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ASSESSMENT OF THE LEBANESE COMMUNITY PHARMACIST KNOWLEDGE, PRACTICE AND BARRIERS REGARDING THE PREVENTION OF OSTEOPOROSIS 评估黎巴嫩社区药剂师关于预防骨质疏松症的知识、实践和障碍
Pub Date : 2022-04-30 DOI: 10.54729/tjqn9288
Noura Khram, Maha Aboul Ela, Mohamad Ali Hijazi, L. Soubra
Osteoporosis is a silent skeletal disease that is often recognized when fractures occur as a result of minimal trauma. Limited studies have assessed the degree of pharmacists’ involvement in osteoporosis prevention, risk-assessment/screening and physician referrals. To assess the Lebanese community pharmacists’ knowledge, practice and barriers regarding osteoporosis prevention. Secondary aim is to assess the pharmacists’ ability to identify high-risk patients who should be referred for bone mineral density (BMD) testing. A cross-sectional study was carried out in Beirut, Lebanon between September and October 2020 using self-administered questionnaire. Pharmacists completed a multi-component questionnaire that consisted of socio-demographic characteristics, practices, knowledge and barriers in relation to osteoporosis prevention and high-risk identification. Frequencies and proportions were used to describe the data. Simple and multiple linear regression analysis were used to examine the determinants of knowledge in the study population. The majority of pharmacists were rarely/never involved in counseling patients on osteoporosis risk factors (57.5%) and healthy lifestyle habits (62.5%) as well as engaging in risk-assessment (63.1%), screening using Fracture Risk Assessment Tool (FRAX) (0%) and physician referrals (sometimes-55.6%). In addition, pharmacists were also scarcely involved in reducing the risk of falls (55.1-59.4%). Pharmacists were knowledgeable about osteoporosis prevention however had important gaps in the diseases that increase osteoporosis risk as well as in FRAX tool, indications that require BMD testing and increased risk of fall medications. Significant predictors of knowledge were receiving postgraduate training on osteoporosis and earning the pharmacy degree from a university in Lebanon. Barriers to providing osteoporosis services included lack of time, staff, space, patients’ interest in prevention activities and limited inter-professional collaboration. The study findings provided important insights on the practices, knowledge and barriers of pharmacists regarding osteoporosis prevention and high-risk identification. Concerted efforts of multiple stakeholders are needed to promote the active role of community pharmacists in order to reduce the risk of morbidity, mortality and health-care costs associated with osteoporosis and related fractures.
骨质疏松症是一种无声的骨骼疾病,通常在轻微创伤导致骨折时被发现。有限的研究评估了药剂师参与骨质疏松症预防、风险评估/筛查和医生转诊的程度。评估黎巴嫩社区药剂师在骨质疏松症预防方面的知识、实践和障碍。第二个目的是评估药师识别高危患者的能力,这些患者需要进行骨密度(BMD)检测。2020年9月至10月在黎巴嫩贝鲁特进行了一项横断面研究,使用了自我管理的问卷。药剂师完成了一份多成分问卷,包括与骨质疏松症预防和高危识别有关的社会人口学特征、实践、知识和障碍。频率和比例被用来描述数据。使用简单和多元线性回归分析来检查研究人群中知识的决定因素。大多数药剂师很少或从未参与骨质疏松危险因素(57.5%)和健康生活习惯(62.5%)的咨询,以及参与风险评估(63.1%),使用骨折风险评估工具(FRAX)进行筛查(0%)和医生转诊(有时-55.6%)。此外,药剂师也很少参与降低跌倒风险(55.1-59.4%)。药剂师对骨质疏松症的预防很了解,但在增加骨质疏松症风险的疾病以及FRAX工具、需要BMD测试的适应症和增加跌倒药物风险方面存在重大差距。知识的重要预测因素是接受关于骨质疏松症的研究生培训和在黎巴嫩的一所大学获得药学学位。提供骨质疏松症服务的障碍包括缺乏时间、人员、空间、患者对预防活动的兴趣以及有限的专业间合作。本研究结果对药师在骨质疏松症预防和高危鉴别方面的实践、知识和障碍提供了重要的见解。需要多个利益攸关方共同努力,促进社区药剂师发挥积极作用,以降低与骨质疏松症和相关骨折相关的发病率、死亡率风险和保健费用。
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引用次数: 0
THE EFFECT OF FREQUENTLY WEARING FACE MASKS DURING THE COVID- 19 PANDEMIC ON THE DEVELOPMENT OF ACNE IN ADULTS: A CROSSSECTIONAL DESCRIPTIVE STUDY covid - 19大流行期间经常戴口罩对成人痤疮发展的影响:一项横断面描述性研究
Pub Date : 2022-04-30 DOI: 10.54729/mxtg6413
Rawan Taleb, Rayan Jad, Rayan Salem, N. Lababidi, Noorhan Awassa, Hadi Atchan, Hiba Deek
