International Journal of Surgery Global Health,
Год журнала:
2023,
Номер
6(4)
Опубликована: Июль 1, 2023
At
present,
the
world
is
still
grappling
with
impact
of
COVID-19
pandemic
on
health
facilities.
However,
Syrian
facilities
are
now
facing
a
new
challenge
as
dozens
cases
cholera
have
been
documented,
indicating
outbreak
in
region.
The
ongoing
conflict,
which
has
lasted
for
over
decade,
significantly
impacted
all
aspects
sector,
ranging
from
buildings
and
equipment
to
medical
personnel1.
Consequently,
there
significant
decline
quality
care
services
provided.
prolonged
concentrated
urban
areas,
exacerbated
consequences2.
further
tested
ability
these
provide
while
also
draining
their
resources3.
In
addition,
sector
Syria
suffering
economic
sanctions
imposed
country,
severely
limited
its
resources
availability
basic
supplies.
During
pandemic,
largest
public
hospital
had
only
11
available
beds
intensive
unit,
yet
nearly
1
million
people
depended
services.
Approximately
50
patients
needed
be
admitted
ICU
but
were
subsequently
treated
various
departments
due
lack
ICU.
This
clear
example
weakness
system
Syria.
Moreover,
lost
many
staff,
including
physicians,
graduates,
nurses.
physician-to-patient
ratio
~1:25,
nurse-to-patient
no
more
than
3:25,
poses
system.
Syria,
not
reported
any
since
2009,
declared
an
September
10,
after
Ministry
Health
recorded
15
laboratory-confirmed
cases,
one
death.
Since
then,
number
confirmed
suspected
steadily
increased4.
According
WHO
report
issued
October
23,
2022
(Report
No.
4),
exceeded
20,000,
75
related
deaths.
Country
Director
International
Rescue
Committee
stated
that
“Now
it’s
cholera,
few
weeks
or
months,
it
could
something
else
because
this
complex
crisis
multiple
factors
fragile
system”5.
UN
making
efforts
help
official
contain
control
outbreak.
given
severe
fragility
shortage
resources,
seems
likely
will
spread
affect
neighboring
countries
such
Lebanon.
situation
calls
immediate
attention
action.
light
sanctions,
urgent
need
increase
support
institutions
international
community
must
work
together
sufficient
supplies
alleviate
burden
should
include
financial
assistance
recruit
train
personnel,
well
reconstruction
damaged
By
taking
action,
we
can
prevent
improve
overall
thus
providing
much-needed
relief
people.
Ethical
approval
None.
Sources
funding
Author
contribution
There
author,
he
did
work.
Conflict
interests
disclosures
authors
declare
they
conflict
interest
regard
content
report.
Research
registration
unique
identifying
(UIN)
Guarantor
Maher
Almousa
guarantor.
Consent
publication
author
gives
journal
consent
publication.
Availability
data
materials
Provenance
peer
review
Not
commissioned,
externally
peer-reviewed.
Health Policy and Technology,
Год журнала:
2023,
Номер
12(4), С. 100806 - 100806
Опубликована: Сен. 16, 2023
Mobile
health
(mHealth)
approaches
are
especially
beneficial
to
Sub-Saharan
Africa
(SSA),
which
has
a
disproportionate
disease
burden
and
scarcity
of
healthcare
workers.
This
study
aims
assess
the
availability,
stage,
targeted
issues
mHealth
interventions
in
SSA
identify
gaps.
The
employed
scoping
review
guided
by
Arksey
O'Malley's
framework
explore
use
SSA.
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
extension
Scoping
(PRISMA-ScR)
was
used
report
transparent
comprehensive
manner.
Articles
published
from
2000
2021
were
searched
PUBMED,
IEEE,
SCOPUS,
Web
Science
evaluated
with
set
inclusion
criteria.
Data
included
publications
retrieved
synthesized.
A
total
1020
articles
found.
59
these
have
met
criteria
inclusion.
results
show
implementation
21
nations.
Only
1
(2%)
wearable
sensor-based
approach.
13
(22%)
SMS
text-based
interventions,
17
(29%)
app-based
approaches,
18
(30%)
telemedicine-based
10
(17%)
mixed
approaches.
HIV,
cancer,
maternal
child
problems
most
commonly
discussed
issues.
Proof
concept,
design
development,
pilot
test
frequently
documented
stages
interventions.
Less
than
half
countries
incorporate
platforms,
highlighting
need
further
development.
Integrating
based
platforms
real-time
monitoring
physiological
parameters
demands
careful
consideration.
technology
is
believed
be
very
(SSA)
nations
where
there
high
but
inadequate
system.
