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- Itemخدمة السكان الضعفاء : الثقافة الداخلية بجمعية الهلال الاحمر الفلسطيني ومدى انسجامها مع مبادىء الجمعية(AL-Quds University, 2003-07-12) خالدة توفيق محمد خالد السيفي; Khalidah Toufic M. K. El -Saifi; عائشة الرفاعي; اسمى امام; رفيقي الحسيني
- Itemفحص اسباب ضعف البصر والعمى عند المرضى المراجعين للعيادات المتنقلة للعيون في الضفة الغربية(AL-Quds University, 2003-12-03) أحمد معالي; Ahmad Maali; فارسين شاهين; مرام اسحق; عائشة رفاعي
- Itemتوجيهات ومعرفة الشبيبة الفلسطينية بقضايا الصحة الانجابية في الضفة الغربية(AL-Quds University, 2004-01-25) محمد عيسى محمد رزق; Mohammad Issa Mohmmad Riziq; عائشة الرفاعي; اسعد الرملاوي; خلود الخياط
- Itemالتقييم المحوسب لبعض مؤشرات الصحة القوامية بين تلاميذ المدارس الفلسطينية بأعمار 7 15 سنة(AL-Quds University, 2004-04-01) جمال حامد محمد النمورة; Jamal Hamed Mohd Nammoura; عبد الحميد الزير; محمد الدواليبي; محمود السوس
- Itemالبكتيريا المسببة للأمراض على لحم الدجاج النيء في الضفة الغربية، فلسطين: السالمونيلا ، كامبيلوباكتر(AL-Quds University, 2006-06-18) ابراهيم عامر محمد غنام; Ibrahim Amer Mohammad Ghannam; محمود ابو حديد; Dr. Hatem Eideh; Dr. Yacoub DhaherLarge epidemiological data from many countries confirm that contaminated chicken meat contribute significantly to foodborne diseases worldwide. Thus, reduction of contamination of raw chicken meat would have a large impact in reducing incidence of these foodborne diseases. Therefore, our study was designed to investigate the prevalence of the major human illnesses causing bacteria, particularly, Salmonella, Campylobacter, and Listeria monocytogenes in the retail chicken meat in West Bank, Palestine. To achieve this goal, one hundred and two random chicken meat samples were collected from different retail markets and governorates in the West Bank, Palestine. They were studied for total aerobic bacterial content, and for the presence of human pathogens such as Salmonella, Campylobacter, and Listeria monocytogenes using conventional culturing and biochemical methods. Our results indicate that: (6/102) 5.9% of the samples contain Listeria monocytogenes, (21/102) 20.6% contain Salmonella Spp. and (37/102) 36.27% contain Campylobacter Spp. Samples containing Campylobacter Spp were further subdivided to Campylobacter coli which was present in (21/102) 20.59%, Campylobacter jejuni which was present in (11/102) 10.78%, and Campylobacter lari which was present in (5/102) 4.90 % of the total samples. Comparing our results to similar studies done on raw chicken meat in other countries, the prevalence of these pathogens in West Bank, Palestine lies within the range. For example: the highest prevalence of Salmonella (22/40) 55% is in Spain and the lowest (3/205) 1.5% is in north Ireland, the highest prevalence of Campylobacter (393/448) 91.8% is in Turkey and the lowest (32/99) 32.3% is in South Africa, and the highest prevalence of Listeria monocytogenes (17/46) 37% is in Japan and the lowest 3/66 (4.5%) is in Brazil. These variations in isolation rates between countries depend on the country where the study was carried out, the chicken breeding environment and methods, processing and marketing procedures, the sampling plan and the sensitivity of the methodology used in the study. Statistical correlation analysis was done to see if there is any significant relationship between the presence of these pathogens and the total aerobic plate count, carcass gross weight, governorate from which the sample was taken, slaughtering time, and chicken meat market type. The results of this analysis showed that only the prevalence of Salmonella significantly differ between those samples bought from poultry market or street side poultry market, while none of the other studied pathogens is significantly associated with the market type. Also none of the other studied factors is significantly associated with the presence of these three pathogens. In contrast significant relationship (P<0.001) was found between the total aerobic plate count, the slaughtering time, marketing type, and governorate of sample origin. Therefore, based on these results, setting up a cost-effective pathogens monitoring and surveillance systems, augmented by good agricultural and hygienic practices and well-designed longitudinal research activities on the whole chicken meat production chain, are strongly recommended.
