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1.
J Glob Health ; 11: 05003, 2021 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-33643636

RESUMO

Background: The COVID-19 pandemic is a global phenomenon that is spreading at an alarmingly high rate, increasing morbidity, mortality as well as affecting the global economy, education sector and psychological well-being of the public. Measures, taken to mitigate the spread of the virus during this pandemic, created challenges to humanitarian communities preventing them from carrying out their responsibilities towards vulnerable populations. The aim of this study is to assess the burden of COVID-19 by looking at the current living conditions, examining available services provided, and identifying the economic and health challenges of Syrian refugee families living in Lebanon. Methods: This is a cross-sectional study conducted on 129 Syrian refugee families living in Lebanon during the COVID-19 pandemic. All participants provided consent prior to completion of the standardized questionnaire. Results: During the pandemic, 79% of breadwinners lost their jobs; of those who kept their jobs, 68% had their wages reduced. None of the families was capable of affording all of their basic needs with 55% only partially affording and 45% not able to afford. Thirty percent of Syrian refugee families did not receive support from organizations during the pandemic reflecting the impact of this crisis on humanitarian organizations. Education was also affected as 70% of children did not continue their education at home. Stress and anxiety were the most commonly reported behavioral changes among both children and adults. Conclusions: The impact of this crisis is multidimensional affecting the economy, global health and education level of the public. Measures should be taken to lessen the detrimental effect of this crisis on the community as a whole and on vulnerable populations in particular.


Assuntos
/epidemiologia , Refugiados/estatística & dados numéricos , Socorro em Desastres/estatística & dados numéricos , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Líbano/epidemiologia , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários , Síria/etnologia , Populações Vulneráveis
2.
Molecules ; 26(4)2021 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-33671715

RESUMO

Fucoidan is a fucose-rich sulfated polysaccharide with attractive therapeutic potential due to a variety of biological activities, including antioxidant action. Fucoidan is typically found in the cell wall of marine brown algae, but extra-algal sources have also been discovered. In the present work, for the first time we extracted a water soluble fucoidan fraction from the roots of the terrestrial shrub Ferula hermonis. This fucoidan fraction was termed FUFe, and contained fucose, glucose, sulfate, smaller amounts of monosaccharides such as galactose and mannose, and a minor quantity of proteins. FUFe structural features were investigated by FTIR, 1H NMR and 13C NMR spectroscopy. The antioxidant property of FUFe was measured by DPPH, ABTS and FRAP assays, which revealed a high radical scavenging capacity that was confirmed in in vitro cellular models. In hepatic and endothelial cells, 50 µg/mL FUFe could reduce ROS production induced by intracellular lipid accumulation. Moreover, in hepatic cells FUFe exhibited a significant antisteatotic action, being able to reduce intracellular triglyceride content and to regulate the expression of key genes of hepatic lipid metabolism. Altogether, our results candidate FUFe as a possible bioactive compound against fatty liver disease and related vascular damage.


Assuntos
Antioxidantes/farmacologia , Ferula/química , Extratos Vegetais/farmacologia , Raízes de Plantas/química , Polissacarídeos/farmacologia , Animais , Antioxidantes/química , Antioxidantes/isolamento & purificação , Benzotiazóis/antagonistas & inibidores , Compostos de Bifenilo/antagonistas & inibidores , Células Cultivadas , Recuperação de Fluorescência Após Fotodegradação , Humanos , Líbano , Picratos/antagonistas & inibidores , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Polissacarídeos/química , Polissacarídeos/isolamento & purificação , Ratos , Espécies Reativas de Oxigênio/metabolismo , Ácidos Sulfônicos/antagonistas & inibidores
3.
Allergol. immunopatol ; 49(1): 40-49, ene.-feb. 2021. tab, grab
Artigo em Inglês | IBECS | ID: ibc-199224