Evidence-based
data
on
systems
needed
trace
fill
existing
We
performed
determine
current
use,
stage
services
made
(few)
attempts
designing
implementing
systems.
some
among
others.
Though
few
large-scale
implementations
reported,
at
an
early
stage.
solution
should
designed
both
economical
simple
increase
its
uptake
wearables
parameters.
BMJ Open,
Год журнала:
2023,
Номер
13(7), С. e065280 - e065280
Опубликована: Июль 1, 2023
The
decade-long
Syrian
war
led
to
fragile
health
infrastructures
lacking
in
personal
and
physical
resources.
public
of
the
population
was,
therefore,
vulnerable
COVID-19
pandemic,
which
devastated
even
well-resourced
healthcare
systems.
Nevertheless,
officially
reported
incidence
fatality
rates
were
significantly
lower
than
forecasted
numbers.
PLoS ONE,
Год журнала:
2022,
Номер
17(11), С. e0277215 - e0277215
Опубликована: Ноя. 4, 2022
Introduction
COVID-19
highlighted
the
importance
of
meaningful
engagement
between
communities
and
health
authorities.
This
is
particularly
challenging
in
conflict-affected
countries
such
as
Syria,
where
social
protection
food
security
needs
can
hinder
adherence
to
non-pharmaceutical
interventions
(NPIs)
vaccine
uptake.
study
explored
community
perspectives
authority
responses
across
three
main
areas
control
i.e.
Syrian
government-controlled
(GCA),
autonomous
administration-controlled
(AACA),
opposition-controlled
(OCA).
Methods
We
conducted
a
qualitative
study,
interviewing
22
purposively-sampled
Syrians
accessing
services
AACA,
GCA,
or
OCA
2021
provide
approximately
equal
representation
by
governance
area
gender.
analysed
data
thematically
using
deductive
inductive
coding.
Findings
Interviewees
all
described
how
their
fears
willingness
adhere
NPIs
decreased
local
epidemics
progressed
disrupted
access
household
essentials
work
food.
Community-level
were
minimal
ad
hoc,
so
most
people
focused
on
personal
protective
efforts
many
mentioned
relying
faith
for
comfort.
Misinformation
hesitancy
common
areas,
linked
lack
transparency
from
mistrust
authorities
information
sources.
Conclusions
The
pandemic
has
increased
actors’
need
engage
with
disease
spread,
yet
implemented
Syria
inappropriate
progressed.
was
exemplified
lockdowns
requirements
self-isolate,
despite
precarious
reliance
daily
wages,
no
subsidies
lost
income,
individual
self-reliance,
mistrust/weak
communication
found
efforts,
consisting
entirely
informing
consult,
involve,
collaborate,
empower.
contributed
failures
actors
contextualise
ways
that
respected
understandings
needs.
Exploratory Research in Clinical and Social Pharmacy,
Год журнала:
2024,
Номер
13, С. 100416 - 100416
Опубликована: Янв. 30, 2024
Antibiogram
use
is
crucial
in
the
fight
against
antibiotic
resistance
Syria,
helping
to
guide
treatment
decisions,
monitor
trends,
and
implement
measures
mitigate
this
global
health
threat.
This
study
explores
predictors
of
antibiogram
performance
patterns
hospital
settings
Northern
Syrian
region.
BMC Medical Education,
Год журнала:
2024,
Номер
24(1)
Опубликована: Июнь 5, 2024
Abstract
Background
Assessment
of
the
clinical
learning
environment
(CLE)
is
an
essential
step
that
teaching
hospitals
routinely
undertake
to
ensure
conducive,
learning-oriented
and
supportive
junior
doctors’
education.
The
Postgraduate
Hospital
Educational
Environment
Measure
(PHEEM)
internationally
recognized
tool
for
assessing
CLE
with
evidence
high
reliability
validity.
Translation
PHEEM
into
other
languages
such
as
Spanish,
Japanese
Persian
enabled
wider
adoption
instrument
in
world.
However,
Syria
Arabic
countries,
a
validated
translation
still
not
available,
making
it
difficult
adopt
use
contexts.
This
study
aims
translate
culturally
adapt
from
English
Arabic.
Methods
followed
structured
validation
process
guideline
proposed
by
Sousa
&
Rojjanasrirat
2010.
First,
went
through
forward
three
translators,
then
reconciled
aid
fourth
translator.
Afterwards,
two
professional
bicultural
bilingual
translators
conducted
back
compared
original
version.
formed
Pre-final
Version
(PFV)
which
was
pretested
clarity
on
sample
medical
residents
Damascus,
Syria.
