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https://openalex.org/W4225310694
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Access to primary and secondary health care services for people living with diabetes and lower-limb amputation during the COVID-19 pandemic in Lebanon: a qualitative study
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Abstract Background People living with chronic conditions and physical disabilities face many challenges accessing healthcare services. In Lebanon, in 2020, the COVID-19 pandemic and concomitant economic crisis further exacerbated the living conditions of this segment of the population. This study explored the barriers to accessing healthcare services among people living with diabetes and lower-limb amputation during the pandemic. Methods We conducted semi-structured, in-depth phone interviews with users of the Physical Rehabilitation Program, offered by the International Committee of the Red Cross. We used a purposive sampling technique to achieve maximum variation. Interviews were audio-recorded, transcribed, translated, and analyzed using thematic analysis following the “codebook” approach. Transcripts were coded and grouped in a matrix that allowed the development of themes and sub-themes inductively and deductively generated. Results Eight participants (7 males, 1 female) agreed to be interviewed and participated in the study between March and April, 2021. Barriers to healthcare services access were grouped according to five emerging themes: (1) economic barriers, included increasing costs of food, health services and medications, transportation, shortage of medications, and limited income; (2) structural barriers: availability of transportation, physical environment, and service quality and availability; (3) cultural barriers: marginalization due to their physical disabilities; favoritism in service provision; (4) personal barriers: lack of psychosocial support and limited knowledge about services; (5) COVID-19 barriers: fear of getting sick when visiting healthcare facilities, and heightened social isolation due to lockdowns and physical distancing. Conclusion The underlying economic crisis has worsened the conditions of people living with diabetes and lower-limb amputation. The pandemic has made these individuals more vulnerable to external and contextual factors that cannot be addressed only at an individual level. In the absence of a protective legal framework to mitigate inequalities, we provide recommendations for governments and nongovernmental institutions to develop solutions for more equitable access to healthcare for this segment of the population.
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https://openalex.org/W1669116969
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Health Reporting in Print Media in Lebanon: Evidence, Quality and Role in Informing Policymaking
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Media plays a vital role in shaping public policies and opinions through disseminating health-related information. This study aims at exploring the role of media in informing health policies in Lebanon, identifying the factors influencing health reporting and investigating the role of evidence in health journalism and the quality of health reporting. It also identifies strategies to enhance the use of evidence in health journalism and improve the quality of health reporting.Media analysis was conducted to assess the way media reports on health-related issues and the quality of reporting using a quality assessment tool. Semi-structured interviews were also conducted with 27 journalists, researchers and policymakers to explore their perception on the role of media in health policymaking and the factors influencing health reporting. In addition, a validation workshop was conducted.Out of 1,279 health-related news articles identified, 318 articles used certain type of evidence to report health issues 39.8% of which relied on experts' opinions as their source of evidence while only 5.9% referenced peer-reviewed research studies. The quality of health reporting was judged to be low based on a quality assessment tool consisting of a set of ten criteria. Journalists raised concerns about issues impeding them from referring to evidence. Journalists also reported difficulties with the investigative health journalism. Policymakers and researchers viewed media as an important tool for evidence-informed health policies, however, serious concerns were voiced in terms of the current practice and capacities.Our study provides a structured reflection on the role of media and the factors that influence health reporting including context-specific strategies that would enhance the quality and promote the use of evidence in health reporting. In the light of the political changes in many Middle Eastern countries, findings from this study can contribute to redefining the role of media in strengthening health systems.
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https://openalex.org/W4281776252
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Implementation of fixed-dose combination therapy for secondary prevention of atherosclerotic cardiovascular disease among Syrian refugees in Lebanon: a qualitative evaluation
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We report findings of a qualitative evaluation of fixed-dose combination therapy for patients with established atherosclerotic cardiovascular disease (ASCVD) attending Médecins Sans Frontières (MSF) clinics in Lebanon. Cardiovascular disease is a leading cause of death and disability worldwide, and humanitarian actors are increasingly faced with the challenge of providing care for chronic diseases such as ASCVD in settings where health systems are disrupted. Secondary prevention strategies, involving 3-5 medications, are known to be effective for patients at risk of heart attack or stroke, but supply and adherence are challenging in humanitarian settings. Fixed dose combination therapy, combining two or more medications in one tablet, may be a strategy to address this.The evaluation was nested within a prospective mixed-methods study in which eligible ASCVD patients were followed for 1 year during (i) 6 months of usual care then (ii) 6 months of fixed dose combination (FDC) therapy. After 1 year, we conducted in-depth interviews with a purposive sample of patients, MSF staff and external stakeholders. Interviews focused on acceptability and sustainability of the fixed dose therapy intervention. Interview data were analysed thematically, informed by thea Theoretical Framework of Acceptability. Additional attention was paid to non-typical cases in order to test and strengthen analysis.Patients and health care providers were positive about the FDC intervention. For patients, acceptability was related to ease of treatment and trust in MSF staff, while, for staff, it was related to perceived improvements in adherence, having a good understanding of the medication and its use, and fitting well with their priorities for patient's wellbeing. External stakeholders were less familiar with FDC therapy. While external clinicals expressed concerns about treatment inflexibility, non-clinician stakeholder interviews suggested that cost-effectiveness would have a major influence on FDC therapy acceptability. Sustainability was tied to the future role of MSF care provision and coherence with the local health system.For patients and clinic staff, FDC was an acceptable treatment approach for secondary prevention of ASCVD disease in two MSF clinics in Lebanon. Sustainability is more complex and calls for better alignment of care with public systems.
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https://openalex.org/W4223474952
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Assessing the pharmaceutical care provision to suspected COVID-19 patients in community pharmacies: a simulated patient study
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{
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Pharmacy",
"id": "https://openalex.org/C104863432"
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"id": "https://openalex.org/C2994493120"
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{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
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"id": "https://openalex.org/C80059220"
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"display_name": "Health administration",
"id": "https://openalex.org/C137992405"
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"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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"id": "https://openalex.org/C545542383"
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"id": "https://openalex.org/C159110408"
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"display_name": "Infectious disease (medical specialty)",
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"id": "https://openalex.org/C126322002"
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"id": "https://openalex.org/C17744445"
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"id": "https://openalex.org/C199539241"
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"id": "https://openalex.org/C162324750"
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"id": "https://openalex.org/C50522688"
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[
"Lebanon"
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] |
https://api.openalex.org/works?filter=cites:W4223474952
|
Abstract Background In the wake of COVID-19, community pharmacists (CP) were called upon to free up healthcare providers to treat more serious conditions and alleviate overcrowded healthcare centers. CPs were placed under tremendous pressure, where many patients primarily sought their health advice. This situation raised concerns about the preparedness of CPs in facing these challenges. Therefore, this study aimed to assess the appropriateness of pharmaceutical care provided by CPs to patients with suspected COVID-19 and to investigate their communication skills. Methods A simulated patient (SP) study was conducted among randomly selected community pharmacies in Beirut, Lebanon. Each pharmacy was visited by the SP who complained of fever and loss of smell sensation. Interactions between the attending pharmacist and the suspected COVID-19 patient were documented directly after each visit in a standardized data collection form. Results More than half of the CPs (56%) did not retrieve any relevant information to assess the patient’s condition. While pharmacists’ responses were limited to one to two recommendations, with the majority recommending the patient to perform the PCR test (90%). Inappropriate recommendations made by the CPs included mainly the confirmation that the patient had COVID-19 without prior testing (9%), and prescribing either an antimicrobial drug (5%) or dietary supplements (20%), claiming that the latter are essential to boost the patient’s immunity. As for the pharmacist-patient communication skills, the mean total score was 2.25 ± 0.79 (out of 4), displaying nonoptimal and ineffective communication. Conclusion An unsatisfactory and suboptimal provision of pharmaceutical care to a suspected COVID-19 case was evident. This may be a public health threat, particularly for developing countries that lack an efficient and unified healthcare system. The findings should alert health authorities to support and guide community pharmacists in assisting suspected COVID-19 patients.
|
[
{
"display_name": "BMC Health Services Research",
"id": "https://openalex.org/S12898181",
"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/W2037191397
|
Altering the course of China's medicine
|
[
{
"affiliations": [],
"display_name": "Marilyn Beach",
"id": "https://openalex.org/A5023947804"
}
] |
[
{
"display_name": "China",
"id": "https://openalex.org/C191935318"
},
{
"display_name": "Biography",
"id": "https://openalex.org/C520712124"
},
{
"display_name": "Communism",
"id": "https://openalex.org/C542948173"
},
{
"display_name": "George (robot)",
"id": "https://openalex.org/C67101536"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Media studies",
"id": "https://openalex.org/C29595303"
},
{
"display_name": "Public administration",
"id": "https://openalex.org/C3116431"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "History",
"id": "https://openalex.org/C95457728"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Art history",
"id": "https://openalex.org/C52119013"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Politics",
"id": "https://openalex.org/C94625758"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W2043005014"
] |
https://api.openalex.org/works?filter=cites:W2037191397
|
The People's Doctor is an engaging biography about the Lebanese-American turned Chinese citizen, Dr George Hatem. Supported by an extensive array of primary-source materials. Edgar Porter presents the personal and professional life of a humanitarian who, at the age of 22, abandoned the security of a private practice and went to China in the early 1930s. Hatem embraced the Revolution, became the first foreign Chinese Communist Party member, and ultimately altered the course of Chinese medicine and public-health practices.
|
[
{
"display_name": "The Lancet",
"id": "https://openalex.org/S49861241",
"type": "journal"
}
] |
|
https://openalex.org/W2047432959
|
Electronic surveillance of outbreaks in Lebanon
|
[
{
"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"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
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],
"display_name": "Alia Nasredine",
"id": "https://openalex.org/A5086213367"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
}
],
"display_name": "Yolla Merhy Baddour",
"id": "https://openalex.org/A5019551581"
},
{
"affiliations": [
{
"country": "France",
"display_name": "World Health Organization - Lyon Office",
"id": "https://openalex.org/I4210157672",
"lat": 45.727528,
"long": 4.835799,
"type": "government"
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],
"display_name": "D Coulombier",
"id": "https://openalex.org/A5013692417"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
}
],
"display_name": "Samah Nasserdine",
"id": "https://openalex.org/A5074271515"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Disease surveillance",
"id": "https://openalex.org/C2776480101"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Typhoid fever",
"id": "https://openalex.org/C520601542"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Public health surveillance",
"id": "https://openalex.org/C2776361769"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W202547093"
] |
https://api.openalex.org/works?filter=cites:W2047432959
|
This paper describes and assesses the electronic surveillance of outbreaks based on the early warning for four endemic diseases – typhoid fever, amebic dysentery, viral hepatitis A and brucellosis – in Lebanon, for the first 28 weeks of 2005 and first 26 weeks of 2007. The electronic early warning system is based on the mandatory notification of 37 targeted diseases. The four target diseases assessed in this paper are based on monthly notification. Standards were set for case definitions and forms. Physicians and hospitals report to the Ministry of Public Health (MOPH), where data is checked and transmitted to a central location for entry into the national database, which stores historical and current data, as well as population estimates based on national surveys. The event date was selected for case dating. Indicators triggering abnormalities include number of cases, rates, and relative ratios. Four relative ratios were selected using the period of 1 week, 4 weeks or 52 weeks for the current and previous years. Screening was conducted on a weekly basis in 2005, and on a daily basis in 2007. Abnormal signals were verified, documented and grouped by alert-episodes for each disease, district, and period. MOPH teams verified and investigated case clustering. During the first 28 weeks of 2005 and the first 26 weeks of 2007, screening operations were 68% and 89%, respectively, for completeness. Detected abnormal signals were 26 and 166 and identified alert-episodes were 11 and 22, respectively. Verified clusters were 7 and 11; positive predictive value for clusters identification was 64% and 50%, respectively. The time interval between first cases and first abnormal signals was on average 4 weeks and 5 weeks, respectively. Timely reporting, transmission, data entry, analysis and communication are the elements of timely outbreak detection. The electronic surveillance of outbreaks for epidemic-prone diseases, which are mandatory notified on a monthly basis using indicator-based thresholds, is capable of detecting spatio-temporal clusters and outbreaks; however, with some delay. The national surveillance system needs to be reviewed in order to provide timely data for early warning surveillance and response.
|
[
{
"display_name": "BMC Proceedings",
"id": "https://openalex.org/S49206733",
"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/W4309511752
|
“Older people tend to be invisible”: a qualitative study exploring the needs and inclusion of older Syrian refugees in the context of compounding crises in host country, Lebanon
|
[
{
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{
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"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Sarah Hachem",
"id": "https://openalex.org/A5012513550"
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{
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{
"country": "United States",
"display_name": "University of Michigan–Ann Arbor",
"id": "https://openalex.org/I27837315",
"lat": 42.27756,
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],
"display_name": "Souad Ali",
"id": "https://openalex.org/A5016631913"
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{
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{
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"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"display_name": "Sarah Al Omari",
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{
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"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
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"display_name": "Maya Abi Chahine",
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"display_name": "American University of Beirut",
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"display_name": "Sasha Abdallah Fahme",
"id": "https://openalex.org/A5028245497"
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{
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{
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"display_name": "American University of Beirut",
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"display_name": "Abla Mehio Sibai",
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[
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https://api.openalex.org/works?filter=cites:W4309511752
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Older Syrian refugees in Lebanon are a marginalized population with under-recognized health needs. The inclusivity of this population within the humanitarian response is poorly understood. This study aims to identify the unique needs of older Syrian refugees in the context of recent concurrent crises in Lebanon, and explore the extent to which they are being met and prioritized by local and international aid agencies.We conducted in-depth interviews with a snowball sample of 26 stakeholders from 11 organizations operating in the health, nutrition, and water, sanitation, and hygiene sectors. Data analysis followed principles of thematic analysis.Concurrent political, economic, and public health crises in host country promoted income insecurity among older refugees and increased dependency on younger relatives, leading to food insecurity, neglect, and poor health outcomes, including the sequelae of untreated non-communicable diseases. Mental illness was perceived to be exacerbated by Covid-19 related challenges, including social isolation, uncertainty about the future, and additionally due to feelings of guilt related to economic dependence and fundamental exclusion from labor force participation. Despite their vulnerability, older refugees are overlooked by the humanitarian response, which may be related to a lack of data. Pervasive medication shortages in the setting of the economic collapse, as well as inaccessible physical environments and competing interests were all identified as major barriers to care.Older Syrian refugees in Lebanon experience dual vulnerability that is acutely exacerbated in the setting of concurrent crises. Sociopolitical, economic, and cultural barriers promote social exclusion and may confer an increased risk of income and food insecurity in this population, with significant implications for health. Humanitarian aid agencies operating in the context of fragmented, under-resourced health systems are currently unable to sufficiently address multi-faceted needs of this community. We recommend moving away from a donor-dependent model of aid by allocating resources toward strengthening inclusive national health systems that emphasize preventative care. We further call for age-disaggregation of routine data and normalization of data sharing among stakeholders in the academic and public health sectors in order to develop evidence-based initiatives that can meet the needs of this under-served community.
|
[
{
"display_name": "Conflict and Health",
"id": "https://openalex.org/S77607499",
"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/W4327744565
|
Knowledge, attitudes, and practices (KAP) toward COVID-19: A cross-sectional study among university students in Lebanon
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
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],
"display_name": "Iman Nocari",
"id": "https://openalex.org/A5020276331"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
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],
"display_name": "Doha Fadel",
"id": "https://openalex.org/A5052602012"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
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],
"display_name": "Dominique Dano",
"id": "https://openalex.org/A5075313371"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
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],
"display_name": "Rana El‐Bikai",
"id": "https://openalex.org/A5022744422"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
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],
"display_name": "Nivine Abbas",
"id": "https://openalex.org/A5038352003"
}
] |
[
{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
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{
"display_name": "Preparedness",
"id": "https://openalex.org/C2777042776"
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{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
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{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
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{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
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{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
}
] |
[
"Lebanon"
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"https://openalex.org/W3091792540",
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"https://openalex.org/W3112887664"
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https://api.openalex.org/works?filter=cites:W4327744565
|
The health crisis caused by COVID-19 pandemic has quickly evolved into an economic, cultural, and social crisis. Being an active entity in their communities, an evaluation of how much university students can contribute in raising awareness about the pandemic and in volunteering in their communities is deemed necessary. This study aims to assess the knowledge, attitudes, and practices toward COVID-19 pandemic among university students in Lebanon. An anonymous online self-reported questionnaire was conducted in March 2020 and a total of 193 university students participated. Scores were used to evaluate the knowledge, attitudes, and practices. Our results showed that the majority of the Lebanese University students have a good knowledge and practice score (0.82 and 0.64 respectively). However, the attitude score was relatively low and reflects a high cue to action score and a low Ministry Of Public Health (MOPH) satisfaction score. In addition, the KAP scores significantly differed between students majoring in health-related fields vs students majoring in non-health-related fields. The source of knowledge was associated with its score (p-value = .002). Finally, the statistical analysis proved that the study matches the KAP model which demonstrates that knowledge influences the attitudinal statements while attitude influences practice toward COVID-19. This assessment of the students’ understanding and awareness of the pandemic can help in the development of effective national strategies as well as envisage medium and long-term scenarios of preparedness.
|
[
{
"display_name": "Journal of Human Behavior in the Social Environment",
"id": "https://openalex.org/S51144326",
"type": "journal"
}
] |
|
https://openalex.org/W4242250040
|
Hospital performance and payment: impact of integrating pay-for-performance on healthcare effectiveness in Lebanon
|
[
{
"affiliations": [],
"display_name": "Jade Khalife",
"id": "https://openalex.org/A5022736740"
},
{
"affiliations": [],
"display_name": "Walid Ammar",
"id": "https://openalex.org/A5032289226"
},
{
"affiliations": [],
"display_name": "Maria Emmelin",
"id": "https://openalex.org/A5041406239"
},
{
"affiliations": [],
"display_name": "Fadi El‐Jardali",
"id": "https://openalex.org/A5031532168"
},
{
"affiliations": [],
"display_name": "Björn Ekman",
"id": "https://openalex.org/A5025407014"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Reimbursement",
"id": "https://openalex.org/C2779703844"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
}
] |
[
"Lebanon"
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"https://openalex.org/W2123192775",
"https://openalex.org/W2129861807",
"https://openalex.org/W2149534555",
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"https://openalex.org/W2170868743",
"https://openalex.org/W2179834965",
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"https://openalex.org/W2337043991",
"https://openalex.org/W2416547532",
"https://openalex.org/W2418252188",
"https://openalex.org/W2440923576",
"https://openalex.org/W2565370336",
"https://openalex.org/W2583267483",
"https://openalex.org/W2601832851",
"https://openalex.org/W2605793149",
"https://openalex.org/W2761330159",
"https://openalex.org/W2769592895",
"https://openalex.org/W2804219457",
"https://openalex.org/W2806966903",
"https://openalex.org/W2905951279",
"https://openalex.org/W2942763465",
"https://openalex.org/W4250639036"
] |
https://api.openalex.org/works?filter=cites:W4242250040
|
<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>
|
[
{
"display_name": "Wellcome open research",
"id": "https://openalex.org/S4210218052",
"type": "journal"
},
{
"display_name": "Europe PMC (PubMed Central)",
"id": "https://openalex.org/S4306400806",
"type": "repository"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W3158817675
|
Influence of a University Tobacco-Free Policy on the Attitudes, Perceptions of Compliance, and Policy Benefit Among the University Students: A Pre-Post Investigation
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Monique Chaaya",
"id": "https://openalex.org/A5007413550"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Dina Farran",
"id": "https://openalex.org/A5086302857"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Dahlia Saab",
"id": "https://openalex.org/A5065065831"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Mahmoud Al‐Hindi",
"id": "https://openalex.org/A5084872473"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
"long": 35.485886,
"type": "healthcare"
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],
"display_name": "Maya Romani",
"id": "https://openalex.org/A5012884798"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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"display_name": "Mary Khairallah",
"id": "https://openalex.org/A5042139506"
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{
"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"
}
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[
{
"display_name": "Mindset",
"id": "https://openalex.org/C2778491294"
},
{
"display_name": "Stratified sampling",
"id": "https://openalex.org/C49898467"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Tobacco use",
"id": "https://openalex.org/C3019190695"
},
{
"display_name": "Smoking cessation",
"id": "https://openalex.org/C2777843972"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Compliance (psychology)",
"id": "https://openalex.org/C2781460075"
},
{
"display_name": "Public policy",
"id": "https://openalex.org/C109986646"
},
{
"display_name": "Health policy",
"id": "https://openalex.org/C47344431"
},
{
"display_name": "Perception",
"id": "https://openalex.org/C26760741"
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{
"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"
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{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
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{
"display_name": "Epistemology",
"id": "https://openalex.org/C111472728"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Neuroscience",
"id": "https://openalex.org/C169760540"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
}
] |
[
"Lebanon"
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[
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"https://openalex.org/W2161481142",
"https://openalex.org/W2164035351",
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"https://openalex.org/W2585042474",
"https://openalex.org/W2795633376",
"https://openalex.org/W2938684572",
"https://openalex.org/W2947206915"
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https://api.openalex.org/works?filter=cites:W3158817675
|
Objective: To evaluate the effectiveness of a university tobacco-free policy by examining differences in students' attitudes, perceptions of compliance and policy benefits, after one year of the policy's implementation. Methods: Cross-sectional studies were undertaken to collect data pre- and 1 year post-policy implementation. The two samples were selected using stratified random sampling. Results: The prevalence of smoking decreased from 26% pre-policy implementation to 21% 1 year after (p = 0.035). The proportion of smokers who thought the policy had contributed to a reduction in smoking frequency increased from 10% to 70% (p < 0.001). Smokers' support for the policy rose from 42 to 58% (p = 0.007). Conclusion: Against the background of a strongly pro-tobacco environment in Lebanon, it is possible to create a positive change in the mindset of smokers at the levels of the education and smoking cessation and more efforts should be expended to bring it about.
|
[
{
"display_name": "International Journal of Public Health",
"id": "https://openalex.org/S196280712",
"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/W2184719695
|
Qaderoon youth mental health promotion programme in the Burj El Barajneh Palestinian refugee camp, Beirut, Lebanon: a community-intervention analysis
|
[
{
"affiliations": [],
"display_name": "Rima Afifi",
"id": "https://openalex.org/A5069010666"
},
{
"affiliations": [],
"display_name": "Rima Afifi",
"id": "https://openalex.org/A5069010666"
},
{
"affiliations": [],
"display_name": "Rima Nakkash",
"id": "https://openalex.org/A5025685233"
},
{
"affiliations": [],
"display_name": "Taghreed El Hajj",
"id": "https://openalex.org/A5012298391"
},
{
"affiliations": [],
"display_name": "Ziyad Mahfoud",
"id": "https://openalex.org/A5015865003"
},
{
"affiliations": [],
"display_name": "Suad Hammad",
"id": "https://openalex.org/A5024709901"
},
{
"affiliations": [],
"display_name": "Judy Makhoul",
"id": "https://openalex.org/A5003041112"
},
{
"affiliations": [],
"display_name": "Sawsan Abdulrahim",
"id": "https://openalex.org/A5070384397"
},
{
"affiliations": [],
"display_name": "Mayada Kanj",
"id": "https://openalex.org/A5040011704"
},
{
"affiliations": [],
"display_name": "Pascale Haddad",
"id": "https://openalex.org/A5018967374"
}
] |
[
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
},
{
"display_name": "Mental health",
"id": "https://openalex.org/C134362201"
},
{
"display_name": "Agency (philosophy)",
"id": "https://openalex.org/C108170787"
},
{
"display_name": "Palestinian refugees",
"id": "https://openalex.org/C2780446542"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Intervention (counseling)",
"id": "https://openalex.org/C2780665704"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Health promotion",
"id": "https://openalex.org/C185618831"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"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",
"Israel"
] |
[] |
https://api.openalex.org/works?filter=cites:W2184719695
|
Background One in five young people will have a mental health event, and low-income urban populations and refugees are at especially high risk. A shift in emphasis of mental health research has taken place, to the importance of positive mental health and social skills. Our investigation was done in the Burj El Barajneh Palestinian refugee camp (Beirut, Lebanon), the sixth largest of 12 official camps established in Lebanon for Palestinian refugees after the establishment of Israel in 1948. Palestinian refugees in Lebanon live in dire environmental and social conditions—the camp has 14 000–18 000 residents and is 1·6 km². Conditions are thought to be the worst for Palestinian refugees in the region, because of the scarcity of employment opportunities, economic resources, and access to basic health and social services, which are exacerbated by state-imposed restrictions on employment and education opportunities. Health and social services are provided by various international, governmental, and non-governmental organisations. The UN Relief and Works Agency was set up in 1948 to provide educational and health services to Palestinian refugees. However, because of the growing number of refugees, and local and international politics, schools have become unable to accommodate the number of children in the camp. The Qaderoon (literally: we are capable) intervention to promote mental health in young people was implemented for children aged 11–14 years living in the Burj El Barajneh camp in 2008–09. The programme’s aims were to enhance mental health as a primary outcome, and to improve social skills as a secondary outcome. Methods Our intervention programme was evidence informed and guided by a Community Youth Coalition. A logic model was developed and guided implementation and assessment. The six elementary schools in the camp were randomly assigned by computer-generated sequence, three to the intervention group and three to the control group. All students (n=687) in grades five and six in the schools were included in the study. The sample size of 580 (290 in each group) was estimated to detect a size effect of 0·40 with a power of 80%, and a significance of p=0·05, on the assumption of an average cluster size of 60 children and an intraclass correlation coefficient of 0·02. The intervention group received 45 afterschool sessions, their parents received 13 sessions, and their teachers six half-day workshops. On the basis of previous evidence-based interventions for promotion of youth mental health, the 45 sessions included interactive sessions about problem-solving; communication; self esteem; self responsibility; relationships with peers, parents, and teachers; violence prevention; and other topics. The intervention was intended to teach individual skills and create group norms of non-violence, problem-solving, conflict resolution, and communication. Participants completed a survey at initiation of the intervention (baseline), immediately after (postintervention), and after 6 months (follow-up), and a scale of mental health—the Arab Youth Mental Health scale—was developed and validated. Changes in mental health scores were assessed with a modified t test that accounted for effects of clustering, and a thorough process assessment measured extent of implementation. Programme reach was monitored through the pupils’ attendance. Children rated their satisfaction with each session by drawing smiling, neutral, or unsmiling faces, with investigators masked to responses. Findings Although participation varied (113 [39%] children attended >50% of sessions), the intervention was implemented with a high degree of fidelity, and satisfaction of children, parents, and teachers was high. The combined children’s satisfaction score for all sessions was more than 90%. Children, parents, teachers, and community coalition members reported positive changes in children’s behaviour with the intensive intervention, but quantitative results did not report significant difference from the control group. Despite the scope of the intervention, the intervention and comparisons groups had equivalent mean mental health scores at all measurement timepoints. The mean mental health score (scale 21–63; high numbers suggest great distress) was 32·15 (SD 8·47) for 299 children in the intervention group at baseline, 33·25 (8·29) for 280 (94%) children at postintervention, and 30·99 (6·76) for 140 (47%) children at follow-up. Mean scores for the control group were 31·53 (8·06) for 247 children at baseline, 31·87 (8·11) for 229 (93%) children at postintervention, and 31·69 (6·98) for 118 (48%) children at follow-up. Intervention assessment (number of children at every session and their ratings) was done on the basis of the baseline and postintervention scores, with less than 10% in both groups lost to follow-up.
|
[] |
|
https://openalex.org/W94305750
|
Mass psychogenic illness (epidemic sociogenic attacks) in a village in Lebanon.
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
}
],
"display_name": "Elie G. Karam",
"id": "https://openalex.org/A5073750953"
},
{
"affiliations": [],
"display_name": "Lina H Khattar",
"id": "https://openalex.org/A5027676557"
}
] |
[
{
"display_name": "Psychogenic disease",
"id": "https://openalex.org/C160146798"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Depression (economics)",
"id": "https://openalex.org/C2776867660"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Macroeconomics",
"id": "https://openalex.org/C139719470"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W184409821",
"https://openalex.org/W1997645067",
"https://openalex.org/W2009426719",
"https://openalex.org/W2023854960",
"https://openalex.org/W2030306891",
"https://openalex.org/W2076034434",
"https://openalex.org/W2109434627",
"https://openalex.org/W2114242922",
"https://openalex.org/W2133680877",
"https://openalex.org/W2464037063"
] |
https://api.openalex.org/works?filter=cites:W94305750
|
Mass psychogenic illness (epidemic sociogenic attacks/mass hysteria) refers to a rapid spread of well-described signs and symptoms affecting members of a group. It might be difficult to differentiate at first from illnesses due to infections, intoxications or "bio-terrorism." We investigated such an occurrence in a small village in Lebanon chronically under threat of war. A 16-year-old single female, school student, was referred to Saint George Hospital University Medical Center, Beirut, for attacks of shortness of breath, muscle cramps, tremors and dizziness, for several days. She was referred because she was the first of eight cases from the same village to have similar symptoms. In parallel to an inpatient multidisciplinary evaluation and treatment, meetings were held with the crisis group comprising members of the hospital Psychiatry and Psychology Department, a public health representative of the Ministry of Health of Lebanon, physicians who were taking care of the other cases and a psychologist working in the area where these cases were declared. The diagnosis of mass psychogenic illness (epidemic sociogenic attacks) was reached. A common strategy was adopted in an effort to control the epidemic. Several explanations had been put forward initially by the community : bioterrorism, noxious fumes and "bad spirits." At the time of writing this report--nine months later--, the epidemic, which had abated within six weeks, was still inactive.
|
[
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4255302603
|
Gaza's crisis must not be overshadowed
|
[
{
"affiliations": [],
"display_name": "The Lancet",
"id": "https://openalex.org/A5085953656"
}
] |
[
{
"display_name": "Humanitarian crisis",
"id": "https://openalex.org/C2777742874"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Humanitarian aid",
"id": "https://openalex.org/C521897407"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Development economics",
"id": "https://openalex.org/C47768531"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
}
] |
[
"Lebanon",
"Gaza",
"Israel"
] |
[] |
https://api.openalex.org/works?filter=cites:W4255302603
|
As The Lancet went to press, bombs were raining down on civilians in southern Lebanon and northern Israel in the escalating conflict between Israel and the militant group Hizbollah. So great are the fears for the health and welfare of civilians that WHO issued a statement of serious concern about the high risk of casualties and danger to health posed by escalating violence, population displacement, and limited access to humanitarian aid. There is, however, another danger resulting from this crisis: that the worsening humanitarian situation in Gaza may slip from the international community's list of concerns. Gaza has been in a state of socioeconomic and humanitarian crisis since 2000. But in February, 2006, the situation deteriorated rapidly when major international donors cut direct aid in protest at the newly elected Hamas leadership of the Palestinian Authority. At this time, the transfer of taxes from Israel, comprising 50% of the Authority's budget, was also halted. Years of underinvestment in the health system means this financial boycott has hit the health sector especially hard. Among many other effects, the suspension has led to increases in malnutrition—from which 70% of the population is at risk—and mental-health problems. If funding is not resumed, immunisation programmes and communicable-disease surveillance may have to be scaled down, which will increase the risk of disease outbreaks going unnoticed—a particular concern since Gaza's March, 2006, outbreak of H5N1 among domestic poultry. The delivery of basic health services is now very difficult. Aid agencies and non-governmental organisations are attempting the near-impossible task of acting as an alternative provider, delivering health and other services to the increasingly isolated Palestinians. And despite a recent agreement by international donors to resume funding, the situation remains perilous. It is understandable and inevitable that this conflict will keep international eyes focused on Lebanon and Israel. But Gaza's residents will continue to suffer if international pressure to solve current aid blockages is not maintained. Gaza crisis continues to worsen as all eyes turn to LebanonIsrael's war against the Lebanese Hizbollah movement, which has now been raging for the past 2 weeks, has deflected attention away from its other battle against the Palestinians in the occupied territories, where the situation has sharply deteriorated. Shamila Devi reports from Jerusalem. Full-Text PDF
|
[
{
"display_name": "The Lancet",
"id": "https://openalex.org/S49861241",
"type": "journal"
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{
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"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W2050327912
|
Nurses’ evaluation of physicians’ non-clinical performance in emergency departments: advantages, disadvantages and lessons learned
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Mohamad Alameddine",
"id": "https://openalex.org/A5062477410"
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{
"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": "Afif Mufarrij",
"id": "https://openalex.org/A5076915830"
},
{
"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": "Miriam Saliba",
"id": "https://openalex.org/A5054537554"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Yara Mourad",
"id": "https://openalex.org/A5085450120"
},
{
"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": "Rima Jabbour",
"id": "https://openalex.org/A5065548038"
},
{
"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": "Eveline Hitti",
"id": "https://openalex.org/A5045284689"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Interpersonal communication",
"id": "https://openalex.org/C164850336"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Thematic analysis",
"id": "https://openalex.org/C74196892"
},
{
"display_name": "Psychological intervention",
"id": "https://openalex.org/C27415008"
},
{
"display_name": "Nursing research",
"id": "https://openalex.org/C518773536"
},
{
"display_name": "Health informatics",
"id": "https://openalex.org/C145642194"
},
{
"display_name": "Health administration",
"id": "https://openalex.org/C137992405"
},
{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Qualitative research",
"id": "https://openalex.org/C190248442"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
},
{
"display_name": "Social science",
"id": "https://openalex.org/C36289849"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W67655388",
"https://openalex.org/W1552300628",
"https://openalex.org/W1642310120",
"https://openalex.org/W1805644860",
"https://openalex.org/W1965011604",
"https://openalex.org/W1968351556",
"https://openalex.org/W1994940857",
"https://openalex.org/W1997568439",
"https://openalex.org/W1998167404",
"https://openalex.org/W2007598609",
"https://openalex.org/W2034921045",
"https://openalex.org/W2040967796",
"https://openalex.org/W2042110466",
"https://openalex.org/W2044054353",
"https://openalex.org/W2044268613",
"https://openalex.org/W2049645915",
"https://openalex.org/W2080815686",
"https://openalex.org/W2087326641",
"https://openalex.org/W2087695130",
"https://openalex.org/W2102376021",
"https://openalex.org/W2134978128",
"https://openalex.org/W2147780593",
"https://openalex.org/W2147881750",
"https://openalex.org/W2154563310",
"https://openalex.org/W2160017748",
"https://openalex.org/W2170783266",
"https://openalex.org/W2416022115",
"https://openalex.org/W4252506054",
"https://openalex.org/W4255827324"
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https://api.openalex.org/works?filter=cites:W2050327912
|
Peer evaluation is increasingly used as a method to assess physicians’ interpersonal and communication skills. We report on experience with soliciting registered nurses’ feedback on physicians’ non-clinical performance in the ED of a large academic medical center in Lebanon. We utilized a secondary analysis of a de-identified database of ED nurses’ assessment of physicians’ non-clinical performance coupled with an evaluation of interventions carried out as a result of this evaluation. The database was compiled as part of quality/performance improvement initiatives using a cross-sectional design to survey registered nurses working at the ED. The survey instrument included open ended and closed ended questions assessing physicians’ communication, professionalism and leadership skills. Three episodes of evaluation were carried out over an 18 month period. Physicians were provided with a communication training carried out after the first cycle of evaluation and a detailed feedback on their assessment by nurses after each evaluation cycle. A paired t-test was carried out to compare mean evaluation scores between the three cycles of evaluation. Thematic analysis of nurses’ qualitative comments was carried out. A statistically significant increase in the averages of skills was observed between the first and second evaluations, followed by a significant decrease in the averages of the three skills between the second and third evaluations. Personalized feedback to ED physicians and communication training initially contributed to a significant positive impact on improving ED physicians’ non-clinical skills as perceived by the ED nurses. Yet, gains achieved were lost upon reaching the third cycle of evaluation. However, the thematic analysis of the nurses’ qualitative responses portrays a decrease in concerns across the various dimensions of non-clinical performance. Nurses’ evaluation of the non-clinical performance of physicians has the potential of improving communication, professionalism and leadership skills amongst physicians. For improvement to be realized in a sustainable manner, such programs may need to be offered in a staged and incremental manner over a long period of time with proper dedication of resources and timely monitoring and evaluation of outcomes. Department directors need to be trained on providing peer evaluation feedback in a constructive manner.
|
[
{
"display_name": "BMC Health Services Research",
"id": "https://openalex.org/S12898181",
"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/W3092103137
|
E-cigarette use among youth in Lebanon: Findings from Waterpipe Dependence in Lebanese Youth ‘WDLY’
|
[
{
"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": "Malak Tleis",
"id": "https://openalex.org/A5074691729"
},
{
"affiliations": [
{
"country": "United States",
"display_name": "University of Miami",
"id": "https://openalex.org/I145608581",
"lat": 25.72149,
"long": -80.26838,
"type": "education"
},
{
"country": "United States",
"display_name": "Sylvester Comprehensive Cancer Center",
"id": "https://openalex.org/I4210157065",
"lat": 25.77427,
"long": -80.19366,
"type": "healthcare"
},
{
"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": "Syria",
"display_name": "Syrian Center for Tobacco Studies",
"id": "https://openalex.org/I4210139754",
"lat": 36.203304,
"long": 37.138275,
"type": "other"
},
{
"country": "United States",
"display_name": "Florida International University",
"id": "https://openalex.org/I19700959",
"lat": 25.77427,
"long": -80.19366,
"type": "education"
}
],
"display_name": "Wasim Maziak",
"id": "https://openalex.org/A5091313655"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Cohort",
"id": "https://openalex.org/C72563966"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Addiction",
"id": "https://openalex.org/C48856860"
},
{
"display_name": "Electronic cigarette",
"id": "https://openalex.org/C2776970978"
},
{
"display_name": "Harm",
"id": "https://openalex.org/C2777363581"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Nicotine",
"id": "https://openalex.org/C2779547902"
},
{
"display_name": "Harm reduction",
"id": "https://openalex.org/C529928208"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
},
{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
},
{
"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:W3092103137
|
Abstract Introduction E-cigarette use is becoming popular among youth worldwide and represents an emerging threat to public health. No previous study has looked into the prevalence of e-cigarettes use in the Eastern Mediterranean region. We report here on the prevalence of e-cigarette use in a cohort of 496 school and university students from Lebanon (62% males; 17 - 23 years) and differences in perceived harm between e-cigarette smokers and nonsmokers. We used data from Wave 8 of an ongoing cohort study that started in 2015 investigating the development of nicotine dependence symptoms in waterpipe smokers compared to cigarettes in Grades 8 and 9. Methods In 2019, we added questions to examine e-cigarette use patterns, risk perceptions, dependence, and susceptibility for future use among this population. Results were described and compared by gender status, e-cigarette users vs. non-users and other modes of tobacco use. Results Overall, 14.5 % reported ever use of e-cigarette and 8 % reported current use (use in the last month). Most ever e-cigarette users were cigarette smokers (32.8%), waterpipe smokers (34.3%), or dual smokers (10.45%). Compared to ever users, non-users were more likely to perceive e-cigarettes as more harmful (42% vs. 27% respectively, p= .007) and more addictive (41 % vs. 36% respectively, p= .013) than conventional cigarettes. Among current users, 28 % used e-cigarettes within 5 minutes of waking up. Among non-users, males were more open than female to try e-cigarettes if offered by a close friend (28.8% vs. 17.1%). Conclusions Our study suggests significant nicotine dependence among current users. Qualitative studies are needed to better understand why youth are drawn to this new emerging tobacco product. Our preliminary results point to the need to monitor e-cigarette use nationally by introducing questions on e-cigarette use in national school wide surveys such as Global Youth Tobacco Survey or the Global School Health Survey. Key messages E-cigarette use is spreading among youth in Lebanon. Results reveal significant nicotine dependence among youth in Lebanon users of e-cigarette.