RESUMO

OBJECTIVES: The Asthma Risk Factor Scale (ARFS) is used to screen for asthma in Lebanese pre-school children (aged 3-16 years). The study objective was to describe factors associated with asthma, confirm ARFS score validity among Lebanese preschool children, and develop a risk score for asthma diagnosis in this age group (Pre-School Asthma Risk Factor Scale [PS-ARFS]).METHODS: A cross-sectional study enrolled 515 preschool children (November 2018 and March 2019). The ARFS is a 15-item tool that assesses children's environmental exposure, parental history of asthma, and dietary habits. RESULTS: The percentage of asthmatic children was 8.2%. Higher odds of asthma in children were associated with living near a prairie sprayed with pesticides (odds ratio [OR] = 2.33), playing out-doors (OR = 2.89), having a heater in the bedroom (OR = 10.73), attending a nursery (OR = 2.91), having a mother who smokes cigarettes (OR = 3.35) or water pipe (OR = 2.46), a sister with a history of seasonal allergy (OR = 6.81), and a parental history (mother and father) of asthma (OR = 6.15 a n d OR = 9.83, respectively). Higher ARFS scores (OR = 1.144) were associated with higher odds of asthma. Accordingly, the PS-ARFS was created according to the following formula: ARFS score + (playing out-door × 2.4) + (heating system in the bedroom × 12.9) + (having attended a nursery × 2.5) (area under the curve = 0.908 [0.860-0.957]; P< 0.001); at value: 14.20, Se = 84.3% and Sp = 90.9%.CONCLUSION: PS-ARFS is suggested for screening of asthma in preschool children in an epidemio-logical setting and in the absence of spirometry


No disponible


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Asma/epidemiologia , Medição de Risco , Fatores de Risco , Líbano/epidemiologia , Comportamento Alimentar , Estudos Transversais , Inquéritos e Questionários , Sons Respiratórios/diagnóstico , Análise Multivariada , Valor Preditivo dos Testes
4.
Allergol. immunopatol ; 49(1): 135-145, ene.-feb. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199235

RESUMO

OBJECTIVES: To validate a scale to assess the hygiene hypothesis and the association between hygiene and asthma among Lebanese preschool children aged 3-5 years. METHODS: This cross-sectional study, conducted between November 2018 and March 2019, enrolled 515 preschool children. Asthma and potential risk factors, including hygiene, were assessed using a standardized questionnaire. A specific hygiene hypothesis scale has been gen­erated and validated for this purpose. RESULTS: The hygiene hypothesis scale items converged over a solution of nine factors that had an Eigenvalue over 1, explaining a total of 65.86% of the variance. An acceptable Cronbach's alpha value was recorded for the hygiene hypothesis scale (0.696). Variables correlated with higher odds of asthma were male gender (ORa = 0.41 for females), living near a prairie sprayed with pesticides (ORa = 3.09), having a heating system in the bedroom compared to the sitting room (ORa = 9.97), attending kindergarten (ORa = 2.80), having a mother who smokes water­pipe compared to not smoking (ORa = 3.34), having a mother with a history of asthma (ORa = 5.50), and having respiratory infections (ORa = 14.72). However, the hygiene hypothesis score was not associated with higher odds of asthma (p = 0.881). CONCLUSIONS: The current results suggested that neither home cleaning nor personal cleanliness was correlated with asthma in preschool children. Larger prospective studies that measure the intensity and duration of exposure to each toxicant are suggested to better assess the hygiene hypothesis items and their association with asthma


No disponible


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Asma/etiologia , Hipótese da Higiene , Asma/epidemiologia , Poeira/imunologia , Líbano , Estudos Transversais , Fatores de Risco , Inquéritos e Questionários , Análise Fatorial , Modelos Logísticos , Hipersensibilidade/imunologia , Asma/imunologia , Poeira/análise , Poeira/prevenção & controle
6.
PLoS One ; 16(2): e0246951, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33596271