Following
appropriate
modifications,
PFV
sent
panel
experts
comprehensive
review
language
assess
content
Results
A
total
thirty-five
were
recruited.
Ten
items
issues
identified
modified
according
elicited
suggestions.
Thereafter,
presented
ten
subject
who
need
revision.
item-content
Validity
Index
(CVI)
over
0.78
all
40
items;
calculated
scale-CVI
0.945.
Discussion
provided
first
linguistically
valid
widely
used
inventory.
next
conduct
full
psychometric
analysis
provide
further
validity
reliability.
Medicine,
Год журнала:
2022,
Номер
101(50), С. e32308 - e32308
Опубликована: Дек. 16, 2022
Health-care
workers
(HCWs)
have
dealt
with
various
psychological
problems
during
the
COVID-19
epidemic,
including
sadness,
mental
discomfort,
anxiety,
and
poor
sleep.
Burnout
is
a
state
of
prolonged
work-related
psychological,
emotional,
physical
stress
brought
on
by
emotional
weariness,
depersonalization,
decreased
professional
success.
This
study
aimed
to
determine
how
many
HCWs
burned
out
Omicron
wave
pandemic
what
factors
put
them
at
risk
for
this
effect.
cross-sectional
research
was
performed
in
Syria
current
evaluate
burnout
experienced
Syrian
physicians
who
treat
patients.
The
inclusion
criteria
were
all
treated
patients
COVID-19.
data
collected
between
April
3
March
20,
2022.
We
investigated
whether
questionnaire
used
valid
understandable
participants.
A
total
729
health-care
providers
inquired
our
study;
however,
30
participants
disqualified
because
their
answers
not
fully
completed.
overall
age
31
±
9,
ratio
males
females
almost
equal.
majority
(47.5%)
sample
study's
are
residents,
72.8%
cared
prevalence
high
levels
41.6%.
Compared
men
(22.3%),
women
much
more
likely
(27.9%)
report
experiencing
degree
exhaustion;
also,
(30.1%)
exhaustion
compared
others,
which
individuals
COVID19
1.76
times
than
did
care
experience
severe
(odds
ratio:
1.766,
95%
confidence
interval:1.2-2.4,
P
value
<
.001).
Our
found
among
omicron
COVID-19,
clinicians
caring
being
considerably
express
others.
Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Сен. 19, 2023
Abstract
The
global
impact
of
COVID-19
was
devastating,
particularly
in
low-income
countries.
Conflict
zones
like
Syria,
already
plagued
by
political
and
socioeconomic
instability,
faced
additional
hardships,
resulting
a
fast
collapse
the
healthcare
system.
overwhelmed
system
necessitated
implementation
home-based
management
as
practical
solution
to
alleviate
strain
on
hospitals.
This
study
documents
efforts
volunteer
team
during
initial
wave
Damascus,
Syria
(August-September
2020)
implementing
through
home
visits
evaluates
its
outcomes
terms
recovery,
hospitalization,
mortality.
Out
managed
770
moderate
severe
cases,
approximately
80%
reported
full
or
partial
recovery
from
COVID-19,
with
only
6.6%
experiencing
persistently
low
peripheral
blood
oxygen
levels
at
follow-up.
Nonetheless,
28.6%
patients
14.5%
were
admitted
intensive
care
units,
15.3%
died.
Age,
masculinity,
cardiac
comorbidities
associated
higher
need
for
support
led
hospitalization
mortality
rates.
approach
effectively
steered
most
toward
facilitated
timely
identification
critical
cases
until
their
transition
hospital
when
capacities
allowed,
proving
be
pivotal
asset
face
such
challenging
circumstances.
Cogent Business & Management,
Год журнала:
2024,
Номер
11(1)
Опубликована: Июнь 22, 2024
The
recent
introductory
of
e-payment
services
in
Syria
and
the
overwhelming
interest
such
new
call
for
thorough
investigation
their
quality
venues
improvement
to
unleash
full
potential.
This
study
investigates
offered
by
mobile
network
operators
adopting
E-SERVQUAL
metric
based
on
four
dimensions:
ease
use,
reliability,
security
privacy,
responsiveness.
presents
responses
133
users
these
from
October
December
2023.
results
indicate
that
were
high
terms
responsiveness
dimensions.
However,
they
are
lower
use.
It
is
recommended
companies
increase
flexibility
widening
top-up
options
offering
more
payment
categories
as
well
relaxing
ceiling
set
any
single
transaction.
These
also
encouraged
number
kiosk
machines
credit
customer
balances
improve
distribution
into
selective
locations.
Furthermore,
may
share
market
rewards
cash
discounts
transactions
conducted
through
platforms.