- Itemوجهات نظر المرضى الذين مكثوا في مستشفى غزه الأوروبي حول الخدمات المقدمة(AL-Quds University, 2008-11-08) محمد عبد الحافظ محمد الحاج; Mohammed Abed El Hafez Mohammed Elhaj; بسام ابو حمد; لا يوجد
- Itemأثر رسوم الخدمات على مستوى استخدام خدمات الرعاية الصحية الحكومية في مديرية بيت لحم ومستشفى بيت جالا الحكومي(AL-Quds University, 2009-02-21) منى عبد عبد الفتاح عمار; Muna Abd Abdelfatah Amar; مصطفى حمدان; اسمى امام; سامر حميدي
- Itemدراسة تقيمية لبرنامج رعاية مرضى السكري في مركز السكري التابع لمستشفى المطلع في الفترة ما بين 2005 – 2009(AL-Quds University, 2012-01-22) سماح موسى أحمد الخطيب; SAMAH MUSA AHMAD ALKHATIB; نهى الشريف; معتصم حمدان; نجوى رزق اللهBackground: Nutritional intervention program is an integral and essential component of diabetes management and care. It aims to optimize diabetes control and to prevent complications. People with diabetes are advised to implement healthy diet; dietary changes including modifications in food habits and meal patterns for life long. However, a significant amount of patients remain with limited control. Study aim and objectives: The aim of the study was to evaluate the effectiveness of the Diabetes Care Program in controlling diabetes among type 2 diabetic patients registered at the diabetes care center at Augusta Victoria Hospital. The objectives were to examine the effect of nutrition counseling on HbA1c level and the effect of the program on patients’ physical health, body mass index throughout the follow up period and to identify patients socio-demographic characteristics in determining her/his response to the program. Methodology: This evaluative file based study was conducted on 746 patients’ with type 2 diabetes who were followed at the Diabetes Care Center of Augusta Victoria Hospital between years 2005 to 2009. Four visits were taken for every patient including the first and final results, but the period between these visits were not regular and similar for all patients. Personal, medical and family history, physical examination and laboratory evaluation data were extracted from the patients’ files. Results: Analysis of patients' data showed that the mean age of the patients was 57 years ± 9.34(mean ± S.D). Of the study population, 84% were married and 53% were females. 74% did not work, 15% were illiterate, the mean duration of having diabetes was 10.08 years and 57.2% had MOH insurance.41% of the patients were given a diet of 1000 Calories during the study period .82% of the patients were classified as with light physical activity in the 1st visit and 76% were in the 4th visit. The mean HbA1c in the 1st visit was9.08±2.1 and in the 4th visit 8.46 ±1.7. The mean BMI in the 1st visit was 31.2±5.3 and in the 4th visit 31.9 ±5.3. The study identified factors associated with good glycemic control, as measured by HbA1c levels. The percentage of patients with optimal control (HbA1c <7%) increased from 19.2% at the first visit to22.1% at the 4th visit. 60.7% of the patients had good change in HbA1c between the 1st and 4th visit. The multivariate logistic regression model for the study population (n=746) showed that between the first and last IV recorded visit, being registered in the center was associated with the good change in HbA1c but was inversely associated with good change in MAU. Age, residency, type of insurance, smoking, BMI, physical activity, cholesterol level and caloric intake did not show any significant associations with good change in HbA1c in this period of study. Conclusion: This is the first study done in the Diabetes Care Center which identified the determinants of the change in HbA1c and evaluate the program which shows that there was an irregular follow up period between the visits of the patients, which was shown in the results as an important factor in determining the change in HbA1c level. Results recommends the need for modification of the dietary program through involving the patients in this modification to increase their adherence to the program , system of appointment for follow up and evaluation of the compliance of patients with the diet, physical activity and as well as the medication.
