An Ethical Roadmap for Prioritizing Medical Resources Within Muslim Societies During the COVID-19 Pandemic.

Profound ethical challenges have been generated by the emergence of the COVID-19 pandemic. The unprecedented plights that have arisen have led nations to devise ethical roadmaps for handling their finite resources. Muslim countries are no exception and must continue to endure the effects of the pandemic, as more waves of infections from new strains are being reported. Given the scarcity of resources available to some countries, it is critical to adopt a roadmap to prioritize these limited resources based on ethical guidelines that are acceptable to Muslim communities. This work describes the concept of "ijtihad", a process frequently used by Muslim scholars to develop novel solutions to deal with unprecedented events, such as the recent pandemic. In this manuscript, Islamic perspectives were discussed on social justice and equality and how limited resources can be used in a way consistent with such perspectives. Relying on previous experiences of the Muslim community, such as the plague of Amwas, in which social distancing and quarantine strategies were used effectively to control the disease, and utilizing available guidelines such as "Al-Qawaid Al-Fiqhiyyah" and "Fiqh Al-Nawazel", we propose a practical protocol and roadmap that can be applied in the current crisis. Managing and prioritizing limited medical resources requires a just and ethically acceptable system. Islamic leaders should immediately develop a roadmap that emphasizes ethical values such as ihsan and altruism to help Muslim countries prioritize the limited medical resources available to medical staff to guarantee the sustainability of health services.

Recall of anti-tobacco advertisements and effects on quitting behavior: results from the California smokers cohort.

OBJECTIVES: We assessed whether an anti-tobacco television advertisement called "Stages," which depicted a woman giving a brief emotional narrative of her experiences with tobacco use, would be recalled more often and have a greater effect on smoking cessation than 3 other advertisements with different intended themes. METHODS: Our data were derived from a sample of 2596 California adult smokers. We used multivariable log-binomial and modified Poisson regression models to calculate respondents' probability of quitting as a result of advertisement recall. RESULTS: More respondents recalled the "Stages" ad (58.5%) than the 3 other ads (23.1%, 23.4%, and 25.6%; P<.001). Respondents who recalled "Stages" at baseline had a higher probability than those who did not recall the ad of making a quit attempt between baseline and follow-up (adjusted risk ratio [RR]=1.18; 95% confidence interval [CI]=1.03, 1.34) and a higher probability of being in a period of smoking abstinence for at least a month at follow-up (adjusted RR=1.55; 95% CI=1.02, 2.37). CONCLUSIONS: Anti-tobacco television advertisements that depict visceral and personal messages may be recalled by a larger percentage of smokers and may have a greater impact on smoking cessation than other types of advertisements.

Challenges in Environmental Health Research and Sustainability in a Less Developed Country: a Case Study From Jordan.

PURPOSE OF REVIEW: Environmental health research covers many aspects of the complex natural world and how environmental hazards, mainly caused by human activities, can affect population health. Researchers in this field have investigated environmental risks dose or exposure-response relationship, challenged hypotheses and interpreted data and results to solve problems. Researchers investigating environmental issues support the concept of environmental justice (EJ) and understand that they bear more responsibilities because they work to influence the policymakers' decisions in order to minimise hazardous exposure on populations. The environmental justice term has been widely used to describe unequal exposure of anthropogenic pollution or environmentally hazardous exposure to a group of people based on race, colour, national origin or income. The term has been defined and disseminated in many countries through governmental and non-governmental organisations. In Jordan, the government has carried the responsibilities to reduce the disproportionate exposure to environmental pollution between citizens and to promote the concepts of EJ. This review has highlighted the role of non-governmental organisations and the laws and regulations that prohibit assault to the environment and ensure the compliance of private and public organisations to minimise the effect of the undesirable environmental actions. Moreover, it addressed and discussed different possible sources of pollution and areas of heavy hazards exposure. RECENT FINDINGS: In this review, we highlighted the main causes of lack of research on the EJ in Jordan and the effect of income and ethnicity background. We also recommended applying the responsible conduct of research principles and guidelines to commence researches that can affect policymakers in this field in Jordan.