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52. Distal Radial Artery Access in comparison to Forearm Radial Artery Access for Cardiac Catheterization: A Randomized Controlled Trial (DARFORA Trial)

Author

Daralammouri, Yunis, primary, Nazzal, Zaher, additional, Mosleh, Yahya S., additional, Abdulhaq, Heba K., additional, Khayyat, Zafer Y., additional, Hamshary, Yousef El, additional, Azamtta, Murad, additional, Ghanim, Ahmed, additional, Awwad, Fateh, additional, Majadla, Sajed, additional, Maree, Mosab, additional, Hamaida, Jihad, additional, and Ismail, Yahia, additional

Published
2022
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56. eRegTime—Time Spent on Health Information Management in Primary Health Care Clinics Using a Digital Health Registry Versus Paper-Based Documentation: Cluster-Randomized Controlled Trial

Author

Venkateswaran, Mahima, primary, Nazzal, Zaher, additional, Ghanem, Buthaina, additional, Khraiwesh, Reham, additional, Abbas, Eatimad, additional, Abu Khader, Khadija, additional, Awwad, Tamara, additional, Hijaz, Taghreed, additional, Isbeih, Mervett, additional, Mørkrid, Kjersti, additional, Rose, Christopher James, additional, and Frøen, J Frederik, additional

Published
2022
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58. Coverage and Determinants of COVID-19 Vaccination Among Pregnant Women: An Experience From a Low-Income Country.

Author

Nazzal, Zaher, Mohammad, Ahmad, Qub, Lama, Masri, Hadeel, Abdullah, Ibtesam, Qasrawi, Hala, and Maraqa, Beesan

Subjects
*COVID-19 vaccines, *PREGNANT women, *LOW-income countries, *HEALTH facilities, *VACCINATION coverage
Abstract

Purpose: to determine COVID-19 vaccination coverage among pregnant women and investigate the factors affecting vaccine uptake. Design: Analytical cross-sectional study. Setting: Palestinian health care facilities. Between October and November 2021 – eight months after the country's first COVID-19 vaccination. Sample: We needed 820 people to estimate vaccination coverage among pregnant women with a precision rate of 3%. Therefore, we invited 950 pregnant Palestinian women who were eligible and had a response rate of 91.6%. Measures: An interviewer-administered questionnaire examined vaccination uptake, attitudes, and concerns about the COVID-19 vaccine. Analysis: Bivariable and multivariable analysis using SPSS. Results: vaccination uptake was reported by 219 pregnant women [25.5%, 95% CI: 22.6% −28.5%]. Knowledge (aOR=2.0; 95% CI: 1.2-3.1), perceived benefits (aOR=1.1; 95% CI: 1.06-1.16), employment (aOR=5; 95% CI: 3.1-8.1), and underlying medical condition (aOR=2.1; 95% CI: 1.1-4.1) predicted uptake. Reporting vaccine barriers reduces vaccine uptake (aOR=.92; 95% CI:.89-95). Conclusions: Pregnant women's COVID-19 vaccination rates are low. Concerns regarding the COVID-19 vaccine for infants affected their decision. COVID-19 vaccination regulations and legislative nudges drove maternal vaccination. Vaccine fears and misconceptions among pregnant women should be addressed. [ABSTRACT FROM AUTHOR]

Published
2023
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69. The Role of Inflammatory Ratios: Neutrophils to Lymphocytes Ratio, Platelet to Lymphocyte Ratio, and C-reactive Protein to Platelets Ratio in Diagnosis of Acute Appendicitis and Its Severity.

Author

Sulaiman, Motaz, Abbas, Abbas, Al-Zyoud, Raed, Al-Shawa, Khaled, Maree, Mohammad, Jaber, Bashar, Alhasan, Haitham, Nazzal, Zaher, Nuairat, Haneen, and Zaydeh, Omar Abu

Subjects
APPENDICITIS, NEUTROPHILS, LYMPHOCYTES, BLOOD platelets, SEVERITY of illness index
Abstract