|
[
{
"display_name": "European journal of public health",
"id": "https://openalex.org/S4210220588",
"type": "journal"
}
] |
|
https://openalex.org/W3008727908
|
Evidence from the Lebanon Global School-based Student Health Survey on midwakh tobacco smoking in school students: a harbinger of the next global tobacco pandemic ?
|
[
{
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"Lebanon",
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https://api.openalex.org/works?filter=cites:W3008727908
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Cigarette smoking is the most common form of tobacco consumption but other methods have grown in popularity. In the United Arab Emirates and other Gulf countries, smoking dokha, a form of tobacco mixed with herbs and spices in a midwakh pipe, is common.The aim of this study was to determine the prevalence of midwakh use in school students in Lebanon and factors associated with its use.Data on tobacco use from the Lebanon Global School-based Student Health Survey (GSHS), 2017 were analysed, including current midwakh use (defined as midwakh use at least once in the 30 days before the survey). The survey includes school students in grades 7-12 (12-18 years). Current midwakh use was analysed according to sociodemographic and tobacco-related variables using bivariate and logistic regression analyses.Of the 5590 students included in the analysis, 4.6% were current midwakh users. Current midwakh use was significantly more prevalent in students 13 years and older and in male students (P < 0.01). Current use was also statistically significantly more prevalent in students in public than private schools. Current cigarette smoking (OR = 15.22; 95% CI: 11.08-20.90), ever use of a waterpipe (OR = 9.61; 95% CI: 6.66-13.86) and parental smoking (OR = 1.56; 95% CI: 1.05-2.31) were also significantly associated with current midwakh use.Although midwakh use is low in Lebanon, the patterns of association of midwakh use are similar to those of cigarette and waterpipe smoking in young people. Further research is needed to understand the context of midwakh use and prevent it from spreading.تعاطي التبغ باستخدام المدواخ بين طلاب المدارس في لبنان: تحليل البيانات من المسح العالمي لصحة طلاب المدارس.ريما عفيفي، مونيشا سرافنان، نورا الصليبي، ريما نقاش، أليسار راضي، سكوت شرمان، ليليان غندور.يُعتبر تدخين السجائر من أكثر طرق تعاطي التبغ شيوعاً، ولكن ثمة طرقاً أخرى آخِذة في الانتشار انتشاراً كبيراً. ففي الإمارات العربية المتحدة وبعض بلدان الخليج الأخرى، أصبح شائعاً تدخينُ الدوخة بالمدواخ، وهي نوع من التبغ مخلوطٌ مع أعشاب وتوابل.هدفت هذه الدراسة إلى الوقوف على مدى انتشار استخدام المدواخ بين طلاب المدارس في لبنان والعوامل المرتبطة بذلك.حُللت بيانات بشأن تعاطي التبغ من المسح العالمي لصحة طلاب المدارس في لبنان لعام 2017، وتضمنت الاستخدام الحالي للمدواخ (عُرِّف بأنه استخدام المدواخ مرةً واحدة على الأقل خلال الثلاثين يوماً السابقة للمسح). وشمل المسح طلاب المدارس في الصفوف من 7-12 (12-18 عاماً). وقد حللنا استخدام المدواخ في الوقت الحالي وفقاً للمتغيرات الاجتماعية السكانية وتلك المرتبطة بالتبغ باستخدام تحليل ثنائي المتغير وتحليل الانحدار اللوجستي.تبين أن 4.6٪ من الطلاب الذين شملهم التحليل وعددهم 5590 طالباً من مستخدمي المدواخ في الوقت الحالي. وكانت نسبة مستخدمي المدواخ في الوقت الحالي أعلى كثيراً في الذكور، والطلاب البالغين 13 عاماً فما فوق، وطلاب المدارس العامة. وقد ارتبط ارتباطاً قوياً باستخدام المدواخ في الوقت الحالي: تدخينُ السجائر حالياً (نسبة الأرجحية المُصحَّحة = 15.22؛ فاصل الثقة 95٪: 11.08-20.9)، وأي استخدام للنرجيلة: نسبة الأرجحية المُصحَّحة = 9.61؛ فاصل الثقة 95٪: 6.66-13.86)؛ وتدخين الآباء (نسبة الأرجحية المُصحَّحة = 1.56؛ فاصل الثقة 95٪: 1.05-2.31).على الرغم من انخفاض استخدام المدواخ في لبنان، إلا أن النماذج المرتبطة باستخدامه مشابهة لتلك المرتبطة بتدخين السجائر والنرجيلة في صفوف الشباب. ويلزم إجراء مزيدٍ من البحث لفهم سياق استخدام المدواخ والحيلولة دون انتشاره.Bases factuelles tirées de l'Enquête mondiale en milieu scolaire sur la santé des élèves au Liban sur le tabagisme par midwakh : signe avant-coureur de la prochaine pandémie mondiale de tabagisme ?Le tabagisme par cigarettes est le premier mode de consommation du tabac, mais d'autres méthodes ont gagné en popularité. Aux Émirats arabes unis ainsi que dans d'autres pays du Golfe, il est courant de consommer la dokha, un type de tabac mélangé à des herbes et des épices, au moyen d'une pipe appelée « midwakh ».La présente étude avait pour objectif de déterminer la prévalence de l'utilisation de la midwakh parmi les élèves libanais ainsi que les facteurs qui y sont associés.Les données sur le tabagisme issues de l'Enquête mondiale en milieu scolaire sur la santé des élèves au Liban en 2017 ont été analysées, y compris l’utilisation de la midwakh au moment de l'enquête (définie comme l'utilisation de cette dernière au moins une fois dans les 30 jours ayant précédé l'enquête). L'enquête incluait des collégiens et des lycéens (âge compris entre 12 et 18 ans). En réalisant des analyses bivariées et de régression logistique, nous avons analysé l'utilisation de la midwakh au moment de l’étude en fonction des variables sociodémographiques et liés au tabagisme.Sur les 5 590 élèves inclus dans l'analyse, 4,6 % étaient des utilisateurs de la midwakh au moment de l’étude. L'utilisation de la midwakh était significativement plus fréquente chez les élèves de 13 ans et plus et chez les élèves de sexe masculin (p <0,01). L'utilisation de la pipe était statistiquement plus répandue, de façon significative, chez les élèves des écoles publiques par rapport à ceux des écoles privées. Le tabagisme par cigarettes (odds ratio (OR) = 15,22 ; intervalle de confiance à 95 % (IC) : 11,08-20,90), le fait d’avoir déjà fumé le narguilé (OR = 9,61 ; IC à 95 % : 6,66-13,86) et le tabagisme des parents (OR =1,56 ; IC à 95 % : 1,05-2,31) étaient également fortement liés à l'utilisation de la midwakh au moment de l’étude.Bien que l'utilisation de la midwakh soit peu répandue au Liban, les schémas d'association de son utilisation sont analogues à ceux du tabagisme par cigarettes et par narguilé chez les jeunes. Des recherches supplémentaires sont nécessaires pour comprendre le contexte de l’utilisation de la midwakh et pour éviter sa propagation.
|
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{
"display_name": "Eastern Mediterranean Health Journal",
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|
https://openalex.org/W3198144684
|
Public Health Surveillance Systems in the Eastern Mediterranean Region: Bibliometric Analysis of Scientific Literature
|
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"display_name": "Yousef Khader",
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{
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"display_name": "Magid Al Gunaid",
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"Iran",
"Jordan",
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"Morocco"
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https://api.openalex.org/works?filter=cites:W3198144684
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The Eastern Mediterranean Region (EMR) hosts some of the world's worst humanitarian and health crises. The implementation of health surveillance in this region has faced multiple constraints. New and novel approaches in surveillance are in a constant state of high and immediate demand. Identifying the existing literature on surveillance helps foster an understanding of scientific development and thus potentially supports future development directions.This study aims to illustrate the scientific production, quantify the scholarly impact, and highlight the characteristics of publications on public health surveillance in the EMR over the past decade.We performed a Scopus search using keywords related to public health surveillance or its disciplines, cross-referenced with EMR countries, from 2011 to July 2021. Data were exported and analyzed using Microsoft Excel and Visualization of Similarities Viewer. Quality of journals was determined using SCImago Journal Rank and CiteScore.We retrieved 1987 documents, of which 1927 (96.98%) were articles or reviews. There has been an incremental increase in the number of publications (exponential growth, R2=0.80) over the past decade. Publications were mostly affiliated with Iran (501/1987, 25.21%), the United States (468/1987, 23.55%), Pakistan (243/1987, 12.23%), Egypt (224/1987, 11.27%), and Saudi Arabia (209/1987, 10.52%). However, Iran only had links with 40 other countries (total link strength 164), and the biggest collaborator from the EMR was Egypt, with 67 links (total link strength 402). Within the other EMR countries, only Morocco, Lebanon, and Jordan produced ≥79 publications in the 10-year period. Most publications (1551/1987, 78.06%) were affiliated with EMR universities. Most journals were categorized as medical journals, and the highest number of articles were published in the Eastern Mediterranean Health Journal (SCImago Journal Rank 0.442; CiteScore 1.5). Retrieved documents had an average of 18.4 (SD 125.5) citations per document and an h-index of 66. The top-3 most cited documents were from the Global Burden of Diseases study. We found 70 high-frequency terms, occurring ≥10 times in author keywords, connected in 3 clusters. COVID-19, SARS-CoV-2, and pandemic represented the most recent 2020 cluster.This is the first research study to quantify the published literature on public health surveillance and its disciplines in the EMR. Research productivity has steadily increased over the past decade, and Iran has been the leading country publishing relevant research. Recurrent recent surveillance themes included COVID-19 and SARS-CoV-2. This study also sheds light on the gaps in surveillance research in the EMR, including inadequate publications on noncommunicable diseases and injury-related surveillance.
|
[
{
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https://openalex.org/W4220738637
|
Effect Evaluation of Sahtak bi Sahnak, a Lebanese Secondary School-Based Nutrition Intervention: A Cluster Randomised Trial
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https://api.openalex.org/works?filter=cites:W4220738637
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To evaluate the effectiveness of Sahtak bi Sahnak on dietary knowledge and adherence to dietary guidelines in Lebanese adolescents.A cluster randomised controlled trial was conducted in public and private secondary schools located in urban and rural regions in Lebanon.Sixteen secondary schools including 1,572 adolescents were randomly assigned to the intervention (n = 739) or control group (n = 833).Sahtak bi Sahnak is an educational school-based intervention dedicated to improving dietary adherence to nutritional guidelines, increasing the level of dietary knowledge, and preventing the development of obesity during adolescence. It was systematically designed based on the Intervention Mapping framework. The total length of the intervention was around seven educational sessions, until all of the 11 lessons were covered. Each education session lasted 20-40 min.Dietary knowledge and adherence levels were measured at baseline and post-intervention using validated questionnaires.Multivariate multilevel regression models were used to examine intervention effects on outcomes, controlled for background characteristics (i.e., age, gender, location, type of school, grade, BMI z-score).The intervention group showed significant improvements in total dietary knowledge (B = 12.74, p < 0.001) and intake of healthy items (B = 1.89, p < 0.001), compared to the control group. Intake of unhealthy items decreased significantly (B = -1.43, p < 0.001), compared to the control group. These results were adjusted for age, gender, type of school, location, BMI z-score, study group, and score at baseline.Sahtak bi Sahnak is an effective and culturally appropriate school-based intervention for targeting diet among a variety of Lebanese adolescents.
|
[
{
"display_name": "Frontiers in Nutrition",
"id": "https://openalex.org/S2596909297",
"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/W3164196448
|
Implementation of e-health innovative technologies in North Lebanon hospitals
|
[
{
"affiliations": [],
"display_name": "Jalal Halwani",
"id": "https://openalex.org/A5082240230"
},
{
"affiliations": [],
"display_name": "Doris Mouawad",
"id": "https://openalex.org/A5003519098"
}
] |
[
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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{
"display_name": "Legislation",
"id": "https://openalex.org/C2777351106"
},
{
"display_name": "SWOT analysis",
"id": "https://openalex.org/C119059837"
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{
"display_name": "Health informatics",
"id": "https://openalex.org/C145642194"
},
{
"display_name": "Legislature",
"id": "https://openalex.org/C83009810"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Marketing",
"id": "https://openalex.org/C162853370"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W1022383557",
"https://openalex.org/W2023642277",
"https://openalex.org/W2035167255",
"https://openalex.org/W2096325224",
"https://openalex.org/W2130498694",
"https://openalex.org/W2617187239",
"https://openalex.org/W2803895354",
"https://openalex.org/W2810439509"
] |
https://api.openalex.org/works?filter=cites:W3164196448
|
E-health is considered the single most important revolution in health care since the advent of modern medicine. It is an emerging field of medical informatics, used in the organization and delivery of health services and information. It is expected to improve various aspects of health care.To achieve universal health coverage in Lebanon, and to explore e-health implementation in Northern Lebanese hospitals and factors influencing the adoption of recent specialized technology in e-health.We adopted an exploratory research method based on a semi-structured questionnaire. The main 14 hospitals in Northern Lebanon were chosen for face-to-face interviews to assess and measure behaviour and knowledge regarding e-health and its implementation. Data were analysed using SPSS software, followed by SWOT analysis.The hospitals surveyed had partly implemented and continuously tried to apply some e-health technologies, but there were no real medical records for patients. Various challenges were faced for full e-health technology implementation in Lebanon: primarily cost, followed by some personnel resistance, lack of legislation and common standards, and the necessity for continual training.The majority of hospitals are conscious of the importance of e-health technology and the urgent need to implement these new methods. After the legislative rules are issued, the financial aspects remain the major handicap to full implementation. A major role must be played by the academic institutions to provide appropriate education on e-health in their programmes for future graduates.تنفيذ تكنولوجيات الصحة الإلكترونية المبتكرة في مستشفيات شمال لبنان.جلال حلواني، دوريس معوض.تُعد الصحة الإلكترونية أهم ثورة في مجال الرعاية الصحية منذ ظهور الطب الحديث. وهو مجال ناشئ للمعلوماتية الطبية يُستخدَم في تنظيم الخدمات والمعلومات الصحية وتقديمها. ومن المتوقع أن تُسهم الصحة الإلكترونية في تحسين جوانب مختلفة من الرعاية الصحية.هدفت هذه الدراسة إلى تحقيق التغطية الصحية الشاملة في لبنان، واستكشاف تنفيذ تطبيقات الصحة الإلكترونية في مستشفيات شمال لبنان، والعوامل التي تؤثِّر في اعتماد أحدث التكنولوجيات المتخصصة في مجال الصحة الإلكترونية.اعتمدنا أسلوب البحث الاستكشافي الذي يستند إلى استبيان شبه مُنظَّم. واختيرت المستشفيات الرئيسية البالغ عددها 14 مستشفى في شمال لبنان لإجراء مقابلات وجهًا لوجه لتقييم وقياس السلوك والمعرفة المتعلقة بالصحة الإلكترونية وتنفيذها. وخضعت البيانات للتحليل ببرمجية SPSS، وأعقب ذلك إجراء تحليل نقاط القوة والضعف والفرص والأخطار.نفَّذت المستشفيات التي شملتها الدراسة الاستقصائية بعض تكنولوجيات الصحة الإلكترونية تنفيذًا جزئيًّا، وحاولت تطبيقها باستمرار، ولكن لا سجلات طبية حقيقية للمرضى. وواجه لبنان تحديات مختلفة فيما يتعلق بالتنفيذ الكامل لتكنولوجيا الصحة الإلكترونية: التكلفة في المقام الأول، تلتها مقاومة بعض العاملين، وغياب التشريعات والمعايير المشتركة، وضرورة التدريب المستمر.تُدرك غالبية المستشفيات أهمية تكنولوجيا الصحة الإلكترونية والحاجة المُلحَّة لتنفيذ هذه الأساليب الجديدة. وبعد إصدار القواعد التشريعية، تظل الجوانب المالية هي العائق الرئيسي أمام التنفيذ الكامل. ويجب أن تضطلع المؤسسات الأكاديمية بدور رئيسي في توفير التثقيف المناسب بشأن الصحة الإلكترونية في برامجها المقدَّمة لخريجي المستقبل.Mise en œuvre de technologies innovantes en cybersanté dans les hôpitaux du Liban-Nord.La cybersanté est considérée comme la plus importante révolution dans le domaine des soins de santé depuis l'avènement de la médecine moderne. Il s'agit d'un domaine émergent de l'informatique médicale, utilisé dans l'organisation et la prestation de services et la fourniture d'informations sanitaires. Elle devrait permettre d’améliorer divers aspects des soins de santé.Atteindre la couverture sanitaire universelle au Liban, et examiner la mise en œuvre de la cybersanté dans les hôpitaux du Liban-Nord et les facteurs influençant l’adoption d’une technologie spécialisée récente dans la cybersanté.Nous avons adopté une méthode de recherche exploratoire basée sur un questionnaire semi-structuré. Les 14 principaux hôpitaux du Liban-Nord ont été choisis pour des entretiens en présentiel afin d’évaluer et de mesurer le comportement et les connaissances concernant la cybersanté et sa mise en œuvre. Les données ont été analysées à l’aide du logiciel SPSS, suivies d’une analyse AFOM (atouts, faiblesses, opportunités, menaces).Les hôpitaux enquêtés ont partiellement mis en œuvre certaines technologies de cybersanté et essayent continuellement de les appliquer, mais il n'existe pas de véritables dossiers médicaux pour les patients. La mise en œuvre complète des technologies de cybersanté au Liban s'est heurtée à plusieurs obstacles : il s’agit en premier lieu du coût, suivi d'une certaine réticence du personnel, de l'absence de législation et de normes communes, et de la nécessité d'une formation continue.La majorité des hôpitaux sont conscients de l’importance des technologies de cybersanté et de la nécessité urgente de mettre en œuvre ces nouvelles méthodes. Après la promulgation des règles législatives, les aspects financiers restent le principal frein à une mise en œuvre complète. Les établissements universitaires doivent jouer un rôle majeur pour fournir aux futurs diplômés un enseignement approprié sur la cybersanté dans leurs programmes.
|
[
{
"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/W4308019614
|
Non-adherence to antihypertensive medications in Lebanese adults hospitalized for hypertensive urgency and its cost
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Hanine Abbas",
"id": "https://openalex.org/A5088231760"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Holy Spirit University of Kaslik",
"id": "https://openalex.org/I189998669",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Souheil Hallit",
"id": "https://openalex.org/A5020046919"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Mazen Kurdi",
"id": "https://openalex.org/A5058074889"
},
{
"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 University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Rita Karam",
"id": "https://openalex.org/A5089678598"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Observational study",
"id": "https://openalex.org/C23131810"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Odds ratio",
"id": "https://openalex.org/C156957248"
},
{
"display_name": "Emergency medicine",
"id": "https://openalex.org/C194828623"
},
{
"display_name": "Odds",
"id": "https://openalex.org/C143095724"
},
{
"display_name": "Angiology",
"id": "https://openalex.org/C555175668"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W1909129740",
"https://openalex.org/W1946681869",
"https://openalex.org/W1966704625",
"https://openalex.org/W2061132009",
"https://openalex.org/W2065917200",
"https://openalex.org/W2113150853",
"https://openalex.org/W2148653627",
"https://openalex.org/W2164128765",
"https://openalex.org/W2169907827",
"https://openalex.org/W2438767253",
"https://openalex.org/W2513422586",
"https://openalex.org/W2582461952",
"https://openalex.org/W2770560501",
"https://openalex.org/W2790318238",
"https://openalex.org/W2793544408",
"https://openalex.org/W2803060781",
"https://openalex.org/W2890966990",
"https://openalex.org/W2905424513",
"https://openalex.org/W2912434690",
"https://openalex.org/W2922353190"
] |
https://api.openalex.org/works?filter=cites:W4308019614
|
Abstract Background Drug non-adherence is assumed to play an important role in development of hypertensive urgency, which is a common health problem resulting in frequent emergency department admissions and thus increased healthcare spending wastage. The objective of this study is to assess the rate of non-adherence to antihypertensives and to evaluate influencing factors predicting this behavior in Lebanese hypertensive adults. In addition, this study aim to estimate the cost of hospitalization for hypertensive urgency covered by the Ministry of Public Health in patients’ non-adherent to their antihypertensives. Methods A multi-methods approach is used comprising a cross-sectional study, additionally to an observational, retrospective, cost of illness study. A cross-sectional questionnaire based study is conducted from May to Dec, 2019 to address the study objective. Using the Ministry of Public Health hospitalization data during 2019, the cost of hospitalization for hypertensive urgency is assessed. Multivariable analysis is performed to calculate the adjusted odd ratios by fitting a logistic regression model. Results The cross-sectional study includes 494 participants and shows that 43.0% of patients hospitalized and covered by the Ministry of Public Health are non-adherent. The univariate regression model shows that adherence to antihypertensive medications is significantly associated with age ( p -value = 0.005) and follow-up visits (p-value = 0.046). The odds of adherence for participants earning more than USD 2000 was 3.27 times that for those who earn less than USD 1000 ( p = 0.026). The estimated cost of hospitalization for non-adherent patients is USD 452,353 in 2019. Conclusion Non-adherence associated hospitalization costs represents a financial burden to Lebanese health system.
|
[
{
"display_name": "BMC Cardiovascular Disorders",
"id": "https://openalex.org/S206686666",
"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/W2135083922
|
Interview With Avedis Donabedian, M.D
|
[
{
"affiliations": [
{
"country": "United States",
"display_name": "Reading Hospital",
"id": "https://openalex.org/I2799409606",
"lat": 40.330315,
"long": -75.950554,
"type": "healthcare"
}
],
"display_name": "Avedis Donabedian",
"id": "https://openalex.org/A5033491864"
}
] |
[
{
"display_name": "Receipt",
"id": "https://openalex.org/C2778979077"
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{
"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": "Quality (philosophy)",
"id": "https://openalex.org/C2779530757"
},
{
"display_name": "Work (physics)",
"id": "https://openalex.org/C18762648"
},
{
"display_name": "Library science",
"id": "https://openalex.org/C161191863"
},
{
"display_name": "Management",
"id": "https://openalex.org/C187736073"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Mechanical engineering",
"id": "https://openalex.org/C78519656"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Accounting",
"id": "https://openalex.org/C121955636"
},
{
"display_name": "Epistemology",
"id": "https://openalex.org/C111472728"
},
{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Engineering",
"id": "https://openalex.org/C127413603"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2135083922
|
Avedis Donabedian was born in Beirut, Lebanon, grew up in a small town north of Jerusalem, and returned to Beirut to obtain his B.A. and M.D. degrees from the American University. After the receipt of his M.P.H. de gree from the Harvard School of Public Health, and a period as a research assistant in Boston, he became a teacher of preventive medicine at New York Medical College. Dr. Donabedian subsequently joined the fac ulty of the University of Michigan, Ann Arbor, where he is now the Nathan Sinai Distinguished Professor of Public Health, Emeritus. His lifetime's work has focused on systematizing knowledge in health care organiza tion—especially quality assessment and monitoring— but also assessments of health care needs and re sources, and the design of program benefits. The quality and contribution of his writings, including six books and many other publications, have been acknowledged throughout the world, and he has received recognition from numerous organizations such as the Institute of Medicine of the National Academy of Sciences, the American College of Healthcare Executives, and the American College of Medical Quality. In addition to his many prestigious awards, Dr. Donabedian was honored in 1990 by the creation—in Barcelona, Spain—of the Avedis Donabedian Foundation for the Improvement of Health Care.
|
[
{
"display_name": "American Journal of Medical Quality",
"id": "https://openalex.org/S133181607",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W2134073742
|
Responsiveness of Lebanon's primary healthcare centers to non‐communicable diseases and related healthcare needs
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Rami Yassoub",
"id": "https://openalex.org/A5077866594"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
"long": 35.485886,
"type": "healthcare"
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{
"country": "United States",
"display_name": "Center Point",
"id": "https://openalex.org/I4210092499",
"lat": 37.97229,
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"type": "other"
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],
"display_name": "Suha Hashimi",
"id": "https://openalex.org/A5016728357"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Siham Awada",
"id": "https://openalex.org/A5049365153"
},
{
"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"
}
] |
[
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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{
"display_name": "Accreditation",
"id": "https://openalex.org/C61521584"
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{
"display_name": "Referral",
"id": "https://openalex.org/C2776135927"
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{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Accountability",
"id": "https://openalex.org/C2776007630"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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[
"Lebanon"
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"https://openalex.org/W1976016042",
"https://openalex.org/W2030082217",
"https://openalex.org/W2042386526",
"https://openalex.org/W2092751924",
"https://openalex.org/W2100200387",
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https://api.openalex.org/works?filter=cites:W2134073742
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SUMMARY Lebanon currently faces a rise in non‐communicable diseases (NCD) that is stressing the population's health and financial well‐being. Preventive care is recognized as the optimal health equitable, cost‐effective solution. The study aims to assess the responsiveness of primary health care centers (PHCs) to NCD, and identify the needed health arrangements and responsibilities of PHCs, the Ministry Of Public Health and other healthcare system entities, for PHCs to purse a more preventive role against NCD. Single and group interviews were conducted via a semi‐structured questionnaire with 10 PHCs from Lebanon's primary health care network that have undergone recent pilot accreditation and are recognized for having quality services and facilities. This manifested administrative aspects and NCD‐related services of PHCs and generated information regarding the centers' deficiencies, strengths and areas needing improvement for fulfilling a more preventive role. Administrative features of PHCs varied according to number and type of health personnel employed. Variations and deficiencies within and among PHCs were manifested specifically at the level of cardiovascular and respiratory diseases and cancer. PHCs identified the pilot accreditation as beneficial at the administrative and clinical levels; however, various financial and non‐financial resources, in addition to establishing a strong referral system with secondary care settings and further arrangements with MOPH, are necessary for PHCs to pursue a stronger preventive role. The generated results denote needed changes within the healthcare system's governance, financing and delivery. They involve empowering PHCs and increasing their breadth of services, allocating a greater portion of national budget to health and preventive care, and equipping PHCs with personnel skilled in conducting community‐wide preventive activities. Copyright © 2013 John Wiley & Sons, Ltd.
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{
"display_name": "The International Journal of Health Planning and Management",
"id": "https://openalex.org/S107551278",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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https://openalex.org/W3204683937
|
Public awareness of environmental risk factors of cancer and attitude towards its prevention among the Lebanese general population.
|
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
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"display_name": "Mayssan Kabalan",
"id": "https://openalex.org/A5023023910"
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"country": "Lebanon",
"display_name": "Lebanese University",
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"display_name": "Maya El-Hajj",
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
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"display_name": "Dalia Khachman",
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
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"display_name": "Sanaa Awada",
"id": "https://openalex.org/A5027309673"
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
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"display_name": "Samar Rachidi",
"id": "https://openalex.org/A5026232530"
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{
"affiliations": [
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
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"display_name": "Amal Al‐Hajje",
"id": "https://openalex.org/A5090218012"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
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],
"display_name": "Roula Ajrouche",
"id": "https://openalex.org/A5050642537"
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[
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"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C99454951"
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"display_name": "Multivariate analysis",
"id": "https://openalex.org/C38180746"
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{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
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{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
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{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Cancer prevention",
"id": "https://openalex.org/C2780234812"
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{
"display_name": "Bivariate analysis",
"id": "https://openalex.org/C64341305"
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{
"display_name": "Risk factor",
"id": "https://openalex.org/C50440223"
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{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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"display_name": "Statistics",
"id": "https://openalex.org/C105795698"
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{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
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[
"Lebanon"
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"https://openalex.org/W2166410804",
"https://openalex.org/W2166700356",
"https://openalex.org/W2166990706",
"https://openalex.org/W2169758210",
"https://openalex.org/W2189012184",
"https://openalex.org/W2395569962",
"https://openalex.org/W2480418585",
"https://openalex.org/W2610597365",
"https://openalex.org/W2624913702",
"https://openalex.org/W2713028369",
"https://openalex.org/W2787244824",
"https://openalex.org/W2801598249",
"https://openalex.org/W2924688551",
"https://openalex.org/W2925315281",
"https://openalex.org/W2947416815",
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"https://openalex.org/W3005569109",
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https://api.openalex.org/works?filter=cites:W3204683937
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Since the majority of cancers occur as a result of modifiable risk factors, cancer is being seen more as a preventable disease. The primary objective of our study was to assess the level of awareness of environmental risk factors of cancer among the Lebanese general population. The secondary objective focused on identifying the predictors of the preventability of the disease.We conducted a cross-sectional study between June and July 2020. An online questionnaire was used to collect data pertaining to the knowledge of environmental risk factors of cancer, source of information and personal practice of the participants. Bivariate and multivariate analyzes were performed.About 387 respondents agreed to participate in the study. The study showed low awareness regarding infectious agents, lifestyle, diet and many work exposures. The predictors of the attitude of respondents regarding the preventability of cancer were: believing that cancer has an environmental cause (p=.014), not having a healthy lifestyle (p = 0.004), not smoking waterpipe (p = 0.023), being single (p = 0.013), and having a university degree (p = 0.049).Efforts should be made to improve awareness of the cancer risk factors regarding infectious agents, lifestyle, diet and many work exposures. This can also be followed by further studies assessing the impact of these community and governmental cancer prevention initiatives on cancer risk factors level of awareness.
|
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https://openalex.org/W4250396668
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Introduction
|
[
{
"affiliations": [],
"display_name": "Leslie Dickinson",
"id": "https://openalex.org/A5049607996"
},
{
"affiliations": [],
"display_name": "Anita L. Wenden",
"id": "https://openalex.org/A5029901254"
}
] |
[
{
"display_name": "Snowball sampling",
"id": "https://openalex.org/C106399304"
},
{
"display_name": "Hygiene",
"id": "https://openalex.org/C547646559"
},
{
"display_name": "Food preparation",
"id": "https://openalex.org/C2993130379"
},
{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
},
{
"display_name": "Hand washing",
"id": "https://openalex.org/C2777919664"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Personal hygiene",
"id": "https://openalex.org/C3019613579"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Consumption (sociology)",
"id": "https://openalex.org/C30772137"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Food safety",
"id": "https://openalex.org/C516717267"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Socioeconomics",
"id": "https://openalex.org/C45355965"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
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{
"display_name": "Social science",
"id": "https://openalex.org/C36289849"
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{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
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] |
[
"Lebanon",
"Tunisia",
"Jordan"
] |
[] |
https://api.openalex.org/works?filter=cites:W4250396668
|
The impact of the novel coronavirus pandemic (COVID-19) has spanned across the various aspects of life globally. Understanding public reactions is vital for effective risk communication and outbreak control and prevention. The Arab world has diverse cultural, economic, and social structures, so public choices and decisions also vary. To investigate the changes in behavior related to food shopping and handling, precautions measures, and hygiene practices of the public during the pandemic, a web-based survey tool was developed and conducted on 1074 subjects in three Arab countries, Lebanon, Jordan, and Tunisia, using a snowball sampling technique. The results showed a significant reduction in RTE consumption during the pandemic, as shown in the 19.2% and 12.2% rise in the proportion of respondents not ordering hot and cold RTE food delivery, respectively. Compared to pre-COVID-19 times, a substantial increase in behaviors related to hygiene and disinfection practices (22.0%–32.2%) was observed with a lesser increase (11.2%) in handwashing practices before food preparation. Moreover, public concerns about contracting COVID-19 from food led to almost doubling the number of Tunisians using cleaning agents for washing fresh fruits and vegetables (e.g., soaps, non-food grade chlorine bleach) besides a 16% and 26.1% increase in use among the Jordanian and Lebanese, respectively. However, a third of the respondents did not follow instructions on labels for the use of chemical products. In conclusion, this study identified culture-specific shortfalls in handwashing and unsafe food handling practices during COVID-19 in the Arab countries and sheds light on the paramount role of coordinated efforts between the local health authorities and the food safety and public health stakeholders in risk communication. To reduce health risks, there need to be rigorous educational campaigns and targeted messages that reach out to the general audience on hand hygiene, the health effects of haphazard use of unsafe chemical compounds on food, and recommendations on following label instructions.
|
[
{
"display_name": "System",
"id": "https://openalex.org/S130873806",
"type": "journal"
}
] |
|
https://openalex.org/W2984197862
|
Cost–benefit analysis of a projected national human papilloma virus vaccination programme in Lebanon
|
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"affiliations": [
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"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"display_name": "Sarah J. Bahr",
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{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
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"display_name": "Rania Bzieh",
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Ghinwa El Hayek",
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"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
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"display_name": "Salim M. Adib",
"id": "https://openalex.org/A5029957821"
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"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
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{
"display_name": "Cervical cancer",
"id": "https://openalex.org/C2778220009"
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{
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C515549039"
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{
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"id": "https://openalex.org/C2908647359"
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{
"display_name": "Estimation",
"id": "https://openalex.org/C96250715"
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{
"display_name": "Cost–benefit analysis",
"id": "https://openalex.org/C127454912"
},
{
"display_name": "Human papilloma virus",
"id": "https://openalex.org/C2994539378"
},
{
"display_name": "Human papillomavirus",
"id": "https://openalex.org/C2994532551"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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{
"display_name": "Cost effectiveness",
"id": "https://openalex.org/C3019080777"
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{
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"id": "https://openalex.org/C159047783"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Risk analysis (engineering)",
"id": "https://openalex.org/C112930515"
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{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
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{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
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{
"display_name": "Management",
"id": "https://openalex.org/C187736073"
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{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2984197862
|
The adoption of a population-based human papilloma virus (HPV) vaccination programme is debated in Lebanon on epidemiological, sociocultural, logistical and economic grounds.This cost-benefit analysis contributes to generating quantitative evidence necessary for a decision regarding costs through locally available data.The 2 sides of the cost-benefit analysis equation are: estimation of the cost of HPV vaccination campaigns targeting 11 year-old girls, using the cheapest vaccine in 2016 and estimation of the management cost for treatment of a yearly average case-load for cervical cancer.A Cervarix® only campaign would cost US$ 5 407 790 to vaccinate 38 083 11-year-old girls. The estimated cost of managing a mean annual mixed case-load of 100 incident cervical cancer cases would cost US$ 1 591 336. The nearest break-even point may occur 5 years after this current analysis.This cost-benefit analysis using limited available data indicates that massive HPV vaccination would not be cost-beneficial under the circumstances existing in 2016. Nevertheless, some indications point to the need for a re-assessment around 2020. This finding will inform public health decision-makers in Lebanon and similar neighbouring countries.تحليل تكاليف وفوائد برنامج وطني متوقع للتطعيم ضد فيروس الورم الحليمي البشري في لبنان.سارة بحر، رانيا بزيع، غنوة الحايك، سليم أديب.يدور في لبنان جدل بشأن اعتماد برنامج لتطعيم السكان ضد فيروس الورم الحليمي البشري، وذلك لأسباب وبائية واجتماعية ثقافية ولوجستية واقتصادية.يُسهم هذا التحليل للتكاليف والفوائد في إيجاد الأدلة الكمية اللازمة لاتخاذ قرار بشأن التكاليف من خلال بيانات متاحة محلياً.لمعادلة تحليل التكاليف والفوائد جانبان، ألا وهما تقدير تكلفة حملات التطعيم ضد فيروس الورم الحليمي البشري التي تستهدف الفتيات البالغات من العمر 11 عاماً، باستخدام أرخص لقاح في عام 2016، وتقدير تكلفة التدبير العلاجي لمتوسط إجمالي عدد حالات سرطان عنق الرحم في السنة.من المتوقع أن تبلغ تكلفة حملة التطعيم بلقاح Cervarix® فقط 5,407,790 دولاراً أمريكياً لتطعيم 38083 فتاة تبلغ من العمر 11 عاماً. أما التكلفة المُقدَّرة للتدبير العلاجي لمتوسط العدد الإجمالي المختلط لحالات سرطان عنق الرحم في السنة، البالغ 100 حالة، فستكون 1,591,336 دولاراً أمريكياً. وقد تحدث أقرب نقطة تعادل بعد 5 سنوات من هذا التحليل الحالي.يشير تحليل التكاليف والفوائد باستخدام بيانات متاحة محدودة إلى أن التطعيم الشامل ضد فيروس الورم الحليمي البشري لن يكون مفيداً من حيث التكلفة في ظل الظروف السائدة في عام 2016. ومع ذلك، تشير بعض المؤشرات إلى ضرورة إعادة التقييم في عام 2020 تقريباً. وسوف يسترشد بهذه النتيجة متخذو القرارات في مجال الصحة العامة في لبنان والبلدان المجاورة المماثلة.Analyse coûts-avantages d’un programme national de vaccination contre le papillomavirus humain s’appuyant sur des projections au Liban.L’adoption d’un programme de vaccination contre le papillomavirus humain (HPV) en population générale fait l’objet de débats au Liban pour des raisons épidémiologiques, socioculturelles, logistiques et économiques.La présente analyse coûts-avantages contribue à la production des données quantitatives nécessaires à la prise de décision concernant les coûts grâce aux données disponibles localement.Les deux côtés de l’équation de l’analyse coûts-avantages sont l’estimation du coût des campagnes de vaccination contre le VPH ciblant les filles de 11 ans, en recourant au vaccin le moins cher en 2016, et l’estimation du coût de la prise en charge pour le traitement d’un nombre annuel moyen de cas de cancer du col de l’utérus.Une campagne utilisant le Cervarix® seulement coûterait USD 5 407 790 pour vacciner 38 083 filles âgées de 11 ans. Le coût estimé de la prise en charge d’un nombre moyen annuel de 100 cas de cancer du col de l’utérus plus ou moins avancés serait de USD 1 591 336. Le seuil de rentabilité le plus proche peut survenir cinq ans après la présente analyse.La présente analyse coûts-avantages fondée sur des données disponibles limitées montre que la vaccination massive contre le VPH ne serait pas rentable dans les circonstances prévalant en 2016. Néanmoins, certaines indications laissent penser qu’une réévaluation serait nécessaire à l’horizon 2020. Cette conclusion permettra de guider les décideurs de santé publique au Liban et dans d’autres pays voisins de même type.
|
[
{
"display_name": "Eastern Mediterranean Health Journal",
"id": "https://openalex.org/S175879142",
"type": "journal"
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4366850698
|
Global burden of female breast cancer and its association with socioeconomic development status, 1990–2044
|
[
{
"affiliations": [
{
"country": "China",
"display_name": "Xi'an Jiaotong University",
"id": "https://openalex.org/I87445476",
"lat": 34.25833,
"long": 108.92861,
"type": "education"
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Breast cancer is a widespread disease in women worldwide.We aimed to explore the global epidemiological trends of female breast cancer (FBC) between 1990 and 2044.Disease burden, population, and socio-demographic index (SDI) data were obtained from the Global Health Data Exchange (GHDx) database. We analyzed temporal trends, age differences, risk factors, and geographic patterns of FBC disease burden globally and explored the association between age-standardized incidence rate (ASIR) of FBC and SDI. Bayesian age-period-cohort model was also performed to predict the changes in FBC incidence worldwide from 2020 to 2044. First, the global ASIR of FBC increased by 14.31% from 1990 to 2019 (95% Uncertainty Interval 4.75% to 23.98%). The death rate presented a falling trend. Second, alcohol use is the most-highlighted risk factor for FBC in some high-income regions such as Europe. A high fasting plasma glucose levels is the most prominent risk factor for FBC in Latin America and Africa. Third, the ASIR of the FBC increases with the SDI. Fourth, the incidence is expected to increase faster among women aged 35-60 years and fastest for those aged 50-54 years from 2020 to 2044. Countries with a high incidence of FBC that is expected to increase significantly include Barbados, Burkina Faso, Senegal, Monaco, Lebanon, Togo, and Uganda.The disease burden of FBC varies worldwide; the findings suggest attaching importance to the control of middle and low-middle SDI regions. Public health as well as cancer prevention experts should pay more attention to regions and populations at an increased risk of developing FBC, focusing on their prevention and rehabilitation while conducting further epidemiological studies to investigate the risk factors of their increase.
