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1.
Environ Monit Assess ; 193(1): 41, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33409698

RESUMO

The availability of safe drinking water and the proper management of wastewater in healthcare facilities are important pillars for maintaining safety of workers, patients, and visitors and protecting human health and environment. Water and sanitation services at 495 healthcare facilities in the West Bank of Palestine are assessed using the results of PCBS and MoH (2014) survey study. Services are reassessed after the COVID-10 pandemic using personal interviews with experts from healthcare facilities, regulatory authorities, and service providers. The results show that 92.1% of healthcare facilities were connected to public water networks, 12.9% of them purchased water tanks, and 10.8% of them depended on harvested rainwater which may cause contamination and waterborne diseases. Regardless the source of freshwater, the water quality has to be regularly examined and compared to local guidelines and international standards for health promotion. Almost 63.4% of healthcare facilities were not connected to wastewater networks and used either tight or porous cesspits. Once these cesspits are filled off, wastewater is randomly disposed into nearby valleys causing adverse environmental impacts on air, water, and land resources. Medical wastewater of hazardous substances should be treated before discharged to wastewater networks. Experts assured that although heightened procedures have been made by service providers to curb the spread of the COVID-19 disease, yet, more consistent protocols and stringent procedures are crucial. There have not been any new directives or procedures regarding the management of water supplies and wastewater services in the healthcare facilities. Stakeholder collaboration can help prevent the COVID-19 disease.


Assuntos
Saneamento , Árabes , Assistência à Saúde , Monitoramento Ambiental , Humanos , Oriente Médio , Água , Abastecimento de Água
2.
Arch Virol ; 166(1): 9-26, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33416996

RESUMO

Avian infectious bronchitis is a contagious viral disease, caused by avian infectious bronchitis virus (IBV), that leads to severe losses in the poultry industry all over the world. Since the 1950s, IBV has circulated in the Middle East and North Africa, and no tangible evidence has shown any effects of measures taken to control its spread or evolution. Furthermore, new IBV variants are continually discovered. Although several genetic studies on IBV have been conducted, many IBV strains from this region have either been misclassified or remain unclassified. The genotype 23 (GI-23) variant emerged and has prevailed in the Middle East by continuously evolving through inter- and/or intra-genotypic recombination. The GI-23 genotype is currently enzootic throughout Europe and Asia. Although many studies of protection against the circulating strains have been conducted, they have not been standardized according to regulatory requirements. In this review, we provide an overview of the evolution and genetic diversity of IBV genotypes and a genetic classification of IBV strains, with a focus on the GI-23 genotype. The high prevalence of IBV GI-23 strains necessitates the adoption of vaccination schemes using GI-23-based vaccines.


Assuntos
Vírus da Bronquite Infecciosa/genética , Animais , Ásia , Doenças das Aves/virologia , Infecções por Coronavirus/virologia , Europa (Continente) , Evolução Molecular , Genótipo , Oriente Médio , Vacinação/métodos
3.
PLoS One ; 16(1): e0244925, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33400722