RESUMO

INTRODUCTION: The global abrupt progression of the COVID-19 pandemic may disrupt critical life-saving services such as routine immunization (RI), thus increasing the susceptibility of countries to outbreaks of vaccine-preventable diseases (VPDs). Being endemic to several infectious diseases, Lebanon might be at increased risk of outbreaks as the utilization of RI services might have deteriorated due to the pandemic and the country's political unrest following the October 2019 uprising. The aim of this study was to assess the changes in the utilization of RI services in both the public and private sectors following the COVID-19 pandemic. METHODS: A self-administered cross-sectional survey was completed electronically, in April 2020, by 345 private pediatricians who are registered in professional associations of physicians in Lebanon and provide immunization services at their clinics. Means of the reported percentages of decrease in the utilization of vaccination services by pediatricians were calculated. As for the public sector, an examination of the monthly differences in the number of administered vaccine doses in addition to their respective percentages of change was performed. Adjustment for the distribution of RI services between the sectors was performed to calculate the national decrease rate. RESULTS: The utilization of vaccination services at the national level decreased by 31%. In the private sector, immunization services provision diminished by 46.9% mainly between February and April 2020. The highest decrease rates were observed for oral poliovirus vaccine (OPV) and hepatitis A, followed by measles and pneumococcal conjugate vaccines. The number of vaccine doses administered in the public sector decreased by 20%. The most prominent reductions were detected for the OPV and measles vaccines, and during October 2019 and March 2020. CONCLUSION: The substantial decrease in the utilization of RI as a result of the COVID-19 pandemic requires public health interventions to prevent future outbreaks of VPDs.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , /imunologia , Estudos Transversais , Feminino , Humanos , Imunização/métodos , Imunização/psicologia , Programas de Imunização/estatística & dados numéricos , Esquemas de Imunização , Lactente , Líbano/epidemiologia , Masculino , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , /patogenicidade , Inquéritos e Questionários , Vacinação/estatística & dados numéricos , Cobertura Vacinal/estatística & dados numéricos , Vacinas/administração & dosagem
7.
J Environ Manage ; 285: 112121, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33581459

RESUMO

In this paper, using Lebanon's capital, Beirut, as a case study, a methodology is proposed to assess the potential for solar photovoltaics (PV) in urban areas incorporating both economic and non-economic factors. Utilizing a rich spatial dataset of solar irradiation augmented with electricity bills at the building level, the cost and benefit of installing rooftop PV systems for each building is estimated. Additionally, incentives and barriers for adopting those systems are investigated using a probabilistic choice model. The results show that Beirut city has a potential for distributed rooftop solar PV to be between 195 and 295 MWp. However, adoption rates are low at 0.49% and 1.23% for residential and commercial buildings, respectively, reflecting the limitation of financial incentives alone to promote the deployment of distributed renewable energy systems in transition economies. The impact of different incentive policy instruments and the role of solar PV in today's economic crisis in Lebanon is analyzed. The biggest impact was achieved through removing (or lowering) electricity tariff subsidy, although this option remains highly constrained by political calculus. We argue that the Lebanese government should fast-track and implement the required legal framework to facilitate and incentivize distributed power generation from renewable sources to promote both green energy and its financial resilience. The proposed modeling framework together with the results obtained in this study will have important implications for energy policy makers in Lebanon and other transition economies.


Assuntos
Energia Solar , Cidades , Eletricidade , Líbano , Energia Renovável
8.
Epidemiol Infect ; 149: e51, 2021 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-33531094

RESUMO

Ever since the World Health Organization (WHO) declared the new coronavirus disease 2019 (COVID-19) as a pandemic, there has been a public health debate concerning medical resources and supplies including hospital beds, intensive care units (ICU), ventilators and protective personal equipment (PPE). Forecasting COVID-19 dissemination has played a key role in informing healthcare professionals and governments on how to manage overburdened healthcare systems. However, forecasting during the pandemic remained challenging and sometimes highly controversial. Here, we highlight this challenge by performing a comparative evaluation for the estimations obtained from three COVID-19 surge calculators under different social distancing approaches, taking Lebanon as a case study. Despite discrepancies in estimations, the three surge calculators used herein agree that there will be a relative shortage in the capacity of medical resources and a significant surge in PPE demand if the social distancing policy is removed. Our results underscore the importance of implementing containment interventions including social distancing in alleviating the demand for medical care during the COVID-19 pandemic in the absence of any medication or vaccine. The paper also highlights the value of employing several models in surge planning.