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https://openalex.org/W2619094296
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Fifty Years of the Journal HSR : Informing Policy and Practice
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Health Services ResearchVolume 52, Issue 3 p. 919-932 Roundtable Discussion Fifty Years of the Journal HSR: Informing Policy and Practice Jacqueline Zinn Ph.D., Corresponding Author Jacqueline Zinn Ph.D. [email protected] Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PAAddress correspondence to Jacqueline Zinn, Ph.D., Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PA 19122; e-mail: [email protected]. Search for more papers by this authorPatrick S. Romano M.D., Patrick S. Romano M.D. Division of General Medicine, University of California at Davis, Davis, CASearch for more papers by this authorGordon DeFriese Ph.D., Gordon DeFriese Ph.D. Department of Social Medicine and Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NCSearch for more papers by this authorStephen M. Shortell Ph.D., Stephen M. Shortell Ph.D. Blue Cross of California Distinguished Department of Health Policy and Management, School of Public Health and Haas School of Business, University of California, Berkeley, CASearch for more papers by this authorHarold S. Luft Ph.D., Harold S. Luft Ph.D. Palo Alto Medical Foundation Research Institute, Palo Alto, CASearch for more papers by this authorAnn B. Flood Ph.D., Ann B. Flood Ph.D. Department of Radiology, Community and Family Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NHSearch for more papers by this author Jacqueline Zinn Ph.D., Corresponding Author Jacqueline Zinn Ph.D. [email protected] Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PAAddress correspondence to Jacqueline Zinn, Ph.D., Department of Risk, Insurance and Healthcare Management, Temple University, Philadelphia, PA 19122; e-mail: [email protected]. Search for more papers by this authorPatrick S. Romano M.D., Patrick S. Romano M.D. Division of General Medicine, University of California at Davis, Davis, CASearch for more papers by this authorGordon DeFriese Ph.D., Gordon DeFriese Ph.D. Department of Social Medicine and Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NCSearch for more papers by this authorStephen M. Shortell Ph.D., Stephen M. Shortell Ph.D. Blue Cross of California Distinguished Department of Health Policy and Management, School of Public Health and Haas School of Business, University of California, Berkeley, CASearch for more papers by this authorHarold S. Luft Ph.D., Harold S. Luft Ph.D. Palo Alto Medical Foundation Research Institute, Palo Alto, CASearch for more papers by this authorAnn B. Flood Ph.D., Ann B. Flood Ph.D. Department of Radiology, Community and Family Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NHSearch for more papers by this author First published: 22 May 2017 https://doi.org/10.1111/1475-6773.12719Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume52, Issue3June 2017Pages 919-932 RelatedInformation
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https://openalex.org/W2418944778
|
Survey of a Bekaa community health needs.
|
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{
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{
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{
"display_name": "Programming language",
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[] |
https://api.openalex.org/works?filter=cites:W2418944778
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Rural underserved areas can benefit from private and non governmental organizations in improving health delivery. Many such organizations operate in the underserved Bekaa area in Lebanon. This study aimed to assess the nature, scope, utilization and satisfaction with health services available to the population living in the vicinity of the American University of Beirut Agricultural Research and Education Center in Bekaa. A random sample from the residents of the area (475 individuals) and all physicians and representatives of health delivery institutions serving this population were interviewed. Individuals interviewed reported 3.7 health related visits/person/year, 65% vaccination rate and 34.1% labeled available services as poor. Interviewed physicians and health institution administrators identified the study area priority needs as nurses, emergency transport units and primary care centers. Systematic evaluation and priority setting of the health needs of this population are necessary and the establishment of health centers should be strongly considered.
|
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https://openalex.org/W4321352869
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Ensuring equity in mental health and psychosocial support during the COVID-19 pandemic and beyond
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"country": "France",
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"display_name": "Karine Le Roch",
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https://api.openalex.org/works?filter=cites:W4321352869
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Populations affected by armed conflict and other humanitarian crises are at elevated risk for mental health problems. While the COVID-19 pandemic has had broadly deleterious effects on livelihoods, economic well-being, and population health worldwide, vulnerable groups have been disproportionately impacted by the pandemic. Providing mental health and psychosocial support (MHPSS) services during these times to vulnerable groups, especially in low- and middle-income countries and humanitarian settings, is essential. In an effort to comply with the public health response to the pandemic and mitigate COVID-19 transmission, significant implementation adaptations were made to service delivery during the pandemic. This short report describes several strategies to ensure that equity was central to these adaptations and public health responses, and provides recommendations for ensuring continuity of this progress post-pandemic. Examples and key lessons learned are given related to strategies to increase access to MHPSS services, improve meaningful stakeholder engagement, develop and support community networks, and implement community-based psychosocial support groups. They come from diverse settings of Bangladesh, Colombia, Ecuador, and Lebanon. The COVID-19 pandemic has highlighted the importance of preventing and treating MHPSS issues. It also has created opportunities for innovative programming to address overlooked problems, improve the quality of services provided, and increase focus on equity. It is vital that we use the momentum and attention generated around MHPSS services during the COVID-19 pandemic to continue to build and improve existing MHPSS services in more equitable ways for vulnerable populations.
|
[
{
"display_name": "Conflict and Health",
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https://openalex.org/W3208721155
|
Sex work, containment and the new discourse of public health in French colonial Levant
|
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[
"Lebanon"
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https://api.openalex.org/works?filter=cites:W3208721155
|
Abstract This article addresses how French academics, doctors and state bureaucrats formulated sex work as a pathology, an area of inquiry that had to be studied in the interest of public safety. French colonisation in the Levant extended the reach of this ‘expertise’ from the metropole to Lebanon under the guise of public health. Knowledge produced by academics was used to buttress colonial state policy, which demanded that sex workers be contained to protect society against medical contagion. No longer drawing conclusions based on speculation, the medical establishment asserted its authority by harnessing modern advances in science and uniting them with extensive observation. ‘Empirical facts’ replaced ‘opinions’, as doctors forged new approaches to studying and containing venereal disease. They accomplished this through the use of statistics and new methods of diagnosing and treating maladies. Their novel approach was used to treat sex workers and to support commercial sex work policy both at home and abroad. Sex workers became the objects of scientific study and were consequently problematised by the state in medicalised terms.
|
[
{
"display_name": "Medical History",
"id": "https://openalex.org/S102349131",
"type": "journal"
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{
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"id": "https://openalex.org/S2764455111",
"type": "repository"
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] |
|
https://openalex.org/W2941379851
|
Incorporating HPS Model into Lebanese Public Schools: Comparison of Adolescents’ Smoking, Alcohol and Drug Use Behavior in HPS versus Other Public and Private Schools in Lebanon
|
[
{
"affiliations": [],
"display_name": "Sawsan El Halabi",
"id": "https://openalex.org/A5024768481"
},
{
"affiliations": [],
"display_name": "Pascale Salameh",
"id": "https://openalex.org/A5091538918"
}
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[
{
"display_name": "Christian ministry",
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{
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"id": "https://openalex.org/C47177190"
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{
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{
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"id": "https://openalex.org/C138816342"
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{
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"id": "https://openalex.org/C512399662"
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{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
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{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Pedagogy",
"id": "https://openalex.org/C19417346"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
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[
"Lebanon"
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[
"https://openalex.org/W1499333800",
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"https://openalex.org/W2008408625",
"https://openalex.org/W2040570627",
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"https://openalex.org/W2127876608",
"https://openalex.org/W2144923782",
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https://api.openalex.org/works?filter=cites:W2941379851
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In 2010, the World Health Organization supported the Lebanese Ministry of Education and Higher Education to establish a network of 10 Health Promoting Schools (HPS). This study was undertaken to address the extent to which the HPS model was able to produce changes in the risk behaviors of adolescents (Smoking, Drinking, and Drug Use) and prepare them to respond to evolving health challenges. A cross-sectional survey was carried out during 2011-2012 and compared Grade 6 - 9 students in HPS, and 10 other public and private schools. The Youth Risk Behavior Survey [1], and Carbon Monoxide measurements in adolescent breaths were used for data collection. Findings revealed that the current School Health Program failed to address issues of concern to adolescents with no significant differences in risk behaviors: smoking, alcohol and drug use. The HPS network needs reassessment to upgrade the outcomes of health education curricula. Expected learning outcomes and healthy practices must be designed to match students’ age, grade level, and developmental milestones.
|
[
{
"display_name": "Open Journal of Nursing",
"id": "https://openalex.org/S2764558556",
"type": "journal"
}
] |
|
https://openalex.org/W2150899732
|
The Twelfth International Conference on the long-term complications of treatment of children and adolescents with cancer
|
[
{
"affiliations": [
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"country": "United States",
"display_name": "St. Jude Children's Research Hospital",
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"type": "healthcare"
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"display_name": "Daniel M. Green",
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[
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{
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{
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{
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"id": "https://openalex.org/C512399662"
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{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
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{
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Library science",
"id": "https://openalex.org/C161191863"
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{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
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{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Botany",
"id": "https://openalex.org/C59822182"
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{
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"id": "https://openalex.org/C41008148"
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{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
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] |
[
"Lebanon",
"Syria"
] |
[] |
https://api.openalex.org/works?filter=cites:W2150899732
|
Pediatric Blood & CancerVolume 61, Issue 10 p. 1719-1719 Review The Twelfth International Conference on the long-term complications of treatment of children and adolescents with cancer Daniel M. Green MD, Corresponding Author Daniel M. Green MD From the Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee Correspondence to: Daniel M. Green, Department of Epidemiology, Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Way, Mail Stop 735, Memphis, TN. E-mail: [email protected]Search for more papers by this author Daniel M. Green MD, Corresponding Author Daniel M. Green MD From the Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee Correspondence to: Daniel M. Green, Department of Epidemiology, Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Way, Mail Stop 735, Memphis, TN. E-mail: [email protected]Search for more papers by this author First published: 04 February 2014 https://doi.org/10.1002/pbc.24967Citations: 3 Supported in part by United States Public Health Service grant nos. CA-21765 (R. Gilbertson, Principal Investigator) and CA-95124 (D. Green, Principal Investigator) and support provided to St. Jude Children's Research Hospital by the American Lebanese Syrian Associated Charities (ALSAC). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume61, Issue10October 2014Pages 1719-1719 RelatedInformation
|
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{
"display_name": "Pediatric Blood & Cancer",
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"type": "journal"
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{
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"id": "https://openalex.org/S4306525036",
"type": "repository"
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|
https://openalex.org/W4323317410
|
A cross-sectional study of knowledge, attitude, behaviour and preventive measures for COVID-19 infection in Lebanon
|
[
{
"affiliations": [],
"display_name": "Fouad Sakr",
"id": "https://openalex.org/A5029949770"
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{
"affiliations": [],
"display_name": "Anna Maalouf",
"id": "https://openalex.org/A5022507713"
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{
"affiliations": [],
"display_name": "Elissa Msallem",
"id": "https://openalex.org/A5030957360"
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{
"affiliations": [],
"display_name": "Aline Issa",
"id": "https://openalex.org/A5074991470"
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{
"affiliations": [],
"display_name": "Jessica Nehme",
"id": "https://openalex.org/A5074118261"
},
{
"affiliations": [],
"display_name": "Maha Hoteit",
"id": "https://openalex.org/A5017950301"
},
{
"affiliations": [],
"display_name": "Mira Hleyhel",
"id": "https://openalex.org/A5082351493"
},
{
"affiliations": [],
"display_name": "Pascale Salameh",
"id": "https://openalex.org/A5023182162"
}
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"display_name": "Snowball sampling",
"id": "https://openalex.org/C106399304"
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{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Odds ratio",
"id": "https://openalex.org/C156957248"
},
{
"display_name": "Odds",
"id": "https://openalex.org/C143095724"
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{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
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{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Clinical psychology",
"id": "https://openalex.org/C70410870"
},
{
"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"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
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] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W4323317410
|
Background: The World Health Organization has often reiterated its recommendations for the prevention of COVID-19, however, the success of these measures largely depends on public knowledge and attitudes. Aims: This study assessed the relationship between knowledge, attitude, behaviour and preventive measures for COVID-19 infection in a Lebanese population. Methods: This cross-sectional study was conducted between September and October 2020 using the snowball sampling technique and an online self-administered questionnaire. The questionnaire had 4 parts targeting sociodemographic characteristics; medical history; knowledge, attitude and practices (preventive measures and behaviours related to COVID-19); and mental health variables such as psychological distress. Two models were derived using multivariable binomial logistic regression to optimize the picture of COVID-19 correlates. Results: Our sample comprised 1119 adults. Being older, female, a regular alcohol consumer, waterpipe smoker, having low level of education, low family income, and having contact with a COVID-19 patient correlated with increased odds of ever having been diagnosed with COVID-19. Participants who had ever been diagnosed with COVID-19 had a significantly better knowledge and a higher risky practice scale [adjusted odds ratio (ORa) = 1.49; 95% CI 1.27–1.74; P < 0.001; and ORa = 1.04; 95% CI 1.01–1.08; P = 0.024, respectively]. Conclusion: The most important predictors of COVID-19 infection appear to be generally well-known among the general population, however, their knowledge and adherence to preventive measures should be continuously re-evaluated. This study highlights the need for greater awareness to improve precautionary behaviours among the public.
|
[
{
"display_name": "Eastern Mediterranean Health Journal",
"id": "https://openalex.org/S175879142",
"type": "journal"
}
] |
|
https://openalex.org/W4288748491
|
Paper 1: Demand-driven rapid reviews for health policy and systems decision-making: lessons from Lebanon, Ethiopia, and South Africa on researchers and policymakers’ experiences
|
[
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{
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"id": "https://openalex.org/I72227227",
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"Lebanon"
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https://api.openalex.org/works?filter=cites:W4288748491
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Rapid reviews have emerged as an approach to provide contextualized evidence in a timely and efficient manner. Three rapid review centers were established in Ethiopia, Lebanon, and South Africa through the Alliance for Health Policy and Systems Research, World Health Organization, to stimulate demand, engage policymakers, and produce rapid reviews to support health policy and systems decision-making. This study aimed to assess the experiences of researchers and policymakers engaged in producing and using rapid reviews for health systems strengthening and decisions towards universal health coverage (UHC).Using a case study approach with qualitative research methods, experienced researchers conducted semi-structured interviews with respondents from each center (n = 16). The topics covered included the process and experience of establishing the centers, stimulating demand for rapid reviews, collaborating between researchers and policymakers, and disseminating and using rapid reviews for health policies and interventions and the potential for sustaining and institutionalizing the services. Data were analyzed using thematic analysis.Major themes interacted and contributed to shape the experiences of stakeholders of the rapid review centers, including the following: organizational structural arrangements of the centers, management of their processes as input factors, and the rapid reviews as the immediate policy-relevant outputs. The engagement process and the rapid review products contributed to a final theme of impact of the rapid review centers in relation to the uptake of evidence for policy and systems decision-making.The experiences of policymakers and researchers of the rapid review centers determined the uptake of evidence. The findings of this study can inform policymakers, health system managers, and researchers on best practices for demanding, developing and using rapid reviews to support decision- and policymaking, and implementing the universal healthcare coverage agenda.
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|
https://openalex.org/W4319293811
|
Food allergies and allergens in Lebanon: Characterization and perceptions toward labeling
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"country": "Lebanon",
"display_name": "University of Balamand",
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"display_name": "Mireille Serhan",
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"display_name": "Hussein F. Hassan",
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"display_name": "Medicine",
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"display_name": "Allergy",
"id": "https://openalex.org/C207480886"
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"display_name": "Food allergy",
"id": "https://openalex.org/C2776027960"
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"display_name": "Rash",
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"display_name": "Allergen",
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"display_name": "Environmental health",
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"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
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{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
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"display_name": "Dermatology",
"id": "https://openalex.org/C16005928"
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{
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"id": "https://openalex.org/C144024400"
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[
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https://api.openalex.org/works?filter=cites:W4319293811
|
BackgroundFood allergy is a life-threatening medical condition of public health concern. The aim of our study was to characterize food allergies, in terms of sources, symptoms, severity, and history, as well as to assess the knowledge, practices, and attitudes towards food allergens and allergies, in addition to food allergen labeling, in Lebanon.MethodsFor this, 1100 participants filled over the phone a comprehensive valid questionnaire composed of 41 questions.ResultsFruits were reported as top food allergens (29.6%), while itching and rash were the most reported symptoms (9.6% and 8.0%, respectively). In terms of knowledge, participants scored on average 67.9 ± 16.2%. Participants who identified as females, below 35 years, highly educated, and from health backgrounds had a significantly higher score (p < 0.05), while area of residence did not have any significant effect (p > 0.05). Participants who are medically diagnosed with allergies and those with health background were found to check the ingredients list and read nutritional claims significantly more frequently than those from a non-health background and who are non-medically diagnosed, respectively, while females were found to check ingredients list and read nutritional claims significantly more frequently (p < 0.05). The majority reported that ingredients are easy to understand (63.2%) and simple to read (61.3%), while allergic individuals agreed that the font size of the ingredients list is not big enough (56.8%) and that E-code numbers are not understood (68.7%). The majority considered it “important” to have the label writings larger and bolded (85.7%), to use simple language (95.5%), to place allergen warning (82.2%), and to use a striking allergen symbol (93.5%).ConclusionsOur results emphasize the need for national awareness campaigns to improve knowledge and practices, and to lobby policymakers for appropriate management of food allergies and allergens in Lebanon.
|
[
{
"display_name": "World Allergy Organization Journal",
"id": "https://openalex.org/S49523212",
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|
https://openalex.org/W4291019852
|
Development of the Arabic Health Measures database: a bibliometric analysis of Arabic health-related measures
|
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"display_name": "Princess Nourah bint Abdulrahman University",
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"display_name": "Nada M Albawardi",
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"display_name": "Indus Hospital",
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"display_name": "Quratulain Shaikh",
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"display_name": "Princess Nourah bint Abdulrahman University",
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"display_name": "Princess Nourah bint Abdulrahman University",
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"display_name": "Doaa Aljasser",
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"display_name": "Princess Nourah bint Abdulrahman University",
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"display_name": "Lama Alrasheed",
"id": "https://openalex.org/A5021684006"
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"country": "Saudi Arabia",
"display_name": "Princess Nourah bint Abdulrahman University",
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"display_name": "Sultanah H Alsulaiman",
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"display_name": "Princess Nourah bint Abdulrahman University",
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[
"Lebanon",
"Saudi Arabia"
] |
[
"https://openalex.org/W2011706630",
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"https://openalex.org/W2075871092",
"https://openalex.org/W2108296430",
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https://api.openalex.org/works?filter=cites:W4291019852
|
Abstract Background To develop an open-access database of Arabic health measures intended for use by researchers and healthcare providers, along with a bibliometric analysis of the measures included in the database. Methods A search was conducted up to 31 December 2021 in PubMed, Embase, CINAHL, SAGE, Springer and Elsevier for published articles or abstracts with keywords “Arabic” AND “translation”, “adaptation” OR “validation”. Information on the measure and the methodology used in the study was then entered into a database. An open-access platform was developed to allow users to search for measures according to their needs. A bibliometric analysis of the articles and measures was then conducted. Results A total of 894 publications met the inclusion criteria. The articles discussed 716 measures that were developed using participants from at least 38 countries. The number of measures for adults was five times that for children. Mental health was the most frequent construct assessed (11.5%), followed by “function/disability” measures (10.6%). The majority of measures (54%) required 5 minutes or less to complete. Approximately 17% of the tools were available directly from the article. Saudi Arabia and Lebanon had the greatest number of publications, with 217 (23%) and 114 (12%), respectively. The majority of the publications included reporting of the validation and reliability of the instruments (64% and 56%, respectively). Conclusions There is a paucity of research on the quantity and quality of Arabic health measures. Similar to previous reviews, we found the number of publications on Arabic measures to be limited in comparison to those in English; however, it is encouraging that the number of publications appears to have increased steadily over the past decade. While we found the majority of publications reported on psychometric testing, we are unable to comment on the quality of the methodology used, and further investigation into this area is recommended. As the Arabic Health Measures database will facilitate the search for health instruments that have published data on their development, this will increase their visibility and use in research and clinical settings.
|
[
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"id": "https://openalex.org/S201446958",
"type": "journal"
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"display_name": "PubMed Central",
"id": "https://openalex.org/S2764455111",
"type": "repository"
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{
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"id": "https://openalex.org/S4306525036",
"type": "repository"
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] |
|
https://openalex.org/W4308129960
|
Assessment of gender gap in surgical specialties among Lebanese medical personnel: the need for involvement of women in surgery
|
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"display_name": "Saïd El Hage",
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{
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"display_name": "Elias Wakim",
"id": "https://openalex.org/A5090795045"
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{
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"display_name": "Georgio Sayde",
"id": "https://openalex.org/A5011927810"
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{
"affiliations": [],
"display_name": "Dany Akiki",
"id": "https://openalex.org/A5010178521"
},
{
"affiliations": [],
"display_name": "Pascale Salameh",
"id": "https://openalex.org/A5023182162"
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"id": "https://openalex.org/C71924100"
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"id": "https://openalex.org/C512399662"
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Valuation (finance)",
"id": "https://openalex.org/C186027771"
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"id": "https://openalex.org/C160735492"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
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"id": "https://openalex.org/C17744445"
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{
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"id": "https://openalex.org/C162324750"
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{
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"id": "https://openalex.org/C10138342"
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{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
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[
"Lebanon"
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[] |
https://api.openalex.org/works?filter=cites:W4308129960
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Little is known about gender disparity in the surgery specialty in Lebanon.To assess the status of female surgeons and possible gender gaps in surgery specialty in Lebanon.The study was conducted in May 2021. Data were retrieved from the Lebanese Order of Physicians website, indicating the number of physicians in the different specialties, their gender, hospitals, and locations. The c2 test of homogeneity was used to establish whether the gender distribution was equal.Women only accounted for 21.84% (3,370) of physicians in Lebanon, with surgery having the lowest number of female physicians in (n = 65; 2.30%). Women accounted for 1.63% of all surgeons in Lebanese hospitals, there were more female plastic and reconstructive surgeons (n = 12; 7.14%), while neurosurgery, oncological surgery and vascular surgery had no females. There was no significant difference in gender between academic and non-academic institutions (χ2 = 2.164, P = 0.149), or between public and private hospitals (χ2 = 1.277, P = 0.234).The surgical specialty had the widest gender gap among all the medical fields in Lebanon. Therefore, the healthcare systems, including public and private hospitals, have a long and difficult road in narrowing the gender gap. Different strategies to incorporate women into surgery should be explored to assure equitable opportunities for all physicians, based on competency rather than gender.تقييم الفجوة الجنسانية في التخصُّصات الجراحية بين العاملين الطبِّيين اللبنانيين: الحاجة إلى إشراك المرأة في الجراحة.سعيد الحاج، إلياس واكيم، جورجيو سيدي، داني عقيقي، باسكال سلامة.لا يُعرف الكثير عن التفاوت بين الجنسين في تخصُّص الجراحة في لبنان.هدفت هذه الدراسة الى تقييم وضع الإناث الجرَّاحات والفجوات الجنسانية المحتملة في تخصُّص الجراحة في لبنان.أُجريت هذه الدراسة في مايو/ أيار 2021. واستُخلصت البيانات من الموقع الإلكتروني لنقابة أطباء لبنان، وتشير تلك البيانات إلى عدد الأطباء في مختلف التخصُّصات وجنسهم ومستشفياتهم ومواقعهم. واستُخدم اختبار مربع كاي (χ2) للتجانس لتقرير ما إذا كان ثمة تساوٍ في التوزيع بحسب الجنس أم لا.لم تتجاوز نسبة النساء (3370) ٪21.84 من الأطباء في لبنان، وكانت أقل نسبة للطبيبات في تخصُّص الجراحة (عددهن = 65؛ بنسبة 2.30٪). ومثَّلت النساء 1.63٪ من مجموع الجرَّاحين في المستشفيات اللبنانية، وحظيت الجِراحات التجميلية والترميمية بالنسبة الكبرى (عددهن = 12، بنسبة 7.14٪)، في حين لم توجد إناث في تخصُّصات جراحة الأعصاب والأورام وجراحة الأوعية الدموية. ولم يوجد اختلاف كبير بين المؤسسات الأكاديمية وغير الأكاديمية (اختبار مربع كاي = 2.164، القيمة الاحتمالية = 0.149)، أو بين المستشفيات العامة والخاصة (اختبار مربع كاي = 1.277، القيمة الاحتمالية = 0.234).يشهد تخصُّص الجراحة أوسع فجوة جنسانية مقارنةً بجميع المجالات الطبية في لبنان. لذا فإن ثمة طريق طويل وصعب أمام نُظُم الرعاية الصحية، ومن ذلك المستشفيات العامة والخاصة، لتضييق الفجوة الجنسانية. وينبغي البحث والتقصِِّّي عن استراتيجيات مختلفة لإدماج المرأة في تخصُّص الجراحة، لضمان تكافؤ الفرص لجميع الأطباء، وأن يكون ذلك على أساس الكفاءة لا الجنس.Évaluation des inégalités fondées sur le genre dans les spécialités chirurgicales parmi le personnel médical libanais : la nécessité d'impliquer les femmes dans le domaine de la chirurgie.Il existe peu d'informations sur la disparité entre les genres dans les spécialités chirurgicales au Liban.Évaluer le statut des chirurgiennes et les éventuelles disparités entre les genres dans la spécialité chirurgicale au Liban.L'étude a été menée en mai 2021. Des données ont été extraites du site de l'Ordre des Médecins du Liban, indiquant le nombre de médecins dans les différentes spécialités, leur genre, les hôpitaux dans lesquels ils travaillent et leur emplacement. Le test du khi-deux d'homogénéité a été utilisé pour déterminer si la répartition entre les genres était à égalité.Les femmes ne représentaient que 21,84 % (3 370) des médecins au Liban, le domaine de la chirurgie étant celui qui comptait le moins de femmes médecins (n = 65 ; 2,30 %). Les femmes représentaient 1,63 % de l'ensemble des chirurgiens dans les hôpitaux libanais, le nombre de femmes spécialisées en chirurgie plastique et reconstructive était plus élevé (n = 12 ; 7, 14 %), tandis que la neurochirurgie, la chirurgie oncologique et la chirurgie vasculaire ne comptaient aucune femme. Aucune différence significative relative au genre n'a été constatée entre les établissements universitaires et non universitaires (χ2 = 2,164, p = 0,149), ou entre les hôpitaux publics et privés (χ2 = 1,277, p = 0,234).Les spécialités chirurgicales présentaient les plus importantes inégalités fondées sur le genre parmi tous les domaines médicaux au Liban. Par conséquent, les systèmes de soins de santé, y compris les hôpitaux publics et privés, ont encore un chemin long et difficile à parcourir pour réduire ces inégalités. Différentes stratégies visant à intégrer les femmes dans le domaine de la chirurgie devraient être envisagées pour garantir des opportunités équitables à tous les médecins, sur la base des compétences plutôt que du genre.
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"display_name": "Eastern Mediterranean Health Journal",
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https://openalex.org/W3181336562
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Non-communicable diseases among Palestinian refugees from Syria: a cross-sectional study on prevalence, case management, access to and utilisation of UNRWA Health Services
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"affiliations": [
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"country": "Lebanon",
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"display_name": "Fouad M. Fouad",
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Rana Charide",
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"country": "Jordan",
"display_name": "United Nations Relief and Works Agency for Palestine Refugees in the Near East",
"id": "https://openalex.org/I4210146208",
"lat": 31.95522,
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"display_name": "Yousef Shahin",
"id": "https://openalex.org/A5000132520"
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"affiliations": [
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"country": "Jordan",
"display_name": "United Nations Relief and Works Agency for Palestine Refugees in the Near East",
"id": "https://openalex.org/I4210146208",
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"display_name": "S Asmaliza Ismail",
"id": "https://openalex.org/A5006907335"
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"affiliations": [
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"country": "Jordan",
"display_name": "United Nations Relief and Works Agency for Palestine Refugees in the Near East",
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"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
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"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
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"display_name": "Sampling frame",
"id": "https://openalex.org/C198327121"
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{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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"display_name": "Non-communicable disease",
"id": "https://openalex.org/C2776577793"
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"display_name": "Syrian refugees",
"id": "https://openalex.org/C3018716944"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
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"Lebanon",
"Syria"
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https://api.openalex.org/works?filter=cites:W3181336562
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BackgroundAs of Feb 14, 2014, UNRWA had registered almost 53 000 Palestinian refugees from Syria (PRS) who had fled to Lebanon as the result of the conflict in Syria. Half of the PRS had gone to one of the 12 Palestinian camps, which are overcrowded and of poor infrastructure. Consequently, there is concern for the wellbeing of PRS; in particular, their health status and access to medical care. Little attention has been given to non-communicable diseases (NCDs) in the acute phases of emergencies. Therefore, an assessment of the prevalence of NCDs among PRS, as well as the patterns of use of available health care services by PRS, is warranted.MethodsA cross-sectional study was conducted in April, 2018, with 1100 PRS residing inside and outside refugee camps across all governorates of Lebanon. A listing of all PRS families was the sampling frame. A random sample of families was selected and contacted, and then one adult randomly selected from each family was approached for data collection. Pregnant women and participants who were too ill to participate were excluded. After obtaining informed verbal consent, we did face-to-face interviews to collect data on household details (such as type of settlement, source of income) and sociodemographic information, major NCDs (for the household representative), lifestyle behaviours, and health-care use. We invited all participants to UNRWA clinics for physical and biochemical measurements. The study protocol was approved by the Institutional Review Board of the American University of Beirut.FindingsWe surveyed 959 PRS (59% male [465], 82% married [785], mean age 43 years [SD 12]). A quarter of those interviewed had at least one NCD; the most prevalent were hypertension (23%; 221 of 959), rheumatic diseases (17%; 166), cardiovascular diseases (CVDs, 13%; 126), diabetes (13%; 124), and chronic respiratory diseases (CRDs) (10%; 100). All these NCDs were more prevalent among PRS inside camps than in those residing outside camps, except for diabetes. Most participants who had been diagnosed with NCDs were adhering to their prescribed medications (90–98%). However, of those reporting CVDs, only 56% (71 of 126) had attended at least one follow-up appointment, and of those reporting rheumatic diseases, only 33% (55 of 166) had attended at least one follow-up appointment. About half of participants reported that they checked their blood pressure (55%; 528 of 959) or blood glucose (45%; 430). 111 of 221 (50%) participants with hypertension monitored their blood pressure, and 78 of 124 (63%) participants with diabetes monitored their blood glucose. 133 participants attended UNRWA clinics for measurements; 40% (54) had obesity (>30 kg/cm2), 10% (13) had elevated blood pressure, 12% (16) had stage 1 hypertension, and 8% (10) had stage 2 hypertension. Most participants had normal glucose (67%; 89 of 133), cholesterol (65%; 87), triglyceride (58%; 77), and glycosylated haemoglobin levels (64; 85). A substantial proportion of participants who were tested had undiagnosed diabetes (14%; 33 of 108 reporting no diabetes), undiagnosed hypertension (23%; 19 of 81), uncontrolled diabetes (79% of participants with diabetes; 19 of 24), or uncontrolled hypertension (64% of participants with hypertension; 29 of 45).InterpretationFurther study is needed to understand why the prevalence of NCDs among PRS residing in Palestinian camps is higher than among those living outside, and to understand whether and why access to medicines is a problem, particularly outside camps. The burden of NCDs among PRS is high and their access to services is not optimal; therefore UNRWA should pay special attention to NCD services in this population. UNRWA should invest in efforts to increase awareness of free blood pressure and blood glucose monitoring services in its clinics, and could actively offer free testing in public areas inside camps. Doctors at UNRWA clinics should recommend that patients monitor their disease more frequently and educate them on how to do so. A limitation of the study was the low percentage of participants who attended UNRWA clinics for physical and biochemical measurements.FundingUNRWA.
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"display_name": "The Lancet",
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"type": "journal"
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https://openalex.org/W2291568167
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Brucellosis outbreak in Chouf district of Lebanon in 2009: a case-control study
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"display_name": "Laila Al‐Shaar",
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"display_name": "Monique Chaaya",
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"country": "Lebanon",
"display_name": "Ministry of Public Health",
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"display_name": "Nada Ghosn",
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"affiliations": [
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"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
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"type": "education"
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"display_name": "Ziyad Mahfoud",
"id": "https://openalex.org/A5015865003"
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"display_name": "Brucellosis",
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"display_name": "Christian ministry",
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"display_name": "Philosophy",
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"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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A study was conducted to determine risk factors associated with brucellosis infection in an outbreak in Chouf district of Lebanon during summer 2009. Cases of brucellosis reported to the Ministry of Public Health were identified, and for each case 2 controls were matched by sex, age and residence. Sociodemographic data, exposure to animals and animal products, knowledge about brucellosis, symptoms and history of past brucellosis infections were collected. Consumption of raw cheese was a significant risk factor for contracting brucellosis (matched OR = 29.5), whereas wearing gloves when in contact with animals and animal products and self-preparing dairy products were protective factors (OR = 0.08 and 0.13 respectively). Low and inaccurate knowledge about brucellosis was prevalent among subjects, with a common misconception about human-human transmission. Ensuring animal vaccination, educating people on correct ways of milk pasteurization and handling meat products, and elevating food safety monitoring threshold are key elements in controlling brucellosis. فاشية داء البروسيلات في منطقة الشوف في لبنان 2009: دراسة الحالات والشواهدليلى الشعّار، مونيك شعيا، ندى غصن، زياد محفوضأجرى الباحثون الدراسة للتعرف على عوامل الاختطار المرافقة للعدوى بالبروسيلات في سياق فاشية اندلعت في منطقة الشوف في لبنان خلال صيف عام 2009. فقد حدَّد الباحثون الحالات التي أبلغت وزارة الصحة العامة بها، وفي مقابل كل حالة أخذوا شاهدين متوافقين بالجنس والعمر وموقع السكن، وجمعوا بيانات اجتماعية وديموغرافية وبيانات حول التعرض للحيوانات ومنتجات الحيوانات، والمعارف حول داء البروسيلات، والأعراض وتاريخ العدوى السابقة بالبروسيلات، واتضح أن استهلاك الجبن الخام هو عامل اختطار يُعتدّ بأهميته في العدوى بالبروسيلات (معدل الأرجحية الموافق 29.5)، وأن ارتداء القفازات حين مخالطة الحيوانات ومنتجاتها (معدل الأرجحية 0.08) مع التحضير الذاتي لمنتجات الألبان من العوامل الواقية (معدل الأرجحية 0.13). واتضح أن نقص المعارف وتوافر المعارف غير الصحيحة عن داء البروسيلات ينتشران بين المصابين، مع شيوع مفاهيم خاطئة حول السراية من إنسان لآخر. أما العناصر الهامة في مكافحة داء البروسيلات فهي ضمان تلقيح الحيوانات وتثقيف الناس حول الطرق الصحيحة لبسترة اللبن وإعداد منتجات اللحوم، ورفع مستوى عتبة رصد سلامة الغذاء.Flambée de brucellose dans le district de Chouf (Liban) en 2009 : étude cas-témoins.Une étude a été menée afin de déterminer les facteurs de risque associés à la brucellose au cours d’une flambée dans le district de Chouf (Liban) pendant l’été 2009. Des cas de brucellose notifiés au ministère de la Santé publique ont été identifiés, et pour chaque cas deux témoins ont été appariés pour l’âge, le sexe et le lieu de résidence. Les données sociodémographiques, les antécédents d’exposition aux animaux et aux produits destinés aux animaux, les connaissances sur la brucellose, les symptômes et les antécédents de brucellose ont été recueillis. La consommation de fromage cru était un facteur de risque important pour l’infection (OR apparié = 29,5) tandis que le port de gants lors des contacts avec des animaux et des produits destinés aux animaux ainsi que la préparation des produits laitiers par la personne elle-même étaient des facteurs protecteurs (OR = 0,08 et 0,13 respectivement). Des connaissances faibles et inexactes sur la brucellose étaient prévalentes chez les patients, et les idées fausses sur la transmission interhumaine étaient courantes. Assurer une vaccination animale, éduquer la population en ce qui concerne les bonnes méthodes de pasteurisation du lait et de manipulation des produits carnés, et relever les niveaux de suivi de la sécurité sanitaire des aliments sont des éléments clés de la lutte contre la brucellose.
