/W2032439229", "https://openalex.org/W2032482453", "https://openalex.org/W2033420105", "https://openalex.org/W2037882044", "https://openalex.org/W2045082641", "https://openalex.org/W2050362820", "https://openalex.org/W2056233303", "https://openalex.org/W2062971972", "https://openalex.org/W2073924662", "https://openalex.org/W2078292111", "https://openalex.org/W2081183254", "https://openalex.org/W2082060396", "https://openalex.org/W2090860593", "https://openalex.org/W2106629882", "https://openalex.org/W2111758845", "https://openalex.org/W2118528898", "https://openalex.org/W2120830028", "https://openalex.org/W2124046443", "https://openalex.org/W2129488881", "https://openalex.org/W2131210873", "https://openalex.org/W2138977807", "https://openalex.org/W2140104931", "https://openalex.org/W2151090141", "https://openalex.org/W2157731071", "https://openalex.org/W2158394746", "https://openalex.org/W2159950826", "https://openalex.org/W2160042579", "https://openalex.org/W2166869141", "https://openalex.org/W2192766098", "https://openalex.org/W2327220247", "https://openalex.org/W2331999623", "https://openalex.org/W2553917527", "https://openalex.org/W2744507838", "https://openalex.org/W2914175697" ]
https://api.openalex.org/works?filter=cites:W3126893598
Evidence-based models emphasizing on lifestyle behaviours for the treatment of drug use is still in its infancy. The development of multicomponent effective drug use intervention programs as part of health promotion is crucial to decrease risk of relapse. This study aims at exploring the lifestyle practices including dietary intake, physical activity and sleep of people who use drugs undergoing residential rehabilitation treatment in Lebanon with its perceived benefits and pitfalls. A purposive sample of 18 males and 9 females at different stages of recovery from drug use in rehabilitation centers participated in the qualitative discussions. The six phases thematic analysis revealed three themes: chaotic lifestyle, structuredlifestyle, benefits and pitfalls, and suggestions for making rehabilitation a better experience. Participants discussed their chaotic lifestyle during addiction with poor food intake, disrupted sleep and low physical activity moving to a more disciplined routine enforcing normality in lifestyle practices with social and professionlprofessional support. The early phases of treatment were marked with increased food intake and weight gain perceived as a health indicator and the sole divergent from drugs, moving towards more structured meals and efforts to lose weight in later stages. Lack of variety of Physical activity programs taking into consideration the motivational differences among the participants was also highlighted. Measures for improving rehabilitation services in terms of promoting healthy eating behaviours and environmental control were thoroughly addressed. These findings shed the light on the challenges faced in maintaining a healthy lifestyle in rehabilitation centers and the necessities of addressing them to improve the overall rehabilitation experience, prevent relapse and inform the development of future targeted intervention programs tackling all aspects of behavioural changes.
[ { "display_name": "PLOS ONE", "id": "https://openalex.org/S202381698", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W4283008823
The Effectiveness of COVID-19 Vaccines in Preventing Hospitalizations During the Delta Wave: A Patient-Population Study at a Major Referral Center
[ { "affiliations": [], "display_name": "Sahrim Ahmad", "id": "https://openalex.org/A5022605767" }, { "affiliations": [], "display_name": "Ghaidaa Elsaddik", "id": "https://openalex.org/A5003079368" }, { "affiliations": [], "display_name": "Zeinab El Mawla", "id": "https://openalex.org/A5051020309" }, { "affiliations": [], "display_name": "Rim Masri", "id": "https://openalex.org/A5016833685" }, { "affiliations": [], "display_name": "Matina Hamadeh", "id": "https://openalex.org/A5041691865" }, { "affiliations": [], "display_name": "Amena Khatoon", "id": "https://openalex.org/A5045219440" }, { "affiliations": [], "display_name": "Michelle W Saliba", "id": "https://openalex.org/A5062145049" }, { "affiliations": [], "display_name": "Afaf Michel Minari", "id": "https://openalex.org/A5034063209" }, { "affiliations": [], "display_name": "Mahmoud Hassoun", "id": "https://openalex.org/A5033581387" }, { "affiliations": [], "display_name": "Pierre Abi Hanna", "id": "https://openalex.org/A5089539564" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Referral", "id": "https://openalex.org/C2776135927" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2090574016", "https://openalex.org/W3091968028", "https://openalex.org/W3108639616", "https://openalex.org/W3159191704", "https://openalex.org/W3160138987", "https://openalex.org/W3160339351", "https://openalex.org/W3166132123", "https://openalex.org/W3182739656", "https://openalex.org/W3184226105", "https://openalex.org/W3193938173", "https://openalex.org/W3195553407", "https://openalex.org/W3199384045", "https://openalex.org/W3207706392", "https://openalex.org/W3211051404", "https://openalex.org/W4214729323", "https://openalex.org/W4226240956", "https://openalex.org/W4255765326" ]
https://api.openalex.org/works?filter=cites:W4283008823
Background and objective Coronavirus disease 2019 (COVID-19) has turned into a deadly global pandemic since its first discovery in Wuhan, China in December 2019. Safe and effective vaccines against COVID-19 have been introduced to the public and have been shown to reduce the severity of the disease and related mortality rates. COVID-19 vaccination was first introduced in Lebanon in mid-February 2021. In this study, we analyzed the effectiveness of vaccination against COVID-19-related hospitalization during the Delta wave at a major referral center in Lebanon. Methods This patient-population study was conducted on patients hospitalized with COVID-19 between July 1, 2021, and September 30, 2021, at the Rafik Hariri University Hospital (RHUH) in Beirut, Lebanon. Data were collected directly from the patients or from digitized records and included demographic characteristics (age, sex, and comorbidities), vaccination status, oxygen requirement, and outcomes. National vaccination data were collected from the daily bulletin provided by the Lebanese Ministry of Public Health. The data collected were analyzed using SPSS Statistics Version 19.0 (IBM Corp., Armonk, NY). Results A total of 289 patients were included in the study, of whom 90.3% were unvaccinated and 9.7% were vaccinated with at least one dose of a two-dose regimen. Only 4.5% of the 289 patients were fully vaccinated. Among those fully or partially vaccinated, the mean time from symptom onset to hospitalization was shorter but the hospital stay was longer compared to the unvaccinated group. The mortality rate was higher in the unvaccinated group (25.7%) compared to 14.3% among the vaccinated. The vaccine effectiveness compared to the national vaccination rate (22.5% in the population after the first and second dose) was 71.71% and 83.78% respectively. Conclusion The findings of this study highlight the fact that complete/partial vaccination against COVID-19 was highly protective against severe disease and hospitalization during the period with a predominance of the Delta variant in Lebanon.
[ { "display_name": "Cureus", "id": "https://openalex.org/S2738950867", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2561227702
Nature, extent, awareness, and attitudes towards counterfeit medicine in Lebanon
[ { "affiliations": [], "display_name": "Lydia Sholy", "id": "https://openalex.org/A5025216512" } ]
[ { "display_name": "Counterfeit", "id": "https://openalex.org/C2779356469" }, { "display_name": "Pharmacist", "id": "https://openalex.org/C2779457091" }, { "display_name": "Counterfeit Drugs", "id": "https://openalex.org/C2909665878" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Product (mathematics)", "id": "https://openalex.org/C90673727" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Pharmacy", "id": "https://openalex.org/C104863432" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Geometry", "id": "https://openalex.org/C2524010" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" } ]
[ "Lebanon" ]
[ "https://openalex.org/W27744790", "https://openalex.org/W170835375", "https://openalex.org/W204862554", "https://openalex.org/W627953917", "https://openalex.org/W1489762786", "https://openalex.org/W1505478554", "https://openalex.org/W1519959271", "https://openalex.org/W1522767714", "https://openalex.org/W1525059842", "https://openalex.org/W1525622790", "https://openalex.org/W1527638746", "https://openalex.org/W1536675431", "https://openalex.org/W1548814471", "https://openalex.org/W1571804625", "https://openalex.org/W1575283488", "https://openalex.org/W1606949404", "https://openalex.org/W1797652964", "https://openalex.org/W1880091036", "https://openalex.org/W1933814166", "https://openalex.org/W1934945143", "https://openalex.org/W1939532946", "https://openalex.org/W1943715954", "https://openalex.org/W1951008065", "https://openalex.org/W1951310439", "https://openalex.org/W1964289739", "https://openalex.org/W1964485164", "https://openalex.org/W1965514675", "https://openalex.org/W1966051366", "https://openalex.org/W1966724186", "https://openalex.org/W1967846233", "https://openalex.org/W1969388541", "https://openalex.org/W1970768438", "https://openalex.org/W1970939924", "https://openalex.org/W1973723451", "https://openalex.org/W1975885330", "https://openalex.org/W1976764300", "https://openalex.org/W1977566677", "https://openalex.org/W1978558740", "https://openalex.org/W1979451751", "https://openalex.org/W1980108756", "https://openalex.org/W1980198114", "https://openalex.org/W1980429098", "https://openalex.org/W1980764590", "https://openalex.org/W1981101847", "https://openalex.org/W1983052690", "https://openalex.org/W1983615686", "https://openalex.org/W1984114584", "https://openalex.org/W1984774326", "https://openalex.org/W1984896831", "https://openalex.org/W1986549426", "https://openalex.org/W1987933839", "https://openalex.org/W1988424211", "https://openalex.org/W1994058637", "https://openalex.org/W1994464918", "https://openalex.org/W1996642060", "https://openalex.org/W2000324304", "https://openalex.org/W2001390162", "https://openalex.org/W2003433557", "https://openalex.org/W2003663567", "https://openalex.org/W2004206184", "https://openalex.org/W2004768162", "https://openalex.org/W2005364767", "https://openalex.org/W2005503002", "https://openalex.org/W2006680399", "https://openalex.org/W2007792329", "https://openalex.org/W2009891199", "https://openalex.org/W2010116506", "https://openalex.org/W2014613515", "https://openalex.org/W2016251231", "https://openalex.org/W2016397968", "https://openalex.org/W2016442546", "https://openalex.org/W2017014894", "https://openalex.org/W2019913366", "https://openalex.org/W2020140434", "https://openalex.org/W2021360547", "https://openalex.org/W2022661938", "https://openalex.org/W2023964808", "https://openalex.org/W2024007387", "https://openalex.org/W2029116891", "https://openalex.org/W2029859546", "https://openalex.org/W2032524882", "https://openalex.org/W2035470114", "https://openalex.org/W2036926982", "https://openalex.org/W2037962101", "https://openalex.org/W2038671066", "https://openalex.org/W2040611319", "https://openalex.org/W2041765503", "https://openalex.org/W2043853479", "https://openalex.org/W2043867338", "https://openalex.org/W2045137299", "https://openalex.org/W2045167038", "https://openalex.org/W2045219575", "https://openalex.org/W2046468032", "https://openalex.org/W2048723245", "https://openalex.org/W2048752781", "https://openalex.org/W2049596458", "https://openalex.org/W2050832165", "https://openalex.org/W2051837672", "https://openalex.org/W2054939506", "https://openalex.org/W2056144694", "https://openalex.org/W2061146813", "https://openalex.org/W2061276405", "https://openalex.org/W2061935394", "https://openalex.org/W2063070848", "https://openalex.org/W2065476056", "https://openalex.org/W2073134094", "https://openalex.org/W2078416636", "https://openalex.org/W2078838473", "https://openalex.org/W2083953608", "https://openalex.org/W2084297047", "https://openalex.org/W2084492688", "https://openalex.org/W2085341952", "https://openalex.org/W2086405911", "https://openalex.org/W2086710529", "https://openalex.org/W2087741233", "https://openalex.org/W2093510858", "https://openalex.org/W2093548823", "https://openalex.org/W2095806817", "https://openalex.org/W2096267252", "https://openalex.org/W2100458127", "https://openalex.org/W2103012819", "https://openalex.org/W2103592957", "https://openalex.org/W2104971230", "https://openalex.org/W2105655546", "https://openalex.org/W2106240283", "https://openalex.org/W2106920361", "https://openalex.org/W2108034895", "https://openalex.org/W2110934150", "https://openalex.org/W2111826746", "https://openalex.org/W2112281258", "https://openalex.org/W2113164531", "https://openalex.org/W2113847478", "https://openalex.org/W2117648250", "https://openalex.org/W2118156083", "https://openalex.org/W2119385585", "https://openalex.org/W2119555207", "https://openalex.org/W2123295909", "https://openalex.org/W2124095017", "https://openalex.org/W2125634133", "https://openalex.org/W2126360798", "https://openalex.org/W2128763233", "https://openalex.org/W2129374379", "https://openalex.org/W2131744895", "https://openalex.org/W2136453117", "https://openalex.org/W2136754463", "https://openalex.org/W2137214153", "https://openalex.org/W2138525153", "https://openalex.org/W2139048806", "https://openalex.org/W2140739497", "https://openalex.org/W2141705316", "https://openalex.org/W2143260569", "https://openalex.org/W2143785588", "https://openalex.org/W2144879192", "https://openalex.org/W2146907829", "https://openalex.org/W2153262834", "https://openalex.org/W2155406439", "https://openalex.org/W2156690393", "https://openalex.org/W2157164490", "https://openalex.org/W2159238963", "https://openalex.org/W2161329457", "https://openalex.org/W2161447326", "https://openalex.org/W2164825677", "https://openalex.org/W2166302664", "https://openalex.org/W2166421283", "https://openalex.org/W2170879500", "https://openalex.org/W2211630235", "https://openalex.org/W2300414462", "https://openalex.org/W2312385559", "https://openalex.org/W2316526332", "https://openalex.org/W2318069445", "https://openalex.org/W2325997495", "https://openalex.org/W2329224246", "https://openalex.org/W2334086551", "https://openalex.org/W2338295178", "https://openalex.org/W2402600421", "https://openalex.org/W2419104286", "https://openalex.org/W2471086499", "https://openalex.org/W2751432271", "https://openalex.org/W3122651986", "https://openalex.org/W3123852756", "https://openalex.org/W3124937039" ]
https://api.openalex.org/works?filter=cites:W2561227702
Counterfeit Medicine (CFM) is defined as a product that is deliberately and fraudulently mislabelled with respect to identity and/or source. According to the World Health Organization, the extent of the CFM problem is not really known, however, the incidences of medicines on sale range from 1% in developed countries to 10-30% in some developing countries. The international concern is the risk CFM poses for public health. There are no reported studies on the nature, and extent of CFM, nor public and pharmacist awareness and attitude towards CFM, in Lebanon. The study’s objectives were to determine the nature and extent of counterfeit medicines and to assess public and pharmacist awareness, and attitudes towards CFM in Lebanon.
[]
https://openalex.org/W2944283448
Shaping the City that Decreases Overweight and Obesity through Healthy Built Environment
[ { "affiliations": [ { "country": "Greece", "display_name": "Aristotle University of Thessaloniki", "id": "https://openalex.org/I21370196", "lat": 40.64361, "long": 22.93086, "type": "education" } ], "display_name": "Maria A. El Helou", "id": "https://openalex.org/A5035910459" } ]
[ { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Built environment", "id": "https://openalex.org/C148803439" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Civil engineering", "id": "https://openalex.org/C147176958" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Psychotherapist", "id": "https://openalex.org/C542102704" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1964375374", "https://openalex.org/W1972942892", "https://openalex.org/W1980042976", "https://openalex.org/W1995272341", "https://openalex.org/W2003097064", "https://openalex.org/W2004269206", "https://openalex.org/W2019092249", "https://openalex.org/W2035764748", "https://openalex.org/W2037523113", "https://openalex.org/W2050491515", "https://openalex.org/W2056627439", "https://openalex.org/W2076147449", "https://openalex.org/W2076707496", "https://openalex.org/W2081702709", "https://openalex.org/W2092950181", "https://openalex.org/W2102319192", "https://openalex.org/W2103951111", "https://openalex.org/W2107450356", "https://openalex.org/W2115570648", "https://openalex.org/W2133335096", "https://openalex.org/W2158597227" ]
https://api.openalex.org/works?filter=cites:W2944283448
Cities are being built based on the concepts of comfortable, easy, and fast for the inhabitants. However, what is being constructed is promoting physical inactivity, and people are finding that what was being considered as convenient for daily life is, in fact, harmful to their physical health. This study points to the many components of a city that beats overweight issues and especially obesity. The case study is the city of Beirut: in-depth interviews were conducted with a representative sample of Beirutis (people whose families come from the Beirut city and who were born in this city and are still living in it). These interviews helped measure these participants’ satisfaction with the physical activities and social life that is accessible for all the inhabitants through inclusive urban planning (such as clean open spaces, parks, sidewalks, free or inexpensive public spaces, facilities for green transportation, etc.). The results of the analysis of the interviews were supported with past data demonstrating the increasing obesity issues in Lebanon and previous data in urban and psychological studies that expound the way the brain processes the urban spaces that increase satisfaction and the urban areas that the city should be offering to its inhabitants for positive health outcomes. The results uncovered the cycle of physical health, mental health, and social contacts which altogether affect the soul of a city where the aim is first and foremost the right to a healthy lifestyle.
