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https://www.readbyqxmd.com/read/28931387/psychological-distress-among-medical-students-in-conflicts-a-cross-sectional-study-from-syria
#1
Tareq Al Saadi, Sarah Zaher Addeen, Tarek Turk, Fatima Abbas, Mahmoud Alkhatib
BACKGROUND: Medical education can be a time of great psychological distress for students. The ongoing Syrian conflict represents an additional factor potentially contributing to poor mental health among medical students. Studies revealed high levels of psychological distress among Syrians. We aimed to investigate the prevalence and risk factors of depression, anxiety and stress among medical students at Damascus University during this period of war. METHODS: A cross-sectional study was conducted using the Depression, Anxiety and Stress Scale (DASS-21) in addition to questions about demographic and financial characteristics, and questions about the effects of the ongoing war on the participants' lives...
September 20, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28929984/developing-a-hospital-disaster-preparedness-plan-for-mass-casualty-incidents-lessons-learned-from-the-downtown-beirut-bombing
#2
Mazen El Sayed, Ali F Chami, Eveline Hitti
Mass casualty incidents (MCIs) are becoming more frequent worldwide, especially in the Middle East where violence in Syria has spilled over to many neighboring countries. Lebanon lacks a coordinated prehospital response system to deal with MCIs; therefore, hospital preparedness plans are essential to deal with the surge of casualties. This report describes our experience in dealing with an MCI involving a car bomb in an urban area of downtown Beirut, Lebanon. It uses general response principles to propose a simplified response model for hospitals to use during MCIs...
September 20, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28928227/community-based-noncommunicable-disease-care-for-syrian-refugees-in-lebanon
#3
Stephen Sethi, Rebecka Jonsson, Rony Skaff, Frank Tyler
In the sixth year of the Syrian conflict, 11 million people have been displaced, including more than 1.1 million seeking refuge in Lebanon. Prior to the crisis, noncommunicable diseases (NCDs) accounted for 80% of all deaths in Syria, and the underlying health behaviors such as tobacco use, obesity, and physical inactivity are still prevalent among Syrian refugees in Lebanon. Humanitarian agencies initially responded to the acute health care needs of refugees by delivering services to informal settlements via mobile medical clinics...
September 19, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28916287/effects-of-anti-inflammatory-compounds-on-sulfur-mustard-injured-cells-recommendations-and-caveats-suggested-by-in-vitro-cell-culture-models
#4
Georg Menacher, Dirk Steinritz, Annette Schmidt, Tanja Popp, Franz Worek, Thomas Gudermann, Horst Thiermann, Frank Balszuweit
Sulfur mustard (SM) is a vesicant agent who had its first military use 100 years ago, in Ypres. Since then it has been used in several conflicts like the Iran-Iraq war in the 1980s. The use of SM in Syria 2015 indicated the still existing threat. Despite decades of research no causal antidote against SM intoxication is available, so far. A SM intoxication is accompanied by necrosis, apoptosis and inflammation. To counteract the SM-induced inflammation, glucocorticoids and non-steroidal anti-inflammatory compounds (NSAIDs) are recommended...
September 12, 2017: Toxicology Letters
https://www.readbyqxmd.com/read/28913940/caesarean-birth-is-associated-with-both-maternal-and-paternal-origin-in-immigrants-in-sweden-a-population-based-study
#5
Sol P Juárez, Rhonda Small, Anders Hjern, Erica Schytt
BACKGROUND: To investigate the association between maternal country of birth and father's origin and unplanned and planned caesarean birth in Sweden. METHODS: Population-based register study including all singleton births in Sweden between 1999 and 2012 (n = 1 311 885). Multinomial regression was conducted to estimate odds ratios (OR) for unplanned and planned caesarean with 95% confidence intervals for migrant compared with Swedish-born women. Analyses were stratified by parity...