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"id": "https://openalex.org/S4306525036",
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https://openalex.org/W3184696820
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Medicine in Unplanned Mass Gatherings: A Qualitative Study of Health-Care Providers’ Response and Recommendations to Beirut’s Protests
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"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
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"display_name": "Reem Amine",
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Majid Chammas",
"id": "https://openalex.org/A5051362860"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"display_name": "Hassan Dehaini",
"id": "https://openalex.org/A5023529414"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"display_name": "Habib El-Khoury",
"id": "https://openalex.org/A5038511686"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
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"display_name": "Andréa Ferreira Haddad",
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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"display_name": "Joanna Khalifeh",
"id": "https://openalex.org/A5000910825"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
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"display_name": "Maya Maaliki",
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"type": "education"
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"display_name": "Lilian Ghandour",
"id": "https://openalex.org/A5002210479"
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[
{
"display_name": "Preparedness",
"id": "https://openalex.org/C2777042776"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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"id": "https://openalex.org/C138816342"
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"id": "https://openalex.org/C2780356881"
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"id": "https://openalex.org/C159110408"
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{
"display_name": "Occupational safety and health",
"id": "https://openalex.org/C187155963"
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{
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"id": "https://openalex.org/C71924100"
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{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
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{
"display_name": "Medical emergency",
"id": "https://openalex.org/C545542383"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"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": "Law",
"id": "https://openalex.org/C199539241"
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] |
[
"Lebanon"
] |
[
"https://openalex.org/W1837816138",
"https://openalex.org/W1975389688",
"https://openalex.org/W1985485697",
"https://openalex.org/W2036165636",
"https://openalex.org/W2070533841",
"https://openalex.org/W2071879106",
"https://openalex.org/W2095233770",
"https://openalex.org/W2099779803",
"https://openalex.org/W2150604727",
"https://openalex.org/W2404103161",
"https://openalex.org/W2519569059",
"https://openalex.org/W2567406071",
"https://openalex.org/W2600594252",
"https://openalex.org/W2606099464",
"https://openalex.org/W2606101492",
"https://openalex.org/W2899293200",
"https://openalex.org/W2945505946"
] |
https://api.openalex.org/works?filter=cites:W3184696820
|
Abstract Objective: This study aims at exploring the dynamics of health-care provision during recent unplanned public mass gatherings in Beirut, and how the health-care system adapts to mass movements in protests. Methods: A qualitative study was conducted using semi-structured interviews with 12 health-care providers who volunteered at medical tents set during protests in Beirut, Lebanon. Responses were transcribed and coded. Results: Three themes were noted: preparedness and logistics, encountered cases, and participants’ proposed recommendations. In terms of preparedness and logistics, participants lacked knowledge of field medicine protocols and an organizational structure. They faced difficulties in securing equipment and advertising their services. Most encountered cases were physical injuries rather than mental health problems. The participants proposed both short-term recommendations, including advice on how to boost care provided, and long-term recommendations on structuring the health-care system to be better prepared. Conclusions: On-site health-care provision during unplanned mass gatherings is a vital need. We recommend forming a task force of health-care workers from various fields led by the Ministry of Public Health in every respective country to plan protocols, train personnel, and secure resources beforehand.
|
[
{
"display_name": "Disaster Medicine and Public Health Preparedness",
"id": "https://openalex.org/S172925388",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W2607539769
|
Primary health problems in rural school children 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": "Mariana Helou",
"id": "https://openalex.org/A5006662917"
},
{
"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"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Pediculosis",
"id": "https://openalex.org/C2779202508"
},
{
"display_name": "Rural area",
"id": "https://openalex.org/C129047720"
},
{
"display_name": "Hygiene",
"id": "https://openalex.org/C547646559"
},
{
"display_name": "Personal hygiene",
"id": "https://openalex.org/C3019613579"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Health education",
"id": "https://openalex.org/C113807197"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Botany",
"id": "https://openalex.org/C59822182"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Infestation",
"id": "https://openalex.org/C2776451879"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2607539769
|
Background: Primary health problems among school children are rarely disaggregated between urban and rural areas. This report describes findings in children examined during school health visits in a rural region in South Lebanon. Methods: Medical visits were carried out in four public schools in the Qana region, district of Sour, between December 2007 and May 2008. Results: A total number of 887 students were examined. Age varied between 4 and 16 years old. The majority (78%) had a normal weight for their age. Around 7.1 % of males and 3.5 % of females were considered obese for their age. The most frequent abnormality found was dental caries (59%). In addition, 14% of students had cerumen earplugs, and 3.6% had untreated defective visual acuity. Cases of pediculosis (n=62) were found in just one school, indicating a local outbreak of limited scope. Conclusions: There were only minor differences between health problems in this rural area and those measured in an urban area 10 years earlier. Dental problems continued to be predominant. In future campaigns, health education sessions should be conducted about personal hygiene and adequate nutrition with students, teachers and/or parents, in parallel to conducting the medical visits.
|
[
{
"display_name": "International Journal of Community Medicine and Public Health",
"id": "https://openalex.org/S2764876480",
"type": "journal"
}
] |
|
https://openalex.org/W2181629966
|
The use of medical informatics as a management tool for community health services during the 2006 Israel-Lebanon War.
|
[
{
"affiliations": [],
"display_name": "Kokia Es",
"id": "https://openalex.org/A5033850287"
},
{
"affiliations": [],
"display_name": "Ronella Marom",
"id": "https://openalex.org/A5089871480"
},
{
"affiliations": [],
"display_name": "Shalev",
"id": "https://openalex.org/A5054014461"
},
{
"affiliations": [],
"display_name": "Jan Y",
"id": "https://openalex.org/A5077351385"
},
{
"affiliations": [],
"display_name": "Joshua Shemer",
"id": "https://openalex.org/A5084449026"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Distribution (mathematics)",
"id": "https://openalex.org/C110121322"
},
{
"display_name": "Health informatics",
"id": "https://openalex.org/C145642194"
},
{
"display_name": "Medical record",
"id": "https://openalex.org/C195910791"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Medical emergency",
"id": "https://openalex.org/C545542383"
},
{
"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": "Surgery",
"id": "https://openalex.org/C141071460"
},
{
"display_name": "Mathematical analysis",
"id": "https://openalex.org/C134306372"
},
{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
}
] |
[
"Lebanon",
"Israel"
] |
[
"https://openalex.org/W159030489",
"https://openalex.org/W2022580396",
"https://openalex.org/W2045031519",
"https://openalex.org/W2096107905",
"https://openalex.org/W2139205499",
"https://openalex.org/W2319194324",
"https://openalex.org/W2994337591"
] |
https://api.openalex.org/works?filter=cites:W2181629966
|
During war the health management organizations have tremendous difficulty monitoring members' needs according to geographic spread.To describe how an HMO used its health information technology in a way that enables its management to receive updated online information on the needs of the insured, according to their distribution throughout the country during the time of the war in Lebanon in July-August 2006.Data were derived from the computerized medical records of Maccabi Healthcare Services--the second largest HMO in Israel, providing care to more than 1.7 million members nationwide. Data on healthcare utilization by northern members were compared to the geographic distribution of clinics.The war was characterized by the massive evacuation of citizens southwards. During this period there was an abrupt decline in the utilization of medical services by northern members in the northern region. This decline returned to normal 10 days after the ceasefire. A reciprocal increase was noted in the use of health services by citizens from the north in other regions. This increase returned to normal after the war. No such pattern was noticed during the same period in 2005.Real-time surveillance of trends in consumption of health services by citizens in times of regular daily living as well as during emergencies and wars is a vital management tool for medical directors responsible for providing health services.
|
[
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W3039459720
|
Apprentissage de l’aide au sevrage tabagique dans les formations médicales au Liban
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Hala El Kahi",
"id": "https://openalex.org/A5089980160"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Fady G. Haddad",
"id": "https://openalex.org/A5015524203"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Sani Hlais",
"id": "https://openalex.org/A5007471556"
}
] |
[
{
"display_name": "Psychological intervention",
"id": "https://openalex.org/C27415008"
},
{
"display_name": "Curriculum",
"id": "https://openalex.org/C47177190"
},
{
"display_name": "Smoking cessation",
"id": "https://openalex.org/C2777843972"
},
{
"display_name": "Intervention (counseling)",
"id": "https://openalex.org/C2780665704"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Pedagogy",
"id": "https://openalex.org/C19417346"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W1985788527",
"https://openalex.org/W2048600376",
"https://openalex.org/W2099946199",
"https://openalex.org/W2124284657",
"https://openalex.org/W2124832263",
"https://openalex.org/W2135370489",
"https://openalex.org/W2143172821",
"https://openalex.org/W2159949876",
"https://openalex.org/W2170560464",
"https://openalex.org/W2280503738",
"https://openalex.org/W2551558971",
"https://openalex.org/W2556020483",
"https://openalex.org/W2605924766",
"https://openalex.org/W2782565285",
"https://openalex.org/W2903131156",
"https://openalex.org/W4292672078"
] |
https://api.openalex.org/works?filter=cites:W3039459720
|
Tobacco use is a major public health problem in our societies today. Nevertheless, effective smoking cessation interventions can reduce tobacco-related morbidity and mortality.The aim of this study was to develop, implement, and evaluate a Competency-Based Approach (CBA) training program for residents in Lebanon aiming to improve their skills in counseling patients about smoking cessation.We followed a systematic educational planning starting by identification of professional tasks and competencies to acquire. A cross-sectional descriptive study was conducted for 16 residents to analyze learning needs and determine learning objectives. The workshop was chosen as a learning method. A pre-post intervention analysis made it possible to evaluate the progress.Pre-intervention analysis showed that residents lacked skills and faced barriers in smoking cessation interventions (score of the items "General Knowledge": 7.1/10; "Practices": 6.5/10; "Skills": 3.8/10; "Barriers": 5.6/10). There were statistically significant improvements in all scores as well as significant decrease in barriers post-intervention (score of the items "General Knowledge": 9.4/10; "Practices": 9.2/10; "Skills": 8.3/10; "Obstacles": 2.1/10). The evaluation of the workshop was overwhelmingly positive.A CBA workshop can improve residents' skills and effectiveness in counseling patients about smoking cessation. It should be integrated into the medical curriculum and delivered to every physician especially in a country with one of the highest rate of smoking and the weakest tobacco control strategies.
|
[
{
"display_name": "Santé publique",
"id": "https://openalex.org/S4210200750",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4206544714
|
SARS-CoV-2 Surveillance in the Middle East and North Africa: Longitudinal Trend Analysis (Preprint)
|
[
{
"affiliations": [],
"display_name": "Lori A. Post",
"id": "https://openalex.org/A5024981232"
},
{
"affiliations": [],
"display_name": "Emily Marogi",
"id": "https://openalex.org/A5051544943"
},
{
"affiliations": [],
"display_name": "Charles B. Moss",
"id": "https://openalex.org/A5032147253"
},
{
"affiliations": [],
"display_name": "Robert L. Murphy",
"id": "https://openalex.org/A5041036157"
},
{
"affiliations": [],
"display_name": "Michael G. Ison",
"id": "https://openalex.org/A5068293317"
},
{
"affiliations": [],
"display_name": "Chad J. Achenbach",
"id": "https://openalex.org/A5011685760"
},
{
"affiliations": [],
"display_name": "Danielle Resnick",
"id": "https://openalex.org/A5047738932"
},
{
"affiliations": [],
"display_name": "Lauren Nadya Singh",
"id": "https://openalex.org/A5035079245"
},
{
"affiliations": [],
"display_name": "Janine White",
"id": "https://openalex.org/A5019405556"
},
{
"affiliations": [],
"display_name": "Sarah B Welch",
"id": "https://openalex.org/A5076943224"
},
{
"affiliations": [],
"display_name": "James F. Oehmke",
"id": "https://openalex.org/A5067644316"
}
] |
[
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
},
{
"display_name": "Transmission (telecommunications)",
"id": "https://openalex.org/C761482"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Demographic economics",
"id": "https://openalex.org/C4249254"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Development economics",
"id": "https://openalex.org/C47768531"
},
{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
},
{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Telecommunications",
"id": "https://openalex.org/C76155785"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
}
] |
[
"Lebanon",
"Saudi Arabia",
"Bahrain",
"Iran",
"Libya",
"Egypt",
"Iraq",
"Israel",
"Oman"
] |
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"https://openalex.org/W3080712689",
"https://openalex.org/W4205200467",
"https://openalex.org/W4205225613",
"https://openalex.org/W4206543148",
"https://openalex.org/W4206687236",
"https://openalex.org/W4212922304",
"https://openalex.org/W4240653729",
"https://openalex.org/W4249800356"
] |
https://api.openalex.org/works?filter=cites:W4206544714
|
<sec> <title>BACKGROUND</title> The COVID-19 pandemic has disrupted the lives of millions and forced countries to devise public health policies to reduce the pace of transmission. In the Middle East and North Africa (MENA), falling oil prices, disparities in wealth and public health infrastructure, and large refugee populations have significantly increased the disease burden of COVID-19. In light of these exacerbating factors, public health surveillance is particularly necessary to help leaders understand and implement effective disease control policies to reduce SARS-CoV-2 persistence and transmission. </sec> <sec> <title>OBJECTIVE</title> The goal of this study is to provide advanced surveillance metrics, in combination with traditional surveillance, for COVID-19 transmission that account for weekly shifts in the pandemic speed, acceleration, jerk, and persistence to better understand a country’s risk for explosive growth and to better inform those who are managing the pandemic. Existing surveillance coupled with our dynamic metrics of transmission will inform health policy to control the COVID-19 pandemic until an effective vaccine is developed. </sec> <sec> <title>METHODS</title> Using a longitudinal trend analysis study design, we extracted 30 days of COVID-19 data from public health registries. We used an empirical difference equation to measure the daily number of cases in MENA as a function of the prior number of cases, the level of testing, and weekly shift variables based on a dynamic panel data model that was estimated using the generalized method of moments approach by implementing the Arellano-Bond estimator in R. </sec> <sec> <title>RESULTS</title> The regression Wald statistic was significant (χ<sup>2</sup><sub>5</sub>=859.5, <i>P</i><.001). The Sargan test was not significant, failing to reject the validity of overidentifying restrictions (χ<sup>2</sup><sub>294</sub>=16, <i>P</i>=.99). Countries with the highest cumulative caseload of the novel coronavirus include Iran, Iraq, Saudi Arabia, and Israel with 530,380, 426,634, 342,202, and 303,109 cases, respectively. Many of the smaller countries in MENA have higher infection rates than those countries with the highest caseloads. Oman has 33.3 new infections per 100,000 population while Bahrain has 12.1, Libya has 14, and Lebanon has 14.6 per 100,000 people. In order of largest to smallest number of cumulative deaths since January 2020, Iran, Iraq, Egypt, and Saudi Arabia have 30,375, 10,254, 6120, and 5185, respectively. Israel, Bahrain, Lebanon, and Oman had the highest rates of COVID-19 persistence, which is the number of new infections statistically related to new infections in the prior week. Bahrain had positive speed, acceleration, and jerk, signaling the potential for explosive growth. </sec> <sec> <title>CONCLUSIONS</title> Static and dynamic public health surveillance metrics provide a more complete picture of pandemic progression across countries in MENA. Static measures capture data at a given point in time such as infection rates and death rates. By including speed, acceleration, jerk, and 7-day persistence, public health officials may design policies with an eye to the future. Iran, Iraq, Saudi Arabia, and Israel all demonstrated the highest rate of infections, acceleration, jerk, and 7-day persistence, prompting public health leaders to increase prevention efforts. </sec>
|
[] |
|
https://openalex.org/W3109182941
|
Child Injuries in Lebanon: Assessing Mothers Injury Prevention Knowledge Attitude and Practices – 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"
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"display_name": "Samar Al-Hajj",
"id": "https://openalex.org/A5022930211"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
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"type": "education"
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],
"display_name": "Rawan El Haj",
"id": "https://openalex.org/A5078956541"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Monique Chaaya",
"id": "https://openalex.org/A5007413550"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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],
"display_name": "Rana Sharara Chami",
"id": "https://openalex.org/A5050359269"
},
{
"affiliations": [
{
"country": "United States",
"display_name": "Johns Hopkins University",
"id": "https://openalex.org/I145311948",
"lat": 39.29038,
"long": -76.61219,
"type": "education"
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],
"display_name": "Amber Mehmood",
"id": "https://openalex.org/A5053828311"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Injury prevention",
"id": "https://openalex.org/C190385971"
},
{
"display_name": "Occupational safety and health",
"id": "https://openalex.org/C187155963"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Odds ratio",
"id": "https://openalex.org/C156957248"
},
{
"display_name": "Poison control",
"id": "https://openalex.org/C3017944768"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Preparedness",
"id": "https://openalex.org/C2777042776"
},
{
"display_name": "Socioeconomic status",
"id": "https://openalex.org/C147077947"
},
{
"display_name": "Suicide prevention",
"id": "https://openalex.org/C526869908"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"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"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W3109182941
|
Abstract Background: Childhood injury is a neglected public health problem. This study aims to describe the patterns of childhood injury and to determine mothers' Knowledge, Attitude, and Practices (KAP) towards childhood injury prevention in Lebanon. Methods This cross-sectional study recruited working and non-working mothers of children aged 0-10 years from multiple sites (i.e. medical center, private clinic, healthcare facility, refugee camp) to cover all socioeconomic backgrounds. A self-administrated questionnaire collected data on mothers' KAP toward childhood injuries. We analyzed the data and performed a summation score calculation for KAP correct answers. Results A total of 264 mothers were surveyed and injury data were collected on their 464 children. The prevalence of childhood injury was 20% in the past 12 months, mostly sustained by males (53.8%) aged 5-10 years (38.7%). The most common injury type was fall (48.4%), followed by burns (7.5%) and sports injuries (7.5%). Hospitalized injured children were more likely to be males and older than 5 years. More than one-third of the mothers demonstrated poor knowledge, while the majority showed poor practice (54.4%) and a fair attitude (45.6%) towards child injury prevention. Children of working mothers have 3 times higher odds of sustaining injuries (OR:2.95, 95% CI: 1.60;5.47) compared to those of non-working mothers. Conclusion Childhood injury is a major health problem that overburdens the young population, yet mothers lack preventive knowledge and adequate preparedness. Educational programs are recommended for mothers and caregivers. Further studies are needed to understand the cultural context and identify effective strategies for preventing childhood injuries.
|
[
{
"display_name": "Research Square (Research Square)",
"id": "https://openalex.org/S4306402450",
"type": "repository"
}
] |
|
https://openalex.org/W2418199110
|
Relationship of wives' preventive health orientation to their beliefs about heart disease in husbands.
|
[
{
"affiliations": [],
"display_name": "Aho Wr",
"id": "https://openalex.org/A5056653509"
}
] |
[
{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
},
{
"display_name": "Heart disease",
"id": "https://openalex.org/C2780074459"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Orientation (vector space)",
"id": "https://openalex.org/C16345878"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Health belief model",
"id": "https://openalex.org/C1602351"
},
{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
},
{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Health education",
"id": "https://openalex.org/C113807197"
},
{
"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": "Geometry",
"id": "https://openalex.org/C2524010"
},
{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W2116573651"
] |
https://api.openalex.org/works?filter=cites:W2418199110
|
Selected by area probability sampling, 199 wives residing in the city and county of Lebanon, Pennsylvania, were interviewed about their attitudes, opinions, beliefs, and behavior in respect to the role that wives can play in helping to prevent heart disease in husbands. After the "Don't know" respondents were eliminated, the remaining respondents were categorized into a continuum of low, medium, and high levels of preventive health orientation, according to how much of a role they believed wives could play in the prevention of heart disease in husbands. The orientations were then cross-tabulated with several variables in a health belief model (initially formulated by G. M. Hochbaum and associates and discussed in a monograph edited by M. H. Becker) and also with several sociodemographic variables. A substantial majority of the 187 wives expressed beliefs that wives could play some or very much of a role in preventing heart disease in husbands, that treatment for heart disease was effective, and that the disease was preventable. The majority indicated that they had not worried about their husbands getting heart disease. Magazines and television had been their main sources of information about the condition. Emphasis was placed on the wives who ranked low on the preventive health orientation continuum, since it is people like these who are of most concern to health educators and health care providers. Compared with the medium-ranked and high-ranked respondents, fewer of the low-ranked group (a) had ever suggested any health-related behavior to their husbands, (b) felt that their husbands were very susceptible to heart disease, or (c) believed that treatment was very effective. The majority of wives in the low group nevertheless considered heart disease to be a serious condition that would reduce a person's chances of living a normal life. With chi-square as a measure of statistical significance and Cramer's V as a measure of the strength of relationships, statistically significant support was found for the relationships between the wives' preventive health orientation and their perceptions of (a) the seriousness of heart disease, (b) their husband's susceptibility to it, (c) the effectiveness of treatment, and (d) the disease's preventability (all variables in the health belief model), as well as between the orientation and place of residence, years of education, and both the respondent's and husband's age. The relationships, however, were not very strong.
|
[
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4313584539
|
Health expenditure, life expectancy, fertility rate, CO2 emissions and economic growth Do public, private and external health expenditure matter
|
[
{
"affiliations": [],
"display_name": "Mahmoud sabra",
"id": "https://openalex.org/A5076298683"
}
] |
[
{
"display_name": "Life expectancy",
"id": "https://openalex.org/C133925201"
},
{
"display_name": "Nexus (standard)",
"id": "https://openalex.org/C148609458"
},
{
"display_name": "Total fertility rate",
"id": "https://openalex.org/C47122089"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Public expenditure",
"id": "https://openalex.org/C2777234743"
},
{
"display_name": "Fertility",
"id": "https://openalex.org/C518429986"
},
{
"display_name": "Population health",
"id": "https://openalex.org/C2778149918"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Demographic economics",
"id": "https://openalex.org/C4249254"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Public finance",
"id": "https://openalex.org/C178283979"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Family planning",
"id": "https://openalex.org/C2779076696"
},
{
"display_name": "Macroeconomics",
"id": "https://openalex.org/C139719470"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
},
{
"display_name": "Research methodology",
"id": "https://openalex.org/C2986817661"
},
{
"display_name": "Embedded system",
"id": "https://openalex.org/C149635348"
}
] |
[
"Lebanon",
"Algeria",
"Tunisia",
"Jordan",
"Egypt",
"Morocco"
] |
[] |
https://api.openalex.org/works?filter=cites:W4313584539
|
This article aims to detect empirically, the nexus dynamic interrelationships between health expenditure, totally and disaggregated, economic growth, fertility rate, life expectancy and CO2 emissions in six middle-income MENA countries, namely, (Algeria, Egypt, Jordan, Lebanon, Morocco, and Tunisia), during 2000 to 2019. We employ an advanced econometric technique, Dynamic Panel Data system analysis, which allows estimating time rarely variant variables. Article results show a significant and robust positive association between health expenditure and economic growth, in one hand, and negative associations between economic growth and all which of, fertility rate, life expectancy and CO2 emissions, on the other hand. Moreover, a negative nexus between fertility rate and life expectancy has been detected. Public, private and external health expenditure affect economic growth positively and significantly, meanwhile affect fertility rate negatively, except health public expenditure, which seems to encourage fertility rate. This indicates that disaggregated health expenditure matters for examination. Furthermore, negative impact of CO2 emissions on growth and life expectancy can crowd out health expenditure positive impacts on both growth and life expectancy. A series of recommendations have been introduced such as increasing health share in public spending, and for more effective government health expenditure and control pollution and CO2 emissions. Furthermore, health spending, policies and system has to function as well to mitigate impacts of high fertility, in marginalized, rural and fungible population and areas. This article shines a light on the notable issues in the area, whereas high fertility rate, limited government health expenditure, high employment and low awareness for pollution and environment degradation.
|
[
{
"display_name": "International Journal of Economic Sciences",
"id": "https://openalex.org/S4210219127",
"type": "journal"
}
] |
|
https://openalex.org/W2915727993
|
The Association between Diet and Symptoms of Allergic Diseases in Children Aged from 8 to 12 in Public Schools in Beirut and Mount Lebanon
|
[
{
"affiliations": [],
"display_name": "Lahoud Odette",
"id": "https://openalex.org/A5063913752"
},
{
"affiliations": [],
"display_name": "Salameh Pascale",
"id": "https://openalex.org/A5049659464"
},
{
"affiliations": [],
"display_name": "Raherison Chantal",
"id": "https://openalex.org/A5056163803"
},
{
"affiliations": [],
"display_name": "Boutros Celina",
"id": "https://openalex.org/A5013138770"
},
{
"affiliations": [],
"display_name": "Khafaja Sarah",
"id": "https://openalex.org/A5067415229"
},
{
"affiliations": [],
"display_name": "Danielle Saadeh",
"id": "https://openalex.org/A5057525759"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Mount",
"id": "https://openalex.org/C2778091609"
},
{
"display_name": "Association (psychology)",
"id": "https://openalex.org/C142853389"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Omics",
"id": "https://openalex.org/C157585117"
},
{
"display_name": "Alternative medicine",
"id": "https://openalex.org/C204787440"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Traditional medicine",
"id": "https://openalex.org/C556039675"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Bioinformatics",
"id": "https://openalex.org/C60644358"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
},
{
"display_name": "Psychotherapist",
"id": "https://openalex.org/C542102704"
},
{
"display_name": "Operating system",
"id": "https://openalex.org/C111919701"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2915727993
|
Background: The prevalence of allergic diseases including asthma, rhinoconjunctivitis and eczema, has increased in the Western world in recent decades, particularly in children, becoming a major public health problem in the whole world. Therefore, the objective of this 12 months study is to evaluate the relationship between eating habits and the symptoms of allergic diseases in children.
Methods: This cross-sectional epidemiological observational study was conducted among children (n=3104) in various public schools in Beirut and Mount Lebanon. A self-administered questionnaire, based on the “International Study of Asthma and Allergies in Childhood (ISAAC) and a Food Frequency Questionnaire (FFQ)” was used to evaluate the children's eating habits. The study took place between February and April 2016. The data collected were coded, entered and then analyzed using the Statistical Package for Social Sciences (SPSS).
Results: The prevalence of symptoms of asthma, rhino conjunctivitis, and eczema during the past 12 months reported 7.8%, 11.4% and 4.1%, respectively. The onset of allergic diseases symptoms, especially asthma, seems to be reduced by the consumption of certain food products, such as raw and cooked vegetables, grains, fish, dairy products, and fresh fruit juices. On the other hand, “salt” was associated with an increased risk for all studied allergic diseases. Bivariate and multivariate analyses were performed to identify the relationship between a certain diet and the symptoms of allergic diseases during 12 months.
Conclusion: This study explicates the association between eating habits and allergic diseases. Indeed, some foods belonging to the Western diet can be considered as risk factors, while others belonging to the Mediterranean diet proved to be protective. This leaves the door open to further studies from a different perspective.
|
[
{
"display_name": "Pediatrics & Therapeutics",
"id": "https://openalex.org/S2764526152",
"type": "journal"
}
] |
|
https://openalex.org/W2801791001
|
MP21: Global emergency medicine fellowship: establishing a global EM training program at Queen’s University
|
[
{
"affiliations": [
{
"country": "Canada",
"display_name": "Queen's University",
"id": "https://openalex.org/I204722609",
"lat": 44.225502,
"long": -76.49516,
"type": "education"
}
],
"display_name": "Amanda Collier",
"id": "https://openalex.org/A5013101342"
},
{
"affiliations": [
{
"country": "Canada",
"display_name": "Queen's University",
"id": "https://openalex.org/I204722609",
"lat": 44.225502,
"long": -76.49516,
"type": "education"
}
],
"display_name": "Susan A. Bartels",
"id": "https://openalex.org/A5069446952"
},
{
"affiliations": [
{
"country": "Canada",
"display_name": "Queen's University",
"id": "https://openalex.org/I204722609",
"lat": 44.225502,
"long": -76.49516,
"type": "education"
}
],
"display_name": "David Messenger",
"id": "https://openalex.org/A5056150390"
}
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[
{
"display_name": "Coursework",
"id": "https://openalex.org/C2781110425"
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{
"display_name": "Curriculum",
"id": "https://openalex.org/C47177190"
},
{
"display_name": "Global health",
"id": "https://openalex.org/C46578552"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Mentorship",
"id": "https://openalex.org/C2776535583"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
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{
"display_name": "Disaster medicine",
"id": "https://openalex.org/C2779272995"
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{
"display_name": "Work (physics)",
"id": "https://openalex.org/C18762648"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Emergency medicine",
"id": "https://openalex.org/C194828623"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Poison control",
"id": "https://openalex.org/C3017944768"
},
{
"display_name": "Suicide prevention",
"id": "https://openalex.org/C526869908"
},
{
"display_name": "Mechanical engineering",
"id": "https://openalex.org/C78519656"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Engineering",
"id": "https://openalex.org/C127413603"
}
] |
[
"Lebanon",
"Syria"
] |
[] |
https://api.openalex.org/works?filter=cites:W2801791001
|
Introduction: Global Emergency Medicine (Global EM) is growing rapidly as an academic niche in Canada. An increasing number of Canadian emergency physicians work internationally as part of their practice, and trainees consistently seek out international projects and electives. For the most part however, residents have had to create their own training opportunities as formal Global EM fellowship training has been lacking in Canada. To address this identified need, Queens University established a Global EM fellowship, the first of its kind in the country. Methods: The fellowship is designed to provide the skills necessary for an academic career in Global Emergency Medicine. Curriculum and objectives are modeled on similar well-established fellowships in the United States. Areas of expertise include emergency medicine systems development, humanitarian medicine, disaster response, public health, tropical medicine, research, administration and education. Fellows have the opportunity to tailor their training according to their specific interests within these domains. Importantly, the fellowship provides direct mentorship from academic global EM and public health physicians, and networking opportunities within the global health sphere. Results: The two-year fellowship curriculum is divided between: 1) coursework to complete a Master of Public Health (MPH) Degree 2) fieldwork 3) relevant international emergency medicine training courses and 4) clinical work in the emergency departments at the Kingston Health Sciences Center. The Queens Global EM fellowship admitted its first fellow in August 2017. To date, the inaugural fellow has completed the MissionCraft Leadership in Disaster Relief course as well as a Humanitarian U Disaster and Response course, in addition to submitting a research grant as a co-principal investigator, starting coursework for an MPH degree and giving several invited lectures on humanitarian medicine. The fellow also travelled to Lebanon to support research in collaboration with aid organizations responding to the Syrian crisis. Upcoming fieldwork involves teaching at a newly established emergency medicine residency program in Haiti as well as a humanitarian crisis deployment. Conclusion: In response to a lack of formal international emergency medicine training opportunities in Canada, Queens University has established a Global Emergency Medicine fellowship. The fellowship aims to provide protected time, access to field opportunities and dedicated mentorship to develop the skills necessary to succeed as an academic Global EM physician. We believe it provides a unique opportunity to significantly expand fellows experiences in global health fieldwork, education and research while continuing to practice in a Canadian tertiary emergency department.
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[
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"display_name": "Canadian Journal of Emergency Medicine",
"id": "https://openalex.org/S99068972",
"type": "journal"
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https://openalex.org/W2141930279
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Handle With Care: Preventing Abusive Head Trauma
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"affiliations": [],
"display_name": "Anna Maria Valdez",
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[
"Lebanon"
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https://api.openalex.org/works?filter=cites:W2141930279
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Child abuse continues to be a serious public health concern that affects millions of children around the world. 1 Merrick MT Latzman NE Child maltreatment: a public health overview and prevention considerations. Online J Issues Nurs. 2014; 9 (Accessed February 8, 2015)https://doi.org/10.3912/OJIN.vol19No01Man02 Crossref Google Scholar There were nearly 4 million cases of child maltreatment reported during 2013 in the United States alone. 2 US Department of Health and Human Services Administration for Children and Families Administration on Children Youth and Families Children’s Bureau Child maltreatment. Government Printing Office, Washington, DC2013 Google Scholar Sadly, these alarming numbers do not tell the whole story. Sedlak et al. 3 Sedlak AJ, Mettenburg J, Basena M, et al. Fourth national incidence study of child abuse and neglect (NIS-4): report to Congress, executive summary. Washington, DC: US Department of Health and Human Services, Administration for Children and Families. http://www.acf.hhs.gov/sites/default/files/opre/nis4_report_exec_summ_pdf_jan2010.pdf. Accessed January 11, 2015. Google Scholar estimated that child abuse is significantly under-reported, with only one third of children who experience abuse being identified and referred to child protective services for intervention. Debra Samaha, Member, New Hampshire Chapter, is Program Director, Injury Prevention Center, Children's Hospital at Dartmouth-Hitchcock, Lebanon, NH. Susan Barnard, Member, New Hampshire Chapter, is Trauma/Stroke Program Coordinator, St Joseph Hospital, Nashua, NH. Anna Maria Valdez, Member, San Francisco Chapter, is Faculty, School of Nursing, Walden University, Minneapolis, MN.