[ { "display_name": "Journal of contemporary urban affairs", "id": "https://openalex.org/S4210207427", "type": "journal" } ]
https://openalex.org/W3126046759
Access to Essential Cardiovascular Medicines in Pakistan: A National Survey on the Availability, Price, and Affordability, Using WHO/HAI Methodology
[ { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" }, { "country": "Pakistan", "display_name": "University of Lahore", "id": "https://openalex.org/I142204992", "lat": 31.460749, "long": 74.24363, "type": "education" } ], "display_name": "Amna Saeed", "id": "https://openalex.org/A5015962652" }, { "affiliations": [ { "country": "Pakistan", "display_name": "Allama Iqbal Medical College", "id": "https://openalex.org/I205173300", "lat": 31.48718, "long": 74.29795, "type": "education" } ], "display_name": "Faria Saeed", "id": "https://openalex.org/A5083734765" }, { "affiliations": [ { "country": "Pakistan", "display_name": "University of the Punjab", "id": "https://openalex.org/I172780181", "lat": 31.495457, "long": 74.29388, "type": "education" } ], "display_name": "Hamid Saeed", "id": "https://openalex.org/A5014210739" }, { "affiliations": [ { "country": "Pakistan", "display_name": "University of Lahore", "id": "https://openalex.org/I142204992", "lat": 31.460749, "long": 74.24363, "type": "education" } ], "display_name": "Zikria Saleem", "id": "https://openalex.org/A5048317573" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Caijun Yang", "id": "https://openalex.org/A5015213169" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Jie Chang", "id": "https://openalex.org/A5027122930" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Minghuan Jiang", "id": "https://openalex.org/A5053989474" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Mingyue Zhao", "id": "https://openalex.org/A5073478311" }, { "affiliations": [ { "country": "Pakistan", "display_name": "Quaid-i-Azam University", "id": "https://openalex.org/I12469534", "lat": 33.747223, "long": 73.138885, "type": "education" } ], "display_name": "Muhammad Saqlain", "id": "https://openalex.org/A5080638290" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Wenjing Ji", "id": "https://openalex.org/A5006246000" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Muhammad Majid Aziz", "id": "https://openalex.org/A5084601033" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Krizzia Lambojon", "id": "https://openalex.org/A5018951063" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Ali Hassan Gillani", "id": "https://openalex.org/A5026661804" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" }, { "country": "Pakistan", "display_name": "University of Veterinary and Animal Sciences", "id": "https://openalex.org/I79839403", "lat": 31.558, "long": 74.35071, "type": "education" } ], "display_name": "Khezar Hayat", "id": "https://openalex.org/A5059468418" }, { "affiliations": [ { "country": "Pakistan", "display_name": "Hamdard University", "id": "https://openalex.org/I191365509", "lat": 25.085764, "long": 67.00921, "type": "education" } ], "display_name": "Sabiha Gul", "id": "https://openalex.org/A5024948770" }, { "affiliations": [ { "country": "China", "display_name": "Xi'an Jiaotong University", "id": "https://openalex.org/I87445476", "lat": 34.25833, "long": 108.92861, "type": "education" }, { "country": "China", "display_name": "Jilin Province Development and Reform Commission", "id": "https://openalex.org/I4210128813", "lat": 43.85083, "long": 126.56028, "type": "government" } ], "display_name": "Yu Fang", "id": "https://openalex.org/A5050744717" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Huddersfield", "id": "https://openalex.org/I133837150", "lat": 53.64324, "long": -1.77837, "type": "education" } ], "display_name": "Zaheer‐Ud‐Din Babar", "id": "https://openalex.org/A5039066885" } ]
[ { "display_name": "Essential medicines", "id": "https://openalex.org/C2777424817" }, { "display_name": "Access to medicines", "id": "https://openalex.org/C3019492093" }, { "display_name": "Private sector", "id": "https://openalex.org/C121426985" }, { "display_name": "Pharmacy", "id": "https://openalex.org/C104863432" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public sector", "id": "https://openalex.org/C147859227" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economy", "id": "https://openalex.org/C136264566" } ]
[ "Lebanon", "Sudan", "Egypt" ]
[ "https://openalex.org/W1777587551", "https://openalex.org/W1970723866", "https://openalex.org/W2010524556", "https://openalex.org/W2036135747", "https://openalex.org/W2046363656", "https://openalex.org/W2079098200", "https://openalex.org/W2080461766", "https://openalex.org/W2081288128", "https://openalex.org/W2125065061", "https://openalex.org/W2133787819", "https://openalex.org/W2136786020", "https://openalex.org/W2149749469", "https://openalex.org/W2161170278", "https://openalex.org/W2195519022", "https://openalex.org/W2312781042", "https://openalex.org/W2401773418", "https://openalex.org/W2567930094", "https://openalex.org/W2754056729", "https://openalex.org/W2778194751", "https://openalex.org/W2792379285", "https://openalex.org/W2805870372", "https://openalex.org/W2885779596", "https://openalex.org/W2889793610", "https://openalex.org/W2897275390", "https://openalex.org/W2941642079", "https://openalex.org/W2952047893", "https://openalex.org/W2972597266", "https://openalex.org/W3092537611" ]
https://api.openalex.org/works?filter=cites:W3126046759
Objective: This national survey was aimed at measuring the access to cardiovascular disease (CVD) medicines in terms of their availability, price, and affordability in Pakistan. This was done by using the standard WHO/Health Action International (HAI) methodology. Methods: The price and availability data for 18 CVD medicines were collected from public sector hospitals (n = 40) and private sector retail pharmacies (n = 40) in eight cities of Pakistan. The outcome measures were availability (calculated as percentage of health facilities stocked with listed medicines), medicine price to the international reference price ratio (i.e., median price ratio (MPR)), and affordability (calculated as number of days’ wages (NDWs) of the lowest paid unskilled government worker required to afford one-month treatment of a chronic disease). The affordability of standard treatment in Pakistan with four CVD drugs was compared with data from six other low and middle income countries (LMICs) using HAI database. Findings: The mean percent availability of CVD medicines was significantly low ( p &amp;lt; 0.001) in the public sector as compared to the private sector, that is, 25.5% vs. 54.6% for originator brands (OBs) and 30.4% vs. 34.9% for lowest price generics (LPGs), respectively. For all OBs and LPGs, the inflation-adjusted mean MPR was 2.72 and 1, respectively. CVD medicines were found to be unaffordable with average NDWs of 6.4 and 2.2 for OBs and LPGs, respectively, that is, NDWs of more than 1. In international comparison with countries such as Sudan, Lebanon, Egypt, India, Afghanistan, and China, the affordability of standard treatment with selected CVD medicines (atenolol, amlodipine, captopril, and simvastatin) in Pakistan was found to be low. Overall, all four OBs and three out of four LPGs of selected CVD drugs were found unaffordable in Pakistan. Conclusion: This data indicated that the availability of selected CVD medicines was low in both public and private sector medicine outlets. Both OBs and LPGs were found unaffordable in the private sector, necessitating the redressal of pricing policies, structuring, and their implementation.
[ { "display_name": "Frontiers in Pharmacology", "id": "https://openalex.org/S132108250", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W3111974213
Gender Differences in Mental Health Outcomes Amid the COVID-19 Pandemic and a Collapsing Economy: A Cross-Sectional Study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Aline Hajj", "id": "https://openalex.org/A5070602652" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Science and Technology", "id": "https://openalex.org/I67054835", "lat": 33.88481, "long": 35.52286, "type": "education" } ], "display_name": "Danielle A. Badro", "id": "https://openalex.org/A5056552437" }, { "affiliations": [], "display_name": "Carla Abou Selwan", "id": "https://openalex.org/A5061283396" }, { "affiliations": [ { "country": "Guinea", "display_name": "Institut National de Santé Publique", "id": "https://openalex.org/I4210145426", "lat": 9.523978, "long": -13.689641, "type": "government" } ], "display_name": "Hala Sacre", "id": "https://openalex.org/A5088172147" }, { "affiliations": [ { "country": "Guinea", "display_name": "Institut National de Santé Publique", "id": "https://openalex.org/I4210145426", "lat": 9.523978, "long": -13.689641, "type": "government" } ], "display_name": "Randa Aoun", "id": "https://openalex.org/A5062990893" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5023182162" } ]
[ { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Anxiety", "id": "https://openalex.org/C558461103" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Ethnic group", "id": "https://openalex.org/C137403100" }, { "display_name": "Nationality", "id": "https://openalex.org/C2777138209" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Immigration", "id": "https://openalex.org/C70036468" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W3111974213
Abstract Background: Emergency plans to contain the COVID-19 failed to take into consideration the repercussions of the combined economic and sanitary crisis among the most vulnerable populations who might be disproportionately affected, including women and abused people. This study primarily aimed to assess the effects of the COVID-19 and economy-related variables on Lebanese adults’ mental health, focusing on gender differences. Methods: An online-based cross-sectional study was conducted between May 10-20, 2020, using validated scales. All adults living in Lebanon, with access to the internet, were eligible, regardless of their age, socioeconomic status, race, ethnicity, nationality, sex, gender identity, religion, geography, ability, and culture (n=502). Results: The multivariate analysis, adjusted on sociodemographic characteristics, economic, and coronavirus-related variables, showed that women exhibit higher levels of stress, anxiety, and post-traumatic stress symptoms (PTSS) than men. Moreover, violence at home was associated with more stress and insomnia, with borderline results for anxiety and well-being. No significant difference was found for PTSS. Conclusion: In the context of combined health and economic crises, mental health outcomes are not equally felt by women. Additional studies in a few months would help better understand the long-term impact, especially on PTSS and QOL, which might not be perceptible during the crisis. Focused public health strategies are warranted to support and protect the most vulnerable populations.
[ { "display_name": "Research Square (Research Square)", "id": "https://openalex.org/S4306402450", "type": "repository" } ]
https://openalex.org/W3121455500
Oral health status of 12- and 15-year-old Lebanese school children
[ { "affiliations": [], "display_name": "Chirine Abdel Malak", "id": "https://openalex.org/A5027787137" }, { "affiliations": [], "display_name": "Carole Chakar", "id": "https://openalex.org/A5052832334" }, { "affiliations": [], "display_name": "Alain H. Romanos", "id": "https://openalex.org/A5024477878" }, { "affiliations": [], "display_name": "Samar Rachidi", "id": "https://openalex.org/A5026232530" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Oral health", "id": "https://openalex.org/C2992672162" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Periodontal disease", "id": "https://openalex.org/C2992452445" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1498082926", "https://openalex.org/W1545964131", "https://openalex.org/W1560590277", "https://openalex.org/W1881796430", "https://openalex.org/W1923213491", "https://openalex.org/W1948234361", "https://openalex.org/W1983179891", "https://openalex.org/W2057616764", "https://openalex.org/W2129355097", "https://openalex.org/W2129943425", "https://openalex.org/W2145264803", "https://openalex.org/W2145979804", "https://openalex.org/W2253707042", "https://openalex.org/W2807832111" ]
https://api.openalex.org/works?filter=cites:W3121455500
Background: Studies addressing the oral health status among Lebanese school children are scarce. Aims: To assess the oral health status of Lebanese school children, and to provide epidemiological data for planning and evaluation of oral health care programmes. Methods: We selected 7902 schoolchildren aged 12–15 years from the 6 governorates of Lebanon, using a multistage probability sampling method. Data were obtained by self-administered structured questionnaires and clinical examinations (World Health Organization methodology and criteria). Dental caries was recorded using the Decayed, Missing, and Filled Teeth (DMFT) index. Periodontal status was evaluated using the Community Periodontal Index (CPI). Results: The mean (standard deviation) number of decayed, missing and filled teeth was 3.01 (2.927), 0.05 (0.245) and 2.14 (2.071), respectively, and the mean DMFT score was 5.20 (3.549). Among the whole tested population, the prevalence of caries was 89.5% and only 10.5% of the children were completely free of caries. Age, geographic location and school sector were the most significant risk factors for caries prevalence. Periodontal disease (CPI score &gt; 0) was seen in 7633 participants (96.6%). In contrast to the shallow periodontal pockets that showed a low prevalence, calculus was the most frequently detected periodontal condition in both ages (50.9% at 12 years old and 50.2% at 15 years old). Age, sex, school sector and smoking status were significantly associated with occurrence of periodontal disease. Conclusion: Preventive and restorative public health campaigns are highly recommended to improve oral health status among Lebanese schoolchildren
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" } ]
https://openalex.org/W3041780411
Comparative analysis of country-level enablers, barriers and recommendations to strengthen institutional capacity for evidence uptake in decision-making
[ { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Meike Schleiff", "id": "https://openalex.org/A5041335450" }, { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Alice Kuan", "id": "https://openalex.org/A5026909882" }, { "affiliations": [ { "country": "Switzerland", "display_name": "Alliance for Health Policy and Systems Research", "id": "https://openalex.org/I4210112411", "lat": 46.23293, "long": 6.134303, "type": "healthcare" } ], "display_name": "Abdul Ghaffar", "id": "https://openalex.org/A5016327709" } ]
[ { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Civil society", "id": "https://openalex.org/C513891491" }, { "display_name": "Incentive", "id": "https://openalex.org/C29122968" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Capacity building", "id": "https://openalex.org/C2779622097" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Paleontology", "id": "https://openalex.org/C151730666" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Microeconomics", "id": "https://openalex.org/C175444787" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1976770755", "https://openalex.org/W1982267666", "https://openalex.org/W2004541993", "https://openalex.org/W2043132152", "https://openalex.org/W2068298920", "https://openalex.org/W2079431107", "https://openalex.org/W2111637361", "https://openalex.org/W2117941873", "https://openalex.org/W2124463567", "https://openalex.org/W2170518570", "https://openalex.org/W2297211597", "https://openalex.org/W2342220881", "https://openalex.org/W2473927372", "https://openalex.org/W2949511878", "https://openalex.org/W2955593081" ]
https://api.openalex.org/works?filter=cites:W3041780411
Abstract Background Evidence-based decision-making is crucial to leadership in the health sector to identify country-level priorities and generate solutions supported by rigorous research. Barriers and enablers have been explored, but limited evidence about what works to strengthening capacity at individual and institutional levels within countries has been reported, and inconsistent use of evidence to inform policy-making is a persistent challenge and concern. Methods We conducted a framework analysis comparing experiences of nine purposively selected countries (Chile, Ethiopia, Ghana, Kyrgyzstan, Lebanon, Mozambique, Rwanda, South Africa and Sri Lanka). We utilised qualitative case studies developed by in-country teams to explore enablers and barriers described across components of a predefined theory of change and then identified six cross-cutting themes and recommendations for relevant stakeholders associated with each theme. Results The cross-cutting themes included (1) leadership and political will, (2) incentives and resources, (3) infrastructure and access to health data, (4) designated structures and processes, (5) interaction and relationships, and (6) capacity strengthening and engagement. While each case country’s context and experience was different, common enablers and barriers surfaced across each of these themes, with Ministries of Health and other government agencies having strong roles to play, but also recognising the need for other stakeholders, including researchers, donors and civil society, to serve as essential collaborators in order to strengthen evidence uptake. Substantial and sustained investment in research capacities, able leaders and stronger engagement of civil servants are needed to further this progress and strengthen processes of health decision-making. Conclusions All countries represented in this study have made commendable progress in increasing evidence uptake and strengthening supportive systems. Establishing and strengthening necessary structures and the relationships that underpin them takes time as well as resources. Going forward, the findings from this study can help guide and support advocacy to increase domestic funding for health research, especially health policy and systems research, and ensure that civil servants as well as researchers have the capacity and support to collaborate and continue to bolster evidence uptake.