Assuntos
/epidemiologia , Assistência à Saúde/tendências , Pandemias/estatística & dados numéricos , Equipamento de Proteção Individual/provisão & distribução , Previsões , Líbano/epidemiologia , Equipamento de Proteção Individual/tendências
9.
Med Sci Monit ; 27: e928218, 2021 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-33558450

RESUMO

BACKGROUND Recently, new therapeutic approaches have revolutionized the management of left ventricular dysfunction (LVD) and valvular heart disease (VHD), which are a growing public health problem. In parallel, there are no available epidemiological data about LVD and VHD in developing countries, especially in the Mediterranean area. This retrospective study was conducted at a single center and aimed to evaluate the associations between mitral and aortic valvular disease and left ventricle systolic and diastolic dysfunction in the Lebanese population. MATERIAL AND METHODS A retrospective study was conducted of 4520 consecutive patients aged >18 years who were referred to the Cardiovascular Department of Notre Dame de Secours-University Hospital in Jbeil-Lebanon for transthoracic echocardiography between December 2016 and December 2019. The study population was divided into different groups based on types of LVD and VHD. Left ventricle systolic dysfunction was defined as a left ventricle ejection fraction (EF) ≤40%. Statistical analysis was carried out using SPSS software version 20. RESULTS VHD and systolic dysfunction were more common in men, whereas diastolic dysfunction was more common in women. Being older than age 65 years and smoking were significantly associated with heart failure with preserved EF, whereas female sex was a significant preventive factor against heart failure with reduced EF. Systemic hypertension was correlated with mitral stenosis and tricuspid regurgitation, whereas diabetes mellitus was associated with tricuspid regurgitation (TR). Smoking and older age also appeared to be associated with aortic stenosis. CONCLUSIONS Mitral valve disease (regurgitation and stenosis) was significantly correlated with systolic dysfunction, whereas aortic and mitral regurgitation were associated with diastolic dysfunction. Better monitoring of cardiovascular disease risk factors may lead to a reduced burden of LVD and VHD.


Assuntos
Insuficiência da Valva Aórtica/epidemiologia , Insuficiência da Valva Mitral/epidemiologia , Estenose da Valva Mitral/epidemiologia , Insuficiência da Valva Tricúspide/epidemiologia , Disfunção Ventricular Esquerda/epidemiologia , Adulto , Fatores Etários , Idoso , Insuficiência da Valva Aórtica/complicações , Diabetes Mellitus/epidemiologia , Ecocardiografia , Feminino , Humanos , Hipertensão/epidemiologia , Líbano/epidemiologia , Masculino , Pessoa de Meia-Idade , Insuficiência da Valva Mitral/complicações , Estenose da Valva Mitral/complicações , Estudos Retrospectivos , Fatores de Risco , Fumar/epidemiologia , Volume Sistólico , Insuficiência da Valva Tricúspide/complicações , Disfunção Ventricular Esquerda/diagnóstico , Disfunção Ventricular Esquerda/etiologia , Adulto Jovem
10.
BMC Nephrol ; 22(1): 73, 2021 02 27.
Artigo em Inglês | MEDLINE | ID: mdl-33639881