The aim was to highlight the dermatological side effect “acne” of repetitive usage of face masks on the skin of adults living in Lebanon through a cross sectional descriptive study involving self-administered questionnaire. Following ethical and administration approval, the questionnaire in English language was generated on a link through Google forms. The link was disseminated through social media; Facebook, Instagram and to the WhatsApp groups of the research group who are nursing BS students at the Faculty of Health Sciences. A total of 305 completed the questionnaire. Data analysis was done via SPSS. The mean age of the study participants was 22.62 years (SD=6.29). The majority (n=218, 71.5%) were female and a large number (n=203, 66.6%) were students living in Beirut (n=172, 56.4%). Skin characteristics were changed significantly after wearing a mask for a long period of time. Maskne developed after routinely wearing a mask for at least five hours daily. Other factors that increased the risk of developing Maskne included female gender, gastrointestinal problems, using hydrating facial products, having an oily or sensitive skin, oral contraceptives use, stress, history of acne, and hot weather. The majority graded their acne as mild and experienced redness and oiliness underneath their masks. The study identified the association between wearing facemasks and acne development during the covid-19 pandemic. Wearing a mask during this pandemic is definitely necessary but expected skin changes can be avoided and skin health can be preserved with the appropriate measures. Additional studies are needed to better understand how to manage mask-related acne development and inform clinical decision-making.
目的是通过一项涉及自我管理问卷的横断面描述性研究,强调黎巴嫩成年人皮肤上反复使用口罩的皮肤病副作用“痤疮”。在道德和行政部门批准后,通过谷歌表格的链接生成了英文问卷。该链接通过社交媒体传播;Facebook, Instagram和WhatsApp的研究小组,他们是健康科学学院的本科学生的护理人员。共有305人完成了问卷调查。数据分析采用SPSS软件。研究参与者的平均年龄为22.62岁(SD=6.29)。大多数(n=218, 71.5%)为女性,大量(n=203, 66.6%)为生活在贝鲁特的学生(n=172, 56.4%)。长时间佩戴口罩后,皮肤特征发生明显变化。在每天戴口罩至少5个小时后,就会出现口罩。其他增加患蒙克病风险的因素包括女性、胃肠道问题、使用保湿面部产品、皮肤油性或敏感性、口服避孕药的使用、压力、痤疮史和炎热的天气。大多数人认为他们的痤疮是轻微的,并且在口罩下经历了红肿和油腻。该研究确定了在covid-19大流行期间戴口罩与痤疮发展之间的联系。在这次大流行期间戴口罩是绝对必要的,但通过适当的措施可以避免预期的皮肤变化,并保持皮肤健康。需要进一步的研究来更好地了解如何管理面膜相关的痤疮发展并为临床决策提供信息。
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引用次数: 0
HEALTHCARE WORKERS PERCEPTIONS REGARDING ANTIBIOTIC USE DURING COVID-19 PANDEMIC IN LEBANON: A CROSS-SECTIONAL STUDY 黎巴嫩COVID-19大流行期间卫生保健工作者对抗生素使用的看法:一项横断面研究
Pub Date : 2022-04-30 DOI: 10.54729/ydel5984
S. Mina, Bilal Azakir
Since the beginning of the COVID-19 pandemic, empirical antibiotics prescription has increased globally in patients with COVID-19 for suspected or confirmed bacterial infection. Hence, concerns have been raised about potential rise in antibiotic resistance that will create further challenges for antimicrobial stewardship. This descriptive cross-sectional study was conducted to assess healthcare workers attitudes and practices regarding antibiotics prescription during the COVID-19 pandemic in Lebanon. The survey was distributed online using GOOGLE forms and included questions addressing socio-demographic characteristics, trainings in antibiotics use and healthcare workers attitudes and practices regarding antibiotics prescription during the pandemic. In total, 399 healthcare workers responded to the survey. Less than half of them had already participated in antibiotic prescription trainings before or during the pandemic. However, only 11% participated, mostly nurses, in antibiotic stewardship program. Azithromycin was the most prescribed antibiotic with Vitamin C and Zinc used as second line treatments in COVID-19 patients. In addition, nearly two-third of the participants reported an increase in antibiotic use during the early phase of the pandemic and considered that COVID-19 patients are receiving unnecessary antibiotics. This study showed excessive antibiotics prescription during the COVID-19 pandemic in Lebanon that needs to be tackled by raising awareness of antimicrobial stewardship and control measures.