RESUMO

Coronavirus disease 2019 (COVID-19) is a highly contagious illness that spreads rapidly through human-to-human transmission. On March 5, the government of Palestine declared a state of emergency in order to curb the spread of the virus, a declaration that it extended for a fifth time on July 5th. The degree to which a population complies with corresponding safety measures is surely affected by the people's knowledge, attitudes and practices (KAP) towards the disease. To explore this hypothesis, we gathered data from 1,731 Palestinians between April 19thand May 1st, 2020 through a KAP questionnaire. The participant pool represented a stratified sample of Palestinians living across a number of governorates in the Gaza Strip and the West Bank, with 36.5% from Gaza and (63.5%) from the West Bank. Gender was almost equally distributed within the sample with (51%) men respondents and (49%) women respondent. The questionnaire included 17 questions about participants' knowledge and awareness of COVID-19, 17 questions regarding the safety measures they had taken in the wake of the outbreak and 3 questions asking them to assess the efficacy of the government's response to the pandemic. Our data shows that 79% of the respondents have good awareness about transmission of the virus, 55.6% were knowledgeable of the symptoms exhibited by an infected individual, 81% were aware of the preventative measures and 82% demonstrated awareness of the risk groups. Most participants complied with preventative measures (77%) and 62% the study participants agreed that stricter measures have to be enforced by the government to limit the spread of the virus. Our study revealed that younger participants and people with higher educational level demonstrated more awareness of the virus. Also, Women were reported to be more aware of preventative measures and to have complied more with good practices. We report that residents of the West Bank have complied more with the right practices when compared to residents of Gaza. Based on the results of this study, we conclude that health education programs aimed at improving the public's understanding of COVID-19 are important in helping the population maintain appropriate practices and should be target people with lower educational level, and that findings such as those discussed in this report may provide valuable feedback to lawmakers working to stop the spread of the virus.


Assuntos
/psicologia , Adulto , Árabes/educação , Árabes/psicologia , /prevenção & controle , Estudos Transversais , Escolaridade , Feminino , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Oriente Médio/epidemiologia , Pandemias/prevenção & controle , Fatores de Risco , Inquéritos e Questionários
4.
Environ Monit Assess ; 193(2): 70, 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33469732

RESUMO

Urmia Lake is the largest lake in the Middle East which has greatly decreased in recent years. It has had a great impact on the environmental properties of areas around the lake. This study aimed to identify the relationship among dust storms in the eastern part of Urmia Lake and the surrounding vegetation due to the annual and long-term variability of this water zone during the statistical period 1999-2019. Normalized difference water index (NDWI), normalized difference vegetation index (NDVI), Aerosol Optical Depth (AOD), and Dust Storm Index (DSI) were used due to trend and correlation analysis models and T-student analysis. The study results found that, first, the decreasing trend of Urmia Lake, directly and significantly, has led to an increase in dust concentration (AOD) in the lake's eastern part. On the other hand, changes in the water level of Lake Urmia have led to a general decreasing trend in vegetation in the region which led to an increase in the frequency of DSI in the region. The model developed showed that changes in the water zone of Urmia Lake as a very powerful driver leads to an increase in the intensity and frequency of dust storms in the eastern part of the lake and intensifies the dust conditions in the region. The synergistic resultant of these two drivers was maximized in years when both lake area and vegetation were at a minimum at the same time (2011-2016). The estimated scenario of this model is that if the decreasing trend of Urmia Lake intensifies in the study area, more frequent and severe dust storms will occur in the region.


Assuntos
Lagos , Água , Poeira , Monitoramento Ambiental , Sistemas de Informação Geográfica , Humanos , Oriente Médio , Tecnologia de Sensoriamento Remoto
5.
Sci Total Environ ; 760: 144035, 2021 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-33341638

RESUMO

Livestock production has significant impacts on the environment, including due to the use of water. In this study, we provide a spatially explicit estimation of livestock blue water use, by analyzing feed crop water use and livestock drinking water. For the past four decades, livestock water use has increased from 145 km3/year in 1971 to 270 km3/year in 2012 with an increasing trend of 1.36%/year. The proportion of livestock drinking water use has remained relatively stable at around 10% of total water use attributable to livestock production. Several hotspots of water use, including eastern China, northern India, US high plains, are identified in terms of the long-term averages, while South America and Central Africa show the most rapidly increasing trends. In USA, climate change is found to contribute most to the changes in water use attributable to livestock, while feed cropping intensity and land use change are the dominant driver in China and India, respectively. Though, in total, livestock water use makes a relatively modest contribution to the Planetary Boundary (PB) that has been proposed for anthropogenic water use (4000 km3/year), we argue that this aggregate number is not particularly meaningful, so we identify places where livestock is a major contributor to the unsustainable use of water, in northern India, part of the Middle East, Northern China and Central US. 7% of rivers where excessive water withdrawals mean that there is insufficient residual flow to sustain the aquatic environment (which we take to be the local manifestation of a PB) have been tipped over that boundary because of livestock farming, whilst in a further 34% of rivers, livestock farming on its own exceeds the water PB. Our results provide new and more geographically specific evidence about the impact that the meat industry makes on the PB for water.


