Medicine & Public Health

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https://dspace.alquds.edu/handle/20.500.12213/8574

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Preventive Practices among the Kuwaiti Population During and after the COVID-19 Pandemic
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Abrar Ghaith; Zinah Aqeel Bairmani; Hossam Tharwat Ali
Background: COVID-19, also known as coronavirus disease 2019, is a highly infectious respiratory illness caused by the SARS-CoV-2 virus. The virus can be transmitted through close contact with infected individuals or through contaminated surfaces. Symptoms of COVID-19 can vary widely, ranging from mild flu-like symptoms to severe respiratory distress, and can even be fatal in some cases. The pandemic has had a significant impact on global health, economies, and societies, with governments and healthcare systems worldwide grappling to contain the spread of the virus while addressing the challenges posed by the disease. Adherence to protective practices has been essential to control the spread of the disease and better outcomes at the individual and community levels.
Management of Anemia Among Hemodialysis Patients in Hebron Governorate
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Amneh Hawamdeh; Rasha Alnatsheh; Lina Alhasani; Haneen Nur; Abeer Ghanayem
Background: Renal Anemia is a prevalent condition among end-stage of chronic kidney disease (CKD), especially among patients undergoing hemodialysis (HD) due to erythropoietin deficiency. Uncontrolled anemia treatment is a major contributing factor for increased mortality and significant decrease in the Quality of Life (QoL). Medical protocols of renal anemia for end stage CKD patients vary between blood transfusion, erythropoiesis stimulating agents (ESAs) therapy or iron supplements. Palestinian hemodialysis patients receive medical care and treatment in the governmental hospitals. However, the clinical outcomes for HD patients are not clearly assessed.
Patients' Satisfaction about the Health Care Services Provided to Cancer Patients at Oncology Departments on Turkish Palestinian Friendship Hospital in Gaza Strip
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Yasin J S Barbakh; Feras Yousef AL Zatma; Mahmoud M. AL Nahal Mohammed B.; Musab H. Asfour Abu Mustafa; Abdulrahman AL-Hams
Background: Patient satisfaction is a crucial aspect of quality medical care, which involves various healthcare personnel in healthcare organizations such as physicians, nurses, and medical professionals. This study aimed to assess patient satisfaction with healthcare services provided at the oncology departments in the Turkish Palestinian Friendship Hospital in the Gaza Strip recruited.
Plaque: Strategies and Modulation among Cardiovascular
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Janat Al-Jobah; Asmaa Shlaldeh; Aya Al-Mashni; Rana Ahrizat; Rana Idaes; Rozan Attili
Background: With the great scientific and technological progress, we have become able to use this technology in the service of human health. In this regard; nanotechnology has been used in the treatment of cardiovascular diseases.
Chemotherapy Induced Liver & Kidney Complication in Hodgkin Lymphoma Patient in West Bank
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Donia Khalid Tomizy; Manar Rouhe Alsharabate; Haneen Nur; Firas Almahmuod
Background: Lymphomas are a type of cancer that affects the lymphatic system. It is caused by an accumulation of malignant lymphocytes in lymph nodes and other lymphoid tissues, which results in defining the clinical features of lymphadenopathy. Based on the histological presence of Reed-Sternberg cells in Hodgkin Lymphoma, it is generally divided into two categories: Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). Hodgkin's lymphoma accounts for about 10% of all lymphomas, and the remaining 90% are referred to as NHL. According to the statistics of the Palestinian Ministry of Health for the year 2021, NHL and HL ranked the seventh and the ninth, respectively, among the most prevalent types of cancer in the West Bank. Although cytotoxic therapy prolongs the survival of patients with advanced and metastatic cancers, but there are significant drawbacks to this double-edged sword. Most of the drugs and foreign substances that enter the body have side effects, including chemotherapy, which shows several side effects on liver and kidneys, as both are responsible for the elimination of poisons, drugs, and endogenous metabolic products.
Palatal Swelling Revealing a Secondary Hyperparathyroidism : Case Report
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Leen Dweik; Sarah Maraqa.