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[
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"display_name": "Journal of Emergency Nursing",
"id": "https://openalex.org/S88041965",
"type": "journal"
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"id": "https://openalex.org/S4306525036",
"type": "repository"
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https://openalex.org/W2301738609
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Distribution and predictors of emergency department charges: the case of a tertiary hospital in Lebanon
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Lebanese American University",
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"display_name": "Hani Dimassi",
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"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
"long": 35.485886,
"type": "healthcare"
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],
"display_name": "Eveline Hitti",
"id": "https://openalex.org/A5045284689"
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"id": "https://openalex.org/C137992405"
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{
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{
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"id": "https://openalex.org/C160735492"
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{
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Health facility",
"id": "https://openalex.org/C2775949068"
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{
"display_name": "Health economics",
"id": "https://openalex.org/C524218345"
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{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
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{
"display_name": "Emergency medicine",
"id": "https://openalex.org/C194828623"
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{
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"id": "https://openalex.org/C545542383"
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"id": "https://openalex.org/C2986740045"
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"id": "https://openalex.org/C159110408"
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"id": "https://openalex.org/C99454951"
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"id": "https://openalex.org/C162324750"
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{
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"id": "https://openalex.org/C50522688"
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[
"Lebanon"
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"https://openalex.org/W2166332563",
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https://api.openalex.org/works?filter=cites:W2301738609
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As health care costs continue to increase worldwide, health care systems, and more specifically hospitals are facing continuous pressure to operate more efficiently. One service within the hospital sector whose cost structure has been modestly investigated is the Emergency Department (ED). The study aims to report on the distribution of ED resource use, as expressed in charges, and to determine predictors of/contributors to total ED charges at a major tertiary hospital in Lebanon. The study used data extracted from the ED discharge database for visits between July 31, 2012 and July 31, 2014. Patient visit bills were reported under six major categories: solutions, pharmacy, laboratory, physicians, facility, and radiology. Characteristics of ED visits were summarized according to patient gender, age, acuity score, and disposition. Univariate and multivariate analyses were conducted with total charges as the dependent variable. Findings revealed that the professional fee (40.9 %) followed by facility fee (26.1 %) accounted for the majority of the ED charges. While greater than 80 % of visit charges went to physician and facility fee for low acuity cases, these contributed to only 52 and 54 % of the high acuity presentations where ancillary services and solutions’ contribution to the total charges increased. The total charges for males were $14 higher than females; age was a predictor of higher charges with total charges of patients greater than 60 years of age being around $113 higher than ages 0–18 after controlling for all other variables. Understanding the components and determinants of ED charges is essential to developing cost-containment interventions. Institutional modeling of charging patterns can be used to offer price estimates to ED patients who request this information and ultimately help create market competition to drive down costs.
|
[
{
"display_name": "BMC Health Services Research",
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"type": "journal"
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https://openalex.org/W4308342351
|
Bibliometric and Visualization Analysis of the Ecology of Men’s Sexual and Reproductive Healthcare Research in MENA (1985–2022): Outputs, Trends, Shortcomings and Hotspots
|
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"display_name": "Haitham Elbardisi",
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"display_name": "Ain Shams University",
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"id": "https://openalex.org/I60342839",
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"display_name": "Khalid Al-Rumaihi",
"id": "https://openalex.org/A5007546937"
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"id": "https://openalex.org/C3651065"
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"id": "https://openalex.org/C138816342"
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"display_name": "Reproductive health",
"id": "https://openalex.org/C121752807"
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"id": "https://openalex.org/C149923435"
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"id": "https://openalex.org/C50522688"
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"id": "https://openalex.org/C161191863"
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"id": "https://openalex.org/C205649164"
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"id": "https://openalex.org/C99454951"
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"id": "https://openalex.org/C2908647359"
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"id": "https://openalex.org/C144024400"
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"id": "https://openalex.org/C159110408"
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"id": "https://openalex.org/C41008148"
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"id": "https://openalex.org/C162324750"
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"Lebanon",
"Saudi Arabia",
"Jordan",
"Egypt"
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https://api.openalex.org/works?filter=cites:W4308342351
|
Background To date, no previous research assessed the bibliometrics of men’s sexual and reproductive healthcare (SRHC) across Arab countries. This study appraised the current standing of men’s SRHC research in the MENA (Middle East and North Africa) region.Methods We performed a bibliometric analysis to assess qualitatively and quantitatively the peer-reviewed articles published from Arab countries from inception to 2022. In addition, we conducted a visualization analysis, and assessed outputs, trends, shortcomings and hotspots over the given time period.Results There was a generally low numbers of publications, 98 studies were identified, all with cross-sectional design, and two thirds explored prevention and control of HIV/other STDs. Studies were published in 71 journals, of which the Eastern Mediterranean Health Journal, Journal of Egyptian Public Health Association, AIDS Care and BMC public health were most common. The Journal of Adolescent Health, Fertility Sterility and Journal of Cancer Survivorship were among the highest IF ranking. Publishers were commonly USA or UK-based, median journal IF was 2.09, and five articles were in journals of IF > 4. Saudi Arabia had the highest published output followed by Egypt, Jordan and Lebanon, while 10 Arab countries had no publications on the topic. Corresponding authors expertise fields were most commonly public health, infectious diseases and family medicine). Collaborations in-between MENA countries were notably low.Conclusions There is general paucity of published outputs on SRHC. More research across MENA is needed, with more inter-MENA collaborations, and with inclusion of countries that currently have no outputs on SRHC. In order to accomplish such goals, R&D funding and capacity building are required. Research and published outputs should address SRHC burdens.
|
[
{
"display_name": "Arab journal of urology",
"id": "https://openalex.org/S2764822319",
"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/W4239462489
|
HIV and injecting drug use: a global call for action
|
[
{
"affiliations": [],
"display_name": "The Lancet",
"id": "https://openalex.org/A5085953656"
}
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[
{
"display_name": "Harm reduction",
"id": "https://openalex.org/C529928208"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Harm",
"id": "https://openalex.org/C2777363581"
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{
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"id": "https://openalex.org/C138147947"
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[] |
https://api.openalex.org/works?filter=cites:W4239462489
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When world leaders meet in New York at the UN High-Level Meeting on AIDS (June 8–10, 2011), they will review the past decade's progress and chart the future course of the global HIV response. There are some advances to celebrate, with global HIV incidence falling and access to treatment improving. But there are also unmitigated failures to be addressed moving forward. As a Lancet Series emphasised last year, people who inject drugs have been left behind in global efforts to scale up access to HIV prevention, treatment, care, and support. Their needs have been neglected, and their rights have been ignored, and, in many cases, horribly violated as governments have chosen to pursue punitive, disproportionate drug laws instead of evidence-based health strategies to address drug-related harm. The June meeting represents a unique opportunity to correct these injustices. A new document—the Beirut Declaration on HIV and Injecting Drug Use: A Global Call for Action—released at the 22nd International Harm Reduction Conference, Beirut, Lebanon (April 3–7, 2011), sets out how the international community has failed people who inject drugs and the actions now required by governments. Crucially, evidence-based programmes (needle and syringe exchange programmes, opioid substitution, and antiretroviral treatment) targeting the 16 million people who inject drugs worldwide need to be financed, implemented, and scaled up across all settings to prevent and treat HIV infection. Ineffective drug policies also need to end, funding for harm reduction needs to be vastly increased, and vulnerable groups who inject drugs (including women, young people, and people in prison) need access to integrated health and harm-reduction services. These actions should be explicitly included in the new global declaration on HIV/AIDS that will be drafted at the June meeting with measurable targets to hold governments accountable. Misplaced moral judgments have underpinned the neglect of people who inject drugs in the global HIV response. Yet it is wholly immoral to let people become infected with HIV or die when evidence-based interventions exist to prevent these outcomes. A bold and humane response is needed from governments at the June meeting and beyond. Millions of lives are at stake. Download .pdf (.24 MB) Help with pdf files Supplementary webappendix
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https://openalex.org/W3017097575
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Prevalence of hepatitis B and anti-hepatitis C virus antibody among people who inject drugs in the Lebanese population
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https://api.openalex.org/works?filter=cites:W3017097575
|
People who inject drugs (PWIDs) are prone to a number of blood-borne viral infections. Hepatitis B virus (HBV) and hepatitis C virus (HCV) constitute an important public health concern in this high risk group.We aimed to determine the prevalence of HBV and HCV antibody among PWIDs in Lebanon.We conducted a prospective cross-sectional study between June 2015 and June 2016 on PWIDs recruited through Lebanese nongovernmental organizations in collaboration with the Lebanese Ministry of Public Health. The participants were tested for HBs antigen and HCV antibody using rapid test kits. The prevalence of each virus was then calculated. The correlation between both infections and other possible risk factors was also analysed.A total of 250 people were included in our study, of whom 98% were males. Mean age was 31.9 (standard deviation 8.7) years. The prevalence of HBsAg and anti-HCV among PWIDs was 1.2% and 15.6%, respectively. Older age, longer duration of drug use and lack of awareness were significantly correlated with a higher rate of HCV infection (P < 0.01). The high rate of needle sharing among our PWIDs significantly affected the prevalence of anti-HCVAb.PWIDs remain the subpopulation most affected with chronic HCV in Lebanon.معدل انتشار فيروس التهاب الكبد B وفيروس التهاب الكبد C في صفوف الأفراد الذين يتعاطون المخدرات حقنا في الفئات السكانية في لبنان.أنطوان أبو راشد، ماري نخول، كارين ريكا، عفيف جريج، بيير أبي حنا، وليد عمار.إن الأشخاص الذين يتعاطون المخدرات حقنا معرضون للإصابة بعدد من العداوى الفيروسية المنقولة عن طريق الدم. ويشكل فيروس التهاب الكبد B وفيروس التهاب الكبد C مصدرا للقلق البالغ على مستوى الصحة العامة ضمن هذه الفئة المعرضة لخطر مرتفع.هدفنا إلى تحديد معدل انتشار فيروس التهاب الكبد B وفيروس التهاب الكبد C في صفوف الأشخاص الذين يتعاطون المخدرات حقنا في لبنان.أجرينا دراسة استباقية مقطعية بين يونيو/حزيران 2015 و يونيو/حزيران 2016 على الأشخاص الذين يتعاطون المخدرات حقنا، والذين حشدتهم المنظمات غير الحكومية اللبنانية بالتعاون مع وزارة الصحة العامة في لبنان. وخضع المشاركون في اختبار لمستضدات التهاب الكبد B وأضداد فيروس التهاب الكبد C باستخدام عتائد الاختبار السريع. ثم تم احتساب معدل انتشار كل فيروس على حدة. كما جرى تحليل العلاقة الارتباطية بين كلا النوعين من العدوى وعوامل خطر أخرى محتملة.ضمت الدراسة عددا إجماليا بلغ 250 شخصا، %98 منهم من الذكور. وكان متوسط العمر 31.9 سنة (بانحراف معياري 8.7). وبلغ معدل انتشار مستضدات التهاب الكبد B وأضداد فيروس التهاب الكبد C في صفوف الأشخاص الذين يتعاطون المخدرات حقنا %1.2 و %15.6 على التوالي. وظهر ارتباط قوي بين كل من تقدم العمر، واستطالة مدة تعاطي المخدرات، ونقص الوعي بارتفاع معدل الإصابة بعدوى فيروس التهاب الكبد C(0.01 > P). وأدى ارتفاع معدل التشارك في استخدام الإبر في صفوف الأشخاص الذين يتعاطون المخدرات حقنا في لبنان إلى التأثير بصورة يُعتدُّ بها على معدل انتشار أضداد فيروس التهاب الكبد C.يظل الأشخاص الذين يتعاطون المخدرات حقنا هم الفئة الفرعية من السكان الأشد تأثرا بالتهاب الكبد C المزمن في لبنان.Prévalence des virus de l’hépatite B et de l’hépatite C chez les consommateurs de drogues injectables dans la population libanaise.Les consommateurs de drogues injectables sont exposés à un certain nombre d’infections virales transmises par le sang. Les virus de l’hépatite B (HBV) et de l’hépatite C (HCV) constituent une préoccupation de santé publique majeure dans ce groupe à risque élevé.La présente étude avait pour objectif de déterminer la prévalence du HBV et du HCV chez les consommateurs de drogues injectables au Liban.Entre juin 2015 et juin 2016, nous avons mené une étude transversale prospective sur des consommateurs de drogues injectables recrutés par l’intermédiaire d’organisations non gouvernementales libanaises, en collaboration avec le ministère de la Santé publique libanais. Les participants ont été soumis à des tests de dépistage des antigènes de surface de l’hépatite B et des anticorps anti-HCV à l’aide de kits de dépistage rapide. La prévalence de chaque virus a ensuite été calculée. La corrélation entre les deux infections et d’autres facteurs de risque possibles a également été examinée.Au total, 250 personnes ont été incluses dans l’étude, dont 98 % d’hommes. L’âge moyen était de 31,9 ans (écart type 8,7). La prévalence des antigènes de surface du virus de l’hépatite B et des anticorps anti-HCV, parmi les consommateurs de drogues injectables, était respectivement de 1,2 % et de 15,6 %. On a observé une corrélation significative entre l’âge, une durée plus longue de consommation de drogue, le manque de sensibilisation et le taux plus élevé d’infection à HCV (p < 0,01). Le taux élevé de partage de seringues chez les consommateurs de drogues injectables avait une incidence significative sur la prévalence des anticorps anti-HCV.Les consommateurs de drogues injectables restent la sous-population la plus touchée par l’hépatite C chronique au Liban.
|
[
{
"display_name": "Eastern Mediterranean Health Journal",
"id": "https://openalex.org/S175879142",
"type": "journal"
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{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
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|
https://openalex.org/W2989818208
|
Women’s experiences with labor companionship in public facilities in Arab countries
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
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"display_name": "Tamar Kabakian‐Khasholian",
"id": "https://openalex.org/A5021517178"
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{
"affiliations": [
{
"country": "Syria",
"display_name": "Damascus University",
"id": "https://openalex.org/I875646752",
"lat": 33.5102,
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"type": "education"
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"display_name": "Hyam Bashour",
"id": "https://openalex.org/A5013205934"
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{
"affiliations": [
{
"country": "Egypt",
"display_name": "Mansoura University",
"id": "https://openalex.org/I159247623",
"lat": 31.03637,
"long": 31.38069,
"type": "education"
}
],
"display_name": "Amina El-Nemer",
"id": "https://openalex.org/A5067650327"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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"display_name": "Nadia Nameh",
"id": "https://openalex.org/A5069426727"
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"display_name": "Childbirth",
"id": "https://openalex.org/C2779703513"
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{
"display_name": "Thematic analysis",
"id": "https://openalex.org/C74196892"
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{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Interpersonal relationship",
"id": "https://openalex.org/C91034043"
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{
"display_name": "Qualitative research",
"id": "https://openalex.org/C190248442"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Feeling",
"id": "https://openalex.org/C122980154"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Interpersonal communication",
"id": "https://openalex.org/C164850336"
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{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Pregnancy",
"id": "https://openalex.org/C2779234561"
},
{
"display_name": "Social science",
"id": "https://openalex.org/C36289849"
},
{
"display_name": "Genetics",
"id": "https://openalex.org/C54355233"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
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[
"Lebanon",
"Syria",
"Egypt"
] |
[] |
https://api.openalex.org/works?filter=cites:W2989818208
|
Abstract Background Childbirth in the Arab region is characterized by over-medicalization and inequities in access to-and provision of care. Hospital practices do not provide choices for women and respond to the convenience of providers rather than women’s needs. Provision of maternity care is reflective of existing social inequities which is manifested through mistreatment and disrespect of women within the health care system. One such example lies in the restriction of birth companions in public facilities in Arab countries despite being practiced in private settings and the strong evidence supporting its implementation globally. Methods A phased mixed-methods implementation research study was undertaken in three public hospitals in Lebanon, Egypt and Syria with the aim of developing a tailored labor companionship model and evaluating its implementation. Data presented emanate from the qualitative component of the study. Semi-structured interviews were conducted with women giving birth (n = 59) and their labor companions (n = 57) in three facilities. Thematic analysis was used. Results Beyond the introduction of the model into the system, women reported improvements in dimensions of respectful maternity care. Changes made in shared labor rooms improved women’s privacy. The presence of labor companions improved communication between health care providers, women and their families. Women reported feeling “dignified” and “strong” in the presence of companions. There was a “feedback loop” from the facility to the community with word spreading about labor companionship “just like in private hospitals”. Conclusions The labor companionship model improved equitable access to dignified and respectful maternity care through better rapport between women and health care providers, preservation of women’s privacy and having access to birth companion of choice. The provision of evidence-based care has potential implications on women’s experiences with the health care system. Key messages This labor companionship model ensured positive experiences for women giving birth in public facilities in Arab countries. Women perceived the model as type of care that reduces differential treatment based on social status and enhances respectful maternity care.
|
[
{
"display_name": "European journal of public health",
"id": "https://openalex.org/S4210220588",
"type": "journal"
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https://openalex.org/W3158163398
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Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Diana Rayes",
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"affiliations": [
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"country": "Lebanon",
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"country": "Netherlands",
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"display_name": "Lana Meiqari",
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"country": "Lebanon",
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"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Samer Jabbour",
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"affiliations": [
{
"country": "Australia",
"display_name": "Deakin University",
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"display_name": "Marian Abouzeid",
"id": "https://openalex.org/A5033187055"
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[
"Lebanon",
"Sudan",
"Iraq"
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War and armed conflicts severely disrupt all health system components, including the healthcare workforce. Although data is limited on the scale of health care worker (HCW) displacement in conflict zones, it is widely acknowledged that conflict conditions result in the displacement of a significant portion of qualified HCWs from their country of origin. While voluntary HCW return is integral to health system rebuilding in conflict-affected and post-conflict settings, there has been little exploration of the nature of national or international policies which encourage HCW return and reintegration to their home countries in the post-conflict period.We conducted a systematic review to identify policies and policy recommendations intended to facilitate the return of displaced HCWs to their home countries and acknowledge their contribution to rebuilding the post-conflict health system. We searched three bibliographic databases and a range of organisational and national health agency websites to identify peer-reviewed articles and grey literature published in English or Arabic between 1 January 1990 to 24 January 2021, and extracted relevant information. We classified policies and policy recommendations using an adapted version of the UNHCR 4Rs Framework.We identified nine peer-review articles and four grey literature reports that fit our inclusion criteria, all of which were published in English. These covered issues of repatriation (n = 3), reintegration (n = 2), health system rehabilitation and reconstruction (n = 2); six documents covered several of these themes. Information was available for nine conflict contexts: Afghanistan, Iraq, Kosovo, Lebanon, Namibia, Northern Uganda, South Sudan, Timor Leste, and Zimbabwe. Findings demonstrate that health system rebuilding and rehabilitation serve as precursors and reinforcers of the successful return, repatriation, and reintegration of displaced HCWs.Despite the significant numbers of HCWs displaced by conflict, this study identified few specific policies and limited information explicitly focused on the repatriation and reintegration of such workers to their home country in the post-conflict period. Additional research is needed to understand the particular barriers faced by conflict-displaced HCWs in returning to their home country. Conflict-affected and post-conflict states should develop policies and initiatives that address factors within and beyond the health sector to encourage displaced HCW return and provide sustainable reintegration solutions for those who return to post-conflict health systems.
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https://openalex.org/W2754865879
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Lebanon's experience in surveillance of communicable diseases during a mass gathering: Sixth Francophone Games, 2009
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In 2009, Lebanon hosted the 6th Francophone Games. Pandemic A(H1N1)2009 virus presented significant health threat at the time. A surveillance strategy was implemented for the timely detection and management of epidemiological events and outbreaks, in particular for A(H1N1)2009 virus cases. Data were collected and managed daily and feedback was generated through daily bulletins. A total of 299 medical consultations were reported, 29% of which related to infectious diseases. There were 10 cases reported as acute respiratory infections; all tested negative for A(H1N1)2009 virus within 24 hours. Twenty-three cases of gastroenteritis were reported, for which 11 stool cultures were negative. While pandemic A(H1N1)2009 did not interfere with the Games, it was essential to strengthen surveillance and to have timely epidemiological information. This was achieved through preparedness, a multi-disciplinary approach, timely management and coordination.الخرات المكتسبة في لبنان في ترصُّد الأمراض السارية خال إحدى التجمعات الحاشدة: الدورة السادسة للألعاب الفرنكوفونية، 2009.نادين حداد، وليد عمّر، الفريد خوري، أليكس كوكس، ندى غصن.في عام 2009 ، استضاف لبنان الدورة السادسة للألعاب الفرنكوفونية. وفي ذلك الوقت كان فروس 2009 (H1N1) A الوبائي العالمي يمثل تهديداً صحياً كبراً. وقد نُفِّذَت اسراتيجية للترصُّد للكشف عن الأحداث والأوبئة في الوقت المناسب وعلاجها، لا سيّما بالنسبة للحالات الناجمة عن فروس A(H1N1) 2009. وكانت البيانات تُْمَع وتُدار يومياً، ويتم الإعان عن المعلومات الارتجاعية من خال نرات يومية. وقد أُبْلِغ عن 299 استشارة طبية، وكان 29 ٪ منها تتعلق بالأمراض السارية. وكان هناك 10 حالات أُبْلِغ عنها عى أنها التهابات حادة في الجهاز التنفي، وكانت جميع الاختبارات سلبية لفروس 2009(H1N1) A في غضون 24 ساعة. كا أُبْلِغ عن 23 حالة التهاب معوي، وكانت نتائج زرع الراز سلبية في 11 حالة منها. وفي حن أن فروس (H1N1) 2009 A الوبائي العالمي يتدخل في الألعاب الفرنكوفونية، كان من الروري تعزيز الترصُّد والحصول عى المعلومات الوبائية في الوقت المناسب. وقد تحقق ذلك من خال الاستعداد، واتّباع نَْج متعدد التخصصات، والتدبر العلاجي في الوقت المناسب والتنسيق.Expérience du Liban en matière de surveillance des maladies transmissibles lors d’un rassemblement de masse : sixième édition des Jeux de la Francophonie, 2009.En 2009, le Liban a accueilli la sixième édition des Jeux de la Francophonie. Le virus pandémique A(H1N1) 2009 représentait une menace sanitaire majeure à l’époque. Une stratégie de surveillance a été mise en place en vue d’une détection et d’une prise en charge rapides des événements épidémiologiques et des flambées, notamment de cas de virus A(H1N1)2009. Les données ont été collectées et gérées sur une base journalière, et une rétroinformation était générée au moyen de bulletins quotidiens. Un total de 299 consultations médicales a été rapporté, dont 29 % en rapport avec des maladies infectieuses. Dix cas d’infections respiratoires aiguës ont été notifiés. Tous se sont révélés négatifs au test de recherche du virus A(H1N1) 2009 réalisé sous 24h. Vingt-trois cas de gastroentérite ont été signalés, pour lesquels 11 coprocultures se sont révélées négatives. Si la pandémie A(H1N1) 2009 n’a pas impacté les Jeux, il était essentiel de renforcer la surveillance et de mettre en place un système d’information épidémiologique rapide. Ces objectifs ont été atteints au moyen d’une préparation, d’une approche multidisciplinaire, ainsi que d’une prise en charge et d’une coordination rapides.
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https://openalex.org/W1963959534
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Changes in smoke‐free home status in an immigrant Lebanese community in Sydney, Australia
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Australian and New Zealand Journal of Public HealthVolume 26, Issue 1 p. 78-79 Free to Read Changes in smoke-free home status in an immigrant Lebanese community in Sydney, Australia Li Ming Wen, Li Ming Wen Health Promotion Unit, Central Sydney Area Health Service, New South WalesSearch for more papers by this authorMyna Hua, Myna Hua Health Promotion Unit, Central Sydney Area Health Service, New South WalesSearch for more papers by this authorChris Rissel, Corresponding Author Chris Rissel Health Promotion Unit, Central Sydney Area Health Service, New South Wales Central Sydney Health Promotion Unit, L4 Queen Mary Building, Grose Street, Camperdown NSW 2050. Fax: (02) 9515 3351; e-mail: [email protected] for more papers by this author Li Ming Wen, Li Ming Wen Health Promotion Unit, Central Sydney Area Health Service, New South WalesSearch for more papers by this authorMyna Hua, Myna Hua Health Promotion Unit, Central Sydney Area Health Service, New South WalesSearch for more papers by this authorChris Rissel, Corresponding Author Chris Rissel Health Promotion Unit, Central Sydney Area Health Service, New South Wales Central Sydney Health Promotion Unit, L4 Queen Mary Building, Grose Street, Camperdown NSW 2050. Fax: (02) 9515 3351; e-mail: [email protected] for more papers by this author First published: 25 September 2007 https://doi.org/10.1111/j.1467-842X.2002.tb00275.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume26, Issue1February 2002Pages 78-79 RelatedInformation
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https://openalex.org/W4379056209
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Evidence synthesis to policy: development and implementation of an impact-oriented approach from the Eastern Mediterranean Region
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Despite the importance of evidence syntheses in informing policymaking, their production and use remain limited in the Eastern Mediterranean region (EMR). There is a lack of empirical research on approaches to promote and use policy-relevant evidence syntheses to inform policymaking processes in the EMR.This study sought to describe the development of an impact-oriented approach to link evidence synthesis to policy, and its implementation through selected case studies in Lebanon, a middle-income country in the EMR.This study followed a multifaceted and iterative process that included (i) a review of the literature, (ii) input from international experts in evidence synthesis and evidence-informed health policymaking, and (iii) application in a real-world setting (implementation). We describe four selected case studies of implementation. Surveys were used to assess policy briefs, deliberative dialogues, and post-dialogue activities. Additionally, Kingdon's stream theory was adopted to further explain how and why the selected policy issues rose to the decision agenda.The approach incorporates three interrelated phases: (1) priority setting, (2) evidence synthesis, and (3) uptake. Policy-relevant priorities are generated through formal priority setting exercises, direct requests by policymakers and stakeholders, or a focusing event. Identified priorities are translated into focused questions that can be addressed via evidence synthesis (phase 1). Next, a scoping of the literature is conducted to identify existing evidence syntheses addressing the question of interest. Unless the team identifies relevant, up-to-date and high-quality evidence syntheses, it proceeds to conducting SRs addressing the priority questions of interest (phase 2). Next, the team prepares knowledge translation products (e.g., policy briefs) for undertaking knowledge uptake activities, followed by monitoring and evaluation (phase 3). There are two prerequisites to the application of the approach: enhancing contextual awareness and capacity strengthening. The four case studies illustrate how evidence produced from the suites of activities was used to inform health policies and practices.To our knowledge, this is the first study to describe both the development and implementation of an approach to link evidence synthesis to policy in the EMR. We believe the approach will be useful for researchers, knowledge translation platforms, governments, and funders seeking to promote evidence-informed policymaking and practice.
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https://openalex.org/W3008442254
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The voices of children in the global health debate
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In the face of imminent threats arising from climate change, commercial marketing of harmful products, and pervasive inequities, the new WHO–UNICEF–Lancet Commission1Clark H Coll-Seck AM Banerjee A et al.A future for the world's children? A WHO–UNICEF–Lancet Commission.Lancet. 2020; (published online Feb 18.)https://doi.org/10.1016/S0140-6736(19)32540-1Summary Full Text Full Text PDF Scopus (234) Google Scholar makes a compelling ethical and economic case for investing in the world's children. The Commission advocates for children to be at the centre of the Sustainable Development Goals (SDGs) and for the protection of their health and rights. This agenda is essential and urgent to avoid mistakes that could cost a generation the chance to grow up safely, happily, and with abundant resources. Crucially, the Commission recognises children and adolescents as active agents with rights to freedom of expression, dignity, and citizenship: decision makers in their own lives and in society at large. Integrating young people into decision making contributes to a more cohesive and egalitarian society, catalysing our ability to create a sustainable and healthy future. As young adults who grew up in low-income and middle-income countries and members of the group of Young Leaders for the 2018 Lancet Commission on Global Mental Health and Sustainable Development,2Patel V Saxena S Lund C et al.The Lancet Commission on global mental health and sustainable development.Lancet. 2018; 392: 1553-1598Summary Full Text Full Text PDF PubMed Scopus (648) Google Scholar this vision strikes the right chord. We have seen, and sometimes experienced first-hand, the challenges of children and adolescents growing up in some of the poorest parts of the world. To different extents, we have faced challenges to our health and wellbeing, which impaired our ability to function in the world. We have risen. And everywhere we look, other young people are rising. From Nobel Peace Prize winner Malala Yousafzai to climate activist Vanessa Nakate, from educational rights activist Thandiwe Chama to mental health campaigner Victor Ugo, young people are expressing their powerful voice for their future, their society, and their planet. But young people's expression of agency requires more than a motivation for civic duty. A commitment to participatory leadership must be made by those who hold substantial influence. The WHO–UNICEF–Lancet Commission identifies several adult-made barriers to engagement, including discrimination against young people, a lack of trust in their views, and reluctance from overburdened authorities to take on additional tasks. We stand with the Commission in advocating for investments to address social norms that ignore children's voices and to create policies that promote the full and effective participation of young people. As proposed by the Commission, children and adolescents can support monitoring and social accountability of SDGs, mobilise governments to adopt new health and sustainability policies, and help design and lead programmes and interventions. Because our problems are vast, complex, and interconnected, effective participation in tackling these problems requires innovation. U-Report, a social platform created by UNICEF, and other digital tools galvanise young people's engagement at an unprecedented scale. New qualitative methods, such as photovoice for participatory photography,3Wang C Burris MA Photovoice: concept, methodology, and use for participatory needs assessment.Health Educ Behav. 1997; 24: 369-387Crossref PubMed Scopus (2257) Google Scholar provide a window for navigating local complexities. Researchers, policy makers, and international and local organisations must work closely with young people to develop such tools and understand their own aspirations for engagement. For instance, in partnership with UNICEF, our group of Young Leaders for the Lancet Commission on Global Mental Health and Sustainable Development is using U-Report to identify how and where young people wish to be involved in advancing the goal of promoting mental health and wellbeing in their communities and wider society. Alongside scalability, a need exists for inclusive tools that allow for genuine and meaningful engagement from children in rural areas, ethnic minorities, gender and sexual minorities, those exposed to poverty and violence, and those who experience health challenges. In our work with the Lancet Commission on Global Mental Health and Sustainable Development on the My Mind Our Humanity campaign, arts-based approaches have allowed us to engage young people from a range of backgrounds, both face-to-face and online. Poetry and music have created safe spaces for sharing deeply personal experiences of mental health challenges and supporting each other. These approaches have allowed us to challenge stigma by reminding young people of our shared humanity. The potential of arts-based and digital tools to foster inclusive engagement and participation is important, and our capacity to empower young generations is dependent on our ability to harness these and other resources to understand their values and experiences. The WHO–UNICEF–Lancet Commission invites us to think holistically about children and their rights to be heard and respected, and emphasises the role of community engagement in promoting the health and development of the world's children. Children's participation goes far beyond formal, high-level platforms. Having a voice—or lacking one—defines every relationship and interaction children experience at home and in school, work, leisure settings, and other spaces they inhabit. Children are empowered when they feel safe and welcome at home and school; when they have someone to talk to if something is wrong; and when family, friends, and teachers hear their concerns and appreciate their ideas. Indeed, family togetherness and connection to one's culture are crucial for health and wellbeing, according to the children consulted by the Commission, from communities across New Zealand, Lebanon, Nigeria, and Argentina. The potential of shared experiences to harness children's health and wellbeing is enormous. By fostering a culture of connectedness and mutual respect, we meet children's needs for self-esteem and confidence and strengthen their ability to make a difference. The WHO–UNICEF–Lancet Commission presents a candid assessment of the threats children face and the sombre implications for their future. But the Commission also presents a clear vision for making a better world, for them and with them. Too often have we seen young people sidelined while those who have the power to make a change hesitate. For too long have young people been silenced, mocked, and judged for their bold ambitions to challenge the status quo. We will not be deterred. Now and always, the voices of children will call for an inclusive, fair, and sustainable future. GP is supported by the Wellcome Trust ( 104825/Z/14/Z ). We declare no competing interests. A future for the world's children? A WHO–UNICEF–Lancet CommissionDespite dramatic improvements in survival, nutrition, and education over recent decades, today's children face an uncertain future. Climate change, ecological degradation, migrating populations, conflict, pervasive inequalities, and predatory commercial practices threaten the health and future of children in every country. In 2015, the world's countries agreed on the Sustainable Development Goals (SDGs), yet nearly 5 years later, few countries have recorded much progress towards achieving them. This Commission presents the case for placing children, aged 0–18 years, at the centre of the SDGs: at the heart of the concept of sustainability and our shared human endeavour. Full-Text PDF
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https://openalex.org/W2052166428
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On Transferring Statistical Techniques Across Cultures: The Kish Grid
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Previous articleNext article No AccessDiscussion and CriticismOn Transferring Statistical Techniques Across Cultures: The Kish GridPeter McBurneyPeter McBurney Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Current Anthropology Volume 29, Number 2Apr., 1988 Sponsored by the Wenner-Gren Foundation for Anthropological Research Article DOIhttps://doi.org/10.1086/203642 Views: 5Total views on this site Citations: 21Citations are reported from Crossref Copyright 1988 The Wenner-Gren Foundation for Anthropological ResearchPDF download Crossref reports the following articles citing this article:Katharine J. McCarthy, Diana Romero, Katarzyna Wyka, Heidi E. Jones A Multidimensional Profile of Adolescent Agency in Uttar Pradesh, India, and Implications for Reproductive Choice, Sexuality Research and Social Policy 12 (Mar 2022).https://doi.org/10.1007/s13178-022-00711-0Kamran Siddiqi, Faraz Siddiqui, Melanie Boeckmann, Ziauddin Islam, Amina Khan, Fiona Dobbie, Zohaib Khan, Mona Kanaan Attitudes of smokers towards tobacco control policies: findings from the Studying Tobacco users of Pakistan (STOP) survey, Tobacco Control 31, no.11 (Dec 2020): 112–116.https://doi.org/10.1136/tobaccocontrol-2020-055995Amina Khan, Fiona Dobbie, Kamran Siddiqi, Saeed Ansaari, S M Abdullah, Romaina Iqbal, Zohaib Khan, Salman Sohail, Mona Kanaan, Rumana Huque, Ziauddin Islam, Melanie Boeckmann, Hana Ross Illicit cigarette trade in the cities of Pakistan: comparing findings between the consumer and waste recycle store surveys, Tobacco Control (Apr 2021): tobaccocontrol-2020-056386.https://doi.org/10.1136/tobaccocontrol-2020-056386Kamran Siddiqi, Faraz Siddiqui, Amina Khan, Saeed Ansaari, Mona Kanaan, Mariam Khokhar, Ziauddin Islam, Masuma Pervin Mishu, Linda Bauld The Impact of COVID-19 on Smoking Patterns in Pakistan: Findings From a Longitudinal Survey of Smokers, Nicotine & Tobacco Research 25 (Oct 2020).https://doi.org/10.1093/ntr/ntaa207, Leslie D. Williams, J. Lawrence Aber Using a Multi-level Framework to Test Empirical Relationships Among HIV/AIDS-Related Stigma, Health Service Barriers, and HIV Outcomes in KwaZulu-Natal, South Africa, AIDS and Behavior 24, no.11 (Feb 2019): 81–94.https://doi.org/10.1007/s10461-019-02439-2Barbara Marjorie Nanteza, David Serwadda, Edward Nelson Kankaka, Grace Bua Mongo, Ronald Gray, Frederick Edward Makumbi Knowledge on voluntary medical male circumcision in a low uptake setting in northern Uganda, BMC Public Health 18, no.11 (Nov 2018).https://doi.org/10.1186/s12889-018-6158-2Saskia Scholten, Julia Velten, Jürgen Margraf, Monica Uddin Mental distress and perceived wealth, justice and freedom across eight countries: The invisible power of the macrosystem, PLOS ONE 13, no.55 (May 2018): e0194642.https://doi.org/10.1371/journal.pone.0194642Katharine J. McCarthy, Sandra Braganza, Kevin Fiori, Christophe Gbeleou, Vivien Kpakpo, Andrew Lopez, Jennifer Schechter, Alicia Singham Goodwin, Heidi E. Jones, Tiziana Leone Identifying inequities in maternal and child health through risk stratification to inform health systems strengthening in Northern Togo, PLOS ONE 12, no.33 (Mar 2017): e0173445.https://doi.org/10.1371/journal.pone.0173445Roy Wong-McClure, Edward W. Gregg, Alberto Barcelo, Laura Sanabria-Lopez, Kahye Lee, Leandra Abarca-Gomez, Marvin Cervantes-Loaiza, Elizabeth T. Luman Prevalence of diabetes and impaired fasting glucose in Costa Rica: Costa Rican National Cardiovascular Risk Factors Survey, 2010, Journal of Diabetes 8, no.55 (Dec 2015): 686–692.https://doi.org/10.1111/1753-0407.12348Bernadette Paula Luengo Kanacri, Roberto González, Daniel Valdenegro, Gloria Jiménez-Moya, Patricio Saavedra, Eduardo Andrés Mora, Daniel Miranda, Lucas Silva Didier, Concetta Pastorelli Civic engagement and giving behaviors: The role of empathy and beliefs about poverty, The Journal of Social Psychology 156, no.33 (Apr 2016): 256–271.https://doi.org/10.1080/00224545.2016.1148006Shana Levin, Nour Kteily, Felicia Pratto, Jim Sidanius, Miriam Matthews Muslims’ emotions toward Americans predict support for Hezbollah and Al Qaeda for threat-specific reasons, Motivation and Emotion 40, no.11 (Aug 2015): 162–177.https://doi.org/10.1007/s11031-015-9510-1Shana Levin, Sonia Roccas, Jim Sidanius, Felicia Pratto Personal values and intergroup outcomes of concern for group honor, Personality and Individual Differences 86 (Nov 2015): 374–384.https://doi.org/10.1016/j.paid.2015.06.047Rody G. Sy, Elmer Jasper B. Llanes, Paul Ferdinand M. Reganit, Nina Castillo-Carandang, Felix Eduardo R. Punzalan, Olivia T. Sison, Nang Ei Ei Khaing, Richie Poulton, Mark Woodward, E Shyong Tai Socio-Demographic Factors and the Prevalence of Metabolic Syndrome Among Filipinos from the LIFECARE Cohort, Journal of Atherosclerosis and Thrombosis (Jan 2014): S9–S17.https://doi.org/10.5551/jat.21_Sup.1-S9Tahir Turk, Fiona J Newton, Joshua D Netwon, Farah Naureen, Jodah Bokhari Evaluating the efficacy of tuberculosis Advocacy, Communication and Social Mobilization (ACSM) activities in Pakistan: a cross-sectional study, BMC Public Health 13, no.11 (Sep 2013).https://doi.org/10.1186/1471-2458-13-887Shana Levin, Felicia Pratto, Miriam Matthews, Jim Sidanius, Nour Kteily A dual process approach to understanding prejudice toward Americans in Lebanon: An extension to intergroup threat perceptions and emotions, Group Processes & Intergroup Relations 16, no.22 (Jun 2012): 139–158.https://doi.org/10.1177/1368430212443866Philip Anglewicz, Diana Gourvenec, Iris Halldorsdottir, Cate O’Kane, Obakeng Koketso, Marelize Gorgens, Toby Kasper The Effect of Interview Method on Self-Reported Sexual Behavior and Perceptions of Community Norms in Botswana, AIDS and Behavior 17, no.22 (Jun 2012): 674–687.https://doi.org/10.1007/s10461-012-0224-zRuediger Oehlmann, Luke Gumbleton Supporting Inter-Group Relationships in Human-Centered Chance Discovery, International Journal of Knowledge and Systems Science 4, no.11 (Jan 2013): 1–17.https://doi.org/10.4018/jkss.2013010101Elin Torell, Colleen A. Redding, Cerissa L. Blaney, Enrique Hernandez, Olivia Sison, Juma Dyegula, Donald D. Robadue Population, health, and environment situational analysis for the Saadani National Park Area, Tanzania, Ocean & Coastal Management 66 (Sep 2012): 1–11.https://doi.org/10.1016/j.ocecoaman.2012.05.005Lydia U. Kaduka, Yeri Kombe, Eucharia Kenya, Elizabeth Kuria, John K. Bore, Zipporah N. Bukania, Moses Mwangi Prevalence of Metabolic Syndrome Among an Urban Population in Kenya, Diabetes Care 35, no.44 (Mar 2012): 887–893.https://doi.org/10.2337/dc11-0537Peter McBurney, Simon Parsons, Jeremy Green Forecasting market demand for new telecommunications services: an introduction, Telematics and Informatics 19, no.33 (Aug 2002): 225–249.https://doi.org/10.1016/S0736-5853(01)00004-1Peter McBurney, Simon Parsons Using Belief Functions to Forecast Demand for Mobile Satellite Services, (Jan 2002): 281–315.https://doi.org/10.1007/978-3-7908-1798-0_10
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The impact of DSM classification changes on the prevalence of alcohol use disorder and ‘diagnostic orphans’ in Lebanese college youth: Implications for epidemiological research, health practice, and policy
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https://api.openalex.org/works?filter=cites:W3033338041
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Background Studies comparing prevalence of alcohol use disorder (AUD) using DSM-IV and DSM-5 diagnostic criteria in college students are limited. This study examines changes in AUD prevalence estimates using DSM-IV versus DSM-5 and characterizes the profile of DSM-5 “diagnostic orphans.” Methods and findings A college student sample (n = 1,155; mean age: 21 ±1.97) selected conveniently from six large private and public universities in Greater Beirut, Lebanon completed an anonymous survey in May 2016. The study response rate was 83.1%. Data on DSM-IV and DSM-5 AUD criteria were gathered from 582 past-year drinkers, of which 377 (65%) were screened to have DSM-IV abuse/dependence, and 203 (35%) to have any DSM-5 AUD (58% mild, 21% moderate, and 21% severe). Overall percent agreement between measures was 68% (kappa = 0.41). One hundred and ninety-one students met one DSM-5 AUD criterion only (i.e. “diagnostic orphans,” herein DOs), of which the majority (82%) endorsed “hazardous use.” Compared to past-year drinkers with zero-endorsed DSM-5 criteria, DOs were more likely to be aged 21 or above [OR = 1.57(1.21–2.03)], less likely to perceive their socioeconomic status (SES) as poorer vs. same as others [OR = 0.17(0.07–0.43)], more likely to drink 1–2 times/week vs. ≤3 times per month [OR = 2.24(1.44–3.49)], and more likely to report past-year cigarette smoking [OR = 2.16(1.10–4.24)]. When compared to past-year drinkers with DSM-5 AUD, DOs were more likely to be pursuing a graduate or medical degree (vs. undergraduate degree) [2.06 (1.09–3.89)], and to be living with parents most of the time vs. not [OR = 2.68(1.14–6.31)]. DOs (versus drinkers with AUD) were less likely to drink at a high frequency (3–4 times /week or more vs.≤3 times per month) [OR = 0.15(0.05–0.48)], and to report past-year waterpipe smoking [OR = 0.54(0.34–0.85)], but more likely to report past-year marijuana use [1.89(1.10–3.23)]. The findings are subject to recall bias and under-reporting and the study could not infer causality because temporality of associations cannot be established in a cross-sectional study design. Conclusions DSM-IV abuse/dependence prevalence rate was higher than DSM-5 AUD prevalence mainly due to the high percentage of students who engaged in “hazardous use”. The DO screen might capture a young person in transition between non-drinking/occasional drinking to drinking frequently/developing an AUD. The prevention, identification, and management of DOs may be critical components of a national alcohol harm-reduction policy.
