Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit最新文献_第3页

Cases of trauma due to war and violence among children in Gaza. 加沙儿童因战争和暴力而遭受创伤的案例。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.210

Shehreen Latif, Enas Abdelraof A Muaileq, Hani Chaabo, Fatima Rashid, Mairead Kelly, Nida Khatri, Hannah Alice King, Neil M Fournier

{"title":"Cases of trauma due to war and violence among children in Gaza.","authors":"Shehreen Latif, Enas Abdelraof A Muaileq, Hani Chaabo, Fatima Rashid, Mairead Kelly, Nida Khatri, Hannah Alice King, Neil M Fournier","doi":"10.26719/2025.31.4.210","DOIUrl":"10.26719/2025.31.4.210","url":null,"abstract":"Background: The conflict in Gaza has exposed children to continuous cycles of violence and trauma, profoundly affecting their mental health.Aim: To illustrate the psychological burden on Gaza's children and highlight their complex mental health needs amid the conflict.Methods: We report cases of 4 children receiving support from Children Not Numbers, who have lived through the violence in Gaza, illustrating the devastating impact of the conflict on their mental health.Results: The children exhibited symptoms of trauma, including emotional dysregulation, social withdrawal, grief, and worsening of pre-existing conditions. Common factors were displacement, loss of family members, physical injuries, and lack of mental health care resources.Conclusion: The cases highlight the severe psychological impact of the conflict on children and the urgent need for interventions to address the crisis and provide mental health services to prevent long-term consequences for the wellbeing of children in Gaza.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192615","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}

引用次数: 0

A call for global actions on academic justice in Gaza. 呼吁为加沙的学术正义采取全球行动。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.295

Shahed Khafaji, Muhammad Naveed Noor, Sujith Kumar Prankumar, Irene Torres, Mohammed Alkhaldi

引用次数: 0

Meeting the rehabilitation needs of children with debilitating injuries and disability in Gaza. 满足加沙伤残儿童的康复需要。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.219

Ala Shatali, Fatima Rashid, Ilham Lubbad, Joanne Potterton, Bart Geilen, Sanah Ali, Abu Sidhanee

{"title":"Meeting the rehabilitation needs of children with debilitating injuries and disability in Gaza.","authors":"Ala Shatali, Fatima Rashid, Ilham Lubbad, Joanne Potterton, Bart Geilen, Sanah Ali, Abu Sidhanee","doi":"10.26719/2025.31.4.219","DOIUrl":"https://doi.org/10.26719/2025.31.4.219","url":null,"abstract":"Background: Children have been severely affected by the October 2023 war in Gaza. Over 12 000 of them have been injured and many live in unprecedented circumstances with debilitating injuries and disability.Aim: To document the rehabilitation needs of children with debilitating injuries and disability in Gaza.Methods: We reviewed the clinic data of children in need of rehabilitation from the Children Not Numbers database to highlight their disability types and the treatment and care required and received.Results: Until the time of this documentation, 242 children from Gaza had been referred to Children Not Numbers for management, of which 63 (26%) required rehabilitation due to debilitating injuries and disability. The majority (60%) of those requiring rehabilitation presented with traumatic conditions and 32% presented with neurologic conditions. Average age of these children was 6.9 years (range 4 months to 17 years).Conclusions: Rehabilitation and continuous care and support is essential for injured and disabled children who survive the war in Gaza, to give them a better chance of achieving optimal functional outcomes and wellbeing. And this can only be achieved through intersectoral, international collaborations and partnerships to address their needs beyond the cessation of hostilities.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"219-225"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192624","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}

引用次数: 0

Restoring health and hope to displaced Gaza children with malignant disease at a cancer centre in Jordan. 在约旦的一个癌症中心，为患有恶性疾病的流离失所的加沙儿童恢复健康和希望。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.243

Rawad Rihani, Sima Jeha, Zeena Salman, Shrouq Amer, Ibrahim Qaddoumi, Carlos Rodriguez-Galindo, Asem Mansour