September 15, 2017: Paediatric and Perinatal Epidemiology
https://www.readbyqxmd.com/read/28911130/on-the-ferries-the-unmet-health-care-needs-of-transiting-refugees-in-greece
#6
Clare K Shortall, Rosanna Glazik, Alvin Sornum, Ceri Pritchard
Background: In 2015, over 850 000 refugees, asylum seekers and migrants arrived in Greece. In response to an overwhelming need for access to healthcare for them, Doctors of the World established the Refugee Ferry Project, which comprised of a clinic providing primary health care, and integrated mental health and psychosocial support on board a commercial ferry. Methods: Of the 1405 service users, 87.5% (1229/1405) originated from Syria, Afghanistan and Iraq. The majority were women 801/1405 (57%) and children 511/1405 (36%), including 50 pregnant women and 19 unaccompanied minors...
September 1, 2017: International Health
https://www.readbyqxmd.com/read/28900023/gene-expression-in-leishmania-is-regulated-predominantly-by-gene-dosage
#7
Stefano A Iantorno, Caroline Durrant, Asis Khan, Mandy J Sanders, Stephen M Beverley, Wesley C Warren, Matthew Berriman, David L Sacks, James A Cotton, Michael E Grigg
Leishmania tropica, a unicellular eukaryotic parasite present in North and East Africa, the Middle East, and the Indian subcontinent, has been linked to large outbreaks of cutaneous leishmaniasis in displaced populations in Iraq, Jordan, and Syria. Here, we report the genome sequence of this pathogen and 7,863 identified protein-coding genes, and we show that the majority of clinical isolates possess high levels of allelic diversity, genetic admixture, heterozygosity, and extensive aneuploidy. By utilizing paired genome-wide high-throughput DNA sequencing (DNA-seq) with RNA-seq, we found that gene dosage, at the level of individual genes or chromosomal "somy" (a general term covering disomy, trisomy, tetrasomy, etc...
September 12, 2017: MBio
https://www.readbyqxmd.com/read/28899241/the-syrian-refugee-crisis-what-nurses-need-to-know
#8
Esmihan Almontaser, Steven L Baumann
The civil war in Syria that began in 2011 has displaced millions of Syrians of all ages. While the number that have arrived in the United States is small in comparison to many other countries, it is important that nurses and other healthcare workers here understand that many of them have faced considerable trauma and endured stresses. Most of them are Muslims. Muslims in the United States and elsewhere represent a heterogeneous group of people with a long intellectual and cultural history. Islamic cultural patterns do pose unique barriers to a primarily Anglo-Saxon medical system that medical practitioners need to consider in order to avoid misunderstanding and provide culturally sensitive care...
April 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28895503/needs-assessment-with-elder-syrian-refugees-in-lebanon-implications-for-services-and-interventions
#9
Zeina Chemali, Christina P C Borba, Kelsey Johnson, Sama Khair, Gregory L Fricchione
Currently, over 1 million Syrian and Palestinian refugees have fled Syria to take refuge in Lebanon. Among this vulnerable population, elder refugees warrant particular concern, as they shoulder a host of additional health and safety issues that require additional resources. However, the specific needs of elder refugees are often overlooked, especially during times of crisis. Our study used a semi-structured interview to survey the needs of elder refugees and understand their perceived support from Lebanese fieldworkers...
September 12, 2017: Global Public Health
https://www.readbyqxmd.com/read/28894281/the-ancient-cline-of-haplogroup-k-implies-that-the-neolithic-transition-in-europe-was-mainly-demic
#10
Neus Isern, Joaquim Fort, Víctor L de Rioja
Using a database with the mitochondrial DNA (mtDNA) of 513 Neolithic individuals, we quantify the space-time variation of the frequency of haplogroup K, previously proposed as a relevant Neolithic marker. We compare these data to simulations, based on a mathematical model in which a Neolithic population spreads from Syria to Anatolia and Europe, possibly interbreeding with Mesolithic individuals (who lack haplogroup K) and/or teaching farming to them. Both the data and the simulations show that the percentage of haplogroup K (%K) decreases with increasing distance from Syria and that, in each region, the %K tends to decrease with increasing time after the arrival of farming...