|
[
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"display_name": "PLOS ONE",
"id": "https://openalex.org/S202381698",
"type": "journal"
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"display_name": "Europe PMC (PubMed Central)",
"id": "https://openalex.org/S4306400806",
"type": "repository"
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"display_name": "PubMed Central",
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"type": "repository"
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"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
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|
https://openalex.org/W2090659609
|
Martin McKee: champion of public health in Europe
|
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"display_name": "Priya Shetty",
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"Lebanon",
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https://api.openalex.org/works?filter=cites:W2090659609
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www.thelancet.com Vol 381 March 30, 2013 1089 Just conversing with Martin McKee is liable to cause jetlag. A champion of European health care, he is a blur of kinetic energy, as he travels around the world to engage researchers and policy makers in neglected health issues of central and eastern Europe. McKee’s laptop is always running while he travels, and he is known for his “legendary ability to write infl uential and original articles at lightning speed”, says Andy Haines, Professor of Public Health and Primary Care at the London School of Hygiene and Tropical Medicine (LSHTM), where McKee is also based. As Professor of European Public Health, McKee is bold and outspoken: he issues unapologetic challenges to anyone— whether politicians, the media, or doctors themselves— who might be threatening public health. McKee’s passion for social justice was forged in his youth in Belfast. Growing up in the 1970s during the confl ict that devastated Northern Ireland for decades, he was the son of general practitioners “working at the interface where riots took place; their practice was totally mixed and had both Catholic and Protestant patients. My views were defi nitely shaped by that.” Given that one of his heroes is Rudolph Virchow, and McKee’s own career is driven by an acute sense of political justice, would he have wanted to step into the fray himself as a politician? “Absolutely not”, he says. “The compromise and constraints of politics means that what you can do is extremely limited.” He sees his role in public health as “making the invisible, visible; bringing people who are marginalised into the public domain and highlighting the behaviour of those who are undermining public health”. McKee left Belfast in 1986, not as an escape from political unrest but rather for the chance to do an MSc in community medicine at LSHTM, in London, where he soon specialised in European health. In 1989, when LSHTM wanted to develop its research base in central and eastern Europe, McKee took the lead with relish as Co-Director of LSHTM’s European Centre on Health of Societies in Transition; he later also became Director of research policy at the European Observatory on Health Systems and Policies. This proved to be a pivotal time in Europe: in late 1989, the Berlin Wall fell, changing the landscape of European health care and allowing McKee to set up cross-Europe research networks. Ever since, “he has had a key role in forging a unique partnership of universities, national and regional governments, and international agencies”, says Haines. Anne Mills, Vice-Director of LSHTM, says that “Martin has set an example for all UK public health researchers and advocates in his in-depth engagement with Europe and campaigning Europe-wide on important public health issues.” Many of these issues are highlighted in The Lancet’s Health in Europe Series, to which McKee has contributed and helped shape. “Global health” tends to focus on health in the developing world, but seismic political shifts have left many countries in eastern Europe with fractured health-care systems and infectious disease epidemics, notably HIV and tuberculosis. The statistics are shocking; life expectancy in Russia in 2011 was just 68·8 years, lower than many countries including Bangladesh, Iraq, and Lebanon. Some eastern European countries also suff er from an absence of data on key health indicators, a legacy of restrictive political regimes. “Soviet science rejected randomised controlled trials because how could you be uncertain about anything when Stalin or Lenin had set out the path for the future of human history?” comments McKee. “Europe’s biggest problem right now”, says McKee, “is the maintenance of universal health care in the face of the fi nancial crisis.” And when discussing the fi nancial crisis, rather than confi ne his thinking to cuts in science funding McKee analyses the macro-picture of why failing austerity measures in Europe are threatening health care. He argues that public health researchers need to challenge the government directly on these issues: “suicide rates have gone up in Europe, but suicide prevention programmes are missing the point slightly—ultimately the government needs to fi x the economy”. Within the UK, McKee is “incredibly pessimistic about the current NHS reforms, though people within the system will do their best to mitigate the worst eff ects”. Constant changes to the NHS have, he argues, destroyed institutional memory and led to “reform fatigue”. As a vocal critic of the UK Government, McKee was fairly surprised to be made a Commander of the Order of the British Empire in 2005. “My fi rst thought was the Inland Revenue don’t use such nice stationery.” He views honours such as this, and membership to the US Institute of Medicine, which he received in 2006—a rare honour for a non-US resident—as giving him “credibility and legitimacy to be taken seriously, not for your own sake but for neglected populations in Europe”. McKee has used this leverage to be an advocate for public health, and values the communication of research. For 6 years he was Editor-in-Chief of the European Journal of Public Health, and last year took on an academic writing residency at the Rockefeller Foundation in Bellagio. Does he ever feel exhausted with his pace of work? McKee quotes Edmund Burke, who apocryphally said, “all that is required for evil to succeed is that good people remain silent”. “There’s no point in muttering into your coff ee about something being wrong”, says McKee. It’s a shame he’s not a politician really; that kind of integrity and passion could really win votes.
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https://openalex.org/W4255653596
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Stop industry interference, save lives
|
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"id": "https://openalex.org/C50522688"
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"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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"id": "https://openalex.org/C199539241"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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[
"Lebanon",
"Jordan"
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[] |
https://api.openalex.org/works?filter=cites:W4255653596
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Japan, Jordan, Bangladesh, and Lebanon are lagging in implementing measures to protect their public health policy making efforts from tobacco industry interference, according to the first ever Global Tobacco Industry Interference Index. The report, published last month by global industry watchdog, Stopping Tobacco Organizations and Products (STOP), used publicly available information to rank 33 countries from all regions in their overall efforts to guard against industry meddling. As one of the four key risk factors for non-communicable diseases (NCDs), tobacco use is an enormous threat to people's health worldwide, responsible for 8 million deaths every year, including over 20% of global cancer deaths. The 2005 Framework Convention on Tobacco Control (FCTC), which now has 168 signatories and 181 parties, sets minimum standards to guide countries in adopting strong tobacco control policies and legislation. Article 5.3 of the Convention requires parties to protect health policies from commercial and other vested interests of the tobacco industry and target 3A of Sustainable Development Goal 3 aims to strengthen the FCTC in all countries. Last September at the third UN High Level Meeting on the prevention and control of non-communicable diseases (NCDs), parties reaffirmed their commitment to accelerate the implementation of the FCTC. Furthermore, WHOs latest report on the global tobacco epidemic recognises tobacco industry interference as “the greatest obstacle to reducing tobacco use”. Despite all of this, the Index shows that tobacco companies are succeeding in pressuring governments of many countries to subvert health laws and continue to sell harmful products, employing a range of tactics including undermining, blocking, or delaying government efforts to develop tobacco control policies, enlisting senior government officials in corporate social responsibility activities, taking advantage of tax breaks or incentives that support business expansion, and failing to disclose meetings with non-health departments. The industry's strong opposition to any tobacco control measures comes as no surprise when one considers the value of the global tobacco market—it was estimated to be worth approximately US$785 billion (excluding China) in 2017. Contrast this with the global cost of tobacco use, in terms of health care and lost productivity each year, which is estimated to be around $1·4 trillion. A similar economic perversity was illustrated in a Comment published in last month's issue. Luke Allen and colleagues contrast the cost of implementing WHO's Best Buys—the agency's menu of policy options and cost-effective interventions targeting the four key NCD risk factors—in low-income and middle-income countries, estimated at $11·4 billion, with profits for 33 publicly listed companies that sell tobacco, alcohol, and processed foods. They find that combined sales for the included companies totalled $829 billion in 2017, with profits of $99 billion. Sector profitability ranged from 7% for processed foods to 29% for tobacco. US tobacco firms are spending $1 million per hour on advertising. So, what can be done? The Index illuminates how tobacco industry interference in public health policies is an issue that transcends country income groupings, cultures, and political systems. High, upper-middle, lower-middle, and low-income countries feature in both the top and bottom groups of the ranking, with two high-income countries—the UK and Japan—faring best and worst overall, respectively. Any country can succeed (or fail) and there are lessons to be learned from governments that are successfully resisting tobacco industry interference: they are transparent in their dealings with industry, avoid conflicts of interest, refuse donations, and do not endorse the industry's activities. Yet perhaps Richard Horton summed it up best in his Offline column on NCDs published in May 2019: “Here is the alarming truth: our economies are incentivised to earn vast private wealth by increasing public risks for NCDs. Until that truth is accepted and addressed, NCDs will remain part of an unchecked planetary emergency.” It is up to governments to tackle industry interference head on as part of broader strategies to reduce the burden of NCDs and ultimately save lives. This will necessitate strong leadership, independent analysis of industry lobbying efforts (eg, those that claim that public health measures damage personal freedoms and jobs), and recognition of the damaging realities of the commercial determinants of health. The clock is ticking. While STOP and other organisations set out recommendations to help governments, the industry will continue to find new ways to subvert them.
|
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https://openalex.org/W2905873338
|
PHP153 - KEY STAKEHOLDERS PERCEPTIONS OF HEOR USAGE IN LEBANON
|
[
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"affiliations": [],
"display_name": "A. Mesmar",
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"display_name": "C. Maskineh",
"id": "https://openalex.org/A5010228945"
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"id": "https://openalex.org/C22467394"
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"id": "https://openalex.org/C524218345"
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"display_name": "Medical education",
"id": "https://openalex.org/C509550671"
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"id": "https://openalex.org/C39549134"
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{
"display_name": "Marketing",
"id": "https://openalex.org/C162853370"
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"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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"id": "https://openalex.org/C142724271"
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"id": "https://openalex.org/C199539241"
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"Lebanon"
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https://api.openalex.org/works?filter=cites:W2905873338
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Health Economics and Outcomes Research (HEOR) can provide information to help healthcare payers determine reimbursement decisions. However, in countries with a short history of developing HEOR such as Lebanon, the status of HEOR use by payers is largely unknown. The main objective of this study was to understand the current use of HEOR data by Lebanese payers in their decision-making process. A survey on Lebanese payers’ utilization of HEOR was conducted in the Lebanese Society of Pharmacoeconomics and Outcomes Research (LSPOR) Educational Workshop on February 23rd & 24th, 2018 (https://www.ispor.org/RegionalChapters) and attended by a multidisciplinary audience including pharmaceutical industries, academics, reimbursement bodies and regulatory authorities. The anonymous survey was composed of five close ended questions. The questions were mainly to assess the respondents’ perspectives regarding Lebanese payer utilization of HEOR. Out of 140 attendees, 23 completed questionnaires. The majority of respondents (N=12; 57.1%) were representing pharmaceutical companies; mainly from the market access department. Around 70% (N=14) of the respondents believe Lebanese payers sometimes use HEOR in their decision-making regarding drug/medical technology. The respondents predict the HEOR studies sometimes used are Budget Impact Analysis, Outcomes Research and Cost Effectiveness Analysis (N= 11, 13, 11; 55%, 65%, 55% respectively). The Health-Related Quality of Life is not utilized or considered much in general. Studies using foreign patient clinical data and Lebanese cost data were ranked as the most impactful whereas studies from other MENA countries were least impactful when Lebanese payers make decisions regarding drug/medical technology. Lebanese clinical and economic data is almost always (80% and 95% respectively) lacking and preventing HEOR utilization by Lebanese payers when making decisions regarding drug/medical technology. This study provides evidence to conclude that HEOR practice is used among Lebanese payers but not broadly. Moreover, access to HEOR data is needed in the MENA region, especially Lebanon.
|
[
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"display_name": "Value in Health",
"id": "https://openalex.org/S678965",
"type": "journal"
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|
https://openalex.org/W3182371870
|
Preconceptional Intake of Folic Acid Supplementation and its Associated Factors: A Cross Sectional Study on the Lebanese Females of Reproductive Age
|
[
{
"affiliations": [],
"display_name": "Batoul Ballout",
"id": "https://openalex.org/A5015813080"
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{
"affiliations": [],
"display_name": "Sara Sherri",
"id": "https://openalex.org/A5031329514"
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{
"affiliations": [],
"display_name": "Mariam Hajj Diab",
"id": "https://openalex.org/A5087970495"
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{
"affiliations": [],
"display_name": "Bassem Malaeb",
"id": "https://openalex.org/A5010936867"
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{
"affiliations": [],
"display_name": "Diana Malaeb",
"id": "https://openalex.org/A5056665456"
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"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
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"display_name": "Folic acid",
"id": "https://openalex.org/C2992130864"
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"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Fertility",
"id": "https://openalex.org/C518429986"
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"id": "https://openalex.org/C99454951"
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"display_name": "Demography",
"id": "https://openalex.org/C149923435"
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{
"display_name": "Pregnancy",
"id": "https://openalex.org/C2779234561"
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{
"display_name": "Infertility",
"id": "https://openalex.org/C2777688143"
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{
"display_name": "Folic acid supplementation",
"id": "https://openalex.org/C2909565028"
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"id": "https://openalex.org/C138816342"
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"display_name": "Population",
"id": "https://openalex.org/C2908647359"
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{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
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{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Genetics",
"id": "https://openalex.org/C54355233"
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] |
[
"Lebanon"
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[] |
https://api.openalex.org/works?filter=cites:W3182371870
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Objective: Infertility is recognized as a public health issue worldwide where the total fertility rate is decreasing in most countries. Hence, this study assesses the use of folic acid supplementation prior to pregnancy in the Lebanese population. Methods: It was a cross-sectional study that took place between December 2019 and February 2020 using a representative sample of community patients. Of 1000 participants who were approached, 980 were completed and collected back and 953 samples were accepted. The sample was drawn from the districts of all Lebanese governorates (Beirut, Mount Lebanon, North Lebanon, South Lebanon, and Bekaa).
|
[
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"display_name": "Clinical Schizophrenia & Related Psychoses",
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"type": "journal"
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|
https://openalex.org/W2739707319
|
Lebanese perceptions of citizenship rights for children of Lebanese mothers and Palestinian fathers: a cross-sectional survey
|
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"display_name": "Citizenship",
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"id": "https://openalex.org/C74196892"
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{
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"id": "https://openalex.org/C190248442"
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{
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"id": "https://openalex.org/C71924100"
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{
"display_name": "Immigration",
"id": "https://openalex.org/C70036468"
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{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Politics",
"id": "https://openalex.org/C94625758"
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{
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"id": "https://openalex.org/C36289849"
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{
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"id": "https://openalex.org/C19165224"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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[
"Lebanon"
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https://api.openalex.org/works?filter=cites:W2739707319
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BackgroundNationality in Lebanon is conveyed through patrilineal descent, depriving the children of women married to foreigners from citizenship rights, legal protections, and health and social services. Children of Palestinian fathers are especially excluded because they become stateless. Calls to remove gender discrimination from the Lebanese nationality law are often stymied by the Lebanese fear of naturalising a large number of Palestinians. We examined whether this fear extends to prevention of Lebanese women married to Palestinian men from conferring their nationality on their children.MethodsThe study was based on mixed qualitative (13 focus group discussions, each of which included 8–15 Lebanese participants of similar age, socioeconomic status, and political orientation) and quantitative data (a survey of 450 adult Lebanese citizens, 41·4% men and 58·6% women, who resided in Greater Beirut) collected in 2011. Focus group data were analysed using open and thematic coding. Survey data were used to test the hypothesis that Lebanese public perceptions are in fact in favour of granting citizenship to children of women married to Palestinian men.FindingsQualitative findings highlighted that the Lebanese see Palestinian men as undesirable husbands and fathers, mainly because of legal restrictions that could cause hardships to women and their children. Survey data, however, suggested strong public support overall for granting Lebanese women married to Palestinian men the right to confer citizenship on their children. Women were significantly more supportive compared with men; 84·5% of women replied that they agreed or strongly agreed with the policy versus 74·2% of men (χ2=15·70, p=0·003). This high level of support was consistent across sociodemographic categories and was not influenced by strength of identification with religion or sect. The children's right to citizenship received stronger public support than all other rights (eg, employment).InterpretationOur findings suggest that Lebanese public opinion supports Lebanese women's right to confer nationality on their children even if the child's father is Palestinian. Support for gender equality in citizenship seems to override anti-Palestinian prejudice in relation to the wellbeing of the children of Lebanese women.FundingData collection for the study was supported by a grant from the Issam Fares Institute for Public Policy and International Affairs at the American University of Beirut.
|
[
{
"display_name": "The Lancet",
"id": "https://openalex.org/S49861241",
"type": "journal"
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|
https://openalex.org/W4386963159
|
COVID-19 in Beirut: epidemiology, response, gaps, and challenges
|
[
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"affiliations": [
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"country": "Lebanon",
"display_name": "American University of Beirut",
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"display_name": "Nada M. Melhem",
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"country": "Lebanon",
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"display_name": "Farouk F. Abou Hassan",
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"display_name": "Mirna Bou Hamdan",
"id": "https://openalex.org/A5052524855"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
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{
"display_name": "Development economics",
"id": "https://openalex.org/C47768531"
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"display_name": "Business",
"id": "https://openalex.org/C144133560"
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{
"display_name": "Socioeconomics",
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"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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[
"Lebanon"
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"https://openalex.org/W3165738838",
"https://openalex.org/W3171137864",
"https://openalex.org/W3178643276",
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"https://openalex.org/W4206774592",
"https://openalex.org/W4283381304",
"https://openalex.org/W4285471716",
"https://openalex.org/W4296250187",
"https://openalex.org/W4318200465"
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https://api.openalex.org/works?filter=cites:W4386963159
|
Lebanon is a small Eastern Mediterranean country overlooking the Mediterranean Sea with an estimated population of 6.7 million. The capital, Beirut, located in the governorate of Beirut, is the largest city in the country. Hospitals and healthcare facilities with various capabilities are distributed throughout Lebanon, with the majority located in large cities. In 2020 while Lebanon was in the midst of responding to the COVID-19 pandemic and caring for COVID-19 patients, an explosion in the port of Beirut damaged three major hospitals in the city. This event added additional pressure to an already stressed healthcare system, which was then tasked with addressing two public health emergencies. Moreover, the country has been struggling with a suite of interconnected social, economic, financial, political, and healthcare challenges that have caused the country to experience its worst economic and financial crisis since the end of the Lebanese Civil War in 1990. Despite these challenges, the Lebanese response was successful in delaying the steep surge of COVID-19 cases and hospitalizations by imposing strict public health and social measures. The deployment of the national vaccination plan in Lebanon in February 2021 coincided with a reduction in the number of cases and hospitalization rates. This chapter explains the evolution of the COVID-19 pandemic in Lebanon with special attention given to Beirut and discusses the gaps and challenges pertinent to pandemic preparedness and response.
|
[
{
"display_name": "Elsevier eBooks",
"id": "https://openalex.org/S4306463230",
"type": "ebook platform"
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|
https://openalex.org/W2148022076
|
M-Health, New Prospect for School Health Education through Mobile Technologies at Lebanese School.
|
[
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"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
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"type": "education"
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],
"display_name": "Khayrazad Kari Jabbour",
"id": "https://openalex.org/A5020552799"
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[
{
"display_name": "School health",
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{
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"id": "https://openalex.org/C113807197"
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"id": "https://openalex.org/C2776517112"
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{
"display_name": "Plan (archaeology)",
"id": "https://openalex.org/C2776505523"
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{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
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] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2148022076
|
Supporting school health programs to improve the emotionally and physically health status of Lebanese students has never been more important. The use of mobile and wireless technologies to promote school health programs has the potential to transform the school health education and service delivery in Lebanon. This article explores the possibility of utilizing M- Health programs in Lebanese schools. The investigation goal is to provide baseline information to help school policy makers, administrators, and educators as they plan and implement coordinated school health programs which are designed to promote healthy behaviors among the Lebanese youth through the usage of mobile technology.
|
[
{
"display_name": "Technology of Education",
"id": "https://openalex.org/S2765007397",
"type": "journal"
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] |
|
https://openalex.org/W2396669688
|
Anti-tetanus immunity among university students and health staff in North Lebanon and administration of anti-tetanus serums in two hospitals
|
[
{
"affiliations": [],
"display_name": "Monzer Hamzé",
"id": "https://openalex.org/A5010819898"
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{
"affiliations": [],
"display_name": "Sani Hlais",
"id": "https://openalex.org/A5007471556"
},
{
"affiliations": [],
"display_name": "Fouad Dabboussi",
"id": "https://openalex.org/A5089398644"
},
{
"affiliations": [],
"display_name": "Hassan Mallat",
"id": "https://openalex.org/A5049589918"
}
] |
[
{
"display_name": "Tetanus",
"id": "https://openalex.org/C2779841045"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Immunity",
"id": "https://openalex.org/C2779341262"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Immunology",
"id": "https://openalex.org/C203014093"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Immune system",
"id": "https://openalex.org/C8891405"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2396669688
|
Tetanus is a serious illness that kills about one million people a year globally. This study aimed to i) evaluate immunity against tetanus (by antibodies titres in blood) among health staff and students at the Public Health Faculty, Lebanese University, ii) explore the determinants of the anti-tetanus immunity by a questionnaire and iii) estimate anti-tetanic serum use in the emergency departments of two hospitals (1 private, 1 public) in Tripoli. Most of the participants (76.6%) had anti-tetanus antibody titres ≥ 0.1 UI/mL. There was no association between immune status and gender (P = 0.614) but more participants ≤ 25 years were immunized than those > 25 years (P < 0.001) and more students were immunized than employees (P = 0.032). There was an inverse association between anti-tetanus immunity and having visited a physician in the past year (P = 0.009). In 2011, 1037 people received anti-tetanus immunoglobulins at the hospitals, 73% at the private hospital. Vaccination campaigns targetting adults > 25 years may be warranted to assure good anti-tetanus protection and avoid administration of anti-tetanus immunoglobulins in emergency departments. المناعة ضد الكزاز بين طلاب الجامعات وموظفي الصحة في شمال لبنان وإعطاءُ الأمصال المضادة للكزاز في مستشفيينمنذر حمزة، سني حليس، فؤاد دبوسي، حسان ملاطالكزاز مرض خطير يقتل حوالي مليون شخص سنوياً على مستوى العالم. وقد هدفت هذه الدراسة إلى: أ) تقييم المناعة ضد الكزاز (عن طريق عيارات الأضداد في الدم) لدى الكوادر الصحية وطاب كلية الصحة العامة في الجامعة اللبنانية. ب) استكشاف محدِّدات المناعة ضد الكزاز عن طريق استبيان. ج) تقييم استخدام المصل المضاد للكزاز في أقسام الطوارئ في مستشفيين (أحدهما خاص، والآخر عام) في طرابلس بشمال لبنان. وفي معظم المشاركين (7.66%) كانت عيارات أضداد الكزاز لديهم ≤0.1 وحدة دولية/ مل. ولم يكن هناك ارتباط بين الحالة المناعية والجنس (P = 0.614)، ولكن كان الممنَّعون من المشاركين الذين هم بأعمار ≤ 25 سنة أكثر ممن هم بأعمار > 25 سنة (P<0.001)، وكان الممنَّعون من الطاب أكثر من الموظفين (P=0.032). وكانت هناك علاقة عكسية بين المناعة ضد الكزاز وزيارة أحد الأطباء في العام الماضي (P = 0.009). وفي عام 2011 تلقى 1037 شخصاً غلوبولينات مناعية مضادة للكزاز في المستشفيين، 73% منهم كانوا في المستشفى الخاص. ويرى الباحثون أنه قد يكون هناك ما يبرر القيام بحمات تلقيح تستهدف البالغين > 25 عاماً لضمان حماية جيدة ضد الكزاز وتجنب إعطاء الغلوبولينات المناعية المضادة للكزاز في أقسام الطوارئ.Immunité antitétanique chez des étudiants universitaires et personnels de santé au Liban-Nord et administration de sérum antitétanique dans deux hôpitaux.Le tétanos est une maladie grave qui tue environ un million de personnes par an dans le monde. Cette étude avait pour but i) d'évaluer le statut immunitaire contre le tétanos (par dosage des anticorps dans le sang) chez le personnel de santé et les étudiants de la Faculté de Santé publique de l’Université Libanaise, ii) d'explorer les déterminants de l'immunité antitétanique grâce à un questionnaire et iii) d'estimer l’utilisation de sérum antitétanique dans les services des urgences de deux hôpitaux (l’un privé, l’autre public) à Tripoli. La majorité des participants à l’étude (76,6 %) avaient un taux d'anticorps antitétaniques supérieur ou égal à 0,1UI/mL. Il n’y avait pas d'association entre le statut immunitaire et le sexe (p = 0,614) mais les plus jeunes (≤ 25 ans) étaient plus immunisés que les plus âgés (> 25 ans) (p < 0,001) ; les étudiants étaient plus immunisés que les employés (p = 0,032). Il y avait une association inverse entre l'immunité antitétanique et le fait d'avoir consulté un médecin durant l’année écoulée (p = 0,009). En 2011, 1037 personnes ont reçu des immunoglobulines antitétaniques à l’hôpital, dont 73 % à l’hôpital privé. Des campagnes de vaccination visant les adultes de plus de 25 ans peuvent être proposées pour assurer une bonne protection antitétanique et éviter l'administration d'immunoglobulines antitétaniques aux services des urgences.
|
[
{
"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/W3090497258
|
Challenges facing measles elimination: the Lebanese experience
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
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],
"display_name": "Talal El Zarif",
"id": "https://openalex.org/A5028897583"
},
{
"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": "Mohamed Faisal Kassir",
"id": "https://openalex.org/A5088921928"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
}
],
"display_name": "Nazih Bizri",
"id": "https://openalex.org/A5084659830"
},
{
"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": "Ghida Kassir",
"id": "https://openalex.org/A5013701950"
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{
"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": "Umayya Musharrafıeh",
"id": "https://openalex.org/A5050182315"
},
{
"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": "Abdul Rahman Bizri",
"id": "https://openalex.org/A5060673539"
}
] |
[
{
"display_name": "Measles",
"id": "https://openalex.org/C2776438120"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Incidence (geometry)",
"id": "https://openalex.org/C61511704"
},
{
"display_name": "Immunization",
"id": "https://openalex.org/C2780801004"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Measles vaccine",
"id": "https://openalex.org/C2780657872"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Immunology",
"id": "https://openalex.org/C203014093"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Physics",
"id": "https://openalex.org/C121332964"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Antigen",
"id": "https://openalex.org/C147483822"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Optics",
"id": "https://openalex.org/C120665830"
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] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W3090497258
|
Abstract Background Despite achieving a high vaccine coverage of measles, Lebanon, like many other countries, is still far away from achieving measles eradication. In this article, the trend of measles outbreaks in Lebanon was studied in an attempt to outline the factors that explain why the eradication plan has failed and provided potential solutions to overcome them. The relationship between the incidence of measles and mumps outbreaks in Lebanon was explored and delineated Methods In this observational study, cases of measles and mumps in Lebanon recorded between 2002 and 2018 were collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database. The data was plotted on graphs taking into consideration the dates of the cases, age groups affected, and vaccination status. Results The average number of measles cases in the 1-4 years age group was the highest and was equal to 189.9 cases/year. This value declined in individuals aging less than 14 years but was followed by an increase to 82.7 cases/year in individuals older than 14 years. Following every spike in measles cases during the period between 2002 and 2018, a parallel increase in mumps cases was seen on multiple occasions. Strikingly, an average of 27.1% of the recorded measles cases belonged to vaccinated individuals, while 32.1% were unvaccinated and 40.74% had an unspecified vaccination status. Conclusions Although measles is a disease that mainly targets children, it seems essential that booster immunization programs must be held to protect young adults. The close relationship between measles and mumps incidence in Lebanon might aid in anticipating future outbreaks in order to take action before their occurrence. Finally, vaccine handling and storage in Lebanon must be re-assessed in lights of the occurrence of measles outbreaks to ensure implementing best appropriate vaccine handling till administration. Eradication plans must be tailored to hone and fit the Lebanese context.
|
[] |
|
https://openalex.org/W4388126250
|
The evolving Lebanese drug crisis: Trends in drug availability and affordability for common outpatient diseases from 2019 to 2023
|
[
{
"affiliations": [
{
"country": "United States",
"display_name": "Yale University",
"id": "https://openalex.org/I32971472",
"lat": 41.30815,
"long": -72.92816,
"type": "education"
}
],
"display_name": "Rachel Jaber Chehayeb",
"id": "https://openalex.org/A5046157081"
},
{
"affiliations": [
{
"country": "United States",
"display_name": "Yale University",
"id": "https://openalex.org/I32971472",
"lat": 41.30815,
"long": -72.92816,
"type": "education"
}
],
"display_name": "Shashwat Kala",
"id": "https://openalex.org/A5078025368"
},
{
"affiliations": [
{
"country": "United States",
"display_name": "American Pharmacists Association",
"id": "https://openalex.org/I275847375",
"lat": 38.893074,
"long": -77.04952,
"type": "other"
}
],
"display_name": "Huwayda Abou Ghannam",
"id": "https://openalex.org/A5093158650"
},
{
"affiliations": [],
"display_name": "G. M. Jahid Hasan",
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{
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"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
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{
"country": "Lebanon",
"display_name": "Beirut Arab University",
"id": "https://openalex.org/I36314861",
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"long": 35.50157,
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],
"display_name": "Joseph Salloum",
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}
] |
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C138816342"
},
{
"display_name": "Context (archaeology)",
"id": "https://openalex.org/C2779343474"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Drug",
"id": "https://openalex.org/C2780035454"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
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{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
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"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W3191241670",
"https://openalex.org/W3213430581",
"https://openalex.org/W4205755707",
"https://openalex.org/W4210706137",
"https://openalex.org/W4210926770",
"https://openalex.org/W4213436440",
"https://openalex.org/W4223451779",
"https://openalex.org/W4280505946",
"https://openalex.org/W4289912285",
"https://openalex.org/W4303673922",
"https://openalex.org/W4309306747",
"https://openalex.org/W4313597498",
"https://openalex.org/W4362520548"
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https://api.openalex.org/works?filter=cites:W4388126250
|
Since 2019, Lebanon has been suffering from an enduring economic crisis, that in conjunction with the COVID-19 Pandemic and the Beirut Port Explosion, has had catastrophic consequences on many facets of the Lebanese healthcare system. However, few studies have operationalized the impact of the crisis on drug availability and affordability. This is particularly relevant given that Lebanon imports approximately 95% of pharmaceutical products. Toward this end, we evaluated trends in outpatient drug availability and affordability in the context of monthly mean income at three time points throughout the evolving economic crisis (pre-crisis-August 2019, early crisis- August 2021, most recent-April 2023). Drugs used to treat the most common causes of mortality in Lebanon were selected from the Lebanese Ministry of Public Health (MOPH)'s List of Essential Medications. Drug pricing was obtained from the Lebanese MOPH National Drug Database. We found large increases in drug prices, as a percentage of mean monthly income, after subsidies on chronic disease medications were removed. Diabetes and COPD drugs were the least affordable in 2023, amounting to 21.03% and 15.43% of mean monthly income, respectively. We also highlight great shortages in drugs across classes, particularly in mood-stabilizing psychiatric drugs and basal and bolus insulin. Our findings highlight the growing financial burden of chronic disease treatment in Lebanon and the importance of implementing both short- and long-term solutions to mitigate the impact of the crisis on public health.
|
[
{
"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/W1975604846
|
Sexuality education and determinants of perceived sex refusal skills among Lebanese adolescents
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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{
"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
"lat": 25.28545,
"long": 51.53096,
"type": "education"
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"display_name": "Silva P. Kouyoumjian",
"id": "https://openalex.org/A5058706536"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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{
"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
"lat": 25.28545,
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"display_name": "Jocelyn DeJong",
"id": "https://openalex.org/A5004416174"
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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{
"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
"lat": 25.28545,
"long": 51.53096,
"type": "education"
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"display_name": "Rima Afifi",
"id": "https://openalex.org/A5069010666"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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{
"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
"lat": 25.28545,
"long": 51.53096,
"type": "education"
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],
"display_name": "Huda Zurayk",
"id": "https://openalex.org/A5063358591"
}
] |
[
{
"display_name": "Human sexuality",
"id": "https://openalex.org/C53813258"
},
{
"display_name": "Sexual intercourse",
"id": "https://openalex.org/C2780202899"
},
{
"display_name": "Curriculum",
"id": "https://openalex.org/C47177190"
},
{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Reproductive health",
"id": "https://openalex.org/C121752807"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Multivariate analysis",
"id": "https://openalex.org/C38180746"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Clinical psychology",
"id": "https://openalex.org/C70410870"
},
{
"display_name": "Developmental psychology",
"id": "https://openalex.org/C138496976"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Gender studies",
"id": "https://openalex.org/C107993555"
},
{
"display_name": "Pedagogy",
"id": "https://openalex.org/C19417346"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W1975604846
|
Background and Objectives: Globally around half of new HIV infections occur in the age group 15-24. New reported cases of HIV/AIDS in Lebanon show that a younger age group (20-30) is being affected more than ever before. Lebanon is moving forward in implementing a national sexuality education curriculum in all public schools, as a mechanism for raising awareness and for preventing sexually transmitted infections (STI) including HIV among adolescents. However, little is known about adolescents' actual sexual behavior, the extent to which students are confident of their refusal skills, and the factors that determine these. Young adolescents, who have limited sexual knowledge and experience, may have difficulty in adopting the appropriate protective behavioral responses to prevent negative health outcomes including STI and HIV infection. Methods: This research identified the prevalence and risk factors for perceived sex refusal skills among Lebanese adolescents in grades 7-9 in public and private schools using the nationally representative Lebanon Global School Health Survey. Results: Results indicated that more than 40% (50.4% of boys and 34.8% of girls) of students did not feel confident that they could tell someone they did not want to have sexual intercourse with them. Multivariate logistic regression analysis indicated that being female, older and having close parental supervision predicted having perceived sex refusal skills among Lebanese adolescents. Moreover, having knowledge and/or education about risky behaviors was the strongest predictor for having perceived sex refusal skills among Lebanese adolescents. Conclusion: This study contributes to the limited literature on perceived sex refusal skills in Lebanon, the Middle East and North Africa. A number of recommendations for research and prevention programs can be drawn from this research. Advocacy efforts should target policy makers to ensure that policies are reviewed to support comprehensive sexuality education in Lebanese schools because of identified vulnerabilities of sexual violence, low levels of education or knowledge of risky behaviors including HIV risk, and low levels of perceived sex refusal skills.
|
[
{
"display_name": "Qatar Foundation Annual Research Forum Volume 2012 Issue 1",
"id": "https://openalex.org/S4306525077",
"type": "journal"
}
] |
|
https://openalex.org/W4386415946
|
Experiences of communities with Lebanon’s model of care for non-communicable diseases: a cross-sectional household survey from Greater Beirut
|
[
{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
},
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Ibrahim R. Bou-Orm",
"id": "https://openalex.org/A5021735195"
},
{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
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{
"country": "Belgium",
"display_name": "Instituut voor Tropische Geneeskunde",
"id": "https://openalex.org/I78281549",
"lat": 51.22047,
"long": 4.40026,
"type": "nonprofit"
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],
"display_name": "Pol deVos",
"id": "https://openalex.org/A5027101803"
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{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
}
],
"display_name": "Karin Diaconu",
"id": "https://openalex.org/A5029674919"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
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{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Socioeconomic status",
"id": "https://openalex.org/C147077947"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Psychological intervention",
"id": "https://openalex.org/C27415008"
},
{
"display_name": "Stratified sampling",
"id": "https://openalex.org/C49898467"
},
{
"display_name": "Non-communicable disease",
"id": "https://openalex.org/C2776577793"
},
{
"display_name": "Palestinian refugees",
"id": "https://openalex.org/C2780446542"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "History",
"id": "https://openalex.org/C95457728"
}
] |
[
"Lebanon",
"Syria"
] |
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"https://openalex.org/W2062097741",
"https://openalex.org/W2065092922",
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"https://openalex.org/W2947434533",
"https://openalex.org/W2947567953",
"https://openalex.org/W2995655166",
"https://openalex.org/W3005191951",
"https://openalex.org/W3007932797",
"https://openalex.org/W3092037776",
"https://openalex.org/W3092849554",
"https://openalex.org/W3119626207",
"https://openalex.org/W3173310472",
"https://openalex.org/W3206708375",
"https://openalex.org/W4206560214",
"https://openalex.org/W4283756675",
"https://openalex.org/W4296126354",
"https://openalex.org/W4383559074"
] |
https://api.openalex.org/works?filter=cites:W4386415946
|
Assess community perceptions of the Lebanese care model for non-communicable diseases (NCDs) and trust in the health system among others, and test association between them.Cross-sectional study using multistage random sampling and targeting adult community members living with NCDs.Households in Greater Beirut-Lebanon.941 respondents including 574 Lebanese community members and 367 Syrian refugees.Three main outcomes (barriers to care seeking, perceptions of the care model and trust in healthcare) were assessed including by multiple linear regressions.Reported NCDs were hypertension (51.3%) and diabetes (34.5%), followed by chronic respiratory conditions (21.9%) and other cardiovascular diseases (20.0%). Communities reported seeking care from different sources. While 78% of Lebanese participants had visited private clinics at least once within the 6 months preceding the survey, 56% of Syrian refugees had done so. Determinants of access to care were health coverage, gender, and employment among Lebanese, and socioeconomic status among Syrian refugees. Lebanese community members had more positive perceptions of the care model compared with Syrian refugees and determinants included sociodemographic characteristics and the type of providers. Trust in the health system was higher among Syrian compared with Lebanese participants and was significantly influenced by the care model score and barriers to care seeking.Our study generated evidence about the experience of people living with NCDs with Lebanon's care model and can inform service delivery interventions towards a more inclusive person-centred approach.