Background: Acute appendicitis is one of the most common surgical emergencies encountered in clinical practice. New inflammatory markers, named neutrophils/lymphocytes ratio (NLR), platelet/ lymphocyte ratio (PLR), and C-reactive protein /platelets ratio (CRP/PLT), have been implemented recently in clinical practice for the diagnosis and assessment prognosis of many conditions like malignancies, cardiovascular diseases, and end-stage renal disease. However, none of those markers have been well studied in acute appendicitis. In this article, the role of NLR, PLR, and CRP/PLT in diagnosing acute appendicitis and the correlation of their values to the severity of the disease has been studied. Methods: A retrospective study was conducted on 346 patients of all ages and genders who were admitted to Al-Makassed Islamic Charitable Hospital in Palestine for three years, from 2018 to 2021, with the diagnosis of acute appendicitis. Complete blood count and CRP were reviewed. NLR, PLR, and CRP/PLT ratios were calculated and compared between divided groups according to the age and severity of the disease. A T-test was used for the analysis of the results. Results: Neither NLR nor PLR showed a statistically significant association with the diagnosis of acute appendicitis or prediction of its severity. Regarding CRP/PLT ratio, it was 0.202±0.431in the pediatric group who were diagnosed with acute appendicitis and 0.039±0.061 in the pediatric group who had normal appendix (P value of 0.029), while it was 0.194±0.316 in adult appendicitis group and 0.107±0.132 in an adult group with normal appendix (P value of 0.567). The CRP/PLT ratio in the pediatric group who had uncomplicated acute appendicitis was 0.186±0.452 compared to 0.305±0.323 in complicated appendicitis (P value of 0.001), while the ratio in the adult simple appendicitis group was 0.154±0.293 compared to complicated cases that were 0.426±0.345 (P value of <0.001). Conclusion: Based on a complete analysis of the novel inflammatory markers in the two age groups, pediatrics, and adults, in both simple and complicated acute appendicitis, only the CRP/PLT ratio showed high accuracy for diagnosis of acute appendicitis in pediatrics and distinguishing complicated cases from simple ones in both pediatric and adult age groups. [ABSTRACT FROM AUTHOR]

Published
2023

70. Hypomagnesemia and poor glycemic control among type 2 diabetic patients: A cross-sectional study.

Author

Hamarshih, Mohammad, Hamshari, Suha, Nazzal, Zaher, Snobar, Farha, Mletat, Rawa, Abu-Mazen, Ola, and Maraqa, Beesan

Subjects
GLYCEMIC control, PEOPLE with diabetes, TYPE 2 diabetes, HYPOMAGNESEMIA, CROSS-sectional method
Abstract

Background/Aim: Hypomagnesaemia has been shown to have a significant impact on both glycaemic control and diabetes complications in type 2 diabetes mellitus (T2DM) patients. This study aims to assess the prevalence of hypomagnesaemia in T2DM patients and find the association between serum magnesium levels and outcomes relevant to glycaemic control and diabetic complications in primary care unit. Methods: A cross-sectional study was conducted and included 373 patients (222 males and 151 females) from primary care unit. Serum magnesium levels were measured by the colorimetric endpoint method using the Cobas C501 system. Hypomagnesaemia was determined to be a serum magnesium level <1.6 mg/dL. In addition, the following data was also obtained: patients' characteristics, anthropometric measurements, smoking status, HbA1c, comorbidities and therapeutic management. Results: Patients' mean age was 56.2 ± 10.8 years, 24.6% were smokers, and most were overweight or obese. About 60% have a history of hypertension, and the majority have had diabetes for more than 10 years. Their mean HbA1c level was 8.5 ± 2%. The prevalence of hypomagnesaemia was 11% (95% CI: 8%–14.6%). It was found to be significantly higher among females (adjusted OR: 2.7, 95%CI: 1.2%–5.8%), patients with HbA1c ≥8% (adjusted OR: 2.4, 95%CI: 1.1%–5.5%) and patients with a history of diabetic retinopathy (adjusted OR: 2.7, 95%CI: 1.1%–7.1%). Conclusion: The study showed that hypomagnesaemia is more prevalent in females and is associated with diabetic retinopathy and poor glycaemic control. Having a sufficient magnesium level may be associated with better glycaemic control and a reduced occurrence of complications. [ABSTRACT FROM AUTHOR]

Published
2022
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71. Assessment of the Relationship of Depression With Tobacco and Caffeine Use Among University Students: A Cross-Sectional Study

Author

Safarini, Omar A, primary, Taya, Hamdallah, additional, Abu Elhija, Yara, additional, Qadous, Marah, additional, Farhoud, Ahmad, additional, Thabaleh, Ammar, additional, Khayyat, Abdulsalam, additional, Nazzal, Zaher, additional, Abuhassan, Ahmad M, additional, Ghanim, Nesma, additional, Mahamid, Fayez, additional, Al Ali, Rayyan, additional, and Damiri, Basma, additional

Published
2021
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72. eRegTime—Time Spent on Health Information Management in Primary Health Care Clinics Using a Digital Health Registry Versus Paper-Based Documentation: Cluster-Randomized Controlled Trial (Preprint)