September 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28889158/detection-and-identification-of-cutaneous-leishmaniasis-isolates-by-culture-polymerase-chain-reaction-and-sequence-analyses-in-syrian-and-central-anatolia-patients
#11
Yunus E Beyhan, Mehmet Karakus, Alper Karagoz, Mesut Mungan, Aysegul T Ozkan, Murat Hokelek
To characterize the cutaneous leishmaniasis (CL) isolates of Syrian and Central Anatolia patients at species levels. Methods: Skin scrapings of 3 patients (2 Syrian, 1 Turkish) were taken and examined by direct examination, culture in Novy-MacNeal-Nicole (NNN) medium, internal transcribed spacer polymerase chain reaction and sequence analysis (PCR). Results:According to microscopic examination, culture and PCR methods, 3 samples were detected positive. The sequencing results of all isolates in the study were identified as Leishmania tropica...
September 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28886038/diagnoses-infections-and-injuries-in-northern-syrian-children-during-the-civil-war-a-cross-sectional-study
#12
Gerlant van Berlaer, Abdallah Mohamed Elsafti, Mohammad Al Safadi, Saad Souhil Saeed, Ronald Buyl, Michel Debacker, Atef Redwan, Ives Hubloue
BACKGROUND: The civil war in Syria including the deliberate targeting of healthcare services resulted in a complex humanitarian emergency, seriously affecting children's health. The objectives of this study are to document diagnoses and disease categories in Northern Syrian children after four years of conflict, and to document infectious diseases and injuries in this vulnerable population. METHODS: In a prospective cross-sectional observational sample study conducted in May 2015, healthcare workers registered demographics, comorbidities, and diagnoses (categorised according to the International Classification of Diseases version 10) in children visited at home and in internally displaced persons camps in four Syrian governorates...
2017: PloS One
https://www.readbyqxmd.com/read/28875164/increasing-drought-in-jordan-climate-change-and-cascading-syrian-land-use-impacts-on-reducing-transboundary-flow
#13
Deepthi Rajsekhar, Steven M Gorelick
In countries where severe drought is an anticipated effect of climate change and in those that heavily depend on upstream nations for fresh water, the effect of drier conditions and consequent changes in the transboundary streamflow regime induced by anthropogenic interventions and disasters leads to uncertainty in regional water security. As a case in point, we analyze Jordan's surface water resources and agricultural water demand through 2100, considering the combined impacts of climate change and land-use change driven by the Syrian conflict...
August 2017: Science Advances
https://www.readbyqxmd.com/read/28872019/offline-terrorism-and-syria-a-crisis-of-the-world
#14
Richard Horton
No abstract text is available yet for this article.
September 2, 2017: Lancet
https://www.readbyqxmd.com/read/28852635/parental-perception-of-oral-health-related-quality-of-life-of-syrian-refugee-children
#15
Sharat Chandra Pani, Salam Atef Al-Sibai, Akanksha S Rao, Samira Najeebullah Kazimoglu, Hezekiah Adeyemi Mosadomi
AIMS AND OBJECTIVES: The conflict in Syria has resulted in the displacement of over 5 million people, many of whom intend to return home at the cessation of hostilities. Oral health plays a critical role in early childhood and this study aimed to qualitatively and quantitatively assess the oral health-related quality of life (OHRQoL) of these children. MATERIALS AND METHODS: The quantitative assessment of OHRQoL was done using a validated Arabic version of the short-form Parental-Caregiver Perceptions Questionnaire-8 (P-CPQ-8)...