[ { "display_name": "Health Research Policy and Systems", "id": "https://openalex.org/S201446958", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W4310331471
A Case Report of a Lebanon Viper (Montivipera bornmuelleri) Envenomation in a Child
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Faysal Tabbara", "id": "https://openalex.org/A5086114638" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Sarah S Abdul Nabi", "id": "https://openalex.org/A5042147722" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Riad Sadek", "id": "https://openalex.org/A5021465958" }, { "affiliations": [ { "country": "United States", "display_name": "Emory University", "id": "https://openalex.org/I150468666", "lat": 33.749, "long": -84.38798, "type": "education" } ], "display_name": "Ziad Kazzi", "id": "https://openalex.org/A5030052199" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Tharwat El Zahran", "id": "https://openalex.org/A5040158475" } ]
[ { "display_name": "Envenomation", "id": "https://openalex.org/C145600735" }, { "display_name": "VIPeR", "id": "https://openalex.org/C2780389661" }, { "display_name": "Emergency department", "id": "https://openalex.org/C2780724011" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Venom", "id": "https://openalex.org/C2779448229" }, { "display_name": "Ecology", "id": "https://openalex.org/C18903297" } ]
[ "Lebanon" ]
[ "https://openalex.org/W143377722", "https://openalex.org/W1842209614", "https://openalex.org/W2072972769", "https://openalex.org/W2117250036", "https://openalex.org/W2574996324", "https://openalex.org/W2589675344", "https://openalex.org/W2791304469", "https://openalex.org/W2807096690", "https://openalex.org/W2896966215", "https://openalex.org/W3003828117", "https://openalex.org/W4289309555" ]
https://api.openalex.org/works?filter=cites:W4310331471
Introduction: Snake envenomation is a serious public health concern. In the Middle East little is known about snakebite envenomation, which raises several challenges for emergency physicians caring for these patients. Case report: We report the case of a five-year-old boy bitten by a rare snake, Montivipera bornmuelleri, who presented to an emergency department in Lebanon. We also discuss the proper management of snake envenomation. Conclusion: This case is unique as snakebites in Lebanon are poorly studied, and little is known about the epidemiology and clinical manifestations of local snakebites.
[ { "display_name": "Clinical practice and cases in emergency medicine", "id": "https://openalex.org/S4210236172", "type": "journal" }, { "display_name": "eScholarship University of California (University of California)", "id": "https://openalex.org/S4306402430", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2151496929
Surveillance for Certain Health Behaviors Among Selected Local Areas--United States, Behavioral Risk Factor Surveillance System, 2002
[ { "affiliations": [], "display_name": "Lina Balluz", "id": "https://openalex.org/A5019478279" }, { "affiliations": [], "display_name": "Indu B. Ahluwalia", "id": "https://openalex.org/A5090797226" }, { "affiliations": [], "display_name": "Wilmon Murphy", "id": "https://openalex.org/A5071706458" }, { "affiliations": [], "display_name": "Ali H. Mokdad", "id": "https://openalex.org/A5025877875" }, { "affiliations": [], "display_name": "Wayne H. Giles", "id": "https://openalex.org/A5053629259" }, { "affiliations": [], "display_name": "Virginia Bales Harris", "id": "https://openalex.org/A5016156614" } ]
[ { "display_name": "Behavioral Risk Factor Surveillance System", "id": "https://openalex.org/C2777126965" }, { "display_name": "Miami", "id": "https://openalex.org/C2606647" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Metropolitan area", "id": "https://openalex.org/C158739034" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Behavioral risk", "id": "https://openalex.org/C2993033392" }, { "display_name": "Commonwealth", "id": "https://openalex.org/C2777826127" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Environmental protection", "id": "https://openalex.org/C526734887" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Environmental science", "id": "https://openalex.org/C39432304" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Soil science", "id": "https://openalex.org/C159390177" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1236958993", "https://openalex.org/W2058770411", "https://openalex.org/W2324299619", "https://openalex.org/W2327319391", "https://openalex.org/W3172478362" ]
https://api.openalex.org/works?filter=cites:W2151496929
Monitoring risk behaviors for chronic diseases and participation in preventive practices are important for developing effective health education and intervention programs to prevent morbidity and mortality. Therefore, continual monitoring of these behaviors and practices at the state, city, and county levels can assist public health programs in evaluating and monitoring progress toward improving their community's health.Data collected in 2002 are presented for states, selected metropolitan, and micropolitan statistical areas (MMSA), and their counties.The Behavioral Risk Factor Surveillance System (BRFSS) is an on-going, state-based, telephone survey of the civilian, noninstitutionalized population aged >18 years. All 50 states, the District of Columbia (DC), Guam, the Virgin Islands, and the Commonwealth of Puerto Rico participated in BRFSS during 2002. Metropolitan and MMSA and their counties with >500 respondents or a minimum sample size of 19 per weighting class were included in the analyses for a total of 98 MMSA and 146 counties.Prevalence of high-risk behaviors for chronic diseases, awareness of certain medical conditions, and use of preventive health-care services varied substantially by state, county, and MMSA. Obesity ranged from 27.6% in West Virginia, 29.4% in Charleston, West Virginia, and 32.0% in Florence County, South Carolina, to 16.5% in Colorado, 12.8% in Bethesda-Frederick-Gaithersburg, Maryland, and 11.8% in Washington County, Rhode Island. No leisuretime physical activity ranged from 33.6% in Tennessee, 36.8% in Miami-Miami Beach-Kendall, Florida, and 36.8% in Miami-Dade County, Florida to 15.0% in Washington, 13.8% in Seattle-Bellevue-Everett Washington, and 11.4% in King County, Washington. Cigarette smoking ranged from 32.6% in Kentucky, 32.8% in Youngstown-Warren- Boardman, Ohio-Pennsylvania, and 31.1% in Jefferson County, Kentucky to 16.4% in California, 13.8% in Ogden- Clearfield, Utah, and 10.9% in Davis County, Utah. Binge drinking ranged from 24.9% in Wisconsin, 26.1% in Fargo, North Dakota-Minnesota, and 25.1% Cass County, North Dakota, to 7.9% in Kentucky, 8.2% in Greensboro- High Point, North Carolina, and 6.6% in Henderson County, North Carolina. At risk for heavy drinking ranged from 8.7% in Arizona, 9.5% in Lebanon, New Hampshire-Vermont, and 11.3% in Richland County, South Carolina, to 2.8% in Utah, 1.9% in Ogden-Clearfield, Utah, and 1.7% in King County, New York. Adults who were told they had diabetes ranged from 10.2% in West Virginia, 11.1% in Charleston, West Virginia, and 11.1% in Richland, South Carolina, to 3.5% in Alaska, 2.7% in Anchorage, Alaska, and 2.4% in Weber County, Utah. Percentage of adults aged>50 years who were ever screened for colorectal cancer ranged from 64.8% in Minnesota, 67.9% in Minneapolis-St. Paul-Bloomington Minnesota-Wisconsin, and 73.6% in Ramsey County, Minnesota, to 39.2% in Hawaii, 30.7% in Kahului-Wailuku, Hawaii, and 30.7% in Maui County, Hawaii. Persons aged >65 years who had received pneumococcal vaccine ranged from 72.5% in North Dakota, 74.8% in Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin, and 73.1% in Milwaukee County, Wisconsin, to 47.9% in DC, 47.5% in New York-Wayne-White Plains, New York, New Jersey, and 47.9% in DC County, DC. Older adults who had received influenza vaccine ranged from 76.6% in Minnesota, 80.0% in Minneapolis-St. Paul-Bloomington, Minnesota-Wisconsin, and 76.3% in Middlesex County, Massachusetts, to 57.0% in Florida, 55.8% in Houston-Baytown-Sugar Land, Texas, and 56.2% in Cook County, Illinois.BRFSS data indicate substantial variation in high-risk behaviors, participation in preventive healthcare services, and screening among U.S. adults at states and selected local areas, indicating a need for continued efforts to evaluate public health programs or policies designed to reduce morbidity and mortality.Data from BRFSS are useful in developing and guiding public health programs and policies. Therefore, states, selected MMSA, and their counties can use BRFSS data as a tool to prevent premature morbidity and mortality among adult population and to assess progress toward national health objectives. The data indicate a continued need to develop and implement health promotion programs for targeting specific behaviors and practices and serve as a baseline for future surveillance at the local level in the United States.
[ { "display_name": "PsycEXTRA Dataset", "id": "https://openalex.org/S4306524878", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3004920732
A qualitative examination of barriers against effective medical education and practices related to breastfeeding promotion and support in Lebanon
[ { "affiliations": [ { "country": "United States", "display_name": "University of California, San Diego", "id": "https://openalex.org/I36258959", "lat": 32.71571, "long": -117.16472, "type": "education" } ], "display_name": "Sara Moukarzel", "id": "https://openalex.org/A5007458324" }, { "affiliations": [ { "country": "United States", "display_name": "University of California, San Diego", "id": "https://openalex.org/I36258959", "lat": 32.71571, "long": -117.16472, "type": "education" } ], "display_name": "Christoforos Mamas", "id": "https://openalex.org/A5014564597" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Antoine Farhat", "id": "https://openalex.org/A5089058136" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Antoine Abi Abboud", "id": "https://openalex.org/A5088831826" }, { "affiliations": [ { "country": "United States", "display_name": "University of California, San Diego", "id": "https://openalex.org/I36258959", "lat": 32.71571, "long": -117.16472, "type": "education" } ], "display_name": "Alan J. Daly", "id": "https://openalex.org/A5076611738" } ]
[ { "display_name": "Breastfeeding", "id": "https://openalex.org/C2776283161" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Breastfeeding promotion", "id": "https://openalex.org/C2779924154" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Psychosocial", "id": "https://openalex.org/C150966472" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W79229537", "https://openalex.org/W642335544", "https://openalex.org/W1517229207", "https://openalex.org/W1977022467", "https://openalex.org/W1987586110", "https://openalex.org/W1994719359", "https://openalex.org/W2013413543", "https://openalex.org/W2014516246", "https://openalex.org/W2047138074", "https://openalex.org/W2049718667", "https://openalex.org/W2095514726", "https://openalex.org/W2133312140", "https://openalex.org/W2135564167", "https://openalex.org/W2151646306", "https://openalex.org/W2161583495", "https://openalex.org/W2270567475", "https://openalex.org/W2329538057", "https://openalex.org/W2509596590", "https://openalex.org/W2606937893", "https://openalex.org/W2611741519", "https://openalex.org/W2614612727", "https://openalex.org/W2749046008", "https://openalex.org/W2762593186", "https://openalex.org/W2772748748", "https://openalex.org/W2784144778", "https://openalex.org/W2896854733", "https://openalex.org/W4298052160" ]
https://api.openalex.org/works?filter=cites:W3004920732
Background: Insufficient breastfeeding promotion and support by physicians contribute to suboptimal breastfeeding rates globally. Understanding setting-specific barriers against breastfeeding promotion and support from the perspective of medical students and addressing those that can be modified through undergraduate medical education may help improve learning outcomes, medical practice, and ultimately health outcomes associated with breastfeeding.Objectives: We selected the underserved and under-supported public medical school in Lebanon to explore psychosocial, institutional, and societal barriers hindering effective preventative medicine practices using breastfeeding promotion and support as an exemplar case.Methods: One-on-one semi-structured interviews, each lasting around 60 min, were conducted with medical interns (in Med III and Med IV) at their training hospitals. Interviews were voice-recorded, transcribed verbatim, coded, and analyzed thematically based on Theory of Planned Behavior.Results: Interns (n= 49; 96% response rate) completed the study. Five major themes emerged addressing barriers at various levels. At the health care system level at large, interns identified the predominant focus on pathophysiology and treatment rather than on disease prevention and health promotion as a barrier. At the level of trainees and their education experiences, interns reported limited and optional clerkship training in obstetrics/gynecology and in neonatology which contributes to their insufficient knowledge and low self-efficacy. Competing financial interests from infant formula companies and social pressures to promote infant formula were identified as two main barriers at the level of physicians and clinical practice.Conclusions: Our work using breastfeeding as an exemplary case highlights how undergraduate medical education and its learning outcomes and how medical practices and patient behavior are highly intertwined with psychosocial, institutional, and social drivers and constraints. Re-evaluating the success of undergraduate medical curricula in light of overcoming these constraints and not only based on meeting national accreditation and certification guidelines might prove helpful in improving medical education and ultimately clinical practice.
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https://openalex.org/W4383105369
Communicable Disease Surveillance in Lebanon during the Syrian Humanitarian Crisis, 2013–2019
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Zeina Farah", "id": "https://openalex.org/A5033386322" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "London School of Hygiene & Tropical Medicine", "id": "https://openalex.org/I4210089966", "lat": 51.5209, "long": -0.1307, "type": "education" } ], "display_name": "Majd Saleh", "id": "https://openalex.org/A5025820427" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Hala Abou El Naja", "id": "https://openalex.org/A5054860827" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Lina Chaito", "id": "https://openalex.org/A5011972362" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" } ], "display_name": "Nada Ghosn", "id": "https://openalex.org/A5082031484" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Measles", "id": "https://openalex.org/C2776438120" }, { "display_name": "Outbreak", "id": "https://openalex.org/C116675565" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Communicable disease", "id": "https://openalex.org/C3018443061" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Disease surveillance", "id": "https://openalex.org/C2776480101" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Hepatitis A", "id": "https://openalex.org/C2775876817" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Hepatitis", "id": "https://openalex.org/C2776029263" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W120152436", "https://openalex.org/W2063709457", "https://openalex.org/W2322173759", "https://openalex.org/W2561195546", "https://openalex.org/W2587045813", "https://openalex.org/W2902040088", "https://openalex.org/W4210563715" ]
https://api.openalex.org/works?filter=cites:W4383105369
Lebanon has been one of the most affected countries by the Syrian humanitarian crisis. The national communicable disease surveillance was enhanced to detect outbreaks among Syrians. In this study, we aim to describe the findings of the communicable disease surveillance among Syrians in Lebanon, compare it to residents’ data, and describe the implemented surveillance activities between 2013 and 2019. During the study period, data on communicable diseases was mainly collected through the routine national surveillance system and an enhanced syndromic surveillance system. Predefined case definitions and standard operating procedures were in place. Data collection included both case-based and disease-specific reporting forms. Descriptive data and incidence rates were generated. Information was disseminated through weekly reports. Activities were conducted in close collaboration with different partners. The most commonly reported diseases were: viral hepatitis A, cutaneous leishmaniasis, mumps, and measles. Hepatitis A incidence increased in 2013 and 2014 among Syrians as well as residents. For leishmaniasis, the incidence increased only among Syrians in 2013 and decreased after that. An outbreak of mumps was reported among Syrians between 2014 and 2016, with a peak in 2015 concomitant with a national outbreak. Outbreaks of measles were reported among Syrians and residents in 2013, 2018, and 2019. The infrastructure of the well-implemented surveillance system in Lebanon has been utilized to monitor the health status of Syrians in Lebanon, early detect communicable diseases among this population, and guide needed preventive and control measures. This highlights the importance of having a flexible surveillance system that can be adapted to emergencies and the importance of sharing results with involved partners.