|
[
{
"display_name": "BMJ Open",
"id": "https://openalex.org/S79054089",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4295932070
|
Implementation of a Pharmacovigilance System in a Resources-Limited Country in the Context of COVID-19: Lebanon’s Success Story
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Hanine Abbas",
"id": "https://openalex.org/A5088231760"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
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],
"display_name": "Abeer Zeitoun",
"id": "https://openalex.org/A5037325504"
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{
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{
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"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
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],
"display_name": "Myriam Watfa",
"id": "https://openalex.org/A5016052079"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
},
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
}
],
"display_name": "Rita Karam",
"id": "https://openalex.org/A5089678598"
}
] |
[
{
"display_name": "Context (archaeology)",
"id": "https://openalex.org/C2779343474"
},
{
"display_name": "Pharmacovigilance",
"id": "https://openalex.org/C57658597"
},
{
"display_name": "Pharmacy",
"id": "https://openalex.org/C104863432"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
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{
"display_name": "Work (physics)",
"id": "https://openalex.org/C18762648"
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{
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"id": "https://openalex.org/C138816342"
},
{
"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": "Nursing",
"id": "https://openalex.org/C159110408"
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{
"display_name": "Engineering",
"id": "https://openalex.org/C127413603"
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{
"display_name": "Pharmacology",
"id": "https://openalex.org/C98274493"
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{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
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{
"display_name": "Mechanical engineering",
"id": "https://openalex.org/C78519656"
},
{
"display_name": "Paleontology",
"id": "https://openalex.org/C151730666"
},
{
"display_name": "Adverse effect",
"id": "https://openalex.org/C197934379"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W2322013678",
"https://openalex.org/W2767553897",
"https://openalex.org/W2771498315",
"https://openalex.org/W2938344795",
"https://openalex.org/W3010700257"
] |
https://api.openalex.org/works?filter=cites:W4295932070
|
Implementation of Pharmacovigilance (PV) systems in resource-limited countries is a real challenge. The objective of this paper is to describe the implementation of an effective national PV system in Lebanon in the context of COVID-19, within a limited resources setting and with the absence of a guaranteed funding. In 2018, the PV center hosted at the Lebanese University, Faculty of Pharmacy under the supervision of the Quality Assurance of Pharmaceutical Products Program within the Lebanese Ministry of Public Health became an associate member of the World Health Organization (WHO) Program of International Drug Monitoring and recognized as Full member in 2021.This analysis highlights the requirements of the WHO that were met in Lebanon to create an effective PV system. The Lebanese experience shows that it is not only possible, but also crucial to implement a PV system in low to middle-income countries with limited resources and with the absence of a guaranteed funding in order to be able to promote patients’ safety. Support from organizations like WHO and World Bank, skilled leadership, hard work and dedicated staff with efficient training, and finally mass awareness initiatives were all considered as key elements to implement a successful PV System. In the midst of a turbulent political, economic and health context, Lebanon has been able to develop one of the most active and rapidly evolving PV systems in the Middle East.
|
[
{
"display_name": "Therapeutic Innovation & Regulatory Science",
"id": "https://openalex.org/S1037458212",
"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/W4212976775
|
Measles and Mumps Outbreaks in Lebanon : Trends and Links
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Talal El Zarif",
"id": "https://openalex.org/A5028897583"
},
{
"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": "Mohamed Faisal Kassir",
"id": "https://openalex.org/A5088921928"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
}
],
"display_name": "Nazih Bizri",
"id": "https://openalex.org/A5084659830"
},
{
"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": "Ghida Kassir",
"id": "https://openalex.org/A5013701950"
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{
"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": "Umayya Musharrafıeh",
"id": "https://openalex.org/A5050182315"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
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"display_name": "Abdul Rahman Bizri",
"id": "https://openalex.org/A5060673539"
}
] |
[
{
"display_name": "Measles",
"id": "https://openalex.org/C2776438120"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
}
] |
[
"Lebanon",
"Syria"
] |
[] |
https://api.openalex.org/works?filter=cites:W4212976775
|
Abstract Abstract: Background: Lebanon has experienced several measles and mumps outbreaks in the past twenty years . In this article, the trend of measles outbreaks in Lebanon was studied in an attempt to outline factors contributing to the failure of elimination plans, and to provide potential solutions. The relationship between measles and mumps outbreaks in Lebanon was described and explored. Methods: A retrospective descriptive study of confirmed cases of measles and mumps in Lebanon between 2003 and 2018 collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database was carried out. The information collected was graphically represented taking into consideration dates of cases, age groups affected, and vaccination status. Results: The mean number of measles cases was 150.25 cases/year in the 1-4 years age group, 87 cases/year in individuals aging between 5 and 14, and 63.68 cases/year in those > 14 years old. In the latter group, only 18.05% were unvaccinated. The mean number of mumps cases was 30.4 cases/year in the <4 year age group and 53.8 cases/year in the 10-19 years age group. During the study period, every spike in measles cases was followed by a similar spike in mumps. 9.66% of measles cases occurred in individuals who received at least 2 doses of the vaccine, 52.26% in the unvaccinated, and 38% in those whose vaccination status was undetermined. Conclusions: Measles in Lebanon is a disease of the pediatric population, but adults remain at risk. Outbreaks of mumps followed those of measles and were mainly among adolescents. Presence of a large number of Syrian refugees in the country may further complicate the situation. Vaccination activities need to be intensified. Keywords: Measles, mumps, elimination, vaccine, Lebanon.
|
[
{
"display_name": "Research Square (Research Square)",
"id": "https://openalex.org/S4306402450",
"type": "repository"
}
] |
|
https://openalex.org/W2323123488
|
Sexuality education and determinants of perceived sex refusal skills among Lebanese adolescents
|
[
{
"affiliations": [
{
"country": "Qatar",
"display_name": "Weill Cornell Medical College in Qatar",
"id": "https://openalex.org/I4210152471",
"lat": 25.28545,
"long": 51.53096,
"type": "education"
}
],
"display_name": "Silva P. Kouyoumjian",
"id": "https://openalex.org/A5058706536"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Jocelyn DeJong",
"id": "https://openalex.org/A5004416174"
},
{
"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 Afifi",
"id": "https://openalex.org/A5069010666"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Huda Zurayk",
"id": "https://openalex.org/A5063358591"
}
] |
[
{
"display_name": "Human sexuality",
"id": "https://openalex.org/C53813258"
},
{
"display_name": "Curriculum",
"id": "https://openalex.org/C47177190"
},
{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
},
{
"display_name": "Sexual intercourse",
"id": "https://openalex.org/C2780202899"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Reproductive health",
"id": "https://openalex.org/C121752807"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Multivariate analysis",
"id": "https://openalex.org/C38180746"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Clinical psychology",
"id": "https://openalex.org/C70410870"
},
{
"display_name": "Developmental psychology",
"id": "https://openalex.org/C138496976"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Gender studies",
"id": "https://openalex.org/C107993555"
},
{
"display_name": "Pedagogy",
"id": "https://openalex.org/C19417346"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2323123488
|
Background: Globally around half of new HIV infections occur in the age group 15-24. New reported cases of HIV/AIDS in Lebanon show that a younger age group (20-30) is being affected than ever before. Lebanon is moving forward in implementing a national sexuality education curriculum in all public schools, as a mechanism for raising awareness and for preventing sexually transmitted infections including HIV among adolescents. However, little is known about adolescents’ actual sexual behavior, the extent to which students are confident of their refusal skills, and the factors that determine these. Young adolescents, who have limited sexual knowledge and experience, may have difficulty in adopting the appropriate protective behavioral responses to prevent negative health outcomes including STI and HIV infection. Methods: This research identified the prevalence and risk factors for perceived sex refusal skills among Lebanese adolescents in grades 7-9 in public and private schools using the nationally representative Lebanon Global School Health Survey. Results: Results indicated that more than 40% (50.4% of boys and 34.8% of girls) of students did not feel confident that they could tell someone they did not want to have sexual intercourse with them. Multivariate logistic regression analysis indicated that being female, older and having close parental supervision predicted having perceived sex refusal skills among Lebanese adolescents. Moreover, having knowledge and/or education about risky behaviors was the strongest predictor for having perceived sex refusal skills among Lebanese adolescents. Conclusion: This study contributes to the limited literature on perceived sex refusal skills in Lebanon. A number of recommendations for research and prevention programs can be drawn from this research. It would be expected that when comprehensive sexuality education including life skills training is delivered to the students, this may improve their perceived sex refusal skills. HIV prevention is most effective if it is included as part of the sexuality education curriculum. Advocacy efforts should target policy makers to ensure that policies are reviewed to support comprehensive sexuality education in Lebanese schools because of identified vulnerabilities of sexual violence, low awareness level of HIV infection, and low levels of perceived sex refusal skills as shown in our findings.
|
[
{
"display_name": "International Journal of Infectious Diseases",
"id": "https://openalex.org/S35071406",
"type": "journal"
}
] |
|
https://openalex.org/W3163196324
|
Mental health and decisions under risk among refugees and the public in Lebanon
|
[
{
"affiliations": [
{
"country": "United States",
"display_name": "Columbia University",
"id": "https://openalex.org/I78577930",
"lat": 40.71427,
"long": -74.00597,
"type": "education"
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{
"country": "United Kingdom",
"display_name": "University of Cambridge",
"id": "https://openalex.org/I241749",
"lat": 52.2,
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"type": "education"
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],
"display_name": "Kai Ruggeri",
"id": "https://openalex.org/A5070926854"
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{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "University of Cambridge",
"id": "https://openalex.org/I241749",
"lat": 52.2,
"long": 0.11667,
"type": "education"
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],
"display_name": "Hannes Jarke",
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{
"affiliations": [
{
"country": "United States",
"display_name": "Columbia University Irving Medical Center",
"id": "https://openalex.org/I2799503643",
"lat": 40.71427,
"long": -74.00597,
"type": "healthcare"
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],
"display_name": "Lama El-Zein",
"id": "https://openalex.org/A5034776095"
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{
"affiliations": [
{
"country": "United States",
"display_name": "Columbia University",
"id": "https://openalex.org/I78577930",
"lat": 40.71427,
"long": -74.00597,
"type": "education"
}
],
"display_name": "Helen Verdeli",
"id": "https://openalex.org/A5037674654"
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{
"affiliations": [
{
"country": "United States",
"display_name": "Columbia University",
"id": "https://openalex.org/I78577930",
"lat": 40.71427,
"long": -74.00597,
"type": "education"
},
{
"country": "United Kingdom",
"display_name": "University of Cambridge",
"id": "https://openalex.org/I241749",
"lat": 52.2,
"long": 0.11667,
"type": "education"
}
],
"display_name": "Tomas Folke",
"id": "https://openalex.org/A5091507636"
}
] |
[
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
},
{
"display_name": "Psychological intervention",
"id": "https://openalex.org/C27415008"
},
{
"display_name": "Mental health",
"id": "https://openalex.org/C134362201"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Government (linguistics)",
"id": "https://openalex.org/C2778137410"
},
{
"display_name": "Syrian refugees",
"id": "https://openalex.org/C3018716944"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Scale (ratio)",
"id": "https://openalex.org/C2778755073"
},
{
"display_name": "Public health interventions",
"id": "https://openalex.org/C2994107952"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Linguistics",
"id": "https://openalex.org/C41895202"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Cartography",
"id": "https://openalex.org/C58640448"
}
] |
[
"Lebanon",
"Syria"
] |
[
"https://openalex.org/W1966850535",
"https://openalex.org/W1967656126",
"https://openalex.org/W1992646537",
"https://openalex.org/W2003522562",
"https://openalex.org/W2071854134",
"https://openalex.org/W2376865079",
"https://openalex.org/W2443602544",
"https://openalex.org/W2522428851",
"https://openalex.org/W2580985834",
"https://openalex.org/W2586366021",
"https://openalex.org/W2743157434",
"https://openalex.org/W2767714711",
"https://openalex.org/W2769748656",
"https://openalex.org/W2801131148",
"https://openalex.org/W2892051851",
"https://openalex.org/W2956525492",
"https://openalex.org/W2977619236",
"https://openalex.org/W3036680904",
"https://openalex.org/W3038757384",
"https://openalex.org/W3049476124",
"https://openalex.org/W3122620151",
"https://openalex.org/W3125983195"
] |
https://api.openalex.org/works?filter=cites:W3163196324
|
Abstract Lebanon is rapidly adapting public services to meet local needs as well as those of refugees from conflict regions such as Syria. However, these challenges are complicated by high volumes of individuals with poor mental health, who are also at risk of poor decision-making and may avoid the use of health services due to low trust in government institutions, among other reasons. Over 700 individuals residing in Lebanon, including Lebanese nationals, Syrian refugees and Palestinians from Lebanon, completed a series of measures covering decision-making with risk, mental health, and trust. The aim was to determine if significant relationships existed between these three and if those patterns were consistent between the three populations. A widely used well-being questionnaire produced similar unidimensional factor structures as found in other settings, indicating suitability for use in Lebanon, including refugees. Higher subjective well-being was associated with more risk-taking among refugees ( β = 0.07, SE = 0.02, z = 4.63, p < 0.01), but not among the Lebanese host population ( β = −0.003, SE = 0.01, z = −0.32, p = 0.75). However, average subjective well-being did not significantly differ between the Lebanese host population and refugees (absolute difference = −1.27, 95% CI = [−2.83, 0.29], on a 60-point scale), or between Syrian and Palestinian refugees (absolute difference = −1.53, 95% CI = [−4.16, 1.08]). Behavioural interventions (nudges and boosts) designed to support people in making choices more advantageous for them showed moderate effects. There is a clear pattern of greater risk-taking for refugees with better subjective well-being. This is an important finding as greater risk-taking can be associated with a number of negative health outcomes, particularly in vulnerable populations. While the behavioural interventions do show some effect on improving advantageous choice, these risk patterns are of clear interest to policymakers dealing with the health and well-being of all residents in Lebanon.
|
[
{
"display_name": "Humanities and Social Sciences Communications",
"id": "https://openalex.org/S4210206302",
"type": "journal"
},
{
"display_name": "Apollo (University of Cambridge)",
"id": "https://openalex.org/S4306401777",
"type": "repository"
}
] |
|
https://openalex.org/W4213169141
|
Measles and Mumps Outbreaks in Lebanon : Trends and Links
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Talal El Zarif",
"id": "https://openalex.org/A5028897583"
},
{
"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": "Mohamed Faisal Kassir",
"id": "https://openalex.org/A5088921928"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
}
],
"display_name": "Nazih Bizri",
"id": "https://openalex.org/A5084659830"
},
{
"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": "Ghida Kassir",
"id": "https://openalex.org/A5013701950"
},
{
"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": "Umayya Musharrafıeh",
"id": "https://openalex.org/A5050182315"
},
{
"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": "Abdul Rahman Bizri",
"id": "https://openalex.org/A5060673539"
}
] |
[
{
"display_name": "Measles",
"id": "https://openalex.org/C2776438120"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"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": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
}
] |
[
"Lebanon",
"Syria"
] |
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"https://openalex.org/W2894378622",
"https://openalex.org/W2901221139",
"https://openalex.org/W2904050890",
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"https://openalex.org/W2944865248",
"https://openalex.org/W4211025942",
"https://openalex.org/W4238107105"
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https://api.openalex.org/works?filter=cites:W4213169141
|
Abstract Background: Lebanon has experienced several measles and mumps outbreaks in the past twenty years . In this article, the trend of measles outbreaks in Lebanon was studied in an attempt to outline factors contributing to the failure of elimination plans, and to provide potential solutions. The relationship between measles and mumps outbreaks in Lebanon was described and explored. Methods: A retrospective descriptive study of confirmed cases of measles and mumps in Lebanon between 2003 and 2018 collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database was carried out. The information collected was graphically represented taking into consideration dates of cases, age groups affected, and vaccination status. Results: The mean number of measles cases was 150.25 cases/year in the 1-4 years age group, 87 cases/year in individuals aging between 5 and 14, and 63.68 cases/year in those > 14 years old. In the latter group, only 18.05% were unvaccinated. The mean number of mumps cases was 30.4 cases/year in the <4 year age group and 53.8 cases/year in the 10-19 years age group. During the study period, every spike in measles cases was followed by a similar spike in mumps. 9.66% of measles cases occurred in individuals who received at least 2 doses of the vaccine, 52.26% in the unvaccinated, and 38% in those whose vaccination status was undetermined. Conclusions: Measles in Lebanon is a disease of the pediatric population, but adults remain at risk. Outbreaks of mumps followed those of measles and were mainly among adolescents. Presence of a large number of Syrian refugees in the country may further complicate the situation. Vaccination activities need to be intensified. Keywords: Measles, mumps, elimination, vaccine, Lebanon.
|
[
{
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"id": "https://openalex.org/S4306402450",
"type": "repository"
}
] |
|
https://openalex.org/W4388420976
|
Developing the Lebanese health economic evaluation guideline
|
[
{
"affiliations": [
{
"country": "Netherlands",
"display_name": "Maastricht University",
"id": "https://openalex.org/I34352273",
"lat": 50.845833,
"long": 5.687222,
"type": "education"
}
],
"display_name": "Caroline Daccache",
"id": "https://openalex.org/A5074109753"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
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[
"Lebanon"
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https://api.openalex.org/works?filter=cites:W4388420976
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To report on the process of developing the Lebanese Economic Evaluation Guidelines (LEEG), and to provide relevant material that could assist guideline developers in the future.The development of the LEEG closely followed the process proposed by the World Health Organization, i.e. to set up a Guideline Development Group (composed of three Lebanese experts), to establish the rationale for developing the guideline in Lebanon, to identify its scope, to search and retrieve evidence through two systematic reviews, to assess and present the evidence, to translate the evidence into guidelines and recommendations through a deliberative process, and to consult international experts. The deliberative process included a survey, an in-person interview, and a consensus workshop with sixteen Lebanese key stakeholders. Data was collected and quantitative analysis was conducted using SPSS software. International experts from The Netherlands were consulted for issuing the LEEG. Supported by the Lebanese Ministry of Public Health (MoPH), the LEEG will be available for public consultation on the MoPH's webpage, and a final version will be made available thereafter.Clear and transparent reporting of the guideline development process should support international organizations as well as other developers in establishing their guidelines within their national context.
|
[
{
"display_name": "Expert Review of Pharmacoeconomics & Outcomes Research",
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|
https://openalex.org/W2414559726
|
List of essential drugs for primary care in Lebanon.
|
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{
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"display_name": "El Zein A",
"id": "https://openalex.org/A5057753569"
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{
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{
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{
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{
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{
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"id": "https://openalex.org/C160735492"
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"id": "https://openalex.org/C41895202"
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{
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"id": "https://openalex.org/C142724271"
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] |
[
"Lebanon"
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[] |
https://api.openalex.org/works?filter=cites:W2414559726
|
In 1966, Lebanon had around 19,000 drug formulations registered in the Ministry of Public Health. The government decreased that number to 5400 in 1992 through numerous interventions. In 1995 and in an effort to rationalize drug prescribing, the Lebanese government organized an ad hoc committee of medical and pharmaceutical experts to review the 1992 list and create a list of essential drugs for primary care (LEDPC). This report describes the process and the studies used to update the 1992 list by the ad hoc committee.
|
[
{
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"id": "https://openalex.org/S4306525036",
"type": "repository"
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|
https://openalex.org/W2062920867
|
Despite Ban, Actors Continue to Light Up on Screen
|
[
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"display_name": "Kate Egan",
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"id": "https://openalex.org/C90673727"
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{
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C15744967"
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{
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{
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"id": "https://openalex.org/C199539241"
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"id": "https://openalex.org/C17744445"
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{
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"id": "https://openalex.org/C138816342"
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{
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"id": "https://openalex.org/C99454951"
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{
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"id": "https://openalex.org/C111919701"
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{
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{
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"id": "https://openalex.org/C2524010"
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{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
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{
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"id": "https://openalex.org/C41008148"
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{
"display_name": "Programming language",
"id": "https://openalex.org/C199360897"
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[
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[] |
https://api.openalex.org/works?filter=cites:W2062920867
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On the big screen, more actors are smoking than ever before, in spite of a voluntary ban on cigarette product placement in US films by the tobacco industry established in 1988. Not only has the ban failed to reduce the appearance of cigarette brand names and logos, but also actors' actual use of tobacco onscreen increased from only 1% of movies prior to the ban, to 11% after, according to a study recently reported in The Lancet(2001;357:29-32). The study reviewed the content of 250 movies that were the top 25 box office hits in the US each year from 1988 to 1997. Eighty-seven percent of the films portrayed tobacco use, with 28% containing tobacco-brand appearances (i.e., when a brand name or logo appeared). The appearances were just as common in films suitable for adolescent audiences (32%) as in those for adults (35%), and were also present in movies rated for children (20%). According to the study, the brands that appeared include Marlboro (40%), Winston (17%), Lucky Strike (12%), and Camel (11%). With the exception of Lucky Strike, these are the most highly advertised brands and are the most popular with adolescents. “The appearance of cigarette brands in films, especially when endorsed by actors, is no different from other forms of cigarette advertising,” says lead author James Sargent, MD, from the Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center, Lebanon, NH. “Any country that uses advertising restrictions to control tobacco use should restrict this practice.” The authors classified brand appearances as “endorsement” when an actor used the products. While the American Cancer Society would welcome regulations that could effectively reduce tobacco use in films, the Society is pursuing other advocacy options as well. ACS representatives are working with entertainment industry leaders to reduce on-screen tobacco use. For example, in 1998, after sending a petition of 105,000 names of California school children and their parents to Jack Valenti, President and CEO of the Motion Picture Association of America, Inc., ACS met with Valenti. When asked if the Association would take action to reduce the amount of smoking in films, Valenti suggested that ACS reach out to theater owners, movie distributors, and producers, as well as to the Screen Actors Guild, the Directors Guild, and the Screenwriters Association. Meetings were set up with these groups, and with individual directors, though results were generally disappointing. Studios such as Turner Entertainment Group and FOX established tobacco policies, but many others were noncommittal. The groups claimed that smoking is the actor's choice, to use if necessary to build his/her character. In general, they view smoking as a creative freedom issue. Rob Reiner, founder and principal of Castle Rock Entertainment, understands that ultimately studios cannot restrict these freedoms. But he is an outspoken advocate of curbing cigarette smoking by actors onscreen. “I think many actors are just not aware of the message they're sending,” says Reiner. His company has recently established a policy that would keep most actors, especially the stars who are seen as role models, from lighting up. “Unless the movie is about the drug culture or some such thing, smoking just isn't necessary. There are other ways to show that a character is anxious, nervous, neurotic, or whatever,” he explained in an interview. If an actor were to insist that the character smoke, Reiner says he personally would go on the set and talk to the actor, to make sure he or she understands the effect this decision will have on audiences. “I'd tell them, if you really feel comfortable that this could result in someone's death, then go ahead and do what you want,” says Reiner. He advocates a strong educational campaign at the three guilds—the unions for the actors, writers, and directors. “These are the artists that are creating and they are the ones that should be targeted,” says Reiner. “Getting a studio head to establish a policy is nice, but they won't police it. We have to reach the people on the set.” Reiner pointed out that Warner Brothers has also been vocal against smoking in films, and fully supports such education efforts. Although the rest of the entertainment industry's commitment to reducing on-screen tobacco use remains to be demonstrated, the ACS has made some progress with its own product placement strategy. The sets of several television shows such as “ER” and “The X-Files” include ACS anti-smoking posters, which regularly appear in the shows. But according to ACS California Division CEO Pat Felts, “The issue is complex. There is no one group that has absolute power to reduce smoking on TV and in movies. It's a matter of having meaningful discussions about public health with all the people who work to put a story on the screen. We need to all decide that there are other, better ways to build a character than with a cigarette.” ACS Chief Executive Officer John R. Seffrin, PhD considers the study's results “a cause for real concern. The failure of the voluntary ban on cigarette product placement makes it clear that more aggressive steps must be taken to protect our children. First, there must be widespread recognition of the powerful and seductive force that actors and actresses who smoke have on our impressionable youth. Next, there must be a serious commitment by all parties to reduce the glamorization of tobacco use. The entertainment industry—from actors and actresses to studios and theater owners—must make a conscious decision to stop perpetuating images that smoking is ‘hip’ and ‘cool.’ Claims of artistic integrity and creative freedom are little more than copouts when the results lead to addiction, lung cancer, and possibly death.” There must be a serious commitment by all parties to reduce the glamorization of tobacco use.
|
[
{
"display_name": "CA: A Cancer Journal for Clinicians",
"id": "https://openalex.org/S126094547",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4309995746
|
Experiences of Communities with Lebanon's Model of Care for Non-Communicable Diseases (NCD): A Cross-Sectional Household Survey from Greater Beirut
|
[
{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
},
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
"type": "education"
}
],
"display_name": "Ibrahim R. Bou-Orm",
"id": "https://openalex.org/A5021735195"
},
{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
},
{
"country": "Belgium",
"display_name": "Instituut voor Tropische Geneeskunde",
"id": "https://openalex.org/I78281549",
"lat": 51.22047,
"long": 4.40026,
"type": "nonprofit"
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],
"display_name": "Pol deVos",
"id": "https://openalex.org/A5027101803"
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{
"affiliations": [
{
"country": "United Kingdom",
"display_name": "Queen Margaret University",
"id": "https://openalex.org/I181656237",
"lat": 55.95206,
"long": -3.19648,
"type": "education"
}
],
"display_name": "Karin Diaconu",
"id": "https://openalex.org/A5029674919"
}
] |
[
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Stratified sampling",
"id": "https://openalex.org/C49898467"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Non-communicable disease",
"id": "https://openalex.org/C2776577793"
},
{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"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://api.openalex.org/works?filter=cites:W4309995746
|
Introduction: Health systems in fragile settings face multiple challenges in the implementation of responsive Non-Communicable Disease (NCD) care models. Models based on comprehensive person-centred primary care approaches can improve health system responsiveness and trust in healthcare. In Lebanon, NCDs dominate the health profile, but the health system is fragmented with evidence suggesting varied experiences with the care model. This study aims to identify people's perceptions of the Lebanese care model for NCDs and trust in the health system among others, and test association between them. Methods: This study is a household survey using multistage random sampling and targeting adult community members (both Syrian and Lebanese) living with NCDs in Greater Beirut. Three main outcomes (barriers to care seeking, perceptions of the care model and trust in healthcare) were assessed including by multiple linear regressions. Results: A total of 941 respondents participated in this study. Reported NCDs were hypertension (51.3%) and diabetes (34.5%), followed by chronic respiratory conditions (21.9%) and other cardiovascular diseases (20.0%). Communities reported seeking care from different sources. While 78% of Lebanese participants had visited private clinics at least once within the 6 months preceding the survey, 56% of Syrian refugees had done so. Determinants of access to care were health coverage, gender, and employment among Lebanese, and socio-economic status among Syrian refugees. Lebanese community members had more positive perceptions of the care model compared to Syrian refugees and determinants included socio-demographic characteristics and the type of providers. Trust in the health system was higher among Syrian compared to Lebanese participants and was significantly influenced by the care model score and barriers to care seeking. Conclusion: Our study generated evidence about the experience of people living with NCDs with Lebanon's care model, and can inform service delivery reforms towards a more inclusive person-centred approach.
|
[
{
"display_name": "medRxiv (Cold Spring Harbor Laboratory)",
"id": "https://openalex.org/S4306400573",
"type": "repository"
}
] |
|
https://openalex.org/W2333662750
|
Maternal Mortality Ratio in Lebanon in 2008 : A Hospital based Reproductive Age Mortality Study ( RAMOS )
|
[
{
"affiliations": [],
"display_name": "Elie Hobeika",
"id": "https://openalex.org/A5045867754"
},
{
"affiliations": [],
"display_name": "Samer Abi Chaker",
"id": "https://openalex.org/A5013709639"
},
{
"affiliations": [],
"display_name": "Hilda L Harb",
"id": "https://openalex.org/A5088331996"
}
] |
[
{
"display_name": "Standardized mortality ratio",
"id": "https://openalex.org/C102803821"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Maternal death",
"id": "https://openalex.org/C2908892503"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Reproductive health",
"id": "https://openalex.org/C121752807"
},
{
"display_name": "Pregnancy",
"id": "https://openalex.org/C2779234561"
},
{
"display_name": "Maternal mortality rate",
"id": "https://openalex.org/C2992596102"
},
{
"display_name": "Mortality rate",
"id": "https://openalex.org/C179755657"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Health services",
"id": "https://openalex.org/C2986740045"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Genetics",
"id": "https://openalex.org/C54355233"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2333662750
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International agencies have recently assigned Lebanon to the group H of countries with "no national data on maternal mortality," and estimated a corresponding maternal mortality ratio (MMR) of 150 per 100,000 live births. The Ministry of Public Health addressed the discrepancy perceived between the reality of the maternal mortality ratio experience in Lebanon and the international report by facilitating a hospital-based reproductive age mortality study, sponsored by the World Health Organization Representative Office in Lebanon, aiming at providing an accurate estimate of a maternal mortality ratio for 2008. The survey allowed a detailed analysis of maternal causes of deaths.Reproductive age deaths (15-49 years) were initially identified through hospital records. A trained MD traveled to each hospital to ascertain whether recorded deaths were in fact maternal deaths or not. ICD10 codes were provided by the medical controller for each confirmed maternal deaths.There were 384 RA death cases, of which 13 were confirmed maternal deaths (339%) (numerator). In 2008, there were 84823 live births in Lebanon (denominator). The MMR in Lebanon in 2008 was thus officially estimated at 23/100,000 live births, with an "uncertainty range" from 153 to 30.6. Hemorrhage was the leading cause of death, with double the frequency of all other causes (pregnancy-induced hypertension, eclampsia, infection, and embolism).This specific enquiry responded to a punctual need to correct a clearly inadequate report, and it should be relayed by an on-going valid surveillance system. Results indicate that special attention has to be devoted to the management of peri-partum hemorrhage cases.Arab, postpartum hemorrhage, development, pregnancy management, verbal autopsy
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"display_name": "Le Journal médical libanais. The Lebanese medical journal",
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https://openalex.org/W4367677676
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Cost of bladder cancer in Lebanon before and after the economic collapse: a probabilistic modeling study
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"display_name": "Elie El Helou",
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https://api.openalex.org/works?filter=cites:W4367677676
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Lebanon has one of the highest incidence rates of bladder cancer (BC) in the world. In 2019, Lebanon's economy collapsed which majorly impacted healthcare costs and coverage. This study assesses the overall direct costs of urothelial BC in Lebanon, from the perspective of public and private third-party payers (TPP) and households, and evaluates the impact of the economic collapse on these costs.This was a quantitative, incidence-based cost-of-illness study, conducted using a macro-costing approach. Costs of medical procedures were obtained from the records of various TPPs and the Ministry of Public Health. We modeled the clinical management processes for each stage of BC, and conducted probabilistic sensitivity analyses to estimate and compare the cost of each stage, pre-and post-collapse, and for each payer category.Before the collapse, the total annual cost of BC in Lebanon was estimated at LBP 19,676,494,000 (USD 13,117,662). Post-collapse, the total annual cost of BC in Lebanon increased by 768% and was estimated at LBP 170,727,187,000 (USD 7,422,921). TPP payments increased by 61% whereas out-of-pocket (OOP) payments increased by 2,745% resulting in a decrease in TPP coverage to only 17% of total costs.Our study shows that BC in Lebanon constitutes a significant economic burden costing 0.32% of total health expenditures. The economic collapse induced an increase of 768% in the total annual cost, and a catastrophic increase in OOP payments.
|
[
{
"display_name": "International Journal for Equity in Health",
"id": "https://openalex.org/S167257428",
"type": "journal"
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{
"display_name": "PubMed Central",
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https://openalex.org/W4239326602
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Working short and working long: can primary healthcare be protected as a public good in Lebanon today?