RESUMO

BACKGROUND: Hemodialysis patients with COVID-19 have been reported to be at higher risk for death than the general population. Several prognostic factors have been identified in the studies from Asian, European or American countries. This is the first national Lebanese study assessing the factors associated with SARS-CoV-2 mortality in hemodialysis patients. METHODS: This is an observational study that included all chronic hemodialysis patients in Lebanon who were tested positive for SARS-CoV-2 from 31st March to 1st November 2020. Data on demographics, comorbidities, admission to hospital and outcome were collected retrospectively from the patients' medical records. A binary logistic regression analysis was performed to assess risk factors for mortality. RESULTS: A total of 231 patients were included. Mean age was 61.46 ± 13.99 years with a sex ratio of 128 males to 103 females. Around half of the patients were diabetics, 79.2% presented with fever. A total of 115 patients were admitted to the hospital, 59% of them within the first day of diagnosis. Hypoxia was the major reason for hospitalization. Death rate was 23.8% after a median duration of 6 (IQR, 2 to 10) days. Adjusted regression analysis showed a higher risk for death among older patients (odds ratio = 1.038; 95% confidence interval: 1.013, 1.065), patients with heart failure (odds ratio = 4.42; 95% confidence interval: 2.06, 9.49), coronary artery disease (odds ratio = 3.27; 95% confidence interval: 1.69, 6.30), multimorbidities (odds ratio = 1.593; 95% confidence interval: 1.247, 2.036), fever (odds ratio = 6.66; 95% confidence interval: 1.94, 27.81), CRP above 100 mg/L (odds ratio = 4.76; 95% confidence interval: 1.48, 15.30), and pneumonia (odds ratio = 19.18; 95% confidence interval: 6.47, 56.83). CONCLUSIONS: This national study identified older age, coronary artery disease, heart failure, multimorbidities, fever and pneumonia as risk factors for death in patients with COVID-19 on chronic hemodialysis. The death rate was comparable to other countries and estimated at 23.8%.


Assuntos
/mortalidade , Multimorbidade , Diálise Renal , Fatores Etários , Idoso , Doença das Coronárias/complicações , Cuidados Críticos , Demência/complicações , Feminino , Febre/complicações , Insuficiência Cardíaca/complicações , Hospitalização , Humanos , Líbano/epidemiologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Acidente Vascular Cerebral/complicações
11.
Am J Emerg Med ; 42: 55-59, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33453616

RESUMO

BACKGROUND: Between October 2019 and February 2020, massive crowds protested in Lebanon against economic collapse. Various less than lethal weapons including riot control agents and rubber bullets were used by law enforcement, which led to several traumatic and chemical injuries among victims. This study describes the clinical presentation, management, outcome, and healthcare costs of injuries. METHODS: A retrospective review of the hospital records of all the casualties presenting to the Emergency Department of the American University of Beirut Medical Center between October 17th, 2019, and February 29th, 2020, was conducted. RESULTS: A total of 313 casualties were evaluated in the ED, with a mean age of 30.2 +/- 9.6 years and a predominance of males (91.1%). Most were protestors (71.9%) and arrived through EMS (43.5%) at an influx rate of one patient presenting every 2.7-8 min. Most patients (91.1%) presented with an Emergency Severity Index of 3. Most patients (77.6%) required imaging with 10% having major findings including fractures and hemorrhages. Stones, rocks, and tear gas canisters (30.7%) were the most common mechanism of injury. Musculoskeletal injuries were most common (62.6%), followed by lacerations (44.7%). The majority (93.3%) were treated and discharged home and 3.2% required hospital admission, with 2.6% requiring surgery. CONCLUSION: Less-than-lethal weapons can cause severe injuries and permanent morbidity. The use of riot control agents needs to be better controlled, and users need to be well trained in order to avoid misuse and to lessen the morbidity, mortality, and financial burden.


Assuntos
Serviço Hospitalar de Emergência , Tumultos , Ferimentos e Lesões/terapia , Adulto , Estudos Transversais , Serviço Hospitalar de Emergência/economia , Feminino , Fraturas Ósseas/terapia , Hemorragia/terapia , Custos Hospitalares , Humanos , Lacerações/terapia , Aplicação da Lei/métodos , Líbano , Masculino , Sistema Musculoesquelético/lesões , Estudos Retrospectivos , Ferimentos e Lesões/economia
12.
World J Pediatr Congenit Heart Surg ; 12(1): 55-60, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33407033