{"title":"Restoring health and hope to displaced Gaza children with malignant disease at a cancer centre in Jordan.","authors":"Rawad Rihani, Sima Jeha, Zeena Salman, Shrouq Amer, Ibrahim Qaddoumi, Carlos Rodriguez-Galindo, Asem Mansour","doi":"10.26719/2025.31.4.243","DOIUrl":"https://doi.org/10.26719/2025.31.4.243","url":null,"abstract":"Background: Gaza children with cancer have faced critical delays in diagnosis and treatment due to the conflict, leading to late-stage presentation.Aim: To assess the impact of disruptions on treatment outcome for Gaza children with cancer treated at King Hussein Cancer Center in Amman, Jordan.Methods: We collected and analysed data from Gaza children aged 0-21 years with malignant disease, who were evacuated and received treatment at King Hussein Cancer Center between October 2023 and October 2024. We used the Kaplan-Meier survival estimates to analyse their overall survival rate.Results: Fifty-one Gaza children received treatment for cancer at the centre during the study period; median age 8.2 years, 66.7% male. Of the cases, 25.5% were newly diagnosed, 11.8% were relapsed and 62.7% had been previously treated in Gaza; 39.2% had leukaemia and 21.6% had solid tumours. Their referral had been delayed by 3-4 months, and at presentation, 51% exhibited psychological distress and 27.5% were underweight. After 4 months of follow-up, 96% survived.Conclusion: Most of the children experienced delays in diagnosis, referral and treatment and these impacted their treatment outcomes. Well-coordinated strategies such as streamlined referral systems, cross-border collaborations and timely medical evacuations through protected humanitarian corridors are crucial to provide life-saving care for paediatric cancer patients in Gaza and similar conflict zones.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"243-249"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192566","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}

引用次数: 0

Addressing emergency trauma care needs in the Gaza Strip. 解决加沙地带的紧急创伤护理需求。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.226

Shiza Aftab, Eesha Yaqoob, Shahzad Ali Khan, Saad Javed

引用次数: 0

Challenges in providing ophthalmic care to children in Gaza. 向加沙儿童提供眼科护理的挑战。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.262

Amena Masrur, Yousef Atef Yousef Yasin, Eyad Oa Alhalis, Enas Abdelraof A Abu Muaileq

{"title":"Challenges in providing ophthalmic care to children in Gaza.","authors":"Amena Masrur, Yousef Atef Yousef Yasin, Eyad Oa Alhalis, Enas Abdelraof A Abu Muaileq","doi":"10.26719/2025.31.4.262","DOIUrl":"https://doi.org/10.26719/2025.31.4.262","url":null,"abstract":"Background: There are several challenges in providing ophthalmic services to children in Gaza due to the conflict.Aim: To document the challenges in providing ophthalmic care to paediatric patients in Gaza and offer possible solutions.Methods: Between March and September 2024, we interviewed 23 children in 4 hospitals in Gaza, aged < 20 years and diagnosed with traumatic and non-traumatic ophthalmic disorder. We assessed their visual acuity, adnexal, anterior and posterior segments, and ocular motility and analysed the data using SPSS version 20. We discussed their cases during the weekly meetings and devised a management plan for each of them.Results: Eleven (48%) of the children (95% CI 27.42-68.92%) presented with ocular trauma and 12 (52%) with nontraumatic ocular disorders (95% CI 31.08-72.58%). The most common challenge in managing these patients was ineffective communication; it was difficult to obtain relevant clinical information for 52% of the cases. Other challenges included the degraded infrastructure, limited number of trained personnel and inefficient evacuation corridors.Conclusion: The conflict in Gaza and the lack of facilities to adequately cater to their ophthalmic needs expose children to the risk of developing amblyopia and long-term vision loss. Multifaceted actions are needed to increase access to specialized eye care for the children, including permanent ceasefire, opening of safe evacuation corridors, timely and safe provision of aid, and enhanced medical training for service providers.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 4","pages":"262-267"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192616","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}

引用次数: 0

Food insecurity, starvation and malnutrition in the Gaza Strip. 加沙地带的粮食不安全、饥饿和营养不良。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-05-05 DOI: 10.26719/2025.31.4.281

Nadine Bahour, Ola Anabtawi, Rania Muhareb, Bram Wispelwey, Yara Asi, Weeam Hammoudeh, Mary T Bassett, David Mills, Osama Tanous

引用次数: 0

Interrupted time series analysis of the impact of COVID-19 on emergency and elective surgeries in Iranian hospitals. 2019冠状病毒病对伊朗医院急诊和选择性手术影响的中断时间序列分析

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-03-26 DOI: 10.26719/2025.31.3.166