[ { "display_name": "Epidemiologia", "id": "https://openalex.org/S4210219439", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3163209976
ADHERENCE TO MEDITERRANEAN DIET AMONG ADOLESCENTS ATTENDING PUBLIC SCHOOLS IN NORTH LEBANON
[ { "affiliations": [], "display_name": "Rosy Mitri", "id": "https://openalex.org/A5056432755" }, { "affiliations": [], "display_name": "Fouad Ziade", "id": "https://openalex.org/A5054756362" } ]
[ { "display_name": "Mediterranean diet", "id": "https://openalex.org/C2778962194" }, { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Anthropometry", "id": "https://openalex.org/C61427482" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Physical activity", "id": "https://openalex.org/C3020255362" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Quality of life (healthcare)", "id": "https://openalex.org/C2779951463" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Body mass index", "id": "https://openalex.org/C2780221984" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Physical therapy", "id": "https://openalex.org/C1862650" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W3163209976
The Mediterranean diet (MD) is a model of a healthy diet and healthy lifestyle. Adherence to the MD has been correlated with a reduction in many metabolic disorders including cancers. The factors associated with adolescents’ adherence to the MD in North Lebanon using the KIDMED index have never been explored. The objective of this study was to examine the factors associated with the Mediterranean diet (MD) adherence among a sample of Lebanese adolescents. A cross-sectional survey was conducted in the city of Tripoli, North Lebanon. A total of 298 students, aged 11-18 years, were randomly selected from public schools in the area. All participants completed a questionnaire on the Mediterranean diet (KIDMED index), physical activity (physical activity questionnaires for older children [PAQ-C] and adolescents [PAQ-A]), health-related quality of life (KIDSCREEN-27 index), and sociodemographic characteristics (age, gender, grade level, and parents’ educational status). The questionnaire was followed by anthropometric measurements. Adherence to the MD was good among only 13.4% of the adolescents. The prevalence rate of overweight and obesity was elevated reaching 36.9% of the students. Lower adherence to the MD was significantly correlated with skipping meals (P=0.004) and consuming fewer meals with the family (P
[ { "display_name": "BAU Journal - Health and Wellbeing", "id": "https://openalex.org/S4387280034", "type": "journal" } ]
https://openalex.org/W3017272923
Using Intervention Mapping to Develop Health Education and Health Policy Components to Increase Breast Cancer Screening and Chemotherapy Adherence Among Syrian and Iraqi Refugee Women in Beirut, Lebanon
[ { "affiliations": [ { "country": "United States", "display_name": "The University of Texas Health Science Center at Houston", "id": "https://openalex.org/I919571938", "lat": 29.76328, "long": -95.36327, "type": "education" } ], "display_name": "Lea Sacca", "id": "https://openalex.org/A5063786314" }, { "affiliations": [ { "country": "United States", "display_name": "The University of Texas Health Science Center at Houston", "id": "https://openalex.org/I919571938", "lat": 29.76328, "long": -95.36327, "type": "education" } ], "display_name": "Christine Markham", "id": "https://openalex.org/A5038141791" }, { "affiliations": [ { "country": "United States", "display_name": "The University of Texas MD Anderson Cancer Center", "id": "https://openalex.org/I1343551460", "lat": 29.70706, "long": -95.39697, "type": "healthcare" } ], "display_name": "Johny Fares", "id": "https://openalex.org/A5013204250" } ]
[ { "display_name": "Breast cancer", "id": "https://openalex.org/C530470458" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Breast cancer screening", "id": "https://openalex.org/C2778491387" }, { "display_name": "Disadvantaged", "id": "https://openalex.org/C2780623907" }, { "display_name": "Mammography", "id": "https://openalex.org/C2780472235" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Cancer", "id": "https://openalex.org/C121608353" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Syria", "Iraq" ]
[ "https://openalex.org/W1490276743", "https://openalex.org/W1838702125", "https://openalex.org/W1979305421", "https://openalex.org/W1995964973", "https://openalex.org/W1999931541", "https://openalex.org/W2032096993", "https://openalex.org/W2041994756", "https://openalex.org/W2061061154", "https://openalex.org/W2074415508", "https://openalex.org/W2084969420", "https://openalex.org/W2085850268", "https://openalex.org/W2095952399", "https://openalex.org/W2104250567", "https://openalex.org/W2104323916", "https://openalex.org/W2106031392", "https://openalex.org/W2118512206", "https://openalex.org/W2118590784", "https://openalex.org/W2121991726", "https://openalex.org/W2129322386", "https://openalex.org/W2132137660", "https://openalex.org/W2146908076", "https://openalex.org/W2161281963", "https://openalex.org/W2170784574", "https://openalex.org/W2231582531", "https://openalex.org/W2283836098", "https://openalex.org/W2346940057", "https://openalex.org/W2441338739", "https://openalex.org/W2510799154", "https://openalex.org/W2521179040", "https://openalex.org/W2590417095", "https://openalex.org/W2744810905", "https://openalex.org/W2766831584", "https://openalex.org/W2772168984", "https://openalex.org/W2800160332", "https://openalex.org/W2804050509", "https://openalex.org/W2883653581", "https://openalex.org/W2893240772", "https://openalex.org/W2896516463", "https://openalex.org/W3000617624" ]
https://api.openalex.org/works?filter=cites:W3017272923
Introduction: Despite the continuous increase in the incidence of metastatic breast cancer among Syrian and Iraqi refugee women residing in camp settings in Lebanon, mammography and chemotherapy adherence rates remain low due to multiple social, economic, and environmental interfering factors. This in turn led to an alarming increase in breast cancer morbidity and mortality rates among the disadvantaged population. Methods: Intervention mapping, a systematic approach which guides researchers and public health experts in the development of comprehensive evidence-based interventions (EBIs) was used to plan a health education and health policy intervention to increase breast cancer screening and chemotherapy adherence among Iraqi and Syrian refugee women aged 30 and older who are residing in refugee camps within the Beirut district of Lebanon. Results: The generation of the logic model during the needs assessment phase was guided by an extensive review of the literature and reports published in peer-reviewed journals or by international/local organizations in the country to determine breast cancer incidence and mortality rates among refugee women of Syrian and Iraqi nationalities. The underlying behavioral and environmental determinants of the disease were identified from qualitative and quantitative studies carried out among the target population and also aided in assessing the sub-behaviors related to the determinants of breast cancer screening and chemotherapy completion as well as factors affecting policy execution to formulate performance objectives. We then developed matrices of change objectives and their respective methods and practical applications for behavior change at the intrapersonal, interpersonal, organizational, and societal levels. Both educational components (brochures, flyers) and technological methods (videos disseminated via Whats app and Facebook) will be adopted to apply the different methods selected (modeling, self-reevaluation, consciousness raising, persuasion, and tailoring). We also described the development of the educational and technological tools, in addition to providing future implementers with methods for pre-testing and pilot-testing of individual and environmental prototype components. Conclusion: The use of intervention mapping in the planning and implementation of holistic health promotion interventions based on information collected from published literature, case reports, and theory can integrate the multiple disciplines of public health to attain the desired behavioral change.
[ { "display_name": "Frontiers in Public Health", "id": "https://openalex.org/S2595931848", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W4318475302
Relationship between social determinants of health and quality of life in low income adults with diabetes in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" } ], "display_name": "Ola Sukkarieh-Haraty", "id": "https://openalex.org/A5071455213" }, { "affiliations": [ { "country": "United States", "display_name": "Medical College of Wisconsin", "id": "https://openalex.org/I204308271", "lat": 43.0389, "long": -87.90647, "type": "education" } ], "display_name": "Leonard E. Egede", "id": "https://openalex.org/A5062740403" }, { "affiliations": [ { "country": "Qatar", "display_name": "Qatar University", "id": "https://openalex.org/I60342839", "lat": 25.377226, "long": 51.48715, "type": "education" } ], "display_name": "Maya Bassil", "id": "https://openalex.org/A5015305121" } ]
[ { "display_name": "Psychosocial", "id": "https://openalex.org/C150966472" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Quality of life (healthcare)", "id": "https://openalex.org/C2779951463" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1519835452", "https://openalex.org/W1530193861", "https://openalex.org/W1982662536", "https://openalex.org/W1983385105", "https://openalex.org/W2038348179", "https://openalex.org/W2054693505", "https://openalex.org/W2065211298", "https://openalex.org/W2070211859", "https://openalex.org/W2075871092", "https://openalex.org/W2081636198", "https://openalex.org/W2097966600", "https://openalex.org/W2105563110", "https://openalex.org/W2108426839", "https://openalex.org/W2109043701", "https://openalex.org/W2116839388", "https://openalex.org/W2117960229", "https://openalex.org/W2126533575", "https://openalex.org/W2131436869", "https://openalex.org/W2132322340", "https://openalex.org/W2156212565", "https://openalex.org/W2168307999", "https://openalex.org/W2172211667", "https://openalex.org/W2298911878", "https://openalex.org/W2344413840", "https://openalex.org/W2429180991", "https://openalex.org/W2614823037", "https://openalex.org/W2623843322", "https://openalex.org/W2730888037", "https://openalex.org/W2732232998", "https://openalex.org/W2752953755", "https://openalex.org/W2801470122", "https://openalex.org/W2807674253", "https://openalex.org/W2834603959", "https://openalex.org/W2883074143", "https://openalex.org/W2892247201", "https://openalex.org/W2899844251", "https://openalex.org/W2991025192", "https://openalex.org/W3131060328", "https://openalex.org/W3194603483", "https://openalex.org/W3213987662", "https://openalex.org/W4206724985", "https://openalex.org/W4214812514", "https://openalex.org/W4223572519" ]
https://api.openalex.org/works?filter=cites:W4318475302
Background & objective Global rates of type 2 diabetes (T2DM) are increasing, with the Middle East and North Africa (MENA) region having the second highest prevalence in the world. Populations from the MENA region, including Lebanon, are also witnessing massive waves of immigration to the western hemisphere. Limited data exist about how social determinants of health (SDOH) impact outcomes for T2DM in this population. Thus, the aim of this study was to assess the relationship between SDOH and quality of life (QoL) in Lebanese adults with T2DM.Methods Adults with T2DM (n = 300) were recruited from primary healthcare centers in Lebanon. Demographic characteristics and WHO QoL domains (physical health, psychological wellbeing, social relationships, and environment) were assessed. SDOH included socioeconomic, neighborhood/built environment, and psychosocial variables. Partially and fully adjusted regression models were used to test for associations between SDOH and QoL domains.Results Mean age of the participants was 60.3 years, 48% were women, 73% were married, and 64% had less than high-school education. Results from the fully adjusted regression models showed that psychosocial (i.e. adverse childhood experiences and depression), socioeconomic (i.e. employment, income, family size, insurance, financial status, and financial independence), and neighborhood/built environment (i.e. transportation, number of rooms in the household, and certain household items) variables were independent correlates of different QoL domains.Conclusions This study shows that psychosocial, socioeconomic, and neighborhood/built environment variables are differentially associated with different QoL domains, suggesting that SDOH factors are strongly associated with quality of life in low-income adults with T2DM in Lebanon.
[ { "display_name": "Postgraduate Medicine", "id": "https://openalex.org/S11800902", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3172791837
Use of health care services among Syrian refugees migrating to Norway: a prospective longitudinal study
[ { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jasmin Haj-Younes", "id": "https://openalex.org/A5091825314" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Elisabeth Marie Strømme", "id": "https://openalex.org/A5080753099" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Jannicke Igland", "id": "https://openalex.org/A5003934566" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Agder", "id": "https://openalex.org/I200650556", "lat": 58.14671, "long": 7.9956, "type": "education" } ], "display_name": "Eirik Abildsnes", "id": "https://openalex.org/A5000753544" }, { "affiliations": [ { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Bernadette Nirmal Kumar", "id": "https://openalex.org/A5063144292" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" } ], "display_name": "Wegdan Hasha", "id": "https://openalex.org/A5091802518" }, { "affiliations": [ { "country": "Norway", "display_name": "University of Bergen", "id": "https://openalex.org/I4432739", "lat": 60.39299, "long": 5.32415, "type": "education" }, { "country": "Norway", "display_name": "Norwegian Institute of Public Health", "id": "https://openalex.org/I1333353642", "lat": 59.91273, "long": 10.74609, "type": "government" } ], "display_name": "Esperanza Díaz", "id": "https://openalex.org/A5018419022" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing research", "id": "https://openalex.org/C518773536" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Longitudinal study", "id": "https://openalex.org/C2777895361" }, { "display_name": "Health informatics", "id": "https://openalex.org/C145642194" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Lebanon", "Syria" ]
[ "https://openalex.org/W1925415571", "https://openalex.org/W1990119959", "https://openalex.org/W1998847808", "https://openalex.org/W2005281404", "https://openalex.org/W2011310218", "https://openalex.org/W2046363656", "https://openalex.org/W2107999364", "https://openalex.org/W2109935313", "https://openalex.org/W2112669742", "https://openalex.org/W2113617530", "https://openalex.org/W2133323217", "https://openalex.org/W2139726867", "https://openalex.org/W2140110831", "https://openalex.org/W2145544940", "https://openalex.org/W2163727808", "https://openalex.org/W2170901864", "https://openalex.org/W2275137179", "https://openalex.org/W2417121647", "https://openalex.org/W2581723880", "https://openalex.org/W2604146398", "https://openalex.org/W2761735840", "https://openalex.org/W2773803292", "https://openalex.org/W2886458272", "https://openalex.org/W2915324371", "https://openalex.org/W2955034566", "https://openalex.org/W2971620451", "https://openalex.org/W3097009629" ]
https://api.openalex.org/works?filter=cites:W3172791837
Abstract Background Understanding the differential utilization of healthcare services is essential to address the public health challenges. Through the migration process, refugees move from one set of health risk factors to another and can face multiple healthcare challenges along their journey. Yet how these changing risk factors influence refugees’ use of health care services is poorly understood. Methods A longitudinal survey assessing health care utilization of 353 adult Syrian refugees was conducted; first in a transit setting in Lebanon and after one year of resettlement in Norway. The main outcomes are the utilization of general practitioner services, emergency care, outpatient and/or specialist care and hospitalization during the previous 12 months. Associations between use of healthcare services and several sociodemographic, migration-related and health status variables at both time points were found using regression analysis. We also analyzed longitudinal changes in utilization rates using generalized estimating equations. Results The use of general practitioner and emergency care increased after resettlement while outpatient/specialist care markedly dropped, and hospitalization rates remained the same. Undocumented status and poor self-rated health (SRH) prior to resettlement were identified as predictors for use of health care after arrival. After resettlement, higher health literacy, higher education, higher social support and poor SRH and quality of life were significantly associated with use of healthcare services. Conclusions Utilization of health services changes post migration to the destination country and are associated with migration-related and socio-demographic factors. Poor SRH is associated with use of services, both pre-arrival and post-resettlement. Our findings have implications for future resettlements, health care policies and service provision to newly arrived refugees with regard to both health needs as well as delivery of services.
[ { "display_name": "BMC Health Services Research", "id": "https://openalex.org/S12898181", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W2208987096
Addiction Science: A Rationale and Tools for a Public Health Response to Drug Abuse
[ { "affiliations": [], "display_name": "Richard A. Rawson", "id": "https://openalex.org/A5042253793" }, { "affiliations": [ { "country": "United States", "display_name": "Oregon Health & Science University", "id": "https://openalex.org/I165690674", "lat": 45.52345, "long": -122.67621, "type": "education" } ], "display_name": "Traci Rieckmann", "id": "https://openalex.org/A5084196377" }, { "affiliations": [ { "country": "United States", "display_name": "National Institute on Drug Abuse", "id": "https://openalex.org/I1327069482", "lat": 38.984596, "long": -77.09712, "type": "facility" }, { "country": "United States", "display_name": "National Institutes of Health", "id": "https://openalex.org/I1299303238", "lat": 38.98067, "long": -77.10026, "type": "government" } ], "display_name": "Steven W. Gust", "id": "https://openalex.org/A5038920498" } ]
[ { "display_name": "Addiction", "id": "https://openalex.org/C48856860" }, { "display_name": "Addiction medicine", "id": "https://openalex.org/C169885649" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Scope (computer science)", "id": "https://openalex.org/C2778012447" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Substance abuse", "id": "https://openalex.org/C40010229" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Programming language", "id": "https://openalex.org/C199360897" } ]
[ "Lebanon" ]
[ "https://openalex.org/W35517522", "https://openalex.org/W184238388", "https://openalex.org/W1512418458", "https://openalex.org/W1527704975", "https://openalex.org/W1580505752", "https://openalex.org/W1587254283", "https://openalex.org/W1974128628", "https://openalex.org/W1989086124", "https://openalex.org/W1995287027", "https://openalex.org/W1998425896", "https://openalex.org/W2004788852", "https://openalex.org/W2024374498", "https://openalex.org/W2029907197", "https://openalex.org/W2071700413", "https://openalex.org/W2086175717", "https://openalex.org/W2086272184", "https://openalex.org/W2089203867", "https://openalex.org/W2095231865", "https://openalex.org/W2095695118", "https://openalex.org/W2098065602", "https://openalex.org/W2098288561", "https://openalex.org/W2107209683", "https://openalex.org/W2109263842", "https://openalex.org/W2121538801", "https://openalex.org/W2128626847", "https://openalex.org/W2136084133", "https://openalex.org/W2141225113", "https://openalex.org/W2149999684", "https://openalex.org/W2152358450", "https://openalex.org/W2152377180", "https://openalex.org/W2157383890", "https://openalex.org/W2162771455", "https://openalex.org/W2164678034", "https://openalex.org/W2169008012", "https://openalex.org/W2172169298", "https://openalex.org/W2296102359", "https://openalex.org/W4246857000" ]
https://api.openalex.org/works?filter=cites:W2208987096
New scientific knowledge and effective, evidence-based interventions have provided health leaders and policymakers a remarkable paradigm to guide the development of addiction treatment services around the world. The definition of addiction as a brain disease, validated screening and assessment tools, medication-assisted treatment, and effective behavioral treatments have served as vehicles for both the United States and other countries to guide the transformation of their substance abuse treatment systems. Seeking to expand international research and infrastructure, the National Institute on Drug Abuse (NIDA)’s International Program has engaged international investigators and institutions in addiction research to promote dissemination of addiction science globally. This paper presents three mixed-methods case studies to exemplify the use of advancements in evidence-based practice in addiction treatment as guides and tools for the creation or further development of treatment systems in three countries, Vietnam, Lebanon, and Abu Dhabi. Results indicate that a framework of evidence-based medicine and empirical science creates a necessary platform from which objective conversations about addictions may begin. Other facilitative factors that help create treatment programs internationally include: a receptive and supportive government, support from international donors and technical experts, networking and interest from other international organizations, and often a synergistic and concerted effort by multiple entities and partners. Despite substantial differences in the circumstances that generated these initiatives and the varying scope of the services, common themes across these efforts have been the implementation of science-based approaches to systems transformation and support for a public health approach to addressing drug abuse and addiction.
