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- ItemEvaluation of Cochlear Implantation Program among Children in the Gaza Strip(جامعة القدس, 2023-05-27) محمد عصام محمد الاعرج; Mohammed Issam Mohammed AlarajCochlear implantation (CI) has a significant impact on various aspects of life, including physical, psychological, financial, and social well-being, as well as communication and self-reliance. It plays a crucial role in enhancing the quality of life of children, enabling them to develop productive abilities and participate in their families and communities like any other child. This study is the first of its kind in the Gaza Strip, focusing on evaluating the effects of CI services on children's quality of life, satisfaction, perception of the services, current needs, and concerns of the families of children who have undergone CI.The study design was triangulated cross-sectional quantitative and qualitative with systematic sample selection. The study includes two populations. The first population for the quantitative part was the parents of all children that underwent cochlear implantation in the Gaza Strip from 2007 till now and have recommended files program of CI, covered through interview approval questionnaires for CI recipients (Children with Cochlear Implants: Parental Perspectives questionnaire). The second population for the qualitative part is six key informant managers at Governmental, and Non-Governmental Organization organizations covered through interviews, also the patient's perceptions are expressed through a group of open-ended questions included in the questionnaire. The study place was mainly in the Sheikh Hamad Bin Khalifa Al-Thani Hospital for Rehabilitation and Prosthetics in Gaza Strip. Statistical Package for the Social Sciences Program (SPSS) has been used for data analysis. Results: Regarding the quality of life for CI recipients, the study showed good results in all subdominants of the quality of life for CI recipients; the total weighted mean of Quality of life for all CI recipients was 77.77%, and Mean ratings were greater than three for all eight HRQoL subdomains on a 5-point Likert scale (mean = 3.89, range = 3.34–4.25), the most affected aspect of quality of life post-CI is ‘Social relations’ which received the highest ratings (mean = 4.25), followed by General functioning’ (mean = 4.09), ‘Effects of implantation’ (mean = 4.05) and ‘Self-reliance’ (mean = 3.92), ‘Supporting the child’ (mean = 3.90), ‘Well-being’ (mean = 3.87), and ‘Communication’ (mean = 3.74) also rated positive, the ‘Education’ received the least positive ratings (mean = 3.34). Patients' satisfactions with CI service were very good with a total weighted mean of satisfaction of 84.6 %. Regarding the qualitative part, the study showed that the CI service is an important community need due to the continuous increase in the number of children with hearing disabilities. Moreover, the study showed that Non-Governmental Organization mainly Hamad Hospital have the main role in CI service, in comparison to the governmental sector. In addition to that, the comments expressed by CI recipients showed the importance of CI service and the harmful effect of cochlear device malfunction and educational status post-CI and explored the need for the development of CI service in the Gaza Strip. Conclusion: in general CI service, especially Hamad Hospital service, improves the Quality of Life for CI recipients, improves CI recipient's satisfaction, and decreases CI recipient's concerns about the impact of hearing loss. The CI service at Hamad Hospital meets the community's needs as the best available rehabilitation service for CI recipients, although it still needs more work to reach sustainability in CI services.
