{"title":"Incorporating gerontological content in the nursing curriculum. The case of AUB School of Nursing.","authors":"Hala Darwish, Marina Adra, Huda Abu-Saad Huijer","doi":"10.12816/0009915","DOIUrl":"https://doi.org/10.12816/0009915","url":null,"abstract":"<p><p>In Lebanon, the proportion of older adults (over 65 years) is on the rise. This rise is associated with increased morbidity rates and the need for age-specific medical and nursing care. The number of nurses specializing in geriatric care remains very small despite the increased need for this specialty. The nursing curriculum at the Hariri School of Nursing at the American University of Beirut (AUB) has integrated gerontological content in both undergraduate and graduate programs as an essential step to prepare future nurses for the care of the growing population of older adults and consequently to support the health care system. In line with the essential competencies proposed by the American Association of Colleges of Nursing (AACN), the school of nursing at AUB is preparing entry level and advanced practice nurses to care for the geriatric population. Furthermore, developing specialists in the field of gerontology and launching an interdisciplinary graduate program on 'Care of the Older Adult' is more and more becoming a desired development for the future.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"21-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33244574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of palliative care in Lebanon. Obstacles and opportunities.","authors":"Hibah Osman","doi":"10.12816/0009918","DOIUrl":"https://doi.org/10.12816/0009918","url":null,"abstract":"<p><p>Palliative care focuses on relieving suffering in patients with serious illness. Patients who receive palliative care have better control of distressing symptoms, are less likely to suffer from depression and have a better quality of life. Although palliative care has become an integral component of health care systems in many developed countries it has yet to be established in most developing countries. In Lebanon, Palliative care was only recently recognized as a specialty and there are not enough palliative care providers to cover the needs of the population. This article describes the opportunities and barriers to the development of palliative care in the Lebanese context.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"42-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33244578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aging in Lebanon: perils and prospects.","authors":"Abla Mehio Sibai, Anthony Rizk, Nabil M Kronfol","doi":"10.12816/0009912","DOIUrl":"https://doi.org/10.12816/0009912","url":null,"abstract":"<p><p>Lebanon is currently experiencing unique and dynamic demographic shifts towards an aging population: past and present fertility are among the lowest in the Arab region and crude mortality rates have decreased in the past few decades from 9.1 to 7.1 per thousand. Increased waves of emigration of youthful adults seeking better work opportunities elsewhere, as well as counter-waves of 'return migration' of older Lebanese workers from neighboring host countries contribute further to the 'rectangularization' of the population pyramid. These trends are accompanied by an epidemiological transition towards non-communicable diseases, mental disorders and degenerative diseases as the leading causes of mortality and morbidity in lieu of communicable diseases. We examine in this paper the implications of these transformations on the health profile of older persons and on the social and health care available to them. Findings are discussed within the prevailing conflicts and political strife in the country, family transformations and structural settings including pension systems, health coverage, family support channels and social fabric, and nursing home-care. The paper ends with recommendations and options for.reforms.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"2-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33244570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charbel El Bcheraoui, Salim Adib, Nicole Chapuis-Lucciani
{"title":"Perception of ageism and self-esteem among Lebanese elders at home and abroad.","authors":"Charbel El Bcheraoui, Salim Adib, Nicole Chapuis-Lucciani","doi":"10.12816/0009916","DOIUrl":"https://doi.org/10.12816/0009916","url":null,"abstract":"<p><strong>Background: </strong>Discrimination against old age leads to depressive symptoms and lower self-esteem. This issue is not studied in the Lebanese society where a demographic transition is taking place and the population is aging. We assess the perception of age discrimination among Lebanese and its relation to self-esteem.</p><p><strong>Methods: </strong>We interviewed a convenience sample of 320 Lebanese elders (mean age 69.3 years +/- 6.2; 55% males) living in an urban setting (Beirut) and a rural setting (Ras-Baalbeck) a well as those who immigrated to Dakar using a preestablished questionnaire. Perception of age discrimination and socio-demographic information were collected; self-esteem was measured using the Toulouse scale. Results: More elders living in Beirut (OR = 9.7, 95% CI = 3.5-26.6) and Ras-Baalbeck (OR = 11.42, 95% CI = 3.95-33.1) perceived age-related discrimination than those living in Dakar. This perception was significantly associated to lower self-esteem (OR = 2.2, 95% CI = 1.3-3.6).