Background: A 18-year-old female patient reported to our clinic with a chief complaint of a 5-months history of gradually enlarging, painless swelling of the palate. Combined with unaesthetic appearance with proclined anterior teeth and a clear deformity of the maxillae. The patient has been suffering from chronic kidney failure since 2019 and has been undergoing regular dialysis 3 times a week since that time.She was diagnosed recently with secondary hyperparathyroidism. The lesion causes moderate eating and speech difficulties combined with discomfort during respiration.
An Epidemiological Study of Wilson's Disease in Morocco
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Nadia Abbassi; Azeddine Seddki; Nadra Lekouch; Sedki Azeddine
Objectives: Wilson's disease is an autosomal recessive disorder that affects copper metabolism leading to copper accumulation in the liver, nervous system, and cornea. There is a lack of data regarding the epidemiological, clinical, laboratory, treatment and survival from Wilson's disease cohorts in Morocco. The aim of this study is to examine these features and the cause of death in a Moroccan population
Assessment of Nutritional Knowledge, Attitudes and Practices among Pediatric Oncology Caregivers Assessment of Nutritional Knowledge, Attitudes and Practices among Pediatric Oncology Caregivers
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Karam Khaled; Rahaf Hamdan; Najah Isawi; Amna Abu Mfareh; Maha Husseini
Background: Adequate nutrition in childhood is important for proper neurodevelopment, also it is important for the growth and development of the immune system by supporting it against illness and infections as well as increasing quality of life. Cancer rates are increasing worldwide, and the occurrence of this disease is affected by nutritional factors (diet, nutrition, and exercise). Poor nutritional knowledge, behavior, practices, and awareness of caregivers of children with cancer are disturbing. It has been found that nutritional knowledge might help these patients to adopt healthy eating patterns. In the Middle East generally and Palestine especially, there are few studies on this topic. The study aims to assess nutritional knowledge, practices, and behaviors among pediatric oncology caregivers in Augusta Victoria Hospital and Beit Jala Governmental Hospital.
Indications, Characteristics, Findings & Recommendation of Patients Undergoing ERCP in Al Shefa Hospital
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Mustafa Abu Jayyab; Mustafa A. Abu Jayyab; Hasan K. H. Hamdan; Ahmed M. Z. Eid; Khaled A. A. Siyam; Moshee Al-Dahdouh; Tayseer Jamal Afifi; Khamis Elessi
Background: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a highly specialized procedure that combines diagnostic and therapeutic capabilities. ERCP allows physicians to examine the biliary tract, pancreas, and gallbladder by using a flexible endoscope equipped with a tiny camera and contrast dye. ERCP is frequently used to diagnose and treat various conditions, such as gallstones, pancreatitis, bile duct obstruction, and certain cancers. During the procedure, the physician can remove obstructions, take tissue samples for further testing, and place stents to keep the bile duct open. The procedure is performed by a highly trained gastroenterologist in a hospital or specialized center equipped with the necessary tools and equipment. While ERCP is generally safe, it does carry a higher risk of complications, such as pancreatitis, bleeding, or infection. Patients who undergo ERCP will need to fast for several hours before the procedure and will receive sedation to help them relax during the examination. Following the procedure, patients may experience mild discomfort or bloating, but these symptoms typically subside within a few days. ERCP is a crucial tool in the diagnosis and treatment of many gastrointestinal conditions, and if recommended by your physician, it is important to carefully follow all pre- and post-procedure instructions to ensure the best possible outcome.
Mental Health in Schools
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Lama Diriyeh; Reem Ladadwa
Background: There have been several mental health quantitative researches over the years. Most came to the conclusion that the primary cause of mental distress and depression among Palestinians is due to the high exposure to violence due to occupation practices in the West Bank and Gaza. In addition, the stigma around mental health illness in the Palestinian community, and the lack of highly educated and experienced mental health nurses and practitioners cause many Palestinians to refrain from seeking professional help in most cases. Many studies also indicated the lack of qualitative research regarding the topic and the necessity of this type of research, along with the many available quantitative researches on the topic, to establish a sustainable support system.