- ItemPerception of Patient Safety at Dental Clinics in Al-Azhar University in Gaza Strip(Al-Quds University, 2023-08-05) Aya Rafiq Abdelrahman Mohsen; آية رفيق عبد الرحمن محسنPatient safety is a discipline that facilitates the avoidance of preventable adverse events associated with health care. Within the field of dentistry, patient safety has been one of the inherent concerns in dental practice. This study aims to assess the perceptions of patient safety at the dental clinic at Al-Azhar University in the Gaza Strip. Methodology: This study is a cross-sectional design, the quantitative part of the study was carried out on 211 students. The participants filled out the study survey that was developed based on the Hospital Survey (SOPS) version 2.0, released in 2019. Meanwhile, the qualitative part was performed through 6 focus group discussions with 48 students, and 12 key informative interviews with teacher assistants were conducted. In the focus groups, the researcher asked open-ended questions, and the focus group transcripts provided the main findings. Findings: The teamwork domain received the highest mean score (81.3%). While the reporting patient safety event domain was the weakest s with a score of 61.2%. Findings revealed the total patient safety score for all domains was 68.45%. The results revealed a low level of event reporting, approximately 70.1%% of the participants did report any adverse events in the past 12 months prior to the study. Regarding the results revealed that 89.6% of students believe that patient safety at the dental clinic at Al-Azhar University is acceptable, 52.1% very good, and 37.5% excellent. The findings of the qualitative study show that most participants need the training to improve their practice in continuous ways and highlighted the need to improve the error reporting system Conclusions and recommendations: The safety culture at the dental clinic at Al-Azhar University was perceived moderately by participants, and some safety domains have been identified for future improvement ,especially the reporting of adverse events. It is essential also to include patient safety education in the academic program for dentistry students. أدى التعقيد المتزايد لأنظمة الرعاية الصحية والزيادة الناتجة في إصابة المرضى في مؤسسات الرعاية الصحية إلى ظهور التخصص الطبي لسلامة المرضى. في مجال طب الأسنان ، كانت سلامة المرضى واحدة من الاهتمامات المتأصلة في ممارسة طب الأسنان ، لكننا وجدنا القليل من البرامج المنظمة خصيصًا لتعزيز سلامة المرضى لأن المرضى متنقلون ، مما يجعل من الصعب إدراك ومتابعة أي ضار. الأحداث. من الأهمية بمكان أن يصبح تعليم سلامة المرضى خلال السنوات الأولى لتدريب طلاب البكالوريوس في طب الأسنان طبيعة ثانية ، وبالتالي ، هو المعيار العادي للرعاية. الهدف من الدراسة هو التصور عن سلامة المرضى في عيادة الأسنان في جامعة الأزهر في قطاع غزة. المنهجية: هذه الدراسة عبارة عن تصميم مقطعي تم تثليث البيانات (الكمية والنوعية) ، واستهدفت طلاب طب الأسنان في عيادة طب الأسنان بجامعة الأزهر في قطاع غزة. تم تنفيذ الجزء الكمي من الدراسة على حوالي 126 طالبا من المستوى الرابع وحوالي 85 طالبا من المستوى الخامس بإجمالي 211 طالبا. قام المشاركون بملء استبيان الدراسة الذي تم تطويره بناءً على مسح المستشفى (HSOPS) الإصدار 2.0 ، والذي تم إصداره في عام 2019. تم إجراء المسح ذاتيًا وتم جمع البيانات في الفترة ما بين مايو 2022 إلى يونيو 2022. تم إدخال البيانات و تم تحليلها باستخدام الإصدار 25 من SPSS IBM Statistics Program. وفي الوقت نفسه ، تم إجراء الجزء النوعي من خلال 6 مناقشات جماعية مركزة حول 48 طالبًا ، و12 مقابلة إعلامية رئيسية مع 12 مدرسًا مساعدًا. تم إجراؤهم في عيادة الأسنان بجامعة الأزهر وتم اختيارهم. تم جمع البيانات في أغسطس 2022. في مجموعات التركيز ، طرح الباحث أسئلة مفتوحة ، وقدمت نسخ مجموعة التركيز النتائج الرئيسية. بعد ذلك ، تم تصنيف الأفكار ذات الصلة وتحليل البيانات النوعية باستخدام طريقة تحليل الإطار. النتائج: تظهر نتيجة الدراسة الكمية أن معظم المشاركين كانوا من الإناث بنسبة 79.1٪ و59.7٪ من طلاب السنة الرابعة في طب الأسنان. قيمت الدراسة عشرة أبعاد تشكل إطارًا لثقافة سلامة المرضى في مؤسسات الرعاية الصحية. حصل مجال العمل الجماعي على أعلى متوسط درجات 87.34٪. بينما كان مجال التعليم التنظيمي هو الأضعف بنسبة 53.14%. يليه مجال الإبلاغ عن أحداث سلامة المرضى هو الأضعف بنسبة 61.2٪. أظهرت النتائج أن الدرجة الإجمالية لسلامة المرضى لجميع المجالات كانت أعلى بنسبة 68.45٪ تقريبًا من النتائج التي تم الإبلاغ عنها سابقًا في مجال الرعاية الصحية الأولية في غزة. تراوحت أبعاد ثقافة السلامة من 60٪ إلى 75٪ من الردود الإيجابية. كشفت النتائج عن مستوى منخفض من الإبلاغ عن الأحداث، ما يقرب من 70.1٪٪ من المشاركين أبلغوا عن أي أحداث سلبية في الـ 12 شهرًا الماضية قبل الدراسة، وأفاد 25.6٪ منهم ما بين 1 إلى 2 من الأحداث السلبية ، و4.3٪ فقط أبلغوا عن ثلاثة أو المزيد من الأحداث. وبشأن النتائج كشفت أن 89.6٪ من الطلاب يعتقدون أن سلامة المرضى في عيادة الأسنان بجامعة الأزهر مقبولة، و52.1٪ جيدة جدا ، و37.5٪ ممتازة تظهر نتائج الدراسة النوعية أن معظم الطلاب ومساعدي التدريس المشاركين لديهم معرفة دقيقة بالعوامل التي تؤثر على سلامة المرضى ولكنهم بحاجة إلى التدريب لتحسين ممارساتهم بطرق مستمرة وسلطوا الضوء على الحاجة إلى تحسين نظام الإبلاغ عن الأخطاء ، وتوفير المعدات والمواد الحديثة لعيادات الأسنان وزيادة