Author

Venkateswaran, Mahima, primary, Nazzal, Zaher, additional, Ghanem, Buthaina, additional, Khraiwesh, Reham, additional, Abbas, Eatimad, additional, Abu Khader, Khadija, additional, Awwad, Tamara, additional, Hijaz, Taghreed, additional, Isbeih, Mervett, additional, Mørkrid, Kjersti, additional, Rose, Christopher James, additional, and Frøen, J Frederik, additional

Published
2021
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75. Metabolic Syndrome Associated with Tobacco and Caffeine Products Use Among Refugee Adolescents: Risk of Dyslipidemia

Author

Damiri, Basma, primary, Khatib, Omar, additional, Nazzal, Zaher, additional, Sanduka, Diala, additional, Igbaria, Siwar, additional, Thabaleh, Ammar, additional, Farhoud, Ahmad, additional, Saudi, Lubna, additional, Belkebir, Souad, additional, Al Ali, Rayyan, additional, Alili, Mohammed, additional, Hamdan, Mahmoud, additional, Safarini, Omar A, additional, and Younis, Omar, additional

Published
2021
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83. Eating Disorders and the Use of Cognitive Enhancers and Psychostimulants Among University Students: A Cross-Sectional Study

Author

Damiri, Basma, primary, Safarini, Omar A, additional, Nazzal, Zaher, additional, Abuhassan, Ahmad, additional, Farhoud, Ahmad, additional, Ghanim, Nesma, additional, Al Ali, Rayyan, additional, Suhail, Mirvat, additional, Qino, Mohammad, additional, Zamareh, Mohammad, additional, Thabaleh, Ammar, additional, and Zahran, Jihad, additional

Published
2021
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84. Metabolic Syndrome Associated with Tobacco and Caffeine Products Use Among Refugee Adolescents: Risk of Dyslipidemia

Author

Damiri,Basma, Khatib,Omar, Nazzal,Zaher, Sanduka,Diala, Igbaria,Siwar, Thabaleh,Ammar, Farhoud,Ahmad, Saudi,Lubna, Belkebir,Souad, Al Ali,Rayyan, Alili,Mohammed, Hamdan,Mahmoud, Safarini,Omar A, Younis,Omar, Damiri,Basma, Khatib,Omar, Nazzal,Zaher, Sanduka,Diala, Igbaria,Siwar, Thabaleh,Ammar, Farhoud,Ahmad, Saudi,Lubna, Belkebir,Souad, Al Ali,Rayyan, Alili,Mohammed, Hamdan,Mahmoud, Safarini,Omar A, and Younis,Omar

Abstract

Basma Damiri,1 Omar Khatib,2 Zaher Nazzal,3 Diala Sanduka,2 Siwar Igbaria,2 Ammar Thabaleh,2 Ahmad Farhoud,2 Lubna Saudi,3 Souad Belkebir,3 Rayyan Al Ali,4 Mohammed Alili,2 Mahmoud Hamdan,5 Omar A Safarini,2 Omar Younis2 1Medicine & Health Science Faculty, Drug, and Toxicology Division, An-Najah National University, Nablus, 00970, Palestine; 2Medicine & Health Science Faculty, Department of Medicine, An-Najah National University, Nablus, 00970, Palestine; 3Medicine & Health Science Faculty, Family and Community Medicine, An-Najah National University, Nablus, 00970, Palestine; 4Medicine & Health Sciences Faculty, Forensic Medicine Institute, An-Najah National University, Nablus, 00970, Palestine; 5Medicine & Health Science Faculty, Graduate School, Clinical Laboratory Science Program, An-Najah National University, Nablus, 00970, PalestineCorrespondence: Basma DamiriFaculty of Medicine and Health Sciences, Drug and Toxicology Division, An-Najah National University, P.O. Box 7, Nablus, 00970, PalestineTel +972592234270Email bdamiri@najah.eduIntroduction: Due to their stressful lives, Palestinian refugees are prone to use cognitive enhancers (CE) and psychostimulant substances (PS). Recognising health problems associated with CE/PS use can indicate how preventive programs should be directed towards adolescents. Unfortunately, research has not thoroughly investigated the health problems related to tobacco and caffeine products, the most socially acceptable CE/PS among Palestinian refugee adolescents.Methodology: In 2021, schoolchildren from five Palestinian refugee camps (N=271) aged 12-< 16 years agreed to give blood samples and to be interviewed to address the association between metabolic syndrome (MetS) and tobacco smoking, coffee, energy drinks (ED), black tea, and chocolate consumption. MetS was diagnosed based on International Diabetic Federation Criteria. To address the association, we used binary logistic regression models adjusted to age