自COVID-19大流行开始以来,全球范围内因疑似或确诊细菌感染的COVID-19患者的经验性抗生素处方有所增加。因此,人们对抗生素耐药性的潜在上升提出了担忧,这将给抗菌素管理带来进一步的挑战。本描述性横断面研究旨在评估黎巴嫩COVID-19大流行期间卫生保健工作者对抗生素处方的态度和做法。该调查使用GOOGLE表格在线分发,其中包括有关社会人口特征、抗生素使用培训以及大流行期间卫生保健工作者对抗生素处方的态度和做法的问题。总共有399名医护人员回应了这项调查。其中不到一半的人在大流行之前或期间参加了抗生素处方培训。然而,只有11%的人参与了抗生素管理计划,其中大部分是护士。阿奇霉素是COVID-19患者使用最多的抗生素,维生素C和锌作为二线治疗。此外,近三分之二的参与者报告说,在大流行的早期阶段,抗生素的使用有所增加,并认为COVID-19患者正在接受不必要的抗生素。这项研究表明,在黎巴嫩COVID-19大流行期间,需要通过提高对抗菌素管理和控制措施的认识来解决抗生素处方过度的问题。
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引用次数: 2
FOOD SAFETY PRACTICES AMONG FOOD CARTS IN -NORTH LEBANON 黎巴嫩北部食品车的食品安全措施
Pub Date : 2022-04-30 DOI: 10.54729/zlic6777
Hanin Hasan, Nada El Darra, Ali Al Khatib
Street food carts serve different types of popular and traditional foods; it is a common economic sector worldwide. In North Lebanon, food carts are mobile or centered in specific places serving common and well known RTE meals. In addition, the increasing incidence of foodborne illnesses associated with street foods sheds light on the importance of inspecting the practices of street vendors. Therefore, the aim of this study is to assess the food safety in 30 food carts using an observational checklist and to perform microbiological analysis for the detection of foodborne pathogens namely; yeast, mold, Listeria monocytogenes, Salmonella, Enterohemorrhagic E.coli, B-glucuronidase E.coli, Enterobacteriaceae and Clostridium perfringens in 10 samples of orange juice, 10 samples of cheese caek and 10 samples of meat shawarma; moreover to investigate the prevalence of Methicillin-resistant Staphylococcus aureus in RTE foods and street vendor’s hands. Out of 30 vendors, 100% were males, 80% with an age between 25-44, 80% of them had less than high school level and 66.7% had fixed stalls. When vendors were observed for food safety practices, 70% and 86.7% of them did not store raw materials separately nor in suitable form respectively, 43.5% cleaned their carts monthly, 96% shared utensils between many types of food, 70% did not clean the counter top surface before starting food preparation; moreover 96%, 76 % and 83% of vendors were not wearing net, gloves nor an appropriate uniform, respectively. Results showed that all tested samples were contaminated with at least one of the tested foodborne pathogens, unsatisfactory levels of yeast and mold were recorded in 10 and 9 orange juice samples, respectively. On the other hand, B-glucuronides E.coli exceeded standard limit in two samples of RTE food, one shawarma sample did not meet standard with respect to C. perfringens, Remarkably, unsatisfactory levels of S. aureus were detected in 55 % of RTE samples and in 30 % of vendor’s hands. S. aureus strains were susceptible to at least one of the used antibiotics, accordingly one isolated from vendor’s hand is considered as MRSA. Therefore, the unsatisfactory levels of yeast, mold and S. aureus in tested samples were induced by vendor’s violation of food safety practices. Consequently, the current proposes to improve the legislation needs to provide safe food for the end consumer.