RESUMO

BACKGROUND: Fever in the postoperative period in cardiac patients is common. The purpose of this study is to recognize the risk factors for prolonged postoperative fever in cardiac patients with pulmonary conduit insertion. METHODS: Patients were identified retrospectively by looking at the International Classification of Diseases, Ninth Revision, Clinical Modification procedure code for pulmonary conduit insertion between June 2009 and December 2015 at the American University of Beirut Medical Center. Data about preoperative, perioperative, and postoperative variables were collected. Data entry and analysis were performed using SPSS version 22. RESULTS: The study identified 59 patients. The most common type of pulmonary conduit used was the Contegra type (57.6%) (n = 34), followed by the Labcor type (20.3%; n = 12). Postoperative fever occurred in 61% of patients (n = 36). Fourteen patients (38.8%) had a prolonged fever that lasted for more than seven days. Prolonged postoperative fever was significantly associated with the Labcor pulmonary conduit (P value < .001) and a longer duration of pacing wires (P value: .039). Significantly prolonged fever that lasted for more than 21 days occurred in five patients who all had inserted the Labcor pulmonary conduit. CONCLUSIONS: The Labcor pulmonary conduit type is a risk factor for prolonged postoperative fever. The protracted use of pacing wires could be a consequence of the prolonged fever rather than a cause. In the absence of a demonstrable infectious etiology for prolonged postoperative fever in cardiac patients with pulmonary conduit insertion, the Labcor pulmonary conduit could be the underlying cause. Alternative management of such cases may lead to decreased antibiotic use and morbidity.


Assuntos
Febre/epidemiologia , Cardiopatias Congênitas/cirurgia , Próteses e Implantes , Adolescente , Adulto , Pré-Escolar , Feminino , Febre/etiologia , Seguimentos , Humanos , Incidência , Lactente , Recém-Nascido , Líbano/epidemiologia , Masculino , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
13.
Ecotoxicol Environ Saf ; 210: 111834, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33401200

RESUMO

An attempt has been made in correspondence to explain the consequences of chemical pollution after the explosion of ammonium nitrate (AN) in Beirut (capital of Lebanon). The effects of chemicals in the air, soil, and water have been discussed. In addition, the study emphasizes on the research to restore the environment and enhanced safety measurements.


Assuntos
Vazamento de Resíduos Químicos , Desastres , Explosões , Nitratos/toxicidade , Animais , Meio Ambiente , Humanos , Líbano , Risco
14.
BMC Psychol ; 9(1): 18, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33509287

RESUMO

BACKGROUND: Relationship between emotional intelligence and emotional variables such as stress, depression, anxiety and mental health has been well documented in child and adult samples. New insights into the association between emotional intelligence and different components of mental health in one study (cognitive, emotional and behavioral dimensions) can help patients, therapists, relatives, and friends to understand, explain, and cope with symptoms. There have been no studies assessing the association between the emotional intelligence (EI) with various factors in Lebanon. This study principal aim was to evaluate how EI is related to mental health issues: social anxiety, depression, alcohol use disorders (AUD), work fatigue, stress and alexithymia in Lebanon. METHODS: 789 participants were enrolled in a cross-sectional study between November 2017 and March 2018. A cluster analysis was used to evaluate participants' profiles with the help of emotional intelligence subscales, to separate the Lebanese population into equal limited units with different characteristics using the K-mean technique. RESULTS: Three clusters were computed dividing participants into low EI (cluster 1; 24.5%), moderate EI (cluster 2; 43.7%) and high EI (cluster 3; 31.7%) respectively. Fitting into the cluster 1 (low EI) was significantly associated with higher AUD, alexithymia, anxiety, depression, perceived stress, social phobia, emotional, mental and physical work fatigue, suicidal ideation compared to cluster 3 (high EI). Fitting into the cluster 2 (moderate EI) was significantly correlated with higher AUD, depression, alexithymia, anxiety, perceived stress, social phobia, mental work fatigue and suicidal ideation compared to cluster 3 (high EI). CONCLUSION: This study results suggest that emotional intelligence is related to different variables, warranting interventions to limit/decrease alcohol abuse and mental/psychological illnesses as much possible.