[ { "display_name": "Public health reviews", "id": "https://openalex.org/S2765034686", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W385028046
International Health and Aid Policies: The Need for Alternatives
[ { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" } ], "display_name": "Jean-Pierre Unger", "id": "https://openalex.org/A5089180962" }, { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" } ], "display_name": "Pierre De Paepe", "id": "https://openalex.org/A5008775047" }, { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" } ], "display_name": "Kasturi Sen", "id": "https://openalex.org/A5067452564" }, { "affiliations": [ { "country": "Belgium", "display_name": "Instituut voor Tropische Geneeskunde", "id": "https://openalex.org/I78281549", "lat": 51.22047, "long": 4.40026, "type": "nonprofit" } ], "display_name": "Werner Soors", "id": "https://openalex.org/A5083709781" } ]
[ { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "International health", "id": "https://openalex.org/C193395930" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Global health", "id": "https://openalex.org/C46578552" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Context (archaeology)", "id": "https://openalex.org/C2779343474" }, { "display_name": "Development economics", "id": "https://openalex.org/C47768531" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W385028046
Introduction: overview and purpose Part I. Aspects of International Health Policies: 1. Donor led policies: analysis of an underlying doctrine 2. The Achilles heel of international health policies in low and middle income countries Part II. The Failure of the Aid Paradigm: Poor Disease Control in Developing Countries: 3. Why do disease control programs require patients in publicly-oriented services to succeed in delivering? The case of malaria control in Mali 4. How do disease control programs damage health care delivery in developing countries? 5. Privatization (PPM-DOTS) strategy for tuberculosis control: how evidence based is it? Part III. International Health Policies and their Impact on Access to Health Care in Low and Middle Income Countries: Some Recent Experiences from Latin America: 6. Costa Rica: achievements of a heterodox health policy 7. Colombia: in-vivo test of health sector privatization 8. Chile's neo liberal health reforms: an assessment and a critique Part IV. Determinants and Implications of New Liberal Health Policies: the Case of India, China and the Lebanon: 9. Political and economic determinants of health: the case of India 10. An economic insight into health care in six Chinese counties: equity in crisis 11. Health care financing and delivery in the context of conflict and crisis: the Lebanon Part V. Principles for Publicly-Oriented Health Care Policies, Planning, Management and Delivery: 12. Paradigm shifts Section 1. The need to alter health systems missions Section 2. The need to change public health methods 13. Principles for an alternative social and democratic health policy 14. Quality standards for health care delivery and management in publicly-oriented health services 15. Principles of publicly-oriented health planning 16. A code of good practice for the management of disease control programs Part VI. Strategies to Develop Publicly-Oriented Health Systems and Services: 17. Person-centered care in LIC/MIC publicly-oriented services 18. Improving access Section 1. Access to health care (Ecuador) Section 2. Access to drugs (Senegal) 19. Non-managed care techniques to improve clinical decision making Section 1. Versatile techniques Section 2. Interface flow-process audit 20. Reorienting academic missions: how can public health departments best support access to good quality comprehensive health care? Conclusion.
[]
https://openalex.org/W2990778380
A mixed-methods evaluation of community-based healthy kitchens as social enterprises for refugee women
[ { "affiliations": [ { "country": "United States", "display_name": "University of Maryland, College Park", "id": "https://openalex.org/I66946132", "lat": 38.98067, "long": -76.93692, "type": "education" } ], "display_name": "Nadine R. Sahyoun", "id": "https://openalex.org/A5024986809" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Zeina Jamaluddine", "id": "https://openalex.org/A5018206201" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" }, { "country": "United States", "display_name": "International Food Policy Research Institute", "id": "https://openalex.org/I150314799", "lat": 38.903255, "long": -77.04645, "type": "nonprofit" } ], "display_name": "Jowel Choufani", "id": "https://openalex.org/A5040826666" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Sandra Mesmar", "id": "https://openalex.org/A5001111281" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Amelia Reese-Masterson", "id": "https://openalex.org/A5047632322" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Hala Ghattas", "id": "https://openalex.org/A5080462582" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Food security", "id": "https://openalex.org/C549605437" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Community-based participatory research", "id": "https://openalex.org/C2779909229" }, { "display_name": "Participatory action research", "id": "https://openalex.org/C140988679" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Agriculture", "id": "https://openalex.org/C118518473" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2990778380
The aim of this study is to investigate the potential impact of a community-based intervention - the Healthy Kitchens, Healthy Children (HKHC) intervention - on participating women's household's economics and food security status, decision making, mental health and social support.We established two healthy kitchens in existing community-based organizations in Palestinian camps in Lebanon. These were set up as small business enterprises, using participatory approaches to develop recipes and train women in food preparation, food safety and entrepreneurship. We used a mixed-methods approach to assess the impact of participating in the program on women's economic, food security, decision making, social and mental health outcomes. A questionnaire was administered to women at baseline and at an 8-month endpoint. The end line survey was complemented by a set of embedded open-ended questions.Thirty-two Palestinian refugee women were employed within the kitchens on a rotating basis. Participating women had a 13% increase in household expenditure. This was translated into a significant increase in food (p < 0.05) and clothing expenditures (p < 0.01), as well as a reduction in food insecurity score (p < 0.01). These findings were supported by qualitative data which found that the kitchens provided women with financial support in addition to a space to form social bonds, discuss personal issues and share experiences.This model created a social enterprise using the concept of community kitchens linked to schools and allowed women to significantly contribute to household expenditure and improve their food security.
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https://openalex.org/W2992544148
Gay Community Integration as Both a Source of Risk and Resilience for HIV Prevention in Beirut
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[ { "display_name": "Men who have sex with men", "id": "https://openalex.org/C2776939746" }, { "display_name": "Health psychology", "id": "https://openalex.org/C155164915" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Minority stress", "id": "https://openalex.org/C2777005476" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Human sexuality", "id": "https://openalex.org/C53813258" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Sexual identity", "id": "https://openalex.org/C2776307086" }, { "display_name": "Mediation", "id": "https://openalex.org/C179420905" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Sexual orientation", "id": "https://openalex.org/C2777997956" }, { "display_name": "Developmental psychology", "id": "https://openalex.org/C138496976" }, { "display_name": "Sexual minority", "id": "https://openalex.org/C2778973849" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Syphilis", "id": "https://openalex.org/C2776983459" }, { "display_name": "Gender studies", "id": "https://openalex.org/C107993555" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Lebanon" ]
[ "https://openalex.org/W1968262782", "https://openalex.org/W1973112287", "https://openalex.org/W1984426948", "https://openalex.org/W2016949203", "https://openalex.org/W2019546808", "https://openalex.org/W2021614902", "https://openalex.org/W2036436550", "https://openalex.org/W2060680362", "https://openalex.org/W2067891536", "https://openalex.org/W2075759275", "https://openalex.org/W2093025636", "https://openalex.org/W2095556572", "https://openalex.org/W2112381611", "https://openalex.org/W2117627740", "https://openalex.org/W2125568653", "https://openalex.org/W2137826670", "https://openalex.org/W2323068040", "https://openalex.org/W2465628813", "https://openalex.org/W2477187112", "https://openalex.org/W2617123611", "https://openalex.org/W2755587387" ]
https://api.openalex.org/works?filter=cites:W2992544148
Aspects of sexual identity development, including integration into gay community, have been found to be associated with sexual risk behavior among men who have sex with men (MSM), but not in the Middle East. Drawing on the minority stress model and integrated theory of health behavior, we examined the relationships between measures of sexual identity development and HIV protective behaviors (condomless anal sex and HIV testing) and the mediating roles of HIV knowledge, peer judgmentalism, and discrimination, in a sample of 226 young MSM in Beirut, Lebanon. A cross-sectional, mediation analysis was conducted using a bootstrapping approach and logistic regression models. Fifteen percent of the sample reported recent condomless anal sex with partners whose HIV status was positive or unknown, and 82.3% had ever been tested for HIV. Multivariate logistic regression analysis showed that greater integration into the gay community was significantly associated with having recent condomless anal sex with positive/unknown HIV status partners and having any history of HIV testing, after controlling for covariates. Knowledge of HIV risk was associated with gay integration as well as both condomless anal sex with positive or unknown HIV status partners and any history of HIV testing, but it only served as a (partial) mediator of HIV testing. Peer judgmental communication about sex and sexuality-related discrimination were related in bivariate analysis to gay integration and condomless anal sex, but they too did not prove to be significant mediators of the relationship between these two constructs. These findings highlight the potential sexual health benefits and vulnerabilities associated with increased integration into the gay community for young MSM in Beirut and the need to better understand how to increase HIV knowledge while limiting its potential to increase sexual risk behavior.
[ { "display_name": "International Journal of Behavioral Medicine", "id": "https://openalex.org/S35573031", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" } ]
https://openalex.org/W3035734952
EFFECTIVENESS OF A HEALTH EDUCATION INTERVENTION ABOUT INFLUENZA AND VACCINE IN SECONDARY SCHOOLS IN SOUTH LEBANON
[ { "affiliations": [], "display_name": "Israa Assaf", "id": "https://openalex.org/A5089124233" }, { "affiliations": [], "display_name": "Salim Moussa", "id": "https://openalex.org/A5063053524" } ]
[ { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Influenza vaccine", "id": "https://openalex.org/C2780689484" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Vaccination", "id": "https://openalex.org/C22070199" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Seasonal influenza", "id": "https://openalex.org/C3018751465" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W3035734952
Seasonal influenza is an intense respiratory illness caused by influenza viruses that circulate all around the world. In Lebanon, there is a lack of national flu awareness campaigns. Schools’ students are truly outstanding and viable sources to spread the awareness and strive for the conduct change in the general population. Hence, this study was carried out to test the effectiveness of a health education intervention in improving the knowledge, attitudes, and practices (KAP) toward influenza and its vaccine among secondary schools’ students in South Lebanon. This is a Pre/Post research study conducted in four schools located in South Lebanon. A health educational intervention was presented to the secondary schools’ students aged between 14 to 19 years old. They were asked to fill the same self-administrated questionnaire, pre and post the educational intervention. A total of 372 participants completed the questionnaire. The results showed a statistically significant improvement in the KAP of students towards influenza and influenza vaccination (p < 0.05) except for the attitudes towards seasonal influenza (p > 0.05). Students’ KAP had been improved towards seasonal Influenza viruses and the vaccine after getting the educational intervention. A broad mass instructive campaigns should be performed to control the spread of influenza in the country.
[ { "display_name": "BAU Journal - Health and Wellbeing", "id": "https://openalex.org/S4387280034", "type": "journal" } ]
https://openalex.org/W4385977890
Evaluation of awareness and performance towards COVID-related disinfectant use among the university communities in Lebanon
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Modern University for Business and Science", "id": "https://openalex.org/I3132890902", "lat": 33.893654, "long": 35.49579, "type": "education" }, { "country": "United Arab Emirates", "display_name": "Canadian University of Dubai", "id": "https://openalex.org/I186129607", "lat": 25.209896, "long": 55.270123, "type": "education" } ], "display_name": "Wissam Ghach", "id": "https://openalex.org/A5081020745" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Ministry of Public Health", "id": "https://openalex.org/I4210097567", "lat": 33.86422, "long": 35.493645, "type": "government" }, { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Jihan Safwan", "id": "https://openalex.org/A5070524787" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Racha Kerek", "id": "https://openalex.org/A5076918039" }, { "affiliations": [ { "country": "United Arab Emirates", "display_name": "Abu Dhabi University", "id": "https://openalex.org/I117222138", "lat": 24.36561, "long": 54.56291, "type": "education" } ], "display_name": "Nisreen Alwan", "id": "https://openalex.org/A5033184131" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Disinfectant", "id": "https://openalex.org/C2781221799" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Test (biology)", "id": "https://openalex.org/C2777267654" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Significant difference", "id": "https://openalex.org/C3018023364" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Mann–Whitney U test", "id": "https://openalex.org/C12868164" }, { "display_name": "Spearman's rank correlation coefficient", "id": "https://openalex.org/C159744936" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Statistics", "id": "https://openalex.org/C105795698" }, { "display_name": "Paleontology", "id": "https://openalex.org/C151730666" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2004911275", "https://openalex.org/W2074142951", "https://openalex.org/W2298150698", "https://openalex.org/W3003217347", "https://openalex.org/W3008474115", "https://openalex.org/W3011622189", "https://openalex.org/W3015045022", "https://openalex.org/W3015456395", "https://openalex.org/W3042809721", "https://openalex.org/W3044381582", "https://openalex.org/W3046255832", "https://openalex.org/W3088306001", "https://openalex.org/W3094144270", "https://openalex.org/W3104045610", "https://openalex.org/W3110105149", "https://openalex.org/W3130814983", "https://openalex.org/W3155358985", "https://openalex.org/W3161552433", "https://openalex.org/W3165600736", "https://openalex.org/W3182562222", "https://openalex.org/W3210667335", "https://openalex.org/W4205755707", "https://openalex.org/W4206669310", "https://openalex.org/W4210706137", "https://openalex.org/W4312505113", "https://openalex.org/W4382397993" ]
https://api.openalex.org/works?filter=cites:W4385977890
Abstract Background The fast spread of COVID-19 reinforced the daily use of disinfectants around the world. However, the awareness gap of disinfectant use could lead to health risks during the prevention of the pandemic. This study aims to assess the level of awareness and performance towards COVID-related disinfectant use among various university communities (student, staff, and faculty) in Lebanon. Methods: A cross-sectional study was conducted between December 2021 and June 2022 among 925 participants (males and females aged between 18 and 64 years old) from academic settings in Lebanese universities using convenience sampling. An online validated survey (score-based questionnaire) of personal disinfectants’ utilization was conducted to evaluate the awareness and performance levels using SPSS (version 21). Mann–Whitney and Kruskal–Wallis tests were used to check significant differences in awareness and performance levels among gender, age, provinces, educational level, university status, and field of study. Friedman test was used to test for significant differences in performance level questions pre-and post-COVID-19. The Spearman correlation test was used to determine the correlation between the awareness and performance of the respondents regarding the use of disinfectants. Results: It was found that the majority of the respondents showed a weak level of awareness (70.8%) while their performance (61.9%) was moderate. Spearman’s correlation analysis concluded a weak correlation between the awareness and performance levels ( p &lt; 0.01). The Mann–Whitney test indicated that there was a significant difference ( p &lt; 0.05) in awareness and performance levels between males and females. Another notable variable was the educational level of the respondents ( p &lt; 0.05) with postgraduate degrees holders recording higher mean scores of awareness than the ones with undergraduate and high school degrees as per Kruskal–Wallis test. Significant differences were shown in awareness scores among the age groups and in performance scores among the field of study ( p &lt; 0.05). Conclusions: The study findings highlighted the necessity of awareness campaigns and training programs addressing the technical handling of disinfectants among the communities in Lebanon. Lebanese governmental authorities (Ministry of Public Health, MoPH, and Ministry of Education and Higher Education, MEHE), and the healthcare professionals and public health researchers in Lebanon may utilize this new evidence to initiate public health interventions as a part of the United Nations (UN) sustainability goal of wellbeing (Sustainable Development Goal 3, SDG 3).