</p><p><strong>Conclusion: </strong>Supporting emotionally vulnerable elders should be a target for policy makers in Lebanon. It is important to preserve a better quality of life for elders still playing a major role in families.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33246112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incorporating geriatrics into undergraduate medical education in Lebanon.","authors":"Rania A Tohme, Ramzi R Hajjar","doi":"10.12816/0009914","DOIUrl":"https://doi.org/10.12816/0009914","url":null,"abstract":"<p><strong>Background: </strong>Although the proportion of older adults in Lebanon is expected to increase rapidly over the next few decades, the current healthcare workforce is unprepared to address the needs of this population. Currently, emphasis on geriatrics is lacking in medical education curricula of most universities in Lebanon, and there is a shortage of geriatricians in the country.</p><p><strong>Methods: </strong>In this paper we present specific methods of integrating geriatrics into the undergraduate medical curriculum based on the experience of medical schools in the United States.</p><p><strong>Results: </strong>Incorporating geriatrics into the medical curriculum requires support from deans and faculty members at medical schools, as well as training of non-geriatricians to teach geriatrics within their specialty. Geriatrics training can be gradually incorporated into existing courses throughout the four years of medical school, and should consist of a holistic approach that teaches students how to diagnose, treat, and interact with older adults and their caregivers while being mindful of their psychological, physical and social wellbeing.</p><p><strong>Conclusions: </strong>Increasing exposure to geriatric education during medical school promises to increase interest in geriatrics, and ultimately help address the shortage of geriatricians in the country.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"63 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33244573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nawfal I Nawfal, Mohamad K Ramadan, Ahmad Salah El Dine Naja, Mariam A Rajab
{"title":"Short-term neonatal outcome in singleton, late preterm deliveries: a three-year experience at a single Lebanese center.","authors":"Nawfal I Nawfal, Mohamad K Ramadan, Ahmad Salah El Dine Naja, Mariam A Rajab","doi":"10.12816/0008286","DOIUrl":"https://doi.org/10.12816/0008286","url":null,"abstract":"<p><strong>Background: </strong>There has been a decrease in the mean gestational age at delivery worldwide mostly due to an increase in deliveries occurring at late preterm period (LPP) with a concomitant rise in the rate of morbidities among newborns delivered at this period.</p><p><strong>Objectives: </strong>To report the frequency of common short-term neonatal morbidities in infants born at LPP (between 34(0/7) and 36(6/7) weeks' gestation) and to compare these frequencies with those of full-term infants born at our institution.</p><p><strong>Materials & methods: </strong>A descriptive cohort study (2008-2010) at Makassed General Hospital. All deliveries occurring at LPP constituted the study group (n = 361), while births at or beyond 37 weeks' gestation were considered as controls (n = 2814).</p><p><strong>Results: </strong>The average rate of deliveries in LPP was 11.4% for the entire study period. The rate of Neonatal Intensive Care Unit admissions, respiratory morbidities, sepsis, jaundice, hypothermia, hypoglycemia and overall neonatal morbidity were all significantly higher in LPP infants when compared to those at term (p-value < 0.013).</p><p><strong>Conclusion: </strong>In our cohort of Lebanese newborns delivered at LPP, significantly higher morbidities were encountered when compared to full-term newborns. Every possible effort should be exerted to avoid elective deliveries during LPP in order to curb the incidence of neonatal morbidities.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"62 4","pages":"191-7"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33159703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Bladder and bowel migration of staples used for inguinal hernia repair via transperitoneal laparoscopy].","authors":"Pierre Sarkis, Fadi Sleilaty, Jean Biajini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction of foreign bodies inside abdominal cavity may migrate to hollow organs like bladder and bowel. This can occur after various laparoscopic or open abdominal and pelvic surgeries in which synthetic materials are used. We report an exceptional case of bladder and ileal migration of tackers used to fix mesh during laparoscopic transperitonel inguinal hernia repair in a 65-year-old man who presented for recurrent fever, dysuria, frequency and suprapubic pain. A laparotomy was done showing that some tackers which served to repair the hernia had migrated into ileon and bladder. We performed limited resection of involved ileum and bladder with complete disappearance of symptoms.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"62 4","pages":"235-7"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33160173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rami Jabbour, Janah Maddah, Rita Makhoul, Elias Mokbel, Fady Nasr