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"display_name": "Ola Kdouh",
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"display_name": "Jennifer Lee",
"id": "https://openalex.org/A5014345315"
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"display_name": "Context (archaeology)",
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"id": "https://openalex.org/C137176749"
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"id": "https://openalex.org/C173145845"
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{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
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"id": "https://openalex.org/C2779585090"
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"id": "https://openalex.org/C17744445"
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{
"display_name": "Development economics",
"id": "https://openalex.org/C47768531"
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"id": "https://openalex.org/C144133560"
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{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
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"id": "https://openalex.org/C50522688"
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"id": "https://openalex.org/C121332964"
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{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
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"id": "https://openalex.org/C142724271"
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"display_name": "Thermodynamics",
"id": "https://openalex.org/C97355855"
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"Lebanon",
"Syria"
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[] |
https://api.openalex.org/works?filter=cites:W4239326602
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Abstract In this commentary we propose four questions to be addressed while building a meaningful public primary healthcare response in Lebanon today. These questions emerge from two imperatives: the necessity to consider both short- and longer-term struggles in a context of protracted conflict and the need to protect public health as a public good whilst the public Primary Healthcare Network (PHCN) is facing the Covid19 pandemic. In order to identify how these questions are related to the need to be working short and long, we look at the imprints left by past and present shocks. Profound shocks of the past include the Lebanese civil war and the Syrian refugee crisis. We analyse how these shocks have resulted in the PHCN developing resilience mechanisms in order to ensure a space for healthcare provision that stands public in Lebanon today. Then, we consider how two present shocks -- the economic breakdown and the blast of ammonium nitrate in Beirut port -- are affecting and threatening the progress made by the PHCN to ensure that primary healthcare remains a public good, a fragile space acquired with difficulty in the past half century. We identify what questions emerge from the combined consequences of such traumas, when the immediate constraints of the present meet the impediments of the past. We consider what such questions mean more broadly, for the people living in Lebanon today, and for the PHCN ability to respond to the Covid 19 pandemic in a relevant way. Our hypothesis is that in a protracted conflict, such as the one defining the circumstances of Lebanon now, public access to primary healthcare might persist for the people as one safeguard, in which social and moral continuity can be anchored to protect a sense of public good.
|
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"display_name": "LSHTM Research Online (London School of Hygiene and Tropical Medicine)",
"id": "https://openalex.org/S4306402527",
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https://openalex.org/W4245331520
|
Measles and Mumps Outbreaks in Lebanon : Trends and Links
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"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
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"display_name": "Talal El Zarif",
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{
"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
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"country": "Lebanon",
"display_name": "University of Balamand",
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"lat": 34.365208,
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"display_name": "Nazih Bizri",
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"affiliations": [
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"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
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"display_name": "Ghida Kassir",
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{
"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
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"display_name": "Umayya Musharrafıeh",
"id": "https://openalex.org/A5050182315"
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"country": "Lebanon",
"display_name": "American University of Beirut Medical Center",
"id": "https://openalex.org/I4210104580",
"lat": 33.897972,
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"display_name": "Abdul Rahman Bizri",
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"display_name": "Measles",
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"id": "https://openalex.org/C116675565"
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"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
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"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
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{
"display_name": "Population",
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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"id": "https://openalex.org/C144024400"
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https://api.openalex.org/works?filter=cites:W4245331520
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Abstract Background: Lebanon has experienced several measles and mumps outbreaks in the past twenty years. In this article, a case-based surveillance of both measles and mumps outbreaks in Lebanon was carried out in an attempt to outline factors contributing to the failure of elimination plans and to provide potential solutions. The relationship between the outbreaks of both diseases was described and explored. Methods: A retrospective descriptive study of confirmed cases of measles and mumps in Lebanon between 2003 and 2018 collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database was carried out. The information collected was graphically represented taking into consideration dates of reported cases, age groups affected, and vaccination status. Results: The mean number of measles cases was 150.25 cases/year in the 1-4 years age group, 87 cases/year in individuals aging between 5 and 14, and 63.68 cases/year in those > 14 years old. In the latter group, only 18.05% were unvaccinated. The mean number of mumps cases was 30.4 cases/year in the <4 year age group and 53.8 cases/year in the 10-19 years age group. During the study period, every spike in measles cases was followed by a similar spike in mumps. 9.66% of measles cases occurred in individuals who received at least 2 doses of the vaccine, 52.26% in the unvaccinated, and 38% in those whose vaccination status was undetermined. Conclusions: Measles in Lebanon is a disease of the pediatric population, but adults remain at risk. Outbreaks of mumps followed those of measles and were mainly among adolescents. Presence of a large number of Syrian refugees in the country may further complicate the situation. Vaccination activities need to be intensified. Keywords: Measles, mumps, elimination, vaccine, Lebanon.
|
[
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"type": "repository"
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https://openalex.org/W4312967651
|
Medical Waste Management in Lebanon and Impact of COVID-19
|
[
{
"affiliations": [
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"country": "United States",
"display_name": "Earth Island Institute",
"id": "https://openalex.org/I2802152550",
"lat": 37.86952,
"long": -122.26606,
"type": "nonprofit"
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{
"country": "United States",
"display_name": "Columbia University",
"id": "https://openalex.org/I78577930",
"lat": 40.71427,
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],
"display_name": "Amani Maalouf",
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
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"display_name": "Hani Maalouf",
"id": "https://openalex.org/A5028968182"
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{
"affiliations": [
{
"country": "Malaysia",
"display_name": "Sunway University",
"id": "https://openalex.org/I84339108",
"lat": 3.10726,
"long": 101.60671,
"type": "education"
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],
"display_name": "P. Agamuthu",
"id": "https://openalex.org/A5034066643"
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{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
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{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
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{
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"id": "https://openalex.org/C22507642"
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{
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"id": "https://openalex.org/C2992940845"
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{
"display_name": "Context (archaeology)",
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{
"display_name": "Legislation",
"id": "https://openalex.org/C2777351106"
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{
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"id": "https://openalex.org/C138816342"
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{
"display_name": "Coronavirus disease 2019 (COVID-19)",
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{
"display_name": "Decree",
"id": "https://openalex.org/C2778958867"
},
{
"display_name": "Biomedical waste",
"id": "https://openalex.org/C2778960967"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Waste management",
"id": "https://openalex.org/C548081761"
},
{
"display_name": "Engineering",
"id": "https://openalex.org/C127413603"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
},
{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W597491074",
"https://openalex.org/W2000564889",
"https://openalex.org/W2034942154",
"https://openalex.org/W2915027488",
"https://openalex.org/W2979746049",
"https://openalex.org/W2980790429",
"https://openalex.org/W3016757822",
"https://openalex.org/W3020606465",
"https://openalex.org/W3080681974",
"https://openalex.org/W3083070248",
"https://openalex.org/W3089292152",
"https://openalex.org/W3119972335"
] |
https://api.openalex.org/works?filter=cites:W4312967651
|
Lebanon recorded 552,871 of COVID-19 cases and 7,889 deaths as of July 23, 2021. Worldwide, there are thousands of new COVID-19 cases being reported every day. The rise in the amount of medical/healthcare waste generated was expected due to the extreme large number of infections worldwide and nationally. In this context, there are growing concerns about the negative effects of healthcare waste produced in hospitals worldwide, particularly in developing countries. Hazardous healthcare waste, due to its physical, chemical, and biological characteristics, has great potential to cause damage to public health and the environment. Therefore, this chapter aims to provide an overview of healthcare waste generation rate and management in Lebanon and an analysis of existing waste management policies and regulations. The estimated generation of healthcare waste ranges 1.0–1.5 kg/bed/day corresponding to about 9.2–13.8 tons of risk healthcare waste daily (about 3358–5037 tons per year). The estimated average of COVID-19 related infectious healthcare waste per month is 39,035 kg or 1.3 tons/day, which constitute between 5% and 20% of total infectious healthcare waste in Lebanon. The current practice of infectious healthcare waste management due to COVID-19 related cases follows the existing policy and legislation such as the Decree 13389/2004 amended through decree 8006/2002, and with the standard operating procedure provided by the Ministry of Public Health and the Ministry of Environment, Lebanon. This chapter illuminates on the impact of COVID-19 on the existing challenges of waste management in Lebanon.
|
[] |
|
https://openalex.org/W4226484172
|
General Oncology Care 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": "Razan Mohty",
"id": "https://openalex.org/A5046228780"
},
{
"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": "Arafat Tfayli",
"id": "https://openalex.org/A5074969801"
}
] |
[
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Healthcare system",
"id": "https://openalex.org/C2988170871"
},
{
"display_name": "Cancer incidence",
"id": "https://openalex.org/C2992704333"
},
{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W2111548844",
"https://openalex.org/W2325335459",
"https://openalex.org/W2561195546",
"https://openalex.org/W2624755713",
"https://openalex.org/W2804207405",
"https://openalex.org/W2811065834",
"https://openalex.org/W2984197862",
"https://openalex.org/W3087530113"
] |
https://api.openalex.org/works?filter=cites:W4226484172
|
Abstract Lebanon is a relatively small country located on the eastern coast of the Mediterranean Sea. It includes one of the most developed healthcare systems and world-renowned healthcare workers in the region. Cancer cases are steadily increasing in Lebanon reaching 11,589 new cases in 2020. Preventions and screenings programs are conducted to decrease cancer incidence and aim for early cancer detection. Cancer treatment is provided in public and private hospitals and financial coverage is assured through the Ministry of Public Health (MOPH) and third-party payers. All Lebanese cancer patients have access to treatment through universal cancer drug coverage by the MOPH. Recently, economic, financial, and political constraints have increased the burden on the healthcare system. Further improvements are needed to keep the healthcare system resilient enough to face these difficulties.
|
[
{
"display_name": "Springer eBooks",
"id": "https://openalex.org/S4306463937",
"type": "ebook platform"
}
] |
|
https://openalex.org/W3108610681
|
Can Primary Healthcare be Protected as a Public Good in Lebanon Today?
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
}
],
"display_name": "Randa Hamadeh",
"id": "https://openalex.org/A5063347956"
},
{
"affiliations": [],
"display_name": "Ola Kdouh",
"id": "https://openalex.org/A5024050553"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Ministry of Public Health",
"id": "https://openalex.org/I4210097567",
"lat": 33.86422,
"long": 35.493645,
"type": "government"
}
],
"display_name": "Rawan Hammoud",
"id": "https://openalex.org/A5054535163"
},
{
"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": "Enrica Leresche",
"id": "https://openalex.org/A5060947435"
},
{
"affiliations": [],
"display_name": "Jennifer Lee",
"id": "https://openalex.org/A5014345315"
}
] |
[
{
"display_name": "Mandate",
"id": "https://openalex.org/C2775884135"
},
{
"display_name": "Context (archaeology)",
"id": "https://openalex.org/C2779343474"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Politics",
"id": "https://openalex.org/C94625758"
},
{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
},
{
"display_name": "Refugee",
"id": "https://openalex.org/C173145845"
},
{
"display_name": "Pandemic",
"id": "https://openalex.org/C89623803"
},
{
"display_name": "Economic recovery",
"id": "https://openalex.org/C2777461252"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Development economics",
"id": "https://openalex.org/C47768531"
},
{
"display_name": "Coronavirus disease 2019 (COVID-19)",
"id": "https://openalex.org/C3008058167"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
},
{
"display_name": "History",
"id": "https://openalex.org/C95457728"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Disease",
"id": "https://openalex.org/C2779134260"
},
{
"display_name": "Archaeology",
"id": "https://openalex.org/C166957645"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Infectious disease (medical specialty)",
"id": "https://openalex.org/C524204448"
},
{
"display_name": "Keynesian economics",
"id": "https://openalex.org/C165556158"
}
] |
[
"Lebanon",
"Syria"
] |
[] |
https://api.openalex.org/works?filter=cites:W3108610681
|
Abstract When Lebanon’s primary healthcare network meets Covid-19 in the midst of an economic collapse and a disaster, what are the crucial questions? In this commentary we look at the impact of three profound shocks (the Lebanese civil war, the Syrian refugee crisis, and the current economic breakdown) which the Lebanese primary healthcare network (PHCN) has met in the last half century. We examine the past and current constraints that these events have imposed on the capacity of the PHCN to respond to the Covid-19 pandemic. In the context of impending economic collapse, rising social and political tensions–and now the devastating explosion in the capital on 4 August 2020–we identify the broader and deeper issues at stake as the Lebanese primary health care network struggles to fulfil its mandate to support the delivery of essential primary health care to Lebanon’s most vulnerable populations. Our finding is that in a protracted conflict, such as the one defining the circumstances of Lebanon now, access to health care persists for the people as one safeguard in which social and moral continuity can be anchored and protected.
|
[] |
|
https://openalex.org/W3207130614
|
Integrating Health Belief model to determine factors associated with COVID-19 Vaccine Acceptance in Lebanon: Differences between health care workers and non-healthcare workers
|
[
{
"affiliations": [],
"display_name": "Dalal Youssef",
"id": "https://openalex.org/A5051867739"
}
] |
[
{
"display_name": "Snowball sampling",
"id": "https://openalex.org/C106399304"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
},
{
"display_name": "Influenza vaccine",
"id": "https://openalex.org/C2780689484"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Health belief model",
"id": "https://openalex.org/C1602351"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"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": "Health promotion",
"id": "https://openalex.org/C185618831"
},
{
"display_name": "Immunology",
"id": "https://openalex.org/C203014093"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W3207130614
|
Abstract Background: Vaccine acceptance is critical to the success of immunization programs, especially for emerging infectious diseases. This study aims to assess the willingness to receive the COVID-19 vaccine, and the factors associated with this willingness among healthcare workers (HCWs) and non-healthcare workers in Lebanon. Methods: A web-based cross-sectional survey was conducted among Lebanese adults aged 18 years and above during November 2020 among Lebanese adults from all Lebanese provinces using a snowball sampling technique. Data were collected using an anonymous Arabic questionnaire that included sociodemographic, health-related variables, intention to receive COVID-19 vaccine, and the Health Belief Model covariates. Multivariable logistic regression analyses were performed to identify the factors associated with the COVID-19 vaccine acceptance among the 2 groups. Results: A total number of 2802 participants completed the survey. The overall intention to receive a COVID-19 vaccine among the Lebanese adult population was 51.5%. HCWs expressed a higher willingness of getting vaccinated against COVID-19 than non HCWs (65.8% vs. 47%, p< 0.001). The factors that are positively associated with the willingness to vaccinate among the general population, non HCWs and HCWs were: older age, being married, living in urban areas, receiving influenza vaccine for this season, higher perception of susceptibility and benefits, concerns related to availability and accessibility of vaccines and recommendation of vaccine from health authorities. However, the previous refusal of any vaccine, concerns about vaccine safety, and side effects impacted negatively this intention. Female gender, importance accounted to religiosity, and concerns about the reliability of the manufacturer were negatively associated with vaccine acceptance among non HCWs. Conversely, good knowledge, vaccine intake by the public, and self-motivation were positively associated with this willingness. Of note, these factors were not significantly associated with such willingness among HCWs. Conclusion: To control COVID-19 effectively, efforts targeting modifiable factors driving COVID-19 vaccine acceptance are required to increase the acceptance rate among the Lebanese population.
|
[
{
"display_name": "Research Square (Research Square)",
"id": "https://openalex.org/S4306402450",
"type": "repository"
}
] |
|
https://openalex.org/W3047066911
|
Measles outbreak investigation, Lebanon, 2018: a teaching-case study student's guide
|
[
{
"affiliations": [],
"display_name": "Lina Chaito",
"id": "https://openalex.org/A5011972362"
},
{
"affiliations": [],
"display_name": "Mona Beaini",
"id": "https://openalex.org/A5003198950"
},
{
"affiliations": [],
"display_name": "Nada Ghosn",
"id": "https://openalex.org/A5082031484"
}
] |
[
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Measles",
"id": "https://openalex.org/C2776438120"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Measles vaccine",
"id": "https://openalex.org/C2780657872"
},
{
"display_name": "Disease surveillance",
"id": "https://openalex.org/C2776480101"
},
{
"display_name": "Attack rate",
"id": "https://openalex.org/C37701844"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W3047066911
|
Measles is a highly contagious vaccine-preventable disease that affects susceptible individuals and can lead to serious complications and death among young children. Despite the availability of a safe and effective vaccine in Lebanon, measles immunization coverage rates have fallen far below the recommended threshold that is necessary to prevent illness and outbreaks. Lebanon has witnessed several measles outbreaks in recent history. In 1997-1998, an outbreak in the north of Lebanon caused 980 measles cases and led to 3 deaths. In 2003-2007, annual epidemic waves were observed with recurring outbreaks every 2 years in northern Lebanon. In 2013, a national measles outbreak occurred with 1,760 cases and 4 deaths. Since the first week of January 2018, the country experienced another large measles outbreak. This case study aimed to develop competencies in analyzing measles surveillance data based on a measles outbreak in Lebanon in 2018. This case study is based on the actions taken by the Ministry of Public Health to respond to the outbreak and limit its spread. It simulates outbreak investigation and focuses on analyzing surveillance data, communicating findings, and identifying strengths and weakness of surveillance systems. This case study is designed for training basic level field epidemiology trainees or any other health care workers working in public health-related fields. It can be administered in 2-3 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/W4244778790
|
Measles and Mumps Outbreaks in Lebanon : Trends and Links
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Lebanese University",
"id": "https://openalex.org/I160368002",
"lat": 33.827816,
"long": 35.52219,
"type": "education"
}
],
"display_name": "Talal El Zarif",
"id": "https://openalex.org/A5028897583"
},
{
"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": "Mohamed Faisal Kassir",
"id": "https://openalex.org/A5088921928"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "University of Balamand",
"id": "https://openalex.org/I168913471",
"lat": 34.365208,
"long": 35.785675,
"type": "education"
}
],
"display_name": "Nazih Bizri",
"id": "https://openalex.org/A5084659830"
},
{
"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": "Ghida Kassir",
"id": "https://openalex.org/A5013701950"
},
{
"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": "Umayya Musharrafıeh",
"id": "https://openalex.org/A5050182315"
},
{
"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": "Abdul Rahman Bizri",
"id": "https://openalex.org/A5060673539"
}
] |
[
{
"display_name": "Measles",
"id": "https://openalex.org/C2776438120"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Outbreak",
"id": "https://openalex.org/C116675565"
},
{
"display_name": "Vaccination",
"id": "https://openalex.org/C22070199"
},
{
"display_name": "Epidemiology",
"id": "https://openalex.org/C107130276"
},
{
"display_name": "Pediatrics",
"id": "https://openalex.org/C187212893"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Virology",
"id": "https://openalex.org/C159047783"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
}
] |
[
"Lebanon",
"Syria"
] |
[
"https://openalex.org/W1725195596",
"https://openalex.org/W1753923144",
"https://openalex.org/W1968362639",
"https://openalex.org/W1994239708",
"https://openalex.org/W2019863101",
"https://openalex.org/W2089055734",
"https://openalex.org/W2096718612",
"https://openalex.org/W2096950785",
"https://openalex.org/W2125611219",
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"https://openalex.org/W2894378622",
"https://openalex.org/W2901221139",
"https://openalex.org/W2904050890",
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https://api.openalex.org/works?filter=cites:W4244778790
|
Abstract Background: Lebanon has experienced several measles and mumps outbreaks in the past twenty years. In this article, a case-based surveillance of both measles and mumps outbreaks in Lebanon was carried out in an attempt to outline factors contributing to the failure of elimination plans and to provide potential solutions. The relationship between the outbreaks of both diseases was described and explored. Methods: A retrospective descriptive study of confirmed cases of measles and mumps in Lebanon between 2003 and 2018 collected from the Lebanese Ministry of Public Health Epidemiological Surveillance Unit public database was carried out. The information collected was graphically represented taking into consideration dates of reported cases, age groups affected, and vaccination status. Results: The mean number of measles cases was 150.25 cases/year in the 1-4 years age group, 87 cases/year in individuals aging between 5 and 14, and 63.68 cases/year in those > 14 years old. In the latter group, only 18.05% were unvaccinated. The mean number of mumps cases was 30.4 cases/year in the <4 year age group and 53.8 cases/year in the 10-19 years age group. During the study period, every spike in measles cases was followed by a similar spike in mumps. 9.66% of measles cases occurred in individuals who received at least 2 doses of the vaccine, 52.26% in the unvaccinated, and 38% in those whose vaccination status was undetermined. Conclusions: Measles in Lebanon is a disease of the pediatric population, but adults remain at risk. Outbreaks of mumps followed those of measles and were mainly among adolescents. Presence of a large number of Syrian refugees in the country may further complicate the situation. Vaccination activities need to be intensified.
|
[
{
"display_name": "Research Square (Research Square)",
"id": "https://openalex.org/S4306402450",
"type": "repository"
}
] |
|
https://openalex.org/W2747017268
|
Community Usage Pattern of Antibiotics within Lebanese Population: A Prospective Study
|
[
{
"affiliations": [],
"display_name": "Malak Khalifeh",
"id": "https://openalex.org/A5086185256"
},
{
"affiliations": [],
"display_name": "Nicholas Moore",
"id": "https://openalex.org/A5032986176"
},
{
"affiliations": [],
"display_name": "Pascale Salameh",
"id": "https://openalex.org/A5091538918"
}
] |
[
{
"display_name": "Pharmacy",
"id": "https://openalex.org/C104863432"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Antibiotics",
"id": "https://openalex.org/C501593827"
},
{
"display_name": "Amoxicillin",
"id": "https://openalex.org/C2779708577"
},
{
"display_name": "Medical prescription",
"id": "https://openalex.org/C2426938"
},
{
"display_name": "Clavulanic acid",
"id": "https://openalex.org/C2779454058"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Descriptive statistics",
"id": "https://openalex.org/C39896193"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Self-medication",
"id": "https://openalex.org/C142104173"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Prospective cohort study",
"id": "https://openalex.org/C188816634"
},
{
"display_name": "Community pharmacy",
"id": "https://openalex.org/C2994493120"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Statistics",
"id": "https://openalex.org/C105795698"
},
{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
},
{
"display_name": "Microbiology",
"id": "https://openalex.org/C89423630"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2747017268
|
Introduction: Antibiotic misuse is a worldwide public health problem and a major cause of antibiotic resistance. Objective: The aim of this study therefore was to describe the usage pattern of antibiotics in Lebanon. Method: It is a prospective study in a community-based pharmacy setting in Lebanon. It uses a structured random interview to patients visiting community pharmacy seeking for antibiotics. Baseline characteristics and reason for self-medication were collected. Completing a self-administered questionnaire after 30 days provided information on safety, efficacy and usage pattern. Data were analyzed using descriptive statistics and Chi-square test. Results: 62.7% of 501 participants bought antibiotic without prescription. Pharmacists were the main helpers (34.7%). Amoxicillin/clavulanic acid was the most used antibiotic as self-medication (33.7%). The overall average dispensation was 9.07 DDD for short term use (Conclusion: Antibiotic consumption in Lebanon is uncontrolled. Educational programs should be implemented for the public to reduce the usage of antibiotic.
|
[] |
|
https://openalex.org/W2954156304
|
PCN88 RESOURCE UTILIZATION OF BREAST CANCER IN LEBANON USING A PRIVATE PAYER DATA SET
|
[
{
"affiliations": [],
"display_name": "Roger Becker",
"id": "https://openalex.org/A5041644445"
},
{
"affiliations": [],
"display_name": "Adnan Mesmar",
"id": "https://openalex.org/A5090910074"
},
{
"affiliations": [],
"display_name": "Raja Sabbagh",
"id": "https://openalex.org/A5048405667"
},
{
"affiliations": [],
"display_name": "B. Wehbe",
"id": "https://openalex.org/A5052223418"
}
] |
[
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Breast cancer",
"id": "https://openalex.org/C530470458"
},
{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Total cost",
"id": "https://openalex.org/C182299520"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Cancer",
"id": "https://openalex.org/C121608353"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Demography",
"id": "https://openalex.org/C149923435"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Accounting",
"id": "https://openalex.org/C121955636"
},
{
"display_name": "Philosophy",
"id": "https://openalex.org/C138885662"
},
{
"display_name": "Theology",
"id": "https://openalex.org/C27206212"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W2954156304
|
Breast cancer is the most common cancer in women worldwide. Lebanon has the sixth highest rate of breast cancer globally. The aim of this study is to identify the resources contributing the most to the financial burden of breast cancer and to determine costs of treating breast cancer in Lebanon from Private payer’s perspective. Data was gathered retrospectively over a 10-year period (2008-2017) with a total number of 3758 patients using GlobeMed Dataset. Yearly total and average costs per patient were calculated for four categories: inpatients pharma, inpatients non-pharma, outpatient pharma and outpatient non-pharma. These costs were also calculated for the total population per year. Analysis was cross validated with the published data of the public payer (Ministry of Public Health of Lebanon, MOPH). From 2008-2017 & yearly, among the four categories of costs, inpatients pharma costs were the highest of all. Almost half of the total cost of $30,691,075 comes from inpatient pharma. The lowest percentage of inpatients pharma costs was 47% and the highest was 60% in 2011 and 2012 respectively. From 2008 to 2013, the total drug cost of breast cancer was $7,638,725, the mean associated 6-year drug cost per patient amounted to $5,926, and the mean sample size was 200 patients per year. Similar mean associated 6-year drug cost per patient, amounting to $5,926, was published by the largest payer in Lebanon. The cost of breast cancer remains a heavy burden on payers in Lebanon and is expected to increase with new medications introduced. By breaking down the total cost per year, findings show that inpatients pharma costs contributed the most to the financial burden of breast cancer. The limitations of this study are that staging of the disease and inflation over the period were not captured in the analysis.
|
[
{
"display_name": "Value in Health",
"id": "https://openalex.org/S678965",
"type": "journal"
}
] |
|
https://openalex.org/W4387996988
|
Barriers to the implementation of occupational health and safety regulations in Lebanon
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
"long": 35.50157,
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"display_name": "N. Ayoub",
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"affiliations": [
{
"country": "United Arab Emirates",
"display_name": "Canadian University of Dubai",
"id": "https://openalex.org/I186129607",
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"display_name": "Sahar Issa",
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{
"affiliations": [
{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
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],
"display_name": "Hana Nassif",
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{
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{
"country": "Lebanon",
"display_name": "Saint Joseph University",
"id": "https://openalex.org/I184679254",
"lat": 33.89332,
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"type": "education"
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"display_name": "Michèle Kosremelli Asmar",
"id": "https://openalex.org/A5070566226"
}
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[
{
"display_name": "Occupational safety and health",
"id": "https://openalex.org/C187155963"
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{
"display_name": "Documentation",
"id": "https://openalex.org/C56666940"
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{
"display_name": "Work (physics)",
"id": "https://openalex.org/C18762648"
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{
"display_name": "Workplace health promotion",
"id": "https://openalex.org/C2780631933"
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{
"display_name": "Occupational health nursing",
"id": "https://openalex.org/C198231283"
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{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
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{
"display_name": "Hierarchy",
"id": "https://openalex.org/C31170391"
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{
"display_name": "Public relations",
"id": "https://openalex.org/C39549134"
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{
"display_name": "Christian ministry",
"id": "https://openalex.org/C521751864"
},
{
"display_name": "Health promotion",
"id": "https://openalex.org/C185618831"
},
{
"display_name": "Promotion (chess)",
"id": "https://openalex.org/C98147612"
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{
"display_name": "Effective safety training",
"id": "https://openalex.org/C14498672"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
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{
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"id": "https://openalex.org/C71924100"
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{
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"id": "https://openalex.org/C159110408"
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{
"display_name": "Political science",
"id": "https://openalex.org/C17744445"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Engineering",
"id": "https://openalex.org/C127413603"
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{
"display_name": "Law",
"id": "https://openalex.org/C199539241"
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{
"display_name": "Mechanical engineering",
"id": "https://openalex.org/C78519656"
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{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
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{
"display_name": "Politics",
"id": "https://openalex.org/C94625758"
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{
"display_name": "Computer science",
"id": "https://openalex.org/C41008148"
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{
"display_name": "Programming language",
"id": "https://openalex.org/C199360897"
}
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[
"Lebanon"
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[
"https://openalex.org/W79229537",
"https://openalex.org/W2019690820",
"https://openalex.org/W2031567004",
"https://openalex.org/W2041777542",
"https://openalex.org/W2058645536",
"https://openalex.org/W2086741342",
"https://openalex.org/W2155784661",
"https://openalex.org/W2175818444",
"https://openalex.org/W2186484541",
"https://openalex.org/W2769288249",
"https://openalex.org/W2891209907",
"https://openalex.org/W2895103703",
"https://openalex.org/W2916136405",
"https://openalex.org/W3022208939",
"https://openalex.org/W3113257219",
"https://openalex.org/W4206412053",
"https://openalex.org/W4210585803",
"https://openalex.org/W4318474329"
] |
https://api.openalex.org/works?filter=cites:W4387996988
|
AbstractThis study aims to explore the barriers that prevent the implementation of occupational health and safety regulations in Lebanon. A qualitative approach was adopted including a document analysis of the available legal documents pertaining to occupational health and safety at the national level and ten in-depth interviews with professionals in the field of occupational health and safety in Lebanon. Our findings show that the implementation of the occupational health and safety regulations in Lebanon is hindered by several barriers including the lack of a holistic legal framework, lack of promotion of a health and safety culture at work, insufficient number of labor inspectors, insufficient training for labor inspectors, lack of necessary tools and equipment, lack of an adequate documentation system, hierarchy within the Ministry of Labor, weak compliance, and the influence of the informal sector.Keywords: BarriersimplementationLebanonoccupational health and safetyregulations Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
|
[
{
"display_name": "Archives of Environmental & Occupational Health",
"id": "https://openalex.org/S204015880",
"type": "journal"
},
{
"display_name": "PubMed",
"id": "https://openalex.org/S4306525036",
"type": "repository"
}
] |
|
https://openalex.org/W4322631341
|
Understanding Determinants of Electronic Cigarette and Heated Tobacco Product Use among Young Adults in Lebanon: Prevention and Policy Implications
|
[
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Sanaa Mugharbil",
"id": "https://openalex.org/A5061931183"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
}
],
"display_name": "Malak Tleis",
"id": "https://openalex.org/A5074691729"
},
{
"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": "Maya Romani",
"id": "https://openalex.org/A5012884798"
},
{
"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": "University of Florida",
"id": "https://openalex.org/I33213144",
"lat": 29.65163,
"long": -82.32483,
"type": "education"
}
],
"display_name": "Ramzi G. Salloum",
"id": "https://openalex.org/A5024740547"
},
{
"affiliations": [
{
"country": "Lebanon",
"display_name": "American University of Beirut",
"id": "https://openalex.org/I98635879",
"lat": 33.901093,
"long": 35.48153,
"type": "education"
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{
"country": "United States",
"display_name": "George Mason University",
"id": "https://openalex.org/I162714631",
"lat": 38.832436,
"long": -77.30807,
"type": "education"
}
],
"display_name": "Rima Nakkash",
"id": "https://openalex.org/A5025685233"
}
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[
{
"display_name": "Snowball sampling",
"id": "https://openalex.org/C106399304"
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{
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"id": "https://openalex.org/C99454951"
},
{
"display_name": "Expectancy theory",
"id": "https://openalex.org/C188353592"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Tobacco product",
"id": "https://openalex.org/C3020384764"
},
{
"display_name": "Electronic cigarette",
"id": "https://openalex.org/C2776970978"
},
{
"display_name": "Smoking cessation",
"id": "https://openalex.org/C2777843972"
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{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
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{
"display_name": "Categorization",
"id": "https://openalex.org/C94124525"
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{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
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{
"display_name": "Social psychology",
"id": "https://openalex.org/C77805123"
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{
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"id": "https://openalex.org/C159110408"
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{
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"id": "https://openalex.org/C138885662"
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{
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"id": "https://openalex.org/C111472728"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
}
] |
[
"Lebanon"
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[
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"https://openalex.org/W2892102607",
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https://api.openalex.org/works?filter=cites:W4322631341
|
In line with the global trends, electronic cigarettes (e-cigarettes) and heated tobacco products (HTPs) have found their way to the Lebanese market. The present study aims to explore the determinants of e-cigarette and HTP use among young adults in Lebanon. Convenience and snowball sampling were used to recruit participants aged 18-30 residing in Lebanon, who were familiar with e-cigarettes products. Twenty-one consenting participants were interviewed via Zoom and the verbatim transcriptions were analyzed thematically. The outcome expectancy theory was used to categorize the results into determinants and deterrents of use. HTPs were viewed by participants as another mode of smoking. The results showed that most participants perceived e-cigarettes and HTPs to be healthier alternatives to cigarettes/waterpipes and to be used as smoking cessation tools. Both e-cigarettes and HTPs were found to be easily accessible in Lebanon; although, in the recent economic crisis, e-cigarettes have become unaffordable. More research is needed to investigate the motivations and behaviors of e-cigarette and HTP users if effective policies and regulations are to be developed and enforced. Furthermore, greater public health efforts need to be made to increase awareness of the harmful impacts of e-cigarettes and HTPs and to implement evidence-based cessation programs tailored to those modes of smoking.
|
[
{
"display_name": "International Journal of Environmental Research and Public Health",
"id": "https://openalex.org/S15239247",
"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/W1491334374
|
Economic status and access to health care : an empirical study of Egypt and Lebanon
|
[
{
"affiliations": [],
"display_name": "Hebatalla Elgazzar",
"id": "https://openalex.org/A5055392110"
}
] |
[
{
"display_name": "Socioeconomic status",
"id": "https://openalex.org/C147077947"
},
{
"display_name": "Health care",
"id": "https://openalex.org/C160735492"
},
{
"display_name": "Payment",
"id": "https://openalex.org/C145097563"
},
{
"display_name": "Per capita",
"id": "https://openalex.org/C127598652"
},
{
"display_name": "Per capita income",
"id": "https://openalex.org/C160443848"
},
{
"display_name": "Business",
"id": "https://openalex.org/C144133560"
},
{
"display_name": "Social determinants of health",
"id": "https://openalex.org/C78491826"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Socioeconomics",
"id": "https://openalex.org/C45355965"
},
{
"display_name": "Demographic economics",
"id": "https://openalex.org/C4249254"
},
{
"display_name": "Economic growth",
"id": "https://openalex.org/C50522688"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Economics",
"id": "https://openalex.org/C162324750"
},
{
"display_name": "Population",
"id": "https://openalex.org/C2908647359"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Finance",
"id": "https://openalex.org/C10138342"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
}
] |
[
"Lebanon",
"Egypt"
] |
[] |
https://api.openalex.org/works?filter=cites:W1491334374
|
Economic equality in health care continues to be a policy objective that is difficult to achieve in many countries. The aim of this thesis is to examine the effect of income level and health insurance status on the use of different health services in two contrasting funding systems, using the cases of Egypt and Lebanon. Although these countries share some similarities, they differ from one another with respect to income per capita and public financing systems. Due to these differences, it is hypothesised that the nature of economic barriers to access differs in each country. Methods used to examine the research question include descriptive and multivariate analyses of cross-sectional household survey data from the 2001 Multi-Country Survey Study, a survey conducted by the World Health Organization. Results from the analyses indicate that Egyptian respondents were more likely to use health services than their Lebanese counterparts, all other factors held equal. This result was especially evident in the case of outpatient care. Having a higher income level and health insurance were each associated with a greater likelihood of using health services, particularly for outpatient services as compared to inpatient services. These effects were also more pronounced in Lebanon. Lower-income groups tended to report worse health levels and higher out-of-pocket payments for health care as a share of income than did higher-income groups. Greater socioeconomic disparities in health were also found in Lebanon than in Egypt. This study shows that greater attention should be paid to the role of social safety nets in reducing inequalities, particularly for outpatient care.
|
[] |
|
https://openalex.org/W4288033349
|
Household Food Insecurity in Lebanon and Its Impact On Maternal Mental Health, Coping Mechanisms, and Children’s Malnutrition. (c2022)
|
[
{
"affiliations": [],
"display_name": "Farah Al Mashharawi",
"id": "https://openalex.org/A5040218686"
}
] |
[
{
"display_name": "Malnutrition",
"id": "https://openalex.org/C551997983"
},
{
"display_name": "Food insecurity",
"id": "https://openalex.org/C2993342163"
},
{
"display_name": "Mental health",
"id": "https://openalex.org/C134362201"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Coping (psychology)",
"id": "https://openalex.org/C73282008"
},
{
"display_name": "Thematic analysis",
"id": "https://openalex.org/C74196892"
},
{
"display_name": "Psychology",
"id": "https://openalex.org/C15744967"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Gerontology",
"id": "https://openalex.org/C74909509"
},
{
"display_name": "Qualitative research",
"id": "https://openalex.org/C190248442"
},
{
"display_name": "Food security",
"id": "https://openalex.org/C549605437"
},
{
"display_name": "Clinical psychology",
"id": "https://openalex.org/C70410870"
},
{
"display_name": "Psychiatry",
"id": "https://openalex.org/C118552586"
},
{
"display_name": "Geography",
"id": "https://openalex.org/C205649164"
},
{
"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": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Sociology",
"id": "https://openalex.org/C144024400"
},
{
"display_name": "Agriculture",
"id": "https://openalex.org/C118518473"
}
] |
[
"Lebanon"
] |
[] |
https://api.openalex.org/works?filter=cites:W4288033349
|
Household food insecurity (HFI) is a serious public health concern in Lebanon affecting the Lebanese and non-Lebanese residents. This study aims to investigate the correlation between household food insecurity and maternal depression, an indicator of mental health, and children malnutrition, a nutritional proxy of the households. The study looks at the different coping mechanisms adopted by the mothers to mitigate the effects of household food insecurity. A sample of 219 participants and a sub-sample of 24 mothers were collected from a primary health care center (PHCC) in Beirut and from susceptible communities in Beirut, Mount Lebanon and South. A survey screened for HFI, depression and child malnutrition and semi-structured interviews probed about coping strategies. Spearman correlation coefficients were utilized to examine the correlations between HFI and depression and child malnutrition. Thematic analysis was conducted to categorize the responses of the interviewees. A strong positive correlation was found between HFI and maternal depression. HFI was not found to be linked to the nutritional status of the children under 5. Eight main themes were identified as coping mechanisms adopted by the mothers, including: maternal self-sacrificial behavior, compromised quantity and quality of the food, economic restraint, distractions from eating, negative maternal emotions, infant and young child feeding practices, social isolation of children and paternal buffering mechanisms. In conclusion, further investigation is warranted to determine the effectiveness of the coping mechanisms in preventing childhood malnutrition.
|
[] |
|
https://openalex.org/W2726948728
|
Public Knowledge and Attitude towards Antibiotic Use in Lebanon
|
[
{
"affiliations": [],
"display_name": "Malak Khalifeh",
"id": "https://openalex.org/A5086185256"
},
{
"affiliations": [],
"display_name": "Nicholas Moore",
"id": "https://openalex.org/A5032986176"
},
{
"affiliations": [],
"display_name": "Pascale Salameh",
"id": "https://openalex.org/A5091538918"
}
] |
[
{
"display_name": "Sore throat",
"id": "https://openalex.org/C2777870961"
},
{
"display_name": "Medicine",
"id": "https://openalex.org/C71924100"
},
{
"display_name": "Logistic regression",
"id": "https://openalex.org/C151956035"
},
{
"display_name": "Pharmacy",
"id": "https://openalex.org/C104863432"
},
{
"display_name": "Medical prescription",
"id": "https://openalex.org/C2426938"
},
{
"display_name": "Family medicine",
"id": "https://openalex.org/C512399662"
},
{
"display_name": "Cross-sectional study",
"id": "https://openalex.org/C142052008"
},
{
"display_name": "Public health",
"id": "https://openalex.org/C138816342"
},
{
"display_name": "Descriptive statistics",
"id": "https://openalex.org/C39896193"
},
{
"display_name": "Antibiotics",
"id": "https://openalex.org/C501593827"
},
{
"display_name": "Environmental health",
"id": "https://openalex.org/C99454951"
},
{
"display_name": "Nursing",
"id": "https://openalex.org/C159110408"
},
{
"display_name": "Internal medicine",
"id": "https://openalex.org/C126322002"
},
{
"display_name": "Surgery",
"id": "https://openalex.org/C141071460"
},
{
"display_name": "Statistics",
"id": "https://openalex.org/C105795698"
},
{
"display_name": "Mathematics",
"id": "https://openalex.org/C33923547"
},
{
"display_name": "Pathology",
"id": "https://openalex.org/C142724271"
},
{
"display_name": "Microbiology",
"id": "https://openalex.org/C89423630"
},
{
"display_name": "Biology",
"id": "https://openalex.org/C86803240"
}
] |
[
"Lebanon"
] |
[
"https://openalex.org/W86234339",
"https://openalex.org/W181881779",
"https://openalex.org/W189005681",
"https://openalex.org/W1518133503",
"https://openalex.org/W1520847691",
"https://openalex.org/W1986429045",
"https://openalex.org/W1986768368",
"https://openalex.org/W2002833316",
"https://openalex.org/W2003353838",
"https://openalex.org/W2014798538",
"https://openalex.org/W2023455682",
"https://openalex.org/W2041587347",
"https://openalex.org/W2045576018",
"https://openalex.org/W2052207357",
"https://openalex.org/W2075523103",
"https://openalex.org/W2077824647",
"https://openalex.org/W2081430984",
"https://openalex.org/W2110957752",
"https://openalex.org/W2115633599",
"https://openalex.org/W2128298502",
"https://openalex.org/W2130163225",
"https://openalex.org/W2131385174",
"https://openalex.org/W2148992914",
"https://openalex.org/W2171542607"
] |
https://api.openalex.org/works?filter=cites:W2726948728
|
Introduction: Antibiotic resistance is a major threat in global public health. This study aims to assess the public knowledge, attitude and practice towards antibiotic use among general public in Lebanon. Method: It was a cross sectional study in a community-based pharmacy setting in Lebanon. It used a structured random interview to patients visiting community pharmacy seeking for antibiotics. Descriptive statistics were presented and multivariate logistic regressions were performed in data analysis. Results: A total of 495 participated in the study. The study sample had in general low knowledge (average = 6) and attitude score (average=3.16). High proportion of Lebanese participants believed that antibiotics were used for treatment of common cough cold and sore throat symptoms (59%) or viral infections (53%). 42% preferred to take antibiotics from the pharmacy without physician prescription. In the multivariable logistic regression analysis, females showed better knowledge toward antibiotic use compared to males (ORa=1.59, 95%CI=1.01-2.53). Compared to participants aged >50 years old, the level of adequate knowledge was higher in those aged 25-50 years old (ORa=3.66, 95%CI=1.79-7.49). Conclusion: This study identified important knowledge and attitude gaps among general public in Lebanon. Future antibiotic awareness campaigns and patient counselling should be implemented to reduce the risk of antibiotic resistance.
|
[] |
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