Assuntos
Agricultura , Gado , Animais , China , Água Doce , Índia , Oriente Médio , América do Sul
6.
Angiology ; 72(1): 32-43, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32787614

RESUMO

Data on spontaneous coronary artery dissection (SCAD) is based on European and North American registries. We assessed the prevalence, epidemiology, and outcomes of patients presenting with SCAD in Arab Gulf countries. Patients (n = 83) were diagnosed with SCAD based on angiographic and intravascular imaging whenever available. Thirty centers in 4 Arab Gulf countries (Kingdom of Saudi Arabia, United Arab Emirates, Kuwait, and Bahrain) were involved from January 2011 to December 2017. In-hospital (myocardial infarction [MI], percutaneous coronary intervention, ventricular tachycardia/fibrillation, cardiogenic shock, death, implantable cardioverter-defibrillator placement, dissection extension) and follow-up (MI, de novo SCAD, death, spontaneous superior mesenteric artery dissection) cardiac events were recorded. Median age was 44 (37-55) years, 42 (51%) were females and 28.5% were pregnancy-associated (21.4% were multiparous). Of the patients, 47% presented with non-ST-elevation acute coronary syndrome, 49% with acute ST-elevation myocardial infarction, 12% had left main involvement, 43% left anterior descending, 21.7% right coronary, 9.6% left circumflex, and 9.6% multivessel; 52% of the SCAD were type 1, 42% type 2, 3.6% type 3, and 2.4% multitype; 40% managed medically, 53% underwent percutaneous coronary intervention, 7% underwent coronary artery bypass grafting. Females were more likely than males to experience overall (in-hospital and follow-up) adverse cardiovascular events (P = .029).


Assuntos
Anomalias dos Vasos Coronários/epidemiologia , Doenças Vasculares/congênito , Adulto , Angiografia Coronária , Ponte de Artéria Coronária/estatística & dados numéricos , Anomalias dos Vasos Coronários/diagnóstico por imagem , Anomalias dos Vasos Coronários/terapia , Terapia Antiplaquetária Dupla , Feminino , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Masculino , Pessoa de Meia-Idade , Oriente Médio/epidemiologia , Infarto do Miocárdio sem Supradesnível do Segmento ST/epidemiologia , Intervenção Coronária Percutânea/estatística & dados numéricos , Gravidez , Complicações Cardiovasculares na Gravidez/epidemiologia , Complicações Cardiovasculares na Gravidez/terapia , Prevalência , Sistema de Registros , Estudos Retrospectivos , Infarto do Miocárdio com Supradesnível do Segmento ST/epidemiologia , Tomografia de Coerência Óptica , Doenças Vasculares/diagnóstico por imagem , Doenças Vasculares/epidemiologia , Doenças Vasculares/terapia
7.
Zootaxa ; 4885(1): zootaxa.4885.1.2, 2020 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-33311285

