The Early Warning and Response Systems in Syria: A Functionality and Alert Threshold Assessment

IJID Regions, Год журнала: 2025, Номер 14, С. 100563 - 100563

Опубликована: Янв. 7, 2025

this study aims to provide an updated evaluation of the functional characteristics two Early Warning Systems (EWS) in Syria, EWARS (Early Warning, Alert, and Response System) EWARN Network), test different alert threshold methods using World Health Organization guidelines against data selected diseases. A retrospective analysis surveillance assessed characteristics. The thresholds for measles, acute bloody diarrhea, jaundice syndrome, severe respiratory infections were tested three methods. Sensitivity, specificity, Youden index determined suitability each syndrome. annual average number reported cases was 1,140,717 10,189,415 EWARN. This found that optimal varied among percentile method showed promising results with good sensitivity specificity. For 85th had best (Youden = 0.443), whereas it 75th (Y 0.532) infections, 90th 0.653). supports use adaptable disease-specific such as approach. Further research is required develop statistical can be applied various early warning systems conflict contexts.

Язык: Английский

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Six‐Month Emergent Readmissions Following Hospitalization for Atrial Fibrillation Amid the Syrian Conflict: A Real‐World Observational Cohort Study

Journal of Cardiovascular Electrophysiology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 13, 2025

ABSTRACT Background Atrial fibrillation (AF) is the most common arrhythmia worldwide. However, data regarding readmissions following index admission for AF in developing world are not well described. This study assessed rate, predictors, and trends of 6‐month readmission after Syria. Methods We included adult patients who had an with to Latakia's tertiary center between July 2021 November 2023. Patients were monitored 6 months discharge. Data taken from patient's medical notes. Results A total 649 final analysis, which 320 (49%) readmitted hospital within admission. Cardiac causes cause 76% patients, 70% AF. Readmitted a higher median age (64 vs. 58; p = 0.001) fewer males (49% 36%; 0.001). In multivariate factors that independently increased risk ≥ 60 years (hazard ratio [HR]: 1.7, 95% CI: 1.4−2.2), females (HR: 2.2, 1.6−2.7), congestive heart failure (CCF) 2.1, 1.4−2.6). Most cardiac (76%) happened during first days Conclusion Almost half Females, CCF, advancing associated readmission.

Язык: Английский

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Role of the CHA₂DS₂-VASc score in predicting hospital stay and 90-day readmission among patients with atrial fibrillation in Syria

Journal of International Medical Research, Год журнала: 2025, Номер 53(2)

Опубликована: Фев. 1, 2025

Objectives We assessed the CHA 2 DS -VASc score for predicting hospital readmission risk and length of stay (LOS) in patients admitted with primary atrial fibrillation (AF). Methods This retrospective cohort study included index admission AF to Latakia’s tertiary center (May 2021–November 2023). Patients were followed 90 days assess readmission. was correlated 90-day readmission, inpatient all-cause mortality, LOS during admission. Results In total, 717 included; 320 (45%) readmitted within (58% men, 65% aged <65 years). Inpatient mortality 4%; median days. There an increase incident rate ratio (IRR) starting from a (IRR: 2, 95% confidence interval [CI]: 1.7–2.2) >6 5, CI: 1.8–10.7), compared 0. incremental hazard (HR) 1 (HR: 2.3, 1.3–4.1) 41, 31–72) Conclusion could predict AF.

Язык: Английский

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Gender Disparity in Oral Anticoagulation Therapy in Hospitalised Patients with Atrial Fibrillation During the Ongoing Syrian Conflict: Unbalanced Treatment in Turbulent Times

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(4), С. 1173 - 1173

Опубликована: Фев. 11, 2025

Background: Disparities in the therapy and outcomes of males females with atrial fibrillation (AF) are known developed world. Still, data regarding these disparities developing world scarce. This study explores gender trends oral anticoagulation prescription during Syrian conflict. Methods: We included adult patients an index admission AF to Latakia’s tertiary centre between September 2021 February 2024. Data treatments comorbidities were taken from patients’ medical notes. The composite outcome was a readmission cerebrovascular event (CVA) or bleeding within 60 days discharge. A regression model used assess predictors outcomes. Results: total 683 consecutive admitted treated for satisfied criteria, whom 347 (51%) females. In guideline indication (n = 553), prescribed more DOACs fewer VKAs than (93% versus 71%, p < 0.001 7% 29%, 0.01, respectively). Composite occurred significantly (16% 6%, 0.03). Females on had (70% 53%, 0.001). Independent compared (hazard ratio [HR]: 2.3 6.2, 95% confidence interval [CI]: 1.3–4.2 3.7–10.8, <0.001) direct anticoagulants (DOACs) (HR: 8.4, 95%CI: 4.8–15.3, Conclusions: at this higher use lower males, resulting rate CVA events.