- Itemالمعارف والممارسات الغذائية فيما يتعلق بالأغذية الصحية والتغذية السريرية بين الممرضين العاملين في مستشفيات القدس الشرقية(AL-Quds University, 2013-05-11) عزيز سلمان سلامه العطاونه; azeez salman salamah attawna; لينا الخيري; ; asma imam; halima al-sabbahAbstract Background: Good nutritional knowledge and practice among nurses is essential for providing a high quality of care to patients. There are no known studies to date that have evaluated nutritional knowledge and practice among Palestinian nurses. Objectives: To assess the nutritional knowledge and selected practices regarding healthy food and selected clinical nutritional items among nurses working at East Jerusalem hospitals, furthermore to assess nurses' nutritional knowledge regarding healthy balanced diet, macronutrient, and micronutrient, and to assess nurses' nutritional practices toward their patients. Methods: This is a descriptive cross sectional study, included all nurses who work in AlMakased Hospital, Saint Joseph Hospital, Saint John Ophthalmology Hospital, Augusta Victoria Hospital, and Red Crescent Hospital, and have direct contact with patients. 407 nurses participated in the study out of 466 nurses. Data on nutritional knowledge and practices were collected by valid and reliable (Cronbach Alpha 0.81) self-administered questionnaire, during the period September 2011 to November 2011. The relationships between variables were analyzed by using the chi-square test (χ 2 test). The data were analyzed using the Statistical Package for Social Sciences (SPSS), version 18. Findings: The vast majority of the nurses participated in the study (86.8%) had a fair level of overall nutritional knowledge. Most of the participants had a good level of knowledge regarding balanced diet, and had fair level of knowledge about micronutrients like calcium and iron and factors affecting their absorption. However, the participants had a poor level of knowledge regarding selected clinical nutritional items. Significant relationships were seen between nutritional knowledge regarding gender (P= 0.025), (female nurses had better level than male nurses), curriculum content to nutritional courses (P=0.026), participant method of training in the nutrition courses during their study (P=0.012), and participant rating of the importance of having basic nutritional knowledge for nurses (P=0.001). More than 85% of participants had good level of nutritional practice in this study. Significant relationships were seen between nutritional practice regarding the hospitals were participants work in (P=0.01), the presence of nutritional courses in the participant's IV nursing education (P=0.02), and participant's perceived level of nutritional knowledge (0.001). Conclusion: Result showed a poor level of knowledge in selected clinical nutritional items, thus indicating a need for further training in areas like selected clinical nutritional items, and food groups. Furthermore, there is a need for more detailed studies into factors affecting nurses' nutritional knowledge and practices.
- Itemالتعرض لمخاطر الصحة والسلامة المهنية للعاملين في المختبرات الطبية في مستشفيات وزارة الصحة الفلسطينية الحكومية في الضفة الغربية .(AL-Quds University, 2013-12-21) ظافر ابراهيم سليم علقم; THAFER IBRAHIM SALEEM ALQAM; محمد شاهين; Rasmi Alhelw; Majdi DwikatLaboratory workers are exposed to a wide range of hazards associated with the materials they employ and the methods they use in the course of their work. These occupational hazards are chemical, physical, biological, psychosocial, and ergonomics hazards. This study aims to assess the exposure to occupational health hazards and safety for workers in Palestinian governmental hospitals in the West Bank. Cross sectional study was conducted using self-administered 5-point Likert Scale questionnaire. The study sample consists of all laboratory workers in the governmental hospitals. The total number of the study sample was 164 laboratory workers, 146 responded with a response rate 89%.The results of the study showed that 75% of the participants have exposed to biological hazards, 70% exposed to chemical hazards,64% exposed to physical hazards,60% exposed to psychological hazards, and 52% exposed to ergonomic hazards. The results also showed that the biological hazards were the more severe with 68%, chemical hazards 64%, psychological hazards58%, physical hazards51%, and ergonomic hazards 49%. The results showed that the participants have a very high degree of knowledge about occupational hazards. Results also showed that the degree of performance information and satisfaction was medium, and the laboratory workers apply safety measures. Moreover, there are no statistically significant differences of occupational hazards according to social status variable, educational level variable. Similarly, there are no statistically significant differences of occupational hazards perception and