街头小吃车供应不同类型的流行和传统食品;它是世界范围内共同的经济部门。在黎巴嫩北部,餐车是流动的,或者集中在特定的地方,供应常见的和众所周知的RTE餐。此外,与街头食品有关的食源性疾病发病率的增加说明了检查街头摊贩行为的重要性。因此,本研究的目的是利用观察性检查表对30辆食品推车的食品安全性进行评估,并进行微生物分析以检测食源性病原体,即;在10份橙汁、10份奶酪和10份肉沙瓦玛样品中检测出酵母、霉菌、单核增生李斯特菌、沙门氏菌、肠出血性大肠杆菌、b -葡萄糖醛酸酶大肠杆菌、肠杆菌科和产气荚膜梭菌;此外,调查耐甲氧西林金黄色葡萄球菌在RTE食品和街头小贩手中的流行情况。在30个摊贩中,100%是男性,80%的年龄在25-44岁之间,80%的人高中以下,66.7%的人有固定的摊位。在观察摊贩的食品安全做法时,分别有70%和86.7%的摊贩没有分别将原料分开存放或以适当的形式存放,43.5%的摊贩每月清洗他们的手推车,96%的摊贩在多种食物之间共用餐具,70%的摊贩在开始准备食物之前没有清洁台面;此外,分别有96%、76%和83%的商贩没有佩戴防护网、手套或合适的制服。结果显示,所有检测样本均被至少一种食源性致病菌污染,其中10份橙汁样本的酵母菌和9份橙汁样本的霉菌含量均不合格。另一方面,两份RTE食物样本的b -葡糖苷类大肠杆菌含量超标,一份沙丸样本的产气荚膜杆菌含量不符合标准,值得注意的是,55%的RTE样本和30%的商贩手上的金黄色葡萄球菌含量不合格。金黄色葡萄球菌菌株对至少一种使用的抗生素敏感,因此从供应商手中分离的一株被认为是MRSA。因此,检测样本中的酵母菌、霉菌和金黄色葡萄球菌含量不合格是由于供应商违反食品安全规定所致。因此,目前建议完善立法需要为最终消费者提供安全的食品。
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引用次数: 0
INTERLEUKIN-16 RS4778889 POLYMORPHISM AND ITS INTERACTION WITH INTERLEUKIN-10 RS1800896 POLYMORPHISM INCREASE THE RISK FOR KNEE OSTEOARTHRITIS IN THE LEBANESE POPULATION 白细胞介素-16 rs4778889多态性及其与白细胞介素-10 rs1800896多态性的相互作用增加黎巴嫩人群膝关节骨关节炎的风险
Pub Date : 2022-04-30 DOI: 10.54729/upgp4920
Z. El-Ali, F. Ziade, H. Zmerly, N. Bissar
To investigate the effect Interleukin-16 (IL-16) and Interleukin-10 (IL-10) polymorphisms, and their interaction, on knee osteoarthritis (KOA) risk in the Lebanese population. Kompetitive Allele Specific PCR (KASP) genotyping assay was performed to determine IL-16 rs4778889, rs11556218, and rs4072111 and IL-10 rs1800896 polymorphisms in 118 patients diagnosed with KOA ( ≥ 2 points on Kellgren-Lawrence (K&L) radiological classification scale) and 70 controls matched for age and gender (K&L score ≤ 1). After adjusting for age, gender, presence of metabolic disorders, smoking and drinking status, our findings suggest that rs4778889 TT genotype increases the risk for KOA compared to the combined CC and TC genotypes (OR=2.131, 95% CI 1.037 – 4.379, p = 0.04) and that the T allele increases KOA risk compared to the C allele (OR=1.8, 95% CI 1.008 – 3.212, p = 0.047). No significant associations with the disease risk were found for the other studied polymorphisms (p > 0.05). Our data suggest that there is an interaction between IL-16 rs4778889 and IL-10 rs1800896 (p = 0.010). IL-16 rs4778889 TT genotype increases the risk for KOA only among individuals carrying IL-10 rs1800896 GG or GA genotypes (OR=4.821, 95% CI 1.847 – 12.583). None of the IL-16 haplotypes was associated with KOA risk in our study population (p > 0.05). Our findings suggest that IL-16 rs4778889 T allele is associated with KOA and that there is an interaction between this polymorphism and IL-10 rs1800896 with regard to KOA.