Язык: Английский

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Application of fuzzy multicriteria decision-making model in selecting pandemic hospital site

Future Business Journal, Год журнала: 2023, Номер 9(1)

Опубликована: Апрель 1, 2023

Abstract One of the most important challenges for decision-makers and investors is location selection, which may be assessed using multicriteria decision-making (MCDM) methodologies. Problems with picking a include deciding between alternative locations, analyzing alternatives, identifying best hospital. Because they analyze options multiple perspectives in terms numerous competing criteria, MCDM approaches are useful instruments solving challenges. The fuzzy set theory (FST), represents uncertainty human beliefs, effectively used to produce more sensitive, tangible, accurate findings this context. A hybrid multi-criteria decision model (FMCDM) proposed find optimal based on combination factors. In first stage, Fuzzy Analytical Hierarchy Process (FAHP) estimate relative criteria classification through evaluation process. second technique order preference similarities perfect solution (FTOPSIS) applied rank possible sites. from study indicate that integrate FAHP FTOPSIS often FMCDM approach Aleppo selecting new

Язык: Английский

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Atrial fibrillation inpatient management patterns and clinical outcomes during the conflict in Syria: An observational cohort study

Perfusion, Год журнала: 2024, Номер unknown

Опубликована: Июнь 3, 2024

Background Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. However, there no data on AF inpatient management strategies and clinical outcomes in Syria. Objectives The study aims were to review of patients with assess cardiovascular (CV) mortality a tertiary cardiology centre Latakia, Methods A single-centre retrospective observational cohort was conducted at Tishreen’s University Hospital, Syria, from June 2021 2023. Patients ≥16 years age presenting being treated for as primary diagnosis or without thromboembolic event included. Medical records examined patients’ demographics, laboratory results, treatment plans details. Studied include all-cause CV mortality, ischemic bleeding events, conversion sinus rhythm (SR). Results included 596 patients. median 58, 61% males. 121 (20.3%) known have AF. control strategy pursued 39% Ischemic events occurred 62 (11%) 12 (2%), respectively. 28 (4.7%) 31 (5%), presence valvular heart disease (VHD) (adjusted odds ratio (aOR) = 9.1, 95% confidence interval (CI): 1.7 55.1, p < .001), thyroid (aOR: 9.7, CI 1.2 91.6, .001) chronic obstructive pulmonary (COPD) 82, CI: 12.7 71, independent risk factors increased mortality. Conclusion Syrian inpatients admitted Latakia are relatively younger than those other countries. Active disease, COPD VHD

Язык: Английский

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Thirty-day unplanned readmissions following hospitalization for atrial fibrillation in a tertiary Syrian center: a real-world observational cohort study

Heart Rhythm O2, Год журнала: 2024, Номер 5(12), С. 854 - 859

Опубликована: Июнь 18, 2024

Язык: Английский

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COVID-19 Vaccination and Ukrainian Refugees in Poland during Russian–Ukrainian War—Narrative Review

Vaccines, Год журнала: 2022, Номер 10(6), С. 955 - 955

Опубликована: Июнь 16, 2022

The outbreak of the Russian–Ukrainian war contributed to largest migration movement in 21st century. As a result, over 3 million refugees, mainly women, children and elderly, arrived Poland short space time. Despite ongoing war, it is important remember that COVID-19 pandemic still present world, before Ukraine was struggling with its fifth wave. Furthermore, has one lowest vaccination rates Europe, not exceeding 40%. It is, therefore, reasonable suspect vast majority migrants have been vaccinated. This situation may pose significant epidemiological risk. Therefore, necessary implement appropriate steps determine status refugees supplement both core booster doses. In response these needs, government Poland, like many other countries, made possible provide free persons fleeing war. face massive migration, overriding priority should be ensure adequate medical care for including vaccinations. However, seems lack willingness vaccinate among Ukrainians also replicated on migration. taken increase awareness confidence vaccination, which ultimately translate into increased uptake. Analyzing previous experiences, advisable consider first step promote remind possibility vaccination. Additionally, encouraged vaccinated during every contact health workers.

Язык: Английский

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Palestine’s Great Flood: Part I

Agrarian South Journal of Political Economy A triannual Journal of Agrarian South Network and CARES, Год журнала: 2024, Номер 13(1), С. 62 - 88

Опубликована: Фев. 11, 2024

This is the first part of a two-part article which considers US-Israeli attack on Palestine in general and Gaza Strip particular world-historical regional context. In contrast to range theories resort liberal international relations theory, economism, or methodological nationalism when theorizing accumulation Arab region particular, argues that Arab-Iranian under regime US-imposed de-development seeks dismantle strategic obstacles through war sanctions. The this process encountered an obstacle amidst Iranian-linked militia standing armies, these forces need be understood by revisiting thinking about role political sovereignty emancipatory transitions.

Язык: Английский

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Incidence, outcomes, and predictors of new heart failure in syrian conflict-affected population following hospitalization for atrial fibrillation: A retrospective cohort study

Perfusion, Год журнала: 2024, Номер unknown

Опубликована: Сен. 10, 2024

Background Atrial fibrillation (AF) is the most common arrhythmia worldwide. Data regarding readmission for new congestive heart failure (CHF) following index admission AF in developing world are poorly described. Objectives The study aimed to assess rate, predictors, and outcomes of 120-day CHF after Syria. Methods This retrospective cohort collected all adult patients without known who had an with Latakia’s tertiary center between June 2021-December 2023. were taken from patients’ medical notes. primary outcome included incident within 120 discharge, secondary predictors these readmissions. Results A total 660 final analysis, which 69 (11.7%) readmitted days discharge. Readmitted higher median age (58 vs 70 years, p < .001). Factors that independently increased incidence ≥60 years (HR: 9.8, 95% CI: 4.8-23.6, .001), diabetes mellitus (DM) (HR:2.9, CI:1.7-4.9, valvular disease (VHD) (HR:1.7, CI:1.04-2.78, = .047), hypertension (HR:2.5, CI:1.5-4, Inpatient mortality occurred six (9%). LVEF <40% (HR:6.7, 24.31, .01) DM (HR:7.2, 1.9-33, .004) associated inpatient mortality. Conclusion Hospitalization was Syrian discharged AF. clinical emphasize importance integrated management lifestyle risk factors comorbidities optimize resource-depleted communities.

Язык: Английский

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