RESUMO

The geometrid genera Synopsia Hübner, 1825 and Synopsidia Djakonov, 1935 are revised, both being earlier validated at genus rank. Type specimens, original descriptions and additional specimens from different localities were examined. The revision is based on morphological characters, molecular data and distribution records. As a result, Synopsidia syn. nov. is regarded as junior synonym of the genus Synopsia. The synonymies of the species Scodonia tekkearia Christoph, 1883 and Synopsia znojkoi Djakonov, 1935 with Synopsia phasidaria phasidaria (Rogenhofer, 1873) comb. nov. are confirmed. Furthermore, Synopsidia phasidaria alvandi Wiltshire, 1966 syn. nov., Synopsidia phasidaria ardschira Brandt, 1938 syn. nov., Synopsidia phasidaria chiraza Brandt, 1938 syn. nov., Hashtaresia jodes Wehrli, 1936 syn. nov. and Synopsidia phasidaria mirabica Wehrli, 1941 syn. nov. are regarded as synonyms of Synopsia phasidaria phasidaria (Rogenhofer, 1873) comb. nov.. Synopsia phasidaria afghana (Wiltshire, 1966) comb. nov. is tentatively validated at subspecific rank. Synopsia centralis (Wiltshire, 1966) comb. nov., bona sp. is upgraded from subspecies to species level. Wing pattern, as well as male and female genitalia and diagnostic characters of examined genera and species are illustrated and analyzed. The distribution patterns of Synopsia phasidaria comb. nov. and Synopsia centralis bona sp., as well as the type localities of all discussed taxa, are provided. A complete checklist of the genus is given.


Assuntos
Mariposas , Distribuição Animal , Animais , Feminino , Masculino , Oriente Médio
8.
PLoS One ; 15(12): e0243039, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33326435

RESUMO

The cuneiform script provides a glimpse into our ancient history. However, reading age-old clay tablets is time-consuming and requires years of training. To simplify this process, we propose a deep-learning based sign detector that locates and classifies cuneiform signs in images of clay tablets. Deep learning requires large amounts of training data in the form of bounding boxes around cuneiform signs, which are not readily available and costly to obtain in the case of cuneiform script. To tackle this problem, we make use of existing transliterations, a sign-by-sign representation of the tablet content in Latin script. Since these do not provide sign localization, we propose a weakly supervised approach: We align tablet images with their corresponding transliterations to localize the transliterated signs in the tablet image, before using these localized signs in place of annotations to re-train the sign detector. A better sign detector in turn boosts the quality of the alignments. We combine these steps in an iterative process that enables training a cuneiform sign detector from transliterations only. While our method works weakly supervised, a small number of annotations further boost the performance of the cuneiform sign detector which we evaluate on a large collection of clay tablets from the Neo-Assyrian period. To enable experts to directly apply the sign detector in their study of cuneiform texts, we additionally provide a web application for the analysis of clay tablets with a trained cuneiform sign detector.


Assuntos
Idioma/história , Leitura , Aprendizado Profundo , História Antiga , Humanos , Processamento de Imagem Assistida por Computador/métodos , Oriente Médio , Redes Neurais de Computação
9.
RECIIS (Online) ; 14(4): 812-819, out.-dez. 2020.
Artigo em Português | LILACS | ID: biblio-1145465

RESUMO

Esta nota expõe um breve balanço da história da pandemia de Covid após sete meses de crise. Com esse objetivo, apreendemos três grandes tendências: o impacto letal do negacionismo em países como os Estados Unidos e o Brasil; a chegada da segunda onda na Europa e, enfim, a catástrofe nos países latinoamericanos onde os indicadores pioram em todos eles independentemente das políticas de contenção que foram implementadas desde o mês de março de 2020. Para a discussão dessas três tendências, elaboramos três momentos de reflexão de maior fôlego: a clivagem que separa os modelos de gestão da pandemia na Ásia no Ocidente; a necessidade de uma política social (como o auxílio emergencial) para tornar viáveis as políticas sanitárias na América Latina; e, enfim, uma reflexão mais geral sobre a relação entre as catástrofes e a imaginação.


This paper presents a brief analysis of the history concerning Covid pandemic after its beginning seven months ago. In pursuing this purpose we realised three major trends: the lethal impact of denialism in countries such as United States and Brazil; the arrival of the second wave of coronavirus in Europe; and finally, the Latin American catastrophe where the indicators of people affected by disease worsen in all their countries regardless of the policies to restrain it implemented since March 2020. To discuss these three trends, we have deepened three reflections: the cleavage between the management model of the pandemic in Asia and the Western management model; the need for a social policy (such as an emergency financial aid) to make health policies viable in Latin America; and at last a general reflection on the relationship between the catastrophes and the imagination.