July 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28846602/selecting-lentil-accessions-for-global-selenium-biofortification
#16
Dil Thavarajah, Alex Abare, Indika Mapa, Clarice J Coyne, Pushparajah Thavarajah, Shiv Kumar
The biofortification of lentil (Lens culinaris Medikus.) has the potential to provide adequate daily selenium (Se) to human diets. The objectives of this study were to (1) determine how low-dose Se fertilizer application at germination affects seedling biomass, antioxidant activity, and Se uptake of 26 cultivated lentil genotypes; and (2) quantify the seed Se concentration of 191 lentil wild accessions grown in Terbol, Lebanon. A germination study was conducted with two Se treatments [0 (control) and 30 kg of Se/ha] with three replicates...
August 26, 2017: Plants (Basel, Switzerland)
https://www.readbyqxmd.com/read/28843230/perioperative-liver-function-after-hepatectomy-in-a-tertiary-university-hospital-in-damascus
#17
Basel Ahmad, Khaled Turkmani, Mohamad Essam Marwa, Tareq Ahmad, Ramez Baghdadi, Shaimaa Aboudamaah, Khetam Alkhatib, Mohamad Ahmad
Background: Liver resection is the only viable therapeutic treatment option for several neoplastic entities of the liver. Although, the number of resectable patients is increasing in Syria, liver failure is still a major complication affecting mortality and morbidity rates. Methods: Between 2009 and 2016, 104 patients undergoing liver resection in Damascus University Faculty of Medicine were retrospectively analyzed. Liver function tests were conducted before surgery (ps) and in the perioperative period (po) and comparisons were performed with division into anatomic VS non-anatomic or malignant VS non-malignant groups...
August 27, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/28842995/hepatitis-c-virus-genotypes-in-the-middle-east-and-north-africa-distribution-diversity-and-patterns
#18
Sarwat Mahmud, Zaina Al-Kanaani, Hiam Chemaitelly, Karima Chaabna, Silva P Kouyoumjian, Laith J Abu-Raddad
Our objective was to characterize the distribution, diversity and patterns of hepatitis C virus (HCV) genotypes in the Middle East and North Africa (MENA). Source of data was a database of HCV genotype studies in MENA populated using a series of systematic literature searches. Pooled mean proportions were estimated for each genotype and by country using DerSimonian-Laird random-effects meta-analyses. Genotype diversity within countries was assessed using Shannon Diversity Index. Number of chronic infections by genotype and country was calculated using the pooled proportions and country-specific numbers of chronic infection...
August 26, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28831442/cancer-care-at-times-of-crisis-and-war-the-syrian-example
#19
Eman Sahloul, Riad Salem, Wessam Alrez, Tayseer Alkarim, Ammar Sukari, Wasim Maziak, M Bassel Atassi
PURPOSE: As Syria enters its fifth year of conflict, the number of civilians killed and injured continues to rise sharply. Along with this conflict comes the rapid decline of medical care, specifically cancer care. To determine physician and equipment availability, cancer screening and management, and possible solutions relative to various major cities, a survey was distributed to physicians inside Syria through the help of the humanitarian organization Syrian American Medical Society...
August 2017: Journal of Global Oncology
https://www.readbyqxmd.com/read/28820734/characteristics-reasons-behavior-and-knowledge-towards-waterpipe-smoking-in-saudi-arabia
#20
Elluru Venkatesh, Mohammad Yousef Al Jemal, Abdullah Saleh Al Samani
Background The present scenario shows that waterpipe smoking, one of tobacco smoking methods, the practice off which dates back at least 400 year is appealing to the youth. Waterpipe tobacco smoking is frequently linked with nations of the Eastern Mediterranean Region (EMR) comprising Egypt, Kuwait, Lebanon and Syria. The present study shows the socio-demographic characteristics, behavior and knowledge of youth towards waterpipe smoking. Recognizing these features may help emphasize intervention methods. Methods A self-administered questionnaire was used to collect the data about waterpipe smoking comprising sociodemographic, behavior, reasons and knowledge from 230 university students...
August 18, 2017: International Journal of Adolescent Medicine and Health
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