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6491. Mass infection is not an option: we must do more to protect our young.
作者: Deepti Gurdasani.;John Drury.;Trisha Greenhalgh.;Stephen Griffin.;Zubaida Haque.;Zoë Hyde.;Aris Katzourakis.;Martin McKee.;Susan Michie.;Christina Pagel.;Stephen Reicher.;Alice Roberts.;Robert West.;Christian Yates.;Hisham Ziauddeen.
来源: Lancet. 2021年398卷10297期297-298页 6493. Science, not speculation, is essential to determine how SARS-CoV-2 reached humans.
作者: Charles H Calisher.;Dennis Carroll.;Rita Colwell.;Ronald B Corley.;Peter Daszak.;Christian Drosten.;Luis Enjuanes.;Jeremy Farrar.;Hume Field.;Josie Golding.;Alexander E Gorbalenya.;Bart Haagmans.;James M Hughes.;Gerald T Keusch.;Sai Kit Lam.;Juan Lubroth.;John S Mackenzie.;Larry Madoff.;Jonna Keener Mazet.;Stanley M Perlman.;Leo Poon.;Linda Saif.;Kanta Subbarao.;Michael Turner.
来源: Lancet. 2021年398卷10296期209-211页 6494. Prevalence of negative child disciplinary practices and its associated factors as reported by mothers in the West Bank: a cross-sectional study.
作者: Bashaer Al-Natsheh.;Rawan Al-Sharif.;Rawnaq Khdour.;Shireen Othman.;Wala Durgham.;Aya Shamasneh.;Aiasha Houshiah.;Rula Ghandour.;Shiraz Nasr.;Rita Giacaman.
来源: Lancet. 2021年398 Suppl 1卷S9页
For parents, how to manage child discipline is a difficult question in the task of raising a socially, emotionally, and physically mature adult. Negative discipline can be physical or psychological, and can negatively affect child development, mental health, and wellbeing. This study aimed to assess the prevalence of negative disciplinary methods (NDMs) and their associated factors in the West Bank, occupied Palestinian territory, as reported by mothers.
6495. Assessment of drug interactions and their associated factors among patients with cardiovascular diseases: a cross-sectional study from the occupied Palestinian territory.
作者: Samah W Al-Jabi.;Lama Aldabe.;Lina Alhaj-Asaad.;Mai Thaher.;Sa'ed H Zyoud.;Waleed M Sweileh.
来源: Lancet. 2021年398 Suppl 1卷S8页
Cardiovascular diseases (CVDs) are the leading cause of death in the West Bank and worldwide. Potential drug-drug interactions (pDDIs) contribute to a significant proportion of adverse drug reactions, which have been shown to be a major cause of morbidity and mortality. Patients with CVD require more attention regarding these interactions owing to the complexity of their conditions and therapeutic regimens. The purpose of this study was to assess the prevalence and types of pDDIs, and their associated factors in patients with CVD.
6496. Antibiotic use in acute upper respiratory tract infections and uncomplicated lacerations in the Gaza Strip: clinical audit and re-audit.
作者: Maha Alfaqawi.;Yousef Abuowda.;Bettina Böttcher.;Khaled Alserr.;Alaa Eldeen Elmassry.
来源: Lancet. 2021年398 Suppl 1卷S7页
Overuse of antibiotics is increasing worldwide and has led to a marked increase in multidrug-resistant pathogens. Acute upper respiratory tract infections and uncomplicated lacerations do not require antibiotics. We assessed adherence to the best international standards of antibiotic prescribing for these conditions.
6497. Postgraduate training abroad and migration intentions of medical doctors and students in Gaza: a cross-sectional survey.
The migration of medical professionals is a global health challenge, as emigration can weaken local health systems. Factors contributing towards this problem include inadequate job opportunities, low job satisfaction, and difficulty in accessing or substandard residency training. Longstanding political instability in Gaza, occupied Palestinian territory, has affected the health-care system. For instance, medical doctors working in governmental hospitals have received less than half of their salaries every few months for the past 10 years. We explored the intentions of medical professionals and students to do their residency training abroad and their career plans afterwards.
6498. A cross-sectional survey of the prevalence and determinants of comorbid psychological distress in attendees at two general hospitals in Gaza.
作者: Mohammad Yaghi.;Sudipto Chatterjee.;Fouad Alissawi.;Mahmoud Daher.;Yehia Khader.;Mohammad Abu Shawish.;Osama Imad.
来源: Lancet. 2021年398 Suppl 1卷S52页
There is an absence of mental health services within general hospitals in Gaza. As part of the Ministry of Health plan to develop mental health liaison services, a cross-sectional survey of the prevalence of and risk factors for psychological distress in attendees at two general hospitals was undertaken to estimate and highlight the need for establishing such services.
6499. Integration of mental health and psychosocial support services into primary health care in Gaza: a cross-sectional evaluation.
作者: Mohammad Ubaid.;Ghada Jadba.;Hala Mughari.;Hana Tabash.;Mohammad Yaghi.;Amal Aljaish.;Umar Shahin.
来源: Lancet. 2021年398 Suppl 1卷S51页
Integration of mental health and psychosocial support (MHPSS) into primary health care in the Gaza Strip involves the delivery of mental health services within the essential service package provided by UNRWA, as recommended by WHO to fill the treatment gap. In early 2016, a successful pilot demonstrated that the integration is achievable in limited resource settings, and resulted in the adoption of a stepped care model to screen, identify, support, and treat patients. This study aimed to evaluate the MHPSS integration process and outcomes at UNRWA health centres in the Gaza Strip.
6500. The effect of home-based care on housebound patients and their caregivers in two Palestinian refugee camps in Lebanon: a qualitative study.
作者: Mohammad Sunallah.;Wilma van den Boogaard.;Chantal Lakis.;Laura Rinchey.;Luz Saavedra.
来源: Lancet. 2021年398 Suppl 1卷S50页
The incidence of non-communicable diseases (NCDs) increases annually by approximately 5% among older (age 50 years and older) Palestinian refugees in Lebanon, of whom around 10% are housebound. Care for housebound patients does not exist in the over-medicalised and highly privatised Lebanese health system or within the health system for Palestinian refugees in Lebanon. This has led to a neglected population. In 2016, Médecins Sans Frontières (MSF) started to provide home-based care (HBC) for housebound patients in two Palestinian camps: Bourj-el-Barajneh and Ain-al-Hilweh. HBC is carried out by a team comprising a doctor, nurse, and social worker, and includes basic medical monitoring, health literacy educational sessions, support for treatment adherence, as well as networking with relevant social service providers.
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