Assuntos
Sintomas Afetivos/epidemiologia , Alcoolismo/epidemiologia , Ansiedade/epidemiologia , Esgotamento Psicológico/epidemiologia , Depressão/psicologia , Inteligência Emocional , Ideação Suicida , Suicídio/psicologia , Adulto , Estudos Transversais , Depressão/epidemiologia , Fadiga/epidemiologia , Humanos , Líbano/epidemiologia , Pessoa de Meia-Idade , Autoimagem
15.
J Patient Saf ; 17(1): e35-e38, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33394882

RESUMO

BACKGROUND: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic led to a worldwide medical crisis, affecting mostly immunocompromised patients, such as cancer patients. Various cancer societies have issued recommendations regarding patients care, but few studies addressed the perception of cancer patients regarding this pandemic. OBJECTIVE: The aim of the study was to assess the perception of cancer patients regarding their health risks during this pandemic and the preventive measures taken. MATERIALS AND METHODS: An anonymous survey was conducted among cancer patients presenting for their treatment, during 10 consecutive working days, at the one-day clinic of Hotel-Dieu de France University hospital in Beirut. We evaluated their state of disease, comorbidities, precautions taken, and their concerns regarding the virus spread. RESULTS: A total of 216 patients responded with a mean age of 60 years. The majority had a good performance status (performance status = 0-1 in 79.6%), 51.4% had metastatic disease, and chemotherapy was the main therapy used (65.7%). A total of 52.3% of patients considered themselves to be at increased risk of contracting the virus. A total of 55.1% were more worried about the coronavirus rather than their disease. The priority was for the treatment of their cancer in 47.7% of the total patients studied. Of note, only 2.8% of planned one-day clinic reservations were canceled or postponed to avoid COVID-19 exposure. CONCLUSIONS: Although cancer is a disease with a high mortality rate, many patients are more concerned about the actual pandemic rather than their disease. Nevertheless, the absenteeism from their treatment sessions during the COVID-19 atmosphere was minimal.


Assuntos
Ansiedade/psicologia , Medo/psicologia , Neoplasias/psicologia , Estresse Psicológico/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Assistência Ambulatorial , Antineoplásicos/uso terapêutico , Estudos Transversais , Assistência à Saúde , Feminino , Humanos , Líbano , Masculino , Pessoa de Meia-Idade , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Segurança do Paciente , Risco , Inquéritos e Questionários , Adulto Jovem
16.
Environ Sci Pollut Res Int ; 28(8): 10283-10291, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33447982

RESUMO

Among the various species of vegetation, conifers play an important role as a biomonitor of air pollution. The current study presents the determination of pesticides and polycyclic aromatic hydrocarbons in 15 conifer samples collected in August 2018 (summer season) from different regions in north Lebanon (Tripoli, Koura, Bcharre, and Akkar). Pollutants were extracted based on QuEChERS-SPME followed by liquid and gas chromatography-tandem mass spectrometry. Results showed that the samples collected from Bcharre region had the lowest concentration in both pesticides and polycyclic aromatic hydrocarbons with a total concentration of 50 and 66 ng g-1, while the samples collected from the regions widely known by their agriculture (Akkar, Tripoli, and Koura areas) were the most polluted with concentrations of 231 and 422 ng g-1, 192 and 370 ng g-1, and 127 and 98 ng g-1 for pesticides and polycyclic aromatic hydrocarbons respectively. This study revealed that conifers are suggested to be efficient biomonitors of contamination levels in the air.


Assuntos
Praguicidas , Pinus , Hidrocarbonetos Policíclicos Aromáticos , Monitoramento Ambiental , Cromatografia Gasosa-Espectrometria de Massas , Líbano , Praguicidas/análise , Hidrocarbonetos Policíclicos Aromáticos/análise
18.
J Environ Manage ; 279: 111760, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33316644

RESUMO

This study examines the risks of seawater intrusion (SWI) in data scarce aquifers along the Eastern Mediterranean by quantifying the interaction of the main natural, anthropogenic and climatic drivers, while also considering varying abilities of implementing adaptation and mitigation measures. For this purpose, we conducted a semi-quantitative Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis representing a first attempt at integrating a complex physical process with multi layered influences in a SWOT analysis model that was tested at 26 coastal aquifers with varying levels of SWI severity. The analysis results showed alarming signs of SWI at several eastern and southeastern aquifers, particularly those underlying densely populated centers (i.e. Beirut, Lebanon; Magoza, Cyprus; Gaza, Palestine and the Nile Delta, Egypt). The analysis also highlighted adaptive capabilities that appear to be strong in Cyprus, Israel and Turkey, emerging in Egypt, and weak in Lebanon, Syria, and Palestine. The risks exhibited a strong and statistically significant positive relationship with the reported status of SWI at the tested aquifers thus providing an effective decision-making tool towards the preliminary assessment of SWI in regions with data scarcity. The study concludes with proposing a framework for sustainable aquifer management in the East Med region with emphasis on controlling SWI risks.