Esta nota expone un breve análisis de la historia de la pandemia de Covid después de siete meses de crisis. Intentando alcanzar este propósito, hemos distinguido tres grandes tendencias: el impacto letal del negacionismo en países como Estados Unidos y Brasil; la llegada de la segunda ola a Europa; y finalmente la catástrofe latinoamericana donde los indicadores del contagio empeoraron en todos los países independiente de las políticas de contención implementadas desde marzo de 2020. Para discutir estas tres tendencias, hemos profundizado tres reflexiones: la diferencia entre el modelo de gestión de la pandemia en Asia y el modelo implementado en Occidente; la necesidad de una política social (como lo auxilio financiero de emergencia) para hacer viables las políticas de salud en Latinoamérica; y por último una reflexión de forma más general sobre la relación entre las catástrofes y la imaginación.


Assuntos
Humanos , Isolamento Social , Estados Unidos , Brasil , Infecções por Coronavirus , Pandemias/prevenção & controle , Vacinas , Ocidente , Gestão em Saúde , Negação em Psicologia , Política de Saúde , América Latina , Oriente Médio
10.
Artigo em Inglês | MEDLINE | ID: mdl-33096649

RESUMO

The coronavirus disease 2019 (COVID-19) first identified at the end of 2019, significantly impacts the regional environment and human health. This study assesses PM2.5 exposure and health risk during COVID-19, and its driving factors have been analyzed using spatiotemporal big data, including Tencent location-based services (LBS) data, place of interest (POI), and PM2.5 site monitoring data. Specifically, the empirical orthogonal function (EOF) is utilized to analyze the spatiotemporal variation of PM2.5 concentration firstly. Then, population exposure and health risks of PM2.5 during the COVID-19 epidemic have been assessed based on LBS data. To further understand the driving factors of PM2.5 pollution, the relationship between PM2.5 concentration and POI data has been quantitatively analyzed using geographically weighted regression (GWR). The results show the time series coefficients of monthly PM2.5 concentrations distributed with a U-shape, i.e., with a decrease followed by an increase from January to December. In terms of spatial distribution, the PM2.5 concentration shows a noteworthy decline over the Central and North China. The LBS-based population density distribution indicates that the health risk of PM2.5 in the west is significantly lower than that in the Middle East. Urban gross domestic product (GDP) and urban green area are negatively correlated with PM2.5; while, road area, urban taxis, urban buses, and urban factories are positive. Among them, the number of urban factories contributes the most to PM2.5 pollution. In terms of reducing the health risks and PM2.5 pollution, several pointed suggestions to improve the status has been proposed.


Assuntos
Big Data , Infecções por Coronavirus , Exposição Ambiental/análise , Pandemias , Material Particulado/análise , Pneumonia Viral , Medição de Risco , Betacoronavirus , China/epidemiologia , Humanos , Oriente Médio , Análise Espaço-Temporal
11.
East Mediterr Health J ; 26(9): 1005-1010, 2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-33047790