knowledge, safety measures, performance information and satisfaction domains, according to age, monthly income, and years of experience variables. On the other hand, there are significant differences in the work environment, according to age,gender, monthly income, and years of experience variables. The results showed that there are no significant differences of safety measures and performance information and satisfaction domains, attributed to gender variable, and there are significant differences of occupational hazards perception and knowledge domain, according to gender variable.VII Finally, the results showed that the participants have a very high degree of knowledge about occupational hazards, means of prevention and safety that related to work environment are available, more than half of participants exposed to hazard regardless of the type of hazards, where the biological hazards was the highest and more severe. According to the study results, several recommendations have been suggested including creating a specialized section for occupational health and safety, linked directly to senior management, to ensure the provision of specialized committees and supervisors to provide follow- and control means and safety procedures
- Itemوجهات نظر العاملين اتجاه النظام الصحي المحوسب المطبق في مستشفيات وزارة الصحة الفلسطينية(AL-Quds University, 2013-12-28) محمد محمود مصطفى بني عوده; Mohammad Mahmoud Mustafa Baniode; معتصم حمدان; د. محمد شاهين; Dr. Amjad ZaimBackground: Health Management Information Technology, e-health, is rarely used in the Palestinian health sector. The first pilot initiative in Palestine was implemented in the MoH Rafedia and Darweesh hospitals. However, there is a lack of evidence on the impact of the system and the challenges for the implementation. Aim/objectives: To assess the users' perspectives toward the recently implemented Computerized Health Management Information System (CHMIS) in MoH hospitals and the challenges for implementation from user perspectives. The focus of the assessment was; ease of use (user friendliness), efficiency (time and cost saving), effectiveness (patient safety), Computer Ordering Physician Entry impact on the resources utilization, and extent using system the reports in decision making. Methods: A cross-sectional design was used. All the estimated 500 medical and paramedical staff in the two hospitals was targeted. Data was collected using a self-administered questionnaire. Findings: The overall response rate was 80.5%. 72.1% of the participants were from Rafedia hospital staff and (27.9 %) from Darweesh Nazzal hospital. Almost half of the respondents were males (55.0%) compared to females (45.0 %). Of the total participants 92.8 % (283) are using the system to perform their daily tasks and activities. This shows a high extent use of the system. The general results for the main domains were as follow; ease of use domain (user friendly and usability) was 76.0% of positive responses, effectiveness domain (patient safety and accuracy of documentation) was 73.0% of positive responses, the COPE (rational use of resources and communication speed) was 58.3%, the efficiency of CHMIS (time saving and efficient communication) domain received an overall of (75%) positive responses. The main challenges were (74.0%) limited number of distributed computers in hospital's departments, and the lowest one was (28.0%) trusting in system's capability. T-test and one way-ANNOVA test were used to examine the relationship between dependent and independent variables. Whereas, females scored significantly higher than males toward the ease of use (P<0.001), effectiveness (P=0.007). As for age groups the results show that there is significant association iv between the participants' age groups and the ease of use (P<0.001), effectiveness (P=0.05). A relationship was found between profession (physician, nurse, laboratory technicians, radiology technicians, and pharmacists) and study domain at (P< 0.05), where there are significant differences between the following study domains: ease of use (P=0.001), effectiveness (P=P 0. <001), and finally reports using (P=0.042). A strong relationship is found between previous experience of using CHMIS outside the hospitals and study domain at (P< 0.05), where there are significant differences between the following the study domains: ease of use (P=0.001), effectiveness (P=0.001), COPE (P=0.001), and finally efficiency (P=P 0.<001).The highest score was for those who didn‟t use the system before. Conclusions: Obviously, the results show that using a cutting-edge information technology in managing and monitoring health facilities has a significant effect on the patient's safety, eliminating errors as well as on time saving. In addition it‟s enhancing evidence-based decision making. However, the main challenges remain to be the lack of equipment and financial resources for the system.