الكادر وجعل نظام المعلومات الصحية يسجل جميع بيانات المريض والوحدة بكل العيادة في نفس الوقت. كما أكدوا على أهمية تحسين التواصل بين المريض والطلاب والمدرسين. الاستنتاجات والتوصيات: ينظر طلاب طب الأسنان ومساعدو التدريس إلى ثقافة السلامة بشكل إيجابي ، وقد تم تحديد بعض مجالات السلامة لتحسينها في المستقبل. على وجه الخصوص ، يعد التركيز على خلق بيئة تعليمية في عيادات الجامعة تجل سلامة المريض من اهم أولوياتها ويتم تقييم التحسينات التي تطبق لدعم سلامة المريض باستمرار والتشجيع على الإبلاغ عن الأحداث السلبية أمرًا بالغ الأهمية من أجل تحسين سلامة المرضى في عيادات طب الأسنان بجامعة الأزهرو يوصي الباحث بتضمين تعليم سلامة المرضى في البرامج الأكاديمية لطلاب طب الأسنان ، وتقديم تدريب مستمر في هذا الموضوع لمساعدي التدريس. بالإضافة إلى ذلك ، من الأهمية بمكان تطوير مهارات الاتصال وتعزيزها على أساس الاحترام والمصداقية والسرية بين الموظفين والطلاب من منظور واحد وبين الطلاب والمرضى من منظور آخر.
- ItemThe Prevalence and Determinants of Short Stature among First Graders in UNRWA Schools in the Gaza Strip.(Al Quds university , 2023-05-27) Yazed Jamil Abed El Raziq Kollab; يزيد جميل عبد الرازق كلابBackground: Normal child growth is an ongoing process, relatively slow in pattern, and depends on many factors including intrinsic and extrinsic determinants at the individual or societal level. Objectives: The study aims to ascertain the magnitude of the short stature (Stunting) among first graders in UNRWA schools in the Gaza Strip and to determine the possible determinants. Methods: study adopted the descriptive, triangulated, cross-sectional methodology. The sample was 488 respondents. For quantitative part; 448 pupils randomly been selected from UNRWA schools first graders, aged 6-7 years old. While the qualitative part, a non-probability purposive sample was drawn and 10 healthcare key informants and managers been selected, in addition to 30 stunted children mothers. Results: This study revealed that 3.6 % of children were < -2 SD, and were suffering from short stature, whereby 20.5 % were < -1 - > -2 SD, thus 24.1 % of children were < -1 SD. Furthermore, the anemia prevalence (hemoglobin, HBG below 11.5 g/dl) among the selected sample was 50 %. Meanwhile, the weight (Wt.) for age Z-score categorization among children was as follows: 6.3% were equal or below -2 SD, while 18.5 % were below -1 SD and greater than -2 SD. Through the results of this study, it was found that a statistically higher prevalence of stunting among children above 6 years (p-value of 0.014). Regarding to the psychological and mental assessment of children, the total difficulties score was 23.2. And there was a statistical association between stunting and abnormal conduct children groups, with a p-value of 0.016) in comparison with normal categorized children. Whereby, by the economic status, the rates of stunting among families who receive regular food assistance were higher (25%) than families who don't receive this kind of support (7%) where the p-value was 0.016 (fisher test). After finishing the immunization program, the families' adherence to continue growth and development monitoring was relatively low, whereby as one mother stated '' not linked with vaccine or vitamin, why should I attend''. The study showed that the prevalence of stunting among children with chronic diseases is statistically higher (52.1%) when compared with healthy children (20.8%) with a p-value of 0.001. The study showed the presence of statistical associations between stunting with either mother's or father's height (Ht.) status, with higher prevalence among short-statured parents, with a p-value of 0.004 and of 0.001 consecutively. Furthermore, the study showed statistical associations between stunting and child's birth weight and height (p-values of 0.003 and 0.001 consecutively). In addition, in the multivariate analysis, women with good nutrition status, children with no chronic illnesses, and less anemia were less likely to have stunting at 6 years of age. Conclusion: The present study concluded that a statistically higher prevalence of stunting among children above 6 years, which can be attributed to the possibility that stunting makes families compelled to delay their children's entry to school. Else more stunting and growth abnormalities need more attention and support by the healthcare system, whereby the interventions should be designed according to our economic circumstances, and management process.