Assuntos
Água Subterrânea , Chipre , Egito , Israel , Líbano , Medição de Risco , Síria , Turquia
19.
Allergol. immunopatol ; 48(6): 523-529, nov.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-199238

RESUMO

BACKGROUND: In Lebanon, asthma is underdiagnosed due to low access to healthcare, particularly in rural areas, although asthma diagnosis in children is based mainly on clinical symptoms. Thus, wheezing might be more suggestive of undiagnosed respiratory diseases including asthma in Lebanese children. This study aimed to determine the factors associated with wheezing in Lebanese children without asthma diagnosis. METHODS: This cross-sectional study was conducted between December 2015 and April 2016, enrolling a total of 1203 schoolchildren. RESULTS: Out of 1500 prepared questionnaires, 1380 questionnaires were distributed in schools, and 1203 (87.17%) were collected back from the parents of children aged between 4-17 years old. The sample included 42 (3.5%) [95% CI 0.025-0.045] children with reported chronic wheezing. A multivariable analysis was performed taking the presence versus absence of wheezing in children as the dependent variable. The results showed that spraying pesticides at home (aOR = 1.91), presence of humidity at home (aOR = 2.21) and child reflux (aOR = 2.60) were significantly associated with the presence of wheezing in children. CONCLUSION: The findings of the study suggest that certain environmental factors, such as pesticides, humidity at home and reflux disease, might be associated with wheezing episodes in children. Those factors can be prevented through raising awareness by health care professionals


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Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Sons Respiratórios/etiologia , Exposição Ambiental/efeitos adversos , Estudos Transversais , Inquéritos e Questionários , Fatores de Risco , Análise Multivariada , Fatores Socioeconômicos , Modelos Logísticos , Líbano/epidemiologia , Praguicidas/efeitos adversos
20.
Head Face Med ; 16(1): 36, 2020 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-33308273

RESUMO

BACKGROUND: This study was conducted for several reasons, primarily because of the lack of an Arabic version of the HSCT that could be beneficial in our clinical practice. Another reason is the need to find potential relationships between various factors with executive functions, especially problematic mobile phone use as suggested by many previous studies, since smartphones have become, nowadays, a daily companion of people from all generations. Thus, it is important to conduct this study in Lebanon to be adapted to the ideas, customs and social behavior of the Lebanese citizens. Hence, the objectives of the current study are to use the Arabic version of the HSCT in healthy community-dwelling Arabic-speaking adults in Lebanon, to check its validity compared to other versions of the test, as well as to identify risk factors that might affect the executive functions in these adults. METHODS: Between August-December 2019, 350 participants were randomly selected. The Arabic version of the HSCT, divided into automatic and inhibition conditions, was used; in each condition, participants' response-time and number of errors committed were recorded. RESULTS: None of the scale items was removed. For the automatic condition, response-time items converged over one factor (αCronbach = 0.905) and number of errors converged over seven factors (αCronbach = 0.334). For the inhibition condition, response-time converged over one factor (αCronbach = 0.943) and number of errors converged over four factors (αCronbach = 0.728). Using electricity as a heating method inside the house was significantly associated with a lower response-time, whereas higher problematic mobile phone use was associated with higher response-time. Using wood as a heating system inside the house and higher problematic mobile phone use were associated with higher number of errors, while using Arabian incense (bakhour) inside the house was associated with lower number of errors. CONCLUSION: We were able to set normative data for the HSCT Arabic version for use in the Lebanese population. Problematic mobile phone use was associated with lower inhibitory control in terms of response-time and errors number.


Assuntos
Função Executiva , Adulto , Humanos , Líbano , Reprodutibilidade dos Testes , Fatores de Risco , Inquéritos e Questionários
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