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https://openalex.org/W2413069459
Total Worker Health: A Promising Approach to a Safer and Healthier Workforce
[ { "affiliations": [], "display_name": "Robert K. McLellan", "id": "https://openalex.org/A5084231695" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W2003468919", "https://openalex.org/W2008590533", "https://openalex.org/W2028192671", "https://openalex.org/W2033420887", "https://openalex.org/W2056663912", "https://openalex.org/W2069752530", "https://openalex.org/W2141180049", "https://openalex.org/W2413587403", "https://openalex.org/W2415385783" ]
https://api.openalex.org/works?filter=cites:W2413069459
Editorials16 August 2016Total Worker Health: A Promising Approach to a Safer and Healthier WorkforceRobert K. McLellan, MD, MPHRobert K. McLellan, MD, MPHFrom Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M16-0965 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail More than 151 million people work in the United States. Their jobs are not merely an economic engine for our society—work serves as a key social determinant of health. With work comes income; social connection; and ideally, meaningful activity and benefits to pay for health care. However, since Hippocrates, observant physicians have also seen a plethora of adverse health effects associated with occupational hazards.The Occupational Safety and Health Administration mandates that, whenever feasible, employers use the most effective approaches to prevent harm from work. The preferred hierarchy of controlling hazards recognizes the primacy of engineering reductions in hazards, with ...References1. Sorensen G, Landsbergis P, Hammer L, Amick BC, Linnan L, Yancey A, et al; Workshop Working Group on Worksite Chronic Disease Prevention. Preventing chronic disease in the workplace: a workshop report and recommendations. Am J Public Health. 2011;101 Suppl 1:S196-207. [PMID: 21778485] doi:10.2105/AJPH.2010.300075 CrossrefMedlineGoogle Scholar2. Loeppke R, Taitel M, Haufle V, Parry T, Kessler RC, Jinnett K. Health and productivity as a business strategy: a multiemployer study. J Occup Environ Med. 2009;51:411-28. [PMID: 19339899] doi:10.1097/JOM.0b013e3181a39180 CrossrefMedlineGoogle Scholar3. Goetzel RZ, Henke RM, Tabrizi M, Pelletier KR, Loeppke R, Ballard DW, et al. Do workplace health promotion (wellness) programs work? J Occup Environ Med. 2014;56:927-34. [PMID: 25153303] doi:10.1097/JOM.0000000000000276 CrossrefMedlineGoogle Scholar4. Schulte PA, Pandalai S, Wulsin V, Chun H. Interaction of occupational and personal risk factors in workforce health and safety. Am J Public Health. 2012;102:434-48. [PMID: 22021293] doi:10.2105/AJPH.2011.300249 CrossrefMedlineGoogle Scholar5. National Institute for Occupational Safety and Health (NIOSH). National occupational research agenda (NORA): national Total Worker Health agenda (2016–2026): a national agenda to advance Total Worker Health research, practice, policy, and capacity. Cincinnati: U.S. Department of Health and Human Services (DHHS), Centers for Disease Control and Prevention, and NIOSH; 2016. DHHS (NIOSH) publication 2016–119. Accessed at www.cdc.gov/niosh/docs/2016-114/pdfs/nationaltwhagenda2016-1144-14-16.pdf on 23 April 2016. Google Scholar6. Feltner C, Peterson K, Palmieri Weber R, Cluff L, Coker-Schwimmer E, Viswanathan M, et al. The effectiveness of Total Worker Health interventions: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Ann Intern Med. 2016;165:262-9. doi:10.7326/M16-0626 LinkGoogle Scholar7. Anger WK, Elliot DL, Bodner T, Olson R, Rohlman DS, Truxillo DM, et al. Effectiveness of Total Worker Health interventions. J Occup Health Psychol. 2015;20:226-47. [PMID: 25528687] doi:10.1037/a0038340 CrossrefMedlineGoogle Scholar8. Bradley CJ, Grossman DC, Hubbard RA, Ortega AN, Curry SJ. Integrated interventions for improving Total Worker Health: a panel report from the National Institutes of Health Pathways to Prevention Workshop: Total Worker Health—What's Work Got to Do With It? Ann Intern Med. 2016;165:279-83. doi:10.7326/M16-0740 LinkGoogle Scholar9. Tomek IM, Sabel AL, Froimson MI, Muschler G, Jevsevar DS, Koenig KM, et al. A collaborative of leading health systems finds wide variations in total knee replacement delivery and takes steps to improve value. Health Aff (Millwood). 2012;31:1329-38. [PMID: 22571844] doi:10.1377/hlthaff.2011.0935 CrossrefMedlineGoogle Scholar10. Politi BJ, Arena VC, Schwerha J, Sussman N. Occupational medical history taking: how are today's physicians doing? A cross-sectional investigation of the frequency of occupational history taking by physicians in a major U.S. teaching center. J Occup Environ Med. 2004;46:550-5. [PMID: 15213517] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0965.Corresponding Author: Robert K. McLellan, MD, MPH, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756; e-mail, robert.k.[email protected]org.This article was published at www.annals.org on 31 May 2016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIntegrated Interventions for Improving Total Worker Health: A Panel Report From the National Institutes of Health Pathways to Prevention Workshop: Total Worker Health—What's Work Got to Do With It? Cathy J. Bradley , David C. Grossman , Rebecca A. Hubbard , Alexander N. Ortega , and Susan J. Curry NIOSH Response to the NIH Pathways to Prevention Workshop Recommendations John Howard , Chia-Chia Chang , Anita L. Schill , and L. Casey Chosewood The Effectiveness of Total Worker Health Interventions: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop Cynthia Feltner , Kristina Peterson , Rachel Palmieri Weber , Laurie Cluff , Emmanuel Coker-Schwimmer , Meera Viswanathan , and Kathleen N. Lohr Metrics Cited byDiet, physical activity, and emotional health: what works, what doesn’t, and why we need integrated solutions for total worker healthClearing the Smoke Screen: Smoking, Alcohol Consumption, and Stress Management Techniques among Canadian Long-Term Care WorkersAn Integrative Total Worker Health Framework for Keeping Workers Safe and Healthy During the COVID-19 PandemicHealth Risk CalculatorIntegrating worksite health protection and health promotion: A conceptual model for intervention and research 16 August 2016Volume 165, Issue 4Page: 294-295KeywordsBehaviorDisclosureHealth careHealth economicsHealth promotionMedical risk factorsPopulation statisticsPrevention, policy, and public healthSocial welfareSystematic reviews ePublished: 31 May 2016 Issue Published: 16 August 2016 PDF downloadLoading ...
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https://openalex.org/W4200346534
Application of Safety Protocols for International Cleft Outreach Programs During the COVID-19 Pandemic: Global Smile Foundation Precaution Guidelines and Implications
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[ "Lebanon" ]
[ "https://openalex.org/W1546520882", "https://openalex.org/W1992575305", "https://openalex.org/W2056849645", "https://openalex.org/W2482016807", "https://openalex.org/W2483096301", "https://openalex.org/W2514343697", "https://openalex.org/W2925829219", "https://openalex.org/W3013361690", "https://openalex.org/W3016066708", "https://openalex.org/W3021922376", "https://openalex.org/W3024637745", "https://openalex.org/W3025452644", "https://openalex.org/W3033132905", "https://openalex.org/W3044892937", "https://openalex.org/W3085696442", "https://openalex.org/W3111777465", "https://openalex.org/W3119107152", "https://openalex.org/W3134750036", "https://openalex.org/W3135094885", "https://openalex.org/W3174744544", "https://openalex.org/W4248694405", "https://openalex.org/W4252267466" ]
https://api.openalex.org/works?filter=cites:W4200346534
Background Since COVID-19 was declared a worldwide pandemic by the World Health Organization (WHO) in March of 2020, foundation-based cleft outreach programs to Low- and Middle-Income Countries (LMICs) were halted considering global public health challenges, scarcity of capacity and resources, and travel restrictions. This led to an increase in the backlog of untreated patients with cleft lip and/or palate, with new challenges to providing comprehensive care in those regions. Resumption of international outreach programs requires an updated course of action to incorporate necessary safety measures in the face of the ongoing pandemic. In this manuscript, the authors outline safety protocols, guidelines, and recommendations implemented in Global Smile Foundation's (GSF) most recent outreach trip to Beirut, Lebanon. Methods COVID-19 safety protocols for outreach cleft care and an Action Response Plan were developed by the GSF team based on the published literature and recommendations from leading international organizations. Results GSF conducted a 1-week surgical outreach program in Beirut, Lebanon, performing 13 primary cleft lip repairs, 7 cleft palate repairs, and 1 alveolar bone grafting procedure. Safety protocols were implemented at all stages of the outreach program, including patient preselection and education, hospital admission and screening, intraoperative care, and postoperative monitoring and follow-up. Conclusions Organizing outreach programs in the setting of infectious diseases outbreaks should prioritize the safety and welfare of patients and team members within the program's local community. The COVID-19 protocols and guidelines described may represent a reproducible framework for planning future similar outreach initiatives in high-risk conditions.
[ { "display_name": "The Cleft Palate Craniofacial Journal", "id": "https://openalex.org/S159788776", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3165738838
The impact of the Beirut blast on the COVID-19 situation in Lebanon
[ { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Glasgow", "id": "https://openalex.org/I7882870", "lat": 55.86515, "long": -4.25763, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Mohamad Y. Fares", "id": "https://openalex.org/A5028026201" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" }, { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Umayya Musharrafıeh", "id": "https://openalex.org/A5050182315" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" }, { "country": "Lebanon", "display_name": "National Council for Scientific Research", "id": "https://openalex.org/I4210097719", "lat": 33.89332, "long": 35.50157, "type": "government" } ], "display_name": "Abdul Rahman Bizri", "id": "https://openalex.org/A5060673539" } ]
[ { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Case fatality rate", "id": "https://openalex.org/C187316915" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Capital city", "id": "https://openalex.org/C2994052530" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Mortality rate", "id": "https://openalex.org/C179755657" }, { "display_name": "Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)", "id": "https://openalex.org/C3007834351" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Economic geography", "id": "https://openalex.org/C26271046" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2133094824", "https://openalex.org/W2989940341", "https://openalex.org/W3027182067", "https://openalex.org/W3046402166", "https://openalex.org/W3048133674", "https://openalex.org/W3048893072", "https://openalex.org/W3083074776", "https://openalex.org/W4214853946", "https://openalex.org/W4246668229", "https://openalex.org/W4249963596" ]
https://api.openalex.org/works?filter=cites:W3165738838
Abstract Aim On August 4, 2020, a massive explosion hit Lebanon’s capital city, Beirut. The aim of this study was to explore the effect of the Beirut blast on the COVID-19 situation in the country. Subject and Methods Data on COVID-19 were retrieved from the Lebanese Ministry of Public Health (LMOPH), where all the COVID-19 positive cases were reported. The study was divided into two periods, considering the incubation period of the COVID-19 virus: (July 27–August 9, 2020) and (August 10–23, 2020). Information obtained included daily number of cases, tests, deaths, hospitalized patients, intensive care unit (ICU) patients, and mode of acquisition (local vs. expat). Daily positivity rates were reported per 100 tests. An independent sample t-test and a Joinpoint regression analysis were used to determine significance. A p value less than 0.05 was considered significant. Results A total of 201,010 tests were conducted during our studied period, with 8993 positive cases, constituting a total positivity rate of 4.5 per 100 tests. Case fatality rate over the studied period was 0.8%. The positivity rate of the period prior to August 10, 2020, was 2.7 per 100 tests, significantly less than that of the period following the explosion, which was 6.4 per 100 tests ( p &lt; 0.001). During our studied period, daily positivity rates were significantly increasing at a slope of 0.29 ( p &lt; 0.001). A significant increase in slope was noted on August 13, 2020 ( p &lt; 0.001). The number of hospitalized patients increased from 139 patients on July 27 to 266 on August 23, 2020, and that of ICU patients increased from 36 to 75. Conclusion The port of Beirut explosion resulted in a significant increase in the daily number of positive COVID-19 cases. The aftermath of the explosion, the damage to healthcare facilities, and the overcrowding due to emergency efforts were contributing factors to that increase.
[ { "display_name": "Journal of Public Health", "id": "https://openalex.org/S4210187426", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "Enlighten: Publications (The University of Glasgow)", "id": "https://openalex.org/S4306400411", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3024310168
Hospital performance and payment: impact of integrating pay-for-performance on healthcare effectiveness in Lebanon
[ { "affiliations": [ { "country": "Sweden", "display_name": "Lund University", "id": "https://openalex.org/I187531555", "lat": 55.70584, "long": 13.19321, "type": "education" } ], "display_name": "Jade Khalife", "id": "https://openalex.org/A5022736740" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Walid Ammar", "id": "https://openalex.org/A5032289226" }, { "affiliations": [ { "country": "Sweden", "display_name": "Lund University", "id": "https://openalex.org/I187531555", "lat": 55.70584, "long": 13.19321, "type": "education" } ], "display_name": "Maria Emmelin", "id": "https://openalex.org/A5041406239" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Fadi El‐Jardali", "id": "https://openalex.org/A5031532168" }, { "affiliations": [ { "country": "Sweden", "display_name": "Lund University", "id": "https://openalex.org/I187531555", "lat": 55.70584, "long": 13.19321, "type": "education" } ], "display_name": "Björn Ekman", "id": "https://openalex.org/A5025407014" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W3024310168
<ns3:p><ns3:bold>Background</ns3:bold>: In 2014 the Lebanese Ministry of Public Health integrated pay-for-performance into setting hospital reimbursement tiers, to provide hospitalization service coverage for the majority of the Lebanese population. This policy was intended to improve effectiveness by decreasing unnecessary hospitalizations, and improve fairness by including risk-adjustment in setting hospital performance scores.</ns3:p><ns3:p> <ns3:bold>Methods</ns3:bold>: We applied a systematic approach to assess the impact of the new policy on hospital performance. The main impact measure was a national casemix index, calculated across 2011-2016 using medical discharge and surgical procedure codes. A single-group interrupted time series analysis model with Newey ordinary least squares regression was estimated, including adjustment for seasonality, and stratified by case type. Code-level analysis was used to attribute and explain changes in casemix index due to specific diagnoses and procedures.</ns3:p><ns3:p> <ns3:bold>Results</ns3:bold>: Our final model included 1,353,025 cases across 146 hospitals with a post-intervention lag-time of two months and seasonality adjustment. Among medical cases the intervention resulted in a positive casemix index trend of 0.11% per month (coefficient 0.002, CI 0.001-0.003), and a level increase of 2.25% (coefficient 0.022, CI 0.005-0.039). Trend changes were attributed to decreased cases of diarrhea and gastroenteritis, abdominal and pelvic pain, essential hypertension and fever of unknown origin. A shift from medium to short-stay cases for specific diagnoses was also detected. Level changes were attributed to improved coding practices, particularly for breast cancer, leukemia and chemotherapy. No impact on surgical casemix index was found.</ns3:p><ns3:p> <ns3:bold>Conclusions</ns3:bold>: The 2014 policy resulted in increased healthcare effectiveness, by increasing the casemix index of hospitals contracted by the Ministry. This increase was mainly attributed to decreased unnecessary hospitalizations and was accompanied by improved medical discharge coding practices. Integration of pay-for-performance within a healthcare system may contribute to improving effectiveness. Effective hospital regulation can be achieved through systematic collection and analysis of routine data.</ns3:p>
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https://openalex.org/W2127049932
My Passion for Quality-of-Life and Well-Being Research: an Autobiography
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[ "Lebanon", "Syria", "Egypt" ]
[ "https://openalex.org/W4285021800", "https://openalex.org/W4292484117" ]
https://api.openalex.org/works?filter=cites:W2127049932
Before discussing my passion for quality-of-life (QOL) and well-being research, allow me to touch upon my educational/professional roots. I was born in 1952 in Cairo, Egypt of Lebanese/Syrian parents (my mother a Greek Orthodox, my dad a Greek Catholic). My early education was at St. George’s College, an Irish parochial school in Cairo. At the age of 16 I left Egypt for Lebanon (Beirut) from where I immigrated to the USA. While wiating for my immigration papers to come through, I took on a job as a translator in a cinematography lab, where English, American, and French television shows were translated into Arabic subtitles. I arrived in the USA in 1970, afterwhich I started taking college evening courses at the community college in Los Angeles while Applied Research Quality Life (2015) 10:371–373 DOI 10.1007/s11482-015-9407-x
[ { "display_name": "Applied Research in Quality of Life", "id": "https://openalex.org/S108875122", "type": "journal" } ]
https://openalex.org/W4206724001
Nurses’ eating habits in Lebanon during the economic and health crises: a cross-sectional study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "France", "display_name": "Sorbonne Université", "id": "https://openalex.org/I39804081", "lat": 48.85341, "long": 2.3488, "type": "education" }, { "country": "France", "display_name": "Université Sorbonne Paris Nord", "id": "https://openalex.org/I4210091279", "lat": 48.95833, "long": 2.34167, "type": "education" }, { "country": "Lebanon", "display_name": "Hôtel-Dieu de France", "id": "https://openalex.org/I4210152906", "lat": 33.88146, "long": 35.518627, "type": "healthcare" } ], "display_name": "Rita Nohra", "id": "https://openalex.org/A5084774903" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Elissa Naim", "id": "https://openalex.org/A5049120292" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Islamic University of Lebanon", "id": "https://openalex.org/I4210138457", "lat": 33.782234, "long": 35.47503, "type": "education" }, { "country": "France", "display_name": "Sorbonne Université", "id": "https://openalex.org/I39804081", "lat": 48.85341, "long": 2.3488, "type": "education" }, { "country": "France", "display_name": "Université Sorbonne Paris Nord", "id": "https://openalex.org/I4210091279", "lat": 48.95833, "long": 2.34167, "type": "education" } ], "display_name": "Taghrid Chaaban", "id": "https://openalex.org/A5000853129" }, { "affiliations": [ { "country": "France", "display_name": "Assistance Publique – Hôpitaux de Paris", "id": "https://openalex.org/I4210097159", "lat": 48.85341, "long": 2.3488, "type": "healthcare" }, { "country": "France", "display_name": "Sorbonne Université", "id": "https://openalex.org/I39804081", "lat": 48.85341, "long": 2.3488, "type": "education" }, { "country": "France", "display_name": "Université Sorbonne Paris Nord", "id": "https://openalex.org/I4210091279", "lat": 48.95833, "long": 2.34167, "type": "education" } ], "display_name": "Monique Rothan-Tondeur", "id": "https://openalex.org/A5085890142" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W1965550526", "https://openalex.org/W1981665776", "https://openalex.org/W1990889297", "https://openalex.org/W2004750779", "https://openalex.org/W2007442956", "https://openalex.org/W2025843685", "https://openalex.org/W2038093366", "https://openalex.org/W2048838284", "https://openalex.org/W2071799715", "https://openalex.org/W2167410528", "https://openalex.org/W2605963519", "https://openalex.org/W2774715948", "https://openalex.org/W2901316001", "https://openalex.org/W2914038366", "https://openalex.org/W2922284139", "https://openalex.org/W2928467655", "https://openalex.org/W2935511080", "https://openalex.org/W2938336005", "https://openalex.org/W2982899048", "https://openalex.org/W2999874457", "https://openalex.org/W3017265107", "https://openalex.org/W3017527030", "https://openalex.org/W3021898811", "https://openalex.org/W3032937492", "https://openalex.org/W3032957020", "https://openalex.org/W3040344824", "https://openalex.org/W3081601258", "https://openalex.org/W3086108092", "https://openalex.org/W3092246932", "https://openalex.org/W3093307545", "https://openalex.org/W3093522874", "https://openalex.org/W3109012312", "https://openalex.org/W3112128293", "https://openalex.org/W3114279165", "https://openalex.org/W3126714011", "https://openalex.org/W3128298007", "https://openalex.org/W3156253496" ]
https://api.openalex.org/works?filter=cites:W4206724001
Nurses face multiple stressors that can influence their lifestyle, thus affecting their health status. Scarce are the scientific data on the nutritional status of nurses, especially during health crises. The aim of this study was to assess the impact of the COVID-19 pandemic on the eating habits of hospital nurses in the context of an exceptional economic situation in Lebanon.A cross-sectional study was conducted using a web-based questionnaire, targeting a non-random sampling of frontline nurses using the snowball technique. Descriptive and bivariate analyses were carried out. The population of the study included all registered nurses working in the Lebanese hospitals. A total of 533 nurses completed the questionnaire; 500 surveys were selected after excluding the ones presenting conditions that may affect their eating behavior.The majority of the respondents were women (78.6%) with a mean age of 33 years [18-60] [SD,7.44 years]. Most of them (57.6%) had a crowding index ≥1. The consumption of different food groups decreased during these crises. There was a significant correlation between stress and deterioration of healthy food consumption, which provides beneficial nutrients and minimizes potentially harmful elements, especially for meat (OR 2.388, CI 1.463 to 3.898, P < 0.001). The decrease in monthly income showed a real impact on the consumption of healthy food such as meat (OR 2.181, CI 1.504 to 3.161, P < 001), fruits (OR 1.930, CI 1.289 to 2.888, P = 0.001), and milk and dairy products (OR 1.544, CI 1.039 to 2.295, P = 0.031).The pandemic and in particular the economic crisis has changed the consumption of healthy food among hospital nurses in Lebanon. Similar research and support may be extended to include other frontline health care workers.