Sleep Patterns in the Area of Gaza Strip
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Hazem Altalla; Rahma gargouri; Samah msaad
Background: Sleep may be affected by traumatic experiences leading to an increased risk of poor quality of life and daily functioning. However, studies related to sleep habits and problems in conflict-affected areas are still sparse. The present study attended to describe sleep habits, estimate the prevalence rate of sleep disturbances, and identify associated factors in the Gaza strip.
Causes and Consequences of Overcrowding Inside Emergency Departments on Patients Care at Main Governmental Hospitals in Gaza Strip
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Hasan K. H. Hamdan; Isam Awadallah; Ahmed M. Z. Eid; Khaled A. A. Siyam; Mohammed T. B. Abdalgafoor; Baraa M. A. Alasttal; Tayseer Jamal Afifi; Mosheer Safi Al-Dahdouh; Mustafa Ahmad Abu Jayyab; Ahmed M. Alghazali; Khamis Elessi
Background: The Canadian Association of Emergency Physicians [CAEP] and National Emergency Nurses Affiliation [NENA] defines Emergency department (ED) overcrowding as a situation in which the demand for emergency services exceeds the ability of physicians and nurses to provide quality care within a reasonable time.
Prevalence and Possible Risk Factors of Obstructive Sleep Apnea Among Children in The West Bank
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Rama Qawasmeh; Sarah Qasem; Hussien Hallak
Background: Getting enough hours of sleep is important for children to grow and develop in a healthy way. However, many of them experience sleep problems at some point in their childhood. Obstructive sleep apnea is one of these problems, which in some cases can be really threating. Approximately 15% of children show mild to moderate symptoms, while most of these cases are undiagnosed.
Breast Cancer Knowledge and Practice of Breast Self-Examination among Female Al-Quds University Students
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Manal Al-Radayda; Mariam Khatib; Razan Rabaiaa; Hala Sabri; Asmaa Al-Deek; Ibrahim Ghannam
Background: Among most nations throughout the world, breast cancer is the most frequently publicly detected malignancy in women. In order to increase women's awareness, and knowledge of their breast situation and aid in the early detection of any breast abnormalities, breast self-examination (BSE) is a beneficial screening technique. This is a study designed to evaluate the level of understanding of BC, and BSE among female university students. A self-administered questionnaire was employed to gauge knowledge of breast cancer and associated topics. The study involved 202 students, 32.8% of whom were from Health professions majors, and 14.9% among them had a history of breast cancer in their families. Nearly all of the students (98.5%) were already familiar with breast cancer, having learned about it from a variety of sources, including social media as a major source (91%), educational establishments (76.1%), and other sources. Good knowledge was found for some signs, symptoms (like a lump in the breast (94%)), and risk factors of breast cancer (like a family history of BC (88%)); however, average knowledge (59%) was found for techniques for early diagnosis and care, and the procedure for BSE and 49% know when to perform it, yet only 12.9% actually execute it on a regular basis. Not having breast issues was the most barrier to BSE practice (79.9%), followed by lack of knowledge (37.1%). To raise knowledge regarding BC and BCE use, a training program should be put into place.
Barriers to Breast Cancer Screening in Arab Countries
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Amani Alhamid; Hussein Hallak
Background: Breast cancer is the most common cancer affecting women worldwide. In 2020, and according to WHO, about 2.3 million women were diagnosed with breast cancer(WHO, 26 March 2021). Moreover, the highest rate of cancer mortality in women is related to breast cancer (Sung et al., 2021). Breast cancer is considered to be a public health problem in developed and developing countries. Previous studies revealed that screening can reduce the mortality rate of breast cancer, which can be done by different approaches. Moreover, the number and deaths in developing countries are increasing rapidly, and about half of the deaths are presented in these countries due to: changes in risk factors, inadequate access to breast cancer screening and deficiency of treatment (Al-Azri M, 2020, Sun, 2017). This makes early detection or screening for breast cancer a health priority. However, participation in breast cancer screening in Arab countries are considered to be very low (Alatrash, 2020). The reason for this low participation has to be studied, especially that literature on breast cancer screening in these countries is quite scarce (Donnelly et al., 2013).