Siavash Beiranvand, Meysam Behzadifar, Mohammad Hasan Imani-Nasab, Samad Azari, Banafsheh Darvishi Teli, Seyed Jafar Ehsanzadeh, Mariano Martini, Saeed Shahabi, Masoud Behzadifar

{"title":"Interrupted time series analysis of the impact of COVID-19 on emergency and elective surgeries in Iranian hospitals.","authors":"Siavash Beiranvand, Meysam Behzadifar, Mohammad Hasan Imani-Nasab, Samad Azari, Banafsheh Darvishi Teli, Seyed Jafar Ehsanzadeh, Mariano Martini, Saeed Shahabi, Masoud Behzadifar","doi":"10.26719/2025.31.3.166","DOIUrl":"https://doi.org/10.26719/2025.31.3.166","url":null,"abstract":"Background: Emergency and elective surgeries are vital for saving lives and enhancing patient wellbeing. However, COVID-19 pandemic disrupted the provision of surgical services in Iranian hospitals and globally.Aim: To investigate the impact of COVID-19 pandemic on emergency and elective surgical care in Iranian hospitals.Methods: Using an interrupted time series analysis, we evaluated the impact of the COVID-19 pandemic on emergency and elective surgeries in western Islamic Republic of Iran between January 2017 and December 2023, using February 2020 as the intervention point. We analysed the data with R software Version 4.3.2 and used a segmented regression model to analyse the pre- and post-COVID-19 trends, ensuring the reliability of results by using Durbin-Watson statistic and autocorrection techniques. P < 0.05 was considered statistically significant.Results: Pre-pandemic, the mean monthly number of emergency surgeries was 258.9. Due to the pandemic there was a significant decrease by 359.6; however, we observed a gradual recovery in surgical activity with an average increase of 15.8 surgeries above the pre-pandemic levels. The mean monthly number of elective surgeries before the pandemic was 199.5. After the onset of the pandemic, we found a significant decrease of 85.37, although there was a gradual recovery over time.Conclusion: The COVID-19 pandemic significantly impacted surgical services in Iranian hospitals, causing a reallocation of resources to COVID-19 care and postponement of non-urgent surgeries. There is a need for strategic planning and policy interventions to ensure continuity of surgical care during health emergencies.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 3","pages":"166-175"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054922","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}

引用次数: 0

Needs assessment and gap analysis for national health technology assessments in Lebanon. 黎巴嫩国家卫生技术评估的需求评估和差距分析。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-03-26 DOI: 10.26719/2025.31.3.176

Christiane Maskineh, Sizar Akoum, Randa Attieh, Reina Alameddine, Alissar Rady, Michèle Kosremelli Asmar

{"title":"Needs assessment and gap analysis for national health technology assessments in Lebanon.","authors":"Christiane Maskineh, Sizar Akoum, Randa Attieh, Reina Alameddine, Alissar Rady, Michèle Kosremelli Asmar","doi":"10.26719/2025.31.3.176","DOIUrl":"10.26719/2025.31.3.176","url":null,"abstract":"Background: Developing countries are increasingly adopting health technology assessment as a critical tool for evaluating and addressing challenges related to the use of health technologies in support of Universal Health Coverage, health equity and resource allocation.Aim: To map health technology assessment resources and identify barriers to national health technology assessments in Lebanon.Methods: Using a questionnaire survey and focus group discussions, we collected data from key informants who had interest in health technology assessment in Lebanon between May and July 2017 and in July 2018. We analysed the quantitative data descriptively using Microsoft Excel and the qualitative data using NVivo version 12.Results: Twenty participants completed the questionnaire and 34 attended the focus group discussions. Participants mentioned reimbursement for the use of health technologies and production of clinical guidelines as top priorities for health technology assessment and mentioned the lack of collaboration nationally and lack of agreement among relevant stakeholders as the topmost barriers to assessments. They mentioned safety and effectiveness as the main parameters to be considered in assessments, followed by quality-of-life and burden of illness.Conclusion: Findings from this study support the need for health technology assessments in Lebanon, beginning with the creation of a national autonomous multidisciplinary entity that will facilitate synergy and consensus-building for the assessments.","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 3","pages":"176-181"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003702","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}

引用次数: 0

Factors influencing establishment of dengue fever vectors in urban areas. 影响城市登革热媒介形成的因素。

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit Pub Date : 2025-03-26 DOI: 10.26719/2025.31.3.163

Hassan Nasirian

引用次数: 0