- Itemتقييم امتثال الأطباء لقائمة الأدوية الأساسية في المستشفيات الحكومية - محافظة غزة(AL-Quds University, 2016-05-10) أحمد عبد الماجد صالح الخضري; Ahmed Abdelmajed Saleh Alkhodary; ختام ابو حمد; Yahia Abed; Sobhy Skaik
- Itemتقييم خدمات التوعية للعلاج الطبيعي المقدمة للمصابين بعد حرب الـ 51 يومًا على غزة(AL-Quds University, 2017-05-10) نادية رفيق حمدي الفرا; Nadia Rafeek Hamdi Alfarra; بسام أبو حمد; yehia Abed; khamis Elessi
- Itemمدى إلتزام مقدمي الخدمة الصحية في وحدات الغسيل الدموي في قطاع غزة ببروتوكول منع ومكافحة العدوى(AL-Quds University, 2017-05-10) رائد نصر خالد كشكش; Raid Naser Khaled Kashkash; اشرف الجدي; Bassam Abu Hamad; Yousef EL Jaish
- Itemتقييم خدمات الأطراف الصناعية - محافظة غزة(AL-Quds University, 2017-05-10) صبري محمد صبري حجاج; sabri mohammed sabri hajjaj; يحيى عابد; Bassam Abu Hamad; Mohammad Al-Kashif
- Itemواقع العمل التطوعي في القطاع الصحي في محافظات غزة: آفاق وانعكاسات(AL-Quds University, 2017-05-10) محمد عثمان حسن عبيد; Mohammed O. H. Oubaid; بسام ابو حمد; Hamza Abea jawad; Mohmmed Abo Hashish
- Itemتحليل البقاء على قيد الحياة لحالات سرطان القولون والمستقيم المسجلة في قطاع غزة(AL-Quds University, 2017-05-10) مراد بشير درويش الرن; murad b. d. alrun; خالد ثابت; لا يوجد
- Itemتقييم الخدمات المقدمة لمرضى السكري النوع الثاني في مراكز الصحة التابعة لوكالة الغوث الدولية- محافظات غزة(AL-Quds University, 2017-05-10) اسامة عبد القادر عبد الرحمن حماد; OSAMA ABED ELKADER ABED RAHMAN HAMMAD; ختام أبو حمد; أ. د. يحيى عابد; د. رامي العبادلة
- Itemجودة توثيق الرعاية الصحية في مراكز الأونروا الصحية في محافظات غزة(AL-Quds University, 2017-05-10) محمد منير فضل الخالدي; Mohammed M. F. Alkhaldi; بسام ابو حمد; Yehia Abed; ghada Aljadba
- Itemإدراك ممرضي اقسام الرعاية الحرجة لآثار ساعات العمل الطويلة على يقظتهم و سلامة المرضى(AL-Quds University, 2018-04-28) أمل عطيه نجيب ابراهيم; Amal Atiyeh Najib Ibrahim; محمد شاهين; معتصم حمدان; حسين جبارينWorking for long hours favors increasing of daytime sleepiness and decreasing the state ofnurse’s vigilance, offering a greater risk of injuries and work accidents that affect the quality of nurse’s performance and patient’s safety (Seitz, 2016).Nurses who work in this setting may experience decreased ability to provide optimum care to patients. Thus, for enhancing and improving nurses’ performance and patients` safety,there is a need to better understand fatigue and sleepiness and their association with each other as well as performance and patient’s safety (Weinstein, 2016).The study assesses the effects of long working hours of nurses in critical care units on vigilance and patients` safety in Ramallah city. The study was conducted at two major hospitals Palestine Medical Complex and Al-Istishari Arab Hospital at the first quarter of 2018. A cross -sectional design was used. A structured questionnaire was used to collect data. A total of 233 critical care nurses were included in the study, the response rate was 78.5%. The study assessed four domains: level of vigilance during the long working hours, Patient safety level during the long working hours, Patient Safety /Frequency of Events Reported and Duties affected by vigilance and patients’ safety. Study findings shows that the nurses reported a relatively high prevalence degree of long working hours (42.61%). Also, the study finds a real significance difference between working more ≥12daily , ≥40 h /weekly and vigilance and, no relationship between long working hours and patient safety were recorded ( p=.737). On the other hand, age, gender, current position and place of work shows no significance relationship with vigilance and patient safety. Finally, a significant difference between level of nurses vigilance were found between the two hospitals, and nurses at Palestine Medical Complex were more alert. The study suggested the nurses to get as much sleep as possible before starting long working hours improves their performance, prevents fatigue and keeps them alert and vigilant. Limiting consecutive long working days to a maximum of 4 days and making sure there is adequate rest time between successive shifts.