Published
2021

85. Eating Disorders and the Use of Cognitive Enhancers and Psychostimulants Among University Students: A Cross-Sectional Study

Author

Damiri,Basma, Safarini,Omar A, Nazzal,Zaher, Abuhassan,Ahmad, Farhoud,Ahmad, Ghanim,Nesma, Al Ali,Rayyan, Suhail,Mirvat, Qino,Mohammad, Zamareh,Mohammad, Thabaleh,Ammar, Zahran,Jihad, Damiri,Basma, Safarini,Omar A, Nazzal,Zaher, Abuhassan,Ahmad, Farhoud,Ahmad, Ghanim,Nesma, Al Ali,Rayyan, Suhail,Mirvat, Qino,Mohammad, Zamareh,Mohammad, Thabaleh,Ammar, and Zahran,Jihad

Abstract

Basma Damiri,1 Omar A Safarini,2 Zaher Nazzal,2 Ahmad Abuhassan,3 Ahmad Farhoud,2 Nesma Ghanim,4 Rayyan Al Ali,5 Mirvat Suhail,2 Mohammad Qino,2 Mohammad Zamareh,2 Ammar Thabaleh,2 Jihad Zahran2 1Medicine & Health Sciences Faculty, Drug, and Toxicology Division, An-Najah National University, Nablus, 00970, Palestine; 2Medicine & Health Sciences Faculty, Department of Medicine, An-Najah National University, Nablus, 00970, Palestine; 3An-Najah National University Hospital, Department of Neurology, An-Najah National University, Nablus, 00970, Palestine; 4Medicine & Health Sciences Faculty, Department of Public Health, An-Najah National University, Nablus, 00970, Palestine; 5Medicine & Health Sciences Faculty, Forensic Medicine Institute, An-Najah National University, Nablus, 00970, PalestineCorrespondence: Basma DamiriFaculty of Medicine and Health Sciences, Drug and Toxicology Division, An-Najah National University, PO Box 7, Nablus, 00970, PalestineTel +972592234270Email bdamiri@najah.eduBackground: University students, who are at risk of eating disorders (ED), are more liable to use cognitive enhancers and psychostimulants to improve their cognitive functions and lose weight. ED in Palestinian male students is a neglected health issue. We aimed to investigate the prevalence and the association between ED and cognitive enhancers, and psychostimulants use among An-Najah National University students (ANNU).Methods: In a cross-sectional study conducted in 2020 at ANNU, 1047 students completed anonymous surveys for cognitive enhancers practice, the Eating Attitude Test-26 (EAT-26), Sick, Control, One, Fat and FOOD (SCOFF) screening tests.Results: The prevalence of ED among ANNU students was 21.2% based on EAT-26 (17.1% in males, 23.8% in females) and 31.5% based on SCOFF (24.0% in males, 36.3% in females). The binary logistic regression revealed that students at risk to have ED were water-pipe smokers (OR: 1.471, p-value 0.047), especially

Published
2021

86. The effect of a digital targeted client communication intervention on pregnant women’s worries and satisfaction with antenatal care in Palestine–A cluster randomized controlled trial

Author

Bogale, Binyam, primary, Mørkrid, Kjersti, additional, Abbas, Eatimad, additional, Abu Ward, Itimad, additional, Anaya, Firas, additional, Ghanem, Buthaina, additional, Hijaz, Taghreed, additional, Isbeih, Mervett, additional, Issawi, Sally, additional, A. S. Nazzal, Zaher, additional, E. Qaddomi, Sharif, additional, and Frøen, J. Frederik, additional

Published
2021
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97. eRegCom – Quality Improvement Dashboard for healthcare providers and Targeted Client Communication to pregnant women using data from an electronic health registry to improve attendance and quality of antenatal care: study protocol for a multi-arm cluster randomized trial

Author

Mørkrid, Kjersti, primary, Bogale, Binyam, additional, Abbas, Eatimad, additional, Khader, Khadija Abu, additional, Ward, Itimad Abu, additional, Attalh, Amjad, additional, Awwad, Tamara, additional, Baniode, Mohammad, additional, Frost, Kimberly, additional, Frost, Michael J., additional, Ghanem, Buthaina, additional, Hijaz, Taghreed, additional, Isbeih, Mervett, additional, Issawi, Sally, additional, Nazzal, Zaher A. S., additional, O’Donnell, Brian, additional, Qaddomi, Sharif, additional, Rabah, Yousef, additional, Venkateswaran, Mahima, additional, and Froen, J. Frederik, additional

Published
2020
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