[ { "display_name": "Archives of Public Health", "id": "https://openalex.org/S2764539601", "type": "journal" }, { "display_name": "HAL (Le Centre pour la Communication Scientifique Directe)", "id": "https://openalex.org/S4306402512", "type": "repository" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4229973981
Men's Health Care Needs Improvement: A Recommendation for a Mid-Life Men's Health Assessment Visit
[]
[ { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Login", "id": "https://openalex.org/C113324615" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Computer network", "id": "https://openalex.org/C31258907" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W4229973981
The Journal of Men's Health and Gender VOL. 2, NO. 3 | Forum normal Men's Health Care Needs Improvement: A Recommendation for a Mid-Life Men's Health Assessment Visit Published Online: 3 Dec 2013 Article ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked InRedditEmail Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login OpenAthens Register for access Restore content access This functionality works only for purchases made as a guest Figures References Related Details Cited By An exploratory randomised controlled trial evaluating text prompts in Lebanon to encourage health‐seeking behaviour for hypertension27 August 2020 | International Journal of Clinical Practice, Vol. 75, No. 2Health behaviours of Australian men and the likelihood of attending a dedicated men’s health service30 August 2018 | BMC Public Health, Vol. 18, No. 1“I should have …”:A Photovoice Study With Women Who Have Lost a Man to Suicide14 March 2018 | American Journal of Men's Health, Vol. 12, No. 5Don’t Change Much4 October 2016 | American Journal of Men's Health, Vol. 11, No. 2Services just for men? Insights from a national study of the well men services pilots1 May 2013 | BMC Public Health, Vol. 13, No. 1What works with men? A systematic review of health promoting interventions targeting men3 July 2008 | BMC Health Services Research, Vol. 8, No. 1More progress needed in men's health and gender medicine Siegfried Meryn10 March 2006 | The Journal of Men's Health and Gender, Vol. 3, No. 1 Volume 2Issue 3Sep 2005 Information WPMH GmbH
[ { "display_name": "The Journal of Men's Health & Gender", "id": "https://openalex.org/S58293947", "type": "journal" } ]
https://openalex.org/W4220779052
Knowledge and attitudes among Lebanese pregnant women and women seeking fertility treatment during the COVID-19 outbreak: a cross-sectional survey
[ { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Lina El Taha", "id": "https://openalex.org/A5061736640" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Christine Beyrouthy", "id": "https://openalex.org/A5076296345" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Hani Tamim", "id": "https://openalex.org/A5058429632" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut Medical Center", "id": "https://openalex.org/I4210104580", "lat": 33.897972, "long": 35.485886, "type": "healthcare" } ], "display_name": "Ghina Ghazeeri", "id": "https://openalex.org/A5028347976" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Pregnancy", "id": "https://openalex.org/C2779234561" }, { "display_name": "Fertility", "id": "https://openalex.org/C518429986" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Reproductive medicine", "id": "https://openalex.org/C2776210078" }, { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Genetics", "id": "https://openalex.org/C54355233" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2076012057", "https://openalex.org/W2088553034", "https://openalex.org/W2315496417", "https://openalex.org/W2964524135", "https://openalex.org/W2966540259", "https://openalex.org/W3004026249", "https://openalex.org/W3004280078", "https://openalex.org/W3004837187", "https://openalex.org/W3005111420", "https://openalex.org/W3006750069", "https://openalex.org/W3008420046", "https://openalex.org/W3010428512", "https://openalex.org/W3010604545", "https://openalex.org/W3012099172", "https://openalex.org/W3013468450", "https://openalex.org/W3015631056", "https://openalex.org/W3016426103", "https://openalex.org/W3026764783", "https://openalex.org/W3030850022", "https://openalex.org/W3031266243", "https://openalex.org/W3033673244", "https://openalex.org/W3043640656", "https://openalex.org/W3045100802", "https://openalex.org/W3084181592", "https://openalex.org/W3087582921", "https://openalex.org/W3100539257" ]
https://api.openalex.org/works?filter=cites:W4220779052
COVID-19 has been recognised as a global health emergency necessitating collaborative efforts to halt further disease spread. The success of public health interventions and vaccination campaigns is contingent on the knowledge and awareness level of the public. We aim to assess COVID-19 knowledge and attitudes among Lebanese pregnant women and women seeking fertility treatment.Cross-sectional study using telehealth administered survey.University-affiliated tertiary care centre.The data of 402-Lebanese women pregnant or seeking fertility treatment aged 20-45 years were analysed.Extent of COVID-19 general knowledge, pregnancy-specific knowledge and attitudes toward COVID-19 practices.All participants reported being knowledgeable about COVID-19, 70% of which rated their knowledge as 7 or more on a numerical scale of 0-10. The mean general COVID-19 knowledge was 22.15 (SD 2.44, range 14-27) indicating a high level of knowledge. The mean pregnancy-specific COVID-19 knowledge 6.84 (SD 2.061, range 0-10) indicated poorer pregnancy-specific knowledge compared with general COVID-19 knowledge. A trend towards higher knowledge was noted with higher income status. Reproductive age women with higher pregnancy-specific knowledge had more positive attitudes toward COVID-19 pregnancy practices.Our findings suggest a deficiency in pregnancy-specific COVID-19 knowledge stressing the necessity for targeted public health education interventions. It highlights the need for enhancing COVID-19 pregnancy-specific awareness which can serve as a stepping stone in the success of COVID-19 vaccination campaigns and in halting further disease spread.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2945345349
Health investigation following an outbreak of highly pathogenic Avian Influenza A (H5N1) in Poultry in Nabi Chit, Lebanon, 2016: a teaching case-study
[ { "affiliations": [], "display_name": "Zeina Farah", "id": "https://openalex.org/A5033386322" }, { "affiliations": [], "display_name": "Nada Ghosn", "id": "https://openalex.org/A5082031484" }, { "affiliations": [], "display_name": "Walid Ammar", "id": "https://openalex.org/A5032289226" }, { "affiliations": [], "display_name": "Yousef Khader", "id": "https://openalex.org/A5088510486" } ]
[ { "display_name": "Influenza A virus subtype H5N1", "id": "https://openalex.org/C519248777" }, { "display_name": "Outbreak", "id": "https://openalex.org/C116675565" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Veterinary medicine", "id": "https://openalex.org/C42972112" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Epidemiological method", "id": "https://openalex.org/C1391233" }, { "display_name": "Poultry farming", "id": "https://openalex.org/C66914385" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Virology", "id": "https://openalex.org/C159047783" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Virus", "id": "https://openalex.org/C2522874641" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2945345349
In Lebanon, no cases of influenza A (H5N1) were reported among poultry or humans before 2016. In April 2016, the Ministry of Agriculture confirmed the incursion of H5N1 in two poultry farms in Nabi Chit village in Lebanon. The disease led to the death of 20,000 domestic birds. This case study is based on the actions taken by the Ministry of Public Health during this outbreak to prevent the spread of the disease to humans. It simulates an outbreak investigation including laboratory confirmation, active case and exposed finding, descriptive epidemiology and implementation of preventive and control measures. This case study is designed for the training of basic level field epidemiology trainees or any other health care workers working in public health-related fields. It can be administered in 3-4 hours. Used as adjunct training material, the case study provides the trainees with competencies in investigating an outbreak in preparation for the actual real-life experience of such outbreaks.
[ { "display_name": "The Pan African medical journal", "id": "https://openalex.org/S2755481371", "type": "journal" } ]
https://openalex.org/W2399011896
[Oral health behaviour among schoolchildren in north Lebanon]
[ { "affiliations": [], "display_name": "Wassim Khalil Kalaajieh", "id": "https://openalex.org/A5036418441" }, { "affiliations": [], "display_name": "A C Rima", "id": "https://openalex.org/A5043240762" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Oral health", "id": "https://openalex.org/C2992672162" }, { "display_name": "Dental health", "id": "https://openalex.org/C2991849382" }, { "display_name": "Oral hygiene", "id": "https://openalex.org/C515851188" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Toothpaste", "id": "https://openalex.org/C2776866151" }, { "display_name": "Dental hygiene", "id": "https://openalex.org/C2991848240" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Hygiene", "id": "https://openalex.org/C547646559" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[]
https://api.openalex.org/works?filter=cites:W2399011896
We conducted a study of the state of oral health among 600 twelve-year-old schoolchildren in North Lebanon. We assessed the range of behaviours linked to dental health: dental hygiene, eating habits, use of fluoride and use of dental health services. Half of the students brushed their teeth at least once a day. For 74% of the children, it was mainly their mothers who taught them how to brush their teeth. Toothbrushes and toothpaste were used by 75% of the children. About 82% had heard of fluoride but only 58% understood its usefulness. Four out of five children drank sugared drinks on a daily basis and 83% said that they had never been to the dentist. The information can serve as a basis for the development and implementation of health promotion and education programmes for oral health within schools.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4300942791
Lebanese University Students and COVID-19: A Survey on their Related-Knowledge, Practice, and Behaviors.
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Zeina Nasser", "id": "https://openalex.org/A5019505411" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Youssef Jamaleddine", "id": "https://openalex.org/A5074389194" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Omar Ismail", "id": "https://openalex.org/A5024212660" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Abdallah Saab", "id": "https://openalex.org/A5005826794" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Rama Daoud", "id": "https://openalex.org/A5073995312" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Youssef Fares", "id": "https://openalex.org/A5052817128" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Linda Abou-Abbas", "id": "https://openalex.org/A5062877460" } ]
[ { "display_name": "Coronavirus disease 2019 (COVID-19)", "id": "https://openalex.org/C3008058167" }, { "display_name": "Pandemic", "id": "https://openalex.org/C89623803" }, { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Confidence interval", "id": "https://openalex.org/C44249647" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Lebanon" ]
[ "https://openalex.org/W2032535554", "https://openalex.org/W2985092921", "https://openalex.org/W3001897055", "https://openalex.org/W3002108456", "https://openalex.org/W3004824173", "https://openalex.org/W3010738632", "https://openalex.org/W3012731499", "https://openalex.org/W3015456395", "https://openalex.org/W3036878904", "https://openalex.org/W3091894475" ]
https://api.openalex.org/works?filter=cites:W4300942791
Young adults are at the epicenter for preventing the progression of COVID-19 pandemic and must be targeted for education to impede any potential transmission of the disease. This study aimed to assess the knowledge, practice and behaviors of Lebanese university students regarding COVID-19.A cross-sectional study was carried out among university students at the Lebanese University between March 30, 2020, and April 4, 2020. Information on socio-demographic data, knowledge, practice, and additional information concerning COVID-19 were collected.Our survey showed that the majority of the students had good knowledge 90.8%, and more than two third of the respondents 78.6% reported good practice regarding COVID-19. Graduate students were more knowledgeable compared to undergraduate students (unstandardized beta 0.349 with a 95% confidence interval (CI) of 0.165 to 0.533; p-value < 0.0001). Moreover, male students had a negative impact on good practice compared to females (unstandardized beta -0.280 with a 95% confidence interval (CI) of -0.402 to -0.159; p-value < 0.0001). Nearly half of the students (55.2%) reported that their food intake has increased, and 82.5% of the students didn't practice sport during the quarantine. The most common information source of the students was the television (63.3%) followed by social media (53.9%).This study offers useful insights into the knowledge and practices of Lebanese university students towards COVID-19. Our findings support the importance to deliver health education campaign by the ministry of public health through television and social media to improve the knowledge on disease transmission and preventive measures.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4302010892
Fever among preschool-aged children: a cross-sectional study assessing Lebanese parents’ knowledge, attitudes and practices regarding paediatric fever assessment and management
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "France", "display_name": "Mondor Institute of Biomedical Research", "id": "https://openalex.org/I4210159433", "lat": 48.79266, "long": 2.46569, "type": "facility" }, { "country": "France", "display_name": "Inserm", "id": "https://openalex.org/I154526488", "lat": 48.85341, "long": 2.3488, "type": "government" }, { "country": "France", "display_name": "Université Paris-Est Créteil", "id": "https://openalex.org/I197681013", "lat": 48.79266, "long": 2.46569, "type": "education" } ], "display_name": "Fouad Sakr", "id": "https://openalex.org/A5029949770" }, { "affiliations": [ { "country": "Qatar", "display_name": "Primary Health Care", "id": "https://openalex.org/I4210134505", "lat": 25.288042, "long": 51.54506, "type": "government" } ], "display_name": "Zeinab Toufaili", "id": "https://openalex.org/A5046702366" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" } ], "display_name": "Zeina Akiki", "id": "https://openalex.org/A5060016987" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "Netherlands", "display_name": "International Pharmaceutical Federation", "id": "https://openalex.org/I548769", "lat": 52.08713, "long": 4.28658, "type": "nonprofit" } ], "display_name": "Marwan Akel", "id": "https://openalex.org/A5027904119" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" }, { "country": "United Arab Emirates", "display_name": "Gulf Medical University", "id": "https://openalex.org/I163074564", "lat": 25.417059, "long": 55.500984, "type": "education" } ], "display_name": "Diana Malaeb", "id": "https://openalex.org/A5056665456" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese International University", "id": "https://openalex.org/I911468752", "lat": 33.88486, "long": 35.49528, "type": "education" } ], "display_name": "Mariam Dabbous", "id": "https://openalex.org/A5057714221" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Lebanese University", "id": "https://openalex.org/I160368002", "lat": 33.827816, "long": 35.52219, "type": "education" }, { "country": "Lebanon", "display_name": "Lebanese American University", "id": "https://openalex.org/I56306041", "lat": 33.892776, "long": 35.47778, "type": "education" }, { "country": "Cyprus", "display_name": "University of Nicosia", "id": "https://openalex.org/I17389662", "lat": 35.17531, "long": 33.3642, "type": "education" } ], "display_name": "Pascale Salameh", "id": "https://openalex.org/A5091538918" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4302010892
Objectives This study investigated parental knowledge, attitudes and practices towards fever in preschool children to help address gaps in public health and provide information with the aim of supporting clinical reports for parental education. Design A cross-sectional study design was used to explore parental experiences with fever. Setting Participants were recruited randomly from schools all over Lebanon targeting the preschool divisions. Participants Parents of children aged 5 years or less. Interventions An electronic self-administered questionnaire was sent to the parents through the schools’ emails and e-learning mobile applications. Primary and secondary outcomes The primary outcome measure was to assess parental knowledge about the precise definition of fever, correct use of medications and to evaluate the impact of sociodemographic factors on this knowledge. The secondary outcome measures were to assess parental attitudes and practices of fever management, sources of information and reasons to seek primary medical attention. Results A total of 733 parents were included in the study. Only 44% identified fever correctly according to the recognised definition by international guidelines. A significant association between parents’ knowledge of antibiotics and years of parenting experience was found (adjusted OR, ORa=4.23, 95% CI 1.41 to 12.68, p=0.01). Other sociodemographic factors that were significantly associated with parents’ knowledge of antibiotics were age (ORa=3.42, 95% CI 1.09 to 10.73, p=0.036) and education level (ORa=7.99, 95% CI 3.71 to 17.23, p&lt;0.001). Greater than 75% usually give their children antipyretics without consulting a doctor. Approximately one-quarter of parents (26.3%) consulted different doctors at the same time, of which more than half (58.4%) had received different medical information. Conclusions This research determines deficiencies in parents’ knowledge of fever with some malpractices in its management particularly regarding antipyretic use. It provides insight for healthcare providers to empower parental experiences by offering the necessary information to enhance general outcomes of febrile sickness.