- ItemThe Impacts of Motorcycle Accidents on Mortality and Disability in Gaza City(Al-Quds University, 2011-08-01) Zeyad Hassan Yousef Al- Kahlout; زياد حسن يوسف الكحلوتThis study on The Impacts of Motorcycle accidents on Mortality and Disability in Gaza City had been implemented to assess the impacts of motorcycle accidents on mortality and disability in Gaza City during the period from January 2008 to January 2010, and to find out the causes of accidents, and what are the drives behind motorcycles use by teenagers and young men. Two types of research designs were used; the first was a quantitative descriptive study design and data were collected retrospectively by reviewing and searching the available statistics and records about motorcycle accidents at the relevant institutions; and the second was a qualitative historical design that is helpful to describe and analyze events that had happened in a remote or recent past to know the causes of motorcycles use and the causes of accidents associated with motorcycles; data were collected by doing semi structured interview. For the quantitative part, statistics about motorcycles accidents in the year 2008, 2009 and until mid 2010 were reached and only 88 files of motorcycle accidents were found at the relevant institutions, and they were reviewed and documented in special forms. For the qualitative part, only 7 subjects (three family members of death cases and four disabilities) were found and participated in the interviews. The results of the quantitative show that, in the year 2008 there were 95 severely injured cases and 20 deaths due to motorcycle accidents in Gaza Strip, cause specific death rate 1.4, case fatality rate 3.2%. In 2009, there were 19 severely injured cases, 4 deaths in Gaza City, 3.8 cases severely injured every 100.000 person and 0.8 dead cases for 100.000 people, and case fatality rate is 6.7% Also, from January to June 2010 there were 17 severely injured cases and three deaths in Gaza City with case fatality rate about 2%. Of the 88 found cases and files, 100% of the drivers where males, did not wear the helmets, did not have insurance for driving motorcycles and only 8% had hold a license to drive motorcycles, and 62.5% aged between 16 25 years. About date and time of the accident, 62.5% of the accidents happened in the year 2009, the majority (39.8%) had happened between 12.01 PM and 6:00 PM, 42% had happened at municipal and City streets, 52.3% were due to collision with other vehicles. About 59% of the affected cases were pedestrians, and the majority of the injuries (36.4%) were multiple body injuries including the head. The qualitative results (semi structured interviews) show that, the main causes of motorcycles use are fun and jealousy from other people peers and friends and the causes of accidents were high speed and lack of attention. The study includes some recommendations for each of the different related institutions to reduce the number of accidents and the resulting severe injuries and deaths.
- ItemRisk Factors for Dyslipidemia among Hypertensive Patients Attending the Laboratory of the European Gaza Hospital: Case Control Study(Al-Quds University, 2012-01-15) Haider Hamdy Abu Zohry; حيدر حمدي ابو زهريis a common health problem in developed and developing countries and the prevalence is rising steadily. This study aimed to identify risk factors that may lead to dyslipidemia in hypertensive patients, which in turn may contribute to the preparation of preventive programs to decrease mortality and morbidity from hypertension and dyslipidemia. The design of the study was case-control, which is practical and economical design for studying risk factors. The study sample consisted of 237 participants, divided into three groups (case group included 79 hypertensive patients with dyslipidemia, control group included 79 hypertensive patients without dyslipidemia and 79 normal persons). Participants were selected from European Gaza Hospital (EGH) during the period from January 1st 2009 to December 31st 2010. the study instrument consisted of Sociodemographic characteristics, history of smoking, physical activity, compliance to diet and lipid profile. The lipid profiles were analyzed by spectrophotometer at EGH medical laboratory. The study results showed that risk factors for dyslipidemia included; obesity (Chi square = 18.775; P = 0.001), low level of education (Chi square = 19.50; P = 0.012), non compliance to diet (Chi square = 6.723; P = 0.035) and not working or being retired (Chi square = 13.484; P 0.001). Smoking was not significant factor (Chi square = 1.373; P = 0.503) and it could be due to the fact that the majority of participants were female and culturally females are not smokers. The results also showed that even though there were some differences between the three groups in the other factors, but it did not reach significance level: income (Chi square = 1.31; P = 0.518), physical activity (Chi square = 1.085; P = 0.581). In conclusion, the results highlighted some serious issues that need special programs at primary and secondary levels to reduce and modify the risk factors of dyslipidemia. Clients with the identified risk factors need more attention and follow up to reduce the chance of developing dyslipidemia.