{"title":"Bellini duct carcinoma: two case reports.","authors":"Rami Jabbour, Janah Maddah, Rita Makhoul, Elias Mokbel, Fady Nasr","doi":"10.12816/0008296","DOIUrl":"https://doi.org/10.12816/0008296","url":null,"abstract":"<p><strong>Unlabelled: </strong>We report two rare cases of Bellini duct carcinoma, a rare variant of renal cell carcinoma.</p><p><strong>Case 1: </strong>The patient, a 73-year-old female, was admitted to the hospital for macroscopic hematuria and right flank pain. She was diagnosed to have a stage IV Bellini duct carcinoma. There was a progression of the disease despite chemotherapy. She died 21 months later.</p><p><strong>Case 2: </strong>The patient, an 81-year-old male, was admitted to the hospital for generalized fatigue, weight loss and left flank pain. He was diagnosed to have a stage IV Bellini duct carcinoma. The patient was treated with chemotherapy; he died six months later. We report the clinicopathological features of two cases of Bellini duct carcinoma in order to contribute to the related literature of this rare disease.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"62 4","pages":"241-4"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33160076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The cleft sternum: a possible role for pliable prosthetic reconstruction.","authors":"Imad L Kaddoura, Mounir Y Obeid","doi":"10.12816/0008293","DOIUrl":"https://doi.org/10.12816/0008293","url":null,"abstract":"<p><strong>Background: </strong>Faced with our intraoperative inability to primarily close a very wide isolated cleft sternum of a pediatric patient without causing cardiovascular decompensation, we describe our use of a synthetic material for partial approximation allowing muscular coverage.</p><p><strong>Method: </strong>We report an infant who was born with an isolated large complete sternal cleft where a trial of primary surgical repair had to be abandoned because of cardiovascular compromise. A similar difficulty was encountered in approximating the origins of both pectoralis major muscle flaps at the midline. Thus, a pliable synthetic patch was helpful in partially obliterating the widened sternal defect allowing successful muscular coverage.</p><p><strong>Result: </strong>Closure of a wide congenital sternal cleft using a synthetic material that partially obliterated an otherwise widely separated cleft sternum which was neither amenable for primary repair, nor by bilateral pectoralis major advancement alone, was possible.</p><p><strong>Conclusion: </strong>Strong prosthetic pliable material may offer a simple and useful procedure allowing obliteration of the widely separated cleft sternum not amenable for primary repair.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"62 4","pages":"232-4"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33160170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rawad El Hage, Eddy Zakhem, Gautier Zunquin, Denis Theunynck
{"title":"Geometric indices of hip bone strength in male professional soccer players.","authors":"Rawad El Hage, Eddy Zakhem, Gautier Zunquin, Denis Theunynck","doi":"10.12816/0008289","DOIUrl":"https://doi.org/10.12816/0008289","url":null,"abstract":"<p><strong>Aim of the study: </strong>The aim of this study was to compare geometric indices of hip bone strength in male professional soccer players and controls.</p><p><strong>Methods: </strong>Twenty-three male professional soccer players and 21 male sedentary subjects whose ages range between 18 and 30 years participated in this study. Weight and height were measured, and body mass index (BMI) was calculated. Daily calcium intake and physical activity were evaluated using validated questionnaires. Hip bone mineral density was measured by dual-energy X-ray absorptiometry (DXA). To evaluate hip bone geometry, DXA scans were analyzed at the narrow-neck (NN), the intertrochanteric (IT) region and the femoral shaft (FS) by the Hip Structure Analysis (HSA) program. Cross sectional area (CSA), an index of axial compression strength, cross sectional moment of inertia (CSMI), an index of structural rigidity, section modulus (Z), an index of bending strength, cortical thickness (CT) and buckling ratio (BR) were measured from bone mass profiles.</p><p><strong>Results: </strong>CSA, CSMI, Z and CT of the three regions (NN, IT and FS) were higher in soccer players compared to controls. After adjustment for either age, body weight, height or physical activity duration (h/week), CSA, CSMI, Z and CT of the three regions remained higher in soccer players compared to controls.</p><p><strong>Conclusion: </strong>This study suggests that, in young adult males, soccer practice is associated with greater axial strength, bending strength and structural rigidity indices at the hip.</p>","PeriodicalId":430072,"journal":{"name":"Le Journal médical libanais. The Lebanese medical journal","volume":"62 4","pages":"207-12"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33160166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}