RESUMO

Background: COVID-19 is now well documented in the Eastern Mediterranean Region; however, the incidence, mortality and fatality rates differ by country. Aims: The study aimed to describe the COVID-19 pandemic in the Eastern Mediterranean Region, assessing the incidence, mortality-related and fatality rate in different countries, in comparison with the worldwide mean. Methods: Data were sourced from the Worldometer surveillance page and from governmental reporting channels. Data were exported and analyzed using Statistical Package for Social Sciences (SPSS, version 23.0). Results: In the Eastern Mediterranean Region, the testing frequency is heterogeneous between countries, in addition to the reported cases and death. Very few data are available from countries with political instability and security problems (Yemen, Syrian Arab Republic and Sudan), particularly for the testing frequency. Overall, despite similar rates of testing, there was a significantly lower incidence in the Eastern Mediterranean Region versus the rest of the world, in addition to a lower mortality per million-population, particularly in countries with low to moderate testing rates. However, in countries with higher testing than the world average, there is a higher incidence, a lower mortality, but an unexpected higher fatality rate. Conclusion: The overall testing frequency was similar in the Eastern Mediterranean Region compared to the rest of the world; this would be expected to lead to a similar cumulative incidence and case fatality rate. Nevertheless, the average incidence was 70% lower than the rest of the world, and mortality per million-population was lower (90%). Moreover, in Gulf Cooperation Council high-testing countries, a similar case-fatality rate to other countries in the Region was noted, but was higher than the world average, although expected to be lower. Further studies are necessary to explain discrepancies in incidence, mortality and fatality rates among countries; principally, environmental, genetic and managerial reasons should be investigated.


Assuntos
Técnicas de Laboratório Clínico/estatística & dados numéricos , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Vigilância da População/métodos , África do Norte/epidemiologia , Betacoronavirus , Infecções por Coronavirus/mortalidade , Humanos , Incidência , Oriente Médio/epidemiologia , Pandemias , Pneumonia Viral/mortalidade , Organização Mundial da Saúde
12.
J Stroke Cerebrovasc Dis ; 29(11): 105181, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33066945

RESUMO

COVID-19 pandemic has led to a change in the way we manage acute medical illnesses. This pandemic had a negative impact on stroke care worldwide. The World Stroke Organization (WSO) has raised concerns due to the lack of available care and compromised acute stroke services globally. The numbers of thrombolysis and thrombectomy therapies are declining. As well as, the rates and door-to treatment times for thrombolysis and thrombectomy therapies are increasing. The stroke units are being reallocated to serve COVID-19 patients, and stroke teams are being redeployed to COVID-19 centers. Covid 19 confirmed cases and deaths are rising day by day. This pandemic clearly threatened and threatening all stroke care achievements regionally. Managing stroke patients during this pandemic is even more challenging at our region. The Middle East and North Africa Stroke and Interventional Neurotherapies Organization (MENA-SINO) is the main stroke organization regionally. MENA-SINO urges the need to developing new strategies and recommendations for stroke care during this pandemic. This will require multiple channels of interventions and create a protective code stroke with fast triaging path. Developing and expanding the tele-stroke programs are urgently required. There is an urgent need for enhancing collaboration and cooperation between stroke expertise regionally and internationally. Integrating such measures will inevitably lead to an improvement and upgrading of the services to a satisfactory level.


Assuntos
Infecções por Coronavirus/terapia , Prestação Integrada de Cuidados de Saúde/normas , Pneumonia Viral/terapia , Acidente Vascular Cerebral/terapia , Trombectomia/normas , Terapia Trombolítica/normas , África do Norte/epidemiologia , Consenso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Humanos , Oriente Médio/epidemiologia , Pandemias , Segurança do Paciente , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Padrões de Prática Médica/normas , Quarentena , Medição de Risco , Fatores de Risco , Distância Social , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/epidemiologia , Telemedicina/normas , Fatores de Tempo , Resultado do Tratamento , Triagem/normas
14.
J Cross Cult Gerontol ; 35(4): 455-478, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33064233

RESUMO

Successful aging is a concept that has gained popularity and relevance internationally among gerontologists in recent decades. Examining lay older adults' perspectives on successful aging can enhance our understanding of what successful aging means. We conducted a systematic review of peer reviewed studies from multiple countries published in 2010-2020 that contained qualitative responses of lay older adults to open-ended questions such as "What does successful aging mean to you?" We identified 23 studies conducted in 13 countries across North America, Western Europe, the Middle East, Asia, and Oceania. We identified no studies meeting our criteria in Africa, South America, Eastern Europe, North Asia, or Pacific Islands. Across all regions represented in our review, older adults most commonly referred to themes of social engagement and positive attitude in their own lay definitions of successful aging. Older adults also commonly identified themes of independence and physical health. Least mentioned were themes of cognitive health and spirituality. Lay definitions of successful aging varied by country and culture. Our findings suggest that gerontology professionals in fields including healthcare, health psychology, and public health may best serve older adults by providing services that align with older adults' priority of maintaining strong social engagement as they age. Lay perspectives on successful aging acknowledge the importance of positive attitude, independence, and spirituality, in addition to physical and cognitive functioning.