研究白细胞介素-16 (IL-16)和白细胞介素-10 (IL-10)多态性及其相互作用对黎巴嫩人群膝骨关节炎(KOA)风险的影响。采用竞争等位基因特异性PCR (KASP)分型检测118例确诊为KOA的患者(K&L分级≥2分)和70例年龄和性别匹配的对照组(K&L评分≤1分)的IL-16 rs4778889、rs11556218、rs4072111和IL-10 rs1800896多态性。我们的研究结果表明,rs4778889 TT基因型比CC和TC联合基因型增加KOA的风险(OR=2.131, 95% CI 1.037 ~ 4.379, p = 0.04), T等位基因比C等位基因增加KOA的风险(OR=1.8, 95% CI 1.008 ~ 3.212, p = 0.047)。其他研究多态性与疾病风险无显著相关性(p > 0.05)。我们的数据表明IL-16 rs4778889和IL-10 rs1800896之间存在相互作用(p = 0.010)。IL-16 rs4778889 TT基因型仅在携带IL-10 rs1800896 GG或GA基因型的个体中增加KOA的风险(or =4.821, 95% CI 1.847 - 12.583)。在我们的研究人群中,没有IL-16单倍型与KOA风险相关(p > 0.05)。我们的研究结果表明,IL-16 rs4778889 T等位基因与KOA有关,并且这种多态性与IL-10 rs1800896在KOA方面存在相互作用。
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引用次数: 0
GENUS MELALEUCA: PHYTOCHEMISTRY, PHARMACOLOGY AND EFFECT AGAINST COVID-19 千层属植物化学、药理及抗COVID-19的作用
Pub Date : 2022-04-30 DOI: 10.54729/kmci3389
Mayssaloune Ali Kanso, Maha Aboul Ela, A. El-Lakany, Mohamad Ali Hijazi
Medicinal plants are used for the prevention and treatment of many diseases as they are rich in phytochemical constituents (like terpenes, flavonoids, and alkaloids) responsible for the pharmacological effects of these plants. Genus Melaleuca named the tea tree, belonging to the family Myrtaceae, is cultivated in Australia as well as in the Pacific and some regions of Asia. It has been employed in Australian traditional medicine for its broad antimicrobial activity because of its contents of phenolic compounds, monoterpenes, tannins, flavonoids, sesquiterpenes, and essential oils. Owing to the valuable uses of plants of genus Melaleuca, for different medical purposes, it was deemed interest to summarize the previous studies reported from 2004 to 2020 in the available literature about the phytochemistry and pharmacological potential of both volatile and non-volatile components of Melaleuca species. Accordingly, this article may help researchers work on plants of genus Melaleuca to promote clinical applications towards the development of novel drugs of diverse pharmacological activities, including inhibitory effects on COVID 19 obtained from Melaleuca species.
药用植物被用于预防和治疗许多疾病,因为它们含有丰富的植物化学成分(如萜烯、类黄酮和生物碱),这些成分负责这些植物的药理作用。千层属茶树,属于桃金娘科,在澳大利亚、太平洋和亚洲一些地区都有种植。由于其酚类化合物、单萜烯、单宁、类黄酮、倍半萜烯和精油的含量,它具有广泛的抗菌活性,已被用于澳大利亚传统医学。由于千层属植物在不同的医学用途上具有宝贵的价值,因此有兴趣总结2004年至2020年现有文献中关于千层属植物挥发性和非挥发性成分的植物化学和药理潜力的先前研究。因此,本文可以帮助研究人员对千层属植物进行研究,以促进临床应用,开发具有多种药理活性的新药,包括从千层属植物中获得的抗新冠病毒药物。
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引用次数: 0
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BAU Journal - Health and Well-Being
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