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https://openalex.org/W560648376
Analysis of Accident Patterns in Lebanon
[ { "affiliations": [], "display_name": "E M Choueiri", "id": "https://openalex.org/A5089438293" }, { "affiliations": [], "display_name": "Georges M Choueiri", "id": "https://openalex.org/A5048442861" }, { "affiliations": [], "display_name": "Bernard M Choueiri", "id": "https://openalex.org/A5049781968" } ]
[ { "display_name": "Road traffic", "id": "https://openalex.org/C2985695025" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Low and middle income countries", "id": "https://openalex.org/C3018472363" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Road traffic accident", "id": "https://openalex.org/C2987776215" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Transport engineering", "id": "https://openalex.org/C22212356" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Lebanon" ]
[ "https://openalex.org/W105318348", "https://openalex.org/W1489420956" ]
https://api.openalex.org/works?filter=cites:W560648376
An estimated 1.2 million people worldwide are estimated to be killed and 50 million injured in road traffic accidents each year. Statistics reveal that every 3 minutes a child is killed on the world’s roads, and more than 80% of road deaths occur in low and middle income countries. According to some estimates, it is expected that, in the year 2020: 1) road deaths will increase by 80%; 2) road traffic deaths and injuries will rise by 65%; 3) road traffic deaths and injuries will see a reduction of 28% in high income countries, compared to an increase of road traffic deaths and injuries in low and middle income countries due to escalating motorization. There is a growing international recognition of this major public health challenge, and perhaps nowhere more so than in Lebanon, a developing country in the Mediterranean region. This article looks at the land transport sector in Lebanon, and briefly discusses its negative consequences. It then looks at the road traffic accident situation in this country and proposes measures to alleviate it.
[]
https://openalex.org/W3167340579
Examining the effect of waterpipe specific pictorial health warning labels among young adults in Lebanon and Tunisia: Protocol of a factorial experiment study design
[ { "affiliations": [ { "country": "United States", "display_name": "Florida International University", "id": "https://openalex.org/I19700959", "lat": 25.77427, "long": -80.19366, "type": "education" } ], "display_name": "Rime Jebai", "id": "https://openalex.org/A5065824672" }, { "affiliations": [ { "country": "United States", "display_name": "Sylvester Comprehensive Cancer Center", "id": "https://openalex.org/I4210157065", "lat": 25.77427, "long": -80.19366, "type": "healthcare" }, { "country": "United States", "display_name": "University of Miami", "id": "https://openalex.org/I145608581", "lat": 25.72149, "long": -80.26838, "type": "education" }, { "country": "Syria", "display_name": "Syrian Center for Tobacco Studies", "id": "https://openalex.org/I4210139754", "lat": 36.203304, "long": 37.138275, "type": "other" } ], "display_name": "Taghrid Asfar", "id": "https://openalex.org/A5068419548" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Rima Nakkash", "id": "https://openalex.org/A5025685233" }, { "affiliations": [ { "country": "Lebanon", "display_name": "American University of Beirut", "id": "https://openalex.org/I98635879", "lat": 33.901093, "long": 35.48153, "type": "education" } ], "display_name": "Sara Chehab", "id": "https://openalex.org/A5004181312" }, { "affiliations": [ { "country": "Tunisia", "display_name": "Tunis El Manar University", "id": "https://openalex.org/I63596082", "lat": 36.81897, "long": 10.16579, "type": "education" } ], "display_name": "Habiba Ben Romdhane", "id": "https://openalex.org/A5067779843" }, { "affiliations": [ { "country": "United States", "display_name": "Florida International University", "id": "https://openalex.org/I19700959", "lat": 25.77427, "long": -80.19366, "type": "education" }, { "country": "Syria", "display_name": "Syrian Center for Tobacco Studies", "id": "https://openalex.org/I4210139754", "lat": 36.203304, "long": 37.138275, "type": "other" } ], "display_name": "Wasim Maziak", "id": "https://openalex.org/A5091313655" } ]
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[ "Lebanon", "Tunisia" ]
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https://api.openalex.org/works?filter=cites:W3167340579
Waterpipe tobacco smoking (WTS) has increased substantially in the Eastern Mediterranean Region (EMR), affecting young adults who perceive waterpipe as safer than cigarette smoking. Applying pictorial health warning labels (HWLs) on tobacco products has been effective in communicating health risks associated with tobacco smoking. However, there are few experimental studies that examined pictorial HWLs specific to WTS. Methods/design: This report describes the design and protocol of the first factorial experimental study that aims to test the effectiveness of pictorial HWLs based on their placement on waterpipe device, tobacco, and charcoal packages among young adult smokers and non-smokers residing in Lebanon and Tunisia. After completing a baseline assessment, participants will be randomly assigned to 3 experimental conditions in a 3 (HWL: pictorial HWL on tobacco package vs. pictorial HWL on 3 placements [device, tobacco, and charcoal packages] vs. text-only HWL on tobacco package) x 4 (pictorial HWLs) x 2 (waterpipe smokers vs. non-smokers) factorial design. We will use a within/between-subject design, where pictorial HWLs and time (pre vs. post-exposure) are the within-subject factors and waterpipe smoking status as the between-subjects factor. Participants will complete post-exposure measures that include attention, perceived harm, intention to quit (smokers) or initiate smoking (non-smokers). Discussion: This is the first international study examining the placements of pictorial HWLs using efficient within/between subject design. Findings will provide additional evidence to convince policymakers to consider three placements of HWLs specific to WTS as a promising regulatory target to curb WTS.
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https://openalex.org/W4389388244
Patient experiences of diabetes and hypertension care during an evolving humanitarian crisis in Lebanon: A qualitative study
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[ "Lebanon", "Syria" ]
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https://api.openalex.org/works?filter=cites:W4389388244
Humanitarian health care models increasingly incorporate care for non-communicable diseases (NCDs). Current research evidence focuses on burden of disease, service provision and access to care, and less is known about patient’s experience of the continuum of care in humanitarian settings. To address this gap, this study explored experiences of displaced Syrian and vulnerable Lebanese patients receiving care for hypertension and/or diabetes at four health facilities supported by humanitarian organisations in Lebanon. We conducted in-depth, semi-structured qualitative interviews with a purposive sample of patients (n = 18) and their informal caregivers (n = 10). Data were analysed thematically using both deductive and inductive approaches. Both Syrian and Lebanese patients reported interrupted pathways of care. We identified three typologies of patient experience at the time of interview; (1) managing adequately from the patient’s perspective; (2) fragile management and (3) unable to manage their condition(s) adequately, with the majority falling into typologies 2 and 3. Patients and their families recognised the importance of maintaining continuity of care and self-management, but experienced substantial challenges due to changing availability and cost of medications and services, and decreasing economic resources during a period of national crises. Family support underpinned patient’s response to challenges. Navigating the changing care landscape was a significant burden for patients and their families. Interactions were identified between mental health and NCD management. This study suggests that patients experienced disrupted, non-linear pathways in maintaining care for hypertension and diabetes in a humanitarian setting, and family support networks were key in absorbing treatment burden and sustaining NCD management. Recommendations are made to reduce treatment burden for patients and their families and to support sustainable condition management.
[ { "display_name": "PLOS global public health", "id": "https://openalex.org/S4210231901", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2105100226
Outcome of Breast Cancer Screening: A Lebanese Single Institution Experience
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Saint Joseph University", "id": "https://openalex.org/I184679254", "lat": 33.89332, "long": 35.50157, "type": "education" } ], "display_name": "Hampig Raphaël Kourié", "id": "https://openalex.org/A5005356941" }, { "affiliations": [], "display_name": "Alain Daher", "id": "https://openalex.org/A5029823843" }, { "affiliations": [], "display_name": "Dany Matar", "id": "https://openalex.org/A5050332849" }, { "affiliations": [], "display_name": "Joëlle Antoun", "id": "https://openalex.org/A5016443116" }, { "affiliations": [], "display_name": "Lony Salloum", "id": "https://openalex.org/A5020000776" }, { "affiliations": [], "display_name": "Joseph Kattan", "id": "https://openalex.org/A5061525036" } ]
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[ "Lebanon" ]
[ "https://openalex.org/W1549866585", "https://openalex.org/W1590772117", "https://openalex.org/W2059330910", "https://openalex.org/W2093954616", "https://openalex.org/W2098436308", "https://openalex.org/W2112534757", "https://openalex.org/W2131821658", "https://openalex.org/W2149988868", "https://openalex.org/W2160258610", "https://openalex.org/W2164589486", "https://openalex.org/W2316836237" ]
https://api.openalex.org/works?filter=cites:W2105100226
Background: Since 2002, from October till December of each year, the Lebanese Ministry of Public Health conducts a mammogram based breast cancer screening campaign in the whole country for women over 40 years of age. These mammograms are performed free of charge in governmental hospitals or for reduced fees in private hospitals. The aim of this study is to analyze the direct impact of this campaign on cancer detection and subsequent treatment. Materials and Methods: Radiologic records of women screened with a mammogram during the campaign period from October till December 2012 at Saint Joseph Hospital, Baouchrieh, Beirut, were reviewed. Results of mammograms were reported using the ACR score. Women with ACR score <TEX>${\geq}4$</TEX> were tracked and investigated. Results: 900 screening mammograms were performed; median age was 55.2 years (range:31-81 years). Some 826 (91.8%) had an ACR score of <TEX>${\leq}2$</TEX>; 66 (7.3%) an ACR =3 and only 8 (0.89%) an ACR=4. Thus, less than 1% (8/900) of all screened women were considered at high risk and needed a close follow-up. Among these 8 women, 4 underwent surgery for an early breast cancer, one had synchronous metastatic breast cancer and two were lost to follow-up. Conclusions: To coclude, Among 900-screened women for BC, less than 1 % (8 out of 900) were at high risk of hiding a BC (ACR=4), half of them benefited from early therapy (4 women out of 900) and one was a false positive. Larger studies on national level should be accomplished to have a complete data on breast cancer screening in Lebanon. The results of these studies can affect the Lebanese health policy regarding BC.
[ { "display_name": "Asian Pacific Journal of Cancer Prevention", "id": "https://openalex.org/S121579133", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W4224102653
The compliance of nutrition claims on pita bread in Lebanon and risk on public health: a cross-sectional study
[ { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Priscilla Bedran", "id": "https://openalex.org/A5085957466" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Christelle Bou-Mitri", "id": "https://openalex.org/A5010503003" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Samar Merhi", "id": "https://openalex.org/A5088903363" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Jacqueline Doumit", "id": "https://openalex.org/A5037824591" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" } ], "display_name": "Jessy El Hayek Fares", "id": "https://openalex.org/A5022187238" }, { "affiliations": [ { "country": "Lebanon", "display_name": "Notre Dame University – Louaize", "id": "https://openalex.org/I60770847", "lat": 34.12111, "long": 35.64806, "type": "education" }, { "country": "United Arab Emirates", "display_name": "Al Khawarizmi International College", "id": "https://openalex.org/I4210150363", "lat": 24.503008, "long": 54.376698, "type": "education" } ], "display_name": "Antoine Farhat", "id": "https://openalex.org/A5089058136" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Clinical nutrition", "id": "https://openalex.org/C148257392" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Dietary fiber", "id": "https://openalex.org/C2992741425" }, { "display_name": "Compliance (psychology)", "id": "https://openalex.org/C2781460075" }, { "display_name": "Food science", "id": "https://openalex.org/C31903555" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W4224102653
Abstract Background Mislabeling is a type of fraud, that can lead to major health concerns, especially when used on staple foods like bread. This study aimed to assess the compliance of nutrition claims on pre-packaged Pita bread in Mount Lebanon with national (LIBNOR; NL 661:2017) and international (CODEX; CAC/GL -2–1985) standards. Methods A cross-sectional study was conducted and Lebanese bread samples ( n = 75) were collected from all the registered bakeries in Mount Lebanon directorate ( n = 25). The claim compliance assessment was based on values of the nutrition facts panel and standard nutrient analyses, following official methods. Results Of all assessed breads, 84% carried nutrition claims, and 25.3% carried health claims. Among nutrition claims, 70.7% had non-addition claims, 56.0% had nutrient content claims, and 1.3% had comparative claims. The results showed a high prevalence of nutrition claims with majority non-compliant. Based on the nutrition facts panel, only 32.4% of the sugar related claims, 45.5% of the fiber claims, and 54.4% of salt claims were eligible to make those statements. Based on the chemical nutrient analyses, only 47.0% of sugar claims, 16.1% of fiber claims, and 37.5% of salt claims were compliant. All the claims related to protein ( n = 7) were compliant. Conclusions These results suggest the urgent need to develop clear guidelines for the effective implementation of the current standard; in order to prevent mislead consumers from making poor decisions at the point-of-sale, which might affect their overall health and efforts towards proper nutrition.
[ { "display_name": "BMC Nutrition", "id": "https://openalex.org/S2765040563", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2735671096
Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis
[ { "affiliations": [], "display_name": "Esteban Ortíz-Prado", "id": "https://openalex.org/A5025003605" }, { "affiliations": [], "display_name": "Katherine Simbaña", "id": "https://openalex.org/A5038315478" }, { "affiliations": [], "display_name": "Lenin Gómez", "id": "https://openalex.org/A5048112997" }, { "affiliations": [], "display_name": "Anna M. Stewart-Ibarra", "id": "https://openalex.org/A5019006708" }, { "affiliations": [], "display_name": "Lisa Allen Scott", "id": "https://openalex.org/A5083637845" }, { "affiliations": [], "display_name": "Gabriel Cevallos-Sierra", "id": "https://openalex.org/A5003927632" } ]
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[ "Lebanon" ]
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https://api.openalex.org/works?filter=cites:W2735671096
Abortion, an increasing public health concern in Ecuador, a 10-year population-based analysis Esteban Ortiz-Prado,1&ndash;4&nbsp;Katherine Simba&ntilde;a,5,6&nbsp;Lenin G&oacute;mez,5,6&nbsp;Anna M Stewart-Ibarra,4,7 Lisa Scott,8 Gabriel Cevallos-Sierra9 1OneHealth Research Group, Faculty of Medicine, Universidad De Las Americas, Quito, Ecuador; 2Department of Cellular Biology, Physiology and Immunology, Institute of Biomedicine, Universitat de Barcelona, Spain; 3Department of Physiology, Faculty of Medicine &ldquo;Eugenio Espejo&rdquo;, Universidad Tecnologica Equinoccial, Quito, Ecuador; 4Department of Medicine, College of Medicine, 5Center for Global Health and Translational Science, Upstate Medical University, State University of New York, Syracuse, NY, USA; 6Faculty of Medical Science, School of Medicine, Universidad Central del Ecuador, 7Prometeo Program, SENESCYT, Quito, Ecuador; 8Graduate College of Biomedical Sciences, Western University of Health Sciences, Lebanon, OR, USA; 9School of Public Health, University of Heidelberg, Heidelberg, Germany Objectives: To describe the epidemiology of abortion in Ecuador from 2004 to 2014 and compare the prevalence between the public and the private health care systems.Methods: This is a cross-sectional analysis of the overall mortality and morbidity rate due to abortion in Ecuador, based on public health records and other government databases.Results: From 2004 to 2014, a total of 431,614 spontaneous abortions, miscarriage and other types of abortions were registered in Ecuador. The average annual rate of abortion was 115 per 1,000 live births. The maternal mortality rate was found to be 43 per 100,000 live births.Conclusions: Abortion is a significant and wide-ranging problem in Ecuador. The study supports the perception that in spite of legal restrictions to abortion in Ecuador, women are still terminating pregnancies when they feel they need to do so. The public health system reported &gt;84% of the national overall prevalence. Keywords: clandestine abortion, private vs public health system, misoprostol, therapeutic abortion, metrotexate, misoprostol
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