Assuntos
Envelhecimento/etnologia , Atitude Frente a Saúde/etnologia , Comparação Transcultural , Envelhecimento Saudável/etnologia , Adaptação Psicológica , Idoso , Idoso de 80 Anos ou mais , Ásia , Cognição , Europa (Continente) , Feminino , Geriatria , Nível de Saúde , Humanos , Masculino , Oriente Médio , América do Norte , Oceania , Pesquisa Qualitativa , Apoio Social , Espiritualidade
15.
East Mediterr Health J ; 26(9): 992-993, 2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-33047787

RESUMO

The COVID-19 pandemic continues to pose multiple health challenges in the Eastern Mediterranean Region. Morbidity and mortality from the disease remain a serious cause for concern. As of 31 August 2020, a total of 1 924 511 laboratory-confirmed cases of SARS-CoV-2 virus infection had been reported in the Region, including 51 019 deaths. Moreover, there are worrying signs that cases are now rising again in some countries after a period of decline and the indirect impact of the pandemic on health care is arguably even more troubling. Access to essential health services is being compromised as scarce resources are diverted to fight the pandemic, social restriction measures such as lockdowns disrupt service provision, while fear and rumor deter people from approaching health facilities. Initial studies indicate that services such as immunization, elective surgery and chronic disease management have been severely affected. The long-term consequences threaten to be grave indeed.


Assuntos
Infecções por Coronavirus/epidemiologia , Saúde Global , Pneumonia Viral/epidemiologia , África do Norte/epidemiologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Acesso aos Serviços de Saúde/organização & administração , Humanos , Oriente Médio/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Vacinas Virais/administração & dosagem , Vacinas Virais/provisão & distribução , Organização Mundial da Saúde
16.
East Mediterr Health J ; 26(10): 1148-1150, 2020 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-33103740

RESUMO

The global COVID-19 pandemic has demonstrated the impact of a major public health emergency on mental health, and the ways that individuals, communities, professionals and systems can react positively to such a crisis. The Eastern Mediterranean Region (EMR) has substantial experience in mental health and psychosocial support (MHPSS) in crises, and COVID-19 has driven further innovation to support mental health and well-being.Global and regional guidance has been developed quickly, applying lessons learnt from previous disease outbreaks to respond to the pandemic at a systems level, for different population groups, and for countries of different income levels. Preliminary results from a global rapid assessment survey to assess the impact of COVID-19 on MHPSS services, indicate that 20 of the 22 EMR Member States have MHPSS as integral components of national COVID-19 response plans; one-third have allocated additional funding. However, MHPSS services have been severely impacted by the pandemic, including psychotherapy, psychosocial interventions, community services, and services for children/adolescents. Innovative solutions such as crisis hotlines, tele-consultations, digital self-help platforms, novel approaches to ensure supply of psychotropic medicines, and task sharing/shifting for basic psychosocial support, are being used in many countries to overcome service disruptions and maintain care for those with mental conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Serviços de Saúde Mental/organização & administração , Saúde Mental , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , África do Norte/epidemiologia , Betacoronavirus , Desastres , Saúde Global , Comportamentos Relacionados com a Saúde , Promoção da Saúde/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Humanos , Oriente Médio/epidemiologia , Pandemias , Resiliência Psicológica , Determinantes Sociais da Saúde , Fatores Socioeconômicos
17.
Ann Glob Health ; 86(1): 131, 2020 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-33102151

RESUMO

Background: The Covid-19 pandemic created major global health crises, with serious effects on all aspects of life. The pandemic reached the Israeli occupied West Bank of Palestine in early March 2020, and lockdown immediately ensued. Objectives: To assess the prevalence and predictors of distress and insecurity among Birzeit University's community during the COVID-19 pandemic and lockdown. Methods: An online survey completed in March-April 2020 using standardized and previously validated distress and insecurity scales. The survey was placed on the University portal accessed by students, faculty and employees, and was sent by email to faculty and employees. Data were weighted to reflect the University community's distribution. Findings: There were 1,851 participants in the study: 84% were undergraduate students, 10% graduate students, and 6% faculty and employees. Sixty two percent were women. Ages ranged from 17 to 70 years (mean 24 ± 9.7). Prevalence of moderate/high distress and insecurity were 40% and 48% respectively. Multiple logistic regression revealed that women, those under 35 years old and those with worse reported income, had significantly higher odds of distress and insecurity compared to their counterparts. Undergraduate students or living with a person at home with high risk of illness with COVID-19 were associated with higher odds of distress compared to their counterparts (OR = 1.56, 95%CI[1.13-2.15]) and (OR = 1.34, 95%CI[1.11-1.62]) respectively. A COVID-19 worry score was significantly associated with higher odds of distress and insecurity (OR = 1.77, 95%CI[1.46-2.14]) and (OR = 4.3, 95%CI[3.53-5.23]) respectively. Conclusion: This study emphasizes the need to pay attention not only to physical health but also to mental health during the COVID-19 pandemic, especially among young people, women, those with lower economic status, and those living with high risk persons during the pandemic. We hope that this study will inform the policies and interventions of the Palestinian Authority, local non-governmental organization, international groups working in the occupied Palestinian territory, and beyond.


Assuntos
Infecções por Coronavirus , Controle de Infecções , Saúde Mental , Pandemias , Pneumonia Viral , Universidades , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Docentes/psicologia , Feminino , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Masculino , Saúde Mental/estatística & dados numéricos , Saúde Mental/tendências , Oriente Médio/epidemiologia , Determinação de Necessidades de Cuidados de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Fatores de Risco , Isolamento Social/psicologia , Fatores Socioeconômicos , Estudantes/psicologia
18.
Zootaxa ; 4790(1): zootaxa.4790.1.5, 2020 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-33055856

RESUMO

Chironomids of the tribe Boreoheptagyiini from the mountains of Iran, China and East Kazakhstan are revised using both morphological characters and partial DNA sequences of the mitochondrial cytochrome c oxidase subunit I gene. Using adult males, Palatovia lorestanica gen. nov. sp. nov., as well as Boreoheptagyia iranica sp. nov. both from Iran (Lorestan Province, Zagros Mountains), B. joeli sp. nov. from China (Tien Shan Mountains), and B. sarymsactyensis sp. nov. from Eastern Kazakhstan (Kazakh Mountain Altai), are described and figured. A brief redescription of the rare species B. brevitarsis (Tokunaga) from Iran (Mazandaran Province), previously known only from Japan, is also given. The DNA barcoding analysis shows well-supported genetic divergence between all studied taxa (four species of the genus Boreoheptagyia and one of Palatovia). Combining DNA barcodes obtained in this study with available sequences in GenBank, the phylogenetic relationships of the tribe Boreoheptagyiini are reconstructed. In the resulting Bayesian and maximum likelihood (ML) tree the polyphyly of the genus Boreoheptagyia is recognized. B. iranica is placed as a sister species to P. lorestanica, despite the lack of confirmation of their morphological similarity.


Assuntos
Chironomidae , Animais , Teorema de Bayes , DNA , Código de Barras de DNA Taxonômico , Masculino , Oriente Médio , Filogenia
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