Does Endovascular Duration Impact Clinical Outcomes in Aortic Arch Repair? The RELAYTM Branched International Stance
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Abedalaziz Omar Surkhi; Sven Z. C. P. Tan; Matti Jubouri; Damian M. Bailey; Ian M. Williams; Mohamad Bashir
Background: The high mortality and morbidity rates in surgical aortic arch repair are a barrier to therapy for a considerable proportion of patients with aortic arch aneurysm or dissection. There is hence a demand for the development and adoption of a minimally invasive alternative to aortic arch repair, such as thoracic endovascular aortic repair (TEVAR). Procedural duration is a key factor in the pathogenesis of complications in surgical aortic arch repair.
Current Updates in Gene Therapy for Multiple Sclerosis
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Hossam Tharwat Ali; Haya Mohamed; Yara Ashour; Idris Sula; Ahmed Elrefaey; Mennatullah Mohamed Eltaras; Mostafa Meshref
Background: Multiple sclerosis (MS) is the most common demyelinating disease affecting predominantly young adults. The underlying pathogenesis isn’t fully understood although autoimmune attacks against proteins in the CNS is the most accepted theory. Oligodendrocytes seem to be the most involved resulting in demyelinated axons. Currently, the management of MS focuses on relieving symptoms during acute attacks and preventing disease progression using disease-odifying agents such as interferon-beta, dimethyl fumarate, natalizumab, and fingolimod. Studies have proven long-term improvement on these drugs. However, possible side effects and curatively inducing or improving the repair process are major challenges.
Perceived Barriers to Early Presentation and Symptom-specific Time to Seek Medical Advice for Possible Lung Cancer Symptoms: A Cross-sectional Study from Palestine
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Mohamed Raed Elshami; Nawras Sawafta; Mohammed Alser; Ibrahim Al-Slaibi; Hanan Abukmail; Wafa Aqel; Hanan Shurrab; Shahd Qassem; Faten Darwish Usrof; Malik Alruzayqat; Roba Nairoukh; Ahmad Mansour; Rahaf Kittaneh; Yousef M. N. Habes; Obaida Ghanim; Wesam Almajd Aabed; Ola Omar; Motaz Daraghmeh; Jumana Aljbour; Razan E. M. Elian; Areen Zuhour; Haneen Habes; Mohammed Al-Dadah; Nasser Abu-El-Noor; Bettina Bottcher
Background: Lung cancer (LC) has poor survival outcomes mainly due to diagnosis at late stages. This study explored the time needed to consult medical advice for possible LC symptoms and barriers to early presentation in Palestine.
The Association between Inflammatory Bowel Disease and Exposure to Tobacco Smoking
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Bushra Muftah Abdulnasser Abdallah; Mariah Arif; Maryam Al-Malki; Razan Hourani; Tamader Al-Maadeed; Nidal Khodr; Ghaith Al-Kuwari; Mashael Al-Siddiqi; Tanya Kane; Tawanda Chivese
Background: There is still some uncertainty about the association between tobacco smoking exposure and the risk of inflammatory bowel disease (IBD) and this association is under-researched in the Middle East and North Africa region.
Risk Factors Associated with the Reported Scores on Symptoms Severity and Functional Limitations Scales of the Boston Carpal Tunnel Questionnaire: A Cross-Sectional Study
(Al-Quds University - Deanship of Scientific Research, 2023-05-16) Ameer Al-Jasim; Fajr M. A. Sarhan; Ali Basil Ali; Ghaith Al-Abbasi; Rami S. N. Alaraj; Diana Yasin; Matthew Macciacchera; Marc Bouchard; Ibrahim Khalil Ibrahim
Introduction: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. It presents with numbness, paresthesias, and pain. Multiple risk factors are associated with CTS such as pregnancy, oral contraceptive use, rheumatoid arthritis, diabetes mellitus, among others. The Boston Carpal Tunnel Questionnaire (BCTQ) is a self-administered questionnaire for the assessment of the severity of symptoms and functional status of those